TWI605798B - Orthognathic correction device - Google Patents

Orthognathic correction device Download PDF

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TWI605798B
TWI605798B TW105109379A TW105109379A TWI605798B TW I605798 B TWI605798 B TW I605798B TW 105109379 A TW105109379 A TW 105109379A TW 105109379 A TW105109379 A TW 105109379A TW I605798 B TWI605798 B TW I605798B
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connecting portion
positioner
locator
arch
disposed
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TW105109379A
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TW201635981A (en
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洪澄祥
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洪澄祥
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/058Splints
    • A61F5/05883Splints for the neck or head
    • A61F5/05891Splints for the neck or head for the head, e.g. jaws, nose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch

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  • Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Otolaryngology (AREA)
  • Epidemiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Pulmonology (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Description

齒顎矯正裝置 Gingival correction device

本發明係關於一種齒顎矯正技術;特別係有關於一種齒顎矯正裝置。 The present invention relates to a gingival correction technique; and more particularly to a gingival correction device.

一般而言,病患需要齒顎矯正(Orthognathic Correction)之主要原因,是由於其上、下顎骨之間的顳顎關節(temporomandibular joint,TMJ)未處於適當的位置(optimum position),從而導致上、下顎骨之間的相對位置異常。 In general, the main reason for patients needing Orthognathic Correction is that the temporomandibular joint (TMJ) between the superior and inferior tibia is not in the optimal position, resulting in The relative position between the lower jaw bones is abnormal.

參見第1A圖及第1B圖,其係顯示常見的病患之頭骨40、上顎骨10及下顎骨20之相對關係示意圖。其中,上顎骨10固定地連接於頭骨40,下顎骨20透過顳顎關節30活動地連接於頭骨40。同時,上顎骨10與上顎牙弓12連接,且下顎骨20與下顎牙弓22連接。當病患之上、下顎骨10及20之間的顳顎關節30未處於適當的位置時,可能導致下顎骨20相對於上顎骨10過於前凸(第1A圖)或者下顎骨20相對於上顎骨10過於後縮(第1B圖)的情況,從而使得上、下顎牙弓12及22發生咬合不正,如此不僅影響牙齒的美觀性,嚴重者更會影響咀嚼、發音、蛀牙、牙齒異常磨損等口腔之功能及健康。 Referring to Figures 1A and 1B, a schematic diagram showing the relative relationship between the skull 40 of the common patient, the superior humerus 10, and the mandible 20 is shown. 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 superior tibia 10 is coupled to the upper arch 12 and the lower tibia 20 is coupled to the lower arch 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 zygomatic arches 12 and 22 are malocclusion, which not only affects the aesthetics of the teeth, but also affects chewing, pronunciation, cavities, abnormal tooth wear, etc. The function and health of the oral cavity.

目前醫師大多利用切骨手術(osteotomy),先切開病患上顎骨、下顎骨或者雙顎的骨頭,接著將切開後的斷骨重 組至需求的位置,以達到齒顎矯正的目的。然而,該手術方法除了需要醫師的優良技術之外,其困難處往往在於容易造成病患心生恐懼,以致放棄治療行為。 At present, most doctors use osteotomy to cut the bones of the upper jaw, lower jaw or double jaws, and then cut the broken bones. Group to the location of the demand to achieve the purpose of correction of the gums. However, in addition to the excellent technique of the physician, the surgical method often has difficulty in causing the patient to fear and abandon the treatment behavior.

有鑑於上述習知問題點,本發明之目的是提供一種齒顎矯正裝置,尤其是一種可拆式齒顎矯正裝置,其可達到齒顎矯正的目的,同時又不需要透過病患所恐懼的手術方法。 In view of the above problems, the object of the present invention is to provide a gingival correction device, in particular, a detachable gingival correction device, which can achieve the purpose of gingival correction without the fear of the patient. Surgical methods.

本發明一實施例中提供一種齒顎矯正裝置,包括一第一定位器、一第二定位器以及至少兩個彈性件。第一定位器以可拆方式裝於口腔之上顎牙弓,具有一第一左頰側面以及一第一右頰側面,至少一第一左側連接部設置於第一左頰側面上,及至少一第一右側連接部設置於第一右頰側面上。第二定位器以可拆方式裝於口腔之下顎牙弓,具有一第二左頰側面以及一第二右頰側面,至少一第二左側連接部設置於第二左頰側面上,及至少一第二右側連接部設置於第二右頰側面上。至少一彈性件,用以連接第一左側連接部與第二左側連接部,至少一彈性件,用以連接第一右側連接部與第二右側連接部,其中當第一、第二定位器分別固定於上、下顎牙弓時,前述彈性件驅使第二定位器相對於第一定位器移動,從而調整連接第二定位器之一下顎骨與連接第一定位器之一上顎骨之間的相對位置。 An embodiment of the present invention provides a gum correction device including a first positioner, a second positioner, and at least two elastic members. The first positioner is detachably mounted on the upper jaw of the oral cavity, and has a first left cheek side and a first right cheek side, at least one first left connecting portion is disposed on the first left cheek side, and at least one The first right side connecting portion is disposed on the first right cheek side. The second positioner is detachably mounted on the lower jaw of the oral cavity, having a second left cheek side and a second right cheek side, at least one second left connecting portion is disposed on the second left cheek side, and at least one The second right side connecting portion is disposed on the second right cheek side. At least one elastic member for connecting the first left connecting portion and the second left connecting portion, at least one elastic member for connecting the first right connecting portion and the second right connecting portion, wherein the first and second positioning devices respectively When the upper and lower jaw arches are fixed, the elastic member drives the second positioner to move relative to the first positioner, thereby adjusting the relative position between the lower jaw bone connecting one of the second positioners and the upper jaw connected to one of the first positioners. .

於一實施例中,前述第二定位器更具有一唇側面及一第二中央連接部,第二中央連接部設置於唇側面上,且前述齒顎矯正裝置更包括至少一彈性件,用以連接第二中央連接 部與第二左側連接部以及連接第二左側連接部與第一左側連接部,或者用以連接第二中央連接部與第二右側連接部以及連接第二右側連接部與第一右側連接部,從而改善前述下顎骨與上顎骨之間的左右偏斜。 In one embodiment, the second positioner further has a lip side and a second central connecting portion, the second central connecting portion is disposed on the lip side, and the gingival correction device further comprises at least one elastic member for Connect the second central connection And connecting the second left connecting portion and the connecting the second left connecting portion and the first left connecting portion, or connecting the second central connecting portion and the second right connecting portion and connecting the second right connecting portion and the first right connecting portion, Thereby, the left and right deflection between the lower mandible and the upper metatarsal bone is improved.

於一實施例中,前述第二定位器更具有一第二咬合面,且第一定位器更具有一第一咬合面,該第一咬合面上形成有至少一導引塊,且導引塊具有一導引面,使得當第二定位器相對於第一定位器移動時,第二定位器接觸且沿著導引面相對於第一定位器移動。 In an embodiment, the second positioner further has a second occlusal surface, and the first locator further has a first occlusal surface, the first occlusal surface is formed with at least one guiding block, and the guiding block There is a guiding surface such that when the second positioner moves relative to the first positioner, the second positioner contacts and moves relative to the first positioner along the guiding surface.

於一實施例中,前述第二定位器更具有一第二咬合面,該第二咬合面上形成有至少一隔開件,且前述第一定位器更具有一第一咬合面,該第一咬合面上形成有至少一開孔,用以暴露上顎牙弓的至少一牙齒,其中當第一咬合面接觸第二咬合面時,隔開件通過開孔頂靠前述牙齒,以將前述牙齒朝上推動,從而增加第一定位器與第二定位器之間的空間。 In an embodiment, the second positioner further has a second occlusal surface, the second occlusal surface is formed with at least one partitioning member, and the first locator further has a first occlusal surface, the first Forming at least one opening on the occlusal surface for exposing at least one tooth of the upper zygomatic arch, wherein when the first occlusal surface contacts the second occlusal surface, the separating member abuts against the tooth through the opening to move the tooth toward Pushing up, thereby increasing the space between the first locator and the second locator.

於一實施例中,前述第二定位器更具有一第二咬合面,且第一定位器更具有一第一咬合面,該第一咬合面上形成有至少一增厚部,且增厚部具有一導引面,使得當第二定位器相對於第一定位器移動時,第二咬合面接觸且沿著導引面移動。 In an embodiment, the second positioner further has a second occlusal surface, and the first locator further has a first occlusal surface, the first occlusal surface is formed with at least one thickening portion, and the thickening portion There is a guiding surface such that when the second positioning device moves relative to the first positioning device, the second engaging surface contacts and moves along the guiding surface.

於一實施例中,前述第二咬合面上形成有至少一對應的增厚部,且當第二定位器相對於第一定位器移動時,第二咬合面上的前述對應的增厚部接觸且沿著第一咬合面上的增厚部的導引面移動。 In an embodiment, the second occlusal surface is formed with at least one corresponding thickening portion, and when the second locator moves relative to the first locator, the corresponding thickened portion of the second occlusal surface contacts And moving along the guiding surface of the thickening portion on the first occlusal surface.

於一實施例中,前述第一定位器更具有一收容部,用以收容部分的上顎牙弓。 In an embodiment, the first positioner further has a receiving portion for receiving a portion of the upper jaw arch.

於一實施例中,前述第二定位器更具有一收容部,用以收容部分的下顎牙弓。 In an embodiment, the second positioner further has a receiving portion for receiving a portion of the lower jaw arch.

於一實施例中,前述第一定位器暴露出上顎牙弓的咬合面。 In one embodiment, the first locator exposes the occlusal surface of the upper arch.

於一實施例中,前述第二定位器暴露出下顎牙弓的咬合面。 In one embodiment, the second locator exposes the occlusal surface of the lower jaw arch.

於一實施例中,前述第一定位器更具有一舌側面,及至少一第一舌側連接部設置於該舌側面上。 In an embodiment, the first positioner further has a tongue side, and the at least one first tongue side connection portion is disposed on the tongue side.

於一實施例中,前述第二定位器更具有一舌側面,及至少一第二舌側連接部設置於該舌側面上。 In an embodiment, the second positioner has a tongue side, and the at least one second tongue side connection portion is disposed on the tongue side.

10‧‧‧上顎骨 10‧‧‧Upper humerus

12‧‧‧上顎牙弓 12‧‧‧Upper arch

12A‧‧‧門牙 12A‧‧ ‧ front teeth

12B‧‧‧側門牙 12B‧‧‧ side incisors

12C‧‧‧大齒 12C‧‧‧large teeth

12D‧‧‧第一小臼齒 12D‧‧‧The first small molar

12E‧‧‧第二小臼齒 12E‧‧‧Second small molars

12F‧‧‧第二大臼齒 12F‧‧‧second largest molar

20‧‧‧下顎骨 20‧‧‧ Lower jaw bone

22‧‧‧下顎牙弓 22‧‧‧ Lower jaw arch

22A‧‧‧第一小臼齒 22A‧‧‧The first small molar

22B‧‧‧第二小臼齒 22B‧‧‧Second small molars

22C‧‧‧第二大臼齒 22C‧‧‧The second largest molar

30‧‧‧顳顎關節 30‧‧‧ ankle joint

40‧‧‧頭骨 40‧‧‧Skull

100、100’‧‧‧第一定位器 100, 100'‧‧‧ first positioner

100a‧‧‧第一左頰側面 100a‧‧‧ first left cheek side

100b‧‧‧第一右頰側面 100b‧‧‧ first right cheek side

100c‧‧‧唇側面 100c‧‧‧ lip side

102‧‧‧增厚部、導引塊 102‧‧‧ Thickening section, guiding block

104‧‧‧增厚部、導引塊 104‧‧‧ Thickening section, guiding block

106‧‧‧開孔 106‧‧‧Opening

200、200’‧‧‧第二定位器 200, 200’‧‧‧Second positioner

200a‧‧‧第二左頰側面 200a‧‧‧second left cheek side

200b‧‧‧第二右頰側面 200b‧‧‧second right cheek side

200c‧‧‧唇側面 200c‧‧‧ lip side

202‧‧‧定位器子單元 202‧‧‧Locator subunit

202’‧‧‧定位器子單元 202'‧‧‧ Locator subunit

204‧‧‧增厚部 204‧‧‧ Thickening Department

206‧‧‧隔開件 206‧‧‧Separate parts

302‧‧‧第一托架 302‧‧‧First bracket

304‧‧‧第一弓形線 304‧‧‧First bow line

306‧‧‧第一連接部 306‧‧‧First connection

306’‧‧‧第一舌側連接部 306’‧‧‧First lingual connection

308‧‧‧第一中央連接部 308‧‧‧First Central Connection

402‧‧‧第二托架 402‧‧‧second bracket

404‧‧‧第二弓形線 404‧‧‧second bow line

406‧‧‧第二連接部 406‧‧‧Second connection

406’‧‧‧第二舌側連接部 406’‧‧‧second lingual connection

408‧‧‧第二中央連接部 408‧‧‧Second central connection

500‧‧‧彈性件 500‧‧‧Flexible parts

B1‧‧‧第一咬合面 B1‧‧‧First occlusal surface

B2‧‧‧第二咬合面 B2‧‧‧Second occlusal surface

C‧‧‧虛擬中心軸 C‧‧‧Virtual Center Axis

O1、O2‧‧‧咬合面 O1, O2‧‧‧ occlusal surface

R1‧‧‧第一牙齒收容部 R1‧‧‧First Dental Containment Department

R2‧‧‧第二牙齒收容部 R2‧‧‧Second Dental Containment Department

T‧‧‧顎側 T‧‧‧颚

第1A、1B圖係顯示常見的病患之頭骨、上顎骨及下顎骨之相對關係示意圖。 Figures 1A and 1B show a schematic diagram of the relative relationship between the skull, upper humerus and mandible of a common patient.

第2圖係顯示本發明一實施例之齒顎矯正裝置及病患上、下顎牙弓之相對關係示意圖。 Fig. 2 is a view showing the relative relationship between the gingival correction device and the upper and lower gingival arches of a patient according to an embodiment of the present invention.

第3A圖係顯示本發明一實施例之第一定位器裝於病患上顎牙弓之示意圖。 Fig. 3A is a schematic view showing the first positioner of the embodiment of the present invention mounted on the patient's upper arch.

第3B圖係顯示本發明一實施例之第二定位器裝於病患下顎牙弓之示意圖。 Fig. 3B is a schematic view showing the second positioner of one embodiment of the present invention attached to a lower jaw of a patient.

第4圖係顯示本發明一實施例之齒顎矯正裝置之工作原理示意圖。 Fig. 4 is a view showing the operation principle of the gingival correction device according to an embodiment of the present invention.

第5A圖係顯示本發明另一實施例之第一定位器裝於病患上顎牙弓之示意圖。 Fig. 5A is a schematic view showing the first positioner of another embodiment of the present invention mounted on a patient's upper jaw.

第5B圖係顯示本發明另一實施例之第二定位器裝於病患下顎牙弓之示意圖。 Fig. 5B is a schematic view showing the second positioner of another embodiment of the present invention mounted on a lower jaw of a patient.

為讓本發明之上述和其它目的、特徵、和優點能更明顯易懂,下文特舉出較佳實施例,並配合所附圖式,作詳細說明如下。 The above and other objects, features, and advantages of the invention will be apparent from

在以下所說明的本發明的各種實施例中,所稱的方位“上”、“下”、“左”、“右”,僅是用來表示相對的位置關係,並非用來限制本發明。另外,本發明裝置中各部分之間的位置關係,可參考圖式中所附定義有X軸、Y軸及Z軸三個相互垂直方向的座標軸。再者,在圖式或說明書描述中,相似或相同之部分皆使用相同之符號。 In the various embodiments of the invention described below, the terms "upper", "lower", "left", and "right" are used to denote relative positional relationships and are not intended to limit the invention. In addition, the positional relationship between the parts in the apparatus of the present invention can be referred to the coordinate axes defined by the three orthogonal directions of the X-axis, the Y-axis and the Z-axis, as defined in the drawings. In the drawings or the description of the specification, the same or similar parts are used for the same symbols.

請先參見第2圖,其係顯示本發明一實施例之齒顎矯正裝置及病患上、下顎牙弓12及22之相對關係示意圖。如第2圖中所示,本實施例之齒顎矯正裝置主要包括一第一定位器100、一第二定位器200、以及複數個彈性件500。另外,複數個第一托架302、複數條第一弓形線304與複數個第一連接部306設置於第一定位器100上,且複數個第二托架402、複數條第二弓形線404與複數個第二連接部406設置於第二定位器200上。 Please refer to FIG. 2, which is a schematic diagram showing the relative relationship between the gingival correction device and the upper and lower gingival arches 12 and 22 of the patient according to an embodiment of the present invention. As shown in FIG. 2, the gum correction device of the present embodiment mainly includes a first positioner 100, a second positioner 200, and a plurality of elastic members 500. In addition, the plurality of first brackets 302, the plurality of first bow lines 304 and the plurality of first connecting portions 306 are disposed on the first positioner 100, and the plurality of second brackets 402 and the plurality of second bow lines 404 And a plurality of second connecting portions 406 are disposed on the second positioner 200.

第一定位器100具有相對之一第一牙齒收容部R1以及一第一咬合面B1,第二定位器200具有相對之一第二牙齒 收容部R2以及一第二咬合面B2,其中第一咬合面B1對應於第二咬合面B2,而第一、第二牙齒收容部R1與R2分別對應於上、下顎牙弓12及22,並形成有收容上、下顎牙弓12及22之容置空間。 The first positioner 100 has a first tooth receiving portion R1 and a first occlusal surface B1, and the second positioner 200 has a second tooth. The accommodating portion R2 and the second occlusal surface B2, wherein the first occlusal surface B1 corresponds to the second occlusal surface B2, and the first and second tooth accommodating portions R1 and R2 correspond to the upper and lower sacral arches 12 and 22, respectively. The accommodation space for receiving the upper and lower jaw arches 12 and 22 is formed.

另外,第一定位器100及第二定位器200皆為可拆式定位器(又稱作活動式定位器),因此病患可視場合及需求自由地裝上或取下,並能夠正常地清潔牙齒。於本實施例中,第一定位器100及第二定位器200之材料可包括熱塑性塑膠、合成樹脂、或其他適合用於口腔之材料。 In addition, the first positioner 100 and the second positioner 200 are both detachable positioners (also referred to as movable positioners), so that the patient can be freely installed or removed depending on the occasion and needs, and can be cleaned normally. tooth. In this embodiment, the materials of the first positioner 100 and the second positioner 200 may include thermoplastic plastics, synthetic resins, or other materials suitable for use in the oral cavity.

如第2圖所示,第一定位器100更具有相對之一第一左頰側面100a以及一第一右頰側面100b。前述複數個第一托架302分別裝設於第一左頰側面100a及第一右頰側面100b上(例如,第一左頰側面100a及第一右頰側面100b上可分別設有五個第一托架302)。前述複數條第一弓形線304(例如,兩條第一弓形線304),分別穿過第一左頰側面100a及第一右頰側面100b上之該些第一托架302,並由該些第一托架302所固定。另外,該些第一弓形線304分別連接前述複數個第一連接部306(例如,四個第一連接部306,分別具有一勾部結構),且該些第一連接部306位於該些第一托架302之間。 As shown in FIG. 2, 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 left cheek side 100a and the first right cheek side 100b (for example, the first left cheek side 100a and the first right cheek side 100b respectively have five A bracket 302). The plurality of first arcuate lines 304 (eg, the two first arcuate lines 304) pass through the first left cheek side 100a and the first right cheek side 100b, respectively, and are The first bracket 302 is fixed. In addition, the first plurality of connecting portions 306 are connected to the plurality of first connecting portions 306 (for example, four first connecting portions 306 respectively have a hook portion structure), and the first connecting portions 306 are located at the first Between a bracket 302.

類似地,第二定位器200亦具有相對之一第二左頰側面200a以及一第二右頰側面200b,其中第二左頰側面200a對應於第一定位器100之第一左頰側面100a,而第二右頰側面200b對應於第一定位器100之第一右頰側面100b。前述複數個第二托架402分別裝設於第二左頰側面200a及第二右頰側面 200b上(例如,第二左頰側面200a及第二右頰側面200b上可分別設有五個第二托架402)。前述複數條第二弓形線404(例如,兩條第二弓形線404),分別穿過第二左頰側面200a及第二右頰側面200b上之該些第二托架402,並由該些第二托架402所固定。另外,該些第二弓形線404分別連接前述複數個第二連接部406(例如,四個第二連接部406,分別具有一勾部結構),且該些第二連接部406位於該些第二托架402之間。 Similarly, the second positioner 200 also has a second left cheek side 200a and a second right cheek side 200b, wherein the second left cheek side 200a corresponds to the first left cheek side 100a of the first positioner 100, The second right cheek side 200b corresponds to the first right cheek side 100b of the first positioner 100. The plurality of second brackets 402 are respectively disposed on the second left cheek side 200a and the second right cheek side On the 200b (for example, five second brackets 402 may be respectively disposed on the second left cheek side 200a and the second right cheek side 200b). The plurality of second arcuate lines 404 (eg, two second arcuate lines 404) pass through the second brackets 402 on the second left cheek side 200a and the second right cheek side 200b, respectively, and The second bracket 402 is fixed. In addition, the second arcuate lines 404 are respectively connected to the plurality of second connecting portions 406 (for example, four second connecting portions 406 respectively have a hook structure), and the second connecting portions 406 are located at the first Between the two brackets 402.

於本實施例中,第一、第二托架302及402之材料可包括不銹鋼、鎳鈦合金或塑膠陶瓷,而第一、第二弓形線304及404(包括第一、第二連接部306及406)之材料可包括不銹鋼或鎳鈦合金。 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 connecting portions 306) And the material of 406) may include stainless steel or nickel titanium alloy.

請繼續參見第2圖,前述複數個彈性件500用以連接第一左頰側面100a上的第一連接部306(第一左側連接部)與第二左頰側面200a上的第二連接部406(第二左側連接部),且用以連接第一右頰側面100b上的第一連接部306(第一右側連接部)與第二右頰側面200b上的第二連接部406(第二右側連接部)(例如,第一定位器100及第二定位器200之左、右頰側面分別配置有三個彈性件500)。藉此,該些彈性件500之彈力可驅使第二定位器200相對於第一定位器100向後向上(Y軸、Z軸間之方向)或者向前向下(-Y軸、-Z軸間之方向)移動,從而得調整連接第二定位器200之一下顎骨20與連接第一定位器100之一上顎骨10之間的相對位置,以達到齒顎矯正的目的。 Referring to FIG. 2, the plurality of elastic members 500 are configured to connect the first connecting portion 306 (first left connecting portion) on the first left cheek side 100a with the second connecting portion 406 on the second left cheek side 200a. (second left connecting portion) for connecting the first connecting portion 306 (first right connecting portion) on the first right cheek side 100b and the second connecting portion 406 on the second right cheek side 200b (second right side) The connecting portion) (for example, three elastic members 500 are disposed on the left and right cheek sides of the first positioner 100 and the second positioner 200, respectively). Thereby, the elastic force of the elastic members 500 can drive the second positioner 200 to be rearward (the direction between the Y axis and the Z axis) or the forward and downward direction (the Y axis and the -Z axis) with respect to the first positioner 100. The direction of the movement is adjusted so as to adjust the relative position between the lower tibia 20 of the second locator 200 and the tibia 10 connected to one of the first locators 100 for the purpose of gingival correction.

應可了解的是,當該些彈性件500連接第一定位器100及第二定位器200之對應頰側面上之第一、第二連接部306 及406的方法不同時,可產生驅使第二定位器200相對於第一定位器100向後向上(Y軸、Z軸間之方向)或者向前向下(-Y軸、-Z軸間之方向)移動之彈力。於本實施例中,該些彈性件500可為具有相同或不同彈力值之環狀物,例如為橡皮圈或鎳鈦合金材料之彈簧圈(spring coil)。 It should be understood that when the elastic members 500 are connected to the first and second connecting portions 306 on the corresponding buccal sides of the first positioner 100 and the second positioner 200, When the methods of 406 and 406 are different, the second positioner 200 can be driven to be backward (the direction between the Y-axis and the Z-axis) or forward-down (the direction between the -Y-axis and the -Z-axis) with respect to the first positioner 100. ) The elasticity of the movement. 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.

補充說明的是,當配置於第一定位器100及第二定位器200之左、右頰側面之該些彈性件500之數量、彈力值互相匹配時,可使得第一定位器100及第二定位器200之左、右頰側面的受力一致,因而得避免連接第二定位器200之下顎骨20繞著口腔之一虛擬中心軸C(平行於第2圖中之Y軸)相對於連接第一定位器200之上顎骨10發生旋轉,並使得下顎骨20與上顎骨10之間的相對移動僅大致沿著如第2圖中之Y軸、Z軸間之方向或-Y軸、-Z軸間之方向進行。然而,根據病患狀況的不同,配置於第一定位器100及第二定位器200之左、右頰側面之該些彈性件500之數量、彈力值亦可能並不一致。 It is to be noted that when the number and the elastic values of the elastic members 500 disposed on the left and right cheek sides of the first positioner 100 and the second positioner 200 match each other, the first positioner 100 and the second position can be made. The force on the left and right cheek sides of the positioner 200 is uniform, so that the connection of the tibia 20 under the second positioner 200 around the virtual central axis C of the oral cavity (parallel to the Y axis in FIG. 2) is avoided. The humerus 10 above the first positioner 200 rotates, and the relative movement between the mandible 20 and the upper tibia 10 is only substantially along the Y-axis, the Z-axis, or the -Y axis, as in Figure 2, - The direction between the Z axes is performed. However, depending on the condition of the patient, the number and elastic values of the elastic members 500 disposed on the left and right cheek sides of the first positioner 100 and the second positioner 200 may not coincide.

另外,第一、第二托架302及402之數量與位置、第一、第二弓形線304及404之數量與長度、第一、第二(左右與右側)連接部306及406之數量與位置、以及彈性件500之數量不以第2圖中之實施例為限制,其可根據實際需求而做調整。 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, and the number of first and second (left and right) connecting portions 306 and 406 are The position and the number of elastic members 500 are not limited by the embodiment in Fig. 2, which can be adjusted according to actual needs.

請繼續參見第2圖,值得一提的是,本實施例之齒顎矯正裝置更可包括一第一中央連接部308(例如具有一勾部結構),固定地設置於第一定位器100之第一左頰側面100a與第一右頰側面100b之間的一唇側面100c上。另外,可藉由至少一彈性件500先連接第一中央連接部308與第一左頰側面100a或 第一右頰側面100b上之第一連接部306,接著再連接前述第一連接部306與第二定位器200上對應(且相對位置較後面)之第二連接部406,從而可透過彈性件500之彈力帶動第二定位器200相對於第一定位器100沿著如第2圖中之X軸方向或者-X軸方向移動,以改善上、下顎骨10及20之間之左右偏斜。同理,本實施例之齒顎矯正裝置亦可包括一第二中央連接部408(例如具有一勾部結構),固定地設置於第二定位器200之第二左頰側面200a與第二右頰側面200b之間的一唇側面200c上。另外,可藉由至少一彈性件500先連接第二中央連接部408與第二左頰側面200a或第二右頰側面200b上之第二連接部406,接著再連接前述第二連接部406與第一定位器100上對應(且相對位置較後面)之第一連接部306,如此亦可達到改善上、下顎骨10及20之間之左右偏斜的目的。 Continuing to refer to FIG. 2 , it is worth mentioning that the gingival correction device of the embodiment further includes a first central connecting portion 308 (for example, having a hook structure), which is fixedly disposed on the first locator 100 . A lip side 100c between the first left cheek side 100a and the first right cheek side 100b. In addition, the first central connecting portion 308 and the first left cheek side 100a may be connected by at least one elastic member 500 or The first connecting portion 306 on the first right cheek side 100b is then connected to the first connecting portion 306 and the second connecting portion 406 corresponding to the second positioner 200 (and relatively behind), so that the elastic member can pass through The elastic force of 500 drives the second positioner 200 to move relative to the first positioner 100 along the X-axis direction or the -X-axis direction as shown in FIG. 2 to improve the left-right deflection between the upper and lower tibia 10 and 20. Similarly, the gum correction device of the embodiment may further include a second central connecting portion 408 (for example, having a hook portion structure) fixedly disposed on the second left cheek side 200a and the second right of the second positioner 200. A lip side 200c between the cheek sides 200b. In addition, the second central connecting portion 408 and the second connecting portion 406 on the second left cheek side 200a or the second right cheek side 200b may be first connected by at least one elastic member 500, and then the second connecting portion 406 is connected. The first connecting portion 306 corresponding to (and relatively behind) the first positioner 100 can also achieve the purpose of improving the left and right skew between the upper and lower tibia 10 and 20.

於本實施例中,第一中央連接部308及第二中央連接部408之材料及設置方式與第一、第二連接部306及406相同。 In the present embodiment, the materials and arrangement of the first central connecting portion 308 and the second central connecting portion 408 are the same as those of the first and second connecting portions 306 and 406.

接著請參見第3A圖及第3B圖,其分別係顯示本發明一實施例之第一定位器100裝於病患上顎牙弓之示意圖,以及第二定位器200裝於病患下顎牙弓之示意圖。 Referring to FIG. 3A and FIG. 3B, respectively, the first positioner 100 of the embodiment of the present invention is mounted on the patient's upper jaw, and the second positioner 200 is mounted on the patient's lower arch. schematic diagram.

值得一提的是,當本實施例之第一定位器100及第二定位器200分別配戴於上、下顎牙弓時,可大致包覆上、下顎牙弓之整個牙冠。更具體而言,第一定位器100及第二定位器200可依據上、下顎牙弓之倒凹(undercut)結構來設計,以使得第一定位器100及第二定位器200順應地包覆上、下顎牙弓之整個牙冠,從而強化第一定位器100及第二定位器200卡合於 上、下顎牙弓之力量,以避免第一定位器100及第二定位器200在齒顎矯正過程中輕易地脫離上、下顎牙弓。 It should be noted that when the first positioner 100 and the second positioner 200 of the embodiment are respectively worn on the upper and lower jaws, the entire crown of the upper and lower jaws can be substantially covered. More specifically, the first locator 100 and the second locator 200 can be designed according to the undercut structure of the upper and lower sacral arches, so that the first locator 100 and the second locator 200 are compliantly coated. Up and down the entire crown of the dental arch, thereby strengthening the engagement of the first positioner 100 and the second positioner 200 The force of the upper and lower jaws is prevented to prevent the first positioner 100 and the second positioner 200 from being easily disengaged from the upper and lower jaws during the correction of the gums.

如第3A圖所示,本實施例之第一定位器100之第一咬合面B1上更可形成有一增厚部102以及複數個增厚部104,其中增厚部102之位置對應於上顎牙弓之兩顆門牙12A及兩顆側門牙12B(請一併參見第2圖),而增厚部104之位置分別對應於上顎牙弓中之左右各一顆大齒12C、第一小臼齒12D及第二小臼齒12E(請一併參見第2圖)。再者,增厚部102形成有由門牙12A及12B頂部朝向一顎側T漸低的一導引面,且該些增厚部104亦形成有由其最厚部分(對應於該些犬齒12C、第一小臼齒12D及第二小臼齒12E的中心處)朝向其最薄部分(牙齒鄰接處)漸低的複數個導引面。上述增厚部102及增厚部104之導引面可為平面或曲面。 As shown in FIG. 3A, a first thickening portion 102 and a plurality of thickening portions 104 are formed on the first occlusal surface B1 of the first positioner 100 of the embodiment, wherein the position of the thickening portion 102 corresponds to the upper molars. The two incisors 12A and the two side incisors 12B (please refer to FIG. 2 together), and the positions of the thickening portions 104 correspond to the left and right teeth 12C and the first small molars 12D respectively in the upper jaw arch. And the second small molar 12E (please refer to Figure 2 together). Furthermore, the thickening 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 thickening portions 104 are also formed with the thickest portion thereof (corresponding to the canine teeth 12C) The first small molar 12D and the second small molar 12E are at the center of the plurality of guiding faces which are gradually lowered toward the thinnest portion (the tooth adjacent). The guiding faces of the thickened portion 102 and the thickened portion 104 may be flat or curved.

類似地,如第3B圖所示,本實施例之第二定位器200之第二咬合面B2上更可形成有複數個增厚部204,其中增厚部204之位置分別對應於下顎牙弓中之左右各一顆第一小臼齒22A及第二小臼齒22B(請一併參見第2圖),且其最厚部分對應於該些第一小臼齒22A及第二小臼齒22B的中心處。 Similarly, as shown in FIG. 3B, the second occlusal surface B2 of the second locator 200 of the embodiment may be further formed with a plurality of thickening portions 204, wherein the positions of the thickening portions 204 correspond to the lower jaw arches respectively. One of the first small molars 22A and the second small molars 22B (please refer to FIG. 2 together), and the thickest portion thereof corresponds to the centers of the first small molars 22A and the second small molars 22B .

需特別說明的是,本文中所使用的增厚部一詞是表示,在第一咬合面B1對應於增厚部102及104之位置的厚度可大於在第一咬合面B1之其餘位置的厚度,且在第二咬合面B2對應於增厚部204之位置的厚度可大於在第二咬合面B2之其餘位置的厚度。 It should be particularly noted that the term thickening portion as used herein means that the thickness of the first occlusal surface B1 corresponding to the thickened portions 102 and 104 may be greater than the thickness of the remaining position of the first occlusal surface B1. And the thickness of the second occlusal surface B2 corresponding to the thickened portion 204 may be greater than the thickness of the remaining position of the second occlusal surface B2.

於本實施例中,第一定位器100、增厚部102及104 可以一體成型的方式製作,或使用合成樹脂、合成玻璃樹脂(Glass Ionomer)或其他適合用於口腔之耐磨材料先製作增厚部102及104,再以黏貼方式固定於第一定位器100之第一咬合面B1上。同理,第二定位器200及增厚部204可以一體成型的方式製作,或使用合成樹脂、合成玻璃樹脂或其他適合用於口腔之耐磨材料先製作增厚部204,再以黏貼方式固定於第二定位器200之第二咬合面B2上。 In this embodiment, the first locator 100, the thickening portions 102 and 104 It can be made in one piece, or the thickened portions 102 and 104 can be made first by using synthetic resin, synthetic glass resin (Glass Ionomer) or other wear-resistant materials suitable for the oral cavity, and then fixed to the first positioner 100 by adhesive means. The first occlusal surface B1. Similarly, the second positioner 200 and the thickening portion 204 can be integrally formed, or the thickened portion 204 can be first formed by using a synthetic resin, a synthetic glass resin or other wear-resistant material suitable for the oral cavity, and then fixed by pasting. On the second occlusal surface B2 of the second positioner 200.

進一步說明的是,當病患戴上本實施例之齒顎矯正裝置,且第一定位器100之第一咬合面B1接觸第二定位器200之第二咬合面B2時,第二定位器200之對應於下顎牙弓中兩顆門牙及兩顆側門牙的定位器子單元202及202’(第2、3B圖)可接觸第一定位器100上之增厚部102(第3A圖),而第二定位器200上之該些增厚部204(第3B圖)可接觸第一定位器100上之該些增厚部104(第3A圖)。 It is further explained that when the patient wears the gum correction device of the embodiment, and the first occlusal surface B1 of the first positioner 100 contacts the second occlusal surface B2 of the second positioner 200, the second positioner 200 The positioner subunits 202 and 202' (Figs. 2 and 3B) corresponding to the two incisors and the two side incisors in the lower jaw arch can contact the thickening portion 102 on the first positioner 100 (Fig. 3A). The thickened portions 204 (FIG. 3B) on the second positioner 200 can contact the thickened portions 104 (FIG. 3A) on the first positioner 100.

請參見第4圖,其係顯示本實施例之齒顎矯正裝置之工作原理示意圖。藉由上述結構設計,當第一定位器100之第一咬合面接觸第二定位器200之第二咬合面時,第一定位器100之第一咬合面上之增厚部102及104可形成複數個導引塊,而第二定位器200之第二咬合面上之定位器子單元202及202’及增厚部204可接觸導引塊102及104之導引面(為了簡化圖式,第4圖中僅顯示單一個導引面及接觸點)。此時,在彈性件500(第2圖)提供之彈力驅動下,可使得第二定位器200沿著上述導引面相對於第一定位器100進行滑動(如第4圖中之箭頭所示),藉此以帶動連接第二定位器200之下顎骨20相對於連接第 一定位器100之上顎骨10移動,並促使顳顎關節30回到適當的位置,以達到齒顎矯正的目的。 Please refer to Fig. 4, which is a schematic view showing the working principle of the gingival correction device of the present embodiment. With the above structural design, when the first occlusal surface of the first locator 100 contacts the second occlusal surface of the second locator 200, the thickened portions 102 and 104 of the first occlusal surface of the first locator 100 may be formed. a plurality of guiding blocks, and the locator subunits 202 and 202' and the thickening portion 204 on the second occlusal surface of the second locator 200 can contact the guiding surfaces of the guiding blocks 102 and 104 (in order to simplify the drawing, Only one guide surface and contact point are shown in Fig. 4). At this time, under the elastic force provided by the elastic member 500 (Fig. 2), the second positioner 200 can be slid along the guiding surface relative to the first positioner 100 (as indicated by the arrow in Fig. 4). Thereby, to drive the second locator 200 under the tibia 20 relative to the connection The humerus 10 moves over a locator 100 and urges the ankle joint 30 back into position for the purpose of gingival correction.

其中,當彈性件之彈力驅使第二定位器200相對於第一定位器100向後向上(Y軸、Z軸間之方向)移動時,可改善如第1A圖所示病患下顎骨20相對於上顎骨10過於前凸的情況;反之,當彈性件之彈力驅使第二定位器200相對於第一定位器100向前向下(-Y軸、-Z軸間之方向)移動時,則可改善如第1B圖所示病患下顎骨20相對於上顎骨10過於後縮的情況。 Wherein, when the elastic force of the elastic member drives the second positioner 200 to move rearward (the direction between the Y axis and the Z axis) relative to the first positioner 100, the patient's lower tibia 20 as shown in FIG. 1A can be improved relative to The upper tibia 10 is too convex; otherwise, when the elastic force of the elastic member drives the second locator 200 to move forward and downward relative to the first locator 100 (the direction between the -Y axis and the -Z axis), The condition that the tibia 20 of the patient is too retracted relative to the upper tibia 10 as shown in FIG. 1B is improved.

雖然上述實施例中之複數個導引塊及導引面形成於第一定位器100之第一咬合面B1上,但該些導引塊及導引面亦可形成於第二定位器200之第二咬合面B2上。 Although the plurality of guiding blocks and the guiding surface are formed on the first occlusal surface B1 of the first locator 100, the guiding blocks and the guiding surface may be formed in the second locator 200. The second occlusal surface B2.

另外,第一定位器100之增厚部102、104及第二定位器200之增厚部204之設置位置及數量不以第3A及3B圖之實施例為限制,其可根據病患狀況而做調整。 In addition, the positions and numbers of the thickened portions 102 and 104 of the first positioner 100 and the thickened portion 204 of the second positioner 200 are not limited by the embodiments of FIGS. 3A and 3B, and may be based on the patient's condition. Make adjustments.

值得一提的是,在病患下顎骨20相對於上顎骨10過於前凸的情況下,上顎牙弓12中之第二大臼齒12F往往容易阻擋到下顎牙弓22中之第二大臼齒12C(第1A圖),導致裝於下顎牙弓22之第二定位器200被裝於上顎牙弓12之第一定位器100所卡住,進而使得下顎骨20無法順利地相對於上顎骨10向後向上(Y軸、Z軸間之方向)移動以進行齒顎矯正。 It is worth mentioning that in the case where the patient's tibia 20 is too convex with respect to the upper tibia 10, the second largest molar 12F of the upper zygomatic arch 12 tends to block the second largest molar 12C of the lower zygomatic arch 22 (Fig. 1A), the second positioner 200 mounted on the lower jaw arch 22 is caught by the first positioner 100 mounted on the upper jaw arch 12, so that the mandible 20 cannot be smoothly rearward relative to the upper metatarsal 10 Move upward (direction between the Y axis and the Z axis) for gingival correction.

因此,參見第3A及3B圖,第一定位器100之第一咬合面B1上更可形成有兩個開孔106,用以暴露上顎牙弓12中之左右各一顆第二大臼齒12F,且第二定位器200之第二咬合面B2上更可設有兩個隔開件206,分別對應於第一定位器100之開孔 106。需特別說明的是,當第一定位器100之第一咬合面B1接觸第二定位器200之第二咬合面B2時,該些隔開件206可通過該些開孔106並頂靠該些第二大臼齒12F,以將該些第二大臼齒12F朝上推動,並使得第一定位器100與第二定位器200之間的空間增加。如此一來,可排除上述第二定位器200被第一定位器100所卡住之問題,從而本實施例之齒顎矯正裝置能夠順利地調整連接第二定位器200之下顎骨20與連接第一定位器100之上顎骨10之間的相對位置,以達成齒顎矯正的目的。值得一提的是,本實施例的齒顎矯正裝置更可使得下顎骨20產生旋轉。 Therefore, referring to the figures 3A and 3B, the first occlusal surface B1 of the first positioner 100 can be further formed with two openings 106 for exposing a second large molar 12F on the left and right sides of the upper humeral arch 12, The second occlusal surface B2 of the second locator 200 can be further provided with two separating members 206 corresponding to the openings of the first locator 100, respectively. 106. It should be particularly noted that when the first occlusal surface B1 of the first locator 100 contacts the second occlusal surface B2 of the second locator 200, the spacers 206 can pass through the openings 106 and abut the The second large molar 12F pushes the second large molars 12F upward and increases the space between the first positioner 100 and the second positioner 200. In this way, the problem that the second positioner 200 is caught by the first positioner 100 can be eliminated, so that the gum correction device of the embodiment can smoothly adjust the connection of the tibia 20 and the connection under the second positioner 200. The relative position between the humerus 10 above the locator 100 for the purpose of gingival correction. It is worth mentioning that the gingival correction device of the embodiment can further rotate the mandible 20.

於本實施例中,隔開件206亦為一增厚部,且其製作方法與增厚層204相同。另外,隔開件206及開孔106之設置位置及數量亦可作調整。於部分實施例中,第一咬合面B1或第二咬合面B2上之開孔亦可能被省略。 In the present embodiment, the spacer 206 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 spacers 206 and the openings 106 can also be adjusted. In some embodiments, the opening on the first occlusal surface B1 or the second occlusal surface B2 may also be omitted.

雖然上述實施例中之齒顎矯正裝置包括一第一定位器100及一第二定位器200,但其亦可僅包括單一個定位器(第一定位器100或第二定位器200),裝於口腔之上顎牙弓或下顎牙弓。在這些情況下,另一未裝有定位器之牙弓之左頰側面及右頰側面上也可分別裝設至少一連接部(舉例而言,若定位器是裝於上顎牙弓上,則下顎牙弓的左頰側面及右頰側面上可分別裝設一連接部,反之,若定位器是裝於下顎牙弓上,則上顎牙弓的左頰側面及右頰側面上可分別裝設一連接部),並在該未裝有定位器的牙弓之咬合面上形成增厚部(導引塊)。如此一來,藉由彈性件連接定位器上的連接部與未裝有定位器的牙弓上的連接部,也可驅使下顎骨相對於上顎骨移動,以達到齒 顎矯正的目的。此外,前述未裝有定位器的牙弓的左頰側面與右頰側面之間的唇側面上也可設有中央連接部,並可通過至少一彈性件連接該中央連接部與相鄰的左或右頰側面上的連接部,接著連接該連接部與裝於另一牙弓上的定位器的對應的左或右頰側面上的連接部,以產生矯正力,從而改善如前述上顎骨10與下顎骨20之間的左右偏斜問題。 Although the gingival correction device in the above embodiment includes a first locator 100 and a second locator 200, it may also include only a single locator (the first locator 100 or the second locator 200). Above the mouth, the arch or lower jaw arch. In these cases, at least one connecting portion may be respectively disposed on the left cheek side and the right cheek side of the dental arch without the positioner (for example, if the positioner is mounted on the upper jaw arch, A connecting portion can be respectively disposed on the left cheek side and the right cheek side of the lower jaw arch. Otherwise, if the positioner is mounted on the lower jaw arch, the left cheek side and the right cheek side of the upper arch can be separately installed. a connecting portion), and a thickening portion (guide block) is formed on the occlusal surface of the dental arch without the positioner. In this way, the connection between the connecting portion on the positioner and the dental arch without the positioner by the elastic member can also drive the lower jaw bone to move relative to the upper jaw to reach the tooth. The purpose of 颚 correction. In addition, a central connecting portion may be disposed on the lip side between the left cheek side and the right cheek side of the dental arch without the positioner, and the central connecting portion and the adjacent left side may be connected by at least one elastic member. Or a connection portion on the right cheek side, and then connecting the connection portion to a corresponding left or right buccal side of the positioner mounted on the other dental arch to generate a correcting force, thereby improving the upper humerus 10 as described above The left and right skew problem with the mandible 20 .

雖然上述實施例中(第2圖),第一定位器100的第一牙齒收容部R1是收容上顎牙弓12中的全部牙齒,且第二定位器200的第二牙齒收容部R2是收容下顎牙弓22中的全部牙齒,但是第一牙齒收容部R1也可被設計成僅收容部分的上顎牙弓12(即,上顎牙弓12中的部分牙齒),且第二牙齒收容部R2也可被設計成僅收容部分的下顎牙弓22(即,下顎牙弓22中的部分牙齒)。 In the above embodiment (Fig. 2), the first tooth receiving portion R1 of the first positioner 100 is for accommodating all the teeth in the upper jaw arch 12, and the second tooth receiving portion R2 of the second positioner 200 is for accommodating the lower jaw. All of the teeth in the dental arch 22, but the first dental receiving portion R1 can also be designed to accommodate only a portion of the upper arch 12 (ie, a portion of the upper arch 12), and the second dental receiving portion R2 can also The lower jaw arch 22 (i.e., a portion of the lower jaw arch 22) is designed to receive only a portion.

接著請參見第5A圖及第5B圖,其分別顯示本發明另一實施例的第一定位器100’裝於病患上顎牙弓的示意圖,以及第二定位器200’裝於病患下顎牙弓的示意圖。如第5A圖及第5B圖所示,第一定位器100’亦可暴露出上顎牙弓12的咬合面O1,而非如同圖3A所示實施例中的第一定位器是將上顎牙弓12的咬合面整個包覆住,且第二定位器200’亦可暴露出下顎牙弓22的咬合面O2,而非如同圖3B所示實施例中的第二定位器是將下顎牙弓22的咬合面整個包覆住。應瞭解的是,通過前述複數個彈性件500(第2圖)連接第一定位器100’的左、右頰側面上的第一連接部306與第二定位器200’的左、右頰側面上的第二連接部406,亦可達到齒顎矯正的效果。 Next, please refer to FIG. 5A and FIG. 5B, which respectively show a schematic diagram of the first positioner 100 ′ according to another embodiment of the present invention mounted on the patient's gingival arch, and the second locator 200 ′ is mounted on the patient's lower jaw. Schematic diagram of the bow. As shown in Figures 5A and 5B, the first locator 100' can also expose the occlusal surface O1 of the upper humerus arch 12, rather than the first locator in the embodiment shown in Figure 3A. The occlusal surface of 12 is entirely covered, and the second locator 200' can also expose the occlusal surface O2 of the lower humeral arch 22, rather than the second locator in the embodiment shown in Figure 3B. The occlusal surface is completely covered. It should be understood that the first connecting portion 306 on the left and right buccal sides of the first positioner 100' and the left and right buccal sides of the second positioner 200' are connected by the plurality of elastic members 500 (Fig. 2). The upper second connecting portion 406 can also achieve the effect of correcting the gums.

如第5A圖及第5B圖所示,在第一定位器100’的舌側面上更可固定地設有至少一第一舌側連接部306’,且在第二定位器200’的舌側面上更可固定地設有至少一第二舌側連接部406’,其中第一、第二舌側連接部306’與406可包括與第2圖所示實施例中的第一、第二連接部306與406相同的材料。在本實施例中(第5A圖及第5B圖),第一定位器100’、複數個第一連接部306與複數個第一舌側連接部306’可以一體成型的方式製作(例如透過金屬鑄造方法),且第二定位器200’、複數個第二連接部406與複數個第二舌側連接部406’也可以一體成型的方式製作(例如透過金屬鑄造方法),但本發明並不以此為限制。 As shown in FIGS. 5A and 5B, at least one first lingual side connecting portion 306' is more fixedly disposed on the lingual side of the first locator 100', and on the lingual side of the second locator 200' At least one second lingual side connecting portion 406 ′ is further fixedly disposed, wherein the first and second lingual side connecting portions 306 ′ and 406 may include the first and second connections in the embodiment shown in FIG. 2 . Parts 306 and 406 are the same material. In the present embodiment (Fig. 5A and Fig. 5B), the first positioner 100', the plurality of first connecting portions 306 and the plurality of first lingual side connecting portions 306' can be integrally formed (for example, through metal) Casting method), and the second positioner 200', the plurality of second connecting portions 406 and the plurality of second lingual side connecting portions 406' may also be integrally formed (for example, by a metal casting method), but the present invention does not This is a limitation.

雖然本發明的實施例及其優點已揭露如上,但應該瞭解的是,任何所屬技術領域中具有通常知識者,在不脫離本發明之精神和範圍內,當可作更動、替代與潤飾。此外,本發明之保護範圍並未侷限於說明書內所述特定實施例中的製程、機器、製造、物質組成、裝置、方法及步驟,任何所屬技術領域中具有通常知識者可從本發明揭示內容中理解現行或未來所發展出的製程、機器、製造、物質組成、裝置、方法及步驟,只要可以在此處所述實施例中實施大抵相同功能或獲得大抵相同結果皆可根據本發明使用。因此,本發明之保護範圍包括上述製程、機器、製造、物質組成、裝置、方法及步驟。另外,每一申請專利範圍構成個別的實施例,且本發明之保護範圍也包括各個申請專利範圍及實施例的組合。 Although the embodiments of the present invention and its advantages are disclosed above, it should be understood that those skilled in the art can make modifications, substitutions, and refinements without departing from the spirit and scope of the invention. In addition, the scope of the present invention is not limited to the processes, machines, manufacture, compositions, devices, methods, and steps in the specific embodiments described in the specification. Any one of ordinary skill in the art can. The processes, machines, fabrications, compositions, devices, methods, and procedures that are presently or in the future are understood to be used in accordance with the present invention as long as they can perform substantially the same function or achieve substantially the same results in the embodiments described herein. Accordingly, the scope of the invention includes the above-described processes, machines, manufactures, compositions, devices, methods, and steps. In addition, the scope of each of the claims constitutes an individual embodiment, and the scope of the invention also includes the combination of the scope of the application and the embodiments.

10‧‧‧上顎骨 10‧‧‧Upper humerus

12‧‧‧上顎牙弓 12‧‧‧Upper arch

12A‧‧‧門牙 12A‧‧ ‧ front teeth

12B‧‧‧側門牙 12B‧‧‧ side incisors

12C‧‧‧犬齒 12C‧‧‧ Canine

12D‧‧‧第一小臼齒 12D‧‧‧The first small molar

12E‧‧‧第二小臼齒 12E‧‧‧Second small molars

12F‧‧‧第二大臼齒 12F‧‧‧second largest molar

20‧‧‧下顎骨 20‧‧‧ Lower jaw bone

22‧‧‧下顎牙弓 22‧‧‧ Lower jaw arch

22A‧‧‧第一小臼齒 22A‧‧‧The first small molar

22B‧‧‧第二小臼齒 22B‧‧‧Second small molars

22C‧‧‧第二大臼齒 22C‧‧‧The second largest molar

100‧‧‧第一定位器 100‧‧‧First positioner

100a‧‧‧第一左頰側面 100a‧‧‧ first left cheek side

100b‧‧‧第一右頰側面 100b‧‧‧ first right cheek side

100c‧‧‧唇側面 100c‧‧‧ lip side

106‧‧‧開孔 106‧‧‧Opening

200‧‧‧第二定位器 200‧‧‧Second positioner

200a‧‧‧第二左頰側面 200a‧‧‧second left cheek side

200b‧‧‧第二右頰側面 200b‧‧‧second right cheek side

200c‧‧‧唇側面 200c‧‧‧ lip side

202‧‧‧定位器子單元 202‧‧‧Locator subunit

202’‧‧‧定位器子單元 202'‧‧‧ Locator subunit

204‧‧‧增厚部 204‧‧‧ Thickening Department

206‧‧‧隔開件 206‧‧‧Separate parts

302‧‧‧第一托架 302‧‧‧First bracket

304‧‧‧第一弓形線 304‧‧‧First bow line

306‧‧‧第一連接部 306‧‧‧First connection

308‧‧‧第一中央連接部 308‧‧‧First Central Connection

402‧‧‧第二托架 402‧‧‧second bracket

404‧‧‧第二弓形線 404‧‧‧second bow line

406‧‧‧第二連接部 406‧‧‧Second connection

408‧‧‧第二中央連接部 408‧‧‧Second central connection

500‧‧‧彈性件 500‧‧‧Flexible parts

B1‧‧‧第一咬合面 B1‧‧‧First occlusal surface

B2‧‧‧第二咬合面 B2‧‧‧Second occlusal surface

C‧‧‧虛擬中心軸 C‧‧‧Virtual Center Axis

R1‧‧‧第一牙齒收容部 R1‧‧‧First Dental Containment Department

R2‧‧‧第二牙齒收容部 R2‧‧‧Second Dental Containment Department

Claims (6)

一種齒顎矯正裝置,包括:一第一定位器,以可拆方式裝於口腔之上顎牙弓,具有一第一左頰側面以及一第一右頰側面,至少一第一左側連接部設置於該第一左頰側面上,及至少一第一右側連接部設置於該第一右頰側面上,其中該第一定位器係以金屬鑄造,具有一收容部,配置以包覆該上顎牙弓的牙齒並暴露出該上顎牙弓的咬合面;一第二定位器,以可拆方式裝於口腔之下顎牙弓,具有一第二左頰側面以及一第二右頰側面,至少一第二左側連接部設置於該第二左頰側面上,及至少一第二右側連接部設置於該第二右頰側面上,其中該第二定位器係以金屬鑄造,具有另一收容部,配置以包覆該下顎牙弓的牙齒並暴露出該下顎牙弓的咬合面;以及至少兩個彈性件,分別用以連接該第一左側連接部與該第二左側連接部及連接該第一右側連接部與該第二右側連接部,其中當該第一、第二定位器分別固定於該上、下顎牙弓時,該些彈性件驅使該第二定位器相對於該第一定位器移動,從而調整連接該第二定位器之一下顎骨與連接該第一定位器之一上顎骨之間的相對位置。 A gingival correction device comprising: a first positioner detachably mounted on the upper jaw of the oral cavity, having a first left cheek side and a first right cheek side, at least one first left joint being disposed at The first left cheek side and the at least one first right side connecting portion are disposed on the first right cheek side, wherein the first positioner is cast in metal and has a receiving portion configured to cover the upper jaw arch a tooth and exposing the occlusal surface of the upper arch; a second positioner detachably mounted under the oral cavity, having a second left cheek side and a second right cheek side, at least a second The left connecting portion is disposed on the second left cheek side, and the at least one second right connecting portion is disposed on the second right buccal side, wherein the second positioning device is cast in metal and has another receiving portion configured to Covering the teeth of the lower jaw arch and exposing the occlusal surface of the lower jaw arch; and at least two elastic members for connecting the first left connecting portion and the second left connecting portion and connecting the first right connecting portion Department and the second right side The connecting portion, wherein the elastic members drive the second positioning device to move relative to the first positioning device when the first and second positioning devices are respectively fixed to the upper and lower jaws, thereby adjusting the connection to the second positioning The relative position between the lower jaw bone and the tibia on one of the first positioners. 如申請專利範圍第1項所述的齒顎矯正裝置,其中該第二定位器更具有一唇側面及一第二中央連接部,該第二中央連接部設置於該唇側面上,且該齒顎矯正裝置更包括至少另一彈性件,用以連接該第二中央連接部與該第二左側連接部以及 連接該第二左側連接部與該第一左側連接部,或者用以連接該第二中央連接部與該第二右側連接部以及連接該第二右側連接部與該第一右側連接部,從而改善該下顎骨與該上顎骨之間的左右偏斜。 The gingival orthodontic device of claim 1, wherein the second locator further has a lip side and a second central connecting portion, the second central connecting portion is disposed on the lip side, and the tooth The 颚 correcting device further includes at least another elastic member for connecting the second central connecting portion and the second left connecting portion and Connecting the second left connecting portion and the first left connecting portion, or connecting the second central connecting portion and the second right connecting portion, and connecting the second right connecting portion and the first right connecting portion, thereby improving The left and right sides of the mandible and the upper metatarsal are skewed. 如申請專利範圍第1項所述的齒顎矯正裝置,其中該第一定位器之該收容部,用以收容部分的該上顎牙弓。 The gingival correction device of claim 1, wherein the accommodating portion of the first locator is configured to receive a portion of the upper humerus arch. 如申請專利範圍第1項所述的齒顎矯正裝置,其中該第二定位器之該另一收容部,用以收容部分的該下顎牙弓。 The gingival correction device of claim 1, wherein the other accommodating portion of the second locator is configured to receive a portion of the sacral arch. 如申請專利範圍第1項所述的齒顎矯正裝置,其中該第一定位器更具有一舌側面,及至少一第一舌側連接部設置於該舌側面上。 The gingival orthodontic device of claim 1, wherein the first locator has a tongue side and the at least one first lingual connection is disposed on the lingual side. 如申請專利範圍第1項所述的齒顎矯正裝置,其中該第二定位器更具有一舌側面,及至少一第二舌側連接部設置於該舌側面上。 The gingival orthodontic device of claim 1, wherein the second locator has a tongue side and the at least one second lingual connection is disposed on the lingual side.
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