TWI733513B - Orthodontic suite and its manufacturing method - Google Patents

Abstract

A orthodontic suite and its manufacturing method, utilized in oral cavity to treat oral arch malocclusion is provided. The orthodontic suite includes a first stage correction braces and a second stage correction braces, the first stage correction braces dental arch department, including a first stage placed on the first stage of dental arch and multiple anchor the slot and the first stage of the first stage cooperate with slot, the first stage to anchor slot should be the first permanent molar dental patients; the second stage correction braces includes a second stage of dental arch, and set up on the second stage of dental arch multiple anchor the slot and the second stage the second stage with slot, the second stage to anchor the slot at the same location in the first stage to anchor the slot, with the first stage for the second stage with slot with moving or rotating slot as a benchmark.

Description

Orthodontic kit and manufacturing method thereof

The present invention relates to a dental orthodontic kit, in particular to a multi-stage dental arch and dentition correction, as well as germination induction and growth anchoring of the first molar, as well as correcting the problem of excessive and insufficient dental arch development Orthodontic kits to help align the teeth and repair the shape of the alveolar bone, and have oral breathing and sleep improvement functions.

According to data from the World Health Organization, seven out of every ten people in the world have varying degrees of malocclusion, malocclusion, crowded dentition, gaps between teeth, teething, fighting, deep bite, and open bite. These conditions, in addition to causing aesthetic problems, can also cause chewing dysfunction of the teeth, easy tooth decay, easy to cause anterior tooth trauma and fracture, and even cause temporomandibular joint disorders, periodontal disease, pronunciation learning disorders, and hinder jawbone. The normal development of... and many other dental problems. There are many reasons for this kind of dentition and malocclusion. Most of them are inherited, such as: protrusion of the upper jaw, retraction of the lower jaw, congenital missing teeth, and multiple teeth. A few are caused by acquired personal habits. Whatever the reason? Incorrect dentition or malocclusion can be treated by dental orthodontics to improve oral health, function and aesthetics.

Please refer to Figure 1. Figure 1 is a schematic diagram of the use of the traditional metal bracket orthosis. picture. As shown in FIG. 1, a metal bracket orthosis 8 is used to be placed on the side of the lip 96 of the crooked tooth 95 of the dental patient. In a few clinical cases, of course, the metal bracket orthosis 8 is installed on the side of the tongue. However, based on the ease of cleaning, the ease of installation and the overall cost, the metal bracket orthosis 8 is installed on the side of the tongue. The way to lean on the 96 side of the lips is still the corrective way most people choose. Generally, the metal bracket orthosis 8 adheres a plurality of correction blocks 82 through a metal wire 81 (usually a steel wire or a steel wire), and allows the plurality of correction blocks 82 to be adhered to a plurality of skewed teeth 95 of the dental patient; Then, the mechanical force of the metal wire 81 is used to forcibly twist and adjust a plurality of skewed teeth 95, so that the skewed teeth 95 are gradually adjusted in a three-dimensional space and moved to the correct position to achieve "orthodontics". "", "Tooth Surgery", "Orthodontics" technical effects.

However, when the above-mentioned traditional metal bracket orthosis 8 is installed, there will be errors in the calculation of the mechanical force of the metal wire 81 and errors in the control force. When the twisting/moving force of the metal wire 81 is too strong, the crooked teeth 95 When the adjustment exceeds or goes over the correct tooth slot, the twisting/moving force of the wire 81 is too weak, the displacement of the skewed tooth 95 is insufficient, the correction period is too long... and a series of control problems. In addition, the metal bracket 8 of Fig. 1 makes it inconvenient for patients who are undergoing dental correction to clean, but increases the incidence of dental caries and periodontal disease. Of course, the method of installing the metal bracket 8 is clean The difficulty of brushing teeth also limits the possibility of children's correction.

Therefore, how to eliminate the lack of correction control of the metal wire 81, so that dental patients can still maintain normal brushing and oral cleaning during the orthodontic period, and make their orthodontics suitable for patients of different ages such as adults and children. This is the goal of those with ordinary knowledge in this field.

The main purpose of the present invention is to eliminate the lack of metal wire correction control, overcome the correction displacement and correction angle control and control problems of the traditional metal bracket corrector, so as to achieve precise displacement and precise angle correction control.

Another object of the present invention is to provide a staged braces to improve and treat the problem of malocclusion or malocclusion of teeth, or to use the tissue change biology of orthodontics to achieve alveolar bone shaping and repair. It can even correct the problem of over-development and underdevelopment of the dental arch to help align the teeth, and at the same time allow dental patients to maintain normal brushing and oral cleaning during the orthodontic period.

Another object of the present invention is to allow orthodontics, orthodontics, orthodontics, and occlusal correction to be applied to patients of different ages such as adults and children, and achieve occlusal adjustment and occlusal correction, making dental patients the first A molar tooth is induced to germinate, or is gradually adjusted to the Class I tooth position relationship of Angle's Classification, and the upper and lower jaw bones are gradually displaced to the corresponding relationship of the center position (Centric Relation, CR) , To improve the stability of the upper and lower jaw.

Another object of the present invention can be used to avoid airway obstruction, reduce or eliminate the "Mouth Breathing" condition caused by snoring and low tongue position, and allow patients with sleep anaesthesia or severe snoring to perform "breathing training" for Improve the symptoms of snoring, eliminate the sound and frequency of snoring, and improve the quality of sleep.

In order to solve the above and other problems, the present invention provides an orthodontic kit, which is used to place in the oral cavity of a dental patient to correct malocclusion or malocclusion in stages. The oral cavity of the dental patient is defined as having a pointing lip Lip side direction and cheeks pointing to both cheeks In the lateral direction, the orthodontic set includes a first-stage orthodontic brace and a second-stage orthodontic brace; the first-stage orthodontic brace includes a first-stage dental arch part, and a first-stage dental arch part arranged on the first-stage dental arch part A plurality of first-stage anchoring grooves and a plurality of first-stage matching grooves, the first-stage anchoring grooves are displaced in the buccal direction at the position corresponding to the first molar of the dental patient. The first-stage matching grooves are respectively displaced in the buccal direction corresponding to the remaining teeth of the dental patient by a second expansion distance; the second-stage orthodontic braces include a second-stage Dental arch portion, and a plurality of second-stage anchoring grooves and a plurality of second-stage matching grooves provided on the second-stage dental arch portion, and the positions of the second-stage anchoring grooves are the same as those of the first A step anchoring slot, and the second step cooperating slot moves or rotates based on the first step cooperating slot.

The orthodontic kit as described above, wherein the plurality of first-level anchoring slots or the plurality of second-level anchoring slots comply with the Class I first-class tooth position relationship of the Angle's Classification.

The orthodontic kit as described above, wherein the second expansion distance is less than or equal to 1.2 times the first expansion distance, and greater than 0.2 times the first expansion distance.

The orthodontic kit as described above, wherein the position of the second-stage matching slot is based on the position of the first-stage matching slot, and the cross-sectional width of the tooth is moved by one-fourth to one-third , Or rotate an angle less than 30 degrees.

The orthodontic kit as described above, further comprising a third-stage orthodontic brace, the third-stage orthodontic brace includes a third-stage dental arch part, and a plurality of second-stage dental arch parts arranged on the third-stage dental arch part A three-stage anchoring slot and a plurality of third-stage matching slots, the position of the third-stage anchoring slot is the same as the second-stage anchoring slot, and the third-stage matching slot is matched with the second-stage The slot is used as a reference to move or rotate; in a further embodiment, the third-level matching slot uses the second-level matching The slot is used as a reference, and one-quarter to one-third of the cross-sectional width of the tooth is moved, or rotated by an angle less than 30 degrees.

The orthodontic kit as described above, further comprising a first-stage abutting tongue part and a second-stage abutting tongue part, the first-stage abutting tongue part is arranged on the inner side of the first-stage arch part, and the second The second-stage abutting part is arranged on the inner side of the second-stage arch part; in a further embodiment, the first-stage abutting part or the second-stage abutting part is in a direction opposite to the labial direction, Its height gradually decreases.

The orthodontic kit as described above, further comprising a first-stage abutting tongue part and a second-stage abutting tongue part, the first-stage abutting tongue part is arranged on the inner side of the first-stage arch part, and the second The second-stage tongue abutment part is arranged on the inner side of the second-stage dental arch part; in a further embodiment, the first-stage tongue-abutment part or the second-stage tongue-abutment part is provided with a sublingual abutment groove in the middle.

In order to solve the above and other problems, the present invention provides a method for manufacturing an orthodontic kit, which includes the following steps: Step 11: Obtain a dental configuration diagram of a dental patient; Step 12: In the buccal direction pointing to both cheeks , Setting a first expansion distance based on the position of the first molar of the dental patient; step 13: displacing the first expansion distance according to the first molar to set a first-stage anchoring slot; step 14: Set the second expansion distance of the remaining teeth in the buccal direction according to the position of the first-stage anchoring groove; Step 15: According to the type of tooth and its corresponding second expansion distance, arrange more Step 16: Form the first-stage anchoring groove and the first-stage matching groove on a first-stage dental arch part to form a first-stage correction The 3D digital three-dimensional structure of the braces; Step 17: Output the physical structure of the first-level orthodontic braces; Step 21: Obtain the dentition structure diagram of the dental patient after the first-level correction; Step 22: According to the first Second-level anchor Step 23: Adjust and set multiple second-level matching slots according to multiple first-level matching slots; Step 24: Form the second-level anchoring slots and second-level matching slots in one On the second-stage dental arch part, a 3D digital three-dimensional structure of the second-stage orthodontic braces is formed; step 25: output the physical structure of the second-stage orthodontic braces.

The method for manufacturing an orthodontic kit as described above, wherein the plurality of first-stage anchoring slots or the plurality of second-stage anchoring slots comply with the Class I first-class teeth of the Angle's Classification (Angle's Classification) Bit relationship.

The method for manufacturing an orthodontic kit as described above, wherein, in step 14, the second expansion distance of the incisor of the dental patient is less than or equal to 0.4 times the first expansion distance, and is greater than or equal to 0.2 times the first expansion distance .

The method for manufacturing an orthodontic kit as described above, wherein, in step 14, the second expansion distance of the canine teeth of the dental patient is less than or equal to 0.8 times the first expansion distance, and is greater than or equal to 0.4 times the first expansion distance .

The method for manufacturing an orthodontic kit as described above, wherein in step 14, the second expansion distance of the other molars of the dental patient is less than or equal to 1.2 times the first expansion distance, and is greater than or equal to 0.8 times the first expansion distance distance.

The method for manufacturing an orthodontic kit as described above, wherein, in step 23, the position of the second-stage mating slot is moved by a quarter of the cross-sectional width of the tooth by the position of the first-stage mating slot Set to one-third.

In the method for manufacturing the orthodontic kit as described above, in step 23, the position of the second-level mating slot is set by rotating the position of the first-level mating slot by an angle less than 30 degrees.

The method of manufacturing the orthodontic kit as described above further includes the following steps: Step 31: Obtain the dentition structure diagram of the dental patient after the second-level correction; Step 32: Perform the second-level anchoring slot Setting a third-level anchoring slot Step 33: Adjusting and setting a plurality of third-level matching slots according to the plurality of second-level matching slots; Step 34: The third-level anchoring slot is matched with the third-level The slot is formed on a third-stage dental arch to form a 3D digital three-dimensional structure of the third-stage orthodontic brace; step 35: output the physical structure of the third-stage orthodontic brace.

As a result, the orthodontic kit of the present invention can eliminate the lack of wire correction control, overcome the correction displacement and correction angle control problems of the traditional metal bracket orthosis, and achieve precise displacement and precise angle correction control. , And use the tissue change biology of orthodontics to achieve alveolar bone shaping and repair, and even to correct the problem of over-development and underdevelopment of the dental arch to help teeth alignment; it can also allow dental patients to maintain normal during the orthodontic period Teeth brushing and oral cleaning work, and can also take into account the treatment methods of orthodontics, orthodontics, orthodontics, and occlusal correction. It is suitable for adults, children and many other dental patients of different ages. In addition, the orthodontic kit of the present invention can allow dental patients to adjust and correct the occlusion, so that their first molars can be induced to germinate or be gradually adjusted to the Class I teeth of the Angle's Classification. Position relationship, and allow the upper and lower jaw bones to gradually move to the corresponding relationship of the central position (Centric Relation, CR) to improve the stability of the upper and lower jaw occlusal. Therefore, it has the potential for clinical application and large-scale commercialization.

In order to further understand the features and technical content of the present invention, please refer to the following detailed description and accompanying drawings of the present invention. However, the accompanying drawings are only provided for reference and illustration, and are not intended to limit the present invention. In order to further understand the features and technical content of the present invention, please refer to the following detailed description and drawings of the present invention. However, the accompanying drawings are only for reference For illustrative purposes, it is not intended to limit the present invention.

71: Computer

72: Dental software

8: Metal bracket orthosis

81: Metal wire

82: Correction block

LS: Labial direction

BS: buccal direction

PS: Jaw direction

C17: The first-level anchor slot

C18: First-order matching slot

C27: Second-level anchoring slot

C28: Second-order matching slot

d1: first expansion distance

d2: second expansion distance

10: First-stage orthodontic braces

11: First-order arch

12: The first step of the tongue

13: Under the tongue to the bracket

20: Second-stage orthodontic braces

21: Second-order arch

22: The second stage of the tongue

91: Incisor

92: Canine Tooth

93: The first molar

94: other molars

95: crooked teeth

96: Lips

97: dentition

98: tongue

Figure 1 is a schematic diagram showing the use of a traditional metal bracket orthosis.

Figure 2 shows a schematic diagram of the manufacturing and use stages of the orthodontic kit.

Fig. 3 shows a schematic diagram of the manufacturing method of the first-stage orthodontic braces.

Fig. 4 shows a schematic diagram of an acquired dental position of a dental patient.

5A to 5C are schematic diagrams of the manufacturing process of the first-stage orthodontic braces.

Figures 6A to 6B show a three-dimensional view and a top view of the first-stage orthodontic braces.

7A to 7C are schematic diagrams showing the front and back of the dental arch and dentition of the upper and lower jaw occluding the first-stage orthodontic brace.

FIG. 8 is a schematic diagram showing the correspondence between the teeth of a dental patient and the slots of the first-stage orthodontic brace.

FIG. 9 is a schematic diagram of the manufacturing method of the second-stage orthodontic braces.

FIG. 10 shows the corresponding schematic diagram of the slots of the first-level orthodontic braces and the second-level orthodontic braces.

FIG. 11 is a schematic diagram of the manufacturing method of the third-stage orthodontic braces.

Orthodontic treatment is a very special oral treatment. Its purpose is to achieve the technical effects of "dental orthodontics", "dental plastic surgery" and "dental orthodontics" through dental treatments. So that the dental patient's upper and lower jaw dentition can have a beautiful, neat and beautiful dental arch contour. In order to achieve the above-mentioned functions, the present invention hopes to achieve the technical effects of orthodontics and tooth shaping by making an orthodontic kit. Please refer to FIG. 2. FIG. 2 shows a schematic diagram of the manufacturing and use stages of the orthodontic kit. As shown in Fig. 2, a first-stage orthodontic brace 10 of an orthodontic set is manufactured (step X101), and the dental patient can perform first-stage orthodontic treatment through the first-stage orthodontic brace 10 (step X102), and then Based on the results of the first-stage orthodontic treatment, a second-stage orthodontic brace 20 of an orthodontic set is manufactured (step X103), and then the dental patient can perform the second-stage correction through the second-stage orthodontic brace 20 Treatment (step X104).

Among them, please refer to FIG. 3, which is a schematic diagram of the manufacturing method of the first-stage orthodontic braces. Here, the step X101 can be further expanded and subdivided into steps 11 to 17 shown in Fig. 3; as shown in Fig. 3, first, it can be through a computer tomography (CT), X-ray, Obtain a dental patient's tooth structure map (step 11) by using instruments such as MRI or ultrasound, or intraoral scanning, tooth reversal, etc. (step 11), which includes but is not limited to the medical digital image transmission protocol (DICOM, Digital Imaging and Communications in Medicine) digital format image files. Please refer to Fig. 4 again, using a computer 71 (including but not limited to hardware such as computers, mobile phones, servo calculators) or a dental software 72 to read and obtain the above-mentioned tooth structure map, you can get the "before correction" Visualization features of 3D space and structure such as the dental arch, dentition 97 and the arrangement position, azimuth angle, direction, concave-convex contour of each tooth. Next, from the computer 71 or the dental software 72, define a buccal direction BS (Toward Buccal-Side Direction, that is, "pointing" to the dental arch and dentition 97 of the dental patient before correction). The direction of the cheeks on both sides); please refer to Figure 5A at the same time. As shown in Figure 5A, in the buccal direction BS pointing to both cheeks, the position of the first molar 93 of the dental patient is taken as the reference Set a first expansion distance d1 (step 12 of FIG. 3), and then according to the first molar tooth 93, displace the first expansion distance d1 in the buccal direction BS to set a first-stage anchoring slot C17 (Step 13 in Figure 3). Here, the first-stage anchoring slot C17 is the spatial position of the dental patient's first molar 93 after it is expected to be displaced, and the first-stage anchoring slot C17 conforms to the Angle's classification (Angle's classification). Classification) Class I first-class tooth position relationship. Here, the Anger’s classification is based on the front-to-back relative relationship of the first molar 93 of the upper and lower dentition 97, and divides its occlusion into three categories. Among them, the first category of occlusion is Class I Neutrocclusion, It presents a normal horizontal overbite, with the upper row of incisors slightly biting within 1~3mm in front of the lower row of incisors. The second type of occlusion is Class II Distocclusion, which shows that the upper incisors bite too far in front of the lower incisors, resulting in Excess Overjet, or the compensatory indentation of the crowns of the upper incisors, leading to bony teeth Phenomenon. The third type of occlusion is Class III Mesiocclusion, which shows that the lower incisors bite in front of the upper incisors, resulting in a negative horizontal overjet or crossbite (Negative Overjet/Anterior Crossbite), resulting in a protruding lower jaw (commonly known as "bucket") or upper jaw Symptoms of recoil.

Next, as shown in FIG. 5B, the remaining teeth (ie, incisors 91, canine teeth 92, and other molar teeth 94 except for the first molar 93) are arranged in the cheek according to the position of the first-stage anchoring slot C17. The second expansion distance d2 in the lateral direction BS (refer to step 14 of FIG. 3). Among them, the second expansion distance d2 of each tooth will be different. Generally speaking, the dentist or dental model technician can view the size of the dental patient’s mouth or the predictable growth space in the future (for example, children, the mouth will expand in the future) , Becomes larger) to determine the expansion distance. In clinical terms, usually the second expansion distance d2 will be less than or equal to 1.2 times the first expansion distance d1, and greater than 0.2 times the first expansion distance d1, that is: 0.2* d1≦d2≦1.2*d1. Specifically, if it is an incisor 91, the second expansion distance d2 of the incisor 91 will be less than or equal to 0.4 times the first expansion distance d1, and greater than or equal to 0.2 times the first expansion distance d1 The distance d1, that is: 0.2*d1≦d2≦0.4*d1; if it is the canine tooth 92, the second expansion distance d2 of the canine tooth 92 is less than or equal to 0.8 times the first expansion distance d1, and is greater than or equal to 0.4 times the first expansion distance d1 The expansion distance d1, that is: 0.4*d1≦d2≦0.8*d1; if it is other molar teeth 94, the second expansion distance d2 of these other molar teeth 94 is less than or equal to 1.2 times the first expansion distance d1, and greater than or equal to 0.8 Times the first expansion distance d1, that is, 0.8*d1≦d2≦1.2*d1. That is to say, the dentist or dental model technician can judge the adjustment of the second expansion distance d2 according to the type of tooth, and then arrange a plurality of first-stage matching slots C18 to correspond to the first molar 93 Outside all the remaining teeth (step 15 of Figure 3).

Next, as shown in FIG. 5C, a plurality of first-stage anchoring grooves C17 and first-stage matching grooves C18 are formed on a first-stage dental arch portion 11 to form a first-stage orthodontic brace 10 3D digitized three-dimensional structure (step 16 in Figure 3); in this way, the physical structure of the first-stage orthodontic brace 10 can be output and obtained through 3D printing technology (step 17 in Figure 3), The physical structure of the first-stage orthodontic brace 10 is shown in FIGS. 6A and 6B.

Please refer to Figures 6A and 6B. Figures 6A~6B show the three-dimensional and top views of the first-stage orthodontic braces; here, the main body of the first-stage orthodontic braces 10 is the first-stage orthodontic braces. The dental arch portion 11 has a plurality of first-stage anchoring grooves C17 and a plurality of first-stage matching grooves C18 on the first-stage dental arch portion 11. At this time, as shown in Fig. 7A, the dental patient can open his mouth so that the arches and dentition 97 of the upper and lower jaws are aligned with the first-stage orthodontic braces 10. Next, as shown in Figs. 7B and 7C, The dental patient closes his mouth, occludes and clenches the first-stage orthodontic braces 10 with the upper and lower dental arches and dentition 97.

Please refer to FIGS. 5A to 5C and FIG. 8 at the same time. FIG. 8 is a schematic diagram showing the correspondence between the teeth of the dental patient and the slot of the first-stage orthodontic brace. Among them, when the dental patient uses, bites After the first-stage orthodontic brace 10, the first-stage anchoring slot C17 of the first-stage orthodontic brace 10 will correspond to the first molar 93 of the dental patient. Therefore, the first-stage anchoring slot C17 It is displaced by the first expansion distance d1 in the buccal direction BS. In addition, a plurality of first-stage matching slots C18 respectively correspond to the remaining teeth of the dental patient (that is, incisor teeth 91, canine teeth 92 and other molars 94 except for the first molar 93). Therefore, a plurality of first-stage matching slots C18 The slot C18 is based on the above-mentioned original positions of the rest of the teeth, and is set by a second expansion distance d2 in the buccal direction BS. As mentioned above, when step 12 of FIG. 3 is performed, the setting and adjustment of the first expansion distance d1 will determine the position, orientation, and angle of the first molar 93 corresponding to the first arch portion 11 When performing step 14 of Figure 3, the setting and adjustment of the second expansion distance d2 will determine that the remaining teeth (except for the first molar 93, the incisor 91, the canine 92, and other molars 94) correspond to the first molar The position, orientation and angle on the first-order arch part 11. In this way, the dentist or dental model technician can use the first-stage orthodontic brace 10 to pre-plan the first stage "desired displacement and rotation angle" of the upper and lower dental arches and dentition 97 in the oral cavity. Then, the dental patient is allowed to wear the first-stage orthodontic brace 10 to displace and turn each tooth of the dental arch and dentition 97 to achieve the purpose of the first-stage correction.

Also, as shown in FIG. 6A, the first-stage orthodontic brace 10 further includes a first-stage abutting tongue portion 12, the first-stage abutting tongue portion 12 is disposed on the inner side of the first-stage arch portion 11, and the second The first-stage abutting tongue part 12 is further provided with a ruptured or U-shaped groove-shaped sublingual abutting slot 13 in the middle, and the sublingual abutting slot 13 is used to accommodate the tongue frenulum under the human tongue (Ankyloglossia , Also known as Tongue-tie). In this way, when the dental patient bites the first-stage orthodontic brace 10 and places his tongue on the first-stage abutting part 12, the patient’s discomfort can be reduced Feel, increase the willingness to use it. In addition, as shown in FIG. 7C, the height of the first-step abutment portion 12 is gradually reduced in the opposite direction to the labial direction LS (that is, to the palate side direction PS, Palate Side); First, when the dental patient bites the first-stage orthodontic braces 10, the tongue 98 in the oral cavity is placed on the first-stage abutting part 12, and the height position of the tongue 98 can be increased. Relax the muscles of the throat and open the airway to avoid airway obstruction, reduce or eliminate "Mouth Breathing" caused by snoring and low tongue position. In addition, through the setting of the first-stage abutment part 12, the first-stage orthodontic braces 10 of the present invention can also allow patients with sleep anaesthesia or severe snoring patients to perform "breathing training" to improve their snoring symptoms and eliminate snoring. The sound and frequency of the sound, improve the quality of sleep.

In addition, by performing steps 11 to 17 in FIG. 3, the production of the first-stage orthodontic braces 10 in step X101 in FIG. 2 can be completed. After the production of the first-stage orthodontic braces 10 is completed, as shown in step X102 in FIG. 2, the dental patient can be allowed to perform first-stage orthodontic treatment through the first-stage orthodontic braces 10. The first step of step X102 is The purpose of one-stage orthodontic treatment is that dental patients who generally need to undergo dentition 97 correction usually have the problem of narrow and insufficient dental arch; therefore, before performing the correction of individual tooth displacement and rotation, it must be First moderately pull the dental arch toward the two buccal directions BS (ie, the left and right sides), so that the width of the dental arch in the two buccal directions BS is expanded and enlarged, and then predetermined according to the size and space of the permanent teeth Plan the position of the teeth, and even expand the alveolar bone with insufficient space for tooth growth, or inhibit bone growth in the case of excessive growth of the alveolar bone. In addition to increasing the body space and rotation displacement space of each tooth, this can also make the contour of the dental patient's face and chin more beautiful. In addition, according to the clinical application data of the applicant in this case, dental patients who use the first-stage orthodontic braces 10 can move individual teeth in the dental arch and dentition 97 at a speed of 1mm in 2 to 6 weeks. To achieve the purpose of correction.

Next, please refer to Figure 9 and Figure 10 at the same time. Figure 9 shows the second-stage orthodontic braces The schematic diagram of the manufacturing method of, FIG. 10 shows the corresponding schematic diagram of the grooves of the first-stage orthodontic braces and the second-stage orthodontic braces. Here, expand from step X103 in Figure 2 and subdivide into steps 21 to 25 shown in Figure 9. First, obtain the dental structure diagram of the dental patient after the "first-order correction" (step 21) The method of obtaining it is the same as the manufacturing method of the first-stage orthodontic brace 10, including but not limited to CT, X-ray, nuclear magnetic resonance, or ultrasonic instruments, or intraoral scanning, tooth reversal... and other methods. Then, a second-level anchor slot C27 is set according to the first-level anchor slot C17 (step 22), and a plurality of second-level matching slots are adjusted and set according to a plurality of first-level matching slots C18. C28 (Step 23). In a further specific embodiment, in the step 23, the position of the second-stage mating slot C28 can be moved by the position of the first-stage mating slot C18 to move a quarter to three of the cross-sectional width of the tooth. It is set by one-half, or is set by rotating the position of the first-level matching slot C18 by an angle less than 30 degrees; that is, the position of the second-level matching slot C28 in step 23 is in the first step. It is set to fine-tune the displacement or fine-tune the rotation angle under the premise of the first-order matching slot C18 as the reference. Therefore, as shown in Figure 10, take the first-stage anchoring slot C17 and the first-stage mating slot C18 of the previous first stage as the reference, and let the dentist or dental model technician decide on each of the “second-stage corrections”. The "expected displacement and rotation angle" of each tooth, then adjust and set the second stage of the tooth slot. Then, the second-stage anchoring groove C27 and the second-stage mating groove C28 are formed on a second-stage dental arch portion 21 to form a 3D digital three-dimensional structure of a second-stage orthodontic brace 20 (step 24). Then, the physical structure of the second-stage orthodontic brace 20 can be output (step 25). Here, the second-level anchor slot C27 complies with the Class I first-class tooth position relationship of the Angle's Classification. In addition, the 3D digital three-dimensional structure and the physical structure forming and manufacturing of the second-stage orthodontic brace 20 in steps 24 and 25 are the same as the aforementioned "first stage", so they will not be described again.

In this way, when the second-stage orthodontic braces 20 are completed, the main part is Is the second-stage dental arch portion 21, the second-stage dental arch portion 21 has a plurality of second-stage anchoring grooves C27 and a plurality of second-stage matching grooves C28, and the second-stage anchoring groove The position of the position C27 is the same as the aforementioned first-level anchor slot C17, and the second-level mating slot C28 moves or rotates based on the aforementioned first-level mating slot C18.

Next, the dental patient can put on the second-stage orthodontic braces 20 for the "second-stage" orthodontic treatment (step X104 in FIG. 2). The focus of this second stage of correction is that the first molar 93 is placed on the second stage anchoring groove C27 of the second stage orthodontic brace 20 as the positioning of the occlusal position, and then the second stage The anchoring slot C27 is used as an anchoring point to fine-tune other teeth on the dental arch to move or rotate to a predetermined desired tooth position (ie the position of the "second-order matching slot C28") through occlusal function training. The desired effect of occlusal adjustment and occlusal correction of dentition 97 makes the first molar 93 gradually move to the Class I occlusal relationship of the Angle's Classification, and allows the upper and lower jaw bones The displacement to the center position (Centric Relation, CR) is used to improve the occlusal stability of the upper and lower jaws. It is specifically stated here that the central occlusion (CO) relationship of the teeth is the position where the upper and lower teeth occlude the most closely, that is, the position where the upper and lower teeth bite to the largest occlusal surface; the central position (CR) relationship , That is, the joint head of the jaw joint, which is the most stable position in the middle of the joint socket. Generally speaking, the ideal occlusal position for stability is the difference between the central occlusal position (CO) and the central position (CR) by 0.5~1mm. The orthodontic kit of the present invention allows dental patients with Class II and Class III malocclusion (Malocclusion) in Class II and Class III to target their dentition and tooth position. Perform step-by-step adjustments, so that the first molar 93 of the dental patient is gradually adjusted and corrected step by step to enter the Class I occlusal position (ie, the first step anchoring slot C17, No. 1 occlusal position) Second-order anchor slot C27 Space location). In this way, the first molar 93 of the dental patient can be guided and anchored in the Class I occlusal position, and the bones of the upper and lower jaw can be maintained in the central position relationship (Centric Ralation). , Maintain the health of the temporomandibular segment. Even if the dental patient is in the sprouting period of deciduous teeth and permanent teeth, the orthodontic braces of the present invention can also adjust the appearance of the face and jaw during adolescence, so that the teenager has a more beautiful cheek shape. . In addition, for patients suffering from muscular dysfunction, such as abnormal swallowing, tongue stab (tongue) or reverse swallowing (reverse swallowing) symptoms, the occlusal training of the corrective braces of the present invention can also improve the lack of chewing function and deviation. Side chewing and other issues. In addition, since the 1990s, scholars have discovered that there are bone-forming cells (osteoblast) and bone resorption cells (osteoclast) in the alveolar bone that interact to affect the growth or contraction of the teeth of the upper and lower jaws. When a dental patient uses the orthodontic kit of the present invention, it can stimulate the sensitive cells of the oral cavity by mechanically occluding the teeth of the upper and lower jaw, and then convert the mechanical force of the occlusal into the body's biological chemical nerve signals , To promote the activation and intensification of the aforementioned "bone-forming cells" or "bone resorption cells", thereby controlling the "bone growth" or "bone resorption" in a certain part of the oral cavity. That is to say, wearing the orthodontic kit of the present invention, the alveolar bones of these dental patients will respond to the design contour of the first-stage orthodontic braces 10 or the second-stage orthodontic braces 20 to activate, Activate bone-forming cells or bone resorption cells, and then cause the alveolar bone to grow or shrink to achieve the purpose of alveolar bone shaping; in this way, it has the functions of jaw bone correction and chin adjustment. Therefore, using the tissue change biology of orthodontics to achieve alveolar bone shaping, bone repair, bone correction, and even to correct the problem of excessive development of the dental arch or insufficient alveolar bone, to help the teeth to be arranged in the correct position.

Of course, the second-stage orthodontic braces 20 also includes a second-stage abutting tongue portion and a sublingual abutment 13 to allow dental patients wearing the second-stage orthodontic braces 20 to improve the tongue The height of the head 98 is to relax the muscles of the throat and open the airway to avoid airway obstruction, reduce or eliminate "Mouth Breathing" caused by snoring and low tongue position, and can also stop sleep Patients with severe symptoms or severe snoring can perform “breathing training” to improve the patient’s snoring symptoms and eliminate the sound and frequency of snoring.

Next, the dentist will decide whether to accept the "third-stage" correction according to the dental patient's post-correction condition. If the third-stage correction is needed, then the third-stage orthodontic braces will be manufactured. Please refer to FIG. 11. FIG. 11 is a schematic diagram of the manufacturing method of the third-stage orthodontic braces. As shown in Figure 11, the dental patient's second-level correction dentition structure map is obtained (step 31), and then a third-level anchoring slot is set according to the second-level anchoring slot C27 (step 32), and adjust and set a plurality of third-level mating slots according to a plurality of second-level mating slots C28 (step 33), and then form the third-level anchoring slots and third-level mating slots in A third-stage dental arch part is formed to form a 3D digital three-dimensional structure of a third-stage orthodontic brace (step 34). Finally, output the physical structure of the third-order orthodontic brace (step 35). In this way, the manufactured third-stage orthodontic braces include a third-stage arch part, and a plurality of third-stage anchoring grooves and a plurality of third-stage anchor grooves arranged on the third-stage arch part. With the matching slot, the position of the third-level anchoring slot will be the same as the second-level anchoring slot C27; the third-level matching slot moves or rotates based on the second-level matching slot C28, And the adjustment and movement distance can be one-fourth to one-third of the width of the tooth section, or it can rotate at an angle less than 30 degrees. Here, the manufacturing method of the third-stage third-stage orthodontic braces is similar to the second-stage second-stage orthodontic braces 20, so it will not be repeated. The purpose of this third-stage correction is to supplement the second-stage correction, or as a later treatment, to make the dentition correction more effective and to further adjust the dental patient's dentition contour.

Thereby, the tooth manufactured by the method of manufacturing the orthodontic kit of the present invention Orthodontics kits can be used to produce braces of different correction stages in stages, set the predetermined tooth position for tooth movement or rotation, and let the orthodontic braces allow dental patients to correct the teeth in the oral cavity in stages to improve and treat the teeth The problem of malocclusion or malalignment, or the use of orthodontic tissue change biology to achieve alveolar bone shaping and repair, and even the problem of overdevelopment and underdevelopment of the dental arch can be corrected to help the teeth to be arranged in the correct position. In addition, the first-stage abutting part 12 and the second-stage abutting part 22 of the orthodontic braces can increase the height of the tongue 98 to avoid obstruction of the airway, reduce or eliminate the "mouth" caused by snoring and low tongue position. "Mouth Breathing condition", and allow sleep anaesthesia or severe snoring patients to perform "breathing training" to improve their snoring symptoms, eliminate the sound and frequency of snoring, and improve their sleep quality. Moreover, the present invention does not require the use of traditional metal wire correction control, and does not have the correction displacement and correction angle control problems of the metal bracket orthosis, so it can achieve precise displacement and precise angle correction control; it can also allow dental patients to perform orthodontics. During the period, it can still maintain normal tooth brushing and oral cleaning, and it can also take into account the treatment methods of orthodontics, orthodontics, orthodontics, and occlusal correction. It is suitable for adults, children and many other dental patients of different ages. Therefore, it has the potential for clinical application and large-scale commercialization.

The present invention is described above with examples, but they are not intended to limit the scope of the patent rights claimed by the present invention. The scope of its patent protection shall be determined by the scope of the attached patent application and its equivalent fields. Any person with ordinary knowledge in the field, without departing from the spirit or scope of this patent, makes changes or modifications that are equivalent changes or designs completed under the spirit of the present invention, and should be included in the following patent scope Inside.

Step 11~Step 17

Claims (8)

A method for manufacturing an orthodontic kit includes the following steps: Step 11: Obtain a dental configuration diagram of a dental patient; Step 12: In the buccal direction (BS) pointing to both cheeks, use the dental patient Set a first expansion distance (d1) based on the position of the first molar tooth (93); Step 13: Displace the first expansion distance (d1) according to the first molar tooth (93) to set two first steps Anchor slots (C17); Step 14: Set the second expansion distance (d2) of the remaining teeth in the buccal direction (BS) according to the positions of the first-stage anchor slots (C17); Step 15 : According to the type of teeth and the corresponding second expansion distance (d2), arrange a plurality of first-level matching grooves (C18) to correspond to the remaining teeth; Step 16: these first-level anchoring grooves (C17). The first-stage matching groove (C18) is formed on a first-stage dental arch part (11) to form a 3D digital three-dimensional structure of the first-stage orthodontic brace (10); Step 17: output Obtain the physical structure of the first-stage orthodontic brace (10); Step 21: Obtain the dental configuration diagram of the dental patient after the first-stage correction; Step 22: According to the first-stage anchoring grooves (C17) And set two second-level anchoring slots (C27); Step 23: adjust and set multiple second-level matching slots (C28) according to the multiple first-level matching slots (C18); Step 24: these The second-stage anchoring groove (C27) and the second-stage mating groove (C28) are formed on a second-stage dental arch part (21) to form a 3D digitalization of a second-stage orthodontic brace (20) Three-dimensional structure; Step 25: Output the physical structure of the second-stage orthodontic brace (20). The method for manufacturing the orthodontic kit according to claim 1, wherein the multiple first-level anchoring slots (C17) or the multiple second-level anchoring slots (C27) comply with Angle's Classification ) Class I first type tooth position relationship. According to the method for manufacturing the orthodontic kit according to claim 1, in step 14, the second expansion distance (d2) of the incisor teeth (91) of the dental patient is less than or equal to 0.4 times the first expansion distance (d1), and The first expansion distance (d1) greater than or equal to 0.2 times. According to the method for manufacturing an orthodontic kit according to claim 1, in step 14, the second expansion distance (d2) of the canine teeth (92) of the dental patient is less than or equal to 0.8 times the first expansion distance (d1), and The first expansion distance (d1) greater than or equal to 0.4 times. According to the method for manufacturing the orthodontic kit according to claim 1, in step 14, the second expansion distance (d2) of the other molar teeth (94) of the dental patient is less than or equal to 1.2 times the first expansion distance (d1), And is greater than or equal to 0.8 times the first expansion distance (d1). According to the manufacturing method of the orthodontic kit described in claim 1, in step 23, the positions of the second-level mating slots (C28) are moved by the positions of the first-level mating slots (C18) Set one quarter to one third of the width of the tooth section. According to the method of manufacturing the orthodontic kit described in claim 1, in step 23, the positions of the second-level matching slots (C28) are rotated by the positions of the first-level matching slots (C18). Set at an angle less than 30 degrees. The manufacturing method of the orthodontic kit according to claim 1, which further includes the following steps: Step 31: Obtain the dentition structure diagram of the dental patient after the second-stage correction; Step 32: According to the second-stage correction Anchor slots (C27) to set second and third-level anchor slots. Step 33: Adjust and set multiple third-level cooperating slots according to multiple second-level cooperating slots (C28); Step 34: Form the third-stage anchoring grooves and the third-stage matching grooves on a third-stage dental arch part to form a 3D digital three-dimensional structure of the third-stage orthodontic brace; Step 35: Output the physical structure of the third-order orthodontic brace.

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