WO2021052337A1 - Dental instrument for treatment of malocclusion, dental instrument kit, and orthodontic system - Google Patents

Dental instrument for treatment of malocclusion, dental instrument kit, and orthodontic system Download PDF

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Publication number
WO2021052337A1
WO2021052337A1 PCT/CN2020/115397 CN2020115397W WO2021052337A1 WO 2021052337 A1 WO2021052337 A1 WO 2021052337A1 CN 2020115397 W CN2020115397 W CN 2020115397W WO 2021052337 A1 WO2021052337 A1 WO 2021052337A1
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WO
WIPO (PCT)
Prior art keywords
shell
shaped body
traction
shaped
dental instrument
Prior art date
Application number
PCT/CN2020/115397
Other languages
French (fr)
Chinese (zh)
Inventor
沈刚
姚峻峰
王星星
刘珊珊
赵晓磊
Original Assignee
上海正雅齿科科技股份有限公司
沈刚
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
Priority claimed from CN201921572220.6U external-priority patent/CN211156365U/en
Priority claimed from CN201910893655.9A external-priority patent/CN110584804A/en
Priority claimed from CN201921572211.7U external-priority patent/CN211512126U/en
Priority claimed from CN201910897878.2A external-priority patent/CN110584805B/en
Application filed by 上海正雅齿科科技股份有限公司, 沈刚 filed Critical 上海正雅齿科科技股份有限公司
Priority to CN202090000569.7U priority Critical patent/CN217660203U/en
Publication of WO2021052337A1 publication Critical patent/WO2021052337A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions

Definitions

  • the application belongs to the field of medical devices, and relates to a dental device, a dental device kit and a dental treatment system for malocclusion treatment.
  • Malocclusion is caused by congenital genetic factors or acquired environmental factors, such as diseases, bad oral habits, dental replacement disorders, etc., during the growth and development of children, and can also be caused by trauma, periodontal disease and other reasons after growth and development.
  • the teeth are not aligned, the relationship between the upper and lower arches and the jaws are abnormal, the size and position of the jaws are abnormal, and the facial deformities.
  • the formation factors and mechanisms of malocclusion are intricate, and its occurrence may be caused by a single factor and a single mechanism, or it may be the result of a combination of multiple factors or multiple mechanisms.
  • the causes of malocclusion can be divided into two categories: congenital and acquired. However, from the perspective of the mechanism of individual malocclusion, the causes of malocclusion can be divided into Internal genetic factors and external environmental factors.
  • Jaw pads are commonly used in the treatment of inverted jaws. The main function is to eliminate jaw obstacles in occlusal adjustment and facilitate occlusal adjustment. For malocclusion, hyperbolic tongue jaw pad appliances and labial arch appliances are widely used . This type of appliance is basically composed of three parts: retention, force application and connection. However, the above method is applied to non-invisible orthodontic treatment. During the invisible orthodontic treatment, the application of the jaw pad is to stick the jaw pad on the invisible appliance or to set the cavitation bulge on the invisible appliance, but this way The invisible aligner has a low ability to wrap the teeth and is easy to fall off the teeth during the wearing process, which affects the treatment effect of the patient.
  • Extramaxillary traction is also one of the commonly used correction techniques for malocclusion.
  • the anterior maxillary traction appliance is an appliance that uses an extraoral device to apply corrective force to the maxilla, traction the maxilla forward and promote the development of the mandible.
  • many Scholars have modified and mutated the front retractor so that the front retractor is no longer a single appliance.
  • the front traction device is often used in conjunction with fixed orthodontics, that is, the anterior maxillary traction appliance and the fixed bracket expansion joint traction appliance are used for correction.
  • the jaw pad When the jaw is opened, the jaw pad is generally pasted or directly set on the top of the shell to connect It is complicated and has the problem of unstable connection with the teeth. It is easy to fall off and affect the correction effect.
  • the traction direction is difficult to control because the jaw pad is not tightly connected to the teeth.
  • the invisible appliance is made of elastic polymer material, if the existing traction method is directly used for traction, the invisible appliance is prone to deformation, causing the invisible appliance to not fit the teeth, and the treatment effect is reduced.
  • some embodiments of the present application provide a dental instrument for malocclusion treatment, so that when the occlusion is reconstructed, the dental instrument does not dislocate from the teeth.
  • some embodiments of the present application also provide a dental instrument set for malocclusion treatment, so that when the upper and lower jaw is reconstructed by occlusion, the dental instrument does not dislocate from the teeth.
  • some of the embodiments of the present application also provide a shell-shaped dental orthodontic system for malocclusion treatment, so as to perform dental orthodontics while reconstructing the mandibular occlusion.
  • a dental instrument for malocclusion treatment including a shell-shaped body provided with a plurality of cavities for accommodating teeth, and the plurality of cavities are in communication.
  • the shell-shaped body is provided with at least one protruding part protruding toward the opposite jaw at a position corresponding to the posterior tooth area so that the mandibular incisor and the maxillary incisor tend to align, and the convex part faces the opposite dentition
  • the part of the occlusal surface is provided with friction parts that increase the stable contact between the upper and lower jaws during occlusal reconstruction.
  • the posterior tooth region corresponding to the shell-shaped body is also provided with at least one retaining part which is buckled with the retaining attachment provided on the corresponding tooth of the posterior tooth region and prevents the shell-like body from dislocating from the tooth.
  • the anterior tooth area corresponding to the labial side surface of the shell-shaped body in contact with the teeth is also provided with at least one traction part for jaw orthopedic reshaping, and the traction part is located between the protrusion and the posterior mandibular teeth. Zone coordination for occlusal reconstruction with maxillary extra-maxillary reverse traction to reshape the jaw bone.
  • the retaining portion includes a first curved surface and a second curved surface, the first curved surface and the second curved surface are enclosed to form a retention accessory accommodating space with one end open and the other closed end, so The first curved surface and the second curved surface have the same bending direction, and the first curved surface and the second curved surface have different curvatures.
  • the structure of the retention part is configured in this way, and the contact area of the retention part and the retention accessory is larger when the matching retention accessory has the same contact area with the tooth surface, so that it can provide dental instruments Greater retention.
  • the shell-shaped body includes two retention parts, which are arranged at the mesial position of the posterior region corresponding to the protrusion; and/or, the shell-shaped body includes two traction parts , Symmetrically arranged on the anterior teeth area of the lip side of the shell body.
  • the retaining portion and the traction portion are configured such that the direction of the combined retention force generated by the retaining portion and the retaining accessory acting on the retaining portion during the extra-mandibular traction It forms a certain angle with the direction of the traction force received by the traction part.
  • the included angle is greater than or equal to 70° but less than or equal to 100°; or the included angle is greater than or equal to 70° but less than or equal to 90°, or greater than or equal to 90° but less than or equal to 100°; or, the included angle is 90°.
  • the force direction generated by the action of the retention part and the retention attachment is perpendicular to the force application direction generated by the traction part.
  • the retaining portion is a cavity for accommodating a polygonal attachment, a multi-curved attachment, a T-shaped attachment, or a "cross"-shaped attachment.
  • a polygonal attachment a multi-curved attachment
  • a T-shaped attachment a T-shaped attachment
  • a "cross"-shaped attachment Provide a variety of retention parts to meet different retention requirements.
  • the traction part and the shell-shaped body are provided separately or integrally formed.
  • the shell-shaped body is also provided with a hole that cooperates with the traction part, and the traction part passes through the hole and is connected and fixed to the shell-shaped body;
  • the traction part is protrudingly arranged in the anterior tooth area corresponding to the labial side surface of the outer surface of the shell body in contact with the teeth.
  • the traction part itself is a split structure, and the split structure is respectively connected to the shell body on the inner surface and the outer surface of the shell body through a snap fit.
  • the traction part includes a bottom, a connecting rod, and a top. The bottom is provided on the inner surface of the shell-shaped body and is connected to the top through the shell-shaped body through the connecting rod. , The top part is arranged on the outer surface of the shell body.
  • the traction part and the shell-shaped body are arranged separately and fixed by bonding.
  • a dental instrument kit for malocclusion treatment which includes two of the above-mentioned dental instruments. Two dental instruments are respectively worn on the upper and lower teeth, and the patient's upper and lower dentition are corrected at the same time, which can obtain a better correction effect.
  • a shell-shaped dental orthodontic system for malocclusion treatment including a plurality of dental instrument sets, wherein at least one dental instrument set is the aforementioned malocclusion treatment system Set of dental instruments.
  • the malocclusion deformity of the patient can be corrected due to the set of dental instruments worn by the patient. Setting up multiple dental instrument sets for treatment can obtain a better treatment effect and treatment experience.
  • a dental instrument kit for malocclusion treatment which includes a first shell-shaped dental instrument and a second shell-shaped dental instrument.
  • the first shell-shaped dental instrument is the above-mentioned dental instrument;
  • the second shell-shaped dental instrument includes a second shell-shaped body, and the second shell-shaped body is provided with a plurality of second cavities for accommodating the second dentition, so
  • the second shell-shaped body is provided at a position corresponding to the convex portion of the first shell-shaped body with at least one limiting portion that cooperates with the convex portion of the first shell-shaped body and promotes occlusion induction; the first shell The shaped dental instrument cooperates with the second shell-shaped dental instrument to complete the purpose of occlusal reconstruction.
  • the limiting portion is a structure that matches the concave and convex of the occlusal surface of the corresponding posterior region of the first shell-shaped dental instrument, is a structure that matches the occlusal surface of the first shell-shaped dental instrument, and has a frosted surface.
  • the surface structure is one, two or more of a structure with a hollow surface, a structure with openings on the occlusal surface of the posterior region corresponding to the opposite jaw teeth, or a structure that the posterior region does not cover the second shell-like body structure The combination.
  • the labial side surface of the second shell-shaped body of the second shell-shaped dental instrument in contact with the teeth is also provided with a traction part for jaw orthopedic reshaping.
  • a shell-shaped dental orthodontic system for malocclusion treatment including a plurality of dental instrument sets, wherein at least one dental instrument set is the aforementioned malocclusion treatment system Set of dental instruments.
  • the protrusion heights of the protrusions on the shell-shaped dental instruments in the different dental instrument sets of the dental instrument set gradually decrease with the correction process.
  • this application provides a dental instrument for malocclusion treatment.
  • the posterior tooth area of the shell-shaped body is provided with a protrusion protruding toward the opposite jaw, which can open the occlusion of the teeth and induce the mandibular incisor and the upper jaw.
  • the incisor tends to be aligned; the structure of the friction part that increases the friction is set on the protrusion, so that the upper and lower jaws are in stable contact while opening the occlusion; the solid is set on the contact surface between the posterior teeth of the dental instrument and the teeth.
  • the position part can increase the retention force between the dental instrument and the teeth, and prevent the dental instrument from falling off during the wearing process; in addition, the outer surface of the shell-shaped body is also provided with a traction part, when the protrusion part and the posterior mandibular teeth When performing occlusal reconstruction with zone coordination, it is used to coordinate the maxillary extra-maxillary reverse traction to reshape the jaw bone; at the same time, the dental instrument of the present application adopts an integrated convex structure, which does not require the jaw pad to be fixed on the tooth, nor does it require The jaw pad is fixed in the dental instrument, which is convenient and comfortable to wear, easy to remove and wear, and will not cause major trauma to the teeth.
  • the dental instrument for malocclusion treatment of the present application is provided with a retention part in the posterior tooth area, which has two curved surfaces with the same bending direction, and a matching retention accessory is provided on the corresponding tooth.
  • a retaining accessory can provide a larger contact area when matched with the retaining portion, and therefore can provide a greater retention force for the dental instrument; between the two curved surfaces of the retaining portion
  • the included angle is an acute-angle structure design, so that when the contact area between the retention part and the retention accessory is the same, the contact area between the retention accessory and the tooth surface is smaller, thereby reducing the damage to the tooth surface.
  • Fig. 1 is a schematic diagram of a dental appliance according to Example 1 of the present application.
  • Fig. 2 is a schematic diagram of the retaining portion of Example 1 of the present application.
  • Fig. 3 is a schematic diagram of a dental appliance according to Example 2 of the present application.
  • Fig. 4 is another schematic diagram of the dental appliance of Example 2 of the present application.
  • FIG. 5 is a schematic diagram of the structure of the traction part of Embodiment 2 of the present application.
  • Fig. 6 is a schematic diagram of a dental appliance according to Example 3 of the present application.
  • Fig. 7 is another schematic diagram of the dental appliance of Example 3 of the present application.
  • Fig. 8 is another schematic diagram of the dental appliance of Example 3 of the present application.
  • Fig. 9 is another schematic diagram of the dental appliance of Example 3 of the present application.
  • Fig. 10 is another schematic diagram of the dental appliance of Example 3 of the present application.
  • Fig. 11 is a schematic diagram of a dental instrument kit according to Example 4 of the present application.
  • Fig. 12 is a schematic diagram of a dental instrument kit according to Example 5 of the present application.
  • Fig. 13 is a schematic diagram of a dental instrument kit according to Example 6 of the present application.
  • FIG. 14 is another schematic diagram of the dental instrument kit of Example 6 of the present application.
  • FIG. 15 is another schematic diagram of the dental instrument kit of Example 6 of the present application.
  • Fig. 16 is a schematic diagram of a dental treatment kit according to Example 7 of the present application.
  • Fig. 17 is a schematic diagram of a dental treatment kit according to Example 8 of the present application.
  • Fig. 18 is a schematic diagram of a dental treatment kit according to Example 9 of the present application.
  • the "posterior tooth area” is defined according to the classification of teeth in pages 36-38 of the "Introduction to Stomatology” 2nd edition published by Peking University Medical Press, including premolars and molars.
  • the "anterior teeth area” includes incisors, lateral incisors, and canines.
  • the maxillary braces 100 includes a shell-shaped body 105 that conforms to the shape of the human dentition (not shown in the figure). ), the shell-shaped body 105 is provided with cavities for accommodating the upper anterior teeth, premolars and molars of the human body, and the cavities are communicated with each other. As shown in FIG. 1, the posterior tooth regions on both sides of the shell-shaped body 105 are provided with protrusions 102 (not shown in the figure) protruding in the mandibular direction, and the protrusions 102 form the upper jaw brace 100 The upper jaw pad 101.
  • the upper jaw pad 101 in the posterior area of the upper jaw brace 100 occludes with the corresponding posterior teeth of the mandibular human dentition. Due to the function of the upper jaw pad 101, the upper jaw brace 100 can open the teeth and cut the mandible. The role of teeth and maxillary incisors tending to align.
  • the maxillary braces of this embodiment are made of polymer materials, which will slide relative to each other when occluding the teeth.
  • the occlusal surface of the maxillary pad 101 is provided with The friction part 103 that matches with the occlusal surface of the posterior teeth of the mandibular dentition.
  • the portion of the protrusion 102 facing the occlusal surface of the opposite jaw is provided with a friction portion 103 that increases the stable contact between the upper and lower jaws during occlusal reconstruction.
  • the friction part is arranged as a protruding structure that matches the pits and fissures of the posterior teeth of the mandibular dentition, and the friction part can increase the stable contact of the upper and lower jaws during occlusion reconstruction.
  • the upper jaw brace 100 of this embodiment can also cooperate with the front retractor to perform traction treatment on the patient’s maxillary dentition. Because the upper jaw brace is traction by the front retractor, the upper jaw brace receives an outward traction force perpendicular to the front teeth. Due to the traction force, the maxillary braces 100 translocates from the maxillary dentition, or even falls off. Therefore, in order to prevent the maxillary braces 100 from dislocating from the maxillary dentition, retention attachments (not shown in the figure) are provided on the buccal side of the posterior regions on both sides of the upper dentition of the human body. The corresponding positions of the maxillary braces 100 A retaining portion 2 that is matched with the retaining accessory is provided.
  • the retaining portion 2 of the upper jaw brace 100 is a cavity protruding to the buccal side, and the retaining portion 2 is symmetrically arranged in the posterior region on both sides of the maxillary brace 100.
  • the retaining portion is arranged in the posterior area of the upper jaw brace, and can provide a more stable retention force for the upper jaw brace.
  • the retaining portion 2 includes a first outer surface 303 and a second outer surface 302.
  • the second outer surface 302 is a curved surface that is concave toward the center of the retention accessory.
  • the first outer surface 303 is a curved surface
  • the first outer surface 303 and the second outer surface 302 have the same bending direction
  • the first outer surface 303 and the second outer surface 302 are enclosed to form the cavity, which is The retention part 2.
  • the outer surface of the retaining portion 2 of the present embodiment is set at a certain angle with the lip side surface of the shell-shaped body, so that the force distribution of the first outer surface 303 or the second outer surface 302 of the retaining portion
  • the direction of face and extramaxillary traction is perpendicular.
  • the retention part is buckled with the retention attachments set on the teeth to drive the teeth to move. Multiple teeth can be set to form a whole.
  • For other functional corrections, such as traction Not only can prevent dislocation of dental instruments and teeth, but also increase the retention of traction during traction.
  • the retaining portion 2 is symmetrically arranged on the buccal side of the posterior region of the maxillary braces 100. In other alternative embodiments, the retaining portion 2 may be symmetrically arranged on the tongue of the posterior region of the maxillary braces 100. On the side, or on the buccal and lingual sides at the same time, or on the buccal and/or labial sides of the left and right sides of the upper jaw.
  • the thickness of the maxillary cushion 101 is thicker than that of other regions, or the hardness is higher than that of other regions, so that the maxillary cushion 101 is stronger and more durable.
  • the upper jaw brace 100 has a relatively thick thickness at the position to be corrected, the position of the upper jaw pad 101 and the position of the occlusal surface of the upper jaw pad 101, and the thickness can be set to 2mm, 1.5mm, 1mm, 0.75mm, 0.5mm; The thickness at other positions is smaller than the thickness of these parts, and the partial position of the maxillary braces can also be set to 0.1mm, so as to obtain a better correction effect and a comfortable and beautiful patient experience.
  • the upper jaw brace can also be set as a shell with a uniform thickness, which is not limited here.
  • a filler is provided in the space between the maxillary cushion 101 and the maxillary molars, and the filler is a polymer resin to increase the maxillary cushion
  • the support strength of 101 prevents deformation during occlusion.
  • this embodiment provides a shell-shaped dental instrument for malocclusion treatment, including a shell-shaped body 105, the shell-shaped body 105 is provided with a plurality of cavities for accommodating teeth, the plurality of cavities directly Unicom.
  • the shell-shaped body 105 protrudes toward the opposite jaw at a position corresponding to the posterior region, and is provided with a protrusion 102 that makes the mandibular incisor tend to align with the upper incisor, and the protrusion 102 faces the opposing dentition.
  • the part of the occlusal surface is provided with a friction part 103 that increases the stable contact between the upper and lower jaws during occlusal reconstruction.
  • the posterior tooth region corresponding to the shell-shaped body 105 is also provided with at least one retaining part 2 that is buckled with the retention attachment provided on the corresponding tooth of the posterior tooth region and prevents the shell-shaped body from dislocating from the tooth; and the shell-shaped body 105
  • the anterior tooth area corresponding to the labial side surface of the outer surface contacting the teeth is also provided with at least one traction part 3 for jaw orthopedic reshaping, and the traction part 3 is performed in cooperation with the convex part 2 and the mandibular posterior tooth area.
  • the occlusal reconstruction is combined with the maxillary extra-maxillary reverse traction to reshape the jaw bone.
  • the retention part 2 and the traction part 3 are configured such that when the retention part 2 and the retention accessory act on the retention part when the retention part 2 and the retention attachment act on the retention part, the direction of the resultant retention force generated at the retention part is the same as the traction part. 3
  • the direction of the traction force is at a certain angle.
  • the included angle is greater than or equal to 70° but less than or equal to 100°; or, the included angle is greater than or equal to 70° but less than or equal to 90°, or greater than or equal to 90° but less than or equal to 100°; or, the included angle is 90° .
  • the force direction generated by the action of the retention part 2 and the retention attachment is perpendicular to the force application direction generated by the traction part 3.
  • the shell-shaped body 105 is provided with a raised portion 102 for opening the occlusion and reconstructing the occlusion, so that the mandibular incisor and the upper incisor tend to be aligned; and the fastening of the retaining portion 2 and the retaining accessory makes the shell-shaped body 105 and The teeth are more fit and stable.
  • the force direction generated by the action of the retention part 2 and the retention attachment is perpendicular to the force application direction generated by the traction part 3. Specifically, when the traction part 3 is traction outside the jaw, the traction part 3 is traction connection with the front traction device, and the traction part 3 Traction the shell-shaped body 105 to drive the teeth to move.
  • the traction part 3 acts as the force applying side.
  • the retaining part 2 interacts with the retention attachment as the force receiving side of the traction part 3, so that the force direction and the traction part 3 are generated.
  • the direction of force application is vertical, which prevents the shell-shaped body 105 from deforming or dislocating from the teeth during the traction process.
  • the portion of the protrusion 102 facing the occlusal surface of the opposite jaw is provided with a friction portion 103 that increases the stable contact between the upper and lower jaws during occlusal reconstruction; because the shell-shaped dental instrument is made of polymer materials, the upper and lower jaws are prone to opposing contact.
  • the sliding phenomenon makes the occlusal relationship between the upper and lower jaws unstable, so the friction part 103 is added on the upper and lower jaw contact surface to increase the friction of the contact surface and avoid the relative sliding of the upper and lower jaws, so that the upper and lower jaws are in stable contact during the occlusal reconstruction to achieve occlusion. Inducing effect.
  • the friction portion 103 is one of a structure with the same texture as the occlusal surface of the tooth, a structure with a frosted surface on the surface, a structure with a convex surface on the surface, a structure with a hollow surface, or a structure with a hole surface, A combination of two or more.
  • the traction part 3 is a structure capable of generating a hooking force during traction.
  • a hooking part is provided on the traction part near the lip side to generate a hooking force, and there is no restriction on the structure that generates the hooking force.
  • the traction part 3 and the shell-shaped body 105 are provided separately or integrally formed.
  • the traction part 3 and the shell-shaped body 105 can be an integrally formed structure by pressing a film, or it can be directly cut into a hook-shaped structure on the shell-shaped body 105.
  • the traction part 3 and the shell-shaped body 105 It is made of the same material continuously, and during traction, the traction part and the shell-shaped body 105 will not be separated, and the structure is more stable.
  • the shell body 105 is also provided with a hole (not shown in the figure) that cooperates with the traction part 3, and the traction part 3 through the hole to protrude on the anterior tooth area corresponding to the labial side of the outer surface of the shell-shaped body 105 in contact with the teeth.
  • the separate bodies are respectively arranged on the inner surface and outer surface of the shell-shaped body 105 to be connected to the shell-shaped body 105 by snap fit, that is, the traction part 3 is assembled to the shell-shaped body 105
  • This arrangement method reduces the processing difficulty of the shell-shaped body 105, and can use different specifications of traction parts for traction treatment according to actual medical record requirements.
  • the traction part 3 includes a bottom 31, a connecting rod 32 and a top 33.
  • the bottom 31 is provided on the inner surface of the shell body 105 where the inner surface of the shell-shaped body 105 matches the hole of the traction part 3, and the connecting rod 32 is passed through the
  • the shell-shaped body 105 is connected to the top 33, and the connection method is a snap connection, a screw connection, and the like.
  • the top 33 is located on the outer surface of the shell-shaped body 105.
  • the top portion 33 is a protruding structure or a hook-like structure, which generates a hooking force during traction.
  • the inner surface is the side where the shell-shaped body 105 is in contact with the teeth, and the outer surface is the side in contact with the lips.
  • the traction part 3 and the shell-shaped body 105 are arranged separately, the traction part 3 and the shell-shaped body 105 are fixed by bonding.
  • the shell-shaped body 105 The upper part may be provided with a hole that cooperates with the traction part 3, and may also be provided with a boss (not shown in the figure) that cooperates with the traction part.
  • traction parts 3 which are symmetrically arranged on the anterior tooth area corresponding to the labial side of the shell-shaped body 105, so as to facilitate hooking with the front retractor and generate traction, and the symmetrical arrangement on both sides can produce symmetry
  • the traction force is used to pull the teeth on the left and right sides of the teeth at the same time to avoid the deviation of the traction direction caused by uneven traction.
  • the protrusion 102 provided on the shell-shaped dental instrument extends along the buccal and lingual surfaces of the posterior tooth region of the shell-shaped body, and the protrusion direction is the same as the opening and closing direction of the teeth.
  • the occlusal surface formed has the same size as the occlusal surface of the teeth, which can simulate the occlusion of the teeth after the occlusal reconstruction.
  • the area of the surface of the protrusion 102 facing the opposite jaw is different from the area of the occlusal surface of the posterior dentition where the protrusion is located.
  • the protruding portion 102 facing the opposite jaw is larger than the area of the occlusal surface of the posterior dentition where the protruding portion is located, the protruding portion 102 provides a larger contact area with the opposite jaw and provides greater occlusion reconstruction.
  • the contact surface makes the reconstructed occlusal relationship more stable, and friction parts can also be provided on the surface to further increase the stability of the upper and lower jaw contact.
  • the surface of the protruding portion 102 facing the opposite jaw is smaller than the area of the occlusal surface of the posterior dentition in the protruding portion, that is, the area of the protruding portion 102 near the teeth is larger than the occlusal surface of the protruding portion.
  • the area of the side, during the occlusal process, the teeth are limited by the side wall of the protruding part to limit the position, which can also assist the posterior teeth to be depressed.
  • the inner surface of the raised portion 102 close to the occlusal surface of the dentition is also provided with a filler to strengthen the occlusal strength.
  • the filler is filled inside the raised portion to provide support for the raised portion to prevent the upper and lower jaws from being occluded. 102 deformed.
  • the traction part 3 cooperates with the front retractor to complete the traction guidance of the upper jaw, and the traction part is used for 0-6 months. As the treatment time goes by, the height of the protrusion 102 gradually decreases.
  • the shell A retaining portion 2 is also provided on the shaped dental instrument for accommodating retaining accessories.
  • the retaining part interacts with the retaining attachment, which can effectively prevent the shell-shaped body from dislocating from the tooth.
  • At least one retaining portion 2 is provided in the posterior region of the shell-shaped body 105.
  • the retaining portion 2 can be arranged on the buccal and/or lingual sides of the teeth on one side, or on the teeth on both sides, and can also be arranged symmetrically or as required according to medical records.
  • the arrangement of multiple retention parts can increase the stability of the contact between the shell-shaped body and the teeth, and at the same time provide the stability of the contact between the entire shell-shaped body and the teeth during traction.
  • the retaining portion 2 can also be set in the posterior tooth area (symmetrical or asymmetrical) at the same time. During intermaxillary traction, the retaining portion 2 uses the entire jaw as a traction unit for upper jaw traction to avoid pulling a single tooth. Deviation in the treatment effect.
  • the retaining portion 2 has at least two forming surfaces (not shown in the figure). When the shell-like body cooperates with other additional structures (such as retaining accessories) for simultaneous tooth correction, one of the surfaces can be enlarged when it comes into contact with the retaining accessories The retention force between the shell-shaped body and the tooth.
  • the retention force When combined with traction, the retention force is reflected in that the force-bearing surface of the retention part is perpendicular to the traction direction, preventing the shell-shaped dental instrument from deforming during the traction process, which may lead to correction. The effect is reduced.
  • the shell-shaped body can make the teeth covered by it go from the first arrangement state to the second arrangement state, that is, when the occlusion is reconstructed, the teeth can be corrected at the same time.
  • This embodiment provides a dental instrument for the treatment of malocclusion, including maxillary braces 100.
  • maxillary braces 100 In the posterior regions on both sides of the maxillary braces 100, one of the posterior regions protrudes toward the opposite jaw to form a maxillary pad 101 , As shown in Figure 6, the other posterior area matches the posterior area of the human maxillary dentition.
  • the upper jaw brace 100 includes the shell-shaped body as described in the previous embodiment, which will not be repeated here.
  • the upper jaw brace 100 is provided with a maxillary pad 101 on the buccal side of the posterior tooth area is provided with a "T"-shaped retention part 2, the upper jaw brace 100 is not provided with a jaw pad on the side of the posterior tooth area may not be provided
  • the retaining portion can also be provided with a corresponding retaining portion.
  • This structure is suitable for partial jaw cases, but the thickness of the maxillary pad 101 for this application is smaller than that of the jaw pad described in Example 1. According to actual cases Needs to be adjusted.
  • the upper jaw pad 101 can also be provided on the left and right sides of the upper jaw brace at the same time, and the "T"-shaped retaining portion can be provided on the corresponding posterior tooth area at the same time.
  • the posterior area of the upper jaw brace is provided with a jaw pad protruding to the lower jaw, and the buccal side of the posterior area on the side where the upper jaw brace is provided with the jaw pad is provided with a retaining portion.
  • the part is rectangular, as shown in Figure 7.
  • the retaining portion and the jaw pad are arranged in cooperation, and the retaining portion can be configured in a window shape, a "cross" shape, an iris shape, etc., as shown in FIGS. 8-10.
  • This embodiment provides a dental instrument kit for malocclusion treatment, which includes a first shell-shaped dental instrument and a second shell-shaped dental instrument.
  • the first shell-shaped dental appliance and the second shell-shaped dental appliance include an upper jaw brace 100 and a lower jaw brace 200, respectively.
  • the upper jaw braces 100 and the lower jaw braces 200 respectively include the shell-shaped body as described in the foregoing embodiment, and the first shell-shaped dental appliance is the dental appliance as described in the foregoing embodiment, and will not be repeated here. Referring to FIG.
  • the posterior regions on both sides of the upper jaw brace 100 protrude to the lower jaw to form a maxillary jaw pad 101
  • the posterior regions on both sides of the mandibular brace 200 protrude to the upper jaw to form a mandibular pad 201.
  • the occlusal surface of the upper jaw pad 101 of the upper jaw brace 100 that is, the part of the protrusion 102 facing the occlusal surface of the opposing dentition, is provided with a friction portion 103 that increases the stable contact between the upper and lower jaw during occlusal reconstruction.
  • the friction portion 103 is A structure with the same texture as the maxillary dentition.
  • the occlusal surface of the mandibular pad 201 of the mandibular braces 200 is provided with a friction portion 103 (that is, the convex portion of the shell-shaped body included in the mandibular braces is provided with an occlusal surface facing the occlusal surface of the opposing dentition.
  • the friction part 103 which is in stable contact between the upper and lower jaws is added, and the friction part is a structure with the same texture as the mandibular dentition.
  • the upper jaw pad 101 of the upper jaw brace 100 and the mandibular pad 201 of the mandibular brace 200 are occlusally matched to perform occlusal reconstruction.
  • the buccal sides at the posterior regions on both sides of the maxillary brace 100 protrude to the buccal side to form a retaining portion 2.
  • the buccal sides at the posterior regions on both sides of the mandibular brace 200 protrude to the buccal side to form a retaining portion 2.
  • the retaining portion can adopt various combinations of different shapes as described above according to actual needs.
  • the upper jaw brace 100 and the mandibular brace 200 are matched to the upper and lower dentitions of the human body.
  • the upper jaw pad 101 of the upper jaw brace 100 and the mandibular pad 201 of the mandibular brace 200 occlude each other.
  • the friction part of 101 matches the occlusion of the friction part of the mandibular pad 201, which plays the role of stably opening the occlusion.
  • the upper jaw braces 100 and the lower jaw braces 200 are used in conjunction, so that the jaw can be opened and the mandibular dentition can be corrected at the same time.
  • This embodiment provides a dental instrument kit for malocclusion treatment, which includes a first shell-shaped dental instrument and a second shell-shaped dental instrument.
  • the first shell-shaped dental instrument and the second shell-shaped dental instrument respectively include an upper jaw brace 100 and a lower jaw brace 200.
  • the upper jaw brace 100 and the lower jaw brace 200 respectively include the shell-shaped body as described in the previous embodiment, and
  • the first shell-shaped dental appliance is the dental appliance described in the foregoing embodiment, and will not be repeated here.
  • the posterior regions on both sides of the upper jaw brace 100 protrude to the lower jaw to form the maxillary jaw pad 101
  • the posterior regions on both sides of the mandibular brace 200 are matched with the mandibular dentition of the human body
  • the mandibular braces 200 The posterior tooth regions on both sides are provided with opening structures 210, which serve as limit parts to limit the occlusion of the maxillary pad 101 and promote the occlusal reconstruction of the maxillary teeth and the mandibular teeth.
  • the occlusal surface of the upper jaw pad 101 of the upper jaw brace is provided with a friction portion 103, the structure of the friction portion 103 is an occlusal surface that matches the posterior region of the upper dentition of the human body, and the upper jaw pad 101 and the mandibular teeth The occlusal matching of the posterior teeth of the column can achieve occlusal reconstruction.
  • the mandibular brace 200 is provided with a housing body for accommodating the mandibular dentition, the mandibular brace 200 is provided with a limiting portion at a corresponding position of the upper jaw pad 101, and the limiting portion is provided It is a structure with the same texture as that of the mandibular dentition, and the limiting part is occlusally matched with the maxillary pad 101.
  • the limiting portion of the mandibular brace 200 can also be configured as a structure with a frosted surface, a structure with a convex point, and a structure with a hollowed out one, a combination of two or more.
  • the limiting portion may also be configured as a structure that exposes the posterior teeth area, and the maxillary pad is occlusally matched with the mandibular dentition.
  • the buccal side of the posterior area on both sides of the upper jaw brace 100 is provided with retaining parts 2, and the mandibular brace 200 is worn on the mandibular dentition, with or without retaining parts.
  • the upper jaw braces 100 and the mandibular braces 200 can also be provided with retaining parts that serve as accessories for different corrective effects during the buckling treatment, which is not limited here.
  • This embodiment provides a dental instrument kit for malocclusion treatment, which includes a first shell-shaped dental instrument and a second shell-shaped dental instrument.
  • the first shell-shaped dental instrument and the second shell-shaped dental instrument respectively include an upper jaw brace 100 and a lower jaw brace 200.
  • the upper jaw brace 100 and the lower jaw brace 200 respectively include the shell-shaped body as described in the previous embodiment, and
  • the first shell-shaped dental appliance is the dental appliance described in the foregoing embodiment, and will not be repeated here. Referring to FIG.
  • the posterior regions on both sides of the upper jaw brace 100 protrude to the lower jaw to form a maxillary jaw pad 101
  • the posterior regions on both sides of the mandibular brace 200 protrude to the upper jaw to form a mandibular pad 201.
  • the upper jaw brace Retaining parts 2 are provided on the buccal side of the posterior region on both sides of the mandibular brace 200
  • retention parts 2 are provided on the buccal side of the posterior region on both sides of the mandibular brace 200.
  • the occlusal surface of the upper jaw pad 101 is provided with a friction portion 103
  • the friction portion 103 of the upper jaw pad 101 is a hollow structure
  • the occlusal surface of the lower jaw pad 201 is also provided with a friction portion 103
  • the friction portion of the lower jaw pad 201 103 is configured as a hollow structure.
  • the hardness of the friction part 103 of the hollow structure of the upper jaw pad 101/the lower jaw pad 201 is greater than the hardness of other parts of the upper jaw brace 100/the lower jaw brace 200.
  • the thickness of the friction part of the upper jaw pad 101 and the friction part of the lower jaw pad 201 can also be set to be greater than the thickness of other parts of the upper jaw brace or the lower jaw brace.
  • the friction part 103 of the upper/lower jaw pad is configured as a matte surface structure, as shown in FIG. 14.
  • the retaining portion 2 is provided on the buccal and lingual sides of the upper jaw brace, the lower jaw brace, and the friction part 103 of the upper/mandibular pad is all set in a convex structure, as shown in FIG. 15 .
  • the structure of the friction portion may also be a structure of holes, or a structure in which holes and bump structures are provided at the same time, which is not limited here.
  • the friction part of the upper jaw pad and the friction part of the mandibular pad may be configured in different structures, which is not limited here.
  • the labial side surface of the second shell-shaped body of the second shell-shaped dental instrument in contact with the teeth is also provided with a traction part for jaw orthopedic reshaping.
  • the traction part has the same or similar structure as described above, and will not be repeated here.
  • This embodiment provides a shell-shaped dental orthodontic system for malocclusion treatment.
  • the multiple sets of dental instrument sets include at least one dental orthodontic set.
  • the dental treatment kit includes: the shell-shaped dental instruments used for the upper and lower jaws as described in the previous embodiment (the reference numerals of each component are also the same as the previous embodiment, and will not be repeated here), the shell-shaped dental appliance
  • the instrument is defined as a first shell-shaped dental instrument T1a, and two of the first shell-shaped dental instruments T1a can be used together.
  • the configuration of the traction part 3 on the first shell-shaped dental instrument T1a for the upper jaw can be used for extra-maxillary traction.
  • the first shell-shaped dental instrument T1a of the upper jaw is connected with the front retractor through the traction part 3 to complete the upper jaw. Traction-oriented, suitable for Class III malocclusion.
  • the two first shell-shaped dental instruments T1a are used in conjunction, and through the cooperation of the two protrusions, the protrusion height of each protrusion is reduced, and the protrusions are prevented from deforming in the sagittal direction.
  • the traction part 3 cooperates with the front retractor to complete the traction guidance of the upper jaw.
  • the traction part is used for 0-6 months. As the treatment time goes by, in different shell-shaped dental instruments, the convex part 102 is convex. The lift height gradually decreases.
  • the setting of the traction part 3 of the first shell-shaped dental instrument T1a for the lower jaw can be suitable for inter-jaw traction, that is, the traction between the upper and lower jaws.
  • the implant nail is set in the upper jaw, and the first shell-shaped dental instrument T1a
  • the traction part 3 provided on the upper and lower jaws is hooked with the implant nail through the elastic member to perform inter-jaw traction and adjust the positional relationship between the upper and lower jaws.
  • This embodiment is a shell-shaped dental orthodontic system for malocclusion treatment.
  • the multiple sets of dental instrument sets include at least one dental orthodontic set.
  • the orthodontic set includes: the shell-shaped dental appliance as described in the foregoing embodiment, the shell-shaped dental appliance is defined as a first shell-shaped dental appliance T1b, and also includes a second shell-shaped dental appliance T2, the second shell-shaped dental appliance
  • the instrument T2 includes a second shell-shaped body 205, the second shell-shaped body 205 is provided with a plurality of second cavities for accommodating teeth, and the second shell-shaped dental instrument T2 is used in conjunction with the first shell-shaped dental instrument T1b
  • the second shell-shaped body 205 is provided with a limiting portion 203 at a position corresponding to the protrusion 102 that cooperates with the protrusion and has an engaging and guiding function.
  • the first shell-shaped dental instrument T1b can be used for the upper jaw or the lower jaw.
  • the first shell-shaped dental instrument T1b is used for the upper jaw.
  • the second shell-shaped dental instrument T2 is used for the lower jaw.
  • the traction part 3 of the first shell-shaped dental instrument T1b used for the upper jaw can be used for extra-maxillary traction.
  • the first shell-shaped dental instrument T1b of the upper jaw is connected to the front retractor through the traction part 3, and is matched Complete the traction guide of the upper jaw, suitable for Angle's three types of malocclusion.
  • the traction part 3 cooperates with the front retractor to complete the traction guidance of the upper jaw, and the traction part is used for 0-6 months. As the treatment time goes by, the height of the protrusion 102 gradually decreases.
  • the first shell-shaped body and the second shell-shaped body are shells with uneven thickness, and the thickness is 0.1-2.0 mm.
  • the hardness and/or elastic modulus of the friction part of the first shell-shaped body is greater than other parts of the first shell-shaped body, and the hardness and/or elasticity of the friction part of the second shell-shaped body
  • the modulus is greater than other parts of the second shell-shaped body to increase local strength, prevent deformation and affect the treatment effect.
  • This embodiment provides a shell-shaped dental orthodontic system for malocclusion treatment.
  • the multiple sets of dental instrument sets include at least one dental orthodontic set.
  • the dental treatment kit includes: the shell-shaped dental appliance as described in the foregoing embodiment, the shell-shaped dental appliance is defined as a first shell-shaped dental appliance T1c, and also includes a second shell-shaped dental appliance T2, the second shell-shaped dental appliance
  • the dental instrument T2 includes a second shell-shaped body 205, the second shell-shaped body 205 is provided with a plurality of second cavities for accommodating teeth, and the second shell-shaped dental instrument 2 is matched with the first shell-shaped dental instrument T1c
  • the second shell-shaped body 205 is provided with a limiting portion 203 that cooperates with the convex portion and has an engaging and guiding function at a position corresponding to the convex portion 102.
  • the first shell-shaped dental instrument T1c is used for the lower jaw, and the second shell-shaped dental instrument is used for the upper jaw.
  • the outer surface of the second shell-shaped body is in contact with the teeth.
  • the labial side is also provided with a traction part for jaw orthopedic reshaping.
  • the upper traction part 3 of the second shell-shaped dental instrument T2 used for the upper jaw can be used for extra-maxillary traction.
  • the second shell-shaped dental instrument T2 of the upper jaw is connected with the front retractor through the traction part to complete the traction and guidance of the upper jaw. , Suitable for Angle's three types of malocclusion.
  • the setting of the traction part 3 on the first shell-shaped dental instrument T1c for the lower jaw can also be applied to inter-jaw traction, that is, the traction between the upper and lower jaws, such as setting implant nails in the upper jaw, through the first shell-shaped dental instrument of the lower jaw.
  • the traction part 3 provided on the instrument T1c is hooked with the implant nail through an elastic member to perform inter-jaw traction and adjust the positional relationship between the upper and lower jaws.
  • the traction part 3 cooperates with the front retractor to complete the traction guidance of the upper jaw.
  • the traction part is used for 0-6 months.
  • the convex part 102 is convex.
  • the lift height gradually decreases.
  • each set of braces includes: upper jaw braces and lower jaw braces.
  • the first group of braces includes a first maxillary brace and a first mandibular brace, which is designed according to the dentition of the patient's first orthodontic target.
  • the posterior regions on both sides of the first maxillary brace protrude in the mandibular direction to form a first maxillary pad, and the buccal sides of the posterior regions on both sides of the first maxillary pad are provided with retention parts.
  • the first mandibular brace is matched with the patient's mandibular dentition, and the position of the posterior region of the first mandibular brace corresponding to the first maxillary cushion is provided with an opening limit part, the limit of the opening.
  • the cooperation of the part and the jaw pad has the function of occlusal reconstruction.
  • the first maxillary braces and the first mandibular braces are respectively worn on the upper and lower dentitions of the patient, and removed after wearing for a suitable period of time.
  • the wearing time is 7-14 days.
  • the second set of braces can also be designed according to the patient's correction situation.
  • the second set of braces have a similar structure to the first set of braces.
  • the second set of braces includes a second upper jaw and a second mandibular braces, and is designed according to the patient's second orthodontic target dentition.
  • the height of the second maxillary cushion of the second maxillary braces is smaller than the height of the first maxillary cushion of the first maxillary braces, and the patient takes it off after wearing it for 7-14 days.
  • the mandibular dentition is induced to retract or extend, thereby performing malocclusion correction.
  • the malocclusion of the patient is gradually corrected, so the height of the jaw pad is gradually reduced, until the end of the jaw pad does not need to be set, and the wearing time of the brace with the jaw pad is about 0-6 months.
  • each set of braces includes: upper jaw braces and lower jaw braces.
  • the first group of braces includes a first maxillary brace and a first mandibular brace, which is designed according to the dentition of the patient's first orthodontic target.
  • the posterior regions on both sides of the first maxillary brace protrude in the mandibular direction to form a first maxillary pad, and the buccal sides of the posterior regions on both sides of the first maxillary pad are provided with retention parts.
  • the posterior regions on both sides of the first mandibular braces are configured as first mandibular pads protruding upward, and the buccal sides of the posterior regions on both sides of the mandibular braces are provided with retention parts.
  • the first maxillary braces and the first mandibular braces are respectively worn on the upper and lower dentitions of the patient, and removed after wearing for a suitable period of time.
  • the wearing time is 7-14 days.
  • the second set of braces can also be designed according to the patient's correction situation.
  • the second set of braces have a similar structure to the first set of braces.
  • the second set of braces includes a second upper jaw and a second mandibular braces, and is designed according to the patient's second orthodontic target dentition.
  • the height of the second maxillary pad of the second maxillary braces is less than the height of the first maxillary pad
  • the height of the second mandibular pad of the second mandibular braces is less than the height of the first mandibular pad
  • the next set of braces can also be designed according to the correction of the patient’s dentition, and the braces can be worn for correction until the correction is completed, or a continuous correction plan can be designed according to the actual case of the patient, and the corresponding braces can be prepared and worn by the patient. Corresponding corrective treatment. Among them, the wearing time of braces with jaw pads is about 0-6 months.
  • This embodiment provides a method for designing a correction system for malocclusion, including:
  • S110 Design an upper shell-shaped dental instrument with a shell-shaped body, and adjust the shape of the anterior region of the upper shell-like dental instrument, so that the teeth corresponding to the anterior region are gradually aligned from the initial position to the target position for correction.
  • S120 Set a protrusion protruding toward the opposite jaw at the position of the posterior region corresponding to the maxillary shell-shaped dental instrument, and the protrusion and the posterior region of the mandible can achieve occlusal reconstruction so that the mandibular incisor and the maxillary incisor tend to be aligned .
  • a retaining portion is provided on the part where the convex portion wraps the corresponding tooth, and the retaining portion is buckled with the retaining attachment provided on the tooth.
  • a traction part is provided on the labial side where the outer surface of the maxillary shell-shaped dental instrument is in contact with the teeth, and the traction part cooperates with the maxillary extra-maxillary reverse traction to reshape the jaw bone.
  • S150 The height of the protrusion provided on the maxillary shell-shaped dental instrument gradually decreases with the change of the shape of the anterior tooth area of the maxillary shell-shaped dental instrument.
  • the method further includes, while the jawbone is orthopedic and reshaped, the shape of the anterior tooth region of the mandibular shell-shaped dental instrument is gradually changed so that the corresponding teeth are gradually depressed from the initial position to the target position for correction.

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Abstract

A dental instrument for treatment of malocclusion, comprising a shell-like body (105). The shell-like body (105) is provided, at a position corresponding to a posterior teeth region, with a protruding portion (102) that protrudes toward an opposite jaw to align mandibular incisors and maxillary incisors. A part of an occlusal surface of the protruding portion (102) is provided with a friction portion (103) that increases the stability of contact between the upper and lower jaws during occlusal reconstruction. The corresponding posterior teeth region of the shell-like body (105) is further provided with at least one retention portion (2) that fastens to a retention accessory arranged on a tooth corresponding to the posterior teeth region. An anterior teeth region of the shell-like body (105) corresponding to a labial side having an outer surface in contact with teeth is further provided with at least one traction portion (3) for jawbone orthopedic reshaping.

Description

用于错颌畸形治疗的牙科器械、牙科器械套组及牙科矫治系统Dental instruments, dental instrument kits and dental orthodontic systems for the treatment of malocclusion
相关申请的交叉引用Cross-references to related applications
本申请要求享有于2019年9月20日递交的申请号分别为2019215722206、2019215722117、2019108936559和2019108978782的中国专利申请。它们的全部内容在此通过援引全部并入本文。This application is required to enjoy Chinese patent applications filed on September 20, 2019, with application numbers 2019215722206, 2019215722117, 2019108936559 and 2019108978782. Their entire contents are hereby incorporated into this article by reference.
技术领域Technical field
本申请属于医疗器械领域,涉及一种用于错颌畸形治疗的牙科器械、牙科器械套组及牙科治疗系统。The application belongs to the field of medical devices, and relates to a dental device, a dental device kit and a dental treatment system for malocclusion treatment.
背景技术Background technique
错颌畸形是指在儿童生长发育过程中,由先天的遗传因素或后天的环境因素,如疾病、口腔不良习惯、替牙障碍等,也可在生长发育后因外伤、牙周病等原因造成的如牙齿排列不齐、上下牙弓牙颌关系的异常、颌骨大小形态位置的异常、面部畸形等。错颌畸形的形成因素和机制是错综复杂的,其发生过程可能由单一因素及单一机制在起作用,也可能是多种因素或多种机制共同作用的结果。从错颌畸形形成的时间上来划分,错合畸形的病因可分为先天性因素和后天性因素两大类,但是针对个体错颌畸形发生机制的角度来说,错颌畸形的病因可分为内在的遗传因素和外界的环境因素。Malocclusion is caused by congenital genetic factors or acquired environmental factors, such as diseases, bad oral habits, dental replacement disorders, etc., during the growth and development of children, and can also be caused by trauma, periodontal disease and other reasons after growth and development. For example, the teeth are not aligned, the relationship between the upper and lower arches and the jaws are abnormal, the size and position of the jaws are abnormal, and the facial deformities. The formation factors and mechanisms of malocclusion are intricate, and its occurrence may be caused by a single factor and a single mechanism, or it may be the result of a combination of multiple factors or multiple mechanisms. Divided from the time when the malocclusion is formed, the causes of malocclusion can be divided into two categories: congenital and acquired. However, from the perspective of the mechanism of individual malocclusion, the causes of malocclusion can be divided into Internal genetic factors and external environmental factors.
颌垫,常用于反颌治疗中使用,主要作用是消除咬合调整中的颌障碍,便于咬合的调整,对于错颌畸形,双曲舌簧颌垫式矫治器以及唇弓矫治器的应用较为广泛。该类矫治器基本由固位、加力和连接三部分组成。但是上述方式应用于非隐形矫治治疗,在隐形矫治治疗过程时,颌垫的应用是在隐形矫治器上进行颌垫的黏贴或在隐形矫治器上设置空泡凸起,但是这种方式的隐形矫治器对于牙齿的包裹性较低,在佩戴过程中容易从牙齿上脱落,影响患者的治疗效果。Jaw pads are commonly used in the treatment of inverted jaws. The main function is to eliminate jaw obstacles in occlusal adjustment and facilitate occlusal adjustment. For malocclusion, hyperbolic tongue jaw pad appliances and labial arch appliances are widely used . This type of appliance is basically composed of three parts: retention, force application and connection. However, the above method is applied to non-invisible orthodontic treatment. During the invisible orthodontic treatment, the application of the jaw pad is to stick the jaw pad on the invisible appliance or to set the cavitation bulge on the invisible appliance, but this way The invisible aligner has a low ability to wrap the teeth and is easy to fall off the teeth during the wearing process, which affects the treatment effect of the patient.
颌外牵引也是常用的错颌畸形的矫治技术之一,上颌前方牵引矫治器是利用口外装置对上颌骨施加矫治力,向前牵引上颌骨并促进下颌骨发育的矫治器,近些年来,很多学者对前方牵引器进行改良变异,使前方牵引器不再是单一的矫治器。目前常使用的是前方牵引器与固定矫治配合,即上颌前方牵引矫治器与固定支架扩弓联合牵引矫治器的方式进行矫治,开颌时,颌垫一般粘贴或者直接设置在壳体上方,连接复杂,并且存在与牙齿连接不稳定的问题,容易脱落而影响矫治效果,牵引时,由于颌垫与牙齿连接不紧固而导致牵引方向难以控制的问题。另外,由于隐形矫治器为弹性高分子材料,如果直接采用现有的牵引方式进行牵引时,隐形矫 治器容易发生形变,导致隐形矫治器与牙齿不贴合,矫治效果反而下降。Extramaxillary traction is also one of the commonly used correction techniques for malocclusion. The anterior maxillary traction appliance is an appliance that uses an extraoral device to apply corrective force to the maxilla, traction the maxilla forward and promote the development of the mandible. In recent years, many Scholars have modified and mutated the front retractor so that the front retractor is no longer a single appliance. At present, the front traction device is often used in conjunction with fixed orthodontics, that is, the anterior maxillary traction appliance and the fixed bracket expansion joint traction appliance are used for correction. When the jaw is opened, the jaw pad is generally pasted or directly set on the top of the shell to connect It is complicated and has the problem of unstable connection with the teeth. It is easy to fall off and affect the correction effect. During traction, the traction direction is difficult to control because the jaw pad is not tightly connected to the teeth. In addition, because the invisible appliance is made of elastic polymer material, if the existing traction method is directly used for traction, the invisible appliance is prone to deformation, causing the invisible appliance to not fit the teeth, and the treatment effect is reduced.
因此,研究一种既能够打开咬合又能够防脱位的牙科器械具有重要意义。Therefore, it is of great significance to study a dental instrument that can open the occlusion and prevent dislocation.
发明内容Summary of the invention
第一方面,本申请部分实施例提供一种用于错颌畸形治疗的牙科器械,使得咬合重建时,牙科器械与牙齿不发生脱位。In the first aspect, some embodiments of the present application provide a dental instrument for malocclusion treatment, so that when the occlusion is reconstructed, the dental instrument does not dislocate from the teeth.
第二方面,本申请部分实施例还提供一种用于错颌畸形治疗的牙科器械套组,使得上下颌进行咬合重建时,牙科器械与牙齿不发生脱位。In the second aspect, some embodiments of the present application also provide a dental instrument set for malocclusion treatment, so that when the upper and lower jaw is reconstructed by occlusion, the dental instrument does not dislocate from the teeth.
第三方面,本申请部分实施例还提供一种用于错颌畸形治疗的壳状牙科矫治系统,使得在进行上下颌咬合重建的同时进行牙齿矫治。In the third aspect, some of the embodiments of the present application also provide a shell-shaped dental orthodontic system for malocclusion treatment, so as to perform dental orthodontics while reconstructing the mandibular occlusion.
在本申请一实施例中,提供一种用于错颌畸形治疗的牙科器械,包括壳状本体,所述壳状本体设置若干容纳牙齿的腔体,所述若干腔体间联通。所述壳状本体在对应于后牙区的位置处设有至少一个向对颌方向凸出使下颌切牙与上颌切牙趋于对齐的凸起部,所述凸起部面向对颌牙列咬合面的部分设有咬合重建时增加上下颌稳定接触的摩擦部。所述壳状本体对应的后牙区还设有至少一个与后牙区对应牙齿上设置的固位附件扣合且防止壳状本体与牙齿脱位的固位部。此外,所述壳状本体外表面与牙齿接触的唇侧面对应的前牙区还设有至少一个用于颌骨矫形重塑的牵引部,所述牵引部在所述凸起部与下颌后牙区配合进行咬合重建时配合上颌颌外反向牵引使得颌骨矫形重塑。In an embodiment of the present application, there is provided a dental instrument for malocclusion treatment, including a shell-shaped body provided with a plurality of cavities for accommodating teeth, and the plurality of cavities are in communication. The shell-shaped body is provided with at least one protruding part protruding toward the opposite jaw at a position corresponding to the posterior tooth area so that the mandibular incisor and the maxillary incisor tend to align, and the convex part faces the opposite dentition The part of the occlusal surface is provided with friction parts that increase the stable contact between the upper and lower jaws during occlusal reconstruction. The posterior tooth region corresponding to the shell-shaped body is also provided with at least one retaining part which is buckled with the retaining attachment provided on the corresponding tooth of the posterior tooth region and prevents the shell-like body from dislocating from the tooth. In addition, the anterior tooth area corresponding to the labial side surface of the shell-shaped body in contact with the teeth is also provided with at least one traction part for jaw orthopedic reshaping, and the traction part is located between the protrusion and the posterior mandibular teeth. Zone coordination for occlusal reconstruction with maxillary extra-maxillary reverse traction to reshape the jaw bone.
在本申请一实施例中,所述固位部包括第一曲面和第二曲面,所述第一曲面与所述第二曲面围合形成一端开口另一端封闭的固位附件容置空间,所述第一曲面与所述第二曲面的弯曲方向相同,且所述第一曲面与所述第二曲面的曲率不同。如此设置所述固位部的结构,与之相匹配的固位附件在与牙齿表面接触面积相同的情况下,所述固位部与固位附件的接触面积更大,因此能够为牙科器械提供更大的固位力。In an embodiment of the present application, the retaining portion includes a first curved surface and a second curved surface, the first curved surface and the second curved surface are enclosed to form a retention accessory accommodating space with one end open and the other closed end, so The first curved surface and the second curved surface have the same bending direction, and the first curved surface and the second curved surface have different curvatures. The structure of the retention part is configured in this way, and the contact area of the retention part and the retention accessory is larger when the matching retention accessory has the same contact area with the tooth surface, so that it can provide dental instruments Greater retention.
在本申请一实施例中,所述壳状本体包括两个固位部,设于所述凸起部对应的后牙区近中位置;和/或,所述壳状本体包括两个牵引部,对称设于所述壳装本体唇侧面的前牙区。In an embodiment of the present application, the shell-shaped body includes two retention parts, which are arranged at the mesial position of the posterior region corresponding to the protrusion; and/or, the shell-shaped body includes two traction parts , Symmetrically arranged on the anterior teeth area of the lip side of the shell body.
在本申请一实施例中,所述固位部与所述牵引部被构造为,颌外牵引时,所述固位部与固位附件作用在所述固位部处产生的固位合力方向与所述牵引部受到的牵引力方向成一定夹角。所述夹角大于等于70°但小于等于100°;或者所述夹角大于等于70°但小于等于90°,或大于等于90°但小于等于100°;或者,所述夹角为90°。在本申请一实施例中,所述固位部与固位附件作用产生的受力方向与所述牵引部产生的施力方向垂直。In an embodiment of the present application, the retaining portion and the traction portion are configured such that the direction of the combined retention force generated by the retaining portion and the retaining accessory acting on the retaining portion during the extra-mandibular traction It forms a certain angle with the direction of the traction force received by the traction part. The included angle is greater than or equal to 70° but less than or equal to 100°; or the included angle is greater than or equal to 70° but less than or equal to 90°, or greater than or equal to 90° but less than or equal to 100°; or, the included angle is 90°. In an embodiment of the present application, the force direction generated by the action of the retention part and the retention attachment is perpendicular to the force application direction generated by the traction part.
在本申请一实施例中,所述固位部为容纳多边形附件、多曲面型附件、T型附件或“十”字型附件的空腔。提供多样的固位部,以适应不同的固位需求。In an embodiment of the present application, the retaining portion is a cavity for accommodating a polygonal attachment, a multi-curved attachment, a T-shaped attachment, or a "cross"-shaped attachment. Provide a variety of retention parts to meet different retention requirements.
在本申请一实施例中,所述牵引部与所述壳状本体为分体设置或一体成型设置。所述 牵引部与壳状本体为分体设置时,所述壳状本体上还设置有与所述牵引部配合的孔洞,所述牵引部穿过所述孔洞与所述壳状本体连接固定;所述牵引部凸设于所述壳状本体外表面与牙齿接触的唇侧面对应的前牙区。In an embodiment of the present application, the traction part and the shell-shaped body are provided separately or integrally formed. When the traction part and the shell-shaped body are arranged separately, the shell-shaped body is also provided with a hole that cooperates with the traction part, and the traction part passes through the hole and is connected and fixed to the shell-shaped body; The traction part is protrudingly arranged in the anterior tooth area corresponding to the labial side surface of the outer surface of the shell body in contact with the teeth.
在本申请一实施例中,所述牵引部本身为分体结构,所述分体结构分别在所述壳状本体的内表面与外表面通过卡接配合连接在所述壳状本体上。在本申请一实施例中,所述牵引部包括底部、连接杆和顶部,所述底部设于所述壳状本体的内表面通过所述连接杆穿过所述壳状本体与所述顶部连接,所述顶部设于所述壳状本体外表面。In an embodiment of the present application, the traction part itself is a split structure, and the split structure is respectively connected to the shell body on the inner surface and the outer surface of the shell body through a snap fit. In an embodiment of the present application, the traction part includes a bottom, a connecting rod, and a top. The bottom is provided on the inner surface of the shell-shaped body and is connected to the top through the shell-shaped body through the connecting rod. , The top part is arranged on the outer surface of the shell body.
在本申请一实施例中,所述牵引部与壳状本体为通过粘结固定的分体设置。In an embodiment of the present application, the traction part and the shell-shaped body are arranged separately and fixed by bonding.
在本申请一实施例中,还提供一种用于错颌畸形治疗的牙科器械套组,包括两个上述的牙科器械。两个牙科器械分别佩戴在上下颌牙齿上,同时对患者的上下颌齿列进行矫治,能够获得更好的矫治效果。In an embodiment of the present application, there is also provided a dental instrument kit for malocclusion treatment, which includes two of the above-mentioned dental instruments. Two dental instruments are respectively worn on the upper and lower teeth, and the patient's upper and lower dentition are corrected at the same time, which can obtain a better correction effect.
在本申请一实施例中,还提供一种用于错颌畸形治疗的壳状牙科矫治系统,包括多个牙科器械套组,其中,至少一个牙科器械套组为上述的用于错颌畸形治疗的牙科器械套组。患者在正畸矫治过程中,由于佩戴的牙科器械套组,使得患者的错颌畸形得以矫正。设置多个牙科器械套组进行治疗,可以获得更佳的矫治效果以及治疗体验。In an embodiment of the present application, there is also provided a shell-shaped dental orthodontic system for malocclusion treatment, including a plurality of dental instrument sets, wherein at least one dental instrument set is the aforementioned malocclusion treatment system Set of dental instruments. In the process of orthodontic treatment, the malocclusion deformity of the patient can be corrected due to the set of dental instruments worn by the patient. Setting up multiple dental instrument sets for treatment can obtain a better treatment effect and treatment experience.
在本申请一实施例中,还提供一种用于错颌畸形治疗的牙科器械套组,包括第一壳状牙科器械和第二壳状牙科器械。所述第一壳状牙科器械为上述的牙科器械;所述第二壳状牙科器械包括第二壳状本体,所述第二壳状本体设置若干容纳第二牙列的第二腔体,所述第二壳状本体对应所述第一壳状本体的凸起部的位置处设有至少一个与所述第一壳状本体的凸起部配合且促进咬合诱导的限位部;第一壳状牙科器械与第二壳状牙科器械配合完成咬合重建的目的。In an embodiment of the present application, there is also provided a dental instrument kit for malocclusion treatment, which includes a first shell-shaped dental instrument and a second shell-shaped dental instrument. The first shell-shaped dental instrument is the above-mentioned dental instrument; the second shell-shaped dental instrument includes a second shell-shaped body, and the second shell-shaped body is provided with a plurality of second cavities for accommodating the second dentition, so The second shell-shaped body is provided at a position corresponding to the convex portion of the first shell-shaped body with at least one limiting portion that cooperates with the convex portion of the first shell-shaped body and promotes occlusion induction; the first shell The shaped dental instrument cooperates with the second shell-shaped dental instrument to complete the purpose of occlusal reconstruction.
在本申请一实施例中,所述限位部为与第一壳状牙科器械相应后牙区咬合面凹凸匹配的结构、为与第一壳状牙科器械咬合面咬合匹配的结构、为具有磨砂表面的结构、为具有镂空表面的结构、为与对颌牙齿相应后牙区咬合面设有开口的结构或为后牙区不覆盖第二壳状本体结构中的一种、两种或多种的组合。In an embodiment of the present application, the limiting portion is a structure that matches the concave and convex of the occlusal surface of the corresponding posterior region of the first shell-shaped dental instrument, is a structure that matches the occlusal surface of the first shell-shaped dental instrument, and has a frosted surface. The surface structure is one, two or more of a structure with a hollow surface, a structure with openings on the occlusal surface of the posterior region corresponding to the opposite jaw teeth, or a structure that the posterior region does not cover the second shell-like body structure The combination.
在本申请一实施例中,所述第二壳状牙科器械的第二壳状本体的外表面与牙齿接触的唇侧面还设有用于颌骨矫形重塑的牵引部。In an embodiment of the present application, the labial side surface of the second shell-shaped body of the second shell-shaped dental instrument in contact with the teeth is also provided with a traction part for jaw orthopedic reshaping.
在本申请一实施例中,还提供一种用于错颌畸形治疗的壳状牙科矫治系统,包括多个牙科器械套组,其中,至少一个牙科器械套组为上述的用于错颌畸形治疗的牙科器械套组。In an embodiment of the present application, there is also provided a shell-shaped dental orthodontic system for malocclusion treatment, including a plurality of dental instrument sets, wherein at least one dental instrument set is the aforementioned malocclusion treatment system Set of dental instruments.
在本申请一实施例中,所述牙科器械套组的不同的所述牙科器械套组中的所述壳状牙科器械上的凸起部的凸起高度随着矫治过程逐渐减小。In an embodiment of the present application, the protrusion heights of the protrusions on the shell-shaped dental instruments in the different dental instrument sets of the dental instrument set gradually decrease with the correction process.
与现有技术相比,本申请的有益效果如下。Compared with the prior art, the beneficial effects of the present application are as follows.
第一,本申请提供一种用于错颌畸形治疗的牙科器械,壳状本体的后牙区设置有向对 颌凸出的凸起部,能够起到打开牙齿咬合且诱导下颌切牙与上颌切牙趋于对齐的作用;采用在凸起部上设置增加摩擦力的摩擦部结构,在打开咬合的同时,使得上下颌稳定接触;在牙科器械的后牙区与牙齿接触面上设置的固位部,能够增大牙科器械与牙齿的固位力,防止牙科器械在佩戴过程中发生脱落;此外,所述壳状本体外表面还设有牵引部,当所述凸起部与下颌后牙区配合进行咬合重建时,用于配合上颌颌外反向牵引使得颌骨矫形重塑;同时,本申请的牙科器械采用一体式凸起结构,不需要将颌垫固定在牙齿上,也不需要将颌垫固定在牙科器械内,佩戴方便、舒适,易摘戴,不会对牙齿形成较大的创伤。First, this application provides a dental instrument for malocclusion treatment. The posterior tooth area of the shell-shaped body is provided with a protrusion protruding toward the opposite jaw, which can open the occlusion of the teeth and induce the mandibular incisor and the upper jaw. The incisor tends to be aligned; the structure of the friction part that increases the friction is set on the protrusion, so that the upper and lower jaws are in stable contact while opening the occlusion; the solid is set on the contact surface between the posterior teeth of the dental instrument and the teeth. The position part can increase the retention force between the dental instrument and the teeth, and prevent the dental instrument from falling off during the wearing process; in addition, the outer surface of the shell-shaped body is also provided with a traction part, when the protrusion part and the posterior mandibular teeth When performing occlusal reconstruction with zone coordination, it is used to coordinate the maxillary extra-maxillary reverse traction to reshape the jaw bone; at the same time, the dental instrument of the present application adopts an integrated convex structure, which does not require the jaw pad to be fixed on the tooth, nor does it require The jaw pad is fixed in the dental instrument, which is convenient and comfortable to wear, easy to remove and wear, and will not cause major trauma to the teeth.
第二,本申请的用于错颌畸形治疗的牙科器械,在后牙区设置有固位部,具有两个弯曲方向相同的曲面,对应的牙齿上设置有与之匹配的固位附件,在与牙齿表面接触面积相同的情况下,这样的固位附件与固位部配合时能够提供更大的接触面积,因此能够为牙科器械提供更大的固位力;固位部的两曲面之间的夹角为锐角结构设计,使得在固位部与固位附件接触面积相同的情况下,固位附件与牙齿表面的接触面积更小,从而减少对牙齿表面的损伤。Second, the dental instrument for malocclusion treatment of the present application is provided with a retention part in the posterior tooth area, which has two curved surfaces with the same bending direction, and a matching retention accessory is provided on the corresponding tooth. In the case of the same contact area with the tooth surface, such a retaining accessory can provide a larger contact area when matched with the retaining portion, and therefore can provide a greater retention force for the dental instrument; between the two curved surfaces of the retaining portion The included angle is an acute-angle structure design, so that when the contact area between the retention part and the retention accessory is the same, the contact area between the retention accessory and the tooth surface is smaller, thereby reducing the damage to the tooth surface.
附图说明Description of the drawings
图1是本申请实施例1的牙科器械的示意图。Fig. 1 is a schematic diagram of a dental appliance according to Example 1 of the present application.
图2是本申请实施例1的固位部的示意图。Fig. 2 is a schematic diagram of the retaining portion of Example 1 of the present application.
图3是本申请实施例2的牙科器械的示意图。Fig. 3 is a schematic diagram of a dental appliance according to Example 2 of the present application.
图4是本申请实施例2的牙科器械的另一示意图。Fig. 4 is another schematic diagram of the dental appliance of Example 2 of the present application.
图5是本申请实施例2的牵引部的结构示意图。FIG. 5 is a schematic diagram of the structure of the traction part of Embodiment 2 of the present application.
图6是本申请实施例3的牙科器械的示意图。Fig. 6 is a schematic diagram of a dental appliance according to Example 3 of the present application.
图7是本申请实施例3的牙科器械的另一示意图。Fig. 7 is another schematic diagram of the dental appliance of Example 3 of the present application.
图8是本申请实施例3的牙科器械的另一示意图。Fig. 8 is another schematic diagram of the dental appliance of Example 3 of the present application.
图9是本申请实施例3的牙科器械的另一示意图。Fig. 9 is another schematic diagram of the dental appliance of Example 3 of the present application.
图10是本申请实施例3的牙科器械的另一示意图。Fig. 10 is another schematic diagram of the dental appliance of Example 3 of the present application.
图11是本申请实施例4的牙科器械套组的示意图。Fig. 11 is a schematic diagram of a dental instrument kit according to Example 4 of the present application.
图12是本申请实施例5的牙科器械套组的示意图。Fig. 12 is a schematic diagram of a dental instrument kit according to Example 5 of the present application.
图13是本申请实施例6的牙科器械套组的示意图。Fig. 13 is a schematic diagram of a dental instrument kit according to Example 6 of the present application.
图14是本申请实施例6的牙科器械套组的另一示意图。FIG. 14 is another schematic diagram of the dental instrument kit of Example 6 of the present application.
图15是本申请实施例6的牙科器械套组的另一示意图。FIG. 15 is another schematic diagram of the dental instrument kit of Example 6 of the present application.
图16是本申请实施例7的牙科矫治套组的示意图。Fig. 16 is a schematic diagram of a dental treatment kit according to Example 7 of the present application.
图17是本申请实施例8的牙科矫治套组的示意图。Fig. 17 is a schematic diagram of a dental treatment kit according to Example 8 of the present application.
图18是本申请实施例9的牙科矫治套组的示意图。Fig. 18 is a schematic diagram of a dental treatment kit according to Example 9 of the present application.
附图标记:上颌牙套100;上颌颌垫101;壳状本体105;凸起部102;摩擦部103; 固位部2,第一外表面303,第二外表面302;牵引部3,底部31,连接杆32,顶部33;下颌牙套200;下颌颌垫201;开口结构210;第一壳状牙科器械T1a,T1b,T1c;第二壳状牙科器械T2;第二壳状本体205;限位部203。Reference signs: maxillary braces 100; maxillary pad 101; shell-shaped body 105; protrusion 102; friction part 103; retention part 2, first outer surface 303, second outer surface 302; traction part 3, bottom 31 , Connecting rod 32, top 33; mandibular braces 200; mandibular pad 201; opening structure 210; first shell-shaped dental instrument T1a, T1b, T1c; second shell-shaped dental instrument T2; second shell-shaped body 205; limit部203.
具体实施方式detailed description
下面结合具体实施例,进一步阐述本申请。应该理解,这些实施例仅用于说明本申请,不用于限定本申请的保护范围。在实际应用中本领域技术人员根据本申请做出的改进和调整,仍属于本申请的保护范围。The application will be further explained below in conjunction with specific embodiments. It should be understood that these embodiments are only used to illustrate the present application, and are not used to limit the protection scope of the present application. In practical applications, improvements and adjustments made by those skilled in the art based on this application still fall within the protection scope of this application.
本申请中,如无特殊说明,“后牙区”根据北京大学医学出版社出版的《口腔医学导论》第2版第36-38页中对于牙齿的分类进行定义,包括前磨牙以及磨牙。“前牙区”包括切牙、侧切牙和尖牙。In this application, unless otherwise specified, the "posterior tooth area" is defined according to the classification of teeth in pages 36-38 of the "Introduction to Stomatology" 2nd edition published by Peking University Medical Press, including premolars and molars. The "anterior teeth area" includes incisors, lateral incisors, and canines.
实施例1Example 1
本实施例提供一种用于错颌畸形治疗的牙科器械,用于错颌畸形治疗,包括上颌牙套100,所述上颌牙套100包括符合人体齿列形状的壳状本体105(图中未示出),所述壳状本体105设置容纳人体上颌前牙、前磨牙及磨牙的腔体,所述腔体间联通。如图1所示,所述壳体状本体105两侧的后牙区向下颌方向凸出设有凸起部102(图中未示出),所述凸起部102形成所述上颌牙套100的上颌颌垫101。佩戴时,所述上颌牙套100后牙区的上颌颌垫101与下颌人体齿列对应的后牙咬合,由于上颌颌垫101的作用,所述上颌牙套100能够起到打开牙齿咬合并且使下颌切牙与上颌切牙趋于对齐的作用。This embodiment provides a dental instrument for malocclusion treatment, including maxillary braces 100. The maxillary braces 100 includes a shell-shaped body 105 that conforms to the shape of the human dentition (not shown in the figure). ), the shell-shaped body 105 is provided with cavities for accommodating the upper anterior teeth, premolars and molars of the human body, and the cavities are communicated with each other. As shown in FIG. 1, the posterior tooth regions on both sides of the shell-shaped body 105 are provided with protrusions 102 (not shown in the figure) protruding in the mandibular direction, and the protrusions 102 form the upper jaw brace 100 The upper jaw pad 101. When worn, the upper jaw pad 101 in the posterior area of the upper jaw brace 100 occludes with the corresponding posterior teeth of the mandibular human dentition. Due to the function of the upper jaw pad 101, the upper jaw brace 100 can open the teeth and cut the mandible. The role of teeth and maxillary incisors tending to align.
本实施例的上颌牙套采用高分子材料制成,在与牙齿咬合时会发生相对滑动,为增大上颌颌垫101与下颌后牙区牙齿咬合的摩擦力,上颌颌垫101的咬合面设置有与下颌齿列后牙的咬合面进行凹凸匹配的摩擦部103。换言之,在凸起部102面向对颌牙列咬合面的部分设有咬合重建时增加上下颌稳定接触的摩擦部103。所述摩擦部设置为与下颌牙列后牙区的窝沟相匹配的凸出结构,所述摩擦部能够在咬合重建时增加上下颌稳定接触。The maxillary braces of this embodiment are made of polymer materials, which will slide relative to each other when occluding the teeth. In order to increase the friction between the maxillary pad 101 and the teeth in the posterior area of the mandible, the occlusal surface of the maxillary pad 101 is provided with The friction part 103 that matches with the occlusal surface of the posterior teeth of the mandibular dentition. In other words, the portion of the protrusion 102 facing the occlusal surface of the opposite jaw is provided with a friction portion 103 that increases the stable contact between the upper and lower jaws during occlusal reconstruction. The friction part is arranged as a protruding structure that matches the pits and fissures of the posterior teeth of the mandibular dentition, and the friction part can increase the stable contact of the upper and lower jaws during occlusion reconstruction.
本实施例的上颌牙套100还可以配合前方牵引器对患者的上颌齿列进行牵引治疗,由于上颌牙套受前方牵引器的牵引作用,所述上颌牙套受到垂直于前牙的向外的牵引拉力,由于牵引拉力的作用,上颌牙套100与上颌齿列发生易位、甚至脱落。因此,为防止所述上颌牙套100与上颌齿列脱位,在人体上颌齿列的两侧后牙区的颊侧面设置有固位附件(图中未示出),所述上颌牙套100的对应位置设置有与所述固位附件配合的固位部2。所述上颌牙套100的固位部2为向颊侧突出的空腔,所述固位部2对称设置在上颌牙套100的两侧后牙区。固位部设置于上颌牙套的后牙区,可以为所述上颌牙套提供更稳固的固位力。The upper jaw brace 100 of this embodiment can also cooperate with the front retractor to perform traction treatment on the patient’s maxillary dentition. Because the upper jaw brace is traction by the front retractor, the upper jaw brace receives an outward traction force perpendicular to the front teeth. Due to the traction force, the maxillary braces 100 translocates from the maxillary dentition, or even falls off. Therefore, in order to prevent the maxillary braces 100 from dislocating from the maxillary dentition, retention attachments (not shown in the figure) are provided on the buccal side of the posterior regions on both sides of the upper dentition of the human body. The corresponding positions of the maxillary braces 100 A retaining portion 2 that is matched with the retaining accessory is provided. The retaining portion 2 of the upper jaw brace 100 is a cavity protruding to the buccal side, and the retaining portion 2 is symmetrically arranged in the posterior region on both sides of the maxillary brace 100. The retaining portion is arranged in the posterior area of the upper jaw brace, and can provide a more stable retention force for the upper jaw brace.
所述固位部2如图2所示,包括第一外表面303和第二外表面302,所述第二外表面302为向固位附件中心处内凹的曲面,所述第一外表面303同为曲面,所述第一外表面303、 所述第二外表面302的弯曲方向相同,所述第一外表面303、所述第二外表面302围合形成所述空腔,即为所述固位部2。这种固位部2,在与固位附件配合使用时,在与人体牙齿接触面积相同的情况下,固位附件与固位部配合能够提供更大的接触面积,因此能够提供更大的固位力。As shown in FIG. 2, the retaining portion 2 includes a first outer surface 303 and a second outer surface 302. The second outer surface 302 is a curved surface that is concave toward the center of the retention accessory. The first outer surface 303 is a curved surface, the first outer surface 303 and the second outer surface 302 have the same bending direction, and the first outer surface 303 and the second outer surface 302 are enclosed to form the cavity, which is The retention part 2. When this kind of retaining part 2 is used in conjunction with a retaining accessory, under the condition that the contact area with the human teeth is the same, the retaining accessory and the retaining part can provide a larger contact area, and therefore can provide a larger fixed area. Position power.
本实施例的固位部2的外表面与所述壳状本体的唇侧面呈一定的角度设置,使得所述固位部的第一外表面303或所述第二外表面302的受力分面与颌外牵引方向垂直,牵引治疗过程中固位部与牙齿上设置的固位附件扣合,带动牙齿移动,设置多个可以将牙齿形成一个整体,进行其他功能矫治时,如进行牵引时,不仅能够防止牙科器械与牙齿发生脱位,还能够增加牵引时的牵引固位力。The outer surface of the retaining portion 2 of the present embodiment is set at a certain angle with the lip side surface of the shell-shaped body, so that the force distribution of the first outer surface 303 or the second outer surface 302 of the retaining portion The direction of face and extramaxillary traction is perpendicular. During traction treatment, the retention part is buckled with the retention attachments set on the teeth to drive the teeth to move. Multiple teeth can be set to form a whole. For other functional corrections, such as traction , Not only can prevent dislocation of dental instruments and teeth, but also increase the retention of traction during traction.
本实施例中,固位部2对称设置在所述上颌牙套100后牙区的颊侧面,在其他替换实施例中,固位部2可以对称设置在所述上颌牙套100的后牙区的舌侧面,或颊侧面、舌侧面同时设置,或上颌左右两侧的颊侧面和/或唇侧面设置。In this embodiment, the retaining portion 2 is symmetrically arranged on the buccal side of the posterior region of the maxillary braces 100. In other alternative embodiments, the retaining portion 2 may be symmetrically arranged on the tongue of the posterior region of the maxillary braces 100. On the side, or on the buccal and lingual sides at the same time, or on the buccal and/or labial sides of the left and right sides of the upper jaw.
在本实施例中,所述上颌颌垫101的厚度较其他区域的厚度更厚,或者硬度较其他区域的硬度更高,使得上颌颌垫101更坚固、耐用。上颌牙套100在需要矫治的部位、在上颌颌垫101的位置以及上颌颌垫101的咬合面的位置其厚度较厚,所述厚度可以设置为2mm、1.5mm、1mm,0.75mm、0.5mm;而在其他位置的厚度相较这些部位的厚度较小,上颌牙套的局部位置还可以设置为0.1mm,以此获得更好的矫治效果以及舒适、美观的患者体验。在其他实施方式中,所述上颌牙套也可以设置为厚度均一的壳体,此处不做限制。In this embodiment, the thickness of the maxillary cushion 101 is thicker than that of other regions, or the hardness is higher than that of other regions, so that the maxillary cushion 101 is stronger and more durable. The upper jaw brace 100 has a relatively thick thickness at the position to be corrected, the position of the upper jaw pad 101 and the position of the occlusal surface of the upper jaw pad 101, and the thickness can be set to 2mm, 1.5mm, 1mm, 0.75mm, 0.5mm; The thickness at other positions is smaller than the thickness of these parts, and the partial position of the maxillary braces can also be set to 0.1mm, so as to obtain a better correction effect and a comfortable and beautiful patient experience. In other embodiments, the upper jaw brace can also be set as a shell with a uniform thickness, which is not limited here.
本实施例中,为增加所述上颌颌垫101的咬合强度,所述上颌颌垫101与上颌磨牙之间的空间内设有填充物,所述填充物为高分子树脂,以增加上颌颌垫101的支撑强度,防止咬合过程发生形变。In this embodiment, in order to increase the occlusal strength of the maxillary cushion 101, a filler is provided in the space between the maxillary cushion 101 and the maxillary molars, and the filler is a polymer resin to increase the maxillary cushion The support strength of 101 prevents deformation during occlusion.
实施例2Example 2
参看图3和4,本实施例提供一种用于错颌畸形治疗的壳状牙科器械,包括壳状本体105,所述壳状本体105设置若干容纳牙齿的腔体,所述若干腔体直接联通。所述壳状本体105在对应于后牙区位置处向对颌方向凸出设有使下颌切牙与上颌切牙趋于对齐的凸起部102,所述凸起部102面向对颌牙列咬合面的部分设有咬合重建时增加上下颌稳定接触的摩擦部103。所述壳状本体105对应的后牙区还至少设有一个与后牙区对应牙齿上设置的固位附件扣合且防止壳状本体与牙齿脱位的固位部2;以及所述壳状本体105外表面与牙齿接触的唇侧面对应的前牙区还至少设有一个用于颌骨矫形重塑的牵引部3,所述牵引部3在所述凸起部2与下颌后牙区配合进行咬合重建时配合上颌颌外反向牵引使得颌骨矫形重塑。3 and 4, this embodiment provides a shell-shaped dental instrument for malocclusion treatment, including a shell-shaped body 105, the shell-shaped body 105 is provided with a plurality of cavities for accommodating teeth, the plurality of cavities directly Unicom. The shell-shaped body 105 protrudes toward the opposite jaw at a position corresponding to the posterior region, and is provided with a protrusion 102 that makes the mandibular incisor tend to align with the upper incisor, and the protrusion 102 faces the opposing dentition. The part of the occlusal surface is provided with a friction part 103 that increases the stable contact between the upper and lower jaws during occlusal reconstruction. The posterior tooth region corresponding to the shell-shaped body 105 is also provided with at least one retaining part 2 that is buckled with the retention attachment provided on the corresponding tooth of the posterior tooth region and prevents the shell-shaped body from dislocating from the tooth; and the shell-shaped body 105 The anterior tooth area corresponding to the labial side surface of the outer surface contacting the teeth is also provided with at least one traction part 3 for jaw orthopedic reshaping, and the traction part 3 is performed in cooperation with the convex part 2 and the mandibular posterior tooth area. The occlusal reconstruction is combined with the maxillary extra-maxillary reverse traction to reshape the jaw bone.
所述固位部2与所述牵引部3被构造为,颌外牵引时,所述固位部2与固位附件作用在所述固位部处产生的固位合力方向与所述牵引部3受到的牵引力方向成一定夹角。所述夹角 大于等于70°但小于等于100°;或者,所述夹角大于等于70°但小于等于90°,或大于等于90°但小于等于100°;或者,所述夹角为90°。具体的,颌外牵引时,所述固位部2与固位附件作用产生的受力方向与所述牵引部3产生的施力方向垂直。The retention part 2 and the traction part 3 are configured such that when the retention part 2 and the retention accessory act on the retention part when the retention part 2 and the retention attachment act on the retention part, the direction of the resultant retention force generated at the retention part is the same as the traction part. 3 The direction of the traction force is at a certain angle. The included angle is greater than or equal to 70° but less than or equal to 100°; or, the included angle is greater than or equal to 70° but less than or equal to 90°, or greater than or equal to 90° but less than or equal to 100°; or, the included angle is 90° . Specifically, during extra-mandibular traction, the force direction generated by the action of the retention part 2 and the retention attachment is perpendicular to the force application direction generated by the traction part 3.
壳状本体105上设置凸起部102,用于打开咬合且进行咬合重建,使下颌切牙与上颌切牙趋于对齐;并且固位部2以及固位附件的扣合使得壳状本体105与牙齿更加贴合和稳固。所述固位部2与固位附件作用产生的受力方向与所述牵引部3产生的施力方向垂直,具体是,颌外牵引时,牵引部3与前方牵引器进行牵引连接,牵引部3牵引壳状本体105带动牙齿移动,此时牵引部3作为施力方,所述固位部2与固位附件整体相互作用作为牵引部3的受力方,使得其受力方向与牵引部3产生的施力方向垂直,避免了壳状本体105在牵引的过程中发生形变或与牙齿发生脱位。The shell-shaped body 105 is provided with a raised portion 102 for opening the occlusion and reconstructing the occlusion, so that the mandibular incisor and the upper incisor tend to be aligned; and the fastening of the retaining portion 2 and the retaining accessory makes the shell-shaped body 105 and The teeth are more fit and stable. The force direction generated by the action of the retention part 2 and the retention attachment is perpendicular to the force application direction generated by the traction part 3. Specifically, when the traction part 3 is traction outside the jaw, the traction part 3 is traction connection with the front traction device, and the traction part 3 Traction the shell-shaped body 105 to drive the teeth to move. At this time, the traction part 3 acts as the force applying side. The retaining part 2 interacts with the retention attachment as the force receiving side of the traction part 3, so that the force direction and the traction part 3 are generated. The direction of force application is vertical, which prevents the shell-shaped body 105 from deforming or dislocating from the teeth during the traction process.
进一步的,所述凸起部102面向对颌牙列咬合面的部分设有咬合重建时增加上下颌稳定接触的摩擦部103;由于壳状牙科器械为高分子材料,上下颌接触时容易产生相对滑动的现象,使得上下颌的咬合关系不稳定,所以在上下颌接触面增加摩擦部103,以增加接触面的摩擦力,避免上下颌的相对滑动,使得咬合重建时上下颌稳定接触,达到咬合诱导的效果。所述摩擦部103为与牙齿咬合面具有相同纹理的结构、为表面具有磨砂表面的结构、为表面具有凸起的结构、为具有镂空表面的结构或为具有孔洞表面的结构中的一种、两种或两种以上的组合。上下颌佩戴了壳状牙科器械后,接触时防止产生上下颌相对滑动的现象,在上下颌接触面增加摩擦部,以增加咬合重建时上下颌的稳定性。Further, the portion of the protrusion 102 facing the occlusal surface of the opposite jaw is provided with a friction portion 103 that increases the stable contact between the upper and lower jaws during occlusal reconstruction; because the shell-shaped dental instrument is made of polymer materials, the upper and lower jaws are prone to opposing contact. The sliding phenomenon makes the occlusal relationship between the upper and lower jaws unstable, so the friction part 103 is added on the upper and lower jaw contact surface to increase the friction of the contact surface and avoid the relative sliding of the upper and lower jaws, so that the upper and lower jaws are in stable contact during the occlusal reconstruction to achieve occlusion. Inducing effect. The friction portion 103 is one of a structure with the same texture as the occlusal surface of the tooth, a structure with a frosted surface on the surface, a structure with a convex surface on the surface, a structure with a hollow surface, or a structure with a hole surface, A combination of two or more. After the upper and lower jaws are fitted with shell-shaped dental instruments, the relative sliding of the upper and lower jaws will be prevented during contact, and friction parts will be added on the contact surfaces of the upper and lower jaws to increase the stability of the upper and lower jaws during occlusal reconstruction.
所述牵引部3为进行牵引时能够产生钩挂力的结构,牵引部上靠近唇侧处设置钩挂部,产生钩挂力,对产生钩挂力的结构不进行限制。The traction part 3 is a structure capable of generating a hooking force during traction. A hooking part is provided on the traction part near the lip side to generate a hooking force, and there is no restriction on the structure that generates the hooking force.
进一步的,牵引部3与壳状本体105为分体设置或一体成型设置。当牵引部3与壳状本体105为一体成型设置时,其可以为压膜一体成型的结构,也可以在所述壳状本体105上直接切割成钩状结构,牵引部3和壳状本体105为同种材料连续制备而成,在进行牵引时,牵引部与壳状本体105不会发生分离,结构更加稳定。Further, the traction part 3 and the shell-shaped body 105 are provided separately or integrally formed. When the traction part 3 and the shell-shaped body 105 are integrally formed, it can be an integrally formed structure by pressing a film, or it can be directly cut into a hook-shaped structure on the shell-shaped body 105. The traction part 3 and the shell-shaped body 105 It is made of the same material continuously, and during traction, the traction part and the shell-shaped body 105 will not be separated, and the structure is more stable.
当所述牵引部3与所述壳状本体105为分体设置时,所述壳状本体105上还设置有与所述牵引部3配合的孔洞(图中未示出),所述牵引部3穿过孔洞凸设于所述壳状本体105外表面与牙齿接触的唇侧面对应的前牙区。所述分体设置分别在所述壳状本体105的内表面与外表面通过卡接配合而连接在所述壳状本体105上,即所述牵引部3为装配到所述壳状本体105上,此种设置方法降低了壳状本体105的加工难度,并且可以按照实际的病历需求,使用不同规格的牵引部进行牵引治疗。When the traction part 3 and the shell body 105 are arranged separately, the shell body 105 is also provided with a hole (not shown in the figure) that cooperates with the traction part 3, and the traction part 3 through the hole to protrude on the anterior tooth area corresponding to the labial side of the outer surface of the shell-shaped body 105 in contact with the teeth. The separate bodies are respectively arranged on the inner surface and outer surface of the shell-shaped body 105 to be connected to the shell-shaped body 105 by snap fit, that is, the traction part 3 is assembled to the shell-shaped body 105 This arrangement method reduces the processing difficulty of the shell-shaped body 105, and can use different specifications of traction parts for traction treatment according to actual medical record requirements.
具体的,参看图5,所述牵引部3包括底部31、连接杆32和顶部33。在实际使用时,在所述壳状本体105的内表面配合牵引部3的孔洞处,将所述底部31设于所述壳状本体105 的内表面,将所述连接杆32穿过所述壳状本体105与所述顶部33连接,连接的方式为卡接、螺纹连接等方式。所述顶部33位于所述壳状本体105外表面。具体的,所述顶部33为凸起结构或钩状结构,在进行牵引时产生钩挂力。其中所述的内表面为壳状本体105与牙齿接触一侧,所述外表面为与嘴唇接触一侧。Specifically, referring to FIG. 5, the traction part 3 includes a bottom 31, a connecting rod 32 and a top 33. In actual use, the bottom 31 is provided on the inner surface of the shell body 105 where the inner surface of the shell-shaped body 105 matches the hole of the traction part 3, and the connecting rod 32 is passed through the The shell-shaped body 105 is connected to the top 33, and the connection method is a snap connection, a screw connection, and the like. The top 33 is located on the outer surface of the shell-shaped body 105. Specifically, the top portion 33 is a protruding structure or a hook-like structure, which generates a hooking force during traction. The inner surface is the side where the shell-shaped body 105 is in contact with the teeth, and the outer surface is the side in contact with the lips.
在其他实施例中,当所述牵引部3与所述壳状本体105为分体设置时,所述牵引部3与所述壳状本体105通过粘结固定,此时所述壳状本体105上可设有与所述牵引部3配合的孔洞,也可设有与所述牵引部配合的凸台(图中未示出)。In other embodiments, when the traction part 3 and the shell-shaped body 105 are arranged separately, the traction part 3 and the shell-shaped body 105 are fixed by bonding. At this time, the shell-shaped body 105 The upper part may be provided with a hole that cooperates with the traction part 3, and may also be provided with a boss (not shown in the figure) that cooperates with the traction part.
进一步的,所述牵引部3为两个,对称设于所述壳状本体105的唇侧面对应的前牙区,方便与前方牵引器进行钩挂,产生牵引力,并且两侧对称设置能够产生对称的牵引力,同时牵引牙齿左右两侧的牙齿,避免发生牵引力不均产生的牵引方向偏移。Further, there are two traction parts 3, which are symmetrically arranged on the anterior tooth area corresponding to the labial side of the shell-shaped body 105, so as to facilitate hooking with the front retractor and generate traction, and the symmetrical arrangement on both sides can produce symmetry The traction force is used to pull the teeth on the left and right sides of the teeth at the same time to avoid the deviation of the traction direction caused by uneven traction.
壳状牙科器械上设置的凸起部102,沿所述壳状本体后牙区的颊侧和舌侧表面延伸,其凸起方向与牙齿开合方向相同,所述凸起部102延伸后所形成的咬合面与牙齿咬合面的大小相同,能够模拟咬合重建后的牙齿咬合。The protrusion 102 provided on the shell-shaped dental instrument extends along the buccal and lingual surfaces of the posterior tooth region of the shell-shaped body, and the protrusion direction is the same as the opening and closing direction of the teeth. The occlusal surface formed has the same size as the occlusal surface of the teeth, which can simulate the occlusion of the teeth after the occlusal reconstruction.
在其他替换的实施例中,所述凸起部102面向对颌的表面与所述凸起部所在的牙列后牙区咬合面的面积不同。当所述凸起部102面向对颌的表面大于该凸起部所在的牙列后牙区咬合面的面积时,凸起部102提供与对颌更大的接触面积,为咬合重建提供更大的接触面,使得重建后的咬合关系更稳定,还可以在该表面上设置摩擦部,进一步的增大上下颌接触的稳定性。当所述凸起部102面向对颌的表面小于所述凸起部内的牙列后牙区咬合面的面积时,即凸起部102靠近牙齿一侧的面积大于所述凸起部咬合面一侧的面积,在咬合过程时,所述牙齿受到所述凸起部侧壁的局限而进行限位,还可以协助后牙进行压低。In other alternative embodiments, the area of the surface of the protrusion 102 facing the opposite jaw is different from the area of the occlusal surface of the posterior dentition where the protrusion is located. When the surface of the protruding portion 102 facing the opposite jaw is larger than the area of the occlusal surface of the posterior dentition where the protruding portion is located, the protruding portion 102 provides a larger contact area with the opposite jaw and provides greater occlusion reconstruction. The contact surface makes the reconstructed occlusal relationship more stable, and friction parts can also be provided on the surface to further increase the stability of the upper and lower jaw contact. When the surface of the protruding portion 102 facing the opposite jaw is smaller than the area of the occlusal surface of the posterior dentition in the protruding portion, that is, the area of the protruding portion 102 near the teeth is larger than the occlusal surface of the protruding portion. The area of the side, during the occlusal process, the teeth are limited by the side wall of the protruding part to limit the position, which can also assist the posterior teeth to be depressed.
所述凸起部102靠近牙列咬合面的内侧面还设有加强咬合强度的填充物,填充物填充在凸起部内侧,给凸起部提供支撑力,防止上下颌咬合时,凸起部102发生形变。The inner surface of the raised portion 102 close to the occlusal surface of the dentition is also provided with a filler to strengthen the occlusal strength. The filler is filled inside the raised portion to provide support for the raised portion to prevent the upper and lower jaws from being occluded. 102 deformed.
所述牵引部3与前方牵引器配合完成上颌的牵引导向,牵引部使用的时间为0-6个月,随着治疗时间的推移,所述凸起部102的凸起高度逐渐减少。The traction part 3 cooperates with the front retractor to complete the traction guidance of the upper jaw, and the traction part is used for 0-6 months. As the treatment time goes by, the height of the protrusion 102 gradually decreases.
由于牙科器械本体的后牙区设置凸起部102,因此对于后牙区的包裹力不足,在佩戴的过程中容易发生牙科器械本体从牙齿上脱落的现象,因此为解决上述技术问题,在壳状牙科器械上还设置有固位部2,用于容纳固位附件。当壳状牙科器械佩戴在牙齿上时,固位部与固位附件相互作用,能够有效的防止壳状本体与牙齿脱位。固位部2在壳状本体105后牙区至少设置一个。固位部2可以设置在单侧牙齿上的颊侧和/或舌侧面,也可以设置在双侧牙齿上,还可以对称设置或根据病历按需设置。多个固位部的设置能够增加壳状本体与牙齿接触的稳定性,同时也为牵引时提供了整个壳状本体与牙齿接触的稳定性。Since the protruding part 102 is provided in the posterior tooth area of the dental instrument body, the wrapping force for the posterior tooth area is insufficient, and the phenomenon that the dental instrument body is likely to fall off the teeth during the wearing process is likely to occur. Therefore, in order to solve the above technical problems, the shell A retaining portion 2 is also provided on the shaped dental instrument for accommodating retaining accessories. When the shell-shaped dental instrument is worn on the tooth, the retaining part interacts with the retaining attachment, which can effectively prevent the shell-shaped body from dislocating from the tooth. At least one retaining portion 2 is provided in the posterior region of the shell-shaped body 105. The retaining portion 2 can be arranged on the buccal and/or lingual sides of the teeth on one side, or on the teeth on both sides, and can also be arranged symmetrically or as required according to medical records. The arrangement of multiple retention parts can increase the stability of the contact between the shell-shaped body and the teeth, and at the same time provide the stability of the contact between the entire shell-shaped body and the teeth during traction.
所述固位部2也可以同时设置于后牙区(对称或非对称),在进行颌间牵引时,固位部 2将整个牙颌作为一个牵引整体进行上颌牵引,避免牵引单颗牙齿造成矫治效果的偏差。固位部2具有至少两个形成表面(图中未示出),在壳状本体配合其他附加结构(如固位附件)同时进行牙齿矫治时,与固位附件接触时其中一个表面可增大壳状本体与牙齿之间的固位力,在配合牵引时,其固位力的体现为固位部的受力面与牵引方向垂直,防止牵引过程中壳状牙科器械发生形变,而导致矫治效果降低。The retaining portion 2 can also be set in the posterior tooth area (symmetrical or asymmetrical) at the same time. During intermaxillary traction, the retaining portion 2 uses the entire jaw as a traction unit for upper jaw traction to avoid pulling a single tooth. Deviation in the treatment effect. The retaining portion 2 has at least two forming surfaces (not shown in the figure). When the shell-like body cooperates with other additional structures (such as retaining accessories) for simultaneous tooth correction, one of the surfaces can be enlarged when it comes into contact with the retaining accessories The retention force between the shell-shaped body and the tooth. When combined with traction, the retention force is reflected in that the force-bearing surface of the retention part is perpendicular to the traction direction, preventing the shell-shaped dental instrument from deforming during the traction process, which may lead to correction. The effect is reduced.
所述壳状本体能够使得其包覆的牙齿从第一排列状态到第二排列状态,即在咬合重建时,能够同时对牙齿进行矫治。The shell-shaped body can make the teeth covered by it go from the first arrangement state to the second arrangement state, that is, when the occlusion is reconstructed, the teeth can be corrected at the same time.
实施例3Example 3
本实施例提供一种用于错颌畸形治疗的牙科器械,包括上颌牙套100,所述上颌牙套100的两侧后牙区中,其中一侧后牙区向对颌凸出形成上颌颌垫101,如图6所示,另一侧后牙区与人体上颌齿列后牙区匹配。所述上颌牙套100包括如前述实施例所述的壳状本体,在此不再赘述。所述上颌牙套100设置有上颌颌垫101的一侧后牙区的颊侧面设置有“T”型固位部2,所述上颌牙套100未设置有颌垫的一侧后牙区可以不设置固位部,也可设有相应的固位部,此种结构适用于部分偏颌病例,但是此种应用的上颌颌垫101的厚度较实施例1中所述的颌垫小,根据实际病例的需求进行调整。当然,所述上颌颌垫101也可同时设于上颌牙套的左右两侧,所述“T”型固位部可同时设于相应后牙区。This embodiment provides a dental instrument for the treatment of malocclusion, including maxillary braces 100. In the posterior regions on both sides of the maxillary braces 100, one of the posterior regions protrudes toward the opposite jaw to form a maxillary pad 101 , As shown in Figure 6, the other posterior area matches the posterior area of the human maxillary dentition. The upper jaw brace 100 includes the shell-shaped body as described in the previous embodiment, which will not be repeated here. The upper jaw brace 100 is provided with a maxillary pad 101 on the buccal side of the posterior tooth area is provided with a "T"-shaped retention part 2, the upper jaw brace 100 is not provided with a jaw pad on the side of the posterior tooth area may not be provided The retaining portion can also be provided with a corresponding retaining portion. This structure is suitable for partial jaw cases, but the thickness of the maxillary pad 101 for this application is smaller than that of the jaw pad described in Example 1. According to actual cases Needs to be adjusted. Of course, the upper jaw pad 101 can also be provided on the left and right sides of the upper jaw brace at the same time, and the "T"-shaped retaining portion can be provided on the corresponding posterior tooth area at the same time.
在另一可选实施例中,上颌牙套后牙区向下颌凸出设置有颌垫,所述上颌牙套设置有颌垫的一侧后牙区的颊侧面设置有固位部,所述固位部为矩形形状,如图7所示。在另一些可选实施例中,固位部与颌垫进行配合设置,所述固位部可以设置为窗口形状、“十”字型形状、鸢尾型形状等,如图8-10所示。In another optional embodiment, the posterior area of the upper jaw brace is provided with a jaw pad protruding to the lower jaw, and the buccal side of the posterior area on the side where the upper jaw brace is provided with the jaw pad is provided with a retaining portion. The part is rectangular, as shown in Figure 7. In other optional embodiments, the retaining portion and the jaw pad are arranged in cooperation, and the retaining portion can be configured in a window shape, a "cross" shape, an iris shape, etc., as shown in FIGS. 8-10.
实施例4Example 4
本实施例提供一种用于错颌畸形治疗的牙科器械套组,包括第一壳状牙科器械和第二壳状牙科器械。所述第一壳状牙科器械和第二壳状牙科器械分别包括上颌牙套100和下颌牙套200。所述上颌牙套100和所述下颌牙套200分别包括如前述实施例所述的壳状本体,所述第一壳状牙科器械为如前述实施例所述的牙科器械,在此不再赘述。参看图11,上颌牙套100的两侧后牙区向下颌凸出形成上颌颌垫101,所述下颌牙套200的两侧后牙区向上颌凸出形成下颌颌垫201。所述上颌牙套100的上颌颌垫101的咬合面,即凸起部102面向对颌牙列咬合面的部分,设置有咬合重建时增加上下颌稳定接触的摩擦部103,所述摩擦部103为与上颌牙列具有相同纹理的结构。相应的,所述下颌牙套200的下颌颌垫201的咬合面设置有摩擦部103(即,在所述下颌牙套包括的壳状本体的凸起部面向对颌牙列咬合面的部分设置有咬合重建时增加上下颌稳定接触的摩擦部103),所述摩擦部为与下颌牙列具有相同纹理的结构。所述上颌牙套100的上颌颌垫101与所述下颌牙套200的下颌颌垫201咬合匹配,从而进行咬合 重建。This embodiment provides a dental instrument kit for malocclusion treatment, which includes a first shell-shaped dental instrument and a second shell-shaped dental instrument. The first shell-shaped dental appliance and the second shell-shaped dental appliance include an upper jaw brace 100 and a lower jaw brace 200, respectively. The upper jaw braces 100 and the lower jaw braces 200 respectively include the shell-shaped body as described in the foregoing embodiment, and the first shell-shaped dental appliance is the dental appliance as described in the foregoing embodiment, and will not be repeated here. Referring to FIG. 11, the posterior regions on both sides of the upper jaw brace 100 protrude to the lower jaw to form a maxillary jaw pad 101, and the posterior regions on both sides of the mandibular brace 200 protrude to the upper jaw to form a mandibular pad 201. The occlusal surface of the upper jaw pad 101 of the upper jaw brace 100, that is, the part of the protrusion 102 facing the occlusal surface of the opposing dentition, is provided with a friction portion 103 that increases the stable contact between the upper and lower jaw during occlusal reconstruction. The friction portion 103 is A structure with the same texture as the maxillary dentition. Correspondingly, the occlusal surface of the mandibular pad 201 of the mandibular braces 200 is provided with a friction portion 103 (that is, the convex portion of the shell-shaped body included in the mandibular braces is provided with an occlusal surface facing the occlusal surface of the opposing dentition. During reconstruction, the friction part 103) which is in stable contact between the upper and lower jaws is added, and the friction part is a structure with the same texture as the mandibular dentition. The upper jaw pad 101 of the upper jaw brace 100 and the mandibular pad 201 of the mandibular brace 200 are occlusally matched to perform occlusal reconstruction.
进一步地,所述上颌牙套100的两侧后牙区处的颊侧面向颊侧凸出形成固位部2。相应的,所述下颌牙套200的两侧后牙区处的颊侧面向颊侧凸出形成固位部2,所述固位部可根据实际需求,采用如上所述各种不同形状的组合。Further, the buccal sides at the posterior regions on both sides of the maxillary brace 100 protrude to the buccal side to form a retaining portion 2. Correspondingly, the buccal sides at the posterior regions on both sides of the mandibular brace 200 protrude to the buccal side to form a retaining portion 2. The retaining portion can adopt various combinations of different shapes as described above according to actual needs.
佩戴时,所述上颌牙套100、所述下颌牙套200配合用于人体上下颌齿列,所述上颌牙套100的上颌颌垫101以及下颌牙套200的下颌颌垫201相互咬合,所述上颌颌垫101的摩擦部与所述下颌颌垫201的摩擦部的咬合匹配,起到稳定打开咬合的作用。同时所述上颌牙套100、所述下颌牙套200配合使用,开颌的同时还能获得对下颌牙列的矫治作用。When worn, the upper jaw brace 100 and the mandibular brace 200 are matched to the upper and lower dentitions of the human body. The upper jaw pad 101 of the upper jaw brace 100 and the mandibular pad 201 of the mandibular brace 200 occlude each other. The friction part of 101 matches the occlusion of the friction part of the mandibular pad 201, which plays the role of stably opening the occlusion. At the same time, the upper jaw braces 100 and the lower jaw braces 200 are used in conjunction, so that the jaw can be opened and the mandibular dentition can be corrected at the same time.
实施例5Example 5
本实施例提供一种用于错颌畸形治疗的牙科器械套组,包括第一壳状牙科器械和第二壳状牙科器械。所述第一壳状牙科器械和第二壳状牙科器械分别包括上颌牙套100和下颌牙套200,所述上颌牙套100和所述下颌牙套200分别包括如前述实施例所述的壳状本体,所述第一壳状牙科器械为如前述实施例所述的牙科器械,在此不再赘述。参看图12,所述上颌牙套100的两侧后牙区向下颌凸出形成上颌颌垫101,所述下颌牙套200的两侧后牙区与人体下颌齿列配合,且所述下颌牙套200的两侧后牙区设置为开口结构210,所述开口结构210作为限位部,限制所述上颌颌垫101的咬合,促进上颌牙齿和下颌牙齿的咬合重建。所述上颌牙套的上颌颌垫101的咬合面设置有摩擦部103,所述摩擦部103的结构为与人体上颌齿列的后牙区相匹配的咬合面,所述上颌颌垫101与下颌齿列的后牙咬合匹配,从而达到咬合重建。This embodiment provides a dental instrument kit for malocclusion treatment, which includes a first shell-shaped dental instrument and a second shell-shaped dental instrument. The first shell-shaped dental instrument and the second shell-shaped dental instrument respectively include an upper jaw brace 100 and a lower jaw brace 200. The upper jaw brace 100 and the lower jaw brace 200 respectively include the shell-shaped body as described in the previous embodiment, and The first shell-shaped dental appliance is the dental appliance described in the foregoing embodiment, and will not be repeated here. 12, the posterior regions on both sides of the upper jaw brace 100 protrude to the lower jaw to form the maxillary jaw pad 101, the posterior regions on both sides of the mandibular brace 200 are matched with the mandibular dentition of the human body, and the mandibular braces 200 The posterior tooth regions on both sides are provided with opening structures 210, which serve as limit parts to limit the occlusion of the maxillary pad 101 and promote the occlusal reconstruction of the maxillary teeth and the mandibular teeth. The occlusal surface of the upper jaw pad 101 of the upper jaw brace is provided with a friction portion 103, the structure of the friction portion 103 is an occlusal surface that matches the posterior region of the upper dentition of the human body, and the upper jaw pad 101 and the mandibular teeth The occlusal matching of the posterior teeth of the column can achieve occlusal reconstruction.
在另一可选实施例中,所述下颌牙套200设有容纳下颌牙列的壳体本体,所述下颌牙套200在上颌颌垫101的对应位置处设置有限位部,所述限位部设置为与下颌牙列具有相同纹理的结构,所述限位部与上颌颌垫101咬合匹配。在其他实施方式中,所述下颌牙套200的限位部还可设置为具有磨砂表面的结构、为具有凸点的结构、为镂空的结构的一种、两种或多种的组合。在其他实施方式中,所述限位部还可以设置为将后牙区暴露的结构,所述上颌颌垫与下颌牙列咬合匹配。In another optional embodiment, the mandibular brace 200 is provided with a housing body for accommodating the mandibular dentition, the mandibular brace 200 is provided with a limiting portion at a corresponding position of the upper jaw pad 101, and the limiting portion is provided It is a structure with the same texture as that of the mandibular dentition, and the limiting part is occlusally matched with the maxillary pad 101. In other embodiments, the limiting portion of the mandibular brace 200 can also be configured as a structure with a frosted surface, a structure with a convex point, and a structure with a hollowed out one, a combination of two or more. In other embodiments, the limiting portion may also be configured as a structure that exposes the posterior teeth area, and the maxillary pad is occlusally matched with the mandibular dentition.
所述上颌牙套100的两侧后牙区的颊侧面设置有固位部2,所述下颌牙套200佩戴于下颌齿列,可设置固位部,也可不设置固位部。所述上颌牙套100和下颌牙套200上还可设有扣合矫治时起到不同矫治作用附件的固位部,在此不做限定。The buccal side of the posterior area on both sides of the upper jaw brace 100 is provided with retaining parts 2, and the mandibular brace 200 is worn on the mandibular dentition, with or without retaining parts. The upper jaw braces 100 and the mandibular braces 200 can also be provided with retaining parts that serve as accessories for different corrective effects during the buckling treatment, which is not limited here.
实施例6Example 6
本实施例提供一种用于错颌畸形治疗的牙科器械套组,包括第一壳状牙科器械和第二壳状牙科器械。所述第一壳状牙科器械和第二壳状牙科器械分别包括上颌牙套100和下颌牙套200,所述上颌牙套100和所述下颌牙套200分别包括如前述实施例所述的壳状本体,所述第一壳状牙科器械为如前述实施例所述的牙科器械,在此不再赘述。参看图13,所述上颌牙套 100的两侧后牙区向下颌凸出形成上颌颌垫101,所述下颌牙套200的两侧后牙区向上颌凸出形成下颌颌垫201,所述上颌牙套100的两侧后牙区的颊侧面设置有固位部2,所述下颌牙套200的两侧后牙区的颊侧面设置有固位部2。上颌颌垫101的咬合面设置有摩擦部103,所述上颌颌垫101的摩擦部103为镂空结构,下颌颌垫201的咬合面同样设置有摩擦部103,所述下颌颌垫201的摩擦部103设置为镂空结构,所述上颌牙套100与所述下颌牙套200咬合时,颌垫的镂空结构增大了咬合面的摩擦力,使得上下颌相对位置稳定,同时还能够诱导咬合。This embodiment provides a dental instrument kit for malocclusion treatment, which includes a first shell-shaped dental instrument and a second shell-shaped dental instrument. The first shell-shaped dental instrument and the second shell-shaped dental instrument respectively include an upper jaw brace 100 and a lower jaw brace 200. The upper jaw brace 100 and the lower jaw brace 200 respectively include the shell-shaped body as described in the previous embodiment, and The first shell-shaped dental appliance is the dental appliance described in the foregoing embodiment, and will not be repeated here. Referring to FIG. 13, the posterior regions on both sides of the upper jaw brace 100 protrude to the lower jaw to form a maxillary jaw pad 101, and the posterior regions on both sides of the mandibular brace 200 protrude to the upper jaw to form a mandibular pad 201. The upper jaw brace Retaining parts 2 are provided on the buccal side of the posterior region on both sides of the mandibular brace 200, and retention parts 2 are provided on the buccal side of the posterior region on both sides of the mandibular brace 200. The occlusal surface of the upper jaw pad 101 is provided with a friction portion 103, the friction portion 103 of the upper jaw pad 101 is a hollow structure, the occlusal surface of the lower jaw pad 201 is also provided with a friction portion 103, and the friction portion of the lower jaw pad 201 103 is configured as a hollow structure. When the upper jaw brace 100 is engaged with the lower jaw 200, the hollow structure of the jaw pad increases the friction of the occlusal surface, stabilizes the relative position of the upper and lower jaws, and can also induce occlusion.
为增加颌垫的咬合强度,所述上颌颌垫101/所述下颌颌垫201的镂空结构的摩擦部103的硬度大于上颌牙套100/下颌牙套200其它部位的硬度。同时,所述上颌颌垫101的摩擦部、所述下颌颌垫201的摩擦部的厚度也可以设置为大于上颌牙套或下颌牙套其他部位的厚度。In order to increase the occlusal strength of the jaw pad, the hardness of the friction part 103 of the hollow structure of the upper jaw pad 101/the lower jaw pad 201 is greater than the hardness of other parts of the upper jaw brace 100/the lower jaw brace 200. At the same time, the thickness of the friction part of the upper jaw pad 101 and the friction part of the lower jaw pad 201 can also be set to be greater than the thickness of other parts of the upper jaw brace or the lower jaw brace.
在另一可选实施例中,所述上/下颌颌垫的摩擦部103设置为磨砂表面的结构,如图14所示。在另一可选实施例中,固位部2设置在上颌牙套、下颌牙套的颊侧面以及舌侧面,所述上/下颌颌垫的摩擦部103均设置为凸点结构,如图15所示。在其他实施方式中,所述摩擦部的结构还可以设置为孔洞的结构,或者孔洞与凸点结构同时设置的结构,此处不做限制。进一步地,所述上颌颌垫的摩擦部与所述下颌颌垫的摩擦部可以设置为不同的结构,此处不做限制。In another optional embodiment, the friction part 103 of the upper/lower jaw pad is configured as a matte surface structure, as shown in FIG. 14. In another optional embodiment, the retaining portion 2 is provided on the buccal and lingual sides of the upper jaw brace, the lower jaw brace, and the friction part 103 of the upper/mandibular pad is all set in a convex structure, as shown in FIG. 15 . In other embodiments, the structure of the friction portion may also be a structure of holes, or a structure in which holes and bump structures are provided at the same time, which is not limited here. Further, the friction part of the upper jaw pad and the friction part of the mandibular pad may be configured in different structures, which is not limited here.
在另一可选实施例中,所述第二壳状牙科器械的第二壳状本体的外表面与牙齿接触的唇侧面还设有用于颌骨矫形重塑的牵引部。所述牵引部具有如前文所述的相同或类似结构,在此不再赘述。In another optional embodiment, the labial side surface of the second shell-shaped body of the second shell-shaped dental instrument in contact with the teeth is also provided with a traction part for jaw orthopedic reshaping. The traction part has the same or similar structure as described above, and will not be repeated here.
实施例7Example 7
本实施例提供一种用于错颌畸形治疗的壳状牙科矫治系统,参看图16,包括多组牙科器械套组,所述多组牙科器械套组包括至少一套牙科矫治套组,所述牙科矫治套组包括:如前述实施例所述的分别用于上下颌的壳状牙科器械(其中各部件的附图标记也与前述实施例相同,在此不再赘述),所述壳状牙科器械定义为第一壳状牙科器械T1a,两个所述第一壳状牙科器械T1a可配合使用。This embodiment provides a shell-shaped dental orthodontic system for malocclusion treatment. Referring to FIG. 16, it includes multiple sets of dental instrument kits. The multiple sets of dental instrument sets include at least one dental orthodontic set. The dental treatment kit includes: the shell-shaped dental instruments used for the upper and lower jaws as described in the previous embodiment (the reference numerals of each component are also the same as the previous embodiment, and will not be repeated here), the shell-shaped dental appliance The instrument is defined as a first shell-shaped dental instrument T1a, and two of the first shell-shaped dental instruments T1a can be used together.
用于上颌的第一壳状牙科器械T1a上的牵引部3的设置,可以用于颌外牵引,通过牵引部3将上颌的第一壳状牙科器械T1a与前方牵引器连接,配合完成上颌的牵引导向,适用于安氏三类错颌畸形。两个所述第一壳状牙科器械T1a配合使用,通过两个凸起部的配合,降低每个凸起部的凸起高度,避免凸起部在矢状向引起形变。所述牵引部3与前方牵引器配合完成上颌的牵引导向,牵引部使用的时间为0-6个月,随着治疗时间的推移,在不同的壳状牙科器械中,凸起部102的凸起高度逐渐减少。The configuration of the traction part 3 on the first shell-shaped dental instrument T1a for the upper jaw can be used for extra-maxillary traction. The first shell-shaped dental instrument T1a of the upper jaw is connected with the front retractor through the traction part 3 to complete the upper jaw. Traction-oriented, suitable for Class III malocclusion. The two first shell-shaped dental instruments T1a are used in conjunction, and through the cooperation of the two protrusions, the protrusion height of each protrusion is reduced, and the protrusions are prevented from deforming in the sagittal direction. The traction part 3 cooperates with the front retractor to complete the traction guidance of the upper jaw. The traction part is used for 0-6 months. As the treatment time goes by, in different shell-shaped dental instruments, the convex part 102 is convex. The lift height gradually decreases.
此外,用于下颌的第一壳状牙科器械T1a牵引部3的设置,可以适用于颌间牵引,即上下颌之间的牵引,如在上颌设置种植钉,通过下颌第一壳状牙科器械T1a上设置的牵引部3,与种植钉通过弹性件进行钩挂,进行颌间牵引,调整上下颌之间的位置关系。In addition, the setting of the traction part 3 of the first shell-shaped dental instrument T1a for the lower jaw can be suitable for inter-jaw traction, that is, the traction between the upper and lower jaws. For example, the implant nail is set in the upper jaw, and the first shell-shaped dental instrument T1a The traction part 3 provided on the upper and lower jaws is hooked with the implant nail through the elastic member to perform inter-jaw traction and adjust the positional relationship between the upper and lower jaws.
关于第一壳状牙科器械T1a的具体结构描述,参看前述实施例,此处不再展开。Regarding the specific structure description of the first shell-shaped dental appliance T1a, please refer to the foregoing embodiment, which will not be expanded here.
实施例8Example 8
本实施例一种用于错颌畸形治疗的壳状牙科矫治系统,参看图17,包括多组牙科器械套组,所述多组牙科器械套组包括至少一套牙科矫治套组,所述牙科矫治套组包括:如前述实施例所述的壳状牙科器械,所述壳状牙科器械定义为第一壳状牙科器械T1b,还包括第二壳状牙科器械T2,所述第二壳状牙科器械T2包括第二壳状本体205,所述第二壳状本体205设置若干容纳牙齿的第二腔体,所述第二壳状牙科器械T2与所述的第一壳状牙科器械T1b配合使用,所述第二壳状本体205对应所述凸起部102位置处设有与所述凸起部配合且具有咬合引导作用的限位部203。This embodiment is a shell-shaped dental orthodontic system for malocclusion treatment. Referring to FIG. 17, it includes multiple sets of dental instrument kits. The multiple sets of dental instrument sets include at least one dental orthodontic set. The orthodontic set includes: the shell-shaped dental appliance as described in the foregoing embodiment, the shell-shaped dental appliance is defined as a first shell-shaped dental appliance T1b, and also includes a second shell-shaped dental appliance T2, the second shell-shaped dental appliance The instrument T2 includes a second shell-shaped body 205, the second shell-shaped body 205 is provided with a plurality of second cavities for accommodating teeth, and the second shell-shaped dental instrument T2 is used in conjunction with the first shell-shaped dental instrument T1b The second shell-shaped body 205 is provided with a limiting portion 203 at a position corresponding to the protrusion 102 that cooperates with the protrusion and has an engaging and guiding function.
第一壳状牙科器械T1b可以用于上颌,也可以用于下颌。本实施例中,第一壳状牙科器械T1b用于上颌。此时,第二壳状牙科器械T2用于下颌。The first shell-shaped dental instrument T1b can be used for the upper jaw or the lower jaw. In this embodiment, the first shell-shaped dental instrument T1b is used for the upper jaw. At this time, the second shell-shaped dental instrument T2 is used for the lower jaw.
同实施例7,用于上颌的第一壳状牙科器械T1b牵引部3的设置,可以用于颌外牵引,通过牵引部3将上颌的第一壳状牙科器械T1b与前方牵引器连接,配合完成上颌的牵引导向,适用于安氏三类错颌畸形。所述牵引部3与前方牵引器配合完成上颌的牵引导向,牵引部使用的时间为0-6个月,随着治疗时间的推移,凸起部102的凸起高度逐渐减少。Same as embodiment 7, the traction part 3 of the first shell-shaped dental instrument T1b used for the upper jaw can be used for extra-maxillary traction. The first shell-shaped dental instrument T1b of the upper jaw is connected to the front retractor through the traction part 3, and is matched Complete the traction guide of the upper jaw, suitable for Angle's three types of malocclusion. The traction part 3 cooperates with the front retractor to complete the traction guidance of the upper jaw, and the traction part is used for 0-6 months. As the treatment time goes by, the height of the protrusion 102 gradually decreases.
关于第一壳状牙科器械T1b的具体结构,参加前述实施例,此处不再展开。Regarding the specific structure of the first shell-shaped dental instrument T1b, the foregoing embodiment is used, and it will not be expanded here.
所述第一壳状本体、第二壳状本体为厚度不均一的壳体,厚度为0.1-2.0mm。The first shell-shaped body and the second shell-shaped body are shells with uneven thickness, and the thickness is 0.1-2.0 mm.
所述第一壳状本体的所述摩擦部的硬度和/或弹性模量大于所述第一壳状本体的其它部位,所述第二壳状本体的所述摩擦部的硬度和/或弹性模量大于第二壳状本体的其它部位,以增加局部强度,防止形变产生,影响矫治效果。The hardness and/or elastic modulus of the friction part of the first shell-shaped body is greater than other parts of the first shell-shaped body, and the hardness and/or elasticity of the friction part of the second shell-shaped body The modulus is greater than other parts of the second shell-shaped body to increase local strength, prevent deformation and affect the treatment effect.
实施例9Example 9
本实施例提供一种用于错颌畸形治疗的壳状牙科矫治系统,参看图18,包括多组牙科器械套组,所述多组牙科器械套组包括至少一套牙科矫治套组,所述牙科矫治套组包括:如前述实施例所述的壳状牙科器械,所述壳状牙科器械定义为第一壳状牙科器械T1c,还包括第二壳状牙科器械T2,所述第二壳状牙科器械T2包括第二壳状本体205,所述第二壳状本体205设置若干容纳牙齿的第二腔体,所述第二壳状牙科器械2与所述的第一壳状牙科器械T1c配合使用,所述第二壳状本体205对应所述凸起部102位置处设有与所述凸起部配合且具有咬合引导作用的限位部203。This embodiment provides a shell-shaped dental orthodontic system for malocclusion treatment. Referring to FIG. 18, it includes multiple sets of dental instrument kits. The multiple sets of dental instrument sets include at least one dental orthodontic set. The dental treatment kit includes: the shell-shaped dental appliance as described in the foregoing embodiment, the shell-shaped dental appliance is defined as a first shell-shaped dental appliance T1c, and also includes a second shell-shaped dental appliance T2, the second shell-shaped dental appliance The dental instrument T2 includes a second shell-shaped body 205, the second shell-shaped body 205 is provided with a plurality of second cavities for accommodating teeth, and the second shell-shaped dental instrument 2 is matched with the first shell-shaped dental instrument T1c In use, the second shell-shaped body 205 is provided with a limiting portion 203 that cooperates with the convex portion and has an engaging and guiding function at a position corresponding to the convex portion 102.
本实施例相对与实施例8而言,第一壳状牙科器械T1c用于下颌,所述第二壳状牙科器械用于上颌,对应的,所述第二壳状本体外表面与牙齿接触的唇侧面还设有用于颌骨矫形重塑的牵引部。用于上颌的第二壳状牙科器械T2上牵引部3的设置,可以用于颌外牵引,通过牵引部将上颌的第二壳状牙科器械T2与前方牵引器连接,配合完成上颌的牵引导向,适用于 安氏三类错颌畸形。此外,用于下颌的第一壳状牙科器械T1c上牵引部3的设置,也可以适用于颌间牵引,即上下颌之间的牵引,如在上颌设置种植钉,通过下颌第一壳状牙科器械T1c上设置的牵引部3,与种植钉通过弹性件进行钩挂,进行颌间牵引,调整上下颌之间的位置关系。Compared with Example 8, the first shell-shaped dental instrument T1c is used for the lower jaw, and the second shell-shaped dental instrument is used for the upper jaw. Correspondingly, the outer surface of the second shell-shaped body is in contact with the teeth. The labial side is also provided with a traction part for jaw orthopedic reshaping. The upper traction part 3 of the second shell-shaped dental instrument T2 used for the upper jaw can be used for extra-maxillary traction. The second shell-shaped dental instrument T2 of the upper jaw is connected with the front retractor through the traction part to complete the traction and guidance of the upper jaw. , Suitable for Angle's three types of malocclusion. In addition, the setting of the traction part 3 on the first shell-shaped dental instrument T1c for the lower jaw can also be applied to inter-jaw traction, that is, the traction between the upper and lower jaws, such as setting implant nails in the upper jaw, through the first shell-shaped dental instrument of the lower jaw. The traction part 3 provided on the instrument T1c is hooked with the implant nail through an elastic member to perform inter-jaw traction and adjust the positional relationship between the upper and lower jaws.
所述牵引部3与前方牵引器配合完成上颌的牵引导向,牵引部使用的时间为0-6个月,随着治疗时间的推移,在不同的壳状牙科器械中,凸起部102的凸起高度逐渐减少。The traction part 3 cooperates with the front retractor to complete the traction guidance of the upper jaw. The traction part is used for 0-6 months. As the treatment time goes by, in different shell-shaped dental instruments, the convex part 102 is convex. The lift height gradually decreases.
关于第一壳状牙科器械T1c与第二壳状牙科器械T2的具体结构,参看实施例3,此处不再赘述。Regarding the specific structures of the first shell-shaped dental instrument T1c and the second shell-shaped dental instrument T2, refer to Embodiment 3, which will not be repeated here.
实施例10Example 10
本实施例提供一种牙科矫治系统,用于错颌畸形治疗,包括若干组牙套,每一组牙套包括:上颌牙套和下颌牙套。其中,第一组牙套包括第一上颌牙套和第一下颌牙套,根据患者的第一矫治目标的齿列设计。第一上颌牙套的两侧后牙区向下颌方向凸出,形成第一上颌颌垫,所述第一上颌颌垫的两侧后牙区的颊侧面设置固位部。所述第一下颌牙套与患者下颌齿列相匹配,且所述第一下颌牙套的后牙区对应所述第一上颌颌垫的位置处设置有开口的限位部,所述开口的限位部与颌垫配合具有咬合重建的作用。This embodiment provides a dental orthodontic system for malocclusion treatment, including several sets of braces, each set of braces includes: upper jaw braces and lower jaw braces. Among them, the first group of braces includes a first maxillary brace and a first mandibular brace, which is designed according to the dentition of the patient's first orthodontic target. The posterior regions on both sides of the first maxillary brace protrude in the mandibular direction to form a first maxillary pad, and the buccal sides of the posterior regions on both sides of the first maxillary pad are provided with retention parts. The first mandibular brace is matched with the patient's mandibular dentition, and the position of the posterior region of the first mandibular brace corresponding to the first maxillary cushion is provided with an opening limit part, the limit of the opening The cooperation of the part and the jaw pad has the function of occlusal reconstruction.
第一上颌牙套和第一下颌牙套分别佩戴在患者上、下颌齿列,佩戴合适周期后取下,佩戴时间为7-14天,也可根据患者矫治情况设计第二组牙套。The first maxillary braces and the first mandibular braces are respectively worn on the upper and lower dentitions of the patient, and removed after wearing for a suitable period of time. The wearing time is 7-14 days. The second set of braces can also be designed according to the patient's correction situation.
所述第二组牙套与所述第一组牙套具有相似的结构,第二组牙套包括第二上颌牙套、第二下颌牙套,根据患者的第二矫治目标的齿列设计。所述第二上颌牙套的第二上颌颌垫的高度小于第一上颌牙套的第一上颌颌垫的高度,患者佩戴7-14天后取下。The second set of braces have a similar structure to the first set of braces. The second set of braces includes a second upper jaw and a second mandibular braces, and is designed according to the patient's second orthodontic target dentition. The height of the second maxillary cushion of the second maxillary braces is smaller than the height of the first maxillary cushion of the first maxillary braces, and the patient takes it off after wearing it for 7-14 days.
本实施例的牙科矫治系统,患者在佩戴牙套的过程中,由于颌垫的开颌作用,诱导下颌齿列回收或前伸,从而进行错颌矫治。经矫治,患者的错颌畸形被慢慢矫正,因此颌垫的高度设置逐渐减小,直至最后无需设置颌垫,带有颌垫的牙套佩戴时间约0-6个月。In the dental correction system of this embodiment, when the patient is wearing the braces, due to the jaw opening effect of the jaw pad, the mandibular dentition is induced to retract or extend, thereby performing malocclusion correction. After the correction, the malocclusion of the patient is gradually corrected, so the height of the jaw pad is gradually reduced, until the end of the jaw pad does not need to be set, and the wearing time of the brace with the jaw pad is about 0-6 months.
也可根据患者齿列的矫治情况设计下一上颌牙套,佩戴进行矫治,直至完成矫治,也可根据患者的实际病例情况设计出连续的矫治方案,并将其制备成相应的牙套,患者佩戴完成相应的矫治治疗。It is also possible to design the next maxillary braces according to the correction situation of the patient’s dentition and wear them for correction until the correction is completed, or to design a continuous correction plan according to the patient’s actual case conditions, and prepare them into the corresponding braces, and the patient wears them. Corresponding corrective treatment.
实施例11Example 11
本实施例提供一种牙科矫治系统,用于错颌畸形治疗,包括若干组牙套,每一组牙套包括:上颌牙套和下颌牙套。其中,第一组牙套包括第一上颌牙套和第一下颌牙套,根据患者的第一矫治目标的齿列设计。第一上颌牙套的两侧后牙区向下颌方向凸出,形成第一上颌颌垫,所述第一上颌颌垫的两侧后牙区的颊侧面设置固位部。所述第一下颌牙套的两侧后牙区设置为向上凸出的第一下颌颌垫,所述下颌牙套的两侧后牙区的颊侧面设置有固位部。This embodiment provides a dental orthodontic system for malocclusion treatment, including several sets of braces, each set of braces includes: upper jaw braces and lower jaw braces. Among them, the first group of braces includes a first maxillary brace and a first mandibular brace, which is designed according to the dentition of the patient's first orthodontic target. The posterior regions on both sides of the first maxillary brace protrude in the mandibular direction to form a first maxillary pad, and the buccal sides of the posterior regions on both sides of the first maxillary pad are provided with retention parts. The posterior regions on both sides of the first mandibular braces are configured as first mandibular pads protruding upward, and the buccal sides of the posterior regions on both sides of the mandibular braces are provided with retention parts.
第一上颌牙套和第一下颌牙套分别佩戴在患者上、下颌齿列,佩戴合适周期后取下,佩戴时间为7-14天,也可根据患者矫治情况设计第二组牙套。The first maxillary braces and the first mandibular braces are respectively worn on the upper and lower dentitions of the patient, and removed after wearing for a suitable period of time. The wearing time is 7-14 days. The second set of braces can also be designed according to the patient's correction situation.
所述第二组牙套与所述第一组牙套具有相似的结构,第二组牙套包括第二上颌牙套、第二下颌牙套,根据患者的第二矫治目标的齿列设计。所述第二上颌牙套的第二上颌颌垫的高度小于第一上颌颌垫的高度,所述第二下颌牙套的第二下颌颌垫的高度小于第一下颌颌垫的高度,患者佩戴7-14天后取下。The second set of braces have a similar structure to the first set of braces. The second set of braces includes a second upper jaw and a second mandibular braces, and is designed according to the patient's second orthodontic target dentition. The height of the second maxillary pad of the second maxillary braces is less than the height of the first maxillary pad, the height of the second mandibular pad of the second mandibular braces is less than the height of the first mandibular pad, and the patient wears 7- Take it off after 14 days.
也可根据患者齿列的矫治情况设计下一组牙套,佩戴进行矫治,直至完成矫治,也可根据患者的实际病例情况设计出连续的矫治方案,并将其制备成相应的牙套,患者佩戴完成相应的矫治治疗。其中,带有颌垫的牙套佩戴时间约为0-6个月。The next set of braces can also be designed according to the correction of the patient’s dentition, and the braces can be worn for correction until the correction is completed, or a continuous correction plan can be designed according to the actual case of the patient, and the corresponding braces can be prepared and worn by the patient. Corresponding corrective treatment. Among them, the wearing time of braces with jaw pads is about 0-6 months.
实施例12Example 12
本实施例提供一种用于错颌畸形的矫治系统的设计方法,包括:This embodiment provides a method for designing a correction system for malocclusion, including:
S110:设计一具有壳状本体的上颌壳状牙科器械,调整上颌壳状牙科器械前牙区的形状,使对应前牙区的牙齿从初始位置逐渐排齐至矫治目标位置。S110: Design an upper shell-shaped dental instrument with a shell-shaped body, and adjust the shape of the anterior region of the upper shell-like dental instrument, so that the teeth corresponding to the anterior region are gradually aligned from the initial position to the target position for correction.
S120:在上颌壳状牙科器械对应的后牙区位置处设置向对颌方向凸出的凸起部,凸起部与下颌后牙区配合达到咬合重建使下颌切牙与上颌切牙趋于对齐。S120: Set a protrusion protruding toward the opposite jaw at the position of the posterior region corresponding to the maxillary shell-shaped dental instrument, and the protrusion and the posterior region of the mandible can achieve occlusal reconstruction so that the mandibular incisor and the maxillary incisor tend to be aligned .
S130:在凸起部包裹对应牙齿部分设置固位部,固位部与设置在牙齿上的固位附件扣合。S130: A retaining portion is provided on the part where the convex portion wraps the corresponding tooth, and the retaining portion is buckled with the retaining attachment provided on the tooth.
S140:在上颌壳状牙科器械外表面与牙齿接触的唇侧面设置牵引部,牵引部配合上颌颌外反向牵引,使颌骨矫形重塑。S140: A traction part is provided on the labial side where the outer surface of the maxillary shell-shaped dental instrument is in contact with the teeth, and the traction part cooperates with the maxillary extra-maxillary reverse traction to reshape the jaw bone.
S150:上颌壳状牙科器械上设置的凸起部高度随着上颌壳状牙科器械前牙区形状的变化逐渐减小。S150: The height of the protrusion provided on the maxillary shell-shaped dental instrument gradually decreases with the change of the shape of the anterior tooth area of the maxillary shell-shaped dental instrument.
任选的,所述方法还包括,在颌骨矫形重塑的同时,所述下颌壳状牙科器械前牙区的形状逐渐变化使对应牙齿从初始位置逐渐压低至矫治目标位置。Optionally, the method further includes, while the jawbone is orthopedic and reshaped, the shape of the anterior tooth region of the mandibular shell-shaped dental instrument is gradually changed so that the corresponding teeth are gradually depressed from the initial position to the target position for correction.
以上公开的仅为本申请优选实施例。优选实施例并没有详尽叙述所有的细节,也不限制本申请仅为所述的具体实施方式。显然,根据本说明书的内容,可作很多的修改和变化。本说明书选取并具体描述这些实施例,是为了更好地解释本申请的原理和实际应用,从而使所属领域技术人员能很好地利用本申请。本申请仅受权利要求书及其全部范围和等效物的限制。The above-disclosed are only preferred embodiments of the present application. The preferred embodiments do not describe all the details in detail, nor do they limit this application to only the specific implementation manners described. Obviously, many modifications and changes can be made according to the content of this manual. This specification selects and specifically describes these embodiments in order to better explain the principles and practical applications of this application, so that those skilled in the art can make good use of this application. This application is only limited by the claims and their full scope and equivalents.

Claims (15)

  1. 一种用于错颌畸形治疗的牙科器械,包括A dental instrument used for the treatment of malocclusion, including
    壳状本体,所述壳状本体设置若干容纳牙齿的腔体,所述若干腔体间联通;A shell-shaped body, the shell-shaped body is provided with a plurality of cavities for accommodating teeth, and the plurality of cavities are in communication;
    其特征在于,It is characterized by
    所述壳状本体在对应于后牙区的位置处设有至少一个向对颌方向凸出使下颌切牙与上颌切牙趋于对齐的凸起部,所述凸起部面向对颌牙列咬合面的部分设有咬合重建时增加上下颌稳定接触的摩擦部;The shell-shaped body is provided with at least one protruding part protruding toward the opposite jaw at a position corresponding to the posterior tooth area so that the mandibular incisor and the maxillary incisor tend to align, and the convex part faces the opposite dentition The part of the occlusal surface is provided with friction parts that increase the stable contact of the upper and lower jaws during occlusal reconstruction;
    所述壳状本体对应的后牙区还设有至少一个与后牙区对应牙齿上设置的固位附件扣合且防止壳状本体与牙齿脱位的固位部;以及The posterior tooth region corresponding to the shell-shaped body is further provided with at least one retention part that is buckled with the retention accessory provided on the corresponding tooth of the posterior tooth region and prevents the shell-shaped body from dislocating from the tooth; and
    所述壳状本体外表面与牙齿接触的唇侧面对应的前牙区还设有至少一个用于颌骨矫形重塑的牵引部,所述牵引部在所述凸起部与下颌后牙区配合进行咬合重建时配合上颌颌外反向牵引使得颌骨矫形重塑。The anterior tooth area corresponding to the labial side surface of the shell-shaped body in contact with the teeth is also provided with at least one traction part for jaw orthopedic reshaping, and the traction part cooperates with the mandibular posterior teeth area at the protrusion part During occlusal reconstruction, combined with maxillary extra-maxillary reverse traction to reshape the jaw bone.
  2. 根据权利要求1所述的用于错颌畸形治疗的牙科器械,其特征在于,所述固位部包括第一曲面和第二曲面,所述第一曲面与所述第二曲面围合形成一端开口另一端封闭的固位附件容置空间,所述第一曲面与所述第二曲面的弯曲方向相同,且所述第一曲面与所述第二曲面的曲率不同。The dental instrument for malocclusion treatment according to claim 1, wherein the retaining portion comprises a first curved surface and a second curved surface, and the first curved surface and the second curved surface are enclosed to form an end In the retaining accessory accommodating space closed at the other end of the opening, the first curved surface and the second curved surface have the same bending direction, and the first curved surface and the second curved surface have different curvatures.
  3. 根据权利要求2所述的用于错颌畸形治疗的牙科器械,其特征在于,所述壳状本体包括两个固位部,设于所述凸起部对应的后牙区近中位置;The dental instrument for malocclusion treatment according to claim 2, wherein the shell-shaped body includes two retention parts, which are arranged at the mesial position of the posterior teeth region corresponding to the protrusion part;
    和/或,所述壳状本体包括两个牵引部,对称设于所述壳装本体唇侧面对应的前牙区。And/or, the shell-shaped body includes two traction parts, which are symmetrically arranged on the corresponding anterior teeth area of the lip side of the shell body.
  4. 根据权利要求1-3任一项所述的用于错颌畸形治疗的牙科器械,其特征在于,所述固位部与所述牵引部被构造为,颌外牵引时,所述固位部与固位附件作用在所述固位部处产生的固位合力方向与所述牵引部受到的牵引力方向成一定夹角。The dental instrument for malocclusion treatment according to any one of claims 1 to 3, wherein the retention part and the traction part are configured such that when the retention part is externally traction, the retention part The direction of the resultant retention force generated by the retention accessory acting on the retention portion and the direction of the traction force received by the traction portion form a certain angle.
  5. 根据权利要求4所述的用于错颌畸形治疗的牙科器械,其特征在于,所述夹角大于等于70°但小于等于100°;或者,所述夹角大于等于70°但小于等于90°,或大于等于90°但小于等于100°;或者,所述夹角为90°。The dental appliance for malocclusion treatment according to claim 4, wherein the included angle is greater than or equal to 70° but less than or equal to 100°; or, the included angle is greater than or equal to 70° but less than or equal to 90° , Or greater than or equal to 90° but less than or equal to 100°; or, the included angle is 90°.
  6. 根据权利要求4或5所述的用于错颌畸形治疗的牙科器械,其特征在于,所述固位部与固位附件作用产生的受力方向与所述牵引部产生的施力方向垂直。The dental appliance for malocclusion treatment according to claim 4 or 5, wherein the force direction generated by the action of the retention part and the retention attachment is perpendicular to the force application direction generated by the traction part.
  7. 根据权利要求1-4任一项所述的用于错颌畸形治疗的牙科器械,其特征在于,所述牵引部与所述壳状本体为分体设置或一体成型设置。The dental appliance for malocclusion treatment according to any one of claims 1 to 4, wherein the traction part and the shell-shaped body are provided separately or integrally formed.
  8. 根据权利要求7所述的用于错颌畸形治疗的牙科器械,其特征在于,所述牵引部与壳状本体为分体设置时,所述壳状本体上还设置有与所述牵引部配合的孔洞,所述牵引部穿过所述 孔洞与所述壳状本体连接固定;所述牵引部凸设于所述壳状本体外表面与牙齿接触的唇侧面对应的前牙区。The dental instrument for malocclusion treatment according to claim 7, wherein when the traction part and the shell-shaped body are arranged separately, the shell-shaped body is also provided with a mating part that cooperates with the traction part. The traction part passes through the hole and is connected and fixed to the shell-shaped body; the traction part is protrudingly provided in the anterior tooth area corresponding to the labial side surface of the shell-shaped body in contact with the teeth.
  9. 根据权利要求7或8所述的用于错颌畸形治疗的牙科器械,其特征在于,所述牵引部本身为分体结构,所述分体结构分别在所述壳状本体的内表面与外表面通过卡接配合连接在所述壳状本体上。The dental appliance for malocclusion treatment according to claim 7 or 8, wherein the traction part itself is a split structure, and the split structure is on the inner surface and the outer surface of the shell-shaped body. The surface is connected to the shell-shaped body through a snap fit.
  10. 根据权利要求9所述的用于错颌畸形治疗的牙科器械,其特征在于,所述牵引部包括底部、连接杆和顶部,所述底部设于所述壳状本体的内表面通过所述连接杆穿过所述壳状本体与所述顶部连接,所述顶部设于所述壳状本体外表面。The dental instrument for malocclusion treatment according to claim 9, wherein the traction part comprises a bottom, a connecting rod and a top, and the bottom is provided on the inner surface of the shell-shaped body through the connection The rod passes through the shell-shaped body and is connected to the top, and the top is arranged on the outer surface of the shell-shaped body.
  11. 根据权利要求7所述的用于错颌畸形治疗的牙科器械,其特征在于,所述牵引部与壳状本体为通过粘结固定的分体设置。The dental appliance for malocclusion treatment according to claim 7, wherein the traction part and the shell-shaped body are separately arranged by bonding and fixing.
  12. 一种用于错颌畸形治疗的牙科器械套组,其特征在于,包括第一壳状牙科器械和第二壳状牙科器械;A dental instrument set for malocclusion treatment, characterized in that it comprises a first shell-shaped dental instrument and a second shell-shaped dental instrument;
    所述第一壳状牙科器械为如权利要求1-11任一项所述的牙科器械,所述第二壳状牙科器械包括第二壳状本体;The first shell-shaped dental appliance is the dental appliance according to any one of claims 1-11, and the second shell-shaped dental appliance comprises a second shell-shaped body;
    所述第二壳状本体设置若干容纳第二牙列的第二腔体,所述第二壳状本体对应所述第一壳状本体的凸起部的位置处设有至少一个与所述第一壳状本体的凸起部配合且促进咬合诱导的限位部;The second shell-shaped body is provided with a plurality of second cavities for accommodating the second dentition, and the second shell-shaped body is provided with at least one and the first cavities at positions corresponding to the protrusions of the first shell-shaped body. A limit part that fits with the convex part of the shell-shaped body and promotes occlusion induction;
    所述第二壳状牙科器械与所述第一壳状牙科器械配合使用。The second shell-shaped dental appliance is used in cooperation with the first shell-shaped dental appliance.
  13. 根据权利要求12所述的用于错颌畸形治疗的牙科器械套组,其特征在于,所述第二壳状牙科器械的第二壳状本体的外表面与牙齿接触的唇侧面还设有用于颌骨矫形重塑的牵引部。The dental instrument set for malocclusion treatment according to claim 12, wherein the outer surface of the second shell-shaped body of the second shell-shaped dental instrument is provided with a labial side surface that contacts the teeth. The traction part of jaw orthopedic reshaping.
  14. 一种用于错颌畸形治疗的壳状牙科矫治系统,包括多个牙科器械套组,其特征在于,至少一个牙科器械套组为如权利要求12或13所述的用于错颌畸形治疗的牙科器械套组。A shell-shaped dental orthodontic system for the treatment of malocclusion, comprising a plurality of dental instrument sets, characterized in that at least one dental instrument set is the treatment of malocclusion as claimed in claim 12 or 13. Dental instrument kit.
  15. 根据权利要求14所述的壳状牙科矫治系统,其特征在于,所述牙科器械套组中的壳状牙科器械上的凸起部的凸起高度随着矫治过程逐渐减小。The shell-shaped dental orthodontic system according to claim 14, wherein the protrusion height of the protrusion on the shell-shaped dental appliance in the dental appliance set gradually decreases with the orthodontic process.
PCT/CN2020/115397 2019-09-20 2020-09-15 Dental instrument for treatment of malocclusion, dental instrument kit, and orthodontic system WO2021052337A1 (en)

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CN201921572220.6U CN211156365U (en) 2019-09-20 2019-09-20 Shell-shaped dental instrument and shell-shaped dental correcting system
CN201910893655.9 2019-09-20
CN201921572211.7 2019-09-20
CN201921572220.6 2019-09-20
CN201910893655.9A CN110584804A (en) 2019-09-20 2019-09-20 Design method of dental correcting system and design system of dental correcting instrument
CN201910897878.2 2019-09-20
CN201921572211.7U CN211512126U (en) 2019-09-20 2019-09-20 Dental instrument, dental instrument set and correction system for malocclusion treatment
CN201910897878.2A CN110584805B (en) 2019-09-20 2019-09-20 Orthodontics concave surface deformity correction system and design method thereof

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