WO2014016204A1 - Disposable device for testing the existence of bruxism - Google Patents
Disposable device for testing the existence of bruxism Download PDFInfo
- Publication number
- WO2014016204A1 WO2014016204A1 PCT/EP2013/065259 EP2013065259W WO2014016204A1 WO 2014016204 A1 WO2014016204 A1 WO 2014016204A1 EP 2013065259 W EP2013065259 W EP 2013065259W WO 2014016204 A1 WO2014016204 A1 WO 2014016204A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- bruxism
- structures
- filament
- pressure
- user
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/56—Devices for preventing snoring
- A61F5/566—Intra-oral devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/04—Measuring instruments specially adapted for dentistry
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/56—Devices for preventing snoring
- A61F2005/563—Anti-bruxisme
Definitions
- the present invention fits in the technical field of medical devices for the diagnosis of pathological disorders and in particular to adaptive problems of kinetic origin.
- the present invention is intended to determine if the patient presents a compensating pathological process known as bruxism.
- the patient is able to know if he/she presents this type of alteration, so he/she can see his/her doctor for specific therapeutic approaches to his/her pathology.
- the invention consists in a pair of inverted 'U' rectangular shaped structures, which allow accommodating inside, bilaterally, the teeth associated with the action of the occlusion.
- These structures have a mechanical rectangular pressure mechanical control at the top and at the same time they remain joined by a filament which allows the length adjustment device. This filament allows the device to accommodate to the size of the user's mouth and gives strength to the set, to facilitate its use.
- monitoring devices such as EP1829932, WO03057097, US5911576, US3813781, US20010171136, that does not use electronic devices, but it only identifies the erosion at a long term, not the specific pressure exerted, so they are not able to identify any kind of bruxism.
- bruxism is not a behavioural disorder, but the result of a kinetic compensation process, present because of diaphragm hyperactivity.
- This disorder is associated with levels of stress, that alter the levels of gamma-aminobutyric acid (GABA), which causes the diaphragm incapability to relax and the appearance of compensating forces that condition the cervical, gastric and mandibular kinetic.
- GABA gamma-aminobutyric acid
- This fact is called bruxism, and it can be centric (if the occlusion is aligned) o eccentric (cross-bite), which generates a characteristic and perfectly audible squeak.
- An early diagnosis can preserve damages originated by this fact at a mandibular level as well as at cervical and gastric levels, hence the importance of an early diagnosis, being bruxism the most accessible indicator.
- the patient usually is aware of the process when a series of changes occur, such as damaged structures or the appearance of pain.
- the invention consists of a pair of rectangular convex structures, a pair of pressure controls and a connecting filament.
- the rectangular convex structures are hollow inside and made of an adaptable polymer to fit the teeth that will be inside during use. These structures have a longitudinal internal cavity, at the lower part of the outer wall, through which slides a filament that serves as junction between the structures and also to modify the space between them.
- the pressure controls are on the top of the convex structures, since this is where the teeth of the upper and lower jaw meet during occlusion.
- the user exerts enough pressure on the pressure controls, they change their initial configuration, so that it is visually notice able when the device is removed from its location in the jaw.
- This change can be, for example, colour or form, which will have the test considered positive demonstrating the existence of bruxism.
- the pressure required to produce changes in the initial configuration of the pressure controls is predetermined and responds to clinical criteria.
- the filament joining the two convex structures allows to adjust the longitudinal separation between them to suit any user, and they also strengthen the stability so that it does not alter its position in the mouth, avoiding even to be accidentally ingested.
- This filament stays, theoretically, by the inner face of the lower or upper lip, depending on where the user wears the device, since it can be placed on the lower or upper jaw interchangeably depending on the comfort of the user.
- this device exclusively for diagnosis, facing the aforementioned concepts, are substantial, as this mechanism does not alter the course of sleep, does not require high costs for production and development, thus lowers the final cost to the user, its use does not need the guidance of a specialist, so that the patient can be diagnosed quickly and easily, it can be placed in the upper or lower jaw, depending on the needs or convenience of the user it is customizable, adjustable, lightweight, safe, reliable, hygienic, since the deviceis discarded after a single use and all its components are recyclable and safe for health.
- the Figure 1 shows how this device is consistent with the shape of a human jaw. So that we can see the joining filament (1), connecting two convex structures (2) and (3), both designed to cover the teeth, to be located on each side respectively. These structures (2) and (3) have an internal cavity (4) in its outer wall, to keep inside part of the filament (1) to use as a guide for the joining filament to slide, which will adjust the space between the structures (2) and (3). This ability to vary its length provides the device with a high degree of adaptation depending on the characteristics of the user's jaw.
- each convex structure (2) and (3) is a structure with the pressure control role (5), being in this place of the device where the upper and lower teeth meet during the occlusion.
- the device is composed of two elongated structures, convex and hollow in its interior (2) and (3), so that the outside of these structures is a smooth surface but the inside walls are slightly padded, all made of a light and deformable polymer thereby to adapt perfectly around the teeth related to the occlusion.
- a filament (1) which is some kind of stainless steel, which provides stability and safety to the device, to prevent possible maladjustment or swallowing part of the device (2) or (3), while using the device allows it to adapt to the length of the user's jaw, since the structures (2) and (3) have internal cavities, which act as rails for the sliding of the filament (1).
- the pressure controls (5) which are integrated on the top of each piece (2) and (3) have closed cavities inside which house small capsules with a non-toxic red liquid, so that when the user exerts at least a certain amount of pressure to break the capsules, the liquid is released inside the closed cavities, which causes the red liquid to be visible through the upper membrane of the pressure controls (5).
- bruxism a pathologic occlusion
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Pulmonology (AREA)
- Otolaryngology (AREA)
- Vascular Medicine (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
- Biophysics (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
Abstract
The invention consists in a device for testing the existence of any kind of bruxisnn, composed by a filament which function is to attach a pair of rectangular inverted 'U' shaped structures and which allow to accommodate inside them the teeth associated with occlusion, so that by placement of a pressure control in the upper part of these structures it can be determined after use, if the patient during sleep suffers of pathological occlusal pressure and which is referred to as bruxism.
Description
The present invention fits in the technical field of
medical devices for the diagnosis of pathological disorders and in particular
to adaptive problems of kinetic origin.
The present invention is intended to determine if
the patient presents a compensating pathological process known as bruxism.
Using this device during the sleeping phase, the
patient is able to know if he/she presents this type of alteration, so he/she
can see his/her doctor for specific therapeutic approaches to his/her
pathology.
The invention consists in a pair of inverted 'U'
rectangular shaped structures, which allow accommodating inside, bilaterally,
the teeth associated with the action of the occlusion.
These structures have a mechanical rectangular
pressure mechanical control at the top and at the same time they remain joined
by a filament which allows the length adjustment device. This filament allows
the device to accommodate to the size of the user's mouth and gives strength to
the set, to facilitate its use.
There are multiple mechanisms described for the
diagnosis and treatment of bruxism including, for example, US5490520,
DE102004043665, US5078153, US6270466, WO03059160, WO2005067833, WO2009013371,
WO2010023655, BRPI0604130, ES2313843, WO2008061328, US4995404, WO2004087258,
WO2006068896, but these systems are composed of electronic devices, which mean
a high cost, and limited in its use because of comfort, hygiene, complexity and
toxicity.
There are other monitoring devices, such as
EP1829932, WO03057097, US5911576, US3813781, US20010171136, that does not use
electronic devices, but it only identifies the erosion at a long term, not the
specific pressure exerted, so they are not able to identify any kind of
bruxism.
As opposed to what people think, bruxism is not a
behavioural disorder, but the result of a kinetic compensation process, present
because of diaphragm hyperactivity. This disorder is associated with levels of
stress, that alter the levels of gamma-aminobutyric acid (GABA), which causes
the diaphragm incapability to relax and the appearance of compensating forces
that condition the cervical, gastric and mandibular kinetic.
It is a pathological process, susceptible to
affect the whole population, regardless of age, gender or race, and it is
easily visible at a mandibular level because of a forced occlusion, which
generates strong compression forces between the teeth that deteriorate and
alter them, as well as the periodontal structures.
This fact is called bruxism, and it can be
centric (if the occlusion is aligned) o eccentric (cross-bite), which generates
a characteristic and perfectly audible squeak.
An early diagnosis can preserve damages
originated by this fact at a mandibular level as well as at cervical and
gastric levels, hence the importance of an early diagnosis, being bruxism the
most accessible indicator.
In most cases, bruxism starts during the
night-sleep, so unless it presents in its eccentric way (squeaking) and the
person suffering it sleeps accompanied, there is no possibility of early
diagnosis, as the person suffering it is not aware of what is happening as
he/she is sleeping.
The patient usually is aware of the process when
a series of changes occur, such as damaged structures or the appearance of
pain.
The invention consists of a pair of
rectangular convex structures, a pair of pressure controls and a connecting
filament.
The rectangular convex structures are
hollow inside and made of an adaptable polymer to fit the teeth that will be
inside during use.These structures have a longitudinal internal cavity, at the
lower part of the outer wall, through which slides a filament that serves as
junction between the structures and also to modify the space between them.
The pressure controls are on the top of the
convex structures, since this is where the teeth of the upper and lower jaw
meet during occlusion.
If during the use of the device, the user exerts
enough pressure on the pressure controls, they change their initial
configuration, so that it is visually notice able when the device is removed
from its location in the jaw. This change can be, for example, colour or form,
which will have the test considered positive demonstrating the existence of
bruxism.
If the user, however, does not exert the
necessary pressure, changes are not appreciated in the pressure controls and
the test will be considered negative.Therefore, there is no bruxism.
The pressure required to produce changes in the
initial configuration of the pressure controls, is predetermined and responds
to clinical criteria.
The filament joining the two convex
structures, allows to adjust the longitudinal separation between them to
suit any user, and they also strengthen the stability so that it does not alter
its position in the mouth, avoiding even to be accidentally ingested. This
filament stays, theoretically, by the inner face of the lower or upper lip,
depending on where the user wears the device, since it can be placed on the
lower or upper jaw interchangeably depending on the comfort of the user.
The advantages of this device, exclusively for
diagnosis, facing the aforementioned concepts, are substantial, as this
mechanism does not alter the course of sleep, does not require high costs for
production and development, thus lowers the final cost to the user, its use
does not need the guidance of a specialist, so that the patient can be
diagnosed quickly and easily, it can be placed in the upper or lower jaw,
depending on the needs or convenience of the user it is customizable,
adjustable, lightweight, safe, reliable, hygienic, since the deviceis discarded
after a single use and all its components are recyclable and safe for
health.
Although in some ways the most remarkable
advantage of this device is its easiness of use, since the user is the one who
must appreciate when he/she should be tested, as it is simple to access to in
any drug store or OTC, which together with its ease of use, lets the user know,
the next morning, if he/she is suffering from any kind of bruxism.
Moreover, in recent bruxism researches, it is
described as a disorder that can be temporary, chronic or relapsing because it
is associated to stress levels and, as these levels are not constant during the
life of an individual, it is very recommended to performa test when the patient
sees himself/herself under the influence of this, so the appropriate
therapeutic measures (splint mouthguard) are applied effectively, early and
only when needed.
The Figure 1 shows how this device is
consistent with the shape of a human jaw. So that we can see the joining
filament (1), connecting two convex structures (2) and (3), both designed to
cover the teeth, to be located on each side respectively. These structures (2)
and (3) have an internal cavity (4) in its outer wall, to keep inside part of
the filament (1) to use as a guide for the joining filament to slide, which
will adjust the space between the structures (2) and (3).This ability to vary
its length provides the device with a high degree of adaptation depending on
the characteristics of the user's jaw.
On each convex structure (2) and (3) is a structure
with the pressure control role (5), being in this place of the device where the
upper and lower teeth meet during the occlusion.
Considering the commented figure, it can be
observed how the device is composed of two elongated structures, convex and
hollow in its interior (2) and (3), so that the outside of these structures is
a smooth surface but the inside walls are slightly padded, all made of a light
and deformable polymer thereby to adapt perfectly around the teeth related to
the occlusion.
These structures (2) and (3) remain joined by a
filament (1), which is some kind of stainless steel, which provides stability
and safety to the device, to prevent possible maladjustment or swallowing part
of the device (2) or (3), while using the device allows it to adapt to the
length of the user's jaw, since the structures (2) and (3) have internal
cavities, which act as rails for the sliding of the filament (1).
Meanwhile, the pressure controls (5) which are
integrated on the top of each piece (2) and (3) have closed cavities inside
which house small capsules with a non-toxic red liquid, so that when the user
exerts at least a certain amount of pressure to break the capsules, the liquid
is released inside the closed cavities, which causes the red liquid to be
visible through the upper membrane of the pressure controls (5). This is
evidence of a pathologic occlusion called bruxism.
Claims (3)
- Disposable device for detecting any kind of bruxism, characterized by a pair of structures (2) and (3), on which are located pressure controls and a filament (1) which connects the structures (2) and (3), which are elongated, hollow, convex, coherent with the teeth that will stay inside and on which is located a pressure control (5), which changes the original structure visibly, when a determined pressure is exerted on it. All the pieces are attached by a filament (1).
- Device for the detection of any kind of bruxism, as described previously in claim 1, wherein the convex structures (2) and (3), have an inner cavity (4) through which slides the filament (1), to allow to vary the device dimensions depending on the user's needs.
- Device for the detection of any kind of bruxism, as described previously inclaim 1, characterized by the structures which function as controls (5), that change shape or color, by exerting pressure on them, so that this change let us appreciate the quantity of force exerted, up to a grade, by visual observation.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ES201200748A ES2439596B1 (en) | 2012-07-23 | 2012-07-23 | Disposable device to test the existence of bruxism |
| ESP201200748 | 2012-07-23 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO2014016204A1 true WO2014016204A1 (en) | 2014-01-30 |
Family
ID=49034053
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/EP2013/065259 WO2014016204A1 (en) | 2012-07-23 | 2013-07-19 | Disposable device for testing the existence of bruxism |
Country Status (2)
| Country | Link |
|---|---|
| ES (1) | ES2439596B1 (en) |
| WO (1) | WO2014016204A1 (en) |
Citations (20)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3813781A (en) | 1973-09-04 | 1974-06-04 | A Forgione | Bruxism monitoring device |
| US4995404A (en) | 1988-08-25 | 1991-02-26 | Nemir David C | Apparatus for treating bruxism |
| US5078153A (en) | 1989-03-16 | 1992-01-07 | Jeffrey Y. Nordlander | Method and apparatus for sensing and treating bruxism |
| US5490520A (en) | 1993-09-27 | 1996-02-13 | Schaefer Partnership | Dental applicance for treating bruxism |
| US5911576A (en) | 1997-01-15 | 1999-06-15 | Bruxcare, L.L.C. | Measurement device for quantifying the severity of bruxism |
| US6164278A (en) * | 1999-02-25 | 2000-12-26 | Nissani; Moti | Taste-based approach to the prevention of teeth clenching and grinding |
| US6270466B1 (en) | 1996-05-24 | 2001-08-07 | Bruxcare, L.L.C. | Bruxism biofeedback apparatus and method including acoustic transducer coupled closely to user's head bones |
| WO2003057097A1 (en) | 2002-01-11 | 2003-07-17 | Paul Carleton Carmichael | Anti-snoring and bruxism damage reduction device |
| WO2003059160A1 (en) | 2002-01-03 | 2003-07-24 | Israel Yerushalmy | Apparatus for treating bruxism |
| WO2004087258A1 (en) | 2003-04-01 | 2004-10-14 | Faramarz Jadidi | Method of and apparatus for monitoring of muscle activity |
| WO2005067833A1 (en) | 2004-01-13 | 2005-07-28 | Bruxtec B.V. | Device for preventing bruxism |
| DE102004043665A1 (en) | 2004-09-07 | 2006-03-09 | Steinbeis GmbH & Co. für Technologietransfer Zell-Chip-Technologien | Bite splint for diagnosis and treatment of Bruxism, has sensor for measuring mechanical data such as vibration and pressure in patient`s mouth, and telemetry unit transferring data to transmission unit |
| WO2006068896A2 (en) | 2004-12-22 | 2006-06-29 | X-L Synergy | Apparatus for body cavity telemetry |
| EP1829932A1 (en) | 2004-12-03 | 2007-09-05 | Rocky Mountain Morita Corporation | Bruxism evaluation sheet |
| BRPI0604130A (en) | 2006-09-26 | 2008-05-13 | Dirceu De Campos Valladar Neto | bruxism diagnostic system |
| WO2008061328A2 (en) | 2006-11-24 | 2008-05-29 | Marcelo Costa Bolzan | Parafunctional conditioning occlusal mouth guard |
| WO2009013371A1 (en) | 2007-07-25 | 2009-01-29 | Universidad Politécnica de Madrid | System for the detection and treatment of bruxism and other occlusal conditions |
| US20090159089A1 (en) * | 2007-12-21 | 2009-06-25 | Dentek Oral Care, Inc. | Low profile mouthguard |
| WO2010023655A1 (en) | 2008-08-25 | 2010-03-04 | Toam Shemesh | Apparatus for the diagnosis and treatment of bruxism |
| US20110171136A1 (en) | 2002-03-11 | 2011-07-14 | Poss Kirtland G | Optical imaging probes |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5836761A (en) * | 1996-08-05 | 1998-11-17 | Big Picture, Inc. | Adjustable customized dental appliance |
-
2012
- 2012-07-23 ES ES201200748A patent/ES2439596B1/en not_active Withdrawn - After Issue
-
2013
- 2013-07-19 WO PCT/EP2013/065259 patent/WO2014016204A1/en active Application Filing
Patent Citations (21)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3813781A (en) | 1973-09-04 | 1974-06-04 | A Forgione | Bruxism monitoring device |
| US4995404A (en) | 1988-08-25 | 1991-02-26 | Nemir David C | Apparatus for treating bruxism |
| US5078153A (en) | 1989-03-16 | 1992-01-07 | Jeffrey Y. Nordlander | Method and apparatus for sensing and treating bruxism |
| US5490520A (en) | 1993-09-27 | 1996-02-13 | Schaefer Partnership | Dental applicance for treating bruxism |
| US6270466B1 (en) | 1996-05-24 | 2001-08-07 | Bruxcare, L.L.C. | Bruxism biofeedback apparatus and method including acoustic transducer coupled closely to user's head bones |
| US5911576A (en) | 1997-01-15 | 1999-06-15 | Bruxcare, L.L.C. | Measurement device for quantifying the severity of bruxism |
| US6164278A (en) * | 1999-02-25 | 2000-12-26 | Nissani; Moti | Taste-based approach to the prevention of teeth clenching and grinding |
| WO2003059160A1 (en) | 2002-01-03 | 2003-07-24 | Israel Yerushalmy | Apparatus for treating bruxism |
| WO2003057097A1 (en) | 2002-01-11 | 2003-07-17 | Paul Carleton Carmichael | Anti-snoring and bruxism damage reduction device |
| US20110171136A1 (en) | 2002-03-11 | 2011-07-14 | Poss Kirtland G | Optical imaging probes |
| WO2004087258A1 (en) | 2003-04-01 | 2004-10-14 | Faramarz Jadidi | Method of and apparatus for monitoring of muscle activity |
| WO2005067833A1 (en) | 2004-01-13 | 2005-07-28 | Bruxtec B.V. | Device for preventing bruxism |
| DE102004043665A1 (en) | 2004-09-07 | 2006-03-09 | Steinbeis GmbH & Co. für Technologietransfer Zell-Chip-Technologien | Bite splint for diagnosis and treatment of Bruxism, has sensor for measuring mechanical data such as vibration and pressure in patient`s mouth, and telemetry unit transferring data to transmission unit |
| EP1829932A1 (en) | 2004-12-03 | 2007-09-05 | Rocky Mountain Morita Corporation | Bruxism evaluation sheet |
| WO2006068896A2 (en) | 2004-12-22 | 2006-06-29 | X-L Synergy | Apparatus for body cavity telemetry |
| BRPI0604130A (en) | 2006-09-26 | 2008-05-13 | Dirceu De Campos Valladar Neto | bruxism diagnostic system |
| WO2008061328A2 (en) | 2006-11-24 | 2008-05-29 | Marcelo Costa Bolzan | Parafunctional conditioning occlusal mouth guard |
| WO2009013371A1 (en) | 2007-07-25 | 2009-01-29 | Universidad Politécnica de Madrid | System for the detection and treatment of bruxism and other occlusal conditions |
| ES2313843A1 (en) | 2007-07-25 | 2009-03-01 | Universidad Politecnica De Madrid | System for the detection and treatment of bruxism and other occlusal conditions |
| US20090159089A1 (en) * | 2007-12-21 | 2009-06-25 | Dentek Oral Care, Inc. | Low profile mouthguard |
| WO2010023655A1 (en) | 2008-08-25 | 2010-03-04 | Toam Shemesh | Apparatus for the diagnosis and treatment of bruxism |
Also Published As
| Publication number | Publication date |
|---|---|
| ES2439596B1 (en) | 2014-10-28 |
| ES2439596A1 (en) | 2014-01-23 |
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