WO2016060413A1 - Dispositif orthodontique - Google Patents

Dispositif orthodontique Download PDF

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Publication number
WO2016060413A1
WO2016060413A1 PCT/KR2015/010696 KR2015010696W WO2016060413A1 WO 2016060413 A1 WO2016060413 A1 WO 2016060413A1 KR 2015010696 W KR2015010696 W KR 2015010696W WO 2016060413 A1 WO2016060413 A1 WO 2016060413A1
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WO
WIPO (PCT)
Prior art keywords
wire
anterior
fixed
guide wire
hook
Prior art date
Application number
PCT/KR2015/010696
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English (en)
Korean (ko)
Inventor
양동민
Original Assignee
양동민
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 양동민 filed Critical 양동민
Publication of WO2016060413A1 publication Critical patent/WO2016060413A1/fr

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    • 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
    • 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
    • A61C7/06—Extra-oral force transmitting means, i.e. means worn externally of the mouth and placing a member in the mouth under tension
    • 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
    • A61C7/28—Securing arch wire to bracket

Definitions

  • the present invention relates to an orthodontic device, and more particularly to an orthodontic device used for rapid orthodontic surgery.
  • Orthodontics is a concept that includes corrective orthodontic treatment, such as narrow orthodontic treatment, which straightens crooked teeth. It corrects various skeletal inconsistencies that can occur during the growth process so that it can function normally. By contributing to healthy oral tissues, the facial lines can be made beautiful to create beautiful facial images.
  • Orthodontics can be divided into orthodontic treatment, which improves the false teeth such as malocclusion through progressive movement of the orthodontics, and orthodontic surgery, which gives a skeletal improvement by performing a surgical operation on the jaw bone.
  • the abnormality of upper and lower teeth engagement or facial skeletal structure is so severe that it cannot be cured by orthodontic surgery alone.
  • orthodontics is used to correct the abnormality of the facial skeleton itself with surgery to make a functional and esthetic face. Surgery may be applied in conjunction with orthodontics.
  • Orthodontic surgery can be largely divided into labial or lingual correction, which is a correction method to perform orthodontics by attaching orthodontic instruments used for orthodontic treatment to the surface of the lip side of teeth. It is a correction method to perform orthodontic by attaching to the surface of the tongue (Lingual) of the surface of the tooth.
  • Examples of orthodontic appliances include orthodontic wires (generally referred to as 'wire wires') and brackets for supporting the orthodontic wires, which are secured to the labial and / or lingual surfaces of the teeth. Brackets are provided in plural along the arranging direction of the teeth, and are connected by the calibration wires, and transmit the orthodontic force applied from the calibration wires to the teeth.
  • orthodontic wires generally referred to as 'wire wires'
  • brackets for supporting the orthodontic wires, which are secured to the labial and / or lingual surfaces of the teeth.
  • Brackets are provided in plural along the arranging direction of the teeth, and are connected by the calibration wires, and transmit the orthodontic force applied from the calibration wires to the teeth.
  • orthodontic treatment is a lingual traction that moves the orthodontist to the lingual lingual dentition, in the case of the tooth protruding in the form of an abnormally protruding anterior teeth of the patient will show an abnormally protruding mouth bulge,
  • the lingual traction described above is presented as one method for this protruding mouth correction.
  • Protruding mouth refers to a form in which the mouth is out of the line connecting the tip of the nose and the chin as shown in FIG. 1 (b), and is generally due to the above-described tooth protrusion or gum protrusion (skeletal protrusion).
  • Tooth extrusion is a type of malocclusion with an anterior inclination that protrudes relatively excessively forward compared to the distal root of the crown as the gum bone grows insufficiently to accommodate the current number of teeth. It is difficult to shut down and can adversely affect the overall impression.
  • Orthodontic devices are installed inside the patient's mouth to correct the protruding mouth, but conventionally the tooth is shortened in the process of anterior teeth being pulled backwards or the traction force towing the teeth backwards is not applied properly considering the center of gravity. As a result, the teeth of the anterior part are excessively inclined to the lingual side, which causes severe octopus or the left and right vertical positions of the anterior part are shifted to the lateral direction.
  • the present invention provides an orthodontic appliance that is independent and easy to adjust the horizontal and vertical direction of the traction force applied to the anterior portion.
  • the present invention provides an orthodontic device capable of orthodontic treatment so that the teeth of the anterior teeth are not inclined excessively lingual or lateral by providing traction along the center of gravity of the anterior teeth.
  • the present invention also provides an orthodontic appliance capable of rapid orthodontic correction without shifting the left and right vertical position of the anterior part.
  • An orthodontic appliance includes an anterior fixing part including a first fixing member fixed to each anterior tooth and a first wire connecting the first fixing member; A second fixing member fixed to each of the posterior teeth, and a 2-1 wire and a 2-2 wire connecting the second fixing member on the left side and the second fixing member on the right side of the second fixing member, respectively.
  • It may also include a tow portion for providing a traction force so that the anterior fixing portion is pulled to the lingual side.
  • the towing portion is fixed to any one of the anterior fixing portion and the tube, hook wire extending to the central and palatal side; A hook formed at an end of the hook wire; A screw fixed to the palate; Both ends are connected to the hook and the screw, respectively, and an elastic member elastically providing a traction to the anterior fixing portion.
  • the hook wire may be fixed to the tube.
  • the length of the hook wire may be provided to be inversely proportional to the height of the ceiling of the mouth of the patient.
  • the tube may further include a second towing unit for pulling the guide wire to generate a mating moment together with the towing force applied by the towing unit.
  • the pair of tubes may be fixed to at least one of the first wire and the first fixing member.
  • first fixing member and the second fixing member may be fixed to the first wire, the 2-1 wire and the 2-2 wire by soldering, respectively.
  • the adjustment of the horizontal and vertical directions of the traction force applied to the anterior portion through a tube fixed to the anterior portion is independent and easy, and rapid orthodontic correction is possible without shifting the left and right vertical positions of the anterior portion.
  • the fixing position of the fixing member to the tooth and / or the position where the tube is fixed, it is attached to the posterior segment and directly controls the posterior segment by directly applying various directions of force to the extended thick arc. Can be.
  • 1 is a view for explaining the protruding mouth structure.
  • Figure 2 is a perspective view showing the appearance of the orthodontic appliance according to an embodiment of the present invention.
  • FIG. 3 is a perspective view showing the state of the traction state of the orthodontic appliance of FIG.
  • Figure 4 is a schematic diagram showing the orthodontic appliance installed in the oral cavity according to an embodiment.
  • Figure 5 is a schematic diagram showing the initial state of orthodontics of the orthodontic appliance according to one embodiment after extraction.
  • Figure 6 is a schematic diagram showing a late correction state of the orthodontic appliance according to one embodiment.
  • FIG. 7 and 8 are schematic views sequentially illustrating a calibration process of the orthodontic appliance according to the comparative example.
  • FIG. 9 is a schematic diagram showing the oral cavity structure including dentition before and after correction.
  • FIG. 10 is a schematic view showing a state of the orthodontic appliance according to another embodiment.
  • FIG. 11 is a schematic view for explaining the operation of the orthodontic appliance shown in FIG. 10.
  • An orthodontic appliance includes an anterior fixing part including a first fixing member fixed to each anterior tooth and a first wire connecting the first fixing member; A second fixing member fixed to each of the posterior teeth, and a 2-1 wire and a 2-2 wire connecting the second fixing member on the left side and the second fixing member on the right side of the second fixing member, respectively.
  • Figure 2 is a perspective view showing the state of the orthodontic appliance according to an embodiment of the present invention
  • Figure 3 is a perspective view showing the state of the traction state of the orthodontic appliance of Figure 2.
  • the orthodontic appliance includes an anterior fixing part 100, a posterior fixing part 200, a tube 310, and a traction part 330, 410, and 420.
  • the anterior fixing part 100 includes a first fixing member 110 and a first wire 120.
  • the first fixing members 110 according to the present embodiment are soldered and attached to each of the teeth of the anterior portion.
  • the first wires 120 function to fix each of the first fixing members 110 to be movable in one unit at regular intervals and positions. Therefore, the first wires 120 are preferably formed of a metal material with little elasticity.
  • the posterior fixing part 200 includes a second fixing member 210 and a second wire 220.
  • the second fixing member 210 is soldered to each of the teeth of the posterior portion.
  • the second wires 220 are provided with at least one wire on both sides to connect the second fixing members 210 attached to the teeth on the left or right side of the teeth of the posterior part.
  • the second fixing member 210 provides a fixing force so that the second fixing members 210 located on the left or right side can be fixed in one unit at a predetermined interval and position.
  • the guide wire 320 is provided in a pair, and is fixed to the second wire 220 on the left and right sides, respectively.
  • the guide wire 320 extends from the second wire 220 toward the tube 310 fixed to the front anterior fixing portion 220.
  • the tube 310 is fixed to the first wire 120.
  • the fixing position of the tube 310 may be attached to other portions of the anterior fixing portion 100.
  • the tube 310 may be fixed to any one of the first fixing parts 110, and may be simultaneously attached to the first wire 120 adjacent to the first fixing part 110.
  • the tube 310 may determine its fixing position in consideration of the center of gravity and the direction of movement of the teeth of the anterior tooth.
  • the tube 310 is formed in a shape penetrated in the direction of the central axis, and the end of the guide wire 320 described above is accommodated in the shape penetrated.
  • the tube 310 guides the guide wire 320 to be able to move forward or backward only in a predetermined direction, and thus the guide wire 320 is restricted from twisting with respect to the anterior fixing part 100.
  • the anterior fixing part 100 may be towed only in a predetermined direction based on the posterior fixing part 200, and the anterior fixing part is fixed.
  • the teeth constituting the 100 and the anterior portion are prevented from twisting or deviating from the normal traction direction.
  • the towing unit includes a hook unit 330, an elastic member 410, and a screw 420.
  • the hook portion 330 includes a hook wire 333 and a hook 331.
  • the hook wire 333 according to the present embodiment extends from the tube 310 to the central direction side and the palatal side in the oral cavity.
  • the hook 331 is provided at the end of the hook wire 333.
  • Screw 420 is fixed to the palate, the screw 420 and the hook 331 is connected to the elastic member 410.
  • the elastic member 410 provides traction to the hook 331 due to the elasticity of the material itself.
  • the hook wire 333 may be provided in various lengths and directions. However, the length and direction of the hook wire 333 is preferably provided in relation to the oral structure of the patient and the center of gravity of the teeth.
  • the palate of the patient is lower than the general case, it is preferable to form a long length of the hook wire 333 in order to transfer the force above the center of resistance.
  • the vector components constituting the traction force vary according to the length and direction of the hook wire 333.
  • the teeth of the anterior teeth protrude at the time of correction or need to adjust the traction according to the center of gravity can adjust the length and extension direction of the hook wire 333.
  • the tube in the anterior part and extending the guide wire in the posterior posterior segment with the hook wire it was designed to apply a selective force to the posterior segment.
  • the vertical force applied to the posterior portion of the posterior part may cause rotation of the posterior segment, and also generate an rotation moment through the pairing between the tube and the guide wire included in the anterior device.
  • the anterior fixing part 100 moves toward the posterior fixing part 200, and the guide protrudes forward through the tube 310 in proportion to the moving distance.
  • the length of the wire 320 also increases.
  • the guide wire 320 protruding forward may be cut so that there is no interference with organs in the mouth of the patient.
  • Figure 4 is a schematic diagram showing the orthodontic appliance installed in the oral cavity according to an embodiment
  • Figure 5 is a schematic diagram showing the initial state of the orthodontic appliance according to an embodiment after extraction
  • Figure 6 is an embodiment Is a schematic diagram showing a late stage of orthodontic appliance according to the present invention.
  • the anterior fixing part 100 fixes each of the teeth of the anterior part TP and provides a fixing force to be movable in one unit.
  • the posterior fixing part 200 provides a fixing force so that the left teeth and the right teeth of the posterior part TR are fixed in one unit, respectively.
  • the first small molar TE is extracted to correct the protruding mouth, and then the calibration starts.
  • the lingual traction is started by adjusting the elasticity of the elastic member 410 fixed to the screw 420.
  • the tube 310 is moved along the guide wire 320 to prevent twisting and induces to be corrected in a constant path.
  • the tube 310 is moved along the guide wire 320 to prevent twisting and induces to be corrected in a constant path.
  • the posterior fixture 100 and posterior TP are pulled to the lingual side as shown in FIG. 6.
  • the length of the guide wire 320 exposed through the tube 310 to the front becomes long, thereby causing interference with the posterior part TP.
  • by cutting the end of the guide wire 320 exposed to the front such interference can be prevented.
  • Figure 6 is a schematic diagram showing a late correction state of the orthodontic appliance according to an embodiment
  • Figures 7 and 8 are schematic diagrams sequentially showing a calibration process of the orthodontic appliance according to a comparative example
  • Figure 9 is a dentition before and after correction It is a schematic diagram showing an oral structure comprising a.
  • the moving distance of the anterior part TP is larger than the moving distance of the posterior part TR and is retracted to the lingual side.
  • the correction such as arranging the teeth of the anterior part (TP) can be additionally performed.
  • FIGS. 10 and 11 are schematic views showing an orthodontic appliance according to another embodiment
  • FIG. 11 is a schematic view for explaining the operation of the orthodontic appliance shown in FIG. 10.
  • This embodiment relates to an orthodontic appliance comprising an additional second tow to induce a change in the occlusal plane to prevent the loss of angle during movement of the anterior portion and to further reinforce the anterior restoration function.
  • the orthodontic appliance according to the present embodiment includes second towing units 322 and 325.
  • the second hook 322 may be further formed on the guide wire 320, and the second elastic member 325 further connecting the second hook 322 and the screw 420. It may be provided.
  • the second hook 322 and the second elastic member 325 may be provided separately on each side.
  • the hook 331 and the second hook 322 are respectively connected to the screw 420 with separate elastic members in a state of being fixed to the tube 310 and the guide wire 320. That is, the hook 331 and the second hook 322 is given an independent traction force by a separate elastic member.
  • a torque in the direction R2 is generated in the posterior fixing part 200 which fixes the posterior part TR, based on a constant rotation center (center of resistance, P2), and in the anterior part TP, based on a constant rotation center P1.
  • This generates torque in the R1 direction. That is, the force can be applied to the posterior portion (TR) and the anterior portion (TP) at the same time without affecting the lingual movement of the anterior portion (TP), the rotation moment (M1) is generated in the tube (310).

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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

La présente invention concerne un dispositif orthodontique. Spécifiquement, le dispositif orthodontique selon la présente invention comprend : une partie de fixation de partie de dents antérieures comprenant des premiers éléments de fixation fixés aux dents de la partie de dents antérieures, respectivement, et un premier fil reliant les premiers éléments de fixation ; une partie de fixation de partie de dents postérieures comprenant des deuxièmes éléments de fixation fixés aux dents de la partie de dents postérieures, respectivement, un (2-1)ème fil reliant les deuxièmes éléments de fixation côté gauche des deuxièmes éléments de fixation les uns aux autres, et un (2-2)ème fil reliant les deuxièmes éléments de fixation côté droit des deuxièmes éléments de fixation les uns aux autres, respectivement ; un premier fil-guide et un deuxième fil-guide, qui sont fixés au (2-1)ème fil et au (2-2)ème fil, respectivement, et s'étendent vers la partie de fixation de partie de dents antérieures ; et une paire de tubes fixée à la partie de fixation de partie de dents antérieures et recevant le premier fil-guide et le deuxième fil-guide tout en permettant que le premier fil-guide et le deuxième fil-guide s'étendent à travers ceux-ci, respectivement, où la paire de tubes guident le premier fil-guide et le deuxième fil-guide pour se déplacer vers l'avant et vers l'arrière dans une direction prédéterminée.
PCT/KR2015/010696 2014-10-15 2015-10-08 Dispositif orthodontique WO2016060413A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2014-0139366 2014-10-15
KR1020140139366A KR101641350B1 (ko) 2014-10-15 2014-10-15 치열 교정장치

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WO2016060413A1 true WO2016060413A1 (fr) 2016-04-21

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109806014A (zh) * 2017-11-21 2019-05-28 罗秋美 舌侧前牙牵引器

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KR101723674B1 (ko) * 2016-12-09 2017-04-05 정유미 설측 교정 시스템
KR101723781B1 (ko) * 2017-02-14 2017-04-06 이태희 빠른 비발치 치아교정을 가능하게 하는 하이브리드 치아교정장치
KR20200063732A (ko) * 2018-11-28 2020-06-05 주식회사 메디센 전방 치아교정 기구 및 이를 갖는 치아 교정장치
KR102487282B1 (ko) * 2018-11-28 2023-01-13 주식회사 메디센 전방 치아교정 기구 및 이를 갖는 치아 교정장치
KR102197877B1 (ko) * 2018-12-20 2021-01-04 장선호 치아 교정 장치 및 치아 교정 방법
KR102053161B1 (ko) * 2019-11-06 2019-12-06 김정석 치아 교정 장치
KR102092395B1 (ko) * 2019-11-06 2020-03-23 김정석 탄성체인을 이용한 간단치아교정장치
KR102092397B1 (ko) * 2019-12-17 2020-05-15 김정석 지르코니아 소재를 이용한 인공치표면에 치아 교정 유지장치의 접착력을 증가하게 하는 구조체 제작방법과 이를 이용한 치아 교정장치
KR102341063B1 (ko) * 2021-07-13 2021-12-20 이상순 맞춤형 어금니 이동 교정장치

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KR101129136B1 (ko) * 2010-06-28 2012-03-23 경희대학교 산학협력단 치열 교정용 와이어 및 이를 갖는 치열교정장치
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KR101205632B1 (ko) 2011-09-23 2012-11-27 임중기 돌출입 순,설측 교정장치

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KR100479967B1 (ko) * 2003-04-02 2005-04-07 임갑선 치열교정부재
KR100549294B1 (ko) * 2005-05-10 2006-02-03 (주)덴토스 치열교정용 탄성체 지지장치
KR101129136B1 (ko) * 2010-06-28 2012-03-23 경희대학교 산학협력단 치열 교정용 와이어 및 이를 갖는 치열교정장치
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109806014A (zh) * 2017-11-21 2019-05-28 罗秋美 舌侧前牙牵引器

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KR101641350B1 (ko) 2016-07-20
KR20160044380A (ko) 2016-04-25

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