TWI558384B - Masticatory orthodontic correction device and masticatory orthodontic and orthognathic correction device - Google Patents

Description

Chewing type orthodontic device and chewing dentition and gingival correction device

The present invention relates to a dentition and gingival correction technique; in particular, to a chewing dentition correction device and a chewing dentition and gingival correction device.

It should be understood that in addition to the irregularities of the teeth, it may affect the interpersonal relationship. In severe cases, it may affect the function and health of the mouth such as chewing, pronunciation, cavities, periodontal disease, abnormal tooth wear, so more and more people will seek teeth. Orthodox correction.

The conventional orthodontic device mainly uses an uncorrected tooth as an anchorage and distorts the metal wire or the brachial plate to generate a moment to displace the tooth to correct the dentition. However, this method is difficult to accurately grasp the amount of tooth displacement during the correction, and thus the correction time is prolonged. In addition, the metal wire of the conventional wire-toothed orthodontic device is easy to scratch the patient's mouth, and is not aesthetically pleasing. As for the braces-plate orthodontic device, the daily wearing time is too long (for example, more than 20 hours per day).

Furthermore, some people need to perform orthognathic correction together to solve the problem of misalignment of the tibia and teeth.

In general, the main reason for patients needing gum correction is because the temporomandibular joint (TMJ) between the superior and inferior tibia is not in the optimal position, resulting in the upper and lower tibia. The relative position between them is abnormal. For example, see Figures 8A and 8B, which show a schematic diagram of the relative relationship between the skull, upper tibia, and mandible of a common patient. The upper tibia 10 is fixedly coupled to the skull 40, and the lower tibia 20 is movably coupled to the skull 40 through the ankle joint 30. At the same time, the upper tibia 10 is coupled to the upper row of teeth 12 and the lower tibia 20 is coupled to the lower row of teeth 22. When the ankle joint 30 between the patient and the mandible 10 and 20 is not in place, the mandibular 20 may be too convex (Fig. 1A) or the lower tibia 20 relative to the upper tibia 10 (Fig. 1A). The humerus 10 is too retracted (Fig. 1B), so that the upper and lower rows of teeth 12 and 22 are malocclusion.

At present, most doctors use osteotomy to cut the bones of the upper jaw, lower jaw or double jaws, and then reconstruct the broken bones to the required position to correct the gums. However, in addition to the excellent technique of the physician, this surgical method often has difficulty in causing the patient to fear and abandon the treatment behavior.

Therefore, how to provide a dentition (and gum) correcting device which can improve the above disadvantages is an important subject of one of ordinary skill in the art.

An embodiment of the present invention provides a masticatory orthodontic correction device, comprising: at least one retainer mounted on an upper row of teeth or a lower row of teeth; at least one first groove formed in a holder for receiving at least one of the upper or lower teeth a tooth, wherein a gap is formed between the first groove and the tooth, whereby an occlusal force generated between the upper and lower rows of teeth is transmitted through the holder to move the tooth in the first groove to Correct the dentition.

In one embodiment, the chewing-type orthodontic device further includes at least one positioner and at least one second groove, wherein the positioner is mounted after being fixed by the holder after the holder is removed Disposing a tooth or a lower row of teeth, the second groove is formed on the positioner and configured to receive the corrected tooth, wherein the position of the second groove corresponds to the position of the corrected tooth, thereby The position after orthodontics is maintained by the positioner.

In one embodiment, the chewing orthodontic device further includes an elastic member formed in the gap to interact with the elastic member when the tooth moves in the first recess.

In an embodiment, the hardness of the elastic member is smaller than the hardness of the anchor and less than the hardness of the positioner.

An embodiment of the present invention also provides a chewing type orthodontic device, comprising: a first holder mounted on the upper row of teeth; a second holder mounted on the lower row of teeth; and a plurality of first grooves, Forming on the first holder and the second holder, respectively, for receiving a plurality of teeth in the upper row of teeth and the lower row of teeth, wherein each of the first grooves forms a gap with each of the teeth, thereby forming a gap therebetween A chewing force generated by the upper and lower rows of teeth is transmitted through the first and second holders to move the teeth in the first grooves to correct the dentition.

In one embodiment, the chewing-type orthodontic device further includes a first positioner, a second positioner, and a plurality of second grooves, wherein the first positioner is attached to the first holder after being removed. Upper row of teeth, second positioner in front The second holder is removed and mounted on the lower row of teeth, and the second grooves are formed on the first positioner and the second positioner, respectively, and are used for receiving the corrected teeth, wherein the The position of the two grooves corresponds to the position of the corrected teeth, whereby the positions after the orthodontics are maintained by the first and second positioners.

In one embodiment, the first holder has a first occlusal side portion, and the second holder has a second occlusal side portion corresponding to the first occlusal side portion, wherein the first occlusal side portion is formed with a plane, The second occlusal side is formed with a plurality of protrusions for contacting the plane.

In an embodiment, when the first occlusal side contacts the second occlusal side, the plane is in simultaneous contact with the protrusions, and when the first occlusal side separates the second occlusal side, the plane is The protrusions are simultaneously separated.

In an embodiment, when the first occlusal side contacts the second occlusal side, the plane forms a plurality of contact points with the protrusions, wherein the contact points are distributed in an arc shape, and each contact The positions of the points correspond to the center of the cogging of each of the teeth in the upper row of teeth, respectively.

In one embodiment, the sum of the thickness of the first occlusal side of the first holder and the thickness of the second occlusal side of the second holder is between 1.5 mm and 2.5 mm.

In one embodiment, the first holder has a plurality of limiting portions formed on a left buccal portion and a right buccal portion, and each of the limiting portions has a guiding surface for guiding Introducing the second holder and avoiding the left and right sides from swaying relative to the first holder.

In one embodiment of the present invention, a masticatory orthodontic and orthognathic correction device is also provided. The device includes: at least one holder mounted on the upper row of teeth; at least one first groove formed on the holder for receiving at least one tooth of the upper row of teeth, wherein the first groove and the tooth Forming a gap, whereby a chewing force generated between the upper and lower rows of teeth is transmitted through the holder so that the tooth moves in the first groove to correct the dentition; at least one positioner is removed from the holder After being mounted on the upper row of teeth corrected by the fixer, wherein the positioner has a second groove, a first left cheek side, a first right cheek side and at least one first fixed hook, the second groove For receiving the corrected tooth, and the position corresponds to the corrected position of the tooth, the first fixed hook is fixed on the first left buccal side or the first right buccal side; at least a second a fixing hook fixed to one of the second left cheek side or a second right cheek side of the lower row of teeth, and corresponding to the first fixing hook; and at least one elastic member connecting the first and second portions Fixing a hook to drive the lower row of teeth relative to the positioner, The relative position between the lower jaw of one of the lower teeth and the upper tibia of one of the connection locators is adjusted.

An embodiment of the present invention also provides a chewing dentition and gingival correction device, comprising: at least one fixer mounted on the lower row of teeth; at least one first groove formed on the holder for receiving the lower row At least one tooth in the tooth, wherein a gap is formed between the first groove and the tooth, whereby a chewing force generated between the upper and lower rows of teeth passes through the holder to move the tooth in the first groove, To correct the dentition; at least one locator is attached to the lower teeth after being fixed by the fixer, wherein the locator has a second groove, a first left cheek side, and a first right a buccal portion and at least one first fixing hook, the second groove is for receiving the corrected tooth, and the position corresponds to the corrected position of the tooth, and the first fixing hook is fixed to the first left Buccal side or first right a second fixed hook portion, fixed to one of the second left cheek side or a second right cheek side of the upper row of teeth, and corresponding to the first fixed hook portion; and at least one The elastic member connects the first and second fixing hooks to drive the positioner to move relative to the upper row of teeth, thereby adjusting the relative position between the lower jaw bone connecting one of the positioning locators and the upper tibia connecting one of the upper row of teeth.

In one embodiment, the holder has a first occlusal side, and the upper or lower teeth of the unattached holder have a second occlusal side corresponding to the first occlusal side, the first occlusal side The portion is formed with a plane, and the second occlusal side has a plurality of bites for contacting the plane.

In one embodiment, when the first occlusal side contacts the second occlusal side, the plane simultaneously contacts the bite, and when the first occlusal side separates the second occlusal side, the plane Some bites are separated at the same time.

In one embodiment, the holder has a plurality of limiting portions formed on a left cheek side portion and a right buccal portion, and each of the limiting portions has a guiding surface for guiding the Wear the upper or lower row of teeth on the holder and avoid the left or right teeth from swaying relative to the holder.

In one embodiment, the locator has a third occlusal side, and the upper or lower teeth of the unpositioned locator have a fourth occlusal side corresponding to the third occlusal side, the third occlusal side. At least one guiding block is formed on the portion, and the guiding block has a guiding surface, wherein the elastic member drives the relative movement between the upper row of teeth or the lower row of teeth and the positioner along the guiding surface.

In one embodiment, the positioner has a third occlusal side, and the upper or lower row of teeth that are not worn with the locator has a fourth occlusal side corresponding to the third occlusal side, the fourth occlusal side. At least one guide is formed on the part And the guiding block has a guiding surface, wherein the elastic member drives the relative movement between the upper row of teeth or the lower row of teeth and the positioner along the guiding surface.

In one embodiment, the locator has a third occlusal side, and the upper or lower teeth of the unpositioned locator have a fourth occlusal side corresponding to the third occlusal side, the third occlusal side. The portion is formed with at least one spacer for spacing the upper or lower teeth and the positioner such that relative movement between the upper or lower teeth and the positioner proceeds smoothly.

In one embodiment, the positioner has a third occlusal side, and the upper or lower row of teeth that are not worn with the locator has a fourth occlusal side corresponding to the third occlusal side, the fourth occlusal side. The portion is formed with at least one spacer for spacing the upper or lower teeth and the positioner such that relative movement between the upper or lower teeth and the positioner proceeds smoothly.

The above and other objects, features, and advantages of the invention will be apparent from

1‧‧‧ chewing unit

1’‧‧‧Maintenance unit

1"‧‧‧Tooth correction unit

10‧‧‧Upper humerus

12‧‧‧Upper teeth

12A‧‧ ‧ front teeth

12B‧‧‧ side incisors

12C‧‧‧(上) Canines

12D‧‧‧The first small molar

12E‧‧‧Second small molars

12F‧‧‧second largest molar

20‧‧‧ Lower jaw bone

22‧‧‧ Lower teeth

22A‧‧‧ (bottom) front teeth

22B‧‧‧ side incisors

22C‧‧‧The first small molar

22D‧‧‧Second small molars

22E‧‧‧The second largest molar

30‧‧‧ ankle joint

40‧‧‧Skull

100‧‧‧First holder

100A‧‧‧Limited

200‧‧‧second holder

100’‧‧‧First Positioner

200’‧‧‧Second positioner

100”‧‧‧First Positioner

100a"‧‧‧ first left cheek side

100b”‧‧‧first right cheek side

100c”‧‧‧First lip side

102"‧‧‧ thickening section, guiding block

104”‧‧‧ Thickening section, guiding block

106”‧‧‧镂空部

200”‧‧‧Second positioner

200a”‧‧‧second left cheek side

200b”‧‧‧second right cheek side

200c”‧‧‧second lip side

202”‧‧‧ Locator subunit

204'‧‧‧ Locator subunit

206”‧‧‧ Thickening Department

208"‧‧‧ separated pieces

302‧‧‧First bracket

304‧‧‧First bow line

306‧‧‧First fixed hook

308‧‧‧First Central Hook

402‧‧‧second bracket

404‧‧‧second bow line

406‧‧‧Second fixed hook

408‧‧‧Second Central Hook

500‧‧‧Flexible parts

B‧‧‧Bitting point

B1‧‧‧First occlusal side

B2‧‧‧Second bite side

B1"‧‧‧ Third occlusal side

B2"‧‧‧4nd occlusal side

C‧‧‧Virtual Center Axis

D1‧‧‧ thickness

D2‧‧‧ thickness

P1‧‧ plane

P2‧‧‧ bump

R‧‧‧ groove structure

R1‧‧‧ Non-correction department

R2‧‧‧ Correction / First groove

R1”‧‧‧First tooth accommodation side

R2”‧‧‧Second tooth accommodation side

G‧‧‧ gap

S‧‧‧ elastic parts

T"‧‧‧颚

Fig. 1A is a view showing a state in which a patient wears a chewing unit of a chewing orthodontic device according to an embodiment of the present invention for chewing.

Fig. 1B is a schematic view showing a maintenance unit in which a patient wears a chewing type orthodontic device according to an embodiment of the present invention.

Fig. 2A is a schematic view showing the first and second holders of the chewing unit being engaged.

Fig. 2B is an enlarged view showing a portion X in Fig. 2A.

Figure 3 is a schematic view showing the distribution of the occlusal points on the first holder in Figure 2A. Figure.

Fig. 4 is a view showing the first and second holders in Fig. 2A at another angle of view.

Fig. 5 is a view showing the relative relationship between the gum correction unit of the chewing dentition and the orthodontic device and the upper and lower teeth of the patient according to an embodiment of the present invention.

Fig. 6A is a view showing the first positioner of the gingival correction unit of the embodiment of the present invention mounted on the upper row of teeth.

Fig. 6B is a view showing the second positioner of the gingival correction unit of the embodiment of the present invention attached to the lower row of teeth.

Fig. 7 is a view showing the working principle of the gingival correction unit according to an embodiment of the present invention.

Figures 8A and 8B show a schematic diagram of the relative relationship between the skull, upper tibia and mandible of a common patient.

The preferred embodiment of the invention is described in conjunction with the drawings.

The directional terms mentioned in the following embodiments, for example, up, down, left, right, front, back, etc., are merely directions referring to the additional drawings. Therefore, the directional terminology used is for the purpose of illustration and not limitation.

In addition, "first", "second", "third", "fourth" and the like are used hereinafter to denote different elements, regions, and/or sections. The elements, regions, and/or segments are not limited by these terms, and are used to distinguish such elements, regions, and/or segments. Therefore, the first elements, regions, and/or segments described below may also be used. The second component, region and/or segment are replaced by the teachings of the present invention.

Please refer to FIG. 1A and FIG. 1B. FIG. 1A is a schematic view showing a chewing unit of a masticatory orthodontic correction device according to an embodiment of the present invention for chewing, and FIG. 1B shows a disease. A schematic view of a maintenance unit for wearing a chewing dentition correction device according to an embodiment of the present invention. It should be understood that the chewing orthodontic device of the present embodiment includes at least one chew unit 1 (Fig. 1A) and at least one maintaining unit 1' (Fig. 1B), but is not limited thereto.

In Fig. 1A, the chewing unit 1 includes a first retainer 100 and a second retainer 200 that are removably attached to the patient's upper and lower rows of teeth 12 and 22, respectively. In Fig. 1B, the maintaining unit 1' includes a first positioner 100' and a second positioner 200' which are detachably mounted on the patient's upper and lower rows of teeth 12 and 22, respectively. In this way, the patient can freely attach or remove the chewing unit 1 and the maintenance unit 1' depending on the occasion and the needs, and can clean the teeth normally.

When the chewing orthodontic device of the embodiment is used, the patient first wears the chewing unit 1 to perform dentition correction, and then after the chewing unit 1 is removed, the maintenance unit 1' is worn to maintain the corrected tooth. Column.

In particular, when the patient wears the chewing unit 1 (the first and second holders 100 and 200), one of the upper and lower rows of teeth 12 and 22 produces an occlusal force (as shown in FIG. 1A). The direction of the arrow in the direction) to move the teeth to correct the dentition, this principle of operation will be described in detail in the following paragraph (with Figures 2A and 2B).

When the patient removes the chewing unit 1 and wears the maintenance unit 1' (the first and second positioners 100' and 200'), it is permeable to the first and second sets. A plurality of groove structures R' on the inner sides of the receptacles 100' and 200' (as indicated by the dashed lines in the first and lower rows of teeth 12 and 22 in Fig. 1B) maintain the corrected tooth row.

It is worth mentioning that the maintenance unit 1' is not used to correct the dentition, but is used in conjunction with the chewing unit 1 to maintain the corrected dentition. The positions of the groove structures R' (second grooves) correspond to the positions of the upper and lower rows of teeth 12 and 22 corrected by the first and second holders 100 and 200. The solidity of the first and second positioners 100' and 200' of the maintaining unit 1' of the present embodiment is smaller than the hardness of the first and second holders 100 and 200 of the chewing unit 1, so that the first and the first The two positioners 100' and 200' are prone to breakage when the upper and lower rows of teeth 12 and 22 are chewed, so that the patient cannot chew when wearing the maintenance unit 1'.

In this embodiment, the materials of the first and second holders 100 and 200 are, for example, an orthodontic resin suitable for use in the oral cavity, and the materials of the first and second positioners 100' and 200' may include thermoplastic Plastic, synthetic resin, or other materials suitable for use in the oral cavity.

2A and 2B, FIG. 2A is a schematic view showing the first and second holders 100 and 200 of the chew unit 1 being engaged, and FIG. 2B is an enlarged view showing a portion X in FIG. 2A.

It should be understood that a plurality of groove structures R are formed inside the first and second holders 100 and 200 of the chewing unit 1 (as indicated by the dotted lines corresponding to the upper and lower rows of teeth 12 and 22 in FIG. 2A) For receiving upper and lower rows of teeth 12 and 22. In the present embodiment, the groove structure R includes a plurality of non-correcting portions R1 and at least one correcting portion R2, wherein the position of the non-correcting portion R1 corresponds to the non-corrected teeth of the upper and lower rows of teeth 12 and 22 (ie, The position of the tooth that does not need to be corrected, and the position of the correction portion R2 (first groove) is desired by the teeth to be corrected in the upper and lower rows of teeth 12 and 22. The position after correction is determined. Referring to FIGS. 2A and 2B, the patient in this embodiment has only the incisors 22A as the teeth to be corrected, and the position of the lower incisors 20A to be corrected is slightly displaced inward (eg, FIG. 2B). In the direction of the arrow in the middle, an appropriately sized gap G can be formed between the correcting portion R2 and the lower incisor 22A to retain the space in which the lower incisors 22A are displaced inward.

Further, the gap G between the correcting portion R2 and the lower incisor 22A is further formed with an elastic member S (Fig. 2B), and the material thereof may be a soft resin. The hardness of the elastic member S is smaller than the hardness of the first and second holders 100 and 200, and is smaller than the hardness of the first and second positioners 100' and 200' (maintenance unit 1'). In practice, the elastic member S can be fixed to the inner side of the correcting portion R2, for example, in an adhesive manner. Preferably, the elastic member S can cover the entire crown of the tooth to be corrected.

Next, the working principle of the chewing unit 1 of the present embodiment for correcting the dentition will be described with reference to FIGS. 1A, 2A and 2B.

When the patient wears the first and second holders 100 and 200 for chewing, one of the chewing forces generated by the upper and lower rows of teeth 12 and 22 can be transmitted to the teeth through the first and second holders 100 and 200. The periodontal membrane causes the roots of the upper and lower rows of teeth 12 and 22 to be displaced relative to the connected alveolar bone (not shown).

Next, in the first and second holders 100 and 200, since the position of the non-correcting portion R1 corresponds to the position of the non-corrected tooth, the non-corrected tooth is restricted from being generated by the aforementioned masticatory force with respect to the cogging. Displacement of the bone. In contrast, the gap between the correcting portion R2 and the tooth to be corrected (the lower incisor 22A) is formed with a gap G (the elastic member S is disposed), so that the lower incisor 22A can move in the correcting portion R2 under the action of the masticatory force ( As shown by the direction of the arrow in Figure 2B), more specifically It can be said that the lower incisor 22A can interact with the elastic member S and oscillate in the correcting portion R2 to obtain the dentition to be corrected. In the present embodiment, when the teeth to be corrected are moved, the elastic member S can be deformed and has a function of cushioning the chewing force, so that the pain generated during the correction of the dentition can be reduced.

It is worth mentioning that the working principle of the chewing unit 1 of the present embodiment for correcting the dentition is completely different from the conventional orthodontic device. Wherein, the chewing unit 1 of the present embodiment does not use the non-corrected tooth as the anchor end, and the tooth is displaced by the twist of the metal wire or the braces to generate the tooth, but is generated between the upper and lower teeth. One of the chewing forces directly moves the teeth to be corrected, wherein the direction of the chewing force is substantially perpendicular to the occlusal sides of the first and second holders 100 and 200 of the chewing unit 1. Therefore, the chewing unit 1 of the present embodiment can accurately and quickly correct the dentition without affecting the non-corrected teeth as compared with the conventional orthodontic device.

Next, please refer to FIG. 2A and FIG. 3, which shows a schematic diagram of the distribution of the occlusal points on the first holder 100 in FIG. 2A. As shown in FIG. 2A, the first holder 100 has a (first) occlusal side portion B1, and the second holder 200 has a (second) occlusal side portion B2 corresponding to the first occlusal side portion B1, wherein The first occlusal side portion B1 is formed with a plane P1, and the second occlusal side portion B2 is formed with a plurality of protrusions P2 for contacting the plane P1.

When the first and second holders 100 and 200 are engaged with each other (that is, when the first occlusal side portion B1 contacts the second occlusal side portion B2), the plurality of nip points B on the first holder 100 (ie, the plane P1) The plurality of contact points formed by the protrusions P2 are distributed in an arc shape (Fig. 3), and the position of each bite point B corresponds to the center of the tooth groove of each of the teeth in the upper row of teeth, respectively.

As a result, the first and second holders 100 and 200 have a centric occluding relation. In this case, when the patient wears the first and second holders 100 and 200 for chewing, the plane P1 and the protrusions P2 can be simultaneously contacted (when the first occlusal side B1 contacts the second occlusal side At time B2), it is separated from the same time (when the first occlusal side portion B1 separates the second occlusal side portion B2), thereby avoiding occurrence of an excursion between the first and second holders 100 and 200. At the same time, since the first and second holders 100 and 200 are engaged by the maximum effective contact area, the improper pressure acting on the first and second holders 100 and 200 can be reduced, thereby effectively improving the patient. The effect when the first and second holders 100 and 200 are worn.

Next, please refer to FIG. 2A and FIG. 4, which shows a schematic view of the first and second holders 100 and 200 in FIG. 2A from another perspective. In the embodiment, the first holder 100 further has a plurality of (for example, two) limiting portions 100A formed on the left and right buccal sides of the first holder 100, wherein each of the limiting portions 100A is A guiding surface (not shown) is formed at a position near the lingual side for guiding the second holder 200. Thereby, the limiting portions 100A can prevent the second holder 200 from shaking left and right relative to the first holder 100 (when the first and second holders 100 and 200 are engaged with each other). It should be understood that although the position of the limiting portion 100A in FIGS. 2A and 4 corresponds to the upper canine 12C (FIG. 2A), it may also correspond to other teeth in the upper row of teeth 12 (eg, Small molars).

Returning to FIG. 2A, in the present embodiment, the sum of the thickness D1 of the first occlusal side portion B1 of the first holder 100 and the thickness D2 of the second occlusal side portion B2 of the second holder 200 (ie, D1+D2) is between 1.5 mm and 2.5 mm. Thereby, when the patient wears the first and second fixers 100 and 200, the connection is The tibia 20 under the second fixator 200 can still move naturally downward, and the temporomandibular joint (TMJ) 30 that connects the lower tibia 20 is detached downward (as indicated by the direction of the arrow in FIG. 2A). This can also improve the feeling when the patient wears the first and second fixers 100 and 200.

It is to be noted that when the patient wears the chewing unit 1 (the first and second holders 100 and 200) of the present embodiment for orthodontic correction, one of the upper and lower rows of teeth 12 and 22 is generated. Chewing force to move the teeth, wherein the chewing force is quite large, so the patient only needs to wear the chewing unit 1 to chew for a short time, for example, about half an hour per meal, to obtain sufficient energy for moving the teeth to be corrected. Next, the patient only needs to wear the maintenance unit 1' after the meal to maintain the corrected dentition. In contrast, the wearing (correction) time of the conventional orthodontic device must be more than 20 hours per day. In particular, since the chewing unit 1 of the present embodiment does not affect the non-corrected teeth during the dentition correction, the corrected dentition can be more accurately grasped, thereby shortening the correction process.

Although the chewing orthodontic device of the foregoing embodiment includes only a single chewing unit 1 and a single maintaining unit 1', it may also include a plurality of corresponding chewing units 1 and a holding unit 1', which are desired by the patient. The number of teeth corrected and the amount of displacement are determined. Specifically, when the number of teeth and the amount of displacement of the patient to be corrected is large, the chewing orthodontic device needs to include a plurality of corresponding chewing units 1 (each chewing unit 1 includes a first and a second The holders 100 and 200) and the maintenance unit 1' (each of the maintenance units 1' includes a first and a second positioner 100' and 200'), and the correction process is also divided into a plurality of stages (one for each stage) The chewing unit 1 and a maintaining unit 1') progressively achieve the effect of orthodontic correction.

Although the teeth to be corrected in the foregoing embodiments are only a single lower door Teeth, but it may also include teeth in any one or more of the upper and lower rows of teeth.

Although the chewing unit 1 of the chewing orthodontic device of the foregoing embodiment includes the first and second holders 100 and 200, it may also include a single holder for the upper or lower row of teeth. For example, when the patient needs to correct the teeth only in the upper row of teeth or the lower row of teeth, the patient can correspondingly wear a single fixture on the upper row of teeth or the lower row of teeth, so also by The chewing force generated by the lower row of teeth is transmitted through the holder to move the tooth to be corrected in the correction portion (groove) of the fixture to correct the dentition. Similarly, after removing the fixator, the patient can also wear a single locator corresponding to the row of teeth after the dentition through the fixator to maintain the corrected dentition.

In some embodiments, when the patient wears only a single fixator to correct the dentition (chewing), a plane can also be formed on the occlusal side of the retainer, and naturally and without the retainer The plurality of bites (cusp) of the upper row of teeth or the lower row of teeth (on the occlusal side) are simultaneously contacted and simultaneously separated. In addition, a plurality of occlusal points on the retainer (ie, the plane on the occlusal side of the retainer and the bite on the occlusal side of the upper or lower row of teeth on which the retainer is not worn) The plurality of contact points are also distributed in an arc shape, and the position of each bite point corresponds to the center of the tooth groove of each of the teeth of the row of teeth wearing the holder, respectively. Furthermore, the holder may further have a plurality of (for example, two) limiting portions formed on the left and right buccal side portions thereof, and formed with guiding surfaces for guiding the unattached the fixing device. Row teeth or lower teeth. Thereby, the limiting portions can prevent the upper row of teeth or the lower row of teeth from swaying relative to the holder (when the holder is occluded with the teeth arranged on the upper or lower rows of the holder) Time).

The types of the first and second holders 100 and 200 and the first and second positioners 100' and 200' include, but are not limited to, transparent, translucent, non-transparent, colored, and added. Patterned, windowed or non-windowed.

Another embodiment of the present invention also provides a masticatory orthodontic and orthognathic correction device, which is suitable for patients requiring both dentition and gingival correction, including a dentition correction unit and a Gingival correction unit. It should be understood that the dentition correction unit is the same as the chew unit 1 (including at least one holder) of the chewing dentition correction device in the foregoing embodiment, and therefore will not be described below, and the gingival correction unit is After the dentition correction unit is removed, it is placed on the upper and lower rows of teeth to maintain the dentition corrected by the dentition correction unit and further correct the gingival.

Please refer to FIG. 5, which is a schematic diagram showing the relative relationship between the gingival correction unit (of the chewing dentition and the gingival correction device) and the upper and lower teeth of the patient according to an embodiment of the present invention. As shown in FIG. 5, the gingival correction unit of the embodiment mainly includes a first locator 100", a second locator 200", and a plurality of first brackets 302 disposed on the first locator 100". a plurality of first bow lines 304 and a plurality of first fixed hook portions 306, a plurality of second brackets 402 disposed on the second positioner 200", a plurality of second bow lines 404 and a plurality of second fixed hooks a portion 406 and a plurality of elastic members 500.

The first positioner 100" has a first one of the first tooth receiving side portion R1" and a (third) biting side portion B1", and the second positioner 200" has a relative a second tooth receiving side portion R2" and a (fourth) occlusal side portion B2", wherein the third occlusal side portion B1" corresponds to the fourth occlusal side portion B2", the first and second tooth receiving side portions R1 and R2 corresponds to the upper and lower rows of teeth 12 and 22, respectively, and is formed with a groove structure (second groove) for receiving the upper and lower rows of teeth 12 and 22, wherein the positions of the groove structures correspond to the dentition The position of the upper and lower rows of teeth 12 and 22 after the correction unit is corrected. In this embodiment, the first and second positioners 100" and 200" are all detachable positioners (also referred to as movable positioners), and the material thereof can be compared with the maintenance unit 1' in the foregoing FIG. 1B. The first and second positioners 100' and 200' are identical.

As shown in Fig. 5, the first positioner 100" further has a first first cheek side 100a" and a first right cheek side 100b". The plurality of first brackets 302 are respectively mounted on the first Five first brackets 302 may be respectively disposed on a left buccal side 100a" and a first right buccal side 100b" (eg, the first left buccal side 100a" and the first right buccal side 100b") The plurality of first arcuate lines 304 (eg, two first arcuate lines 304) pass through the first left buccal side 100a" and the first right buccal side 100b" of the first locator 100", respectively. The first brackets 302 are fixed by the first brackets 302. In addition, the first plurality of first hooks 306 are respectively connected to the plurality of first fixing hooks 306 (for example, the four first fixing hooks 306 ), and the first fixing hooks 306 are located in the first brackets 302 . between.

Similarly, the second positioner 200" also has a second second cheek side 200a" and a second right cheek side 200b", wherein the second left cheek side 200a" corresponds to the first locator 100" The first left buccal side portion 100a", and the second right buccal side portion 200b" corresponds to the first right buccal side portion 100b" of the first positioner 100". The plurality of second brackets 402 are respectively mounted on the first Two left cheek side portions 200a" and second right buccal side portions 200b" (eg, second left buccal side portion 200a" and second right buccal side portion There may be five second brackets 402 respectively on the 200b". The plurality of second arcuate lines 404 (for example, two second arcuate lines 404) pass through the second left cheek of the second positioner 200", respectively. The second brackets 402 on the side portions 200a" and the second right cheek side portions 200b" are fixed by the second brackets 402. In addition, the second arcuate lines 404 are respectively connected to the plurality of second fixing hooks 406 (for example, four second fixing hooks 406), and the second fixing hooks 406 are located in the second brackets 402. between.

In this embodiment, the materials of the first and second brackets 302 and 402 may include stainless steel, nickel titanium alloy or plastic ceramic, and the first and second arcuate lines 304 and 404 (including the first and second fixed hooks) The materials of 306 and 406) may include stainless steel or nickel titanium alloy.

Referring to FIG. 5, the plurality of elastic members 500 are respectively connected to the first and second fixing hooks 306 and 406 fixed to the corresponding buccal portions of the first positioner 100" and the second positioner 200". (For example, the left and right buccal sides of the first positioner 100" and the second positioner 200" are respectively provided with three elastic members 500). Thereby, the elastic force of the elastic members 500 can drive the second positioner 200" backwards relative to the first positioner 100" (as in the direction between the Y-axis and the Z-axis in FIG. 5) or forward-down ( Moving in the direction between the -Y axis and the -Z axis in FIG. 5, thereby adjusting the relative position between the tibia 20 connected to the second positioner 200" and the tibia 10 above the first positioner 100", To achieve the purpose of gum correction.

It should be understood that when the elastic members 500 are connected to the first and second fixed hook portions 306 and 406 on the corresponding buccal portions of the first positioner 100" and the second positioner 200", the method may be different. Producing to drive the second positioner 200" rearwardly relative to the first positioner 100" (as in the direction between the Y-axis and the Z-axis in Figure 5) or The elastic force that moves forward and downward (as in the direction between the -Y axis and the -Z axis in Figure 5). In this embodiment, the elastic members 500 may be rings having the same or different elastic values, such as a rubber coil or a spring coil of a nickel-titanium alloy material.

It is to be noted that the first positioner 100 can be made when the number and elastic values of the elastic members 500 disposed on the left and right buccal sides of the first positioner 100" and the second positioner 200" match each other. The forces on the left and right buccal sides of the "and second positioner 200" are identical, so that it is avoided to connect the second locator 200" below the humerus 20 around a virtual central axis C of the oral cavity (parallel to Figure 5 The Y-axis is rotated relative to the tibia 10 above the first positioner 100", and the relative movement between the mandible 20 and the upper tibia 10 is only substantially along the Y-axis and the Z-axis as in FIG. The direction between the directions or the direction between the -Y axis and the -Z axis. However, depending on the condition of the patient, the number and elastic values of the elastic members 500 disposed on the left and right buccal sides of the first positioner 100" and the second positioner 200" may also be inconsistent.

In addition, the number and position of the first and second brackets 302 and 402, the number and length of the first and second bow lines 304 and 404, the number and position of the first and second fixed hook portions 306 and 406, and the elasticity The number of pieces 500 is not limited by the embodiment in Fig. 5, which can be adjusted according to actual needs. For example, a first fixed hook portion 306 may be provided only in the first left buccal side portion 100a" or the first right buccal side portion 100b" of the first positioner 100", and only in the second positioner 200" The second left cheek side portion 200a" or the second right cheek side portion 200b" is provided with a second fixing hook portion 406 (the position where the second fixing hook portion 406 is disposed needs to correspond to the first fixing hook portion 306), and the first fixing portion The hook portion 306 and the second fixing hook portion 406 can be connected to each other only by an elastic member 500.

It is worth mentioning that, as shown in Fig. 5, the gingival correction of this embodiment The positive unit may further include a first central hook portion 308 fixedly disposed at a center of one of the first lip side portions 100c" of the first positioner 100". In addition, the first central hook portion 308 and the first left cheek side portion 100a" or the first fixed hook portion 306 on the first right buccal side portion 100b" may be first connected by an elastic member 500, and then the first first hook portion 306 may be connected. The fixing hook 306 and the second fixing hook 406 corresponding to the second positioning device 200 ′′ (and opposite to the rear position), so that the second positioning device 200 ′′ relative to the first positioning device 100 can be driven by the elastic force of the elastic member 500 . "moving along the X-axis direction or the -X-axis direction in FIG. 5 to improve the left and right skew of the upper and lower tibia 10 and 20. Similarly, the gingival correction unit of the present embodiment may also include a second The central hook portion 408 is fixedly disposed at the center of one of the second lip side portions 200c" of the second positioner 200". Alternatively, the second central hook portion 408 and the second left cheek may be first connected by an elastic member 500. The second fixing hook portion 406 on the side portion 200a" or the second right buccal side portion 200b" is then connected to the second fixing hook portion 406 corresponding to the first positioning device 100" (and the relative position is later) A fixed hook 306 can also achieve the purpose of improving the left and right skew of the upper and lower tibia 10 and 20.

In this embodiment, the materials and arrangement of the first central hook portion 308 and the second central hook portion 408 are the same as those of the first and second fixed hook portions 306 and 406.

Referring to FIGS. 6A and 6B, respectively, the first positioner 100" according to an embodiment of the present invention is mounted on the upper teeth of the patient, and the second positioner 200" is mounted on the lower teeth of the patient. Schematic diagram.

It should be understood that, as shown in FIGS. 6A and 6B, when the first positioner 100" and the second positioner 200 are respectively mounted on the upper and lower rows of teeth, the entire upper and lower rows of teeth can be substantially covered. More specifically, the first positioner 100" and the second positioner 200" may be based on an undercut structure of the upper and lower rows of teeth. Designed such that the first positioner 100" and the second positioner 200" conformably cover the entire crown of the upper and lower rows of teeth, thereby enhancing the engagement of the first positioner 100" and the second positioner 200" with The force of the upper and lower rows of teeth prevents the first positioner 100" and the second positioner 200" from easily disengaging the upper and lower rows of teeth during the gum correction process.

As shown in FIG. 6A, the third occlusal side portion B1" of the first positioner 100" of the present embodiment may further be formed with a thickened portion 102" and a plurality of thickened portions 104", wherein the thickened portion 102" The position corresponds to the two incisors 12A and the two side incisors 12B of the upper row of teeth 12 (please refer to FIG. 5 together), and the positions of the thickened portions 104" correspond to the left and right of the upper row of teeth 12, respectively. The canine 12C, the first small molar 12D and the second small molar 12E (please refer to Figure 5 together). Furthermore, the thickened portion 102" is formed with a guiding surface which is gradually lowered from the top of the front teeth 12A and 12B toward one side T", and the thickened portions 104" are also formed by the thickest portion thereof (corresponding to the The canine teeth 12C, the first small molars 12D and the second small molars 12E have a plurality of guiding faces which are gradually lowered toward the thinnest portion (the tooth adjacent). The thickened portion 102" and the thickened portion 104 The guiding surface can be flat or curved.

Similarly, as shown in FIG. 6B, the fourth nip portion B2" of the second locator 200" of the embodiment may be further formed with a plurality of thickening portions 206", wherein the positions of the thickening portions 206" are respectively Corresponding to one of the first small molars 22C and the second small molars 22D in the left and right teeth 22 (please refer to FIG. 5 together), and the thickest portion corresponds to the first small molars 22C and the second The center of the tooth groove of the small molar 22D.

It should be particularly noted that the term thickening portion as used herein means that the third occlusal side portion B1" corresponds to the position of the thickened portions 102" and 104". The thickness may be greater than the thickness of the remaining position of the third occlusal side B1", and the thickness at the position of the fourth occlusal side B2" corresponding to the thickened portion 206" may be greater than the remaining position of the fourth occlusal side B2" thickness of.

In the present embodiment, the first positioner 100", the thickened portions 102" and 104" may be integrally formed, or a synthetic resin, a glass-on-glass resin or other wear-resistant material suitable for the oral cavity may be used. First, the thickened portions 102" and 104" are firstly formed and fixed to the third occlusal side portion B1" of the first positioner 100" by adhesive means. Similarly, the second positioner 200" and the thickened portion 206" can be integrated. Manufactured by molding, or by using a synthetic resin, a synthetic glass resin or other wear-resistant material suitable for the oral cavity, the thickened portion 206" is first formed, and then fixed to the fourth occlusal side portion B2 of the second locator 200" by adhesive means. "on.

Further, when the patient wears the gingival correction unit of the embodiment, and the third occlusal side B1" of the first locator 100" contacts the fourth occlusal side B2" of the second locator 200" The locator subunits 202" and 204" (Figs. 5 and 6B) corresponding to the two incisors 22A and the two side incisors 22B of the lower row of teeth 22 of the second positioner 200" can contact the first positioner The thickened portion 102" on the 100" (Fig. 6A), and the thickened portions 206" (Fig. 6B) on the second positioner 200" can contact the thickening on the first positioner 100" Part 104" (Fig. 6A).

Please refer to FIG. 7, which shows a schematic diagram of the working principle of the gingival correction unit of the present embodiment. With the above structural design, when the occlusal side of the first positioner 100" contacts the occlusal side of the second locator 200", the thickened portions 102" and 104" on the occlusal side of the first locator 100" A plurality of guiding blocks may be formed, and the locator subunits 202" and 204" and the thickening portion 206" on the occlusal side of the second locator 200" may contact the guiding surfaces of the guiding blocks 102" and 104" (To simplify the schema, section 7 Only a single guide surface and contact point are shown in the figure). At this time, under the elastic force provided by the elastic member 500 (Fig. 5), the second positioner 200" can be slid along the guiding surface relative to the first positioner 100" (as indicated by the arrow in Fig. 7). Shown to drive the connection of the second locator 200" below the tibia 20 relative to the tibia 10 above the first locator 100" and to urge the ankle joint 30 back to the proper position for the purpose of gingival correction .

Wherein, when the elastic force of the elastic member 500 (Fig. 5) drives the second positioner 200" to move backward relative to the first positioner 100" (as in the direction between the Y axis and the Z axis in Fig. 7), Improving the condition that the lower tibia 20 is too convex with respect to the upper tibia 10 as shown in Fig. 8A; conversely, when the elastic force of the elastic member drives the second locator 200" forward and downward relative to the first locator 100" ( When moving in the direction between the -Y axis and the -Z axis in Fig. 7, it is possible to improve the situation in which the tibia 20 is excessively retracted relative to the upper tibia 10 as shown in Fig. 8B.

Although the plurality of guiding blocks and the guiding surface are formed on the third occlusal side B1" of the first locator 100", the guiding blocks and the guiding surface may be formed in the second positioning. The fourth biting side B2" of the device 200". In this way, when the elastic member drives the second positioner 200" to move relative to the first positioner 100", the first positioner 100" can also move along the guiding surface of the guiding block relative to the second positioner 200" To adjust the relative position between the tibia 20 under the second locator 200" and the tibia 10 above the first locator 100".

In addition, the positions and numbers of the thickened portions 102" and 104" of the first positioner 100" and the thickened portion 206" of the second positioner 200" are not limited by the embodiments of FIGS. 6A and 6B. It can be adjusted according to the patient's condition.

It is worth mentioning that under the patient, the tibia 20 is relative to the upper tibia 10 In the case of too lordosis, the second large molar 12F of the upper row of teeth 12 tends to block to the second largest molar 22E in the lower row of teeth 22 (Fig. 8A) and causes the second tooth 22 to be placed in the lower row. The positioner 200" is caught by the first positioner 100" of the upper row of teeth 12, so that the mandible 20 cannot be smoothly rearward relative to the upper jaw 10 (as in the Y-axis and the Z-axis in Fig. 7) The direction) moves.

Therefore, referring to Figures 6A and 6B, the third occlusal side portion B1" of the first locator 100" can be further formed with two hollow portions 106" for exposing the left and right teeth of the upper row of teeth 12 The large molar 12F, and the fourth occlusal side B2" of the second locator 200" can be further provided with two separating members 208" corresponding to the hollow portions 106" of the first locator 100". It should be particularly noted that when the third occlusal side B1" of the first locator 100" contacts the fourth occlusal side B2" of the second locator 200", the spacers 208" can pass through the hollows The portion 106" abuts against the second large molars 12F such that the first positioner 100" and the second positioner 200" are spaced apart. In this way, the problem that the second locator 200" is stuck by the first locator 100" can be eliminated, so that the gingival correction unit of the embodiment can smoothly adjust the tibia 20 under the second locator 200". The relative position between the humerus 10 above the first positioner 100" is connected to correct the gums.

In the present embodiment, the spacer member 208" is also a thickened portion and is fabricated in the same manner as the thickened layer 204". In addition, the position and number of the partitioning member 208" and the hollow portion 106" can also be adjusted. For example, the partitioning member 208" can also be formed on the third occlusal side portion B1 of the first positioner 100"" The hollow portion 106" corresponding to the partition member 208" may be formed on the fourth occlusal side portion B2" of the second locator 200" to expose a portion of the lower row of teeth so that the partition member 208" may Passing the hollow portion 106" and leaning against the lower row of teeth, thereby spacing the first positioner 100" and the Two positioners 200" to eliminate the problem that the second positioner 200" is stuck by the first positioner 100". In some embodiments, the third bite side B1" or the fourth bite side B2" The hollow part may also be omitted.

It should be noted that although the gingival correction unit in the above embodiment includes a first locator 100" and a second locator 200', it may also include only a single locator (when only a single holder is used to correct the teeth) When installed, it is attached to the upper or lower row of teeth (the positioner is correspondingly mounted on the row of teeth after a single holder to correct the dentition to maintain its corrected dentition), and can be worn unattended a fixing hook is arranged on the left cheek side and/or the right buccal side of the row of teeth of the positioner, and on the occlusal side (third occlusal side) of the locator or the occlusal side of the row of teeth a thickening portion (guide block) is formed on the portion (the fourth occlusal side portion). Thus, by the elastic force of the elastic member, the upper row of teeth or the lower row of teeth can be driven to move relative to the positioner, Adjust the relative position between the lower jaw and the upper jaw.

Similarly, a spacer may be formed on the occlusal side (the third occlusal side) of the locator or the occlusal side (the fourth occlusal side) of the row of teeth not wearing the locator, The upper or lower row of teeth and the positioner are spaced apart such that relative movement between the upper or lower row of teeth and the positioner can proceed smoothly.

The types of the first and second positioners 100" and 200" described above also include, but are not limited to, transparent, translucent, non-transparent, colored, patterned, windowed ( Windowed) or non-windowed.

Although the present invention has been disclosed above in the foregoing embodiments, it is not intended to limit the invention. Those of ordinary skill in the art to which the present invention pertains, A few changes and refinements can be made without departing from the spirit and scope of the invention. Therefore, the scope of the invention is defined by the scope of the appended claims.

1‧‧‧ chewing unit

12‧‧‧Upper teeth

12C‧‧‧Upper canine

20‧‧‧ Lower jaw bone

22‧‧‧ Lower teeth

22A‧‧‧Front incisors/dental to be corrected

30‧‧‧ ankle joint

100‧‧‧First holder

100A‧‧‧Limited

200‧‧‧second holder

B1‧‧‧First occlusal side

B2‧‧‧Second bite side

D1‧‧‧ thickness

D2‧‧‧ thickness

P1‧‧ plane

P2‧‧‧ bump

R‧‧‧ groove structure

R1‧‧‧ Non-correction department

R2‧‧‧ Correction / First groove

Claims (16)

A chewing orthodontic device includes: a first holder mounted on the upper row of teeth, the first holder having a first occlusal side; a second holder mounted on the lower row of teeth, the second fixation The device has a second occlusal side portion corresponding to the first occlusal side portion, wherein the first occlusal side portion is formed with a plane, the second occlusal side portion is formed with a plurality of protrusions for contacting the plane; and a plurality of a first groove formed on the first holder and the second holder for receiving a plurality of teeth in the upper row of teeth and the lower row of teeth, wherein each of the first grooves and each of the teeth A gap is formed therebetween, whereby a chewing force generated between the upper and lower rows of teeth is transmitted through the first and second holders to move the teeth in the first grooves to correct the dentition. The chewing-type orthodontic device of claim 1, further comprising a first positioner, a second positioner and a plurality of second grooves, wherein the first positioner is at the first holder After being removed, the second positioner is mounted on the lower row of teeth after the second holder is removed, and the second grooves are respectively formed on the first positioner and the second positioner. And for receiving the corrected teeth, wherein the positions of the second grooves correspond to the positions of the corrected teeth, whereby the positions after the orthodontics are corrected by the first and the The second positioner is maintained. The chewing-type orthodontic device of claim 1, further comprising a plurality of elastic members respectively formed in the gaps, when the teeth move in the first grooves, and Elastic pieces interact. The chewing-type orthodontic device of claim 1, wherein when the first occlusal side contacts the second occlusal side, the plane simultaneously contacts the protrusions, and when the first occlusion When the side portion separates the second occlusal side, the plane is simultaneously separated from the protrusions. The chewing-type orthodontic device of claim 1, wherein the plane forms a plurality of contact points with the protrusions when the first occlusal side contacts the second occlusal side, wherein the The contact points are distributed in an arc shape, and the position of each contact point corresponds to the center of the tooth groove of each of the teeth in the upper row of teeth, respectively. The chewing-type orthodontic device of claim 1, wherein a sum of a thickness of the first occlusal side of the first holder and a thickness of the second occlusal side of the second holder is Between 1.5 mm and 2.5 mm. The chewing-type orthodontic device of claim 1 or 2, wherein the first holder has a plurality of limiting portions formed on one of the left buccal side and one of the right buccal side, and each The limiting portions have a guiding surface for guiding the second fixing device and preventing the second fixing device from shaking left and right relative to the first fixing device. A chewing dentition and gingival correction device comprising: at least one holder mounted on the upper row of teeth; at least one first groove formed on the holder for receiving at least one tooth in the upper row of teeth, Wherein the first groove forms a gap with the tooth, whereby a chewing force generated between the upper and lower rows of teeth passes through the holder to move the tooth in the first groove to correct the dentition At least one locator is attached to the holder after being removed by the holder The teeth are arranged in the upper rear side, wherein the positioner has a second groove, a first left cheek side portion, a first right cheek side portion and at least one first fixing hook portion for receiving the Correcting the tooth, and its position corresponds to the position of the corrected tooth, the first fixing hook is fixed on the first left buccal side or the first right buccal side; at least one second fixing a hook portion fixed to one of the second left cheek side or a second right cheek side of the lower row of teeth, and corresponding to the first fixed hook portion; and at least one elastic member connecting the first and the second And a fixed hook for driving the lower row of teeth relative to the positioner to adjust a relative position between the lower jaw bone connecting one of the lower rows of teeth and the tibia connecting one of the positioners. A chewing dentition and gingival correction device, comprising: at least one fixer mounted on the lower row of teeth; at least one first groove formed on the fixer for receiving at least one tooth of the lower row of teeth, Wherein the first groove forms a gap with the tooth, whereby a chewing force generated between the upper and lower rows of teeth passes through the holder to move the tooth in the first groove to correct the dentition At least one positioner, after the holder is removed, is mounted on the lower row of teeth corrected by the holder, wherein the positioner has a second groove, a first left cheek side, and a first right cheek a side portion and at least one first fixing hook portion for receiving the corrected tooth and a position corresponding to the corrected position of the tooth, the first fixing hook portion being fixed to the first portion a left cheek side or the first right cheek side; at least one second fixing hook fixed to one of the upper row of teeth and the second left cheek side Or a second right cheek side portion, and its position corresponds to the first fixing hook portion; and at least one elastic member connecting the first and second fixing hook portions for driving the positioner relative to the upper row of teeth Move to adjust the relative position between the lower jaw of one of the locators and the upper tibia of one of the upper rows of teeth. The chewing dentition and gingival orthodontic device of claim 8 or claim 9, wherein the holder has a first occlusal side portion, and the upper or lower row of teeth is not worn with the holder The second occlusal side portion corresponds to the first occlusal side portion, and the first occlusal side portion is formed with a plane, and the second occlusal side portion has a plurality of bites for contacting the plane. The chewing dentition and gingival correction device of claim 10, wherein when the first occlusal side contacts the second occlusal side, the plane simultaneously contacts the bite, and when the first When a occlusal side separates the second occlusal side, the plane is simultaneously separated from the bite. The chewing dentition and gingival correction device of claim 8 or 9, wherein the holder has a plurality of limiting portions formed on a left cheek side and a right buccal side, and Each of the limiting portions has a guiding surface for guiding the teeth of the upper row or the lower row of the fixing device, and avoiding the left or right teeth from swaying relative to the fixing device. The chewing dentition and gingival orthodontic device of claim 8 or 9, wherein the locator has a third occlusal side portion, and the upper or lower row of teeth is not worn with the locator a fourth occlusal side portion corresponding to the third occlusal side portion, the third occlusal side portion is formed with at least one guiding block, and the guiding block has a guiding surface, wherein the elastic member drives the upper row of teeth or A relative movement between the lower row of teeth and the locator along the guiding surface occurs. The chewing dentition and gingival orthodontic device of claim 8 or 9, wherein the locator has a third occlusal side portion, and the upper or lower row of teeth is not worn with the locator a fourth occlusal side portion corresponding to the third occlusal side portion, the fourth occlusal side portion is formed with at least one guiding block, and the guiding piece has a guiding surface, wherein the elastic member drives the upper row of teeth or A relative movement between the lower row of teeth and the locator along the guiding surface occurs. The chewing dentition and gingival orthodontic device of claim 8 or 9, wherein the locator has a third occlusal side portion, and the upper or lower row of teeth is not worn with the locator a fourth occlusal side portion corresponding to the third occlusal side portion, the third occlusal side portion being formed with at least one partitioning member for spacing the upper row of teeth or the lower row of teeth with the locator, thereby causing the upper row of teeth Or the relative movement between the lower row of teeth and the positioner proceeds smoothly. The chewing dentition and gingival orthodontic device of claim 8 or 9, wherein the locator has a third occlusal side portion, and the upper or lower row of teeth is not worn with the locator a fourth occlusal side portion corresponding to the third occlusal side portion, the fourth occlusal side portion being formed with at least one partitioning member for spacing the upper row of teeth or the lower row of teeth with the locator, thereby making the upper row of teeth Or the relative movement between the lower row of teeth and the positioner proceeds smoothly.