WO2006016593A1 - Trousse orthodontique et méthode de fixation de boîtier orthodontique - Google Patents

Trousse orthodontique et méthode de fixation de boîtier orthodontique Download PDF

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Publication number
WO2006016593A1
WO2006016593A1 PCT/JP2005/014620 JP2005014620W WO2006016593A1 WO 2006016593 A1 WO2006016593 A1 WO 2006016593A1 JP 2005014620 W JP2005014620 W JP 2005014620W WO 2006016593 A1 WO2006016593 A1 WO 2006016593A1
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WO
WIPO (PCT)
Prior art keywords
bracket
orthodontic
tooth
attached
indicator
Prior art date
Application number
PCT/JP2005/014620
Other languages
English (en)
Japanese (ja)
Inventor
Toshiaki Hiro
Original Assignee
Toshiaki Hiro
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Toshiaki Hiro filed Critical Toshiaki Hiro
Publication of WO2006016593A1 publication Critical patent/WO2006016593A1/fr

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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
    • A61C7/12—Brackets; Arch wires; Combinations thereof; Accessories therefor
    • A61C7/14—Brackets; Fixing brackets to teeth
    • A61C7/146—Positioning or placement of brackets; Tools therefor

Definitions

  • the present invention relates to an orthodontic set used for simply and accurately performing an operation of adhering and fixing an orthodontic bracket for correcting tooth alignment to a lingual surface of a tooth, and a dental using the orthodontic set
  • the present invention relates to a mounting method of a correction bracket.
  • the indirect method is indispensable for impression collection, model production, technical operation, and the like, and has a drawback that it takes time and cost compared to the direct method. Also, the engineer There are also disadvantages in that the treatment results depend on the quality of the setup model, the condition of the setup model, the manufacturing condition of the orthodontic bracket, etc.
  • the orthodontic bracket is simply and accurately placed on the back side of the tooth (the lingual surface). ) Must be able to be worn.
  • the applicant of the present invention disclosed in Japanese Patent Laid-Open No. 2000-14681 has an orthodontic bracket capable of easily and accurately positioning an orthodontic bracket that is an obstacle to adopting the direct method. Propose a fixture.
  • An object of the present invention is to provide an orthodontic set which can position an orthodontic bracket more simply and accurately by improving the orthodontic bracket fitting disclosed in the above-mentioned published patent publication.
  • the purpose is to propose a method of mounting the orthodontic bracket.
  • the present invention provides an orthodontic set used for positioning and fixing an orthodontic bracket on a lingual surface of a tooth
  • each bracket fixture comprising an indicator temporarily bonded to the labial surface of the tooth, and a connection member having a substantially U-shape;
  • the indicator is attached to one end of the connecting member, and an attachment portion for attaching the orthodontic bracket in a removable state is formed on the other end of the connecting member,
  • bracket mounting tool ones having different relative positional relations between the indicator and the orthodontic bracket mounted on the mounting portion of the connecting member are prepared! /
  • bracket attachment tool ones having different height positions of the orthodontic bracket attached to the connecting member in a state where the indicator is attached to the lip side surface of a tooth are prepared. Can do.
  • bracket attachment tool ones having different torques of the orthodontic bracket attached to the connecting member in a state where the indicator is attached to the lip side surface of a tooth can be prepared.
  • bracket attachment tool it is possible to prepare ones having different orthodontic brackets attached to the connecting member in a state where the indicator is attached to the lip side surface of the tooth.
  • bracket attachment tool there may be prepared different in-out brackets for the orthodontic bracket attached to the connecting member in a state where the indicator is attached to the lip side surface of the tooth. it can.
  • bracket fixture there are prepared different orthodontic bracket rotations attached to the connecting member in a state where the indicator is attached to the lip side surface of the teeth. I can keep it.
  • the orthodontic bracket is attached to the connecting bar of the bracket fixture.
  • the bracket mounting tool is put on the teeth so that the connecting bar straddles the teeth.
  • the orthodontic bracket faces the back of the tooth (the lingual surface) and the indicator faces the front of the tooth (the labial surface).
  • the indicator located on the front side is positioned on the lip side surface of the tooth and temporarily fixed with an adhesive.
  • the orthodontic bracket on the back side of the teeth that are connected via the connecting bar is also positioned.
  • an adhesive is filled in the gap between the orthodontic bracket and the lingual surface of the tooth.
  • the orthodontic bracket When the adhesive hardens, the orthodontic bracket is in place on the lingual surface of the tooth. Finally, remove the bracket attachment from the orthodontic bracket as well as remove the tooth force. That is, remove the indicator temporarily fixed on the tooth surface and remove the connecting bar from the orthodontic bracket.
  • the adhesive filled between the orthodontic bracket and the lingual surface of the tooth may be applied in advance to the surface of the orthodontic bracket.
  • the thickness of the teeth may be different even for the same patient's left and right teeth of the same patient.
  • a different bracket in / out ie, a bracket fixture with a wide connecting bar and a narrow bracket fixture with a connecting bar.
  • the mounting position of the orthodontic bracket is closer to the incision (shallow position) than the adjacent teeth or the same-named teeth. Or you may have to change it closer to the gingiva (deeper). It may also be necessary to adjust for proper tooth inclination and torque. Usually, these adjustments are made by bending the wire.
  • various bracket fittings are prepared, for example, those in which the positional relationship between the orthodontic bracket and the indicator is different. Therefore, the position of the orthodontic bracket can be changed by selecting the optimal bracket fitting, so there is no need to bend the wire.
  • the orthodontic set of the present invention can be used in common for the upper and lower 12 front teeth.
  • the present invention is a method for mounting an orthodontic bracket using the orthodontic set having the above-described configuration
  • bracket fixture that is appropriate for each tooth of the patient, and use the bracket fixture to attach an orthodontic bracket to each tooth. Record or store the correspondence with the bracket fixture used to attach the bracket,
  • a bracket fixture that can set the orthodontic bracket at the target position on the lingual tooth surface is included in the orthodontic set based on the above relationship.
  • the orthodontic bracket is attached to each tooth using the selected bracket fixture, and when the orthodontic bracket is attached to each tooth, the mounting position of the indicator is set to a fixed position.
  • the bracket fixture capable of setting the orthodontic bracket to the target site is selected based on these values.
  • a prepared correspondence is prepared. Enter the data in the table. Specifically, which bracket attachment was used for which tooth, in other words, how many millimeters in depth, how many torques, how many angiulations, how many millimeters, Record whether you used the bracket fixture
  • FIG. 1 is an explanatory view showing a state in which a bracket is mounted on the lingual surface of a tooth using a bracket fixture to which the present invention is applied.
  • FIG. 2 is an explanatory view of the bracket mounting tool of FIG.
  • FIG. 3 is an explanatory view of the bracket fixture of FIG. 1 when the lingual force is also viewed.
  • FIG. 4 is an explanatory view showing an example of the bracket fixture of FIG. 1.
  • FIG. 5 is an explanatory view showing an example of the bracket fixture of FIG. 1.
  • FIG. 6 is an explanatory view showing an example of the bracket fixture of FIG. 1.
  • FIG. 7 is an explanatory view showing an example of the bracket fixture of FIG. 1.
  • FIG. 8 is an explanatory view showing an example of the bracket fixture of FIG.
  • FIG. 9 is an explanatory view showing an example of the bracket fixture of FIG. 1.
  • FIG. 10 is an explanatory view showing an example of the bracket fixture of FIG. 1.
  • FIG. 1 is an explanatory view showing a state in which an orthodontic bracket is mounted on the lingual surface of a tooth using a bracket fixture included in the orthodontic set of this example.
  • FIG. 2 is an explanatory view showing the labial surface of the tooth
  • FIG. 3 is an explanatory view showing the lingual surface of the tooth.
  • the orthodontic set 100 of this example has a plurality of types of bracket fixtures 1 and a plurality of types of orthodontic brackets 5.
  • the bracket fixture 1 includes an indicator 3 temporarily bonded to the lip side surface 21 of the tooth 2 and a connecting bar 4 (connecting member) attached to one end of the indicator 3 in a detachable state. I have.
  • the orthodontic bracket 5 is attached to the other end of the connecting bar 4 in a detachable state.
  • connection bar 4 is generally U-shaped as a whole, and includes a connection portion 41 having a predetermined length, a labial arm portion 42 extending in parallel in a direction perpendicular to both ends of the connection portion 41, and And a lingual arm portion 43.
  • the tip of each arm portion 42, 43 is bent at a right angle inside, forming an indicator mounting portion 44 and a bracket mounting portion 45, respectively.
  • the indicator 3 is a plate-like member having a surface portion 31 temporarily fixed to the lip side surface 21 of the tooth 2 and a back surface portion 32.
  • the back surface portion 32 has an indicator mounting portion of the connecting bar 4
  • a fitting groove 33 is formed in which 44 is detachable.
  • An index 34 used for positioning is printed or engraved on the surface of the back surface portion 32.
  • the indicator 3 having this configuration may have a shape similar to that of the orthodontic bracket, or may have a different shape, for example, a shape similar to a crown outer shape.
  • the orthodontic bracket 5 has the same structure as that generally used, and a base 51 that is bonded and fixed to the lingual surface (back side) 22 of the tooth 2 via an adhesive 6. , And a mounting portion 52 used for laying a wire attached to the back surface of the base 51.
  • the attachment portion 52 is formed with a slot 53 for receiving a wire used for treatment.
  • the slot 53 is used as a fitting groove for fitting the bracket mounting portion 45 of the connecting bar 4 in a detachable state.
  • the indicator 3 is set at a fixed position on the labial surface 21 of the tooth 2 to be corrected, and the position of the orthodontic bracket 5 relative to the indicator 3 set on the tooth 2 is Adjusted by element.
  • Bracket height (hereinafter simply referred to as height) is the distance to the bracket slot in terms of tooth incision and cusp apex force. It depends on the size.
  • Bracket anguilla- tion (hereinafter simply referred to as anguilla- tion) is an inclination angle with respect to the long axis of the tooth when viewed from the front, and the lingual arm of the connecting bar 4 This is determined by the near-centrifugal inclination angle of the orthodontic bracket 5 with respect to the portion 43 (see Fig. 9 below).
  • Bracket torque (hereinafter simply referred to as torque) is an angle of inclination with respect to the long axis of the tooth when the side force is also viewed, and dental correction with respect to the lingual arm portion 43 of the connecting bar 4 It depends on the mounting angle of the bracket 5 (see Figures 6 and 7 below).
  • the bracket in / out (hereinafter simply referred to as “in / out”) is an attachment position in the tooth thickness direction, and is determined by the length of the connecting portion 41 of the connecting bar 4.
  • Bracket rotation (hereinafter simply referred to as rotation) is a rotation centered on the long axis of the tooth, and depends on the orientation of the orthodontic bracket attached to the lingual arm portion 43 of the connecting bar 4. (See Figure 10 below).
  • bracket attachments 1 having different values for each element are prepared so that each element (1) to (5) can be adjusted. As an example, if three different values are prepared for each element as shown below, 243 nominations will be obtained. Of course, a smaller number or a larger number of variations may be used.
  • connection state of the indicator 3 and the connection bar 4 is the same.
  • bracket attachment 1 included in the orthodontic set 100 of this example will be described with reference to FIGS. 4 to 9.
  • the orthodontic bracket 5 is attached as compared to the length L (42a) of the labial arm portion 42a to which the indicator 3 in the connecting bar 4a is attached.
  • the length L (43a) of the lingual arm portion 43a is longer.
  • the length L (41a) of the connecting portion 41a that connects the both arm portions 42a and 43a is longer than the other arm bracket portions 42a and 43a.
  • the labial arm portion 42b of the connecting bar 4b is longer than the lingual arm portion 43b.
  • the distance between the two arm portions 42b and 43b, which is shorter than the other bracket fittings, is shorter.
  • the lengths of the labial arm portion 42c and the lingual arm portion 43c of the connecting bar 4c are substantially equal.
  • the length of the connecting portion 41c (interval between both arm portions) is set to an intermediate dimension between the connecting portions 41a and 41b of the bracket fittings la and lb in FIGS.
  • the bracket mounting portion 45c formed at the tip of the lingual arm portion 43c is bent at an obtuse angle on the lip side.
  • the orthodontic bracket 5 attached here is inclined to the lip side rather than facing downward, and can be attached to the portion of the torque T of the tooth 2 (the inclination angle when the side force of the tooth 2 is viewed). Become.
  • the orthodontic bracket 5 When the indicator 3 of the bracket fixture lc is positioned on the labial surface 21 of the tooth 2, the orthodontic bracket 5 is positioned in the middle of the lingual surface 22. The orthodontic bracket 5 is inclined to correspond to the torque T of the tooth 2 Therefore, it will be in the state positioned by an ideal angle.
  • the connecting bar 4d has the labial arm portion 42d longer than the lingual arm portion 43d, like the connecting bar 4b in FIG. In addition, the distance between both arm portions 42d and 43d, where the length of the connecting portion 41d is short, is narrowed.
  • the bracket mounting portion 45d of the connecting bar 4d is bent inward at an acute angle, and the orthodontic bracket 5 attached thereto is directed to the lip side at a predetermined inclination angle.
  • the bracket attachment le shown in FIG. 8 is an attachment angle suitable for attachment to a tooth having an anguilla- tion A (inclination angle with respect to the long axis of the tooth 2 when the tooth 2 is viewed from the front).
  • the bracket 5 for correction can be attached.
  • the elements other than the angiulation can be the same as those shown in FIGS.
  • the bracket fixture If shown in Fig. 9 can attach the orthodontic bracket 5 with the teeth mesial or distally inclined to attach to the teeth 2 with angiulation. is there.
  • the elements other than the angiulation can be the same as those shown in FIGS.
  • FIG. 10 is an explanatory view of the bracket mounting tool attached to the tooth 2 when viewed along the upper axis force of the tooth 2 along the long axis direction.
  • the bracket fixture lg shown in Fig. 10 (a) is for a rotation force s O °
  • the bracket fixture lh shown in Fig. 10 (b) is for a rotation at a predetermined angle toward the mesial or distal side. Is the case. Elements other than rotation can be the same as those shown in FIGS.
  • the optimal bracket fixture 1 and orthodontic bracket 5 are selected from the orthodontic set 100 according to the thickness, size, shape, treatment content, etc. of the patient's teeth 2. For example, an optimal one is selected from the bracket fixtures 1 a to lh shown in FIGS. The orthodontic bracket is attached to the selected bracket fixture 1. Attach G5.
  • the bracket fixture 1 is placed on the tooth 2 so that the connecting bar 4 straddles the patient's tooth 2, and the lingual surface 22 of the tooth 2 and the orthodontic bracket 5 face each other.
  • the indicator 3 is formed on the lip side surface 21 of the tooth 2 so as to face each other.
  • the indicator 3 located on the front side is positioned on the lip side surface 21 of the tooth 2 and temporarily fixed with an adhesive.
  • the positioning operation can be performed with reference to the index 33 formed on the back portion 32 of the indicator 3.
  • the orthodontic bracket 5 on the back side of the tooth 2 connected via the connecting bar 4 is also positioned on the lingual surface 22 at the same time.
  • the adhesive 6 is filled in the gap between the orthodontic bracket 5 and the lingual surface 22 of the tooth 2 and waits for the adhesive 6 to harden.
  • the adhesive 6 is hardened, the orthodontic bracket 5 is fixed to a predetermined position on the lingual surface 22 of the tooth 2.
  • the adhesive 6 may be applied to the surface of the base 51 of the orthodontic bracket 5 before attaching the bracket 1 to the teeth 2!
  • a patient's oral model may be manufactured in advance, and an optimal bracket fitting may be selected on the model in advance.
  • the positioning and fixing work of the orthodontic bracket 5 is easily performed in the same manner as when it is attached to the outer surface 21 of the tooth 2. be able to. As a result, there is no need to directly operate and position the orthodontic bracket 5 located on the back side of the tooth 2. Also, the dental after positioning Also in the operation of adhering and fixing the orthodontic bracket 5 to the back surface 22 of the tooth 2, the orthodontic bracket 5 is held in the positioning state because the indicator 3 is temporarily fixed to the surface 21 of the tooth 2. Therefore, it is not necessary to hold the orthodontic bracket 5 in that position until the adhesive 6 is cured.
  • the indicator 3 and the connecting bar 4 are detachable, the work of removing the bracket fixture 1 after attaching the orthodontic bracket 5 to the tooth 2 becomes easy. It is also possible to repeatedly use the parts 3 and 4.
  • the operation of positioning and fixing the orthodontic bracket 5 to the lingual surface 22 of the tooth 2 can be performed easily and accurately.
  • the orthodontic bracket 5 when the orthodontic bracket 5 is attached to each tooth 2 of the patient using the bracket fixture 1, it is used to attach the orthodontic bracket 5 to each tooth 2 and each tooth 2. It is desirable to record or memorize the correspondence with the bracket bracket 1 that was used.
  • the bracket fixture 1 that can set the orthodontic bracket 5 at the target position on the lingual tooth surface is orthodontic. Select from the set and attach the orthodontic bracket 5 to each tooth 2 using the selected bracket fixture 1.
  • the attachment position of the indicator 3 is always positioned at a fixed position.
  • the orthodontic bracket 5 when the orthodontic bracket 5 is attached to the patient's tooth 2, it is prepared in advance. Enter the data in the correspondence table. Specifically, which bracket fixture 1 was used for which tooth 2, in other words, how many millimeters in height, how many angiulations, how many torques, how many millimeters in and out, Record how many times the bracket attachment 1 was used for rotation.
  • a new orthodontic bracket can be attached to the target position using a bracket fitting that is 2mm deep, read from the correspondence table.

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (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)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

L'invention décrit un outil de fixation du boîtier (1) qui s'ajuste à chaque dent du patient est sélectionné d'une trousse orthodontique (100) et utilisé pour fixer un boîtier orthodontique (5) à chaque dent (2). Une table de correspondance montrant la correspondance entre chaque dent (2) et l'outil de fixation du boîtier (1) utilisé pour fixer le boîtier orthodontique (5) à la dent (2) est effectuée. Quand le positionnement du boîtier orthodontique (5) à chaque dent (2) est altéré, un outil de fixation de boîtier (1) capable de régler le boîtier orthodontique (5) à la position cible sur le côté de la dent qui fait face à la langue est sélectionné de la trousse orthodontique (100) selon la table de correspondance, et le boîtier orthodontique (5) est fixé à chaque dent (2) en utilisant l'outil de fixation du boîtier sélectionné (1). Pendant la fixation, la position de fixation d'un indicateur (3) est fixée à tout temps.
PCT/JP2005/014620 2004-08-10 2005-08-10 Trousse orthodontique et méthode de fixation de boîtier orthodontique WO2006016593A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2004233282A JP2007295939A (ja) 2004-08-10 2004-08-10 歯科矯正用ブラケット取付具および取付セット
JP2004-233282 2004-08-10

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Publication Number Publication Date
WO2006016593A1 true WO2006016593A1 (fr) 2006-02-16

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PCT/JP2005/014620 WO2006016593A1 (fr) 2004-08-10 2005-08-10 Trousse orthodontique et méthode de fixation de boîtier orthodontique

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JP (1) JP2007295939A (fr)
WO (1) WO2006016593A1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AT515669A4 (de) * 2014-05-28 2015-11-15 Orthorobot Medizintechnik Gmbh Positionierungselement
AT515797A4 (de) * 2014-05-28 2015-12-15 Orthorobot Medizintechnik Gmbh Positionierungselement
EP3673865A1 (fr) * 2018-12-24 2020-07-01 Orthodontic Research and Development, S.L. Dispositif orthodontique et outil de positionnement du dispositif

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS61163613U (fr) * 1985-03-28 1986-10-09
JPS62101512U (fr) * 1985-07-24 1987-06-27
JP2000014681A (ja) * 1998-07-07 2000-01-18 Toshiaki Ko 歯科矯正装置のブラケット位置決め具およびブラケット取り付け方法

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS61163613U (fr) * 1985-03-28 1986-10-09
JPS62101512U (fr) * 1985-07-24 1987-06-27
JP2000014681A (ja) * 1998-07-07 2000-01-18 Toshiaki Ko 歯科矯正装置のブラケット位置決め具およびブラケット取り付け方法

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AT515669A4 (de) * 2014-05-28 2015-11-15 Orthorobot Medizintechnik Gmbh Positionierungselement
AT515669B1 (de) * 2014-05-28 2015-11-15 Orthorobot Medizintechnik Gmbh Positionierungselement
AT515797A4 (de) * 2014-05-28 2015-12-15 Orthorobot Medizintechnik Gmbh Positionierungselement
AT515797B1 (de) * 2014-05-28 2015-12-15 Orthorobot Medizintechnik Gmbh Positionierungselement
EP3673865A1 (fr) * 2018-12-24 2020-07-01 Orthodontic Research and Development, S.L. Dispositif orthodontique et outil de positionnement du dispositif
WO2020136186A1 (fr) * 2018-12-24 2020-07-02 Orthodontic Research And Development S.l. Dispositif orthodontique et outil de manipulation du dispositif

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JP2007295939A (ja) 2007-11-15

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