WO2014016641A1 - "improvements introduced in intraoral vibratory devices applied to bruxism treatment" - Google Patents

"improvements introduced in intraoral vibratory devices applied to bruxism treatment" Download PDF

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Publication number
WO2014016641A1
WO2014016641A1 PCT/IB2012/053745 IB2012053745W WO2014016641A1 WO 2014016641 A1 WO2014016641 A1 WO 2014016641A1 IB 2012053745 W IB2012053745 W IB 2012053745W WO 2014016641 A1 WO2014016641 A1 WO 2014016641A1
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WO
WIPO (PCT)
Prior art keywords
intraoral
vibratory
contact
devices applied
improvements introduced
Prior art date
Application number
PCT/IB2012/053745
Other languages
French (fr)
Inventor
Marcelo Costa Bolzan
Original Assignee
GERAS, Jorge, Avelino, Monteiro
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 GERAS, Jorge, Avelino, Monteiro filed Critical GERAS, Jorge, Avelino, Monteiro
Priority to PCT/IB2012/053745 priority Critical patent/WO2014016641A1/en
Publication of WO2014016641A1 publication Critical patent/WO2014016641A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/56Devices for preventing snoring
    • A61F5/566Intra-oral devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/56Devices for preventing snoring
    • A61F2005/563Anti-bruxisme

Definitions

  • the present patent of invention refers to improvements introduced in intraoral vibratory devices applied no bruxis treatment wherein, notably, said intraoral device comprises a capsule and a cap, which contain the vibratory micromotor electromechanical driving system, which on its turn, develops vibrating movements inhibiting the patient's parafunctionai movements.
  • Bruxism co sists of a parafunctionai and daily dysfunction where n involuntary, rhythmized and spasmodic movements allow teeth grinding or cle chi g, usually occur ing du ing sleep and, hen it is not diagnosed timely, may bring consequences to the masticatory system, temporomandibular disorders, such as temporomandibular arthritis , better known as "TMA", dental enamel wear, head and ears aches, among other inconveniences .
  • TMA temporomandibular disorders
  • causes for triggering bruxism are related to ps chological factors, such as, emotional stress, repressed aggression, anxiety, anger, fear, frustratio and stress, and the diagnosis is IB2012/053745
  • Said plates are removable oral appliances made of silicon or acrylic resin, which are applied between the maxilla and the jaw, and tney may be lower or upper ones, whose function includes mastication neuromuscular system stabilization, in order to create a mechanical disadvantage for paraf unctional forces.
  • said occlusal plate does not inhibit involuntary bruxism movements, working only as immediate correction.
  • Another existing way to minimize pain caused by bruxism consists of applying infrared wave laser, which is used for reducing muscular pain, imitating nervous impulses that generate muscles movement, promoting muscular relaxing y means of endorphin release, which is known for relaxing and 2 053745
  • the state-of-the-art discloses some documents related to intraoral appliances or devices developed for inhibiting bruxism.
  • One example is Brazilian patent PI 06G5444-7, for a pap function conditioning occlusal plate, comprising a device shaped as upper cr lower dental arcade, following the parameter used in dental trays, in-ended to condition patients carrying "bruxism syndrome", by means o f the bio-feedback technique, to not clench and/or grind teeth in stress moments, and while sleeping, the device is made of silicon or other resilient material, allowing its deformation when submitted to pressures by teeth antagonist to the material, and it is provided with sensors, control circuit, supplying battery and vibrating motors intended to produce vibration that is inconvenient whenever the user tries to grind the teeth.
  • the appliance comprises an upper acrylic plate where the following are installed: metallic braces, telescopic tubes and metal hooks, a lower acrylic plate -where metallic stems and me al hooks are installed, having the orthodontic piaster models molded according to the arcade of each patient .
  • MU 8502724-3 is for a mandibular motcr-protruding ring with temporizabie hydro-pneumatic driving, adaptable to jaw intraoral plates by power transmission mechanical action, by hydropneuma ic injection and/or ejection; wo units are interconnected b a connecting hose, namely, motor driving unit and motor transmitting unit, which input passive motion, progressive in advance and mandible receding, adjustable along time, allowing post- isometric tension muscular relaxing.
  • one objective of the present invention is to provide a vibratory intraoral device oo inhibit bruxism, composed by capsule and cap, which contains a vibratory micromotor electromechanical driving system, which, when driven by means of pressure, vibrates in such a way to cause one individual to be sensitized and interrupts the biting action or mandibular pressure.
  • the in raoral device is provided in two models, a right model and another left model, perfectly identical to each other, except for the inverse shape.
  • the right ana left models were developed to meet the functional requirements, as well as to allow its indust ⁇ 1 S _ 1 Z ⁇ tion within the standards ensuring standardized reproduction of their main characteristics by means of compatible manufacturing processes, also providing manufacturing costs ensuring the economical- inancial feasibility for manufacturing and commercialization.
  • Said electromechanical driving system is configured by a fixed contact and a moving contact, which, y means of a punctual electrical contact, work as a on / off switch for said vib atory micromotor, which, on its turn, is fed by electric batteries.
  • Said moving contact and fixed contact may be replaced wi t h other transduc i ng devices , micro electromechanical devices, sensors of the membrane ieyboard type or a piezoelectric type sensor.
  • Said capsule is made of injected thermoplastic or another appropriate material which meets the dimensional requirements and the physical- chemical properties required for application, i.e., or another material and by means of different conforming or milling processes industrially accepted, and said capsule is configured i a si gle piece and provides housings and seating means and adjustment of a pair of batteries, a vibratory micromotor, fixed contact and moving contact, in additxon to providing channels for application of adhesive resin for fixing the cap.
  • Pro i sion .o ousir. s ended to accommodate tht batteries positioning them in such a way to avoia contact between them and the possibility of a short-
  • Provision of housing for vibratory micromotor which ma y be a d -j uszed y means of slots provided on the hcus i g w3 ⁇ i s , Llowi c the transmission of the vibratory energy to he whole device and, consequently, to one patieno;
  • g he gu 1 a r shape of the capsule housings adapt to most ae: 1 arcades profiles, both upper and lo er, nd they may also occupy different positions along the respective arcades.
  • the cap on its turn, is also made of injected thermoplastic or another material appropriate to one manufacturing process meeting the dimensional requirements and the physical-chemical properties required by the application .
  • the cap raw materias may contain additives providing the component with a certain color, and said cap is conformed as a single piece nd has a peripheral shape ide tical to the peripheral shape of one capsule basis, and among the main advantages of said capsule there are :
  • Both the batteries and the vibrator y micromotor have low voltage and lew working amperage, avoiding any risk of causing a shock no one patient.
  • the fixed contact is preferably made by a stainless steel plate, and provides tears and holes allowing positioning in one capsule during the over-inj ection process or positioning in case of assembly after the injection process , by gluing or any other type of mechanical or chemical anchoring. Trapezoidal shape allows driving the device in several different points , by means of the wide area for punctual electrical contact.
  • T h e mov i n g contact. on its turn, os preferably made cf a stainless steel plate and provides a central cut allowing positioning and fixation of this component in the assembly process to the capsule. Fixation may be developed by means cf gluing, pressing of ultrasonic welding, in addition to providing semi- spherical relieves allowing punctual electrical contact ith the fixed contact.
  • the silicon compound After it is removed from the patient's mouth, the silicon compound will be polymerized with the device, forming a silicon mold of t e area where it will be later applied over the plaster model of said arcade. The excess silicon compound is removed from the undesired areas in the devices;
  • Left and right models are positioned in the piaster model, and they shall ta ke e same posi t ions determined in the device positioning on the patient's arcade;
  • a self -polymer izable acrylic resin is applied on the area comprised between the left model and the right model, forming a connection bridge between them, respecting the dental l mits and preventing invasion over soft tissues. Thereafter, the resin is applied on any occlusal surfaces not covered by the devices. The excess resin are removed while it is in the plastic phase, providing the shape that Peso adapts to the patient's arcade. The devices remain in the plaster model until complete resin polymerization, when they are removed, configuring the plate;
  • the silicon molds are removed from the devices cental ne a in the plate, filling the spaces ith the same se 1 f -pol yme r i zabi e acrylic resin used before;
  • the plate is repositioned in the piaster model, suffering pressure until the devices take the same positions previously defined in the patient's arcade.
  • the plate remains m the plaster model until complete polymerization of the acrylic resin;
  • the plate is submitted to a finishing process using metallic milling machines to relief the excess resin on undesirable areas, and also to provide to s u r face s with any contact with soft tissues w ith polished finishing .
  • Final finishing is pe formed by means of rubbers and emery papers over the external surface of the polymerized resin. During the finishing process caps and capsules milling s all be avoided, ror both devices, keeping their airtight: assembly intact; and
  • the plate is tested on the pa ient's arcade, by observing the perfect driving cf devices on both sides, and checking the need of any adjustment for better adaptation of them to the patient, providing them with the best comfort possible.
  • the procedures are the following: i .
  • the dentist performs the procedures to obtain the piaster model of the upper and lower patient arcade; i.
  • the dentist makes the bite recording in wax;
  • the dentist de elo s one spatia 1 recordi ng of the occlusal plan with the facial arch;
  • the dentist assembles the plaster models in the articulator reproducing the patient's bite and sends it to the prosthetics;
  • the prosthetics performs tne positioning of left model and right model devices over the chosen arcade, choosing the upper one or the lower one;
  • v. Tne prosthetics ositions the devices individually along the patient chosen arcade, prioritizing the positron favoring the best starting of the cn/off electromechanical switch, considering th t the teeth cuspids ends shall rr.eet the internal occlusal surface of the device. T e central rea of the electromechanical switch shall be avoided concerning teeth contact, mainly before the moment in which the vibratory micromotor component driving occurs ;
  • the prosthetic After the positioning of the intraoral device in the plaster model in the patient's arcade, the prosthetic makes the support for the devices in self -polymer izabie acrylic resin, and he may choose among the following procedures :
  • a selr-poiyraerizabie acrylic resin is applied in the area comprised between the left model and the right model, orming a connecting bridge between them, observing the dental limits and preventing the invasion over soft tissues.
  • resin is applied to an occlusal surfaces ot covered by the de ices. he excess resin is removed while it is in the plastic phase, giving the shape that best adapts to the patient's arcade plaster model .
  • the devices remain in the plaster model until complete resin polymerization, when they are removed, configuring the plate.
  • the prosthetic makes, in wax, the bridge and the ends of tne supporting plate to said devices;
  • one prosthetic includes the whole set in a metallic muffle filled witn previously insulated plaster
  • the prosthetic After pressing the plaster, the prosthetic removes , with heated water, the wax and the silicon from the plaster model with the devices included in it;
  • the prosthetic fills the space left by the wax and the silicon with thermo-polymerizable resin, and closes the muffle with pressure. Its polymerization shall be made under heat;
  • the prosthetic After the polymerization time, the prosthetic opens the muffle and performs plate finishing .
  • Another procedure used for installing the device comprises positioning the product directly on a pre-moided intraoral plate, which procedure simplifies all procedures, due to the following factors :
  • the intraoral plate has several sizes and shapes models .
  • the dentist only has to choose the one that best adapts to the patient's arcade;
  • the intraoral plate enables customized adjustment of the "boil and bite" type to ohe patient's arcade; iv.
  • the time for intraoral plate adjustment is considerably lower than the ether methods /
  • the application of the intraoral plate does not require complementary materials usee in tne otner methods ;
  • Said vibratory intraoral device may be assembled on several types of dental appliances made of resins, plastics, metals, silicons or other biocompatible supporting materials, by following the procedures and positioning methods, and said appliances may be of the palatine plate type, Hawley's plate, Bicnatcr appliance, Planas' appliances, appliances for snoring, appliances for apnea, palatine cutout, bruxism plates, etc.
  • Figu es 1 and 2 represent exploded perspective views of the elements composing the vibratory intraoral device
  • Figure 5 sho s a perspective view of the assembled device
  • Figures 6 and 7 show one device lower and upper views
  • Figure 8 represents a sectional view of tne device indicated m Figure 7;
  • Figures 9 and 10 show cross- sectional views of the device indicated in Figure 7, illustra ing the devices starting by means of the punctual electrical contact;
  • Figures 11 and 12 sho perspective views of a protecting cover model applied to the T IB2012/053745
  • the present invention relates to "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY DEVICES APPLIED TO ERUXISM TREATMENT" , more precisely an intraoral device (1) developing vibratory movements that inhibit: the patient's para functional movement s .
  • said intraoral device (1) is composed of a capsule (2) and a cap (3) , which contain the vibratory micromotor (MV) electromechanical driving system (SAE) , said electromechanical driving system (SAE) being configured by a pair of contacts composed of a fixed laminar contact (4; , arranged on the capsule surface (2 ) and a flexible moving laminar contact ⁇ 5 ) ccplanary to the fixed contact (4) , however, kept slightly away, susceptible to being pressed by the patient bite over t he f i x e c contact ( ) , configuring the punctual electric contact (CPE) (figures 9 and 10) .
  • MV vibratory micromotor
  • SAE vibratory micromotor
  • Said capsule (2) is made of injected thermoplas ic or another appropriate material, and is configured as a single piece and composed of an oblong bag (2A; with a "Li" section, from whose upper side edge (2b) a rim (2c) develops, provided with a central depression (2d; for assembling said fixed contact (4) by means of the over- inj eciion process or another appropriate one, m addition to providing a peripheral channel ( 2 e ) with preferably semicircular section for application of adhesive resin (RA) or of another appropriate product allowing the cap fixation (3 ) .
  • RA adhesive resin
  • the central depression (2d) provides an electrical insulator (IS) comprising a basis (2f) developing from the depression peripheral edges (2d) , establishing spacing (x) for assembling the fixed contact (4) ; from ils oasis per tace ( 2 f ) a pair c projecti ons ( 2g ) develops, for fixing the moving contact (5) .
  • IS electrical insulator
  • Said bag (2A) has reduced width (y) and side walls ( 2 h ) with angularit ( ) to adapt to any shape of dental arcade, and the internal bag portion (2A ) is divided in three oarts bv means of vertical ils ( i i ) and ⁇ projection ⁇ 2 j ) , establishing individual c ibs h) , ( ⁇ 2) and (3 ⁇ 3 ) for accommodating batteries ( 6) and vibratory micromotor (MV) , and the internal faces of the cribs ⁇ ⁇ ) and (BE:,) provide depressions (21 ⁇ establishing drawers (GV) for assembling the conducting plates (7) , while the i ternal face of the crib wall (BE;,) has slots (2m) for appropriate adaptation and positioning of the vibratory micromotor (MV) .
  • the cap (3; has peripheral shape identical to the peripheral edge (2c' ) association shape of said rim (2c) and peripheral edge (2 ⁇ ' ) of bag 2A ) , allowing integral protection of internal components; said cap (3) is configured as a single piece and is made also, of ther m oplastic . If provides bulged deformation (3a) wit trapezoidal shape for accommodating the moving contact (5) , as well as its flexibility during tensions applied by the patient's teeth .
  • a peripheral channel is provided (3b) , with a preferably semicircular section where the adhesive resin is applied, which, when aligned to the peripheral channel (2e) of the capsule (2) promotes the connection of the components, configuring an airtight set.
  • the process to mount the cap (3) on the capsule (2) comprises the use of any other indus rial processes , such as, heating, ultrasonic weld, high frequency weld, by interference or by friction.
  • Both the fixed contact ⁇ ⁇ and che moving contact ;5) are configured by metallic and laminar plates (4A) and (5A) , with preferably trapezoidal shape, whose area (A) provides device (1) driving in several bite points (P ) , and each plate (4A) and (5A) is made preferably of stainless steel, but they do not exclude the building in another type of steel or material of the bronze, brass, copper type and the like, and they may be replaced with other transducing devices, electromechanical microdevices , keyboard type sensor or a piezoelectric type sensor .
  • Said vibratory intraoral device (1) provides right model and left model, and may be assembled on several types of denial appliances, such as palatine plate, Hawley ' s plate, Sionator appliance, ? 1 a n a s ' appliances, appliances for snoring, appliances for apnea, palati e cutout, bruxism plates, etc . , and for better de ices ( 1 ⁇ adapt tion to an intraoral plate, a protecting cover is provided in a single piece whose basis (8a) has different shapes and size for adapting the several intraoral plate models.
  • denial appliances such as palatine plate, Hawley ' s plate, Sionator appliance, ? 1 a n a s ' appliances, appliances for snoring, appliances for apnea, palati e cutout, bruxism plates, etc .
  • a protecting cover is provided in a single piece whose basis (8a) has different shapes and size for adapting the

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Abstract

Improvements introduced in intraoral vibratory devices applied to bruxism treatment, mere precisely an intraoral device (1) to develop vibratory movements that inhibit the patient's parafunctional movements; said intraoral device (1) is composed of a capsule (2) and a cap (3), which contain the vibratory micromotor (MV) electromechanical driving system (SAE); said electromechanical driving system (SAE) being configured by a pair of contacts composed of a fixed laminar contact (4), arranged on the capsule surface (2) and a flexible moving laminar contact (5) coplanary to the fixed contact (4), however, kept slightly away, susceptible to being pressed by the patient bite over the fixed contact (4), configuring the punctual electric contact (CPE); the positioning of fixed (4) and flexible moving (5) laminar contacts work on the on/off control switching (CH) of said vibratory micromotor (MV), which, on its turn, is powered by one or more electrical batteries (6) by means of conducting plates (7) and conducting wires (7a) of the electromechanical driving system (SAE).

Description

" IMPROVEMENT S INTRODUCED IN INTRAORAL VIBRATORY DEVI CE S APPL I ED TO BRUX I SM TREATMEN " .
APPLICATION FIELD
The present patent of invention refers to improvements introduced in intraoral vibratory devices applied no bruxis treatment wherein, notably, said intraoral device comprises a capsule and a cap, which contain the vibratory micromotor electromechanical driving system, which on its turn, develops vibrating movements inhibiting the patient's parafunctionai movements.
BACKGRGuN F OF THE ART
Bruxism co sists of a parafunctionai and daily dysfunction where n involuntary, rhythmized and spasmodic movements allow teeth grinding or cle chi g, usually occur ing du ing sleep and, hen it is not diagnosed timely, may bring consequences to the masticatory system, temporomandibular disorders, such as temporomandibular arthritis , better known as "TMA", dental enamel wear, head and ears aches, among other inconveniences .
In general, causes for triggering bruxism are related to ps chological factors, such as, emotional stress, repressed aggression, anxiety, anger, fear, frustratio and stress, and the diagnosis is IB2012/053745
2
usually made after said conseouences manifest.
Currently there are several types of t eatment by means of using inter occlusal plates associated to relaxing therapies, ana said plates reduce night muscular activities, in addition to protecting teeth from wearing caused by the habit.
Said plates are removable oral appliances made of silicon or acrylic resin, which are applied between the maxilla and the jaw, and tney may be lower or upper ones, whose function includes mastication neuromuscular system stabilization, in order to create a mechanical disadvantage for paraf unctional forces.
Despite the advantages obtained with said occlusal plate by obtaining a harmonic relationship between the mastication muscles, temporomandibular articulation and the teeth, said plate does not inhibit involuntary bruxism movements, working only as immediate correction.
Another existing way to minimize pain caused by bruxism consists of applying infrared wave laser, which is used for reducing muscular pain, imitating nervous impulses that generate muscles movement, promoting muscular relaxing y means of endorphin release, which is known for relaxing and 2 053745
3
calming down .
STATE OF THE ART ANALYSIS
The state-of-the-art discloses some documents related to intraoral appliances or devices developed for inhibiting bruxism. One example is Brazilian patent PI 06G5444-7, for a pap function conditioning occlusal plate, comprising a device shaped as upper cr lower dental arcade, following the parameter used in dental trays, in-ended to condition patients carrying "bruxism syndrome", by means o f the bio-feedback technique, to not clench and/or grind teeth in stress moments, and while sleeping, the device is made of silicon or other resilient material, allowing its deformation when submitted to pressures by teeth antagonist to the material, and it is provided with sensors, control circuit, supplying battery and vibrating motors intended to produce vibration that is inconvenient whenever the user tries to grind the teeth. All said components are embedded in the plate material, which, for being insulating, prevents any risk of shock for the patient . The document, as it was filed, does not disclose the appliance constructive solution and neither provides application ways and methods that might subside better understanding, wo r king only as a literary reference . IB2012/053745
4
Another document found, no. PI 0801033-1 is foi an intrabuccal appliance for treating sleep and respiratory disorders that applies to orthodontics and facial orthopedics in patients with chronic respiratory disorders problems . The appliance comprises an upper acrylic plate where the following are installed: metallic braces, telescopic tubes and metal hooks, a lower acrylic plate -where metallic stems and me al hooks are installed, having the orthodontic piaster models molded according to the arcade of each patient .
Another document found, no. MU 8502724-3 is for a mandibular motcr-protruding ring with temporizabie hydro-pneumatic driving, adaptable to jaw intraoral plates by power transmission mechanical action, by hydropneuma ic injection and/or ejection; wo units are interconnected b a connecting hose, namely, motor driving unit and motor transmitting unit, which input passive motion, progressive in advance and mandible receding, adjustable along time, allowing post- isometric tension muscular relaxing.
Other products, belonging to the same application field of the obj ect in question, may be viewed on documents US 20100147315, US 20030125661, US 20060021622 ana US 20110030704, which work for understanding the existing problems and seme technical solutions, although different from one ones provided in the present invention.
BRIEF DESCRIPTION OF THE INVEN ION
Considering everything that has been exposed, one objective of the present invention is to provide a vibratory intraoral device oo inhibit bruxism, composed by capsule and cap, which contains a vibratory micromotor electromechanical driving system, which, when driven by means of pressure, vibrates in such a way to cause one individual to be sensitized and interrupts the biting action or mandibular pressure. The in raoral device is provided in two models, a right model and another left model, perfectly identical to each other, except for the inverse shape.
The right ana left models were developed to meet the functional requirements, as well as to allow its indust Γ 1 S _ 1 Z σ tion within the standards ensuring standardized reproduction of their main characteristics by means of compatible manufacturing processes, also providing manufacturing costs ensuring the economical- inancial feasibility for manufacturing and commercialization.
Said electromechanical driving system is configured by a fixed contact and a moving contact, which, y means of a punctual electrical contact, work as a on / off switch for said vib atory micromotor, which, on its turn, is fed by electric batteries. Said moving contact and fixed contact may be replaced wi t h other transduc i ng devices , micro electromechanical devices, sensors of the membrane ieyboard type or a piezoelectric type sensor.
Said capsule is made of injected thermoplastic or another appropriate material which meets the dimensional requirements and the physical- chemical properties required for application, i.e., or another material and by means of different conforming or milling processes industrially accepted, and said capsule is configured i a si gle piece and provides housings and seating means and adjustment of a pair of batteries, a vibratory micromotor, fixed contact and moving contact, in additxon to providing channels for application of adhesive resin for fixing the cap.
The main advantages of said capsule are:
a) Electrical insulation of internal components, in addition to resistance to liquid solutions, keeping the integrity of the moving contact;
b) Anatomical shape providing more comfort and less trauma durinq the device adaptation to the tissues on .nternai wall of the cheek mucosa;
:) Pro i sion .o ousir. s : ended to accommodate tht batteries positioning them in such a way to avoia contact between them and the possibility of a short-
) Provision of housing for vibratory micromotor, which ma y be a d -j uszed y means of slots provided on the hcus i g w3 ± i s , Llowi c the transmission of the vibratory energy to he whole device and, consequently, to one patieno;
) Fitting dimensioned to house the moving contact component, ensuring the proper positioning and also ion, wh ch may be developed by means ot gluing, pressing or ult asonic elding,
f ) Depressions provided on the internal batteries housing walls to assemble the conducting plates, which are composed of stainless steel or other materials with similar electrical properties, ensuring perfect assembly of batteries and vibratory micromotor, ensuring the electrical circuit works and preventing the occurrence of any type of short circuit ; and
g he gu 1 a r shape of the capsule housings adapt to most ae: 1 arcades profiles, both upper and lo er, nd they may also occupy different positions along the respective arcades.
The cap, on its turn, is also made of injected thermoplastic or another material appropriate to one manufacturing process meeting the dimensional requirements and the physical-chemical properties required by the application . The cap raw materias may contain additives providing the component with a certain color, and said cap is conformed as a single piece nd has a peripheral shape ide tical to the peripheral shape of one capsule basis, and among the main advantages of said capsule there are :
a ) Rounding of the edges, providing more comfort against the i ternal mouth tissues;
b) Peripheral channels practiced on the internal surface for adhesive resin application during the capsule assembly process;
c) Housing for accommodating the moving contact , allowing its flexion when the on/off electromechanical switch is driven; and
d) Moving contact housing basis with thickness dimensioned to suffer possible elastic deformations when submitted to mechanical efforts originating from the driving of the on/'cff electromechanical switch, in addition to supporting the breaking and shearing stress generated by the contact wi h teeth surfaces .
Both the batteries and the vibrator y micromotor have low voltage and lew working amperage, avoiding any risk of causing a shock no one patient.
The fixed contact is preferably made by a stainless steel plate, and provides tears and holes allowing positioning in one capsule during the over-inj ection process or positioning in case of assembly after the injection process , by gluing or any other type of mechanical or chemical anchoring. Trapezoidal shape allows driving the device in several different points , by means of the wide area for punctual electrical contact.
T h e mov i n g contact., on its turn, os preferably made cf a stainless steel plate and provides a central cut allowing positioning and fixation of this component in the assembly process to the capsule. Fixation may be developed by means cf gluing, pressing of ultrasonic welding, in addition to providing semi- spherical relieves allowing punctual electrical contact ith the fixed contact.
For better understanding, please find below the procedures allowing the dental surgeon to position t e i n traoral device in the patient arcade without tne need of the participation of specialized 053745
10
prosthe x c s :
i. Definition of the application on the upper arcade or lower arcade of one patient, observing the teeth anatomy, the on/off electromechanical switch starting and the adaptation of the device to the patient, causing the best comfort possible curing its use;
ii , Molding of one determined arcade performing the procedures to obtain the plaster model of the respective arcade, and the plaster model will have an insulator for acrylic resins applied along the whole molded surface of the patient arcade, including the soft tissues molded surfaces;
iii. Preparation of tne left model and right model, individually, in order to define the positions along the chosen arcade, applying on the internal area of the devices a universal adhesive for tray
iv. Preparation of a silicon-based compound having a catalyst starting the polymerization process of said compound, and after the preparation the compound is applied throughout the area formed by surfaces on which the universal adhesive for tray was applied, and the amount shall be enough to involve the whole area to be molded;
v. Positioning of left and right devices individually along the determined patient arcade, prioritizing the 2053745
11
position to favor the best actuation of the cn/off electromechanical switch of the device, considering that the teeth cuspids ends shall meet the internal occlusal surface of the device, and the central area of the electromechanical switch shall be avoided concerning teeth contact, mainly before the moment when the vibratory micromotor component driving occurs;
vi . After the positioning the patient shall close the mouth and clench the teeth hard enough to drive the electromechanical switch, promoting the vibratory micromotor starting, and this condition gees on until the silicon compound polymerization occurs, when it will be removed from the patient's mouth;
vii . After it is removed from the patient's mouth, the silicon compound will be polymerized with the device, forming a silicon mold of t e area where it will be later applied over the plaster model of said arcade. The excess silicon compound is removed from the undesired areas in the devices;
viii . Left and right models are positioned in the piaster model, and they shall ta ke e same posi t ions determined in the device positioning on the patient's arcade;
ix . After positioning the devices in the plaster model, a self -polymer izable acrylic resin is applied on the area comprised between the left model and the right model, forming a connection bridge between them, respecting the dental l mits and preventing invasion over soft tissues. Thereafter, the resin is applied on any occlusal surfaces not covered by the devices. The excess resin are removed while it is in the plastic phase, providing the shape that Peso adapts to the patient's arcade. The devices remain in the plaster model until complete resin polymerization, when they are removed, configuring the plate;
x. The silicon molds are removed from the devices cental ne a in the plate, filling the spaces ith the same se 1 f -pol yme r i zabi e acrylic resin used before;
xi . The plate is repositioned in the piaster model, suffering pressure until the devices take the same positions previously defined in the patient's arcade. The plate remains m the plaster model until complete polymerization of the acrylic resin;
xii. The plate is submitted to a finishing process using metallic milling machines to relief the excess resin on undesirable areas, and also to provide to s u r face s with any contact with soft tissues w ith polished finishing . Final finishing is pe formed by means of rubbers and emery papers over the external surface of the polymerized resin. During the finishing process caps and capsules milling s all be avoided, ror both devices, keeping their airtight: assembly intact; and
xiii . The plate is tested on the pa ient's arcade, by observing the perfect driving cf devices on both sides, and checking the need of any adjustment for better adaptation of them to the patient, providing them with the best comfort possible.
On the other hand, in case the surgeon needs the participation of specialized prosthetics, more precisely for positioning the intraoral device in the plaster model of the patient's arcade plaster model, the procedures are the following: i . The dentist performs the procedures to obtain the piaster model of the upper and lower patient arcade; i. The dentist makes the bite recording in wax;
ii . The dentist de elo s one spatia 1 recordi ng of the occlusal plan with the facial arch;
iii , The dentist assembles the plaster models in the articulator reproducing the patient's bite and sends it to the prosthetics;
i . The prosthetics performs tne positioning of left model and right model devices over the chosen arcade, choosing the upper one or the lower one;
v. Tne prosthetics ositions the devices individually along the patient chosen arcade, prioritizing the positron favoring the best starting of the cn/off electromechanical switch, considering th t the teeth cuspids ends shall rr.eet the internal occlusal surface of the device. T e central rea of the electromechanical switch shall be avoided concerning teeth contact, mainly before the moment in which the vibratory micromotor component driving occurs ;
After the positioning of the intraoral device in the plaster model in the patient's arcade, the prosthetic makes the support for the devices in self -polymer izabie acrylic resin, and he may choose among the following procedures :
• Method A:
After positioning the devices in the plaster model, a selr-poiyraerizabie acrylic resin is applied in the area comprised between the left model and the right model, orming a connecting bridge between them, observing the dental limits and preventing the invasion over soft tissues. Thereafte , resin is applied to an occlusal surfaces ot covered by the de ices. he excess resin is removed while it is in the plastic phase, giving the shape that best adapts to the patient's arcade plaster model . The devices remain in the plaster model until complete resin polymerization, when they are removed, configuring the plate.
• Method 3:
ith the devices already positioned in the piaster .T.odeJ , the prosthetic makes, in wax, the bridge and the ends of tne supporting plate to said devices;
- Wi h the wax place containing the devices over the plaster model, one prosthetic includes the whole set in a metallic muffle filled witn previously insulated plaster;
- After pressing the plaster, the prosthetic removes , with heated water, the wax and the silicon from the plaster model with the devices included in it;
- The prosthetic fills the space left by the wax and the silicon with thermo-polymerizable resin, and closes the muffle with pressure. Its polymerization shall be made under heat;
After the polymerization time, the prosthetic opens the muffle and performs plate finishing .
Another procedure used for installing the device, performed only by tne dental surgeon, comprises positioning the product directly on a pre-moided intraoral plate, which procedure simplifies all procedures, due to the following factors :
i . Left model and right model devices are already 12053745
16
contained in the intraorai plate;
ii. The intraoral plate has several sizes and shapes models . The dentist; only has to choose the one that best adapts to the patient's arcade;
iii. The intraoral plate enables customized adjustment of the "boil and bite" type to ohe patient's arcade; iv. The time for intraoral plate adjustment is considerably lower than the ether methods /
. The application of the intraoral plate does not require complementary materials usee in tne otner methods ;
vi . Procedures for intraoral plate application and ad ustment are considerably simpler than the other methods, reducing the possibilities of mistakes and devices damaging.
Said vibratory intraoral device may be assembled on several types of dental appliances made of resins, plastics, metals, silicons or other biocompatible supporting materials, by following the procedures and positioning methods, and said appliances may be of the palatine plate type, Hawley's plate, Bicnatcr appliance, Planas' appliances, appliances for snoring, appliances for apnea, palatine cutout, bruxism plates, etc.
DESCRIPTION OF HE DRAWINGS 5
17
To complement the present description in such a way to coram a better understanding of the characteristics of the present invention, ana according to a preferred practical embodiment of it, the description is accompanied by an appended set of drawings , wherein, in an exa pling but not limiting way, its operation was represented:
Figu es 1 and 2 represent exploded perspective views of the elements composing the vibratory intraoral device;
Figures 3 a d 4 s ow perspective views of the assembled vibratory micromotor electromechanical driving;
Figure 5 sho s a perspective view of the assembled device;
Figures 6 and 7 show one device lower and upper views;
Figure 8 represents a sectional view of tne device indicated m Figure 7;
Figures 9 and 10 show cross- sectional views of the device indicated in Figure 7, illustra ing the devices starting by means of the punctual electrical contact; and
Figures 11 and 12 sho perspective views of a protecting cover model applied to the T IB2012/053745
18
intraoral plate along wit. h the vibratory devices .
DETAILED DESCRIPTION OF TEE INVENTION
With reference to the drawings , the present invention relates to "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY DEVICES APPLIED TO ERUXISM TREATMENT" , more precisely an intraoral device (1) developing vibratory movements that inhibit: the patient's para functional movement s .
According to the present invention, said intraoral device (1) is composed of a capsule (2) and a cap (3) , which contain the vibratory micromotor (MV) electromechanical driving system (SAE) , said electromechanical driving system (SAE) being configured by a pair of contacts composed of a fixed laminar contact (4; , arranged on the capsule surface (2 ) and a flexible moving laminar contact { 5 ) ccplanary to the fixed contact (4) , however, kept slightly away, susceptible to being pressed by the patient bite over t he f i x e c contact ( ) , configuring the punctual electric contact (CPE) (figures 9 and 10) . The positio ing of fixed (4) and flexible moving (5) laminar contacts work on the on/off control switching (CH)of said vioratory micromotor (MV) , which, on its turn, is cowered by one or more electrical catteries (6) by means of conducting plates (7) and conducting 12 053745
19
wires the electromechanical driving system
1 Ah, ) .
Said capsule (2) is made of injected thermoplas ic or another appropriate material, and is configured as a single piece and composed of an oblong bag (2A; with a "Li" section, from whose upper side edge (2b) a rim (2c) develops, provided with a central depression (2d; for assembling said fixed contact (4) by means of the over- inj eciion process or another appropriate one, m addition to providing a peripheral channel ( 2 e ) with preferably semicircular section for application of adhesive resin (RA) or of another appropriate product allowing the cap fixation (3 ) . The central depression (2d) provides an electrical insulator (IS) comprising a basis (2f) developing from the depression peripheral edges (2d) , establishing spacing (x) for assembling the fixed contact (4) ; from ils oasis per tace ( 2 f ) a pair c projecti ons ( 2g ) develops, for fixing the moving contact (5) .
Said bag (2A) has reduced width (y) and side walls ( 2 h ) with angularit ( ) to adapt to any shape of dental arcade, and the internal bag portion (2A) is divided in three oarts bv means of vertical ils ( i i ) and < projection ί 2 j ) , establishing individual c ibs h) , (ΒΞ2) and (3Ξ3) for accommodating batteries ( 6) and vibratory micromotor (MV) , and the internal faces of the cribs {ΒΞΧ) and (BE:,) provide depressions (21 } establishing drawers (GV) for assembling the conducting plates (7) , while the i ternal face of the crib wall (BE;,) has slots (2m) for appropriate adaptation and positioning of the vibratory micromotor (MV) .
The cap (3; has peripheral shape identical to the peripheral edge (2c' ) association shape of said rim (2c) and peripheral edge (2Α' ) of bag 2A ) , allowing integral protection of internal components; said cap (3) is configured as a single piece and is made also, of thermoplastic . If provides bulged deformation (3a) wit trapezoidal shape for accommodating the moving contact (5) , as well as its flexibility during tensions applied by the patient's teeth .
On the lower face of the cap (3) , a peripheral channel is provided (3b) , with a preferably semicircular section where the adhesive resin is applied, which, when aligned to the peripheral channel (2e) of the capsule (2) promotes the connection of the components, configuring an airtight set.
The process to mount the cap (3) on the capsule (2) comprises the use of any other indus rial processes , such as, heating, ultrasonic weld, high frequency weld, by interference or by friction.
Both the fixed contact { } and che moving contact ;5) are configured by metallic and laminar plates (4A) and (5A) , with preferably trapezoidal shape, whose area (A) provides device (1) driving in several bite points (P ) , and each plate (4A) and (5A) is made preferably of stainless steel, but they do not exclude the building in another type of steel or material of the bronze, brass, copper type and the like, and they may be replaced with other transducing devices, electromechanical microdevices , keyboard type sensor or a piezoelectric type sensor .
Af er the assembly of the batteries (6; and vibratory micromotor (MV) in the capsule (2 } , an adhesive resin (RA; to insulate the components, while the moving contact (5) assembly on the projections (2g) on the base (2f ) , associated to plate (5A) angularity ίβ! , promotes distancing (W) between the lowe surface (5b) and the upper surface (4b) of fixed contact (4) , and said lower face (5b) has at least three semi -spherical projections (5c) promoting the punctual eleccrical conface ( C ? E ) .
Said vibratory intraoral device (1) provides right model and left model, and may be assembled on several types of denial appliances, such as palatine plate, Hawley ' s plate, Sionator appliance, ? 1 a n a s ' appliances, appliances for snoring, appliances for apnea, palati e cutout, bruxism plates, etc . , and for better de ices ( 1 } adapt tion to an intraoral plate, a protecting cover is provided in a single piece whose basis (8a) has different shapes and size for adapting the several intraoral plate models.
It is clear that when the present invention is put into practice, changes may be introduced concerning certain construction and shape details, without departing from the fundamental principles clearly substantiated in one claims, being thus understood that the terminology used had a non- limiting purpose.

Claims

la) "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY
DEVICES APPLIED TO BRUXISM TREATMENT" , more precisely an intraoral device (1) to develop vibratory movements that inhibit the patient's parafunctional movements; characterized i that the intraoral device (1) is composed of a capsule (2) and a cap {3} , which contain the vibratory micromotor (MV) electromechanical driving system ; SAE ) ; said electromechanical driving system (SAE) being configured by a pair of contacts composed of a fixed laminar contact (4) , arranged on the capsule surface · 2 ) and a flexible moving laminar contact (5) coplanary to the fixed contact (4) , however, kept slightly away, susceptible tc being pressed by the patient bite ever the fixed contact ( 4 ) , configuring the punctual electric contact (CPE) ; the positioning of fixed (4) and flexible moving (5) laminar contacts work on the on/off control switching (CH) of said vibratory micromotor (MV) , which, on its turn, is powered by one or more electrical batteries (6) by means of conducting plates ; 7 ) ana conducting wires ( 7a) of the electromechanical driving system { SAE) .
2 "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY DEVICES APPLIED TO BRUXISM TREATMENT" , according to the pre ious claim, characterized in that the capsule (2) is configured as a single piece and composed of an oblong bag (2A) with a WU" section, from whose upper side edge (2b) a rim
(2c) develops, provided with a central depression (2a) for assembling said fixed contact (4) by means of the over- inject ion process or another appropriate one, in addition to providing a peripheral channel (2e) with preferably semicircular section for application of adhesive resin (RA) or of another appropriate product allowing the cap fixation (3) ; the central depression
(2d; provides an electrical insulator (IS) comprising a basis (2f; developing from t e depression peripheral edges (2d) , establishing spacing ;'x) for assembling the fixed contact { ) ; f om the basis upper face (2f ) a
Da i r projections ( 2 g ) develops, for fixing the movmo contact said, bag (2A) has reduced width (y) ana si h ) with angularity (a) to adapt to any shape of dental arcade, and the internal bag portion (2A) is divided in three parts by means of vertical walls (2i) and arch projection (2 j ) , establishing individual cribs (BEi) , (BE2) and (BE3) for accommodating batteries (6) and vibratory micromotor (MV) , and the internal faces of the cribs (ΒΕχ) and (3E2 ) provide depressions (21) establishing drawers (Gv; for' assembling the conducting plates (7) , while the internal face of the crib wall (BE3) has slots (2m) for appropriate adaptation and positioning of the vibratory micromotor (MV) .
3a ) " IMPROVEMENT S INTRODUCED IN INTRAORAL VIBRATORY
DEVICES APPLIED TO BRUX I SM TREATMENT" , according to the previous claiir.s, characterized in that the capsule (2) is made of injected thermoplastic or another appropriate material which meets the dimensional requirements and t e physical -chemical properties required for application, i.e., or another material and b means of different conforming or milling processes industrially accepted, and said capsule is configured as a single piece ana provides housings and seating means and adjustment of a pair of batteries, a vibratory micromotor, fixed contact and moving contact, in addi ion to providing channels for application of adhesive resin for fixing the cap.
4a) "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY DEVICES APPLIED TO BRUXISM TREATMEN " , according to claim 1, characterized in that the cap (3) has peripheral shape identical to the peripheral edge (2c' ) association shape of said rim (2c) and peripheral edge (2Α' ) of bag (2A) ; said cap (3) is configured as a single piece and provides bulged deformation (3a) with trapezoidal shape for accommodating the moving contact (5; : on trie lower face of the cap (3) , a peripheral channel is provided ( 3b) , with preferably semicircular section .
5a; " IMPROVEMEN S INTRODUCED IN INTRAORAL VIBRATORY DEVICES APPLIED TO BRUXISM TREATMENT" , according to claims 1 and 3, characterized in that the cap (3) is made of thermoplastic .
6a) "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY
DEVICES APPLIED TO BRUXISM TREATMEN " , according to claim 1, characterized in that the fixed contact (4) and the moving contact (5; are configured by metallic and laminar plates (4A) e (5A) , with preferably trapezoidal shape, whose area (A) provides device (1) driving in several bite points ( PM) .
7 a ! "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY DEVICES APPLIED TO BRUXISM TREATMENT" , according to claims 2 and 5, characterized in that each plate (4A) and ( 5A) is made of stainless steel, but they do not exclude the building in another type of steel or material of the bronze, brass, copper type and the li ke .
8a) "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY DEVICES APPLIED TO BRUXISM TREATMENT", according to the previous claims, characterized in that the moving contact : 5 } assembly on cne projections (2g) on the base ( 2 f ) , associated to pla e ( 5A ) angularity ( β ) , promotes distancing ( ) between one lower surface (5b) and the upper surface (4b) of ixed contact ( } , and said lower face (5b; has at least three semi -spherical pro ections (5c) promoting the punctual electrical
9a) "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY DEVICES APPLIED TO BRUXISM TREATMENT", according to the previous claims, characterized i th t the vib atory intraoral device (1) is made as right model and left model .
10 a) "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY DEVICES APPLIED TO BRUXISM TREATMENT" , according to claim 8, characterized in that right and left models are identical ana having inverted shape.
11 a) "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY
DEVICES APPLIED TO BRUXISM TREATMENT" , according to previous claims, characterized in that the vibratory intraoral device ·( 1 ; may be provided with a protecting cover (6) , provided in a single piece whose basis (8a) has different shapes and size for adapting the several intraoral plate models.
12 a) "IMPROVEMENTS INTRODUCED IN INTRAORAL VIBRATORY
DEVICES APPLIED TO BRUXISM TREATMENT", according to plates ', 'ϊ ) are preferably made of stainless steel or other materials with similar electrical properties.
PCT/IB2012/053745 2012-07-23 2012-07-23 "improvements introduced in intraoral vibratory devices applied to bruxism treatment" WO2014016641A1 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2017127904A1 (en) * 2016-01-27 2017-08-03 Marcelo Costa Bolzan Vibratory intra-oral biofeedback apparatus
WO2018076088A1 (en) 2016-10-28 2018-05-03 Haggiag Alain Intraoral device for creating a sensation of contact, method for applying an intraoral device, and method for determining the thickness of an intraoral device

Citations (5)

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Publication number Priority date Publication date Assignee Title
US4979516A (en) * 1989-03-30 1990-12-25 Abraham Ii James G Pressure sensitive mouth piece
US5190051A (en) * 1990-04-12 1993-03-02 Wilson Mark J Bruxism-relaxing trainer
US5586562A (en) * 1995-07-14 1996-12-24 Matz; Warren W. Device for sensing and treating bruxism
DE102006056239A1 (en) * 2006-11-27 2008-06-05 Salvatore Palaia Dental brace for dental application for persons, has electrical contact on dental brace, which closes electrical circuit under pressure
WO2009013371A1 (en) * 2007-07-25 2009-01-29 Universidad Politécnica de Madrid System for the detection and treatment of bruxism and other occlusal conditions

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4979516A (en) * 1989-03-30 1990-12-25 Abraham Ii James G Pressure sensitive mouth piece
US5190051A (en) * 1990-04-12 1993-03-02 Wilson Mark J Bruxism-relaxing trainer
US5586562A (en) * 1995-07-14 1996-12-24 Matz; Warren W. Device for sensing and treating bruxism
DE102006056239A1 (en) * 2006-11-27 2008-06-05 Salvatore Palaia Dental brace for dental application for persons, has electrical contact on dental brace, which closes electrical circuit under pressure
WO2009013371A1 (en) * 2007-07-25 2009-01-29 Universidad Politécnica de Madrid System for the detection and treatment of bruxism and other occlusal conditions

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2017127904A1 (en) * 2016-01-27 2017-08-03 Marcelo Costa Bolzan Vibratory intra-oral biofeedback apparatus
WO2018076088A1 (en) 2016-10-28 2018-05-03 Haggiag Alain Intraoral device for creating a sensation of contact, method for applying an intraoral device, and method for determining the thickness of an intraoral device

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