US20080227047A1 - Systems and methods for correcting malocclusion - Google Patents
Systems and methods for correcting malocclusion Download PDFInfo
- Publication number
- US20080227047A1 US20080227047A1 US11/773,858 US77385807A US2008227047A1 US 20080227047 A1 US20080227047 A1 US 20080227047A1 US 77385807 A US77385807 A US 77385807A US 2008227047 A1 US2008227047 A1 US 2008227047A1
- Authority
- US
- United States
- Prior art keywords
- vibratory source
- patient
- orthodontic appliance
- archwire
- extraoral
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- 238000000034 method Methods 0.000 title claims abstract description 36
- 206010061274 Malocclusion Diseases 0.000 title abstract description 16
- 208000000193 Dentofacial Deformities Diseases 0.000 claims abstract description 6
- 230000007547 defect Effects 0.000 claims abstract description 6
- 210000004283 incisor Anatomy 0.000 claims description 9
- 210000004373 mandible Anatomy 0.000 claims description 8
- 210000002050 maxilla Anatomy 0.000 claims description 8
- 230000000284 resting effect Effects 0.000 claims description 5
- 230000008878 coupling Effects 0.000 claims description 4
- 238000010168 coupling process Methods 0.000 claims description 4
- 238000005859 coupling reaction Methods 0.000 claims description 4
- 238000004064 recycling Methods 0.000 claims description 3
- 238000011282 treatment Methods 0.000 abstract description 56
- 210000001519 tissue Anatomy 0.000 abstract description 21
- 230000003068 static effect Effects 0.000 abstract description 17
- 230000033001 locomotion Effects 0.000 abstract description 10
- 230000010072 bone remodeling Effects 0.000 abstract description 6
- 206010033372 Pain and discomfort Diseases 0.000 abstract description 5
- 238000007405 data analysis Methods 0.000 abstract description 4
- 238000013481 data capture Methods 0.000 abstract description 3
- 230000001939 inductive effect Effects 0.000 abstract description 2
- 230000007774 longterm Effects 0.000 abstract description 2
- 230000007246 mechanism Effects 0.000 abstract description 2
- 210000000515 tooth Anatomy 0.000 description 55
- 210000000988 bone and bone Anatomy 0.000 description 17
- 208000002193 Pain Diseases 0.000 description 12
- 108090000103 Relaxin Proteins 0.000 description 11
- 102000003743 Relaxin Human genes 0.000 description 11
- 125000004122 cyclic group Chemical group 0.000 description 10
- 230000006872 improvement Effects 0.000 description 9
- 230000008569 process Effects 0.000 description 9
- 239000000126 substance Substances 0.000 description 8
- 230000008901 benefit Effects 0.000 description 7
- 238000007634 remodeling Methods 0.000 description 7
- 238000004891 communication Methods 0.000 description 6
- 238000011161 development Methods 0.000 description 6
- 230000002491 angiogenic effect Effects 0.000 description 5
- 238000013459 approach Methods 0.000 description 5
- 238000010586 diagram Methods 0.000 description 5
- 230000000694 effects Effects 0.000 description 5
- 230000001976 improved effect Effects 0.000 description 5
- 210000001847 jaw Anatomy 0.000 description 5
- 230000007838 tissue remodeling Effects 0.000 description 5
- 230000018109 developmental process Effects 0.000 description 4
- 230000001815 facial effect Effects 0.000 description 4
- 208000014674 injury Diseases 0.000 description 4
- 210000000214 mouth Anatomy 0.000 description 4
- 230000008733 trauma Effects 0.000 description 4
- 230000004913 activation Effects 0.000 description 3
- 230000004071 biological effect Effects 0.000 description 3
- 230000007423 decrease Effects 0.000 description 3
- 210000004513 dentition Anatomy 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 230000001965 increasing effect Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 230000008520 organization Effects 0.000 description 3
- 230000003239 periodontal effect Effects 0.000 description 3
- 210000002379 periodontal ligament Anatomy 0.000 description 3
- 230000036346 tooth eruption Effects 0.000 description 3
- BJRCFZKVYNDCJE-WBSNEMHCSA-N 99489-95-9 Chemical compound C([C@@H]1NC(=O)[C@H](CCCCN)NC(=O)[C@H](C)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CO)NC(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CCCCN)NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@@H]2CSSC[C@@H](C(=O)N[C@H](C(N[C@@H](CC(C)C)C(=O)N[C@H](C(=O)NCC(=O)N2)[C@@H](C)CC)=O)CSSC[C@@H](C(NCC(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@H](C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](C)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@H](C(=O)N[C@@H](C)C(=O)N[C@H](C(=O)N[C@@H](CSSC[C@H](NC1=O)C(O)=O)C(=O)NCC(=O)N[C@@H](CCSC)C(=O)N[C@@H](CO)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CO)C(=O)N[C@@H](CC(C)C)C(O)=O)[C@@H](C)CC)[C@@H](C)CC)C(C)C)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CCCCN)NC(=O)[C@@H](NC(=O)[C@@H](NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CCCCN)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@@H](N)CCCCN)C(C)C)[C@@H](C)CC)NC(=O)[C@H](CCCCN)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](CC=1C=CC=CC=1)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](C)NC(=O)[C@@H](NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)[C@H]1N(CCC1)C(=O)[C@@H](N)CCCNC(N)=N)C(C)C)C1=CC=C(O)C=C1 BJRCFZKVYNDCJE-WBSNEMHCSA-N 0.000 description 2
- 102000002274 Matrix Metalloproteinases Human genes 0.000 description 2
- 108010000684 Matrix Metalloproteinases Proteins 0.000 description 2
- GQPLMRYTRLFLPF-UHFFFAOYSA-N Nitrous Oxide Chemical compound [O-][N+]#N GQPLMRYTRLFLPF-UHFFFAOYSA-N 0.000 description 2
- 238000004458 analytical method Methods 0.000 description 2
- 230000006399 behavior Effects 0.000 description 2
- 238000012790 confirmation Methods 0.000 description 2
- 239000000470 constituent Substances 0.000 description 2
- 239000004053 dental implant Substances 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 239000003102 growth factor Substances 0.000 description 2
- 230000036541 health Effects 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 210000004261 periodontium Anatomy 0.000 description 2
- 108090000623 proteins and genes Proteins 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 230000008093 supporting effect Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 208000004099 Angle Class III Malocclusion Diseases 0.000 description 1
- 102000029816 Collagenase Human genes 0.000 description 1
- 108060005980 Collagenase Proteins 0.000 description 1
- 208000009283 Craniosynostoses Diseases 0.000 description 1
- 206010049889 Craniosynostosis Diseases 0.000 description 1
- 108090000695 Cytokines Proteins 0.000 description 1
- 102000004127 Cytokines Human genes 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 108010037362 Extracellular Matrix Proteins Proteins 0.000 description 1
- 102000010834 Extracellular Matrix Proteins Human genes 0.000 description 1
- 102100024785 Fibroblast growth factor 2 Human genes 0.000 description 1
- 108090000379 Fibroblast growth factor 2 Proteins 0.000 description 1
- 244000287680 Garcinia dulcis Species 0.000 description 1
- 102000005741 Metalloproteases Human genes 0.000 description 1
- 108010006035 Metalloproteases Proteins 0.000 description 1
- 208000001798 Nonvital Tooth Diseases 0.000 description 1
- 208000006440 Open Bite Diseases 0.000 description 1
- 208000006650 Overbite Diseases 0.000 description 1
- 102000004215 Relaxin receptors Human genes 0.000 description 1
- 108090000728 Relaxin receptors Proteins 0.000 description 1
- 102000005789 Vascular Endothelial Growth Factors Human genes 0.000 description 1
- 108010019530 Vascular Endothelial Growth Factors Proteins 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 239000013543 active substance Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000033228 biological regulation Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000037182 bone density Effects 0.000 description 1
- 239000004568 cement Substances 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 210000003464 cuspid Anatomy 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 210000002455 dental arch Anatomy 0.000 description 1
- 210000003298 dental enamel Anatomy 0.000 description 1
- 210000004268 dentin Anatomy 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 239000013070 direct material Substances 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 229940011871 estrogen Drugs 0.000 description 1
- 239000000262 estrogen Substances 0.000 description 1
- 210000002744 extracellular matrix Anatomy 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 230000009647 facial growth Effects 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 238000001415 gene therapy Methods 0.000 description 1
- 230000002068 genetic effect Effects 0.000 description 1
- 238000007654 immersion Methods 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 239000003112 inhibitor Substances 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000003278 mimic effect Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000003032 molecular docking Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- DQCKKXVULJGBQN-XFWGSAIBSA-N naltrexone Chemical compound N1([C@@H]2CC3=CC=C(C=4O[C@@H]5[C@](C3=4)([C@]2(CCC5=O)O)CC1)O)CC1CC1 DQCKKXVULJGBQN-XFWGSAIBSA-N 0.000 description 1
- 229960003086 naltrexone Drugs 0.000 description 1
- 230000006855 networking Effects 0.000 description 1
- 239000001272 nitrous oxide Substances 0.000 description 1
- 229960001730 nitrous oxide Drugs 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 238000005457 optimization Methods 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 230000008447 perception Effects 0.000 description 1
- 238000002203 pretreatment Methods 0.000 description 1
- 102000004196 processed proteins & peptides Human genes 0.000 description 1
- 108090000765 processed proteins & peptides Proteins 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 108020003175 receptors Proteins 0.000 description 1
- 102000005962 receptors Human genes 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000004043 responsiveness Effects 0.000 description 1
- 238000012552 review Methods 0.000 description 1
- 229940126586 small molecule drug Drugs 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 230000002459 sustained effect Effects 0.000 description 1
- 208000004371 toothache Diseases 0.000 description 1
- 238000010361 transduction Methods 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 238000013519 translation Methods 0.000 description 1
- 238000011144 upstream manufacturing Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C17/00—Devices for cleaning, polishing, rinsing or drying teeth, teeth cavities or prostheses; Saliva removers; Dental appliances for receiving spittle
- A61C17/16—Power-driven cleaning or polishing devices
- A61C17/20—Power-driven cleaning or polishing devices using ultrasonics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C17/00—Devices for cleaning, polishing, rinsing or drying teeth, teeth cavities or prostheses; Saliva removers; Dental appliances for receiving spittle
- A61C17/16—Power-driven cleaning or polishing devices
- A61C17/22—Power-driven cleaning or polishing devices with brushes, cushions, cups, or the like
- A61C17/228—Self-contained intraoral toothbrush, e.g. mouth-guard toothbrush without handle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/06—Implements for therapeutic treatment
- A61C19/063—Medicament applicators for teeth or gums, e.g. treatment with fluorides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/008—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions using vibrating means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/08—Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/002—Orthodontic computer assisted systems
Definitions
- This system relates to systems and methods for treating malocclusion.
- Orthodontics is a specialty of dentistry that treats malocclusion through the displacement of teeth and control and modification of facial growth. This process is accomplished by using mechanical static forces to induce bone remodeling thereby enabling teeth to move.
- This widely accepted approach to treating malocclusion takes about twenty four months on average.
- orthodontic braces consisting of an archwire that applies a continuous static force to the teeth interfaces with brackets that are affixed to each tooth, are used to treat a number of different classifications of clinical malocclusion.
- These clinical malocclusions include underbites, overbites, cross bites, open bites, and crooked teeth, for both esthetic and functional/structural reasons.
- removable clear appliances such as the Invisalign® system have been introduced for treating teeth.
- the removeable appliances as well as the traditional components of the orthodontic system, for example the tooth brackets and an archwire, are disposable,.
- orthodontic brackets are affixed to the teeth with cement or some similar substance with adhesive properties. With the exception of incidents of damage or loss of brackets, the same brackets are maintained throughout the entire course of treatment.
- the orthodontic brackets are removed.
- Archwires are typically changed at adjustment visits as necessary. The previous archwire is disposed of each time a new one is ligated to the brackets.
- Fixed appliances such as retainers that must be worn for some duration post-treatment and clear aligners which are worn until a pre-determined subsequent visit, are customized in fit and sold to the patient. Headgear is typically sold to the patient through the orthodontist and represents a fixed and set cost that must be paid regardless of treatment duration.
- Orthodontic treatment can be complicated by the fact that it is oftentimes uncomfortable and painful for patients. Medical devices have not alleviated the pain associated with this treatment, including initial bonding, adjustments, and ongoing discomfort between visits. Post-treatment stability of results and tissue integrity are also important considerations related to orthodontic treatment. Stability is typically accomplished and enhanced through ongoing wear of retainers, in many cases indefinitely. Compliance issues in wearing retainers can lead to relapses that require additional treatments.
- an orthodontic appliance includes an extraoral vibratory source; an intraoral attachment including at least one of: archwire, a bracket, a retainer, a palatal expander; and an interface coupling the extraoral vibratory source to the intraoral attachment.
- an orthodontic appliance in another aspect, includes an extraoral or intraoral vibratory source, an intraoral archwire or bracket and an interface coupling the extraoral vibratory source to the intraoral archwire or bracket.
- a method for treating occlusion includes providing an extraoral or intraoral vibratory source; mounting an intraoral archwire on teeth; and interfacing the extraoral vibratory source to the intraoral archwire.
- a bite plate can be coupled to the extraoral or intraoral vibratory source.
- the extraoral or intraoral vibratory source can have a pillar or post interfacing with the archwire coupled to the archwire.
- the pillar moves from a resting position to contact the archwire at a midline or anywhere with the archwire or appliance, wherein two central maxillary incisors come into mesial contact in a patient maxilla, and two central mandibular incisors come into mesial contact in a patient mandible.
- the system can interact with any part of the appliance systems both intra and extra orally. For example, the interface can contact the teeth at any point and at one or more points.
- the interface can contact the patient at the mid-line of each tooth, or at other locations on the tooth.
- a processor can control the extraoral vibratory source.
- the processor runs software that captures usage frequency and duration [and can be programmed to change the force, frequency, wave form, amplitude, duration or any other operating parameter.
- the processor can communicate usage frequency and duration to a remote computer via any type wired or wireless communication method.
- the processor can communicate with the remote computer over the Internet.
- a rechargeable battery can drive the vibratory source, wherein the rechargeable battery is charged using power from any type of power source including a USB port or an RS-232 port or a FireWire port, for example.
- the vibratory source can include a motor or a piezoelectric device.
- a leasing, rental or per procedure usage or any other variable usage systems as well as an out right purchase system enables the extraoral vibratory source to be provided to patients a low cost.
- the system can provide diagnostic information to a service provider.
- the system also supports recycling the extraoral vibratory source.
- a system for treating malocclusion includes a device that delivers non-static forces to teeth, the device disposed to teeth, and the device can be leased to a treating professional.
- a system for treating tooth pain includes a device that delivers non-static forces to one or more teeth and where the device disposed to the teeth provides pain relief.
- a method for recording the compliant use of an orthodontic device that delivers non-static forces to teeth includes a device that delivers non-static forces to teeth, where the device having electronic media that captures information pertaining to delivery.
- a new composition of dental tissue includes a jaw, the jaw having sustained non-static forces delivered to the teeth constituents, and the non-static forces having remodeled the tissues of the mandibular, the periodontal ligament, or the jaw.
- inducing tooth movement and treating malocclusion, craniofacial anomalies, bony defects, and dentofacial deformities through accelerated bone remodeling are achieved by the delivery non-static forces; reducing pain and discomfort in patients; and improving tissue integrity long-term results as to prevent post-orthodontic treatment relapse.
- the methods and apparatus include a mechanism for data capture and analysis related to patient compliance and usage behavior, as well as for establishing the invention as a component of the clinical office workflow to increase efficiency and productivity.
- the system enhances the traditional orthodontic treatment process with the application of non static forces.
- non-static forces are used to accelerate the remodeling of craniofacial bones in conjunction with orthodontic treatment.
- the system can be used to treat all forms and classifications of dental malocclusion, craniofacial anomaly, boney defect, or dentofacial deformity in which bone remodeling plays a physiological role.
- the system can be used exclusively in the maxilla, exclusively in the mandible, or in a dual-arch manner (both maxilla and mandible at the same time).
- the system can be used to treat cases presenting with a full dentition, any combination of naturally or unnaturally missing teeth, and to remodel bone in edentulous patients. Patients of any age and medical history profile can be treated. The system can be used by patients taking any type of medication.
- the system enables an efficacious, yet quick treatment period of static force that involves rapidly changing the forces on the teeth. This is done without requiring the introduction of piezoelectric currents to the mechanically stressed bone.
- Patient compliance is greatly enhanced through computer monitoring of usage. Treatment outcomes are directly dependent on how closely the patient follows the instructions of the healthcare professional.
- the system can be worn for a predetermined period such as approximately twenty minutes daily or any other suitable duration of time, thus the patient can wear the device at home for a modest wear duration.
- the healthcare professional can measure patient compliance and usage patterns that have occurred between appointments.
- the measured compliance and application is stored in electronic means, and available for retrieval by the health care professional; including retrieval over the internet or any other communication medium.
- the system supports a business model allows for a non-disposable component of the orthodontic treatment to be variable and proportional in cost to the duration of the treatment.
- the device can be disposable or non-disposable.
- the device can be leased, rented, or purchased on a procedure basis to the patient directly or through the orthodontist or by a third party.
- the proposed system also increases orthodontic case throughput and therefore office efficiency.
- FIG. 1 shows one embodiment of an orthodontic treatment system.
- FIG. 2 shows a second embodiment of an orthodontic treatment system.
- FIG. 3 shows an exemplary diagram of control electronics used with the system of FIGS. 1-2 .
- FIG. 4 shows an exemplary dental treatment network.
- FIG. 5 shows an exemplary process for treating patients using the devices of FIG. 1 .
- FIG. 6 shows an exemplary process to capture data and provide data for feedback purposes.
- FIG. 7 shows an exemplary system for leasing, renting or purchasing the appliances of FIG. 1 .
- FIG. 8 shows an exemplary process for improving office and case efficiency.
- FIGS. 9-10 show an exemplary process to compare differences in pain level for patients treated with and without the appliances of FIG. 1 .
- non-static forces are used to accelerate the remodeling of craniofacial bones in conjunction with orthodontic treatment.
- the system can be used to treat all forms and classifications of dental malocclusion, craniofacial anomaly, boney defect, or dentofacial deformity in which bone remodeling plays a physiological role.
- the system can be used exclusively in the maxilla, exclusively in the mandible, or in a dual-arch manner (both maxilla and mandible at the same time).
- the system can be used to treat cases presenting with a full dentition, any combination of naturally or unnaturally missing teeth, and to remodel bone in edentulous patients. Patients of any age and medical history profile can be treated.
- the system can be used by patients taking any type of medication.
- FIG. 1 shows one embodiment of an orthodontic treatment system 10 .
- the system or device 10 has an intraoral bite plate 20 that is inserted into a patient's mouth.
- the bite plate 10 is connected to a vibration source 30 which in turn is connected through an interface 32 to an arch wire 34 .
- the arch wire 34 is secured to a plurality of brackets that are attached to the patient's teeth for correcting malocclusion, among others.
- the bite plate 10 is clamped down by the patient's jaw 40 to secure the vibration source 30 to the arch wire 34 and to position the system in the patient's mouth.
- the device 10 can interfacing with any part of the appliance and hardware with all types of hardware such as lingual brackets, clear brackets, self-ligating brackets, and removable appliances.
- the vibration source 30 is positioned in an extraoral housing 33 to hold the components necessary to generate and apply the force.
- This embodiment can generate and apply non-static forces to either the maxillary or mandibular arch or both.
- This particular embodiment involves a dual arch configuration that works with arches 42 - 44 .
- the patient inserts the plate 20 into the oral cavity and bites down, holding the system 10 steady between the teeth, regardless of which of arches 42 - 44 the device is being activated for use with.
- the vibration source 30 contained in the extraoral compartment 33 is activated by pushing a button 31 located on the side of the housing apparatus.
- the device works when the patient applies sufficient force by biting on the device or otherwise clamping the jaws on the device. This enables the device to control the provision of cyclic forces when the correct amount of force is applied.
- the device includes 1] microprocessor and compliance software and reporting system; 2) ability to provide cyclic forces at any level; and 3 ) the ability to only provide the cyclic force when the teeth apply the correct force on the device.
- FIG. 3 shows an exemplary diagram of control electronics used with the system of FIGS. 1-2 .
- the functional electromechanical components include a processor 50 that can be a low power microcontroller.
- the processor 50 stores instructions and data in a memory 52 .
- the processor drives an actuator 54 such as an electrical motor or a piezoelectric device, among others.
- the system of FIG. 3 receives energy from a battery 62 that can be rechargeable.
- the processor 50 can be programmed or updated through a communication port 60 such as a USB port.
- the processor 50 can be wirelessly updated through a wireless transceiver 58 connected to an antenna 59 .
- the battery 62 can be of any type and can be a rechargeable type with a bite plate docking port that recharges the battery upon insertion thereto.
- the processor 50 can also communicate with an optional sensor 64 to capture patient dental data if needed.
- the processor 50 can also simply transmits its operational parameters through the communication port 60 or the wireless transceiver 58 so that a dental professional such as a dentist, an orthodontist, a hygienist, a treatment coordinator, a staff member, a patient, or a third party can monitor treatment progress as required.
- a dental professional such as a dentist, an orthodontist, a hygienist, a treatment coordinator, a staff member, a patient, or a third party can monitor treatment progress as required.
- the actuator 54 can include a motor driven post or pillar.
- the pillar which can be of any shape or diameter that is sufficient to come into and out of contact with the archwire 34 in a manner that delivers the necessary force, moves from a resting position to come into contact with the archwire 34 at the midline.
- the device can have one or more interfaces at other parts of the archwire, where the two central maxillary incisors come into mesial contact in the maxilla, and the two central mandibular incisors come into mesial contact in the mandible.
- the device interfaces at each side between teeth # 2 and # 3 (lateral incisor/canine teeth) or tooth # 5 and # 6 (second premolar/first molar teeth) or some other interproximal point.
- the post or pillar then returns to the resting position after coming into contact with the archwire 34 and applying the necessary force. This movement in total completes one cycle.
- the system embodied as the device described here repeats this cycle at a frequency of between about 0.1 Hetz to about 400 Hertz.
- the means of generating the cyclic forces for delivery to the teeth or dentofacial bone structure can be of any form.
- the cyclic force generator is mechanically or electrically induced.
- the generator can also apply piezoelectric devices as discussed above.
- a mechano-transduction pathway can be embedded in the system as well.
- the embodiment of the system can be fixed, removable, or implantable.
- the cyclic forces can be also be fluidic in nature.
- the archwire interface 32 can transmit a force of about five Newtons (5N) for about twenty minutes a day at a frequency of between 0.1 to 400 Hz as discussed above.
- 5N five Newtons
- the prescribed clinical application of forces can be over any duration, frequency, and time of day combination pattern.
- the device Upon completion of one (1) twenty-minute duration of activation, the device automatically shuts off.
- Pacing indicators in the form of an audible tone provide feedback to the patient regarding elapsed time and time remaining in the current session of activation.
- These indicators can be of any form and frequency; the current described system embodies the indicators as one second tones at five-minute intervals for the first fifteen minutes, representing a tone at minute five, minute ten, and minute fifteen; and then a final tone at minute nineteen, indicating that the user has 60 seconds of use remaining.
- Other indicators and/or suitable treatment intervals can be used to provide notice to the patient.
- the devices After the device shuts off, the patients simply releases bite pressure from the intraoral bite plate and removes the device from the oral cavity. Data capture related to usage frequency and duration updates real time. As such, the device representation of this data post-use will indicate one additional session, and twenty additional minutes in duration of use, as compared to the same device immediately prior to the session.
- the battery 62 is rechargeable and can be inserted into its charger base between uses.
- the device can embed the battery 62 within its housing, and the entire device is placed into a rechargeable base.
- the charging of the battery can be done using power from the USB port 60 .
- any suitable computer or electrical connection can be provided to charge the battery.
- the battery can be charged using RS-232, Firewire, or through a 5V hook.
- a standard DC converter can be used to charge the battery.
- the device is hermetically sealed to be airtight and water tight, and can withstand immersion or exposure to water or moisture. It can and should be stored at room temperature.
- the battery 62 used in this particular embodiment is both memory-free and maintenance-free.
- the device can have a charger base, or can be inserted just long enough to charge for the next use.
- the application of cyclic forces can be used to perform bone modeling and/or remodeling as well as more rapid tooth movement that may occur without bone modeling or remodeling.
- the bone and accelerate tooth movement across all types of displacement includes: rotation, translation, intrusion, extrusion, and tipping. This induced accelerated remodeling of bone is relevant for both the alignment and movement of teeth, in any plane, including horizontal and vertical, anterior and posterior, mesial and distal, and facial (buccal and labial) and lingual.
- the delivery of the cyclic forces to the teeth and craniofacial bones can be facilitated by contact or any form of interaction with the archwire, the orthodontic brackets, any other externally or internally placed orthodontic system component, any dental tissue including tissues of the tooth, enamel, dentin, cementum, and pulp, and any other appliance of any type, fixed or removable, and including aligner trays of any commercial or non-commercial brand or design.
- the system can be used with brackets, archwires, and any other externally placed orthodontic system component such as self-ligating appliances or palatal expanders, and it can be used with all commercial or non-commercial constituents of any material, physical or chemical property, shape, or size.
- the system is compatible with any and all orthodontic appliances, both fixed and removable, and instruments, commercial and regardless of brand, or non-commercial.
- Such appliances include but are not limited to all archwires, brackets, palatal expanders, lip bumbers, distal jet appliances, Herbst appliances, retainers, bionators, lingual bars, Essix retainers, and aligners.
- the system can be used in conjunction with lingual braces, facial braces, or any combination across either arch or any quadrant for both. It is also being contemplated as compatible with any robotics-based or other wire-bending optimization technology.
- the system is also compatible with clear aligner technology, including the Invisalign® treatment approach.
- the system can be used in conjunction with a new treatment start from the very first appointment at which the orthodontic treatment begins, or it can be slotted into a treatment in progress at any point during the course of the treatment, up to and including the very last clinical stage.
- An embodiment of the system can be made available for sale directly to consumers over-the-counter with no orthodontist or healthcare professional involvement.
- the application being contemplated can be used to both align and mal-align either a single tooth, the entire dentition, or any combination of teeth groups.
- Teeth being displaced as a result of the non-static forces delivered by this device can include natural teeth without any dental work, natural teeth with dental work including operative restoration of any nature with any material, crown and bridge work, endodontically treated teeth, periodontally treated teeth, teeth surrounded by periodontally treated hard and soft tissue, and any type of dental implant, including micro implants used for orthodontic or tooth movement purposes.
- the proposed system can be used in conjunction with any type of dental or dentofacial surgery or treatment of trauma to any soft or hard tissue structure.
- the system of FIGS. 1-3 can be used in conjunction with any currently used or in-development chemical, biochemical, and tissue engineering treatment approaches to accelerating tooth movement or remodeling craniofacial bone.
- These treatments may include growth factors, cytokines, matrix metalloproteinases (MMPs), tissue inhibitors of metalloproteinases (TIMPs), and regulation of extracellular matrix molecules.
- MMPs matrix metalloproteinases
- TIMPs tissue inhibitors of metalloproteinases
- tissue remodeling and/or an angiogenic substance(s) can be administered to the patient to promote remodeling of periodontal tissue surrounding the root(s) of the tooth or teeth to be moved.
- Preferred substance(s) will bind to and activate the relaxin receptor in the tissues which anchor the teeth or other craniofacial structures.
- relaxin or an analog or mimetic thereof which combines tissue remodeling activity with angiogenic activity.
- Analogs include peptides, oligomers, fragments, etc. which comprise the active region of native relaxin and mimetics include small molecule drugs, typically below 2 kD, designed to mimic the activity of native relaxin.
- substance(s) with predominantly angiogenic activity could be selected, such as VEGF, bFGF, estrogen, nitrous oxide, naltrexone, or the like.
- collagenases or other tissue-softening enzymes could be utilized to promote periodontal tissue remodeling according to the present invention. In some instances, it may be desirable to combine two or more tissue remodeling and/or angiogenic substance(s) having differing activities.
- the term “relaxin” means human relaxin, including intact full length relaxin or a portion of the relaxin molecule that retains biological activity, as described in U.S. Pat. No. 5,023,321, preferably recombinant human relaxin (H2), and other active agents with relaxin-like activity, such as Relaxin and portions that retain biological activity Like Factor (as described in U.S. Pat. No. 5,911,997), relaxin analogs and portions that retain biological activity (as described in U.S. Pat. No.
- Relaxin can be made by any method known to those skilled in the art, for example, as described in any of U.S. Pat. Nos. 5,759,807; 4,835,251 and co-pending U.S. Ser. No. 07/908,766 (PCT US90/02085) and Ser. No. 08/080,354 (PCT US94/0699). More information on applying relaxin to stabilize teeth movement is described in 20040115587 and the foregoing patents, the contents of which are incorporated by reference. It can also be used in conjunction with currently existing, in-development, or emerging treatments related to innovative mechanotherapy, gene therapy, and growth factor delivery. Relevant sutural genetic considerations to the system include genes expressed in development, genes responsible for craniosynostosis/dentofacial deformities, and phenotypes in normal and abnormal development.
- FIG. 4 shows an exemplary dental treatment network.
- the device 10 of FIG. 1 transmits operational and dental/medical information while embedded in a patient 1 .
- the data is received by a local processor 99 .
- the local processor 99 in turn uploads the information over a wide area network 100 such as the Internet.
- the data can be received by a treating professional such as a dentist or an orthodontist at workstation 120 .
- the information can also be sent to one or more diagnostic specialists 130 who review the information and then make recommendation to the treating professional over the network 100 .
- the information can also be sent to the device's manufacturer 110 and any other required dental supplier 140 .
- An Internet community with one or more dental supply companies, service providers, manufacturers, or marketers is connected to the network 102 and can communicate directly with users of the client workstations 99 or indirectly through the server 100 .
- the Internet community provides the client workstations 99 with access to a network of orthodontic specialists and dental specialists. Additionally, the Internet community also provides access to a variety of supporting members such as financing firms, leasing firms and other service providers, among others.
- the server 100 can be an individual server, the server 100 can also be a cluster of redundant servers. Such a cluster can provide automatic data failover, protecting against both hardware and software faults.
- a plurality of servers provides resources independent of each other until one of the servers fails. Each server can continuously monitor other servers. When one of the servers is unable to respond, the failover process begins. The surviving server acquires the shared drives and volumes of the failed server and mounts the volumes contained on the shared drives. Applications that use the shared drives can also be started on the surviving server after the failover. As soon as the failed server is booted up and the communication between servers indicates that the server is ready to own its shared drives, the servers automatically start the recovery process.
- a server farm can be used. Network requests and server load conditions can be tracked in real time by the server farm controller, and the request can be distributed across the farm of servers to optimize responsiveness and system capacity. When necessary, the farm can automatically and transparently place additional server capacity in service as traffic load increases.
- the server 100 can also be protected by a firewall.
- the firewall receives a network packet from the network 102 , it determines whether the transmission is authorized. If so, the firewall examines the header within the packet to determine what encryption algorithm was used to encrypt the packet. Using this algorithm and a secret key, the firewall decrypts the data and addresses of the source and destination firewalls and sends the data to the server 100 . If both the source and destination are firewalls, the only addresses visible (i.e., unencrypted) on the network are those of the firewall. The addresses of computers on the internal networks, and, hence, the internal network topology, are hidden. This is called “virtual private networking” (VPN).
- VPN virtual private networking
- the server 100 supports a real estate transaction portal that provides a single point of integration, access, and navigation through the multiple enterprise systems and information sources facing knowledge users operating the client workstations 99 .
- the portal can additionally support services that are transaction driven. Once such service is advertising: each time the user accesses the portal, the client workstation 99 downloads information from the server 100 .
- the information can contain commercial messages/links or can contain downloadable software.
- advertisers may selectively broadcast messages to users. Messages can be sent through banner advertisements, which are images displayed in a window of the portal. A user can click on the image and be routed to an advertiser's Web-site. Advertisers pay for the number of advertisements displayed, the number of times users click on advertisements, or based on other criteria.
- the portal supports sponsorship programs, which involve providing an advertiser the right to be displayed on the face of the port or on a drop down menu for a specified period of time, usually one year or less and the sponsorship programs enable campaigning and additional business models.
- the portal also supports performance-based arrangements whose payments are dependent on the success of an advertising campaign, which may be measured by the number of times users visit a Web-site, purchase products or register for services.
- the portal can refer users to advertisers' Web-sites when they log on to the portal.
- the portal offers contents and forums providing focused articles, valuable insights, questions and answers, and value-added information about related issues, including information on dental issues.
- Other services can be supported as well.
- a user can rent space on the server to enable him/her to download application software (applets) and/or data—anytime and anywhere.
- application software apps
- data anytime and anywhere.
- the portal can distribute its software and other software companies from its server. Additionally, the portal can rent the software so that the user pays only for the actual usage of the software.
- Such software can include facial modeling software that renders the expected teeth position with the facial image of the patient. After each use, the application is erased and will be reloaded when next needed, after paying another transaction usage fee.
- the server 100 allows a consumer to log onto a computerized orthodontic transaction system over a network and automates the steps required to complete a treatment.
- information relating to the various portions of a transaction are captured and stored in a single convenient location where it can be accessed at any time.
- the system has several benefits and advantages related to patient and user compliance. It provides a means by which the healthcare professional patient or third-party, like a parent, can observe the usage patterns by the patient related to the device delivering cyclic forces in order to accelerate bone remodeling.
- the elements of compliance that can be tracked include but are not limited to duration of use, frequency of use, confirmation of use by the prescribed patient and not someone else, confirmation of use by the prescribed patient as intended, and any patterns related to misuse or abuse including overuse and underuse.
- Data analysis as a means of providing rewards or punishment of any form for proper or improper use is also a part of the contemplated system. Adjoining any form of pleasurable activity including listening to music to the use of the system is another benefit.
- the proposed device can be compatible with any type of analog or digital music player.
- the means of data observation by the healthcare professional can be computer-based and compatible with any and all operating systems and software/hardware configurations, or via any other form of electronic media.
- Facilitation of data upload could be via USB port or any other means of transfer.
- the system can be rechargeable or non-rechargeable and can be configured in a manner that would allow either patient mobility or immobility during use. It can be programmed with specific instructions and usage pattern directions by the healthcare professional to ensure safety or for other reasons, and is configured to give the healthcare professional the option of not allowing the patient to have control over the programmed settings.
- Data captured can be analyzed by the healthcare professional across any analytical method, approach, or configuration. Data captured can be represented graphically, semantically, or in any other format. Data can be monitored and controlled via the internet.
- Another aspect of this system includes a computer implemented system by which active or passive feedback can be provided to the patient.
- the capability can exist for any data element related to use or misuse to which the healthcare professional will have visibility to be made available to the patient in any graphic, semantic, or other form.
- the capability can exist for the data in the same aforementioned manner to be made available to the parent or legal guardian of the patient, but not the patient himself.
- Another feedback contemplation of the current system allows the healthcare professional to real-time track usage by the patient across any data element.
- an economic model is created which allows the orthodontic or other healthcare professional office to rent, lease, or sell the system to patients. It can be used as a means of generating profit within the treatment office, or can be passed on to the patient under any agreement without incremental mark-up for any reason, including as a means of promoting the healthcare professional practice.
- Lease and rental agreements related to the system can be set up with any term structure and can be configured to allow the orthodontist or other healthcare professional discretion as to the pricing and terms of the agreement with the patient or legal guardian of the patient.
- the system can be leased or rented to the orthodontist or other healthcare professional by the commercializing organization so that it is charged pro rata to any time period increment, especially monthly.
- the channel strategy used to market the current system can be configured so that the point of sale, rent, or lease is established directly between the commercializing organization and the orthodontic or other healthcare professional office, or it can be established through a leasing company or other third party intermediary, and through any number of such intermediaries.
- volume discounts can be configured, and family or sibling discount programs can be developed for multiple users in a single household.
- system contemplates the development of guarantee and warranty programs related to all aspects of the system performance including but not limited to defects and clinical results.
- components of the system can be recycled, either as a complete unit or at any combination level of components.
- the benefit of such recycling is that the commercializing organization can establish any number or form of campaigns related to providing rewards to the orthodontist, other healthcare professional, patient, or legal guardian as recycled parts are procured.
- all aforementioned campaigns and programs can be established with any channel partner or retailer.
- the system improves patient compliance, defined as duration of device use/wear, frequency of device use/wear, consistency in time of day device use/wear, and correct device use/wear such data is captured in data form by the device.
- Compliance refers to both not overusing and not underusing the device in accordance with the instructions given to the patient by the healthcare professional.
- This data can be viewed by the healthcare professional, as shown in FIG. 5 .
- instructions for use and wear are provided to the patient by the healthcare professional ( 51 0 ).
- the patient uses/wears the device, and data on compliance is captured during patient use ( 512 ).
- the device is retrieved by the professional and compliance data is extracted therefrom ( 514 ).
- the data is presented in a form that will allow for data analysis by the healthcare professional ( 516 ).
- the data can be provided for feedback purposes as well.
- the device can provide a visual feedback upon request ( 612 ) from the patient or automatically ( 614 ).
- the data can be downloaded ( 616 ) into an electronic media 620 such as a flash drive and the information can be sent to the professional for feedback and analysis ( 618 ).
- the device can also be configured as seen in FIG. 6 to provide either active or passive feedback to the patient user. This data generation and observation can be enabled by a request via download with some form of electronic media, or delivered as a default setting during use.
- An additional aspect of the proposed system is related to the efficiency improvement that it allows and enables within the orthodontic or other healthcare professional office. It can be used to decrease treatment duration times, increase the number of new starts, improve financial performance of the practice across any metric, attract new patients, recruit former treatment-rejecters, and improve relations with upstream or downstream referring or referral dental/medical professionals of any discipline or specialty.
- FIG. 7 demonstrates an exemplary distribution system by company 700 where the device 10 is leased or rented to the patient 730 through the orthodontic office 720 , allowing for the patient fee to be proportional to the amount of time that the device is used as a part of the treatment.
- the patient can purchase the appliance instead of leasing or renting the device 10 .
- FIGS. 9-10 show an exemplary process to compare differences in pain level for patients treated with and without the appliances of FIG. 1 .
- FIG. 9 demonstrates a decrease in patient pain and discomfort as a result of using the device while FIG. 10 demonstrates an improvement in treatment outcomes as a result of this device.
- the healthcare professional treats the patient without the device of the present invention ( 910 ) and the level of pain and/or discomfort is observed by the treating professional or reported by the patient.
- the healthcare professional treats the patient with the device of the present invention and the level of pain and/or discomfort is observed by the treating professional or reported by the patient is captured ( 920 ).
- the difference between the pain level in patients treated with or without the device can be analyzed.
- the device treats patient with less pain, and the treatment result could be in the form of improved tissue integrity.
- the improved result could be observed immediately following the treatment or indefinitely into the future beyond the end of the treatment.
- the corresponding operations 930 and 940 are shown in FIG. 10 .
- Expanded indications and applications related to the current system include pain reduction and improved clinical results through improved tissue and bone integrity.
- the contemplated reduction of pain applies to initial adjustments during orthodontic visits, ongoing discomfort levels between orthodontic visits, and post-treatment with any dentofacial surgery procedure, including trauma and correction of any form.
- Levels of discomfort are typically the highest immediately post-adjustment because the tension that is lost due the movement of teeth is recovered by tightening the archwire.
- the current system intermittently increases and then releases this constant pressure at a high frequency.
- the resulting perception to the patient is less pain and discomfort. This observation is partially due to the fact that the device distracts the patient's attention away from the pain; but it is also a result of the subtle release of pressure with the back half of each cycle as the device pillar comes out of contact with the archwire.
- the contemplated tissue integrity improvement is related to any component of the periodontium: alveolar bone, periodontal ligament (PDL), cementum tissue, and gingivae.
- PDL periodontal ligament
- Such a bone integrity and related density improvement also extends to all other dentofacial bone applications, including bone-healing applications related to the treatment of trauma.
- the benefit of such an improvement allows for a more stable result with a higher degree of treatment retention and resulting less treatment relapse as related to the teeth remaining in their post-treatment position as opposed to migrating back to their pre-treatment positions.
- Patients with improved bone density and tissue integrity do not have to follow the post-treatment retention and retainer regimens that are as rigid.
- the above system is advantageous in providing improvement of patient compliance, development of a leasing business model, improvement of healthcare professional office efficiency, and enhancement of treatment outcomes through reduced pain and stronger tissue and stability.
- the device utilizes the application of non static forces. Said forces can be cyclic in nature and application. Malocclusion refers to the misalignment of teeth and/or incorrect relation between the teeth of the two dental arches.
- Patient compliance involves behavior as it relates to following treatment instructions and recommendations given by the healthcare professional.
- the proposed system would be rented through a leasing business model to patients through healthcare professional offices as an intermediary, and serve as a means of increasing office throughput and efficiency.
- the system designed as a medical device in this way decreases patient pain and discomfort and improves tissue integrity and clinical results.
Landscapes
- Health & Medical Sciences (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
Description
- This application claims priority from U.S. Provisional Application Ser. No. 60/906,807, filed on Mar. 14, 2007, the content of which is incorporated by reference. This application is also related to commonly owned application entitled “SYSTEMS, METHODS, AND ADJUNCTIVE PROCEDURES FOR CORRECTING MALOCCLUSION” having Ser. No. 11/773,849, filed on Jul. 5, 2007, the content of which is incorporated by reference.
- This system relates to systems and methods for treating malocclusion.
- Orthodontics is a specialty of dentistry that treats malocclusion through the displacement of teeth and control and modification of facial growth. This process is accomplished by using mechanical static forces to induce bone remodeling thereby enabling teeth to move. This widely accepted approach to treating malocclusion takes about twenty four months on average. In this approach, orthodontic braces, consisting of an archwire that applies a continuous static force to the teeth interfaces with brackets that are affixed to each tooth, are used to treat a number of different classifications of clinical malocclusion. These clinical malocclusions include underbites, overbites, cross bites, open bites, and crooked teeth, for both esthetic and functional/structural reasons. Recently, removable clear appliances such as the Invisalign® system have been introduced for treating teeth. The removeable appliances, as well as the traditional components of the orthodontic system, for example the tooth brackets and an archwire, are disposable,. At an initial visit, during a procedure known as bonding, orthodontic brackets are affixed to the teeth with cement or some similar substance with adhesive properties. With the exception of incidents of damage or loss of brackets, the same brackets are maintained throughout the entire course of treatment. At the end of the treatment, the orthodontic brackets are removed. Archwires are typically changed at adjustment visits as necessary. The previous archwire is disposed of each time a new one is ligated to the brackets. These direct materials are charged to the patient as a cost element of the larger treatment fee, which also includes overhead expenses and direct labor costs. Fixed appliances, such as retainers that must be worn for some duration post-treatment and clear aligners which are worn until a pre-determined subsequent visit, are customized in fit and sold to the patient. Headgear is typically sold to the patient through the orthodontist and represents a fixed and set cost that must be paid regardless of treatment duration.
- Orthodontic treatment can be complicated by the fact that it is oftentimes uncomfortable and painful for patients. Medical devices have not alleviated the pain associated with this treatment, including initial bonding, adjustments, and ongoing discomfort between visits. Post-treatment stability of results and tissue integrity are also important considerations related to orthodontic treatment. Stability is typically accomplished and enhanced through ongoing wear of retainers, in many cases indefinitely. Compliance issues in wearing retainers can lead to relapses that require additional treatments.
- In one aspect, an orthodontic appliance includes an extraoral vibratory source; an intraoral attachment including at least one of: archwire, a bracket, a retainer, a palatal expander; and an interface coupling the extraoral vibratory source to the intraoral attachment.
- In another aspect, an orthodontic appliance includes an extraoral or intraoral vibratory source, an intraoral archwire or bracket and an interface coupling the extraoral vibratory source to the intraoral archwire or bracket.
- In another aspect, a method for treating occlusion includes providing an extraoral or intraoral vibratory source; mounting an intraoral archwire on teeth; and interfacing the extraoral vibratory source to the intraoral archwire.
- Implementations of the above aspect can include one or more of the following. A bite plate can be coupled to the extraoral or intraoral vibratory source. The extraoral or intraoral vibratory source can have a pillar or post interfacing with the archwire coupled to the archwire. The pillar moves from a resting position to contact the archwire at a midline or anywhere with the archwire or appliance, wherein two central maxillary incisors come into mesial contact in a patient maxilla, and two central mandibular incisors come into mesial contact in a patient mandible. The system can interact with any part of the appliance systems both intra and extra orally. For example, the interface can contact the teeth at any point and at one or more points. The interface can contact the patient at the mid-line of each tooth, or at other locations on the tooth. A processor can control the extraoral vibratory source. The processor runs software that captures usage frequency and duration [and can be programmed to change the force, frequency, wave form, amplitude, duration or any other operating parameter. The processor can communicate usage frequency and duration to a remote computer via any type wired or wireless communication method. The processor can communicate with the remote computer over the Internet. A rechargeable battery can drive the vibratory source, wherein the rechargeable battery is charged using power from any type of power source including a USB port or an RS-232 port or a FireWire port, for example. The vibratory source can include a motor or a piezoelectric device. A leasing, rental or per procedure usage or any other variable usage systems as well as an out right purchase system enables the extraoral vibratory source to be provided to patients a low cost. The system can provide diagnostic information to a service provider. The system also supports recycling the extraoral vibratory source.
- In another aspect, a system for treating malocclusion includes a device that delivers non-static forces to teeth, the device disposed to teeth, and the device can be leased to a treating professional.
- In yet another aspect, a system for treating tooth pain includes a device that delivers non-static forces to one or more teeth and where the device disposed to the teeth provides pain relief.
- In yet another aspect, a method for recording the compliant use of an orthodontic device that delivers non-static forces to teeth includes a device that delivers non-static forces to teeth, where the device having electronic media that captures information pertaining to delivery.
- In a further aspect, a new composition of dental tissue includes a jaw, the jaw having sustained non-static forces delivered to the teeth constituents, and the non-static forces having remodeled the tissues of the mandibular, the periodontal ligament, or the jaw. [we would like to be able to use our device, probably would require a separate patent, for other type of maxiofacial application and trauma like TMJ, Lefort classification procedures, tooth and other dental implants, etc.]
- In other aspects, inducing tooth movement and treating malocclusion, craniofacial anomalies, bony defects, and dentofacial deformities through accelerated bone remodeling are achieved by the delivery non-static forces; reducing pain and discomfort in patients; and improving tissue integrity long-term results as to prevent post-orthodontic treatment relapse. The methods and apparatus include a mechanism for data capture and analysis related to patient compliance and usage behavior, as well as for establishing the invention as a component of the clinical office workflow to increase efficiency and productivity.
- Advantages of the system may include one or more of the following. The system enhances the traditional orthodontic treatment process with the application of non static forces. In accordance with one embodiment of the system, non-static forces are used to accelerate the remodeling of craniofacial bones in conjunction with orthodontic treatment. The system can be used to treat all forms and classifications of dental malocclusion, craniofacial anomaly, boney defect, or dentofacial deformity in which bone remodeling plays a physiological role. The system can be used exclusively in the maxilla, exclusively in the mandible, or in a dual-arch manner (both maxilla and mandible at the same time). Furthermore, the system can be used to treat cases presenting with a full dentition, any combination of naturally or unnaturally missing teeth, and to remodel bone in edentulous patients. Patients of any age and medical history profile can be treated. The system can be used by patients taking any type of medication.
- The system enables an efficacious, yet quick treatment period of static force that involves rapidly changing the forces on the teeth. This is done without requiring the introduction of piezoelectric currents to the mechanically stressed bone. Patient compliance is greatly enhanced through computer monitoring of usage. Treatment outcomes are directly dependent on how closely the patient follows the instructions of the healthcare professional. The system can be worn for a predetermined period such as approximately twenty minutes daily or any other suitable duration of time, thus the patient can wear the device at home for a modest wear duration. The healthcare professional can measure patient compliance and usage patterns that have occurred between appointments. The measured compliance and application is stored in electronic means, and available for retrieval by the health care professional; including retrieval over the internet or any other communication medium.
- The system supports a business model allows for a non-disposable component of the orthodontic treatment to be variable and proportional in cost to the duration of the treatment. The device can be disposable or non-disposable. The device can be leased, rented, or purchased on a procedure basis to the patient directly or through the orthodontist or by a third party. The proposed system also increases orthodontic case throughput and therefore office efficiency.
-
FIG. 1 shows one embodiment of an orthodontic treatment system. -
FIG. 2 shows a second embodiment of an orthodontic treatment system. -
FIG. 3 shows an exemplary diagram of control electronics used with the system ofFIGS. 1-2 . -
FIG. 4 shows an exemplary dental treatment network. -
FIG. 5 shows an exemplary process for treating patients using the devices ofFIG. 1 . -
FIG. 6 shows an exemplary process to capture data and provide data for feedback purposes. -
FIG. 7 shows an exemplary system for leasing, renting or purchasing the appliances ofFIG. 1 . -
FIG. 8 shows an exemplary process for improving office and case efficiency. -
FIGS. 9-10 show an exemplary process to compare differences in pain level for patients treated with and without the appliances ofFIG. 1 . - Referring now to the drawings in greater detail, there is illustrated therein structure diagrams for a vibratory dental appliance and logic flow diagrams for the processes a processor will utilize to complete treatment and other dental transactions. It will be understood that the program is run on a computer that is capable of communication with consumers via a network both wired and wirelessly, as will be more readily understood from a study of the diagrams.
- In accordance with one embodiment of the invention, non-static forces are used to accelerate the remodeling of craniofacial bones in conjunction with orthodontic treatment. The system can be used to treat all forms and classifications of dental malocclusion, craniofacial anomaly, boney defect, or dentofacial deformity in which bone remodeling plays a physiological role. The system can be used exclusively in the maxilla, exclusively in the mandible, or in a dual-arch manner (both maxilla and mandible at the same time). Furthermore, the system can be used to treat cases presenting with a full dentition, any combination of naturally or unnaturally missing teeth, and to remodel bone in edentulous patients. Patients of any age and medical history profile can be treated. The system can be used by patients taking any type of medication.
-
FIG. 1 shows one embodiment of anorthodontic treatment system 10. The system ordevice 10 has anintraoral bite plate 20 that is inserted into a patient's mouth. Thebite plate 10 is connected to avibration source 30 which in turn is connected through aninterface 32 to anarch wire 34. Thearch wire 34 is secured to a plurality of brackets that are attached to the patient's teeth for correcting malocclusion, among others. Thebite plate 10 is clamped down by the patient'sjaw 40 to secure thevibration source 30 to thearch wire 34 and to position the system in the patient's mouth. Thedevice 10 can interfacing with any part of the appliance and hardware with all types of hardware such as lingual brackets, clear brackets, self-ligating brackets, and removable appliances. - In one embodiment shown in
FIG. 2 , thevibration source 30 is positioned in anextraoral housing 33 to hold the components necessary to generate and apply the force. This embodiment can generate and apply non-static forces to either the maxillary or mandibular arch or both. This particular embodiment involves a dual arch configuration that works with arches 42-44. The patient inserts theplate 20 into the oral cavity and bites down, holding thesystem 10 steady between the teeth, regardless of which of arches 42-44 the device is being activated for use with. Thevibration source 30 contained in theextraoral compartment 33 is activated by pushing abutton 31 located on the side of the housing apparatus. - In one embodiment, the device works when the patient applies sufficient force by biting on the device or otherwise clamping the jaws on the device. This enables the device to control the provision of cyclic forces when the correct amount of force is applied. In this embodiment, the device includes 1] microprocessor and compliance software and reporting system; 2) ability to provide cyclic forces at any level; and 3) the ability to only provide the cyclic force when the teeth apply the correct force on the device.
-
FIG. 3 shows an exemplary diagram of control electronics used with the system ofFIGS. 1-2 . The functional electromechanical components include a processor 50 that can be a low power microcontroller. The processor 50 stores instructions and data in amemory 52. The processor drives anactuator 54 such as an electrical motor or a piezoelectric device, among others. The system ofFIG. 3 receives energy from abattery 62 that can be rechargeable. The processor 50 can be programmed or updated through a communication port 60 such as a USB port. Alternatively, the processor 50 can be wirelessly updated through awireless transceiver 58 connected to anantenna 59. Thebattery 62 can be of any type and can be a rechargeable type with a bite plate docking port that recharges the battery upon insertion thereto. The processor 50 can also communicate with anoptional sensor 64 to capture patient dental data if needed. The processor 50 can also simply transmits its operational parameters through the communication port 60 or thewireless transceiver 58 so that a dental professional such as a dentist, an orthodontist, a hygienist, a treatment coordinator, a staff member, a patient, or a third party can monitor treatment progress as required. - The
actuator 54 can include a motor driven post or pillar. Upon activation, the pillar, which can be of any shape or diameter that is sufficient to come into and out of contact with thearchwire 34 in a manner that delivers the necessary force, moves from a resting position to come into contact with thearchwire 34 at the midline. The device can have one or more interfaces at other parts of the archwire, where the two central maxillary incisors come into mesial contact in the maxilla, and the two central mandibular incisors come into mesial contact in the mandible. In a dual-interface embodiment, the device interfaces at each side between teeth #2 and #3 (lateral incisor/canine teeth) or tooth #5 and #6 (second premolar/first molar teeth) or some other interproximal point. The post or pillar then returns to the resting position after coming into contact with thearchwire 34 and applying the necessary force. This movement in total completes one cycle. The system embodied as the device described here repeats this cycle at a frequency of between about 0.1 Hetz to about 400 Hertz. - Although a motorized pillar is discussed above, the means of generating the cyclic forces for delivery to the teeth or dentofacial bone structure can be of any form. In one embodiment, the cyclic force generator is mechanically or electrically induced. The generator can also apply piezoelectric devices as discussed above. A mechano-transduction pathway can be embedded in the system as well. Furthermore, the embodiment of the system can be fixed, removable, or implantable. The cyclic forces can be also be fluidic in nature.
- In one embodiment, the
archwire interface 32 can transmit a force of about five Newtons (5N) for about twenty minutes a day at a frequency of between 0.1 to 400 Hz as discussed above. However, the prescribed clinical application of forces can be over any duration, frequency, and time of day combination pattern. Upon completion of one (1) twenty-minute duration of activation, the device automatically shuts off. Pacing indicators in the form of an audible tone provide feedback to the patient regarding elapsed time and time remaining in the current session of activation. These indicators can be of any form and frequency; the current described system embodies the indicators as one second tones at five-minute intervals for the first fifteen minutes, representing a tone at minute five, minute ten, and minute fifteen; and then a final tone at minute nineteen, indicating that the user has 60 seconds of use remaining. Other indicators and/or suitable treatment intervals can be used to provide notice to the patient. - After the device shuts off, the patients simply releases bite pressure from the intraoral bite plate and removes the device from the oral cavity. Data capture related to usage frequency and duration updates real time. As such, the device representation of this data post-use will indicate one additional session, and twenty additional minutes in duration of use, as compared to the same device immediately prior to the session.
- In one embodiment, the
battery 62 is rechargeable and can be inserted into its charger base between uses. Alternatively, the device can embed thebattery 62 within its housing, and the entire device is placed into a rechargeable base. The charging of the battery can be done using power from the USB port 60. Alternatively, any suitable computer or electrical connection can be provided to charge the battery. For example, the battery can be charged using RS-232, Firewire, or through a 5V hook. Further, a standard DC converter can be used to charge the battery. The device is hermetically sealed to be airtight and water tight, and can withstand immersion or exposure to water or moisture. It can and should be stored at room temperature. Thebattery 62 used in this particular embodiment is both memory-free and maintenance-free. The device can have a charger base, or can be inserted just long enough to charge for the next use. - The application of cyclic forces can be used to perform bone modeling and/or remodeling as well as more rapid tooth movement that may occur without bone modeling or remodeling. The bone and accelerate tooth movement across all types of displacement includes: rotation, translation, intrusion, extrusion, and tipping. This induced accelerated remodeling of bone is relevant for both the alignment and movement of teeth, in any plane, including horizontal and vertical, anterior and posterior, mesial and distal, and facial (buccal and labial) and lingual.
- The delivery of the cyclic forces to the teeth and craniofacial bones can be facilitated by contact or any form of interaction with the archwire, the orthodontic brackets, any other externally or internally placed orthodontic system component, any dental tissue including tissues of the tooth, enamel, dentin, cementum, and pulp, and any other appliance of any type, fixed or removable, and including aligner trays of any commercial or non-commercial brand or design. The system can be used with brackets, archwires, and any other externally placed orthodontic system component such as self-ligating appliances or palatal expanders, and it can be used with all commercial or non-commercial constituents of any material, physical or chemical property, shape, or size.
- The system is compatible with any and all orthodontic appliances, both fixed and removable, and instruments, commercial and regardless of brand, or non-commercial. Such appliances include but are not limited to all archwires, brackets, palatal expanders, lip bumbers, distal jet appliances, Herbst appliances, retainers, bionators, lingual bars, Essix retainers, and aligners. The system can be used in conjunction with lingual braces, facial braces, or any combination across either arch or any quadrant for both. It is also being contemplated as compatible with any robotics-based or other wire-bending optimization technology. The system is also compatible with clear aligner technology, including the Invisalign® treatment approach.
- The system can be used in conjunction with a new treatment start from the very first appointment at which the orthodontic treatment begins, or it can be slotted into a treatment in progress at any point during the course of the treatment, up to and including the very last clinical stage.
- An embodiment of the system can be made available for sale directly to consumers over-the-counter with no orthodontist or healthcare professional involvement. The application being contemplated can be used to both align and mal-align either a single tooth, the entire dentition, or any combination of teeth groups. Teeth being displaced as a result of the non-static forces delivered by this device can include natural teeth without any dental work, natural teeth with dental work including operative restoration of any nature with any material, crown and bridge work, endodontically treated teeth, periodontally treated teeth, teeth surrounded by periodontally treated hard and soft tissue, and any type of dental implant, including micro implants used for orthodontic or tooth movement purposes. The proposed system can be used in conjunction with any type of dental or dentofacial surgery or treatment of trauma to any soft or hard tissue structure.
- In another aspect, the system of
FIGS. 1-3 can be used in conjunction with any currently used or in-development chemical, biochemical, and tissue engineering treatment approaches to accelerating tooth movement or remodeling craniofacial bone. These treatments may include growth factors, cytokines, matrix metalloproteinases (MMPs), tissue inhibitors of metalloproteinases (TIMPs), and regulation of extracellular matrix molecules. In addition, for both repositioning or stabilizing, tissue remodeling and/or an angiogenic substance(s) can be administered to the patient to promote remodeling of periodontal tissue surrounding the root(s) of the tooth or teeth to be moved. Preferred substance(s) will bind to and activate the relaxin receptor in the tissues which anchor the teeth or other craniofacial structures. Most preferred is relaxin or an analog or mimetic thereof which combines tissue remodeling activity with angiogenic activity. Analogs include peptides, oligomers, fragments, etc. which comprise the active region of native relaxin and mimetics include small molecule drugs, typically below 2 kD, designed to mimic the activity of native relaxin. Alternatively, substance(s) with predominantly angiogenic activity could be selected, such as VEGF, bFGF, estrogen, nitrous oxide, naltrexone, or the like. Further alternatively, collagenases or other tissue-softening enzymes could be utilized to promote periodontal tissue remodeling according to the present invention. In some instances, it may be desirable to combine two or more tissue remodeling and/or angiogenic substance(s) having differing activities. In other instances it may be desirable to deliver different tissue remodeling and/or angiogenic substance(s) at different times during the orthodontic treatment and/or to different regions of the periodontal tissue. The term “relaxin” means human relaxin, including intact full length relaxin or a portion of the relaxin molecule that retains biological activity, as described in U.S. Pat. No. 5,023,321, preferably recombinant human relaxin (H2), and other active agents with relaxin-like activity, such as Relaxin and portions that retain biological activity Like Factor (as described in U.S. Pat. No. 5,911,997), relaxin analogs and portions that retain biological activity (as described in U.S. Pat. No. 5,811,395), and agents that competitively displace bound relaxin from a receptor. Relaxin can be made by any method known to those skilled in the art, for example, as described in any of U.S. Pat. Nos. 5,759,807; 4,835,251 and co-pending U.S. Ser. No. 07/908,766 (PCT US90/02085) and Ser. No. 08/080,354 (PCT US94/0699). More information on applying relaxin to stabilize teeth movement is described in 20040115587 and the foregoing patents, the contents of which are incorporated by reference. It can also be used in conjunction with currently existing, in-development, or emerging treatments related to innovative mechanotherapy, gene therapy, and growth factor delivery. Relevant sutural genetic considerations to the system include genes expressed in development, genes responsible for craniosynostosis/dentofacial deformities, and phenotypes in normal and abnormal development. -
FIG. 4 shows an exemplary dental treatment network. Thedevice 10 ofFIG. 1 transmits operational and dental/medical information while embedded in a patient 1. The data is received by alocal processor 99. Thelocal processor 99 in turn uploads the information over awide area network 100 such as the Internet. The data can be received by a treating professional such as a dentist or an orthodontist atworkstation 120. The information can also be sent to one or morediagnostic specialists 130 who review the information and then make recommendation to the treating professional over thenetwork 100. The information can also be sent to the device'smanufacturer 110 and any other requireddental supplier 140. - An Internet community with one or more dental supply companies, service providers, manufacturers, or marketers is connected to the
network 102 and can communicate directly with users of theclient workstations 99 or indirectly through theserver 100. The Internet community provides theclient workstations 99 with access to a network of orthodontic specialists and dental specialists. Additionally, the Internet community also provides access to a variety of supporting members such as financing firms, leasing firms and other service providers, among others. - Although the
server 100 can be an individual server, theserver 100 can also be a cluster of redundant servers. Such a cluster can provide automatic data failover, protecting against both hardware and software faults. In this environment, a plurality of servers provides resources independent of each other until one of the servers fails. Each server can continuously monitor other servers. When one of the servers is unable to respond, the failover process begins. The surviving server acquires the shared drives and volumes of the failed server and mounts the volumes contained on the shared drives. Applications that use the shared drives can also be started on the surviving server after the failover. As soon as the failed server is booted up and the communication between servers indicates that the server is ready to own its shared drives, the servers automatically start the recovery process. Additionally, a server farm can be used. Network requests and server load conditions can be tracked in real time by the server farm controller, and the request can be distributed across the farm of servers to optimize responsiveness and system capacity. When necessary, the farm can automatically and transparently place additional server capacity in service as traffic load increases. - The
server 100 can also be protected by a firewall. When the firewall receives a network packet from thenetwork 102, it determines whether the transmission is authorized. If so, the firewall examines the header within the packet to determine what encryption algorithm was used to encrypt the packet. Using this algorithm and a secret key, the firewall decrypts the data and addresses of the source and destination firewalls and sends the data to theserver 100. If both the source and destination are firewalls, the only addresses visible (i.e., unencrypted) on the network are those of the firewall. The addresses of computers on the internal networks, and, hence, the internal network topology, are hidden. This is called “virtual private networking” (VPN). - The
server 100 supports a real estate transaction portal that provides a single point of integration, access, and navigation through the multiple enterprise systems and information sources facing knowledge users operating theclient workstations 99. The portal can additionally support services that are transaction driven. Once such service is advertising: each time the user accesses the portal, theclient workstation 99 downloads information from theserver 100. The information can contain commercial messages/links or can contain downloadable software. Based on data collected on users, advertisers may selectively broadcast messages to users. Messages can be sent through banner advertisements, which are images displayed in a window of the portal. A user can click on the image and be routed to an advertiser's Web-site. Advertisers pay for the number of advertisements displayed, the number of times users click on advertisements, or based on other criteria. Alternatively, the portal supports sponsorship programs, which involve providing an advertiser the right to be displayed on the face of the port or on a drop down menu for a specified period of time, usually one year or less and the sponsorship programs enable campaigning and additional business models. The portal also supports performance-based arrangements whose payments are dependent on the success of an advertising campaign, which may be measured by the number of times users visit a Web-site, purchase products or register for services. The portal can refer users to advertisers' Web-sites when they log on to the portal. - Additionally, the portal offers contents and forums providing focused articles, valuable insights, questions and answers, and value-added information about related issues, including information on dental issues. Other services can be supported as well. For example, a user can rent space on the server to enable him/her to download application software (applets) and/or data—anytime and anywhere. By off-loading the storage on the server, the user minimizes the memory required on the
client workstation 99, thus enabling complex operations to run on minimal computers such as handheld computers and yet still ensures that he/she can access the application and related information anywhere anytime. Another service is On-line Software Distribution/Rental Service. The portal can distribute its software and other software companies from its server. Additionally, the portal can rent the software so that the user pays only for the actual usage of the software. Such software can include facial modeling software that renders the expected teeth position with the facial image of the patient. After each use, the application is erased and will be reloaded when next needed, after paying another transaction usage fee. - The
server 100 allows a consumer to log onto a computerized orthodontic transaction system over a network and automates the steps required to complete a treatment. In addition, information relating to the various portions of a transaction are captured and stored in a single convenient location where it can be accessed at any time. - The system has several benefits and advantages related to patient and user compliance. It provides a means by which the healthcare professional patient or third-party, like a parent, can observe the usage patterns by the patient related to the device delivering cyclic forces in order to accelerate bone remodeling. The elements of compliance that can be tracked include but are not limited to duration of use, frequency of use, confirmation of use by the prescribed patient and not someone else, confirmation of use by the prescribed patient as intended, and any patterns related to misuse or abuse including overuse and underuse. Data analysis as a means of providing rewards or punishment of any form for proper or improper use is also a part of the contemplated system. Adjoining any form of pleasurable activity including listening to music to the use of the system is another benefit. The proposed device can be compatible with any type of analog or digital music player.
- The means of data observation by the healthcare professional can be computer-based and compatible with any and all operating systems and software/hardware configurations, or via any other form of electronic media. Facilitation of data upload could be via USB port or any other means of transfer.
- The system can be rechargeable or non-rechargeable and can be configured in a manner that would allow either patient mobility or immobility during use. It can be programmed with specific instructions and usage pattern directions by the healthcare professional to ensure safety or for other reasons, and is configured to give the healthcare professional the option of not allowing the patient to have control over the programmed settings.
- Data captured can be analyzed by the healthcare professional across any analytical method, approach, or configuration. Data captured can be represented graphically, semantically, or in any other format. Data can be monitored and controlled via the internet.
- Another aspect of this system includes a computer implemented system by which active or passive feedback can be provided to the patient. The capability can exist for any data element related to use or misuse to which the healthcare professional will have visibility to be made available to the patient in any graphic, semantic, or other form. Furthermore, the capability can exist for the data in the same aforementioned manner to be made available to the parent or legal guardian of the patient, but not the patient himself. Another feedback contemplation of the current system allows the healthcare professional to real-time track usage by the patient across any data element.
- In accordance with the contemplated business aspects of the system, an economic model is created which allows the orthodontic or other healthcare professional office to rent, lease, or sell the system to patients. It can be used as a means of generating profit within the treatment office, or can be passed on to the patient under any agreement without incremental mark-up for any reason, including as a means of promoting the healthcare professional practice. Lease and rental agreements related to the system can be set up with any term structure and can be configured to allow the orthodontist or other healthcare professional discretion as to the pricing and terms of the agreement with the patient or legal guardian of the patient. The system can be leased or rented to the orthodontist or other healthcare professional by the commercializing organization so that it is charged pro rata to any time period increment, especially monthly. The channel strategy used to market the current system can be configured so that the point of sale, rent, or lease is established directly between the commercializing organization and the orthodontic or other healthcare professional office, or it can be established through a leasing company or other third party intermediary, and through any number of such intermediaries.
- Through any channel of trade, consumer or professional, volume discounts can be configured, and family or sibling discount programs can be developed for multiple users in a single household. Furthermore, the system contemplates the development of guarantee and warranty programs related to all aspects of the system performance including but not limited to defects and clinical results.
- In yet another aspect, components of the system can be recycled, either as a complete unit or at any combination level of components. The benefit of such recycling is that the commercializing organization can establish any number or form of campaigns related to providing rewards to the orthodontist, other healthcare professional, patient, or legal guardian as recycled parts are procured. In the contemplation of a direct-to-consumer product, all aforementioned campaigns and programs can be established with any channel partner or retailer.
- The system improves patient compliance, defined as duration of device use/wear, frequency of device use/wear, consistency in time of day device use/wear, and correct device use/wear such data is captured in data form by the device. Compliance refers to both not overusing and not underusing the device in accordance with the instructions given to the patient by the healthcare professional. This data can be viewed by the healthcare professional, as shown in
FIG. 5 . In this embodiment, instructions for use and wear are provided to the patient by the healthcare professional (51 0). The patient uses/wears the device, and data on compliance is captured during patient use (512). After each treatment period, the device is retrieved by the professional and compliance data is extracted therefrom (514). The data is presented in a form that will allow for data analysis by the healthcare professional (516). - As shown in
FIG. 6 , the data can be provided for feedback purposes as well. During use, the device can provide a visual feedback upon request (612) from the patient or automatically (614). The data can be downloaded (616) into anelectronic media 620 such as a flash drive and the information can be sent to the professional for feedback and analysis (618). The device can also be configured as seen inFIG. 6 to provide either active or passive feedback to the patient user. This data generation and observation can be enabled by a request via download with some form of electronic media, or delivered as a default setting during use. - An additional aspect of the proposed system is related to the efficiency improvement that it allows and enables within the orthodontic or other healthcare professional office. It can be used to decrease treatment duration times, increase the number of new starts, improve financial performance of the practice across any metric, attract new patients, recruit former treatment-rejecters, and improve relations with upstream or downstream referring or referral dental/medical professionals of any discipline or specialty.
-
FIG. 7 demonstrates an exemplary distribution system bycompany 700 where thedevice 10 is leased or rented to thepatient 730 through the orthodontic office 720, allowing for the patient fee to be proportional to the amount of time that the device is used as a part of the treatment. Alternatively, the patient can purchase the appliance instead of leasing or renting thedevice 10. - Healthcare professional efficiency increases as a result of patients using the system. This improvement could include metrics such as an increased number of new case starts, a shorter duration of total treatment time, or a decreased amount of chairside time, as shown in
FIG. 8 . InFIG. 8 , the orthodontic office achieves a steady state in office and case efficiency with the devices (810). Additionally, as the adoption of the technology is increased and the devices are incorporated into patient cases, an improvement in the office and case efficiency is achieved (820). -
FIGS. 9-10 show an exemplary process to compare differences in pain level for patients treated with and without the appliances ofFIG. 1 .FIG. 9 demonstrates a decrease in patient pain and discomfort as a result of using the device whileFIG. 10 demonstrates an improvement in treatment outcomes as a result of this device. InFIG. 9 , the healthcare professional treats the patient without the device of the present invention (910) and the level of pain and/or discomfort is observed by the treating professional or reported by the patient. The healthcare professional then treats the patient with the device of the present invention and the level of pain and/or discomfort is observed by the treating professional or reported by the patient is captured (920). The difference between the pain level in patients treated with or without the device can be analyzed. The device treats patient with less pain, and the treatment result could be in the form of improved tissue integrity. The improved result could be observed immediately following the treatment or indefinitely into the future beyond the end of the treatment. The correspondingoperations FIG. 10 . - Expanded indications and applications related to the current system include pain reduction and improved clinical results through improved tissue and bone integrity. The contemplated reduction of pain applies to initial adjustments during orthodontic visits, ongoing discomfort levels between orthodontic visits, and post-treatment with any dentofacial surgery procedure, including trauma and correction of any form. Levels of discomfort are typically the highest immediately post-adjustment because the tension that is lost due the movement of teeth is recovered by tightening the archwire. The current system intermittently increases and then releases this constant pressure at a high frequency. The resulting perception to the patient is less pain and discomfort. This observation is partially due to the fact that the device distracts the patient's attention away from the pain; but it is also a result of the subtle release of pressure with the back half of each cycle as the device pillar comes out of contact with the archwire.
- The contemplated tissue integrity improvement is related to any component of the periodontium: alveolar bone, periodontal ligament (PDL), cementum tissue, and gingivae. Such a bone integrity and related density improvement also extends to all other dentofacial bone applications, including bone-healing applications related to the treatment of trauma. The benefit of such an improvement allows for a more stable result with a higher degree of treatment retention and resulting less treatment relapse as related to the teeth remaining in their post-treatment position as opposed to migrating back to their pre-treatment positions. Patients with improved bone density and tissue integrity do not have to follow the post-treatment retention and retainer regimens that are as rigid. From a functional and structural perspective, over time the occlusion of the upper and lower arches then generates less unnecessary wear to the surfaces of the teeth because the supporting bone and other tissue structures are stronger and provide a steady foundation. A stronger periodontium also has the benefit of more stable overall oral health.
- The above system is advantageous in providing improvement of patient compliance, development of a leasing business model, improvement of healthcare professional office efficiency, and enhancement of treatment outcomes through reduced pain and stronger tissue and stability. The device utilizes the application of non static forces. Said forces can be cyclic in nature and application. Malocclusion refers to the misalignment of teeth and/or incorrect relation between the teeth of the two dental arches. Patient compliance involves behavior as it relates to following treatment instructions and recommendations given by the healthcare professional. In one embodiment, the proposed system would be rented through a leasing business model to patients through healthcare professional offices as an intermediary, and serve as a means of increasing office throughput and efficiency. The system designed as a medical device in this way decreases patient pain and discomfort and improves tissue integrity and clinical results.
- The invention has been described herein in considerable detail to provide those skilled in the art with the information needed to apply the novel principles and to construct and use such specialized components as are required. However, it is to be understood that the invention can be carried out by specifically different equipment and devices, and that various modifications, both as to the equipment details and operating procedures, can be accomplished without departing from the scope of the invention itself. It will be recognized by those skilled in the art that changes may be made to the above-described embodiments of the system without departing from the broad inventive concepts thereof. It is understood therefore, that this system is not limited to the particular embodiment disclosed, but is intended to cover any modifications that are within the scope and spirit of the system as defined by the appended claims.
Claims (21)
Priority Applications (9)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/773,858 US20080227047A1 (en) | 2007-03-14 | 2007-07-05 | Systems and methods for correcting malocclusion |
US13/609,346 US9943380B2 (en) | 2007-03-14 | 2012-09-11 | Vibrating orthodontic remodelling device |
US13/684,220 US8500446B2 (en) | 2007-03-14 | 2012-11-22 | Vibrating orthodontic remodelling device |
US13/973,865 US8939762B2 (en) | 2007-03-14 | 2013-08-22 | Vibrating orthodontic remodeling device and method thereof |
US14/548,072 US20150079533A1 (en) | 2007-07-05 | 2014-11-19 | Software to control vibration |
US14/995,060 US9907626B1 (en) | 2007-03-14 | 2016-01-13 | Orthodontic accelerator |
US15/019,865 US20160184054A1 (en) | 2007-07-05 | 2016-02-09 | Pulsatile orthodontic device and methods |
US15/241,080 US9700384B2 (en) | 2007-03-14 | 2016-08-19 | Pulsatile orthodontic device and methods |
US15/801,314 US10449015B2 (en) | 2007-03-14 | 2017-11-01 | Pulsatile orthodontic device |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US90680707P | 2007-03-14 | 2007-03-14 | |
US11/773,858 US20080227047A1 (en) | 2007-03-14 | 2007-07-05 | Systems and methods for correcting malocclusion |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/615,049 Continuation-In-Part US9028250B2 (en) | 2007-03-14 | 2009-11-09 | Vibrating dental devices |
Related Child Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/773,849 Continuation-In-Part US9668828B2 (en) | 2007-03-14 | 2007-07-05 | Systems, methods, and adjunctive procedures for correcting malocclusion |
US13/684,220 Continuation-In-Part US8500446B2 (en) | 2007-03-14 | 2012-11-22 | Vibrating orthodontic remodelling device |
US14/548,072 Continuation-In-Part US20150079533A1 (en) | 2007-03-14 | 2014-11-19 | Software to control vibration |
Publications (1)
Publication Number | Publication Date |
---|---|
US20080227047A1 true US20080227047A1 (en) | 2008-09-18 |
Family
ID=39763064
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/773,849 Active 2032-05-13 US9668828B2 (en) | 2007-03-14 | 2007-07-05 | Systems, methods, and adjunctive procedures for correcting malocclusion |
US11/773,858 Abandoned US20080227047A1 (en) | 2007-03-14 | 2007-07-05 | Systems and methods for correcting malocclusion |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/773,849 Active 2032-05-13 US9668828B2 (en) | 2007-03-14 | 2007-07-05 | Systems, methods, and adjunctive procedures for correcting malocclusion |
Country Status (1)
Country | Link |
---|---|
US (2) | US9668828B2 (en) |
Cited By (49)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20100055634A1 (en) * | 2007-03-14 | 2010-03-04 | Orthoaccel Technologies, Inc. | Vibrating dental devices |
US20110136071A1 (en) * | 2009-10-09 | 2011-06-09 | Orthoaccel Technologies, Inc. | Brace cap |
US20110136070A1 (en) * | 2008-03-31 | 2011-06-09 | Orthoaccel Technologies,Inc. | Vibrating compressible dental plate for correcting malocclusion |
US20130273490A1 (en) * | 2012-04-13 | 2013-10-17 | Bryce A. Way | Method and device for increasing bone density in the mouth |
US8636506B2 (en) | 2008-06-23 | 2014-01-28 | OrthAccel Technologies, Inc. | Differential vibration of dental plate |
US8678818B2 (en) | 2011-05-12 | 2014-03-25 | Rmo, Inc. | Self ligating orthodontic bracket having a rotatable member |
US8708701B2 (en) | 2009-02-10 | 2014-04-29 | Orthoaccel Technologies, Inc. | Vibrating dental plate and accessories |
US8795172B2 (en) * | 2007-12-07 | 2014-08-05 | Sonitus Medical, Inc. | Systems and methods to provide two-way communications |
US8807997B2 (en) | 2006-09-07 | 2014-08-19 | Rmo, Inc. | Reduced-friction buccal tube and method of use |
US20140329194A1 (en) * | 2013-05-05 | 2014-11-06 | Rohit Sachdeva | Orthodontic treatment planning using biological constraints |
US8900282B2 (en) | 2005-02-17 | 2014-12-02 | Biolux Research Ltd. | Light therapy apparatus and methods |
USD721811S1 (en) | 2013-10-29 | 2015-01-27 | Rmo, Inc. | Orthodontic bracket |
US8979528B2 (en) | 2006-09-07 | 2015-03-17 | Rmo, Inc. | Customized orthodontic appliance method and system |
US20150079533A1 (en) * | 2007-07-05 | 2015-03-19 | Orthoaccel Technologies Inc. | Software to control vibration |
US8986003B2 (en) | 2012-09-13 | 2015-03-24 | Orthoaccel Technologies, Inc. | Pearlescent white aligners |
USD726318S1 (en) | 2013-01-17 | 2015-04-07 | Rmo, Inc. | Dental instrument for a self-ligating orthodontic clip |
US20150173856A1 (en) * | 2007-03-14 | 2015-06-25 | Orthoaccel Technologies Inc. | Intra-oral vibrating othodontic devices |
US9144473B2 (en) | 2009-03-16 | 2015-09-29 | Rmo, Inc. | Orthodontic bracket having an archwire channel and archwire retaining mechanism |
US9242118B2 (en) | 2010-12-08 | 2016-01-26 | Biolux Research Ltd. | Methods useful for remodeling maxillofacial bone using light therapy and a functional appliance |
US20160256240A1 (en) * | 2015-03-04 | 2016-09-08 | Real 3D Polymers, LLC | Direct 3d-printed orthodontic aligners with torque, rotation, and full control anchors |
US9554875B2 (en) | 2006-09-07 | 2017-01-31 | Rmo, Inc. | Method for producing a customized orthodontic appliance |
WO2017083880A1 (en) * | 2015-11-15 | 2017-05-18 | Smile Lab Inc | Micro vibrating devices for dental use |
US9662183B2 (en) | 2012-07-18 | 2017-05-30 | Orthoaccel Technologies, Inc. | Electro-orthodontic device |
US9730780B2 (en) | 2013-10-22 | 2017-08-15 | Biolux Research Ltd. | Intra-oral light-therapy apparatuses and methods for their use |
US9848959B2 (en) | 2007-07-05 | 2017-12-26 | Orthoaccel Technologies, Inc. | Massaging or brushing bite plates |
US9949671B2 (en) | 2013-03-13 | 2018-04-24 | Orthoaccel Technologies, Inc. | Diagnostic mouthpieces |
US9968422B2 (en) | 2012-12-27 | 2018-05-15 | Orthoaccel Technologies, Inc. | Shapeable bite plates |
US9974630B2 (en) | 2012-04-13 | 2018-05-22 | Orthoaccel Technologies, Inc. | Laser orthodontic devices |
US10039617B2 (en) | 2012-09-24 | 2018-08-07 | Orthoaccel Technologies, Inc. | Vibrating orthodontic strip |
CN109288603A (en) * | 2017-07-24 | 2019-02-01 | 奥索阿塞尔技术股份有限公司 | Improved orthodontia accelerator |
EP3437585A1 (en) | 2017-08-02 | 2019-02-06 | Orthoaccel Technologies, Inc. | Improved orthodontic accelerator |
USD847349S1 (en) | 2011-09-22 | 2019-04-30 | Rmo, Inc. | Orthodontic lock with flange |
US10412512B2 (en) | 2006-05-30 | 2019-09-10 | Soundmed, Llc | Methods and apparatus for processing audio signals |
US10484805B2 (en) | 2009-10-02 | 2019-11-19 | Soundmed, Llc | Intraoral appliance for sound transmission via bone conduction |
US10500019B2 (en) | 2007-03-14 | 2019-12-10 | Orthoaccel Technologies, Inc. | System and method for correcting malocclusion |
US20200170802A1 (en) * | 2018-11-29 | 2020-06-04 | Carlsmed, Inc. | Systems and methods for orthopedic implants |
US11141241B2 (en) | 2015-11-20 | 2021-10-12 | Orthoarm, Inc. | System and method of more directly vibrating an orthopedic-orthodontic device |
US20210315676A1 (en) * | 2014-11-11 | 2021-10-14 | ZeroBrush, Inc. | Methods of Designing and Fabricating Customized Dental Care for Particular Users |
US11219507B2 (en) | 2009-03-16 | 2022-01-11 | Orthoamerica Holdings, Llc | Customized orthodontic appliance and method |
US20220054233A1 (en) * | 2020-08-24 | 2022-02-24 | Ryan Stainsby | Dental device |
US20220265392A1 (en) * | 2021-01-07 | 2022-08-25 | Ortho Future Technologies (Pty) Ltd | Method for providing orthodontic treatment |
US11484390B2 (en) * | 2015-03-04 | 2022-11-01 | Real 3D Polymers Llc | Direct 3D-printed orthodontic aligners with torque, rotation, and full control anchors |
US11497559B1 (en) | 2017-07-27 | 2022-11-15 | Carlsmed, Inc. | Systems and methods for physician designed surgical procedures |
US11678938B2 (en) | 2020-01-06 | 2023-06-20 | Carlsmed, Inc. | Patient-specific medical systems, devices, and methods |
US11696833B2 (en) | 2018-09-12 | 2023-07-11 | Carlsmed, Inc. | Systems and methods for orthopedic implants |
US11793577B1 (en) | 2023-01-27 | 2023-10-24 | Carlsmed, Inc. | Techniques to map three-dimensional human anatomy data to two-dimensional human anatomy data |
US11806241B1 (en) | 2022-09-22 | 2023-11-07 | Carlsmed, Inc. | System for manufacturing and pre-operative inspecting of patient-specific implants |
US11854683B2 (en) | 2020-01-06 | 2023-12-26 | Carlsmed, Inc. | Patient-specific medical procedures and devices, and associated systems and methods |
US11984205B2 (en) | 2022-02-23 | 2024-05-14 | Carlsmed, Inc. | Non-fungible token systems and methods for storing and accessing healthcare data |
Families Citing this family (53)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2007116656A1 (en) * | 2006-03-28 | 2007-10-18 | Matsushita Electric Works, Ltd. | Dentition correcting device |
KR101011315B1 (en) * | 2006-03-28 | 2011-01-28 | 파나소닉 전공 주식회사 | Dentition correcting device |
US8939762B2 (en) * | 2007-03-14 | 2015-01-27 | Orthoaccel Technologies, Inc. | Vibrating orthodontic remodeling device and method thereof |
US10111729B1 (en) | 2007-03-14 | 2018-10-30 | Orthoaccel Technologies, Inc. | Night time orthodontics |
US20100092916A1 (en) * | 2008-09-09 | 2010-04-15 | New York University | Method and devices to increase craniofacial bone density |
EP3278774A3 (en) | 2010-05-28 | 2018-06-20 | ResMed SAS | Apparatus, system and method for determining compliant use of an intraoral appliance |
WO2011155989A2 (en) * | 2010-06-07 | 2011-12-15 | Soo B Chia | Cyclic interruptive force orthodontic device and system |
AU2012255982B2 (en) | 2011-05-13 | 2015-02-26 | Advanced Orthodontics And Education Association, Llc | Method and device for causing tooth movement |
CA2864671C (en) * | 2012-02-15 | 2018-08-28 | Dippenaar, Alfred Meyer | Orthodontic apparatus |
US9968421B2 (en) | 2012-03-26 | 2018-05-15 | Orthoaccel Technologies, Inc. | Tooth positioner and vibrator combination |
US20130280671A1 (en) * | 2012-04-19 | 2013-10-24 | Biolux Research Ltd. | Intra-oral light therapy apparatuses and methods for their use |
KR101374255B1 (en) | 2012-05-18 | 2014-03-14 | 주식회사 아롱엘텍 | whitening teeth |
US9687323B2 (en) | 2012-06-07 | 2017-06-27 | Propel Orthodontics, Llc | Temporary anchorage device with external plate |
US9907633B2 (en) * | 2012-09-28 | 2018-03-06 | Stephen H. Wolpo | Oral care system with mouthpiece |
JP2016010418A (en) | 2012-10-22 | 2016-01-21 | パナソニックヘルスケア株式会社 | Dental vibration application device and dental vibration application method |
US9827082B2 (en) | 2013-02-26 | 2017-11-28 | Orthoaccel Technologies, Inc. | Fluoride releasing bite plate |
US20140329192A1 (en) * | 2013-03-02 | 2014-11-06 | Lucie R. Kaskoun | Electronically Enabled Removable Dental Device |
US9333053B2 (en) | 2013-08-07 | 2016-05-10 | Bandar ALYAMI | Orthodontic device |
USD761963S1 (en) | 2014-07-29 | 2016-07-19 | Propel Orthodontics, Llc | Microperforation dental device |
US11058523B2 (en) * | 2014-11-11 | 2021-07-13 | ZeroBrush, Inc. | Methods of designing and fabricating customized dental care for particular users |
US10869541B2 (en) | 2014-11-11 | 2020-12-22 | ZeroBrush, Inc. | Systems, devices, and methods for customized dental care |
US20170304024A1 (en) * | 2014-11-11 | 2017-10-26 | Celestino José Prudente NÓBREGA | Intraoral vibratory multifunctional device and wireless system for interaction between device, patient, and dentist |
US10888201B2 (en) | 2014-11-11 | 2021-01-12 | ZeroBrush, Inc. | Systems, devices, and methods for providing customized oral care agents |
JP6860503B2 (en) | 2015-05-05 | 2021-04-14 | コスモ ハラランビディス, | Device for electrical stimulation of periodontal complex and surrounding tissue |
US11103696B2 (en) | 2015-05-05 | 2021-08-31 | Cosmo Haralambidis | Device for electrical stimulation of peridontal complex and surrounding tissue |
CN105748164B (en) * | 2016-02-05 | 2019-04-02 | 浙江中医药大学 | The differential vibration biteplate of segmented and the differential tooth jaw apparatus for shaping of segmented |
US11691007B2 (en) | 2016-03-15 | 2023-07-04 | Leonhardt Ventures Llc | Bioelectric OPG treatment of cancer |
US11052247B2 (en) | 2016-03-15 | 2021-07-06 | Leonhardt Ventures Llc | Skin treatment system |
US11110274B2 (en) | 2016-03-15 | 2021-09-07 | Leonhardt Ventures Llc | System and method for treating inflammation |
US10960206B2 (en) | 2016-03-15 | 2021-03-30 | Leonhardt Ventures Llc | Bioelectric stimulator |
US11849910B2 (en) | 2016-03-15 | 2023-12-26 | Valvublator Inc. | Methods, systems, and devices for heart valve decalcification, regeneration, and repair |
US10695563B2 (en) | 2016-03-28 | 2020-06-30 | CalXStars Business Accelerator, Inc. | Orthodontic treatment |
US11167141B2 (en) | 2016-03-15 | 2021-11-09 | Leonhardt Ventures Llc | Bioelectric blood pressure management |
US11185691B2 (en) | 2016-03-15 | 2021-11-30 | Leonhardt Ventures Llc | Tumor therapy |
US9731103B1 (en) | 2017-01-13 | 2017-08-15 | Berkshire Biomedical, LLC | Computerized oral prescription administration devices and associated systems and methods |
WO2018218291A1 (en) * | 2017-05-30 | 2018-12-06 | Ahangari Enterprises Pty Ltd | A myofunctional orthodontics system and method |
CN107837122A (en) * | 2017-12-18 | 2018-03-27 | 王新 | A kind of electric toothbrush |
CN108670464A (en) * | 2018-06-01 | 2018-10-19 | 上海震德齿科科技有限公司 | A method of customization vibration-type dental apparatus and its control orthodontic data |
CN109077819A (en) * | 2018-10-19 | 2018-12-25 | 江苏集萃微纳自动化系统与装备技术研究所有限公司 | Mouth cavity orthodontic assistor |
US11446488B2 (en) | 2019-03-13 | 2022-09-20 | Leonhardt Ventures Llc | Kidney treatment |
US11471686B2 (en) | 2019-03-13 | 2022-10-18 | Leonhardt Ventures Llc | Klotho modulation |
US10729860B1 (en) | 2019-05-22 | 2020-08-04 | Berkshire Biomedical, LLC | Computerized oral prescription administration for securely dispensing a medication and associated systems and methods |
CN112237486B (en) * | 2019-07-16 | 2022-08-02 | 罗慕科技(北京)有限公司 | Split wireless detection mask and detection method thereof |
USD957646S1 (en) | 2019-08-29 | 2022-07-12 | OrthodontiCell, Inc. | Dental mouthpiece |
US11241301B1 (en) * | 2021-01-07 | 2022-02-08 | Ortho Future Technologies (Pty) Ltd | Measurement device |
US11291524B1 (en) | 2021-01-07 | 2022-04-05 | Ortho Future Technologies (Pty) Ltd | Orthodontic appliance configuration |
US11229504B1 (en) * | 2021-01-07 | 2022-01-25 | Ortho Future Technologies (Pty) Ltd | System and method for determining a target orthodontic force |
USD1025361S1 (en) | 2021-06-11 | 2024-04-30 | OrthodontiCell, Inc. | Dental mouthpiece |
US20230137136A1 (en) * | 2021-10-29 | 2023-05-04 | PerioTech, LLC | Devices and methods of treating oral tissues |
US12048608B2 (en) | 2021-11-09 | 2024-07-30 | Vivos Therapeutics, Inc. | Vibrational oral appliance with mandibular advancements |
US11723790B2 (en) | 2021-11-09 | 2023-08-15 | Vivos Therapeutics, Inc. | Vibrational oral appliance with mandibular advancements |
CN115120367B (en) * | 2022-06-22 | 2023-12-22 | 武汉大学 | Device for assisting orthodontic expansion to accelerate palate middle seam osteogenesis |
CN115281861B (en) * | 2022-08-26 | 2023-07-18 | 华中科技大学同济医学院附属协和医院 | Multifunctional near infrared orthodontic accelerator for inhibiting formation of dental plaque |
Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4144882A (en) * | 1975-12-20 | 1979-03-20 | Lion Hamigaki Kabushiki Kaisha | Device for exposing teeth to radiation of ultrasonic waves |
US4348178A (en) * | 1977-01-03 | 1982-09-07 | Kurz Craven H | Vibrational orthodontic appliance |
US4883046A (en) * | 1988-04-12 | 1989-11-28 | Vitek, Inc. | Involuntary oscillator system for the mandible |
US5030098A (en) * | 1989-08-29 | 1991-07-09 | Branford William G | Vibratory dental mouthpiece |
US5967784A (en) * | 1998-01-13 | 1999-10-19 | Powers; Michael J. | Hand held device for reducing the discomfort associated with the adjusting of orthodontic appliances |
US6328828B1 (en) * | 1997-08-08 | 2001-12-11 | Lester Lee Rusczyk | Ultrasonic process and ultraclean product of same |
US6731213B1 (en) * | 2001-05-31 | 2004-05-04 | Gateway, Inc. | Method and apparatus for providing oral health data |
US6832912B2 (en) * | 2000-09-22 | 2004-12-21 | The Board Of Trustees Of The University Of Illinois | Method of realigning teeth utilizing cyclical forces |
Family Cites Families (49)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4244688A (en) | 1979-05-04 | 1981-01-13 | Kurz Craven H | Pulsating orthodontic appliance |
US4348177A (en) | 1981-07-27 | 1982-09-07 | Kurz Craven H | Pulsating orthodontic appliance |
US4382780A (en) | 1982-05-17 | 1983-05-10 | Kurz Craven H | Radio wave vibrational orthodontic appliance |
US4993413A (en) | 1988-09-22 | 1991-02-19 | The Research Foundation Of State University Of New York | Method and apparatus for inducing a current and voltage in living tissue |
US5246367A (en) | 1989-06-23 | 1993-09-21 | Ricoh Elemex Corporation | Mouth cavity sanitary device |
US5362311A (en) | 1990-01-05 | 1994-11-08 | Kyocera Corporation | Artificial hip joint |
US5273028A (en) | 1990-07-31 | 1993-12-28 | Mcleod Kenneth J | Non-invasive means for in-vivo bone-growth stimulation |
US5191880A (en) | 1990-07-31 | 1993-03-09 | Mcleod Kenneth J | Method for the promotion of growth, ingrowth and healing of bone tissue and the prevention of osteopenia by mechanical loading of the bone tissue |
US5103806A (en) | 1990-07-31 | 1992-04-14 | The Research Foundation Of State University Of New York | Method for the promotion of growth, ingrowth and healing of bone tissue and the prevention of osteopenia by mechanical loading of the bone tissue |
US5268396A (en) | 1990-11-02 | 1993-12-07 | Lai Juey H | Organosilicon soft denture liners |
DE4134428A1 (en) | 1991-10-18 | 1993-04-22 | Irmer Joachim | DEVICE FOR GENERATING VIBRATIONS |
USRE36699E (en) * | 1992-12-30 | 2000-05-16 | Murayama; Ronald K. | Sonic dental device |
US5269686A (en) | 1993-05-10 | 1993-12-14 | James Robert A | Threaded drivable dental implant |
US5496256A (en) | 1994-06-09 | 1996-03-05 | Sonex International Corporation | Ultrasonic bone healing device for dental application |
US5639238A (en) | 1994-09-13 | 1997-06-17 | Fishburne, Jr.; Cotesworth P. | Methods for the vibrational treatment of oral tissue and dental materials |
ATE260072T1 (en) | 1996-07-18 | 2004-03-15 | Implant Innovations Inc | MOTOR-DRIVEN OSTEOTOMY TOOLS FOR COMPENSATING BONE TISSUE |
US5997490A (en) | 1997-02-12 | 1999-12-07 | Exogen, Inc. | Method and system for therapeutically treating bone fractures and osteoporosis |
CA2299302A1 (en) | 1997-08-05 | 1999-02-18 | The Research Foundation Of State University Of New York | Non-invasive method of physiologic vibration quantification |
US6539249B1 (en) | 1998-05-11 | 2003-03-25 | Cardiac Pacemakers, Inc. | Method and apparatus for assessing patient well-being |
US6032677A (en) | 1998-07-17 | 2000-03-07 | Blechman; Abraham M. | Method and apparatus for stimulating the healing of medical implants |
US6611780B2 (en) | 1999-06-09 | 2003-08-26 | Koninklijke Philips Electronics N.V. | System for communicating operational data between an electric toothbrush and a separate control unit |
US6158439A (en) * | 1999-06-21 | 2000-12-12 | Streetman; Foy | Method and device for treating headaches, sinus congestion and congestion as well as drug withdrawal |
JP2001340412A (en) | 2000-06-05 | 2001-12-11 | Sunnyhealth Co Ltd | Apparatus for preventing and treating periodontal disease |
JP3435386B2 (en) | 2000-06-06 | 2003-08-11 | 株式会社コクサイ | Fixture for concrete and method for fixing the same |
US6613001B1 (en) * | 2000-08-14 | 2003-09-02 | Jeffrey B. Dworkin | Intraoral appliance, monitoring device and method of treating patient |
US6607497B2 (en) | 2000-12-18 | 2003-08-19 | The Research Foundation Of The State University Of New York (Suny) | Non-invasive method for treating postural instability |
US6561991B2 (en) | 2000-12-19 | 2003-05-13 | The Research Foundation Of The State University Of New York (Suny) | Non-invasive method and system of quantifying human postural stability |
US7727152B2 (en) | 2001-02-28 | 2010-06-01 | The Research Foundation Of State University Of New York | Method and apparatus for scanning confocal acoustic diagnostic for bone quality |
US6632088B2 (en) | 2001-04-25 | 2003-10-14 | Orthoarm, Inc. | Powered orthodontic bracket |
US8771149B2 (en) * | 2001-10-01 | 2014-07-08 | The Nemours Foundation | Compliance monitor and method for a medical device |
US7212958B2 (en) | 2001-10-17 | 2007-05-01 | Maria-Grazia Ascenzi | Method and system for modelling bone structure |
US7283940B2 (en) | 2001-10-17 | 2007-10-16 | Maria-Grazia Ascenzi | Multidirectional morphology and mechanics of osteonic lamellae |
US7353153B2 (en) | 2001-10-17 | 2008-04-01 | Maria-Grazia Ascenzi | Method and system for modeling bone structure |
US7140058B2 (en) * | 2002-09-27 | 2006-11-28 | Colgate-Palmolive Company | Toothbrush with kinetic plate |
US7166067B2 (en) | 2002-10-07 | 2007-01-23 | Juvent, Inc. | Exercise equipment utilizing mechanical vibrational apparatus |
US7207954B2 (en) | 2002-11-08 | 2007-04-24 | Juvent, Inc. | Apparatus and methods for therapeutically treating damaged tissues, bone fractures, osteopenia, or osteoporosis |
US6884227B2 (en) | 2002-11-08 | 2005-04-26 | Juvent, Inc. | Apparatuses and methods for therapeutically treating damaged tissues, bone fractures, osteopenia, or osteoporosis |
WO2004056261A2 (en) | 2002-12-19 | 2004-07-08 | Angel Lift | Cosmetic prosthesis and methods for making the same |
US7156654B2 (en) | 2003-04-16 | 2007-01-02 | Inman Donal P | Self-locking power component for orthodontic appliances |
JP2004321498A (en) | 2003-04-24 | 2004-11-18 | Kao Corp | Device for improving oral environment |
US7409741B2 (en) * | 2003-06-24 | 2008-08-12 | Dworzan William S | Toothbrush with tuned vibrating head |
WO2005107638A1 (en) | 2004-05-11 | 2005-11-17 | Remedent Nv | Method and device for enhancing the treatment of teeth and gums |
US20060008767A1 (en) * | 2004-07-09 | 2006-01-12 | The Procter & Gamble Company | Oral care devices |
US20060115785A1 (en) | 2004-11-30 | 2006-06-01 | Chunhua Li | Systems and methods for intra-oral drug delivery |
US20070043310A1 (en) | 2005-03-07 | 2007-02-22 | Juvent Inc. | Method and apparatus for monitoring patient compliance during dynamic motion therapy |
US8603017B2 (en) | 2005-03-07 | 2013-12-10 | American Medical Innovations, L.L.C. | Vibrational therapy assembly for treating and preventing the onset of deep venous thrombosis |
US20070055185A1 (en) | 2005-03-07 | 2007-03-08 | Juvent Inc. | Dynamic motion therapy apparatus having a treatment feedback indicator |
US8656915B2 (en) | 2010-08-26 | 2014-02-25 | Baywin Too Llc | Respiratory valve |
US8425249B2 (en) | 2011-07-27 | 2013-04-23 | Panduit Corp. | Blockout device for USB port |
-
2007
- 2007-07-05 US US11/773,849 patent/US9668828B2/en active Active
- 2007-07-05 US US11/773,858 patent/US20080227047A1/en not_active Abandoned
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4144882A (en) * | 1975-12-20 | 1979-03-20 | Lion Hamigaki Kabushiki Kaisha | Device for exposing teeth to radiation of ultrasonic waves |
US4348178A (en) * | 1977-01-03 | 1982-09-07 | Kurz Craven H | Vibrational orthodontic appliance |
US4883046A (en) * | 1988-04-12 | 1989-11-28 | Vitek, Inc. | Involuntary oscillator system for the mandible |
US5030098A (en) * | 1989-08-29 | 1991-07-09 | Branford William G | Vibratory dental mouthpiece |
US6328828B1 (en) * | 1997-08-08 | 2001-12-11 | Lester Lee Rusczyk | Ultrasonic process and ultraclean product of same |
US5967784A (en) * | 1998-01-13 | 1999-10-19 | Powers; Michael J. | Hand held device for reducing the discomfort associated with the adjusting of orthodontic appliances |
US6832912B2 (en) * | 2000-09-22 | 2004-12-21 | The Board Of Trustees Of The University Of Illinois | Method of realigning teeth utilizing cyclical forces |
US6731213B1 (en) * | 2001-05-31 | 2004-05-04 | Gateway, Inc. | Method and apparatus for providing oral health data |
Cited By (82)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9597166B2 (en) | 2002-10-29 | 2017-03-21 | Rmo, Inc. | Orthodontic appliance with encoded information |
US9308389B2 (en) | 2005-02-17 | 2016-04-12 | Biolux Research Ltd. | Light therapy apparatus and methods |
US8900282B2 (en) | 2005-02-17 | 2014-12-02 | Biolux Research Ltd. | Light therapy apparatus and methods |
US10536789B2 (en) | 2006-05-30 | 2020-01-14 | Soundmed, Llc | Actuator systems for oral-based appliances |
US10735874B2 (en) | 2006-05-30 | 2020-08-04 | Soundmed, Llc | Methods and apparatus for processing audio signals |
US10477330B2 (en) | 2006-05-30 | 2019-11-12 | Soundmed, Llc | Methods and apparatus for transmitting vibrations |
US11178496B2 (en) | 2006-05-30 | 2021-11-16 | Soundmed, Llc | Methods and apparatus for transmitting vibrations |
US10412512B2 (en) | 2006-05-30 | 2019-09-10 | Soundmed, Llc | Methods and apparatus for processing audio signals |
US10231802B2 (en) | 2006-09-07 | 2019-03-19 | Rmo, Inc. | Customized orthodontic appliance and method |
US8807997B2 (en) | 2006-09-07 | 2014-08-19 | Rmo, Inc. | Reduced-friction buccal tube and method of use |
US10405950B2 (en) | 2006-09-07 | 2019-09-10 | Rmo, Inc. | Reduced-friction buccal tube and method of use |
US9561089B2 (en) | 2006-09-07 | 2017-02-07 | Rmo, Inc. | Reduced-friction buccal tube and method of use |
US11382719B2 (en) | 2006-09-07 | 2022-07-12 | Orthoamerica Holdings, Llc | Method for producing a customized orthodontic appliance |
US8979528B2 (en) | 2006-09-07 | 2015-03-17 | Rmo, Inc. | Customized orthodontic appliance method and system |
US9554875B2 (en) | 2006-09-07 | 2017-01-31 | Rmo, Inc. | Method for producing a customized orthodontic appliance |
US10045834B2 (en) | 2006-09-07 | 2018-08-14 | Rmo, Inc. | Method for producing a customized orthodontic appliance |
US9872741B2 (en) | 2006-09-07 | 2018-01-23 | Rmo, Inc. | Customized orthodontic appliance and method |
US10500019B2 (en) | 2007-03-14 | 2019-12-10 | Orthoaccel Technologies, Inc. | System and method for correcting malocclusion |
US10806545B2 (en) | 2007-03-14 | 2020-10-20 | Advanced Orthodontics And Education Assiocation, Llc | System and method for correcting malocclusion |
US20100055634A1 (en) * | 2007-03-14 | 2010-03-04 | Orthoaccel Technologies, Inc. | Vibrating dental devices |
US9028250B2 (en) | 2007-03-14 | 2015-05-12 | Orthoaccel Technologies, Inc. | Vibrating dental devices |
US20180147026A1 (en) * | 2007-03-14 | 2018-05-31 | Orthoaccel Technologies, Inc. | Pulsatile orthodontic device |
US9370405B2 (en) | 2007-03-14 | 2016-06-21 | Orthoaccel Technologies, Inc. | Vibrating dental devices |
US9370406B2 (en) | 2007-03-14 | 2016-06-21 | Orthoaccel Technologies, Inc. | Vibrating dental devices |
US10449015B2 (en) * | 2007-03-14 | 2019-10-22 | Orthoaccel Technologies, Inc. | Pulsatile orthodontic device |
US11806206B2 (en) * | 2007-03-14 | 2023-11-07 | Dentsply Sirona Inc. | System and method for correcting malocclusion |
US20150173856A1 (en) * | 2007-03-14 | 2015-06-25 | Orthoaccel Technologies Inc. | Intra-oral vibrating othodontic devices |
US20200405444A1 (en) * | 2007-03-14 | 2020-12-31 | Advanced Orthodontics And Education Association, Llc | System and method for correcting malocclusion |
US9662184B2 (en) | 2007-03-14 | 2017-05-30 | Orthoaccel Technologies, Inc. | Vibrating dental devices |
US9848959B2 (en) | 2007-07-05 | 2017-12-26 | Orthoaccel Technologies, Inc. | Massaging or brushing bite plates |
US20150079533A1 (en) * | 2007-07-05 | 2015-03-19 | Orthoaccel Technologies Inc. | Software to control vibration |
US8795172B2 (en) * | 2007-12-07 | 2014-08-05 | Sonitus Medical, Inc. | Systems and methods to provide two-way communications |
US20110136070A1 (en) * | 2008-03-31 | 2011-06-09 | Orthoaccel Technologies,Inc. | Vibrating compressible dental plate for correcting malocclusion |
US8636506B2 (en) | 2008-06-23 | 2014-01-28 | OrthAccel Technologies, Inc. | Differential vibration of dental plate |
US8708701B2 (en) | 2009-02-10 | 2014-04-29 | Orthoaccel Technologies, Inc. | Vibrating dental plate and accessories |
US9144473B2 (en) | 2009-03-16 | 2015-09-29 | Rmo, Inc. | Orthodontic bracket having an archwire channel and archwire retaining mechanism |
US9867678B2 (en) | 2009-03-16 | 2018-01-16 | Rmo, Inc. | Orthodontic bracket having an archwire channel and archwire retaining mechanism |
US11219507B2 (en) | 2009-03-16 | 2022-01-11 | Orthoamerica Holdings, Llc | Customized orthodontic appliance and method |
US10484805B2 (en) | 2009-10-02 | 2019-11-19 | Soundmed, Llc | Intraoral appliance for sound transmission via bone conduction |
US20110136071A1 (en) * | 2009-10-09 | 2011-06-09 | Orthoaccel Technologies, Inc. | Brace cap |
US9242118B2 (en) | 2010-12-08 | 2016-01-26 | Biolux Research Ltd. | Methods useful for remodeling maxillofacial bone using light therapy and a functional appliance |
US8678818B2 (en) | 2011-05-12 | 2014-03-25 | Rmo, Inc. | Self ligating orthodontic bracket having a rotatable member |
US8961172B2 (en) | 2011-05-12 | 2015-02-24 | Rmo, Inc. | Self ligating orthodontic bracket having a rotatable member |
US9987105B2 (en) | 2011-05-12 | 2018-06-05 | Rmo, Inc. | Self ligating orthodontic bracket having a rotatable member |
US10682207B2 (en) | 2011-05-12 | 2020-06-16 | Rmo, Inc. | Self ligating orthodontic bracket having a rotatable member |
USD847349S1 (en) | 2011-09-22 | 2019-04-30 | Rmo, Inc. | Orthodontic lock with flange |
US20130273490A1 (en) * | 2012-04-13 | 2013-10-17 | Bryce A. Way | Method and device for increasing bone density in the mouth |
US9974630B2 (en) | 2012-04-13 | 2018-05-22 | Orthoaccel Technologies, Inc. | Laser orthodontic devices |
US10085822B2 (en) * | 2012-04-13 | 2018-10-02 | Advanced Orthodontics And Education Association, Llc | Method and device for increasing bone density in the mouth |
US9662183B2 (en) | 2012-07-18 | 2017-05-30 | Orthoaccel Technologies, Inc. | Electro-orthodontic device |
US8986003B2 (en) | 2012-09-13 | 2015-03-24 | Orthoaccel Technologies, Inc. | Pearlescent white aligners |
US10039617B2 (en) | 2012-09-24 | 2018-08-07 | Orthoaccel Technologies, Inc. | Vibrating orthodontic strip |
US9968422B2 (en) | 2012-12-27 | 2018-05-15 | Orthoaccel Technologies, Inc. | Shapeable bite plates |
USD726318S1 (en) | 2013-01-17 | 2015-04-07 | Rmo, Inc. | Dental instrument for a self-ligating orthodontic clip |
US9949671B2 (en) | 2013-03-13 | 2018-04-24 | Orthoaccel Technologies, Inc. | Diagnostic mouthpieces |
US20140329194A1 (en) * | 2013-05-05 | 2014-11-06 | Rohit Sachdeva | Orthodontic treatment planning using biological constraints |
US9730780B2 (en) | 2013-10-22 | 2017-08-15 | Biolux Research Ltd. | Intra-oral light-therapy apparatuses and methods for their use |
US10729524B2 (en) | 2013-10-22 | 2020-08-04 | Biolux Research Holdings, Inc. | Intra-oral light-therapy apparatuses and methods for their use |
USD721811S1 (en) | 2013-10-29 | 2015-01-27 | Rmo, Inc. | Orthodontic bracket |
US12053339B2 (en) * | 2014-11-11 | 2024-08-06 | ZeroBrush Inc. | Methods of designing and fabricating customized dental care for particular users |
US20210315676A1 (en) * | 2014-11-11 | 2021-10-14 | ZeroBrush, Inc. | Methods of Designing and Fabricating Customized Dental Care for Particular Users |
US10179035B2 (en) * | 2015-03-04 | 2019-01-15 | Real 3D Polymers Group Llc | Direct 3D-printed orthodontic aligners with torque, rotation, and full control anchors |
US20160256240A1 (en) * | 2015-03-04 | 2016-09-08 | Real 3D Polymers, LLC | Direct 3d-printed orthodontic aligners with torque, rotation, and full control anchors |
US11484390B2 (en) * | 2015-03-04 | 2022-11-01 | Real 3D Polymers Llc | Direct 3D-printed orthodontic aligners with torque, rotation, and full control anchors |
US10695148B2 (en) | 2015-11-15 | 2020-06-30 | Smile Lab, Inc | Micro vibrating devices for dental use |
JP2018537245A (en) * | 2015-11-15 | 2018-12-20 | スマイル ラブ インク | Dental microvibrator |
WO2017083880A1 (en) * | 2015-11-15 | 2017-05-18 | Smile Lab Inc | Micro vibrating devices for dental use |
US11141241B2 (en) | 2015-11-20 | 2021-10-12 | Orthoarm, Inc. | System and method of more directly vibrating an orthopedic-orthodontic device |
CN109288603A (en) * | 2017-07-24 | 2019-02-01 | 奥索阿塞尔技术股份有限公司 | Improved orthodontia accelerator |
US11497559B1 (en) | 2017-07-27 | 2022-11-15 | Carlsmed, Inc. | Systems and methods for physician designed surgical procedures |
US11857264B2 (en) | 2017-07-27 | 2024-01-02 | Carlsmed, Inc. | Systems and methods for physician designed surgical procedures |
EP3437585A1 (en) | 2017-08-02 | 2019-02-06 | Orthoaccel Technologies, Inc. | Improved orthodontic accelerator |
US11696833B2 (en) | 2018-09-12 | 2023-07-11 | Carlsmed, Inc. | Systems and methods for orthopedic implants |
US11717412B2 (en) | 2018-09-12 | 2023-08-08 | Carlsmed, Inc. | Systems and methods for orthopedic implants |
US20200170802A1 (en) * | 2018-11-29 | 2020-06-04 | Carlsmed, Inc. | Systems and methods for orthopedic implants |
US11854683B2 (en) | 2020-01-06 | 2023-12-26 | Carlsmed, Inc. | Patient-specific medical procedures and devices, and associated systems and methods |
US11678938B2 (en) | 2020-01-06 | 2023-06-20 | Carlsmed, Inc. | Patient-specific medical systems, devices, and methods |
US20220054233A1 (en) * | 2020-08-24 | 2022-02-24 | Ryan Stainsby | Dental device |
US20220265392A1 (en) * | 2021-01-07 | 2022-08-25 | Ortho Future Technologies (Pty) Ltd | Method for providing orthodontic treatment |
US11984205B2 (en) | 2022-02-23 | 2024-05-14 | Carlsmed, Inc. | Non-fungible token systems and methods for storing and accessing healthcare data |
US11806241B1 (en) | 2022-09-22 | 2023-11-07 | Carlsmed, Inc. | System for manufacturing and pre-operative inspecting of patient-specific implants |
US11793577B1 (en) | 2023-01-27 | 2023-10-24 | Carlsmed, Inc. | Techniques to map three-dimensional human anatomy data to two-dimensional human anatomy data |
Also Published As
Publication number | Publication date |
---|---|
US20080227046A1 (en) | 2008-09-18 |
US9668828B2 (en) | 2017-06-06 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US11806206B2 (en) | System and method for correcting malocclusion | |
US9668828B2 (en) | Systems, methods, and adjunctive procedures for correcting malocclusion | |
US10449015B2 (en) | Pulsatile orthodontic device | |
US9700384B2 (en) | Pulsatile orthodontic device and methods | |
US8939762B2 (en) | Vibrating orthodontic remodeling device and method thereof | |
US8500446B2 (en) | Vibrating orthodontic remodelling device | |
US20160184054A1 (en) | Pulsatile orthodontic device and methods | |
Uribe et al. | Efficiency of piezotome-corticision assisted orthodontics in alleviating mandibular anterior crowding—a randomized clinical trial | |
Caniklioglu et al. | Patient discomfort: a comparison between lingual and labial fixed appliances | |
Gkantidis et al. | The orthodontic–periodontic interrelationship in integrated treatment challenges: a systematic review | |
US9907626B1 (en) | Orthodontic accelerator | |
JP2019013463A (en) | Improved orthodontic accelerator | |
JP2005527308A (en) | Dental instrument, system and method for distributing dental instrument | |
Kau et al. | Contemporary smile design: an orthodontic perspective | |
Grob | Extraction of a mandibular incisor in a Class I malocclusion | |
EP3437585A1 (en) | Improved orthodontic accelerator | |
Flieger et al. | A simplified approach to true molar intrusion | |
Lee et al. | Bond failure rates for V-loop vs straight wire lingual retainers | |
Umesan et al. | Delayed orthodontic extrusion of a traumatically intruded immature upper permanent incisor–a case report | |
Çetinşahin et al. | Effects of the zygoma anchorage system on canine retraction | |
Maeda et al. | Modality and risk management for orthodontic extrusion procedures in interdisciplinary treatment for generating proper bone and tissue contours for the planned implant: a case report | |
Becker | Extreme tooth impaction and its resolution | |
AU2017204417B2 (en) | Improved orthodontic accelerator | |
Hernández-Orsini et al. | Contemporary Class II Division 2 nonextraction adult treatment | |
Cometti et al. | Efficacy of the mini tooth positioner in improving orthodontic finishes |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: ORTHOACCEL TECHNOLOGIES, INC., TEXAS Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:LOWE, MICHAEL K.;WASDEN, CHRISTOPERH L.;TARVER, W. BRENT;REEL/FRAME:022572/0377;SIGNING DATES FROM 20090324 TO 20090325 |
|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |
|
AS | Assignment |
Owner name: COMERICA BANK, MICHIGAN Free format text: SECURITY AGREEMENT;ASSIGNOR:ORTHOACCEL TECHNOLOGIES, INC.;REEL/FRAME:031597/0440 Effective date: 20131028 |
|
AS | Assignment |
Owner name: ORTHOACCEL TECHNOLOGIES, INC., TEXAS Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:COMERICA BANK;REEL/FRAME:034861/0262 Effective date: 20150128 |
|
AS | Assignment |
Owner name: ORTHOACCEL HOLDINGS, LLC, NEW YORK Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:ORTHOACCEL TECHNOLOGIES, INC.;REEL/FRAME:052712/0335 Effective date: 20200504 Owner name: ADVANCED ORTHODONTICS AND EDUCATION ASSOCIATION, LLC, NEW YORK Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:ORTHOACCEL HOLDINGS, LLC;REEL/FRAME:052712/0662 Effective date: 20200506 |