WO2021249044A1 - Auxiliary correcting apparatus, shell-shaped tooth correcting device and correcting kit - Google Patents

Auxiliary correcting apparatus, shell-shaped tooth correcting device and correcting kit Download PDF

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Publication number
WO2021249044A1
WO2021249044A1 PCT/CN2021/089463 CN2021089463W WO2021249044A1 WO 2021249044 A1 WO2021249044 A1 WO 2021249044A1 CN 2021089463 W CN2021089463 W CN 2021089463W WO 2021249044 A1 WO2021249044 A1 WO 2021249044A1
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WIPO (PCT)
Prior art keywords
auxiliary
orthodontic device
shell
built
accessory
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PCT/CN2021/089463
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French (fr)
Chinese (zh)
Inventor
沈刚
王特
蒋健羽
徐子卿
郭涛
庄慧敏
姚峻峰
叶傲冬
刘珊珊
段峰
Original Assignee
上海正雅齿科科技股份有限公司
沈刚
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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
Publication of WO2021249044A1 publication Critical patent/WO2021249044A1/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
    • 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
    • A61C7/12Brackets; Arch wires; Combinations thereof; Accessories therefor
    • A61C7/28Securing arch wire to bracket

Definitions

  • the outer contour of the orthodontic part is consistent with the outer contour of an accessory capable of cooperating with the accessory accommodating part for orthodontics, so that the auxiliary orthodontic device also has substantially the same shape as the accessory. Corrective effect.
  • the outer contour of the orthodontic part is consistent with the outer contour of an accessory capable of cooperating with the accessory accommodating part for orthodontics, so that the auxiliary orthodontic device also has the same orthodontic treatment as the accessory effect.
  • the cross section of the communicating portion along the lip/buccal-lingual direction is one of a circular arc, an elliptical arc, or a polygon.
  • the accessory accommodating portion has a side adjacent to the auxiliary orthodontic device that cooperates with the outer surface of the auxiliary orthodontic device to produce an orthodontic effect.
  • the shell-shaped dental appliance is further provided with a second accessory accommodating portion for accommodating the dental orthodontic accessory.
  • the combination of the shell-shaped dental appliance and the auxiliary orthodontic device can achieve the effect of invisible tooth correction, that is, the auxiliary orthodontic device can interact with the accessory accommodating part provided on the shell-shaped dental appliance to generate correction force; the auxiliary orthodontic device can also interact with The interaction of the fasteners produces the corrective force; the above two situations can be realized at the same time, or the treatment can be realized in stages, and finally the treatment goal is reached.
  • Auxiliary receiving parts are made at the upper and lower ends of the auxiliary orthodontic device for embedding the ligature ring or rubber chain, effectively fixing fasteners such as arch wires, and realizing the effect of correction and movement with force applied in a fixed direction.
  • 4a and 4b are schematic structural diagrams of the fourth embodiment of the auxiliary orthodontic device of this application.
  • Fig. 6a and Fig. 6b are schematic structural diagrams of the sixth embodiment of the auxiliary orthodontic device of this application.
  • FIG. 7 is a schematic structural diagram of the seventh embodiment of the auxiliary orthodontic device of this application.
  • Fig. 8a and Fig. 8b are schematic structural diagrams of the eighth embodiment of the auxiliary orthodontic device of this application.
  • Figures 9a and 9b are schematic structural diagrams of the ninth embodiment of the auxiliary orthodontic device of this application.
  • Fig. 12 is a schematic diagram of the structure of the shell-shaped dental appliance of the application.
  • Figures 13a and 13b are schematic diagrams of the auxiliary fastening part of the shell-shaped dental appliance of the present application.
  • FIG. 15 is a schematic structural diagram of Embodiment 2 of the treatment kit of this application.
  • the auxiliary orthodontic device provided in this application and its corresponding shell-shaped dental appliance and orthodontic set can provide greater orthodontic force, which is more suitable for torsion, tilt, lip and tongue misalignment, vertical low position, etc.
  • the design concept of this application is to make the auxiliary orthodontic device have the dual functions of conventional invisible orthodontic accessories and fixed orthodontic traditional brackets, so that the auxiliary orthopedic device can perform the tasks of invisible orthodontic accessories while also functioning as a fixed technical bracket. effect.
  • insert or insert fasteners such as fragmented arch wires between the auxiliary orthodontic devices, and under the overall coverage and control of the shell-shaped orthodontic appliance, perform individual teeth and grouped teeth with the advantages of classic fixation technology.
  • the correction of local dentition such as malposition correction and anchorage enhancement.
  • the auxiliary orthodontic device is used to perform tooth orthodontics with shell-shaped dental appliances such as shell-shaped dental appliances (also called invisible dental appliances), so that the teeth can be restored from the initial position Gradually change to the target treatment position.
  • the initial position of the tooth can be the initial position of the tooth to be treated or any position before the treatment during the tooth treatment.
  • the target treatment position of the tooth can be closer to the treatment target than the initial position Any position; wherein the shell-shaped dental instrument is provided with an accessory accommodating portion for cooperating with the auxiliary orthodontic device, specifically,
  • a reference part that can be fixed to the surface of the tooth
  • the correction part is provided with at least one passage through which the fastener can pass and can fix the fastener, and at the same time,
  • the reference part may be a surface of the auxiliary orthodontic device that fits the tooth surface, and is used to bond the auxiliary orthodontic device to the tooth surface;
  • the orthodontic part has the shape of a conventional accessory used in conjunction with an invisible appliance, which can realize
  • the functions of conventional accessories such as fixing a shell-shaped dental appliance, or cooperating with a shell-shaped dental appliance to apply an orthodontic force to the teeth, the orthodontic part is also set to have the function of a traditional bracket.
  • the arch wire can pass through the channel and be fixed on the correction part.
  • the correction part and the accessory accommodating part cooperate with each other to complete the corresponding correction effect, and the outer contour of the correction part and the outer contour of an accessory capable of cooperating with the accessory accommodating part for tooth correction
  • the relationship between the correction part can be described, wherein the outer contour of the orthodontic part can be matched with the outer contour of the accessory for tooth correction, so as to achieve the same correction effect as the accessory; it can also be the outer contour of the correction part and the outer contour of the accessory.
  • the outer contour is consistent with a part of the outer contour of the accessory, so that the auxiliary orthodontic device also has the same orthodontic effect as the accessory.
  • the accessory is a rectangular accessory and interacts with a shell-shaped dental appliance.
  • the corrective effect is only one of the surfaces, and the auxiliary corrective device has the same surface as the accessory that can produce the corresponding corrective effect, but the other parts are different from the outer contour of the accessory, and the same corrective effect can also be achieved.
  • the accessory accommodating part on the shell-shaped dental instrument is used to accommodate the auxiliary orthodontic device and enable the auxiliary orthodontic device to be used in conjunction with the shell-shaped dental instrument.
  • the cooperative use may include the following two situations, one situation It is the function of the auxiliary orthodontic device as an accessory that cooperates with the above-mentioned accessory accommodating part on the shell-shaped dental instrument to produce the corrective force; the other case is that the auxiliary orthodontic device cooperates with the aforementioned accessory accommodating part on the shell-shaped dental instrument but does not produce correction
  • the role of the auxiliary orthodontic device as an accessory is only the retention of the orthodontic appliance.
  • the passage on the orthodontic part of the auxiliary orthodontic device does not intersect with the reference part. If the passage intersects the reference part, It will cause fasteners (such as arch wires) to contact the tooth surface when passing through the channel, causing the tooth surface to be worn and directly subjected to the corrective force exerted by the arch wire, and the taste discomfort will increase. There will be channel perforations or grooves on the part, which reduces the contact area between the reference part and the tooth surface and reduces the firmness of the auxiliary orthodontic device.
  • the channel is a built-in perforation provided in the meso-distal direction in the correction part and/or a groove provided in the mesio-distal direction on the outer surface of the correction part.
  • the auxiliary orthodontic device 100 includes a reference part 101.
  • the reference part 101 is a surface close to the surface of the tooth and can be bonded to the tooth surface; the part except the reference part 101 is called the correction part 102.
  • the shape of the correction part 102 It is a shape of a conventional accessory used in conjunction with an invisible appliance, which can be accommodated or partially accommodated in a corresponding accessory accommodating part on a shell-shaped dental instrument, so as to realize the coordinated use of the auxiliary orthodontic device and the shell-shaped dental appliance.
  • the orthodontic part 102 is provided with a built-in perforation 103 along the mesio-distal direction near the center of the clinical dental crown.
  • the built-in perforation 103 allows a fastener such as an archwire to pass through and can fix the archwire on the auxiliary orthodontic device 100.
  • the built-in through hole 103 does not intersect the reference part 101.
  • the arch wire can be set on the auxiliary orthodontic device 100 and can apply orthodontic force to the teeth.
  • the outer contours of the auxiliary orthodontic devices in Fig. 1a, Fig. 1b and Fig. 2 are that the height along the long axis of the tooth is greater than the width along the mesiodistal direction of the tooth, which can be called a vertical attachment. Since Figure 1a, Figure 1b and Figure 2 all choose the channel to be set as the built-in perforation, so choose a relatively small width along the mesiodistal direction and a relatively long length along the long axis of the tooth, which can facilitate the processing and manufacturing of the built-in perforation and the bow The threading of silk.
  • the "posterior tooth area” is defined according to the classification of teeth in pages 36-38 of "Introduction to Stomatology" published by Peking University Medical Press, including premolars and molars, which are shown as 4-
  • the FDI marking method in the anterior region shows the teeth 1-3.
  • the anterior area of the shell-shaped dental appliance can be used to accommodate the central incisor, lateral incisor and canine of the maxillary or mandibular teeth
  • the posterior area of the shell-shaped dental appliance can be used to accommodate the first premolar and the first premolar of the upper or Two premolars, first molars, second molars and third molars.
  • Fig. 3 shows an auxiliary orthodontic device 300 of another structure, in which the channel is selectively arranged on the side of the auxiliary orthodontic device and is a groove 304 along the mesio-distal direction.
  • the groove 304 is open, it is easy to process and facilitate the penetration of the arch wire.
  • the outer contour of the auxiliary orthodontic device 300 has a height along the long axis of the tooth smaller than the width along the mesial and distal direction of the tooth, which can be called a horizontal attachment. Therefore, the width of the auxiliary orthodontic device along the mesiodistal horizontal direction can be set to be relatively wide, so that it is suitable for setting on the molars of the posterior teeth and other teeth that are wider in the mesiodistal direction.
  • the auxiliary orthodontic device of the above-mentioned structure can be made of ceramic or metal materials, and the position of the horizontal attachment can be the anterior tooth area or the posterior tooth area, and it can be adaptively added according to the specific orthodontic scheme, and it is preferably arranged in the posterior tooth area.
  • Figures 4a-9b show several different structures of auxiliary orthodontic devices, in which the channels are selected as built-in perforations and grooves in the mesio-distal direction that are provided at the same time.
  • the advantage of setting built-in perforations and grooves at the same time is that, firstly, one or more arch wires can be fixed, and more correction force application schemes can be provided according to the actual correction needs. Secondly, the arch wires can be perforated in the built-in according to the correction needs when the arch wires are fixed. Or choose a more appropriate fixed position in the groove to pass the archwire to achieve the purpose of correction.
  • the built-in perforations and grooves may not be arranged on the same horizontal plane, as shown in Figure 4a, Figure 4b, Figure 5a, Figure 5b, Figure 6a, Figure 6b, Figure 8a, Figure 8b, Figure 9a, Figure 9b, or the built-in perforations and grooves
  • the grooves can also be arranged on the same horizontal plane, as shown in Fig. 7 for example.
  • the built-in perforations and grooves are staggered, that is, they are not on the same horizontal plane, so that the thickness of the auxiliary orthodontic device along the lip/buccal-lingual direction can be relatively thin, thereby reducing the foreign body sensation worn by the patient.
  • the distance between the built-in perforation and the reference part is not greater than the built-in perforation and the correction The distance between the outer surfaces of the parts.
  • the position of the built-in perforation is smaller than that of the groove.
  • the set position is closer to the reference portion, and specifically may be that the central axis of the built-in perforation is closer to the reference portion than the center line of the groove.
  • the diameter of the cross-section is 0.25mm-0.78mm, which is converted into a numerical range of inches
  • the side length dimension of the cross section is 0.40-0.72 mm. It can be selected according to the needs of the fasteners that pass through, such as the size of the diameter of the arch wire.
  • the common thickness of square wire mainly includes the following (unit: inch): 0.016*0.016, 0.017*0.022, 0.017*0.025, 0.018*0.025, 0.019*0.025, 0.0215*0.028.
  • stainless steel wire and nickel titanium wire are commonly used. According to the difference in performance, nickel-titanium wire can be divided into ordinary nickel-titanium wire and heat-activated nickel-titanium wire, and there is also a ⁇ -titanium wire.
  • the cross-sectional shape of the groove on the auxiliary orthodontic device is selected to be a shape suitable for the penetration of the archwire, for example, the cross-section of the groove along the lip/buccal-lingual direction is circular, semi-circular, or elliptical.
  • a semi-elliptical arc, a polygon, or a combination of the above shapes refers to a combined shape formed by two or more shapes.
  • the grooves are arranged in a semicircular section on the side adjacent to the reference part, and a rectangular section on the lip/buccal-lingual side. The purpose is to set the section adjacent to the reference part to a semicircle.
  • the circular shape can be closer to the contour of the arch wire, and the cross-section near the lip/buccal-lingual side is set to be rectangular in order to facilitate the penetration of the arch wire.
  • an anti-dropping structure can also be provided, as shown in Figures 10a and 10b.
  • the anti-dropping structure shown here is a combined structure consisting of a rectangular 10a and a similar semicircular structure 10b.
  • the cross section on the side close to the reference part is set to be rectangular, and the section close to the lip/buccal-lingual side is set to be similar to a semicircular structure.
  • the arch wire enters the rectangular structure from the semicircular structure, and the position is relatively stable, due to the place where the two are connected There will be bending, the arch wire is not easy to slip out of the rectangular structure after being inserted, and the tight connection between the auxiliary orthodontic device and the fastener is increased, so as to achieve a better orthodontic effect.
  • the shape of the groove in Figures 4a-9b is a circular arc or a semicircular arc, and its shape can match the arch wire with a circular diameter, which can facilitate the installation and disassembly of the arch wire.
  • the center of the section of the built-in perforation along the lip/buccal-lingual direction and the groove along the lip/buccal-lingual The central line of the lateral cross-section is not perpendicular to the long axis of the tooth fixed by the auxiliary orthodontic device.
  • the cross-sectional center line c between the built-in perforation 603 and the groove 604 of the auxiliary orthodontic device 600 is not perpendicular to the long axis d of the tooth.
  • the included angle between the two lines is denoted as ⁇ , and the included angle ⁇ is preferably an acute angle, more preferably 30°-60°.
  • Other examples include the angle ⁇ shown in Figure 9b.
  • the reference portion is a flat structure or a curved structure that is attached to the surface of the tooth.
  • the reference part has a planar structure
  • the built-in perforation and/or the groove and the reference part are arranged in parallel along the mesio-distal direction.
  • the reference portion is a curved structure that fits the tooth surface
  • the curvature of the reference portion is consistent with the curvature of the built-in perforation and/or the groove in the mesio-distal direction, as shown in Figure 11a
  • the curvature of the reference part 1301 coincides with the curvature of the groove 1304 in the mesio-distal direction; as shown in FIG.
  • the bending radian can be selected as various suitable radians, which are not limited in this application.
  • the reference part of the auxiliary orthodontic device is also provided with a friction-increasing surface structure on the side adjacent to the tooth, such as the convex point structure 908 shown in FIGS. 9a and 9b, so that the auxiliary orthodontic
  • a friction-increasing surface structure on the side adjacent to the tooth, such as the convex point structure 908 shown in FIGS. 9a and 9b, so that the auxiliary orthodontic
  • the stability of the device after contacting or pasting the tooth is better, and it is not easy to fall off the tooth after pasting, so as to avoid subsequent repair and pasting to damage the surface of the tooth again.
  • the length of the auxiliary correction device excluding the channel is 0.2mm-4.0mm. That is to say, the built-in perforation setting or groove setting is provided in the auxiliary correction device, in order to prevent the auxiliary correction device from reducing the stability of the auxiliary correction device due to the opening or groove setting, so as to ensure the length of the auxiliary correction device except for the channel. It is to ensure that the auxiliary orthodontic device needs to be provided with a certain thickness in the lip/buccal-lingual lateral direction to ensure that the interaction between the auxiliary orthodontic device and the fastener produces a corresponding orthodontic effect.
  • the auxiliary orthodontic device is further provided with an auxiliary accommodating part for accommodating auxiliary orthodontics on the side adjacent to the occlusal surface and/or on the side adjacent to the gum line.
  • a recessed receiving groove may be provided on the side adjacent to the occlusal surface and the side adjacent to the gum line, and the receiving grooves may be arranged symmetrically.
  • the auxiliary orthodontic device shown in Figure 1a-9b is provided with a recess on the side adjacent to the occlusal surface (the upper end surface in the figure) and/or the side adjacent to the gum line (the lower end surface in the figure) Containing slots, respectively marked as 106, 107, 206, 207, 306, 307, 406, 407, 506, 507, 606, 607, 706, 707, 806, 807, 906, 907, the two containing slots are mirror symmetry or Asymmetry.
  • Auxiliary fasteners such as rubber chains and ligature rings can assist in fastening two adjacent auxiliary orthodontic devices into one body, and they are placed on the lip/buccal-lingual side, which can hold the archwire passing in the mesial and distal directions.
  • the lip/buccal and tongue are relatively fixed laterally, and can be used when multiple teeth are required to be fastened together as a whole anchor.
  • this embodiment also provides a shell-shaped dental appliance 1000, which is used to cooperate with the auxiliary orthodontic device 12 arranged on the patient’s teeth to achieve the goal of correction.
  • the shell-shaped dental appliance 1000 is At least two accessory accommodating parts 1001 for accommodating any of the above-mentioned auxiliary orthodontic devices are provided. On the shell-shaped dental appliance 1000 shown in FIG. 12, three accessory accommodating parts 1001 are provided. In addition, the number of accessory accommodating parts can also be any other suitable number and position.
  • the shell-shaped dental appliance 1000 is further provided with a communicating portion 1002 between the adjacent accessory accommodating portions 1001 that communicates with the adjacent accessory accommodating portion 1000 and accommodating the fastener 13, such as an arch wire, The adjacent accessory accommodating portion 1000 and the communicating portion 1002 are connected to each other.
  • the shell-shaped dental appliance 1000 provided in this embodiment can also be used to cooperate with the auxiliary orthodontic device 12 set on the dental jaw model to realize the realization of the simulation treatment goal, wherein the auxiliary appliance 12 and the shell-shaped dental appliance 1000
  • the treatment effect produced by the interaction simulates the movement of the teeth on the dental model to the target treatment position, so as to realize the realization of part of the simulation treatment plan.
  • the shell-shaped dental appliance 1000 is used to cooperate with the auxiliary orthodontic device 12 set on the dental model accomplish.
  • both ends of the communication space formed by the accessory accommodating portion 1001 and the communicating portion 1002 are also provided to accommodate and assist in fixing the fasteners.
  • the auxiliary fastening part This is because the fasteners (such as arch wires) run through the auxiliary orthodontic device, which can be relatively fixed in the cheek-lingual direction, but not easy to fix in the mesio-distal direction. Therefore, the fixing method used in the mesio-distal direction can be as follows As shown in Fig. 13a, the two ends of the arch wire are bent to prevent the relative sliding of the arch wire in the mesio-distal direction.
  • the auxiliary fastening part is the space 1003 on the shell-shaped dental appliance that accommodates the bent arch wire. Or, another auxiliary fastening part is shown in Figure 13b.
  • the way to fix the arch wire in the mesio-distal direction is to not bend the free ends of the arch wire after passing through the auxiliary orthodontic device.
  • Treatment using the friction relationship between the archwire and the channel on the auxiliary orthodontic device to fix the relative position, such as the inner surface of the built-in perforation provided on the auxiliary orthodontic device and the structure that can increase the friction on the outer surface of the archwire , Such as frosted structure or convex structure, etc., increase the friction between the inner surface of the built-in perforation and the outer surface of the arch wire, and realize the fixation in the mesio-distal direction.
  • the free ends on both sides of the arch wire protrude from the part of the auxiliary correction device.
  • the two ends of the communication space formed by the corresponding second accommodating space and the third accommodating space have auxiliary fastening parts 1004 for assisting the fixing of the fasteners, and can accommodate the protruding arch wires.
  • the side of the accessory accommodating portion adjacent to the auxiliary orthodontic device cooperates with the outer surface of the auxiliary orthodontic device to produce an orthodontic effect, so as to better realize the accommodation and mutual cooperation. , So as to achieve the corrective effect.
  • the shell-shaped dental appliance is also provided with one or more second accessory accommodating parts for accommodating conventional orthodontic accessories (in the figure) (Not shown), the settings of specific orthodontic routine accessories can be set accordingly according to actual orthodontic needs.
  • the second shell-shaped dental appliance 1202 is also any of the above-mentioned shell-shaped dental appliances.
  • the second shell-shaped dental appliance 1202 can be worn on the upper jaw or the lower jaw.
  • the first shell-shaped dental appliance 1201 is worn on the opposite jaw, that is, the upper teeth. .

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Abstract

An auxiliary correcting apparatus (100, 200, 300), a shell-shaped tooth correcting device (1101, 1102, 1201, 1202) and a correcting kit. The auxiliary correcting apparatus (100, 200, 300) comprises a reference part (101, 201, 301, 401) and a correcting part (102, 402), wherein the correcting part (102, 402) is provided with a channel (103, 304, 403, 603, 604) capable of making a fastener (13) pass therethrough and fixing the fastener (13), and the outer contour of the correcting part (102, 402) at least partially fits the outer contour of an accessory which can match an accessory accommodating part (1001) on the shell-shaped tooth correcting device (1101, 1102, 1201, 1202) for tooth correcting. The shell-shaped tooth correcting device (1101, 1102, 1201, 1202) is for being used in cooperation with the auxiliary correcting apparatus (100, 200, 300), and at least two accessory accommodating parts (1001) for accommodating the auxiliary correcting apparatus (100, 200, 300) are arranged on the shell-shaped tooth correcting device (1101, 1102, 1201, 1202). The correcting kit comprises at least one shell-shaped tooth correcting device (1101, 1102, 1201, 1202) that is used in cooperation with the auxiliary correcting apparatus (100, 200, 300). The channel (103, 304, 403, 603, 604) is arranged on the auxiliary correcting apparatus (100, 200, 300), and the auxiliary correcting apparatus (100, 200, 300) has the appearance of a conventional accessory, such that the auxiliary correcting apparatus (100, 200, 300) has the the dual function of being an accessory and a bracket at the same time.

Description

辅助矫治装置、壳状牙齿矫治器及矫治套组Auxiliary orthodontic device, shell-shaped dental appliance and orthodontic set
相关申请的交叉引用Cross-references to related applications
本申请要求享有于2020年6月10日递交的中国专利申请No.202021059111.7,其全部内容在此通过援引并入本文中。This application requires the Chinese patent application No. 202021059111.7 filed on June 10, 2020, the entire content of which is hereby incorporated by reference.
技术领域Technical field
本申请属于牙齿矫治技术领域,更确切的说属于壳状牙齿矫治器技术领域,尤其涉及一种用于壳状牙科器械的辅助矫治装置、与之配合使用的壳状牙齿矫治器及矫治套组。This application belongs to the technical field of orthodontics, more precisely, it belongs to the technical field of shell-shaped dental appliances, and particularly relates to an auxiliary orthodontic device for shell-shaped dental appliances, a shell-shaped dental appliance and an orthodontic set used in conjunction therewith .
背景技术Background technique
牙齿正畸主要是用力量进行矫治,而矫治器是一种治疗错颌畸形的装置,其能够产生作用力,其中活动矫治器、功能矫治器与固定矫治器共同构成矫治技术的三大体系。Orthodontics are mainly treated with force, and the appliance is a device for treating malocclusion, which can generate force. Among them, the movable appliance, the functional appliance and the fixed appliance constitute the three major systems of orthodontic technology.
固定矫治器是正畸矫治器中的一个重要类型,这类矫治器是粘着或结扎而固定在牙齿上,固定矫治器具有固位良好、支抗充分、适于施加各种类型的矫治力、并有利于多数牙齿的移动、能有效地控制牙齿移动的方向等特点,因而固定矫治器在口腔正畸的治疗中,得到广泛的应用。固定矫治器种类很多,其中唇、舌弓矫治器、双弓矫治器是较早使用的固定矫治器。多带环矫治器已成为临床上广泛应用的固定矫治器,如方丝弓矫治器、细丝弓矫治器等。固定矫治器的施力部分是矫治弓丝,大都由不锈钢丝、合金钢丝组成。Fixed appliance is an important type of orthodontic appliance. This kind of appliance is fixed on the tooth by adhesion or ligation. The fixed appliance has good retention, sufficient anchorage, and is suitable for applying various types of corrective force. And it is conducive to the movement of most teeth and can effectively control the direction of tooth movement. Therefore, fixed appliances are widely used in the treatment of orthodontics. There are many types of fixed appliances, among which lip, tongue arch appliances, and double arch appliances are the fixed appliances used earlier. The multi-band ring appliance has become a fixed appliance widely used clinically, such as the square wire appliance, the thin wire appliance and so on. The force application part of the fixed appliance is the arch wire, which is mostly composed of stainless steel wire and alloy steel wire.
活动矫治器可由患者或医生自由摘戴,摘下时该矫治器完整无损;它靠卡环的固位和黏膜的吸附发挥矫治作用。医生根据需要可在矫治器上随意增减能产生矫治力的附件,以便达到纠正错颌的目的。The movable appliance can be removed and worn freely by the patient or doctor, and the appliance is intact when it is removed; it relies on the retention of the clasp and the adsorption of the mucosa to play a corrective role. The doctor can add or remove the accessories that can produce the corrective force on the appliance according to the needs, so as to achieve the purpose of correcting the wrong jaw.
固定矫治器和活动矫治器各有优缺点,固定矫治器的优点包括:1)固位良好,支抗充足;2)能使多数牙齿移动;整体移动、转矩和扭转等移动容易;3)能控制矫治牙的移动方向;4)能矫治较复杂的错颌畸形;5)体积小,较舒适;6)不影响发音和口语训练;7)临床复诊加力间隔时间长;8)患者不能自行将矫治器摘下不戴,所以矫治力得以持续发挥。而固定矫治器的缺点包括:1)戴用固定矫治器需特别重视口腔卫生保健,如特别容易易引起龋、龈炎;2)固定矫治技术相对复杂,临床上椅旁操作时间较长,因此只能由有经验的医师来使用;3)如力量过大,患者不能自行取卸,有时容易引起牙周组织的损害,产生不良后果。而活动矫治器的优点包括:1)患者能自行摘戴,便于洗刷, 能保持矫治器清洁和口腔卫生;2)避免损伤牙体牙周组织;施力过大疼痛时,患者可自行卸下,矫治力也因矫治器离位而消除;3)不影响美观;如有外交、演出等场合需要,晚间戴即可;4)能矫治一般常见的错颌畸形。活动矫治器的缺点包括:1)支抗不足;2)作用力单一,控制牙齿移动能力不如活动矫治器,牙齿移动方式多为倾斜移动,整体移动难;3)影响发音;因为基托的关系,所以舌活动度受限;4)有异物感;5)剩余间隙处理难。综上可知,固定矫治器和活动矫治器各有优缺点,若能兼顾两者的优点而规避两者的缺点,对于特殊病例的治疗具有更好的矫治效果,具有重要的意义。近年来,活动矫治器中隐形牙齿矫治器由于摘戴方便、佩戴舒适越来越被广大正畸患者所接受。Fixed appliances and movable appliances have their own advantages and disadvantages. The advantages of fixed appliances include: 1) Good retention and adequate anchorage; 2) It can move most teeth; the overall movement, torque and torsion are easy to move; 3) Can control the direction of movement of the orthodontic tooth; 4) Can correct more complex malocclusion; 5) Small size and more comfortable; 6) Does not affect pronunciation and oral training; 7) Clinical follow-up treatment has a long interval of force; 8) Patients cannot Take off the appliance by yourself without wearing it, so the orthodontic power can continue to be exerted. The disadvantages of fixed appliances include: 1) The use of fixed appliances requires special attention to oral health care, such as it is particularly easy to cause caries and gingivitis; 2) The fixed appliance technology is relatively complicated, and the clinical chairside operation time is longer, so It can only be used by experienced doctors; 3) If the force is too strong, the patient cannot take it out by himself, and sometimes it is easy to cause damage to the periodontal tissue and produce undesirable consequences. The advantages of the movable appliance include: 1) The patient can remove and wear it by himself, which is convenient for washing, and can keep the appliance clean and oral hygiene; 2) Avoid damaging the periodontal tissue of the tooth; when the pressure is too large, the patient can remove it by himself , The corrective force is also eliminated due to the dislocation of the orthodontic appliance; 3) does not affect the appearance; if it is required for diplomacy, performances and other occasions, it can be worn at night; 4) it can correct the common malocclusion. The disadvantages of movable appliances include: 1) Insufficient anchorage; 2) Single force, the ability to control tooth movement is not as good as movable appliances, and the way of tooth movement is mostly oblique movement, which is difficult to move as a whole; 3) It affects pronunciation; because of the relationship of base , So the tongue mobility is limited; 4) there is a foreign body sensation; 5) the remaining gap is difficult to handle. In summary, it can be seen that fixed appliances and movable appliances have their own advantages and disadvantages. If the advantages of both can be taken into account and the disadvantages of both can be avoided, it will have a better correction effect for the treatment of special cases, which is of great significance. In recent years, invisible dental appliances among movable appliances have been more and more accepted by orthodontic patients due to their convenient removal and comfort.
但隐形矫治技术仍存在不足与短板,在纠正下列临床问题时,隐形牙齿矫治器发挥的作用较为有限,主要表现在:1、个别牙或组牙严重错合,如扭转、倾斜、唇舌向错位、垂直向低位等;2、整平Spee曲线并建立后牙咬合对接;3、拔牙病例前牙内收、后牙轴倾度控制及拔牙剩隙关闭。因此,将固定矫治与隐形牙齿矫治技术结合,解决上述技术问题,具有重要的意义。However, invisible orthodontic technology still has shortcomings and shortcomings. In correcting the following clinical problems, the role of invisible dental appliances is relatively limited. The main manifestations are: 1. Severe mismatch of individual teeth or groups of teeth, such as twisting, tilting, lip and tongue Dislocation, vertical to low position, etc.; 2. Level the Spee curve and establish the occlusal butt joint of the posterior teeth; 3. In the case of extraction, the anterior teeth are retracted, the inclination of the posterior teeth is controlled, and the remaining space of the extraction is closed. Therefore, it is of great significance to combine fixed orthodontics and invisible tooth orthodontics to solve the above technical problems.
发明内容Summary of the invention
本申请提供一种用于壳状牙科器械的辅助矫治装置、壳状牙齿矫治器及矫治套组,解决了现有壳状牙齿矫治器在上述牙齿错颌畸形的情况下发挥的作用较为有限的问题。This application provides an auxiliary orthodontic device, a shell-shaped dental appliance and an orthodontic set for a shell-shaped dental appliance, which solves the problem that the existing shell-shaped dental appliance plays a relatively limited role in the above-mentioned malocclusion condition. problem.
本申请部分实施例提供了一种辅助矫治装置,用于配合壳状牙科器械进行牙齿矫治,以使牙齿从初始位置逐渐变化至目标矫治位置,其中,所述壳状牙科器械上设置附件容置部;所述辅助矫治装置包括:能够固定于牙齿表面的基准部,以及,由所述基准部向远离牙齿表面一侧延伸设置的、且与所述壳状牙科器械配合使用的矫正部。Some embodiments of this application provide an auxiliary orthodontic device, which is used to perform tooth orthodontics with a shell-shaped dental instrument, so that the teeth gradually change from an initial position to a target orthodontic position, wherein the shell-shaped dental instrument is provided with an accessory accommodating The auxiliary orthodontic device includes: a reference portion that can be fixed on the surface of the tooth, and an orthodontic portion extending from the reference portion to the side away from the surface of the tooth and used in conjunction with the shell-shaped dental instrument.
其中,所述矫正部至少部分容置于对应所述矫正部设置的所述附件容置部内,并且,所述矫正部设置有至少一个可使紧固件通过并能够固定所述紧固件的通道,同时,所述矫正部的外轮廓与一种能够配合所述附件容置部进行牙齿矫治的附件的外轮廓至少部分吻合,以使所述辅助矫治装置还具有与所述附件基本相同的矫治作用。Wherein, the correction part is at least partially accommodated in the accessory accommodating part provided corresponding to the correction part, and the correction part is provided with at least one fastener that can pass through and fix the fastener At the same time, the outer contour of the orthodontic part is at least partially coincident with the outer contour of an accessory capable of cooperating with the accessory accommodating part for orthodontics, so that the auxiliary orthodontic device also has substantially the same Corrective effect.
在一个实施方式中,所述通道与所述基准部不相交。In one embodiment, the channel does not intersect the reference portion.
在一个实施方式中,所述通道为所述矫正部中沿近远中方向设置的内置穿孔和/或所述矫正部外表面上沿近远中方向设置的沟槽。In one embodiment, the channel is a built-in perforation provided in the meso-distal direction in the correction part and/or a groove provided in the mesio-distal direction on the outer surface of the correction part.
在一个实施方式中,当所述通道包括内置穿孔时,所述内置穿孔与所述基准部之间的距离不大于所述内置穿孔与所述矫正部外表面之间的距离。In one embodiment, when the channel includes a built-in perforation, the distance between the built-in perforation and the reference part is not greater than the distance between the built-in perforation and the outer surface of the correction part.
在一个实施方式中,所述辅助矫治装置的通道仅为单独设置的内置穿孔或沟槽时, 设置所述内置穿孔的辅助矫治装置沿近远中方向的宽度小于设置所述沟槽的辅助矫治装置沿近远中方向的宽度。In one embodiment, when the channel of the auxiliary orthodontic device is only a separately provided built-in perforation or groove, the width of the auxiliary orthodontic device provided with the built-in perforation in the mesial and distal direction is smaller than that of the auxiliary orthodontic device provided with the groove The width of the device in the mesio-distal direction.
在一个实施方式中,所述内置穿孔的位置为唇/颊舌侧剖视面的中心处或邻近中心处;当所述辅助矫治装置同时设有所述内置穿孔和所述沟槽时,所述内置穿孔设置的位置较所述沟槽设置的位置更邻近于所述基准部。In one embodiment, the position of the built-in perforation is at or near the center of the lip/buccal-lingual cross-sectional surface; when the auxiliary orthodontic device is provided with the built-in perforation and the groove at the same time, the The position where the built-in perforation is arranged is closer to the reference part than the position where the groove is arranged.
在一个实施方式中,所述内置穿孔沿唇/颊舌侧向的截面为圆形、半圆形、椭圆形、半椭圆形、多边形中的一种或上述形状的组合中的一种。In one embodiment, the cross-section of the built-in perforation along the lip/buccal-lingual lateral direction is one of circular, semicircular, elliptical, semi-elliptical, polygonal, or a combination of the foregoing shapes.
在一个实施方式中,所述内置穿孔沿唇/颊舌侧向的截面为圆形时,所述截面的直径为0.25mm-0.78mm;所述内置穿孔沿唇/颊舌侧向的截面为方形/矩形/正六边形时,所述截面的边长尺寸为0.40-0.72mm。In one embodiment, when the cross-section of the built-in perforation along the lip/buccal-lingual direction is circular, the diameter of the cross-section is 0.25mm-0.78mm; the cross-section of the built-in perforation along the lip/buccal-lingual direction is In the case of square/rectangular/regular hexagon, the side length dimension of the cross section is 0.40-0.72 mm.
在一个实施方式中,所述沟槽沿唇/颊舌侧向的截面为圆弧形、半圆弧形、椭圆弧形、半椭圆弧形、多边形中的一种或上述形状的组合中的一种。上述形状的组合的一种替代是:所述沟槽沿唇/颊舌侧向的截面为:临近基准部一侧的剖面设置为半圆形,而临近唇/颊舌侧的剖面设置为矩形。In one embodiment, the cross-section of the groove along the lip/buccal-lingual lateral direction is one of a circular arc, a semicircular arc, an elliptical arc, a semielliptical arc, a polygon, or a combination of the foregoing shapes. kind. An alternative to the combination of the above shapes is: the cross-section of the groove along the lip/buccal-lingual side is: the cross-section on the side adjacent to the reference part is set to be a semicircle, and the cross-section near the lip/buccal-lingual side is set to be rectangular .
在一个实施方式中,当所述辅助矫治装置同时设有所述内置穿孔和所述沟槽时,所述内置穿孔沿唇/颊舌侧向的截面中心与所述沟槽沿唇/颊舌侧向的截面中心连线,与所述辅助矫治装置所固定的牙齿长轴不垂直。In one embodiment, when the auxiliary orthodontic device is provided with the built-in perforation and the groove at the same time, the center of the section of the built-in perforation along the lip/buccal-lingual lateral direction and the groove along the lip/buccal-lingual The central line of the lateral cross-section is not perpendicular to the long axis of the tooth fixed by the auxiliary orthodontic device.
在一个实施方式中,所述内置穿孔沿唇/颊舌侧向的截面中心与所述沟槽沿唇/颊舌侧向的截面中心连线,与所述辅助矫治装置所固定的牙齿长轴形成的夹角α为锐角。In one embodiment, the cross-sectional center of the built-in perforation along the lip/buccal-lingual direction is connected to the cross-sectional center of the groove along the lip/buccal-lingual direction, and is connected to the long axis of the tooth fixed by the auxiliary orthodontic device. The formed angle α is an acute angle.
在一个实施方式中,所述内置穿孔沿唇/颊舌侧向的截面中心与所述沟槽沿唇/颊舌侧向的截面中心连线,与所述辅助矫治装置所固定的牙齿长轴形成的夹角α为30°-60°。In one embodiment, the cross-sectional center of the built-in perforation along the lip/buccal-lingual direction is connected to the cross-sectional center of the groove along the lip/buccal-lingual direction, and is connected to the long axis of the tooth fixed by the auxiliary orthodontic device. The formed angle α is 30°-60°.
在一个实施方式中,所述内置穿孔和/或所述沟槽各自设置的数量为至少一个。In one embodiment, the number of each of the built-in perforations and/or the grooves is at least one.
在一个实施方式中,所述基准部为平面结构或与牙齿表面贴合的曲面结构。In one embodiment, the reference portion is a flat structure or a curved structure that is attached to the surface of the tooth.
在一个实施方式中,当所述基准部为平面结构时,所述内置穿孔和/或所述沟槽与所述基准部沿近远中方向平行设置。In one embodiment, when the reference portion has a planar structure, the built-in perforation and/or the groove and the reference portion are arranged in parallel along the mesio-distal direction.
在一个实施方式中,当所述基准部为与牙齿表面贴合的曲面结构时,所述基准部的弯曲弧度与所述内置穿孔和/或所述沟槽沿近远中方向的弯曲弧度吻合。In one embodiment, when the reference portion is a curved structure that fits the tooth surface, the curvature of the reference portion is consistent with the curvature of the built-in perforation and/or the groove in the mesio-distal direction .
在一个实施方式中,所述基准部临近牙齿一侧还设有增大摩擦力的表面结构。In one embodiment, the reference portion is further provided with a surface structure that increases friction on the side adjacent to the tooth.
在一个实施方式中,在所述辅助矫治装置沿唇/颊舌侧向截面中,所述辅助矫治装置除所述通道外的长度为0.2mm-4.0mm。In one embodiment, in the lateral cross-section of the auxiliary orthodontic device along the lip/buccal tongue, the length of the auxiliary orthodontic device excluding the channel is 0.2mm-4.0mm.
在一个实施方式中,所述辅助矫治装置邻近牙龈线一侧的下端面向咬合面一侧延 伸的轮廓为平滑过渡的倾斜曲面。In one embodiment, the contour of the lower end of the auxiliary orthodontic device adjacent to the gum line facing the occlusal surface is a smoothly transitioned inclined curved surface.
在一个实施方式中,所述辅助矫治装置临近咬合面一侧和/或邻近牙龈线一侧还设有容纳辅助矫治件的辅助容纳部。其中,辅助矫治件例如可以为橡皮链、结扎圈等。In one embodiment, the auxiliary orthodontic device is further provided with an auxiliary accommodating part for accommodating auxiliary orthodontics on the side adjacent to the occlusal surface and/or adjacent to the gum line. Among them, the auxiliary correcting member may be, for example, a rubber chain, a ligature ring, and the like.
在一个实施方式中,所述辅助容纳部为向所述辅助矫治装置中心凹陷设置的容纳槽。In one embodiment, the auxiliary accommodating part is a accommodating groove recessed toward the center of the auxiliary orthodontic device.
在一个实施方式中,所述容纳槽在临近咬合面一侧和邻近牙龈线一侧各设置一个且为对称设置。In one embodiment, the accommodating grooves are provided on the side adjacent to the occlusal surface and the side adjacent to the gum line, and are arranged symmetrically.
在一个实施方式中,所述矫正部的外轮廓与一种能够配合所述附件容置部进行牙齿矫治的附件的外轮廓至少部分吻合,以使所述辅助矫治装置还具有与所述附件相同的矫治作用。In one embodiment, the outer contour of the orthodontic part is at least partially coincident with the outer contour of an accessory capable of cooperating with the accessory accommodating part for tooth correction, so that the auxiliary orthodontic device has the same shape as the accessory. The corrective effect.
在一个实施方式中,所述矫正部的外轮廓与一种能够配合所述附件容置部进行牙齿矫治的附件的外轮廓吻合,以使所述辅助矫治装置还具有与所述附件基本相同的矫治作用。In one embodiment, the outer contour of the orthodontic part is consistent with the outer contour of an accessory capable of cooperating with the accessory accommodating part for orthodontics, so that the auxiliary orthodontic device also has substantially the same shape as the accessory. Corrective effect.
在一个实施方式中,所述矫正部的外轮廓与一种能够配合所述附件容置部进行牙齿矫治的附件的外轮廓吻合,以使所述辅助矫治装置还具有与所述附件相同的矫治作用。In one embodiment, the outer contour of the orthodontic part is consistent with the outer contour of an accessory capable of cooperating with the accessory accommodating part for orthodontics, so that the auxiliary orthodontic device also has the same orthodontic treatment as the accessory effect.
基于同样的发明构思,本申请还提供一种壳状牙齿矫治器,所述壳状牙齿矫治器上至少设有两个容纳上述任一的辅助矫治装置的所述附件容置部;当所述附件容置部设置多个时,所述壳状牙齿矫治器上在相邻所述附件容置部之间还设有连通相邻所述附件容置部且容纳所述紧固件的联通部,相邻的所述附件容置部与所述联通部之间连通设置。Based on the same inventive concept, the present application also provides a shell-shaped dental appliance. The shell-shaped dental appliance is provided with at least two accessory accommodating parts for accommodating any of the above-mentioned auxiliary orthodontic devices; When a plurality of accessory accommodating parts are provided, the shell-shaped dental appliance is further provided with a communication part connecting the adjacent accessory accommodating parts and accommodating the fasteners between the adjacent accessory accommodating parts , The adjacent accessory accommodating portion and the communicating portion are connected to each other.
在一个实施方式中,所述附件容置部设置多个时,所述附件容置部与所述联通部形成的连通空间的两端还设有容纳及辅助所述紧固件固定的辅助紧固部。In one embodiment, when a plurality of accessory accommodating parts are provided, both ends of the communication space formed by the accessory accommodating part and the communicating part are also provided with auxiliary fasteners for accommodating and assisting the fixing of the fasteners. Solid part.
作为上述的壳状牙齿矫治器的一种替代,所述联通部沿唇/颊舌侧向的截面为圆弧形、椭圆弧形、或多边形中的一种。As an alternative to the above-mentioned shell-shaped dental appliance, the cross section of the communicating portion along the lip/buccal-lingual direction is one of a circular arc, an elliptical arc, or a polygon.
作为上述的壳状牙齿矫治器的一种替代,所述附件容置部临近所述辅助矫治装置的一侧与所述辅助矫治装置外表面配合以产生矫治作用。As an alternative to the above-mentioned shell-shaped dental appliance, the accessory accommodating portion has a side adjacent to the auxiliary orthodontic device that cooperates with the outer surface of the auxiliary orthodontic device to produce an orthodontic effect.
作为上述的壳状牙齿矫治器的一种替代,所述壳状牙齿矫治器上还设有容纳牙科正畸附件的第二附件容置部。As an alternative to the aforementioned shell-shaped dental appliance, the shell-shaped dental appliance is further provided with a second accessory accommodating portion for accommodating the dental orthodontic accessory.
基于同样的发明构思,本申请还提供一种牙齿矫治套组,包括用于分别佩戴在第一牙列的第一壳状牙齿矫治器和对颌牙列的第二壳状牙齿矫治器,其中,所述第一壳状牙齿矫治器为上述任一的壳状牙齿矫治器。Based on the same inventive concept, the present application also provides an orthodontic set, including a first shell-shaped dental appliance for wearing on the first dentition and a second shell-shaped dental appliance for the antagonist dentition, wherein , The first shell-shaped dental appliance is any one of the above-mentioned shell-shaped dental appliances.
作为上述的牙齿矫治套组的一种替代,所述第二壳状牙齿矫治器包括容纳所述对 颌牙列的空腔结构。As an alternative to the aforementioned orthodontic set, the second shell-shaped orthodontic appliance includes a cavity structure for accommodating the opposing dentition.
作为上述的牙齿矫治套组的另一种替代,所述第二壳状牙齿矫治器为上述任一的壳状牙齿矫治器。As another alternative to the aforementioned dental appliance set, the second shell-shaped dental appliance is any one of the aforementioned shell-shaped dental appliances.
通过本申请提供的用于壳状牙科器械的辅助矫治装置、壳状牙齿矫治器及矫治套组,能够带来以下以下诸多有益效果。The auxiliary orthodontic device for the shell-shaped dental appliance, the shell-shaped dental appliance and the orthodontic set provided by this application can bring the following beneficial effects.
1、通过在辅助矫治装置上设置通道能够使得紧固件穿过,并且辅助矫治装置的外轮廓具有与常规附件外轮廓吻合的结构,使该辅助矫治装置在与隐形牙齿矫治器相互作用时,辅助矫治装置能够作为附件使用,与此同时,辅助矫治装置还可以作为固定技术的托槽而发挥作用,使得紧固件(如弓丝)穿过其上设置的通道(如内置穿孔和/或沟槽),具有固定矫治的效果。当患者牙齿需要联合固定矫治技术与隐形矫治技术时,仅需将辅助矫治装置粘贴在牙齿上,其即可在不同时段分别具备附件和托槽的功能,或相同时段同时具备附件和托槽的双重功能,避免了不同矫治需求需要在牙齿表面上多次粘贴附件和托槽的现象,从而减少对患者牙齿的损伤。1. By providing a channel on the auxiliary orthodontic device, the fastener can pass through, and the outer contour of the auxiliary orthodontic device has a structure that coincides with the outer contour of the conventional accessory, so that when the auxiliary orthodontic device interacts with the invisible dental appliance, The auxiliary orthodontic device can be used as an accessory. At the same time, the auxiliary orthodontic device can also function as a bracket for fixing technology, allowing fasteners (such as archwires) to pass through the channels (such as built-in perforations and/or Groove), has the effect of fixed correction. When a patient’s teeth require a combination of fixed orthodontics and invisible orthodontics, only the auxiliary orthodontic device needs to be pasted on the teeth, which can function as accessories and brackets at different times, or at the same time as accessories and brackets. The dual function avoids the need to paste attachments and brackets on the tooth surface multiple times for different orthodontic needs, thereby reducing the damage to the patient's teeth.
2、在辅助矫治装置上设置的内置穿孔和/或沟槽穿插或入槽紧固件如片断弓丝,壳状牙齿矫治器包裹辅助矫治装置及紧固件,其中壳状牙齿矫治器、辅助矫治装置与紧固件结合实现隐形矫治与固定矫治结合治疗,其中壳状牙齿矫治器包裹辅助矫治装置与紧固件,三者相互配合可以实现固定矫治与隐形矫治治疗效果的相互补偿,针对个别牙、组牙及局部牙列的错颌畸形纠正及支抗增效具有较佳的治疗效果。2. The built-in perforations and/or grooves inserted or inserted into the groove fasteners on the auxiliary orthodontic device, such as fragmented archwire, shell-shaped dental appliance wraps the auxiliary orthodontic device and fasteners, of which the shell-shaped dental appliance The combination of the orthodontic device and the fastener realizes the combined treatment of invisible and fixed orthodontics, in which the shell-shaped dental appliance wraps the auxiliary orthodontic device and the fastener. The three can cooperate to achieve mutual compensation of the effects of fixed and invisible orthodontics. The correction of malocclusion and the enhancement of anchorage of teeth, group teeth and partial dentition have better therapeutic effects.
3、壳状牙齿矫治器与辅助矫治装置结合可以实现隐形牙齿矫治的效果,即辅助矫治装置可以与壳状牙齿矫治器上设置的附件容置部相互作用产生矫治力;辅助矫治装置还可与紧固件相互作用产生矫治力;上述两种情况可以同时实现,也可以分阶段实现矫治,最终达到矫治目标。3. The combination of the shell-shaped dental appliance and the auxiliary orthodontic device can achieve the effect of invisible tooth correction, that is, the auxiliary orthodontic device can interact with the accessory accommodating part provided on the shell-shaped dental appliance to generate correction force; the auxiliary orthodontic device can also interact with The interaction of the fasteners produces the corrective force; the above two situations can be realized at the same time, or the treatment can be realized in stages, and finally the treatment goal is reached.
4、在辅助矫治装置上下两端制作辅助容纳部,以便嵌入结扎圈或橡皮链,有效固定紧固件如弓丝,实现固定方向施力的矫治和移动效果。4. Auxiliary receiving parts are made at the upper and lower ends of the auxiliary orthodontic device for embedding the ligature ring or rubber chain, effectively fixing fasteners such as arch wires, and realizing the effect of correction and movement with force applied in a fixed direction.
附图说明Description of the drawings
下面将以明确易懂的方式,结合附图说明本申请的技术方案,对上述特性、技术特征、优点及其实现方式予以进一步说明。The technical solutions of the present application will be described in a clear and easy-to-understand manner in conjunction with the accompanying drawings, and the above-mentioned characteristics, technical features, advantages and implementation methods will be further described.
图1a、图1b为本申请的辅助矫治装置的实施方式一的结构示意图。Figures 1a and 1b are schematic diagrams of the first embodiment of the auxiliary orthodontic device of the present application.
图2为本申请的辅助矫治装置的实施方式二的结构示意图。Fig. 2 is a schematic structural diagram of the second embodiment of the auxiliary orthodontic device of this application.
图3为本申请的辅助矫治装置的实施方式三的结构示意图。Fig. 3 is a schematic structural diagram of the third embodiment of the auxiliary orthodontic device of this application.
图4a、图4b为本申请的辅助矫治装置的实施方式四的结构示意图。4a and 4b are schematic structural diagrams of the fourth embodiment of the auxiliary orthodontic device of this application.
图5a、图5b为本申请的辅助矫治装置的实施方式五的结构示意图。Figures 5a and 5b are schematic diagrams of the fifth embodiment of the auxiliary orthodontic device of this application.
图6a、图6b为本申请的辅助矫治装置的实施方式六的结构示意图。Fig. 6a and Fig. 6b are schematic structural diagrams of the sixth embodiment of the auxiliary orthodontic device of this application.
图7为本申请的辅助矫治装置的实施方式七的结构示意图。FIG. 7 is a schematic structural diagram of the seventh embodiment of the auxiliary orthodontic device of this application.
图8a、图8b为本申请的辅助矫治装置的实施方式八的结构示意图。Fig. 8a and Fig. 8b are schematic structural diagrams of the eighth embodiment of the auxiliary orthodontic device of this application.
图9a、图9b为本申请的辅助矫治装置的实施方式九的结构示意图。Figures 9a and 9b are schematic structural diagrams of the ninth embodiment of the auxiliary orthodontic device of this application.
图10a、图10b为本申请的具有防脱结构的辅助矫治装置的示意图。Figures 10a and 10b are schematic diagrams of the auxiliary orthodontic device with an anti-dropping structure according to the present application.
图11a、图11b为本申请的辅助矫治装置的基准部与通道弯曲弧度的剖面示意图。Figures 11a and 11b are schematic cross-sectional views of the reference part and the curvature of the channel of the auxiliary orthodontic device of the present application.
图12为本申请的壳状牙齿矫治器的结构示意图。Fig. 12 is a schematic diagram of the structure of the shell-shaped dental appliance of the application.
图13a、图13b为本申请的壳状牙齿矫治器的辅助紧固部的示意图。Figures 13a and 13b are schematic diagrams of the auxiliary fastening part of the shell-shaped dental appliance of the present application.
图14为本申请的矫治套组的实施方式一的结构示意图。FIG. 14 is a schematic structural diagram of Embodiment 1 of the treatment kit of this application.
图15为本申请的矫治套组的实施方式二的结构示意图。FIG. 15 is a schematic structural diagram of Embodiment 2 of the treatment kit of this application.
具体实施方式detailed description
为了更清楚地说明本申请实施例或现有技术中的技术方案,下面将对照附图说明本申请的具体实施方式。显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图,并获得其他的实施方式。In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the specific implementation manners of the present application will be described below with reference to the drawings. Obviously, the drawings in the following description are only some embodiments of the application. For those of ordinary skill in the art, without creative work, other drawings can be obtained based on these drawings and obtained Other embodiments.
本申请提供的辅助矫治装置及其对应的壳状牙齿矫治器及矫治套组配合使用,能够提供更大的矫治力,从而更适合于扭转、倾斜、唇舌向错位、垂直向低位等的矫治、以及整平Spee曲线并建立后牙咬合对接矫治、及拔牙病例前牙内收、后牙轴倾度控制及拔牙剩隙关闭等类型的矫治。The auxiliary orthodontic device provided in this application and its corresponding shell-shaped dental appliance and orthodontic set can provide greater orthodontic force, which is more suitable for torsion, tilt, lip and tongue misalignment, vertical low position, etc. As well as leveling the Spee curve and establishing posterior occlusal butt orthodontics, anterior tooth adduction, posterior axis inclination control, and extraction residual gap closure in tooth extraction cases.
本申请的设计理念是,使辅助矫治装置兼具隐形矫治常规附件及固定矫治传统托槽的双重作用,使该辅助矫治装置在履行隐形矫治附件任务的同时,可以作为固定技术的托槽而发挥作用。在发挥托槽的作用时,在辅助矫治装置间穿插或入槽紧固件如片断弓丝,并在壳状牙齿矫治器总体覆盖与控制下,进行具有经典固定技术优势的个别牙、组牙及局部牙列的矫治如错位纠正及支抗增效。The design concept of this application is to make the auxiliary orthodontic device have the dual functions of conventional invisible orthodontic accessories and fixed orthodontic traditional brackets, so that the auxiliary orthopedic device can perform the tasks of invisible orthodontic accessories while also functioning as a fixed technical bracket. effect. When playing the role of the brackets, insert or insert fasteners such as fragmented arch wires between the auxiliary orthodontic devices, and under the overall coverage and control of the shell-shaped orthodontic appliance, perform individual teeth and grouped teeth with the advantages of classic fixation technology. And the correction of local dentition such as malposition correction and anchorage enhancement.
实施例Example
如图1a-图9b所示,本实施例提供的辅助矫治装置,是用于配合壳状牙科器械如壳状牙齿矫治器(也称隐形牙齿矫治器)进行牙齿矫治,以使牙齿从初始位置逐渐变化至目标矫治位置,牙齿的初始位置可以是待矫治的牙齿的初始位置,或者是牙齿矫治过程中 的任一个矫治前的位置,牙齿的目标矫治位置可以是比初始位置更接近矫治目标的任一个位置;其中,所述壳状牙科器械上设置有用于配合所述辅助矫治装置的附件容置部,具体地,As shown in Figures 1a-9b, the auxiliary orthodontic device provided by this embodiment is used to perform tooth orthodontics with shell-shaped dental appliances such as shell-shaped dental appliances (also called invisible dental appliances), so that the teeth can be restored from the initial position Gradually change to the target treatment position. The initial position of the tooth can be the initial position of the tooth to be treated or any position before the treatment during the tooth treatment. The target treatment position of the tooth can be closer to the treatment target than the initial position Any position; wherein the shell-shaped dental instrument is provided with an accessory accommodating portion for cooperating with the auxiliary orthodontic device, specifically,
所述辅助矫治装置包括:The auxiliary correction device includes:
能够固定于牙齿表面的基准部,以及A reference part that can be fixed to the surface of the tooth, and
由所述基准部向远离牙齿表面一侧延伸设置的且与所述壳状牙科器械配合使用的矫正部,其中,An orthodontic part extending from the reference part to the side away from the tooth surface and used in conjunction with the shell-shaped dental instrument, wherein:
所述矫正部至少部分容置于对应所述矫正部设置的所述壳状牙科器械的附件容置部内,并且,The correction part is at least partially housed in the accessory housing part of the shell-shaped dental instrument provided corresponding to the correction part, and,
所述矫正部设置有至少一个可使紧固件通过并能够固定所述紧固件的通道,同时,The correction part is provided with at least one passage through which the fastener can pass and can fix the fastener, and at the same time,
所述矫正部的外轮廓与一种能够配合所述附件容置部进行牙齿矫治的附件的外轮廓至少部分吻合,以使所述辅助矫治装置还具有与所述附件基本相同的矫治作用。The outer contour of the orthodontic part is at least partially coincident with the outer contour of an accessory capable of cooperating with the accessory accommodating part for tooth correction, so that the auxiliary orthodontic device also has substantially the same orthodontic effect as the accessory.
具体地,基准部可以为所述辅助矫治装置中贴合牙齿表面的一表面,用于将辅助矫治装置粘接在牙面上;矫正部具有隐形矫治器配合使用的常规附件的外形,可以实现常规附件的功能,例如固定壳状牙科矫治器,或者配合壳状牙科矫治器对牙齿施加矫治力,矫正部还设置为具有传统托槽的功能,通过上述通道的设置,使紧固件例如是弓丝能够穿过上述通道并固定在矫正部上。Specifically, the reference part may be a surface of the auxiliary orthodontic device that fits the tooth surface, and is used to bond the auxiliary orthodontic device to the tooth surface; the orthodontic part has the shape of a conventional accessory used in conjunction with an invisible appliance, which can realize The functions of conventional accessories, such as fixing a shell-shaped dental appliance, or cooperating with a shell-shaped dental appliance to apply an orthodontic force to the teeth, the orthodontic part is also set to have the function of a traditional bracket. The arch wire can pass through the channel and be fixed on the correction part.
其中,所述矫正部与所述附件容置部之间相互配合完成相应的矫治作用,对于所述矫正部的外轮廓与一种能够配合所述附件容置部进行牙齿矫治的附件的外轮廓之间的关系进行说明,其中所述矫正部的外轮廓可与进行牙齿矫治的附件的外轮廓吻合,以实现与所述附件相同的矫治效果;也可以为所述矫正部的外轮廓与所述附件的外轮廓的其中一部分是吻合的,且吻合部分为与壳状牙齿矫治器相互作用产生相应矫治力;也可以为所述矫正部的外轮廓与所述附件的外轮廓吻合,以使所述辅助矫治装置还具有与所述附件基本相同的矫治作用,如所述附件为矩形附件其外轮廓与所述矫正部的外轮廓吻合,矩形附件与壳状牙齿矫治器相互作用产生的矫治效果之外,所述矫正部还可以与壳状牙齿矫治器相互作用产生固位效果,因此所述矫正部与所述附件的矫治作用是相似或基本相同的;也可以为所述矫正部的外轮廓与所述附件的外轮廓的其中一部分是吻合的,以使所述辅助矫治装置还具有与所述附件相同的矫治作用,如所述附件为矩形附件,与壳状牙齿矫治器相互作用产生矫治效果的仅为其中的一表面,所述辅助矫治装置具有与附件的能够产生相应矫治效果的相同表面,但是其余部分与所述附件的外轮廓不同,也可实现相同的矫治效果。壳状牙科器械上的附件容置部用于容纳所述辅助矫治装置,并使得所述辅助矫治装置能够 与所述壳状牙科器械配合使用,其中配合使用可以包括以下两种情况,一种情况是辅助矫治装置作为附件的功能与壳状牙科器械上的上述附件容置部配合产生矫治力;另一种情况是辅助矫治装置与壳状牙科器械上的上述附件容置部配合但不产生矫治力,辅助矫治装置作为附件的作用仅为矫治器的固位作用。Wherein, the correction part and the accessory accommodating part cooperate with each other to complete the corresponding correction effect, and the outer contour of the correction part and the outer contour of an accessory capable of cooperating with the accessory accommodating part for tooth correction The relationship between the correction part can be described, wherein the outer contour of the orthodontic part can be matched with the outer contour of the accessory for tooth correction, so as to achieve the same correction effect as the accessory; it can also be the outer contour of the correction part and the outer contour of the accessory. A part of the outer contour of the accessory is anastomosed, and the anastomosed part interacts with the shell-shaped dental appliance to generate a corresponding corrective force; it can also be that the outer contour of the orthodontic part matches the outer contour of the accessory to make The auxiliary orthodontic device also has substantially the same orthodontic effect as the accessory. For example, the accessory is a rectangular accessory whose outer contour coincides with the outer contour of the orthodontic part, and the rectangular accessory and the shell-shaped dental appliance interact with each other. In addition to the effect, the orthodontic part can also interact with the shell-shaped dental appliance to produce a retention effect. Therefore, the orthodontic effect of the orthodontic part and the accessory is similar or substantially the same; it can also be the orthodontic part. The outer contour is consistent with a part of the outer contour of the accessory, so that the auxiliary orthodontic device also has the same orthodontic effect as the accessory. For example, the accessory is a rectangular accessory and interacts with a shell-shaped dental appliance. The corrective effect is only one of the surfaces, and the auxiliary corrective device has the same surface as the accessory that can produce the corresponding corrective effect, but the other parts are different from the outer contour of the accessory, and the same corrective effect can also be achieved. The accessory accommodating part on the shell-shaped dental instrument is used to accommodate the auxiliary orthodontic device and enable the auxiliary orthodontic device to be used in conjunction with the shell-shaped dental instrument. The cooperative use may include the following two situations, one situation It is the function of the auxiliary orthodontic device as an accessory that cooperates with the above-mentioned accessory accommodating part on the shell-shaped dental instrument to produce the corrective force; the other case is that the auxiliary orthodontic device cooperates with the aforementioned accessory accommodating part on the shell-shaped dental instrument but does not produce correction The role of the auxiliary orthodontic device as an accessory is only the retention of the orthodontic appliance.
紧固件为弓丝或其它能够紧固相邻两个或多个辅助矫治装置的部件,通常为丝状或条状。The fastener is an arch wire or other component that can fasten two or more adjacent auxiliary orthodontic devices, usually in the shape of a wire or a strip.
为了使辅助矫治装置与紧固件配合实现矫治力有效均匀而完成对牙齿的矫治效果,上述辅助矫治装置的矫正部上的所述通道与所述基准部不相交,若通道与基准部相交则会导致紧固件(如弓丝)在穿过通道时与牙齿表面接触,导致牙齿表面受到磨损且直接受到弓丝施加的矫治力,口感不适性增加,并且,若两者相交后所述基准部上就会产生通道穿孔或凹槽,使得基准部与牙齿表面的接触面积减小,降低了辅助矫治装置的牢固性。In order for the auxiliary orthodontic device to cooperate with the fasteners to achieve effective and uniform orthodontic force and complete the orthodontic effect on the teeth, the passage on the orthodontic part of the auxiliary orthodontic device does not intersect with the reference part. If the passage intersects the reference part, It will cause fasteners (such as arch wires) to contact the tooth surface when passing through the channel, causing the tooth surface to be worn and directly subjected to the corrective force exerted by the arch wire, and the taste discomfort will increase. There will be channel perforations or grooves on the part, which reduces the contact area between the reference part and the tooth surface and reduces the firmness of the auxiliary orthodontic device.
在辅助矫治装置的优选结构中,所述通道为所述矫正部中沿近远中方向设置的内置穿孔和/或所述矫正部外表面上沿近远中方向设置的沟槽。In the preferred structure of the auxiliary orthodontic device, the channel is a built-in perforation provided in the meso-distal direction in the correction part and/or a groove provided in the mesio-distal direction on the outer surface of the correction part.
请参见图1a、图1b,展示了辅助矫治装置100的一种结构。该辅助矫治装置100包括基准部101,基准部101为贴近牙齿表面的一表面,能够粘接在牙面上;除该基准部101之外的部分称之为矫正部102,矫正部102的外形是一种常规与隐形矫治器配合用附件的形状,能够容置或部分容置于壳状牙科器械上对应设置的附件容置部内,实现辅助矫治装置与壳状牙科器械的配合使用。矫正部102在临近临床牙冠中心附近设有沿近远中方向的内置穿孔103,内置穿孔103允许一紧固件例如是弓丝穿过并能够使弓丝固定在该辅助矫治装置100上。内置穿孔103与基准部101不相交。通过内置穿孔103的设置,使得弓丝能够在辅助矫治装置100上设置并对牙齿施加矫治力。Please refer to FIG. 1a and FIG. 1b, which show a structure of the auxiliary orthodontic device 100. The auxiliary orthodontic device 100 includes a reference part 101. The reference part 101 is a surface close to the surface of the tooth and can be bonded to the tooth surface; the part except the reference part 101 is called the correction part 102. The shape of the correction part 102 It is a shape of a conventional accessory used in conjunction with an invisible appliance, which can be accommodated or partially accommodated in a corresponding accessory accommodating part on a shell-shaped dental instrument, so as to realize the coordinated use of the auxiliary orthodontic device and the shell-shaped dental appliance. The orthodontic part 102 is provided with a built-in perforation 103 along the mesio-distal direction near the center of the clinical dental crown. The built-in perforation 103 allows a fastener such as an archwire to pass through and can fix the archwire on the auxiliary orthodontic device 100. The built-in through hole 103 does not intersect the reference part 101. Through the arrangement of the built-in perforation 103, the arch wire can be set on the auxiliary orthodontic device 100 and can apply orthodontic force to the teeth.
图2示出了设有内置穿孔的辅助矫治装置200的另一种结构。其外形轮廓与图1不同,且大体呈长方体形。Fig. 2 shows another structure of the auxiliary orthodontic device 200 with built-in perforations. Its outline is different from that shown in Figure 1, and it is roughly rectangular parallelepiped.
图1a、图1b和图2的辅助矫治装置的外轮廓均为沿牙齿长轴方向的高度大于沿牙齿近远中方向的宽度,可称之为竖直向附件。由于图1a、图1b和图2均选择通道设置为内置穿孔,因此选择沿近远中方向相对较小的宽度,沿牙齿长轴方向相对较长的长度,能够便于内置穿孔的加工制造以及弓丝的穿入。上述结构的辅助矫治装置可以采用陶瓷或金属材料制成,垂直向附件具体设置的位置可以为前牙区或后牙区,根据具体矫治方案进行适应性添加,优选设置在前牙区,更适合于沿牙齿长轴方向长度相对较长的牙齿。The outer contours of the auxiliary orthodontic devices in Fig. 1a, Fig. 1b and Fig. 2 are that the height along the long axis of the tooth is greater than the width along the mesiodistal direction of the tooth, which can be called a vertical attachment. Since Figure 1a, Figure 1b and Figure 2 all choose the channel to be set as the built-in perforation, so choose a relatively small width along the mesiodistal direction and a relatively long length along the long axis of the tooth, which can facilitate the processing and manufacturing of the built-in perforation and the bow The threading of silk. The auxiliary orthodontic device of the above-mentioned structure can be made of ceramic or metal materials, and the position of the vertical attachment can be the anterior tooth area or the posterior tooth area. It can be adaptively added according to the specific orthodontic scheme, and it is preferably set in the anterior tooth area, which is more suitable. For teeth with a relatively long length along the long axis of the tooth.
其中,“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,以FDI标记法显示为4-8的牙齿, 前牙区FDI标记法显示为1-3的牙齿。壳状牙齿矫治器的前牙区可用于容纳上颌或下颌牙齿的中切牙、侧切牙和尖牙,壳状牙齿矫治器的后牙区可用于容纳上颌或下颌牙齿的第一前磨牙、第二前磨牙、第一磨牙、第二磨牙和第三磨牙。Among them, the "posterior tooth area" is defined according to the classification of teeth in pages 36-38 of "Introduction to Stomatology" published by Peking University Medical Press, including premolars and molars, which are shown as 4- For the 8 teeth, the FDI marking method in the anterior region shows the teeth 1-3. The anterior area of the shell-shaped dental appliance can be used to accommodate the central incisor, lateral incisor and canine of the maxillary or mandibular teeth, and the posterior area of the shell-shaped dental appliance can be used to accommodate the first premolar and the first premolar of the upper or Two premolars, first molars, second molars and third molars.
图3示出了另一种结构的辅助矫治装置300,其中的通道选择设置在辅助矫治装置侧面且为沿近远中方向的沟槽304。并且,由于沟槽304为开口状,易于加工,便于弓丝穿入。辅助矫治装置300的外轮廓均为沿牙齿长轴方向的高度小于沿牙齿近远中方向的宽度,可称之为水平向附件。因此,该辅助矫治装置沿近远中水平方向设置的宽度可设置的相对较宽,从而适合设置在后牙区的磨牙等近远中方向较宽的牙齿上。辅助矫治装置与牙齿粘贴后,在近远中方向与弓丝接触的面积更大,更利于两者相互的作用而提供矫治力。上述结构的辅助矫治装置可以采用陶瓷或金属材料制成,水平向附件具体设置的位置可以为前牙区或后牙区,可根据具体矫治方案进行适应性添加,优选设置在后牙区。Fig. 3 shows an auxiliary orthodontic device 300 of another structure, in which the channel is selectively arranged on the side of the auxiliary orthodontic device and is a groove 304 along the mesio-distal direction. In addition, since the groove 304 is open, it is easy to process and facilitate the penetration of the arch wire. The outer contour of the auxiliary orthodontic device 300 has a height along the long axis of the tooth smaller than the width along the mesial and distal direction of the tooth, which can be called a horizontal attachment. Therefore, the width of the auxiliary orthodontic device along the mesiodistal horizontal direction can be set to be relatively wide, so that it is suitable for setting on the molars of the posterior teeth and other teeth that are wider in the mesiodistal direction. After the auxiliary orthodontic device is pasted on the tooth, the area in contact with the archwire in the mesial and distal direction is larger, which is more conducive to the mutual action of the two to provide orthodontic force. The auxiliary orthodontic device of the above-mentioned structure can be made of ceramic or metal materials, and the position of the horizontal attachment can be the anterior tooth area or the posterior tooth area, and it can be adaptively added according to the specific orthodontic scheme, and it is preferably arranged in the posterior tooth area.
图4a-图9b示出了几种不同结构的辅助矫治装置,其中通道选择为同时设置的沿近远中方向的内置穿孔和沟槽。同时设置内置穿孔和沟槽的优点在于,首先可以实现固定一个弓丝或多个弓丝,根据实际的矫治需求提供更多矫治力施加方案,其次弓丝在固定时可以根据矫治需求在内置穿孔或沟槽中选择更合适的固定位置将弓丝穿过从而达到矫治目的。Figures 4a-9b show several different structures of auxiliary orthodontic devices, in which the channels are selected as built-in perforations and grooves in the mesio-distal direction that are provided at the same time. The advantage of setting built-in perforations and grooves at the same time is that, firstly, one or more arch wires can be fixed, and more correction force application schemes can be provided according to the actual correction needs. Secondly, the arch wires can be perforated in the built-in according to the correction needs when the arch wires are fixed. Or choose a more appropriate fixed position in the groove to pass the archwire to achieve the purpose of correction.
其中,内置穿孔和沟槽可以是不在同一水平面设置,如图4a、图4b、图5a、图5b、图6a、图6b、图8a、图8b、图9a、图9b,或者内置穿孔和沟槽也可以在同一水平面设置,例如图7所示。Among them, the built-in perforations and grooves may not be arranged on the same horizontal plane, as shown in Figure 4a, Figure 4b, Figure 5a, Figure 5b, Figure 6a, Figure 6b, Figure 8a, Figure 8b, Figure 9a, Figure 9b, or the built-in perforations and grooves The grooves can also be arranged on the same horizontal plane, as shown in Fig. 7 for example.
在一个实施方案中,内置穿孔和沟槽错开设置,即两者不在同一水平面,可以使得辅助矫治装置沿唇/颊舌侧方向的厚度相对较薄,从而减轻患者佩戴的异物感。In one embodiment, the built-in perforations and grooves are staggered, that is, they are not on the same horizontal plane, so that the thickness of the auxiliary orthodontic device along the lip/buccal-lingual direction can be relatively thin, thereby reducing the foreign body sensation worn by the patient.
为了得到更优的矫治力分布及合适的辅助矫治装置的强度,当所述通道包括内置穿孔时,优选所述内置穿孔与所述基准部之间的距离不大于所述内置穿孔与所述矫正部外表面之间的距离。In order to obtain a better correction force distribution and a suitable strength of the auxiliary correction device, when the channel includes a built-in perforation, it is preferable that the distance between the built-in perforation and the reference part is not greater than the built-in perforation and the correction The distance between the outer surfaces of the parts.
以图4b为例,内置穿孔403与基准部401之间的距离即为内置穿孔403的左侧最邻近所述基准部401的点与最邻近的基准部401的表面之间的距离,标记为a;内置穿孔403与矫正部402的邻近唇/颊侧一面或舌侧一面(也称之为矫正部外表面)之间的距离即为内置穿孔403的右侧与所述基准部401距离最远点与辅助矫治装置的邻近唇/颊侧或舌侧一面之间的距离,标记为b。此时,a≤b。在一个实施方式中,a=b。这是因为,当a>b时(左右的方位以图1a、图1b、图2、图4a-图9b中所示的左右示例),在进行弓丝穿入施加矫治力时,弓丝与牙齿的距离较大,施力易产生偏差,另外,b太小会导致当施力过大 时辅助矫治装置右侧的部分损坏,所以内置穿孔的设计最佳位置为唇/颊舌侧剖视面的中心处或附近。Taking Figure 4b as an example, the distance between the built-in perforation 403 and the reference portion 401 is the distance between the point closest to the reference portion 401 on the left side of the built-in perforation 403 and the surface of the closest reference portion 401, marked as a; The distance between the built-in perforation 403 and the adjacent lip/buccal side or the lingual surface of the correction part 402 (also called the outer surface of the correction part) is the distance between the right side of the built-in perforation 403 and the reference part 401 The distance between the distal point and the adjacent lip/buccal or lingual side of the auxiliary orthodontic device is marked as b. At this time, a≤b. In one embodiment, a=b. This is because when a>b (the left and right orientations are shown in Figure 1a, Figure 1b, Figure 2, Figure 4a-9b in the left and right examples), when the archwire is inserted to apply the correction force, the archwire and The distance between the teeth is large, and the force is prone to deviation. In addition, if b is too small, it will cause damage to the right side of the auxiliary orthodontic device when the force is too large. Therefore, the best position for the design of the built-in perforation is the lip/buccal-lingual cross-sectional view. At or near the center.
为了使矫治力方案更加优化并更好的保证辅助矫治装置的强度,当所述辅助矫治装置同时设有所述内置穿孔和所述沟槽时,所述内置穿孔设置的位置较所述沟槽设置的位置更邻近于所述基准部,具体地可以是所述内置穿孔的中心轴相比所述沟槽的中心线更邻近所述基准部。一方面以沟槽穿入弓丝时更加方便,另一方面以内置穿孔穿入弓丝时,施力更精准。In order to optimize the corrective force solution and better ensure the strength of the auxiliary orthodontic device, when the auxiliary orthodontic device is provided with the built-in perforation and the groove at the same time, the position of the built-in perforation is smaller than that of the groove. The set position is closer to the reference portion, and specifically may be that the central axis of the built-in perforation is closer to the reference portion than the center line of the groove. On the one hand, it is more convenient when the arch wire is inserted through the groove, and on the other hand, the force is more precise when the arch wire is inserted through the built-in perforation.
所述辅助矫治装置上的内置穿孔的截面形状选择为适合弓丝穿入的形状,例如是,所述内置穿孔沿唇/颊舌侧向的截面为圆形、半圆形、椭圆形、半椭圆形、多边形中的一种或上述形状的组合中的一种,上述形状的组合是指两种以上形状形成的组合形状,例如是半圆形和长方形的组合。在图1a-图2、图4a-图9b中,所述辅助矫治装置上设置的内置穿孔均为圆形,当然其余形状或形状的组合也可以达到相同或类似的技术效果,在此不在赘述。The cross-sectional shape of the built-in perforation on the auxiliary orthodontic device is selected to be a shape suitable for arch wire penetration. For example, the cross-section of the built-in perforation along the lip/buccal-lingual direction is circular, semicircular, elliptical, or semicircular. One of an ellipse, a polygon, or a combination of the foregoing shapes. The combination of the foregoing shapes refers to a combined shape formed by two or more shapes, for example, a combination of a semicircle and a rectangle. In Figures 1a-2, 4a-9b, the built-in perforations provided on the auxiliary orthodontic device are all circular. Of course, the other shapes or combinations of shapes can also achieve the same or similar technical effects, which will not be repeated here. .
为了达到辅助矫治装置的强度和佩戴舒适度的平衡,所述内置穿孔沿唇/颊舌侧向的截面为圆形时,所述截面的直径为0.25mm-0.78mm,换算成为英寸的数值范围为0.0098英寸-0.031英寸;所述内置穿孔沿唇/颊舌侧向的截面为方形/矩形/正六边形时,所述截面的边长尺寸为0.40-0.72mm。其可以根据需要对穿过的紧固件,例如弓丝直径的大小进行选择,牙齿矫正弓丝的种类有很多种:从圆丝的粗细来分有(单位:英寸)0.012、0.014、0.016、0.018和0.020。对于方丝的粗细常见的主要有以下几种(单位:英寸):0.016*0.016,0.017*0.022,0.017*0.025,0.018*0.025,0.019*0.025,0.0215*0.028。从弓丝材料来分:常用的有不锈钢丝和镍钛丝。镍钛丝根据性能的差别,又可分为普通镍钛丝和热激活镍钛丝,另外还有一种β钛丝。从弓丝横截面形状分:有圆丝(横截面为圆形)、方丝(横截面为长方形或正方形)、麻花丝(由多股弓丝拧在一起合成,像麻花一样)。不同厂家生产的弓丝性能不太一样。不锈钢丝的性能以进口的较好些,尤其是方丝。In order to achieve a balance between the strength of the auxiliary correction device and the wearing comfort, when the cross-section of the built-in perforation along the lip/buccal-lingual direction is circular, the diameter of the cross-section is 0.25mm-0.78mm, which is converted into a numerical range of inches When the cross section of the built-in perforation along the lip/buccal-lingual direction is square/rectangular/regular hexagon, the side length dimension of the cross section is 0.40-0.72 mm. It can be selected according to the needs of the fasteners that pass through, such as the size of the diameter of the arch wire. There are many types of orthodontic arch wires: from the thickness of the round wire to (unit: inch) 0.012, 0.014, 0.016, 0.018 and 0.020. The common thickness of square wire mainly includes the following (unit: inch): 0.016*0.016, 0.017*0.022, 0.017*0.025, 0.018*0.025, 0.019*0.025, 0.0215*0.028. From the arch wire material: stainless steel wire and nickel titanium wire are commonly used. According to the difference in performance, nickel-titanium wire can be divided into ordinary nickel-titanium wire and heat-activated nickel-titanium wire, and there is also a β-titanium wire. From the cross-sectional shape of the arch wire: round wire (circular in cross-section), square wire (rectangular or square in cross-section), twisted wire (made by twisting multiple arch wires together, like a twist). The properties of arch wires produced by different manufacturers are not the same. The performance of stainless steel wire is better with imported ones, especially square wire.
所述辅助矫治装置上的沟槽的截面形状选择为适合弓丝穿入的形状,例如是,所述沟槽沿唇/颊舌侧向的截面为圆弧形、半圆弧形、椭圆弧形、半椭圆弧形、多边形中的一种或上述形状的组合中的一种,上述形状的组合是指两种以上形状形成的组合形状。如图3所示沟槽设置的方式是临近基准部一侧的剖面设置为半圆形,临近唇/颊舌侧的剖面设置为矩形,其目的是为了临近基准部一侧的剖面设置为半圆形能够与弓丝的轮廓更贴近,而临近唇/颊舌侧的剖面设置为矩形是为了方便弓丝的穿入。另外,为了防止弓丝穿入沟槽后滑出,还可以设置防脱结构,如图10a、10b所示,其中显示的防脱结构是一个组合式结构, 由矩形10a和类似半圆结构10b组成,在临近基准部一侧的剖面设置为矩形,临近唇/颊舌侧的剖面设置为类似于半圆结构,弓丝从类似半圆结构进入至矩形结构中,位置相对稳定,由于两者连接的地方会有弯折,弓丝穿入后不易从矩形结构中滑脱出,增加了辅助矫治装置与紧固件之间的紧密连接,从而实现更佳的矫治效果。图4a-图9b中沟槽的形状为圆弧形或半圆弧形,其形状能与直径为圆形的弓丝相匹配,能够方便弓丝的安装和拆卸。The cross-sectional shape of the groove on the auxiliary orthodontic device is selected to be a shape suitable for the penetration of the archwire, for example, the cross-section of the groove along the lip/buccal-lingual direction is circular, semi-circular, or elliptical. , A semi-elliptical arc, a polygon, or a combination of the above shapes, the combination of the above shapes refers to a combined shape formed by two or more shapes. As shown in Figure 3, the grooves are arranged in a semicircular section on the side adjacent to the reference part, and a rectangular section on the lip/buccal-lingual side. The purpose is to set the section adjacent to the reference part to a semicircle. The circular shape can be closer to the contour of the arch wire, and the cross-section near the lip/buccal-lingual side is set to be rectangular in order to facilitate the penetration of the arch wire. In addition, in order to prevent the archwire from slipping out after penetrating into the groove, an anti-dropping structure can also be provided, as shown in Figures 10a and 10b. The anti-dropping structure shown here is a combined structure consisting of a rectangular 10a and a similar semicircular structure 10b. , The cross section on the side close to the reference part is set to be rectangular, and the section close to the lip/buccal-lingual side is set to be similar to a semicircular structure. The arch wire enters the rectangular structure from the semicircular structure, and the position is relatively stable, due to the place where the two are connected There will be bending, the arch wire is not easy to slip out of the rectangular structure after being inserted, and the tight connection between the auxiliary orthodontic device and the fastener is increased, so as to achieve a better orthodontic effect. The shape of the groove in Figures 4a-9b is a circular arc or a semicircular arc, and its shape can match the arch wire with a circular diameter, which can facilitate the installation and disassembly of the arch wire.
在一个实施结构中,当所述辅助矫治装置同时设有所述内置穿孔和所述沟槽时,所述内置穿孔沿唇/颊舌侧向的截面中心与所述沟槽沿唇/颊舌侧向的截面中心连线,与所述辅助矫治装置所固定的牙齿长轴不垂直。如图6b中所示,辅助矫治装置600的内置穿孔603和沟槽604的截面中心连线c与牙齿长轴d不垂直。具体地,将两条线之间的夹角记为α,此夹角α优选为锐角,更优选为30°-60°。其他示例还有图9b中所示的夹角α。当所述内置穿孔沿唇/颊舌侧向的截面中心与所述沟槽沿唇/颊舌侧向的截面中心连线c,与所述辅助矫治装置所固定的牙齿长轴d垂直时,即为图7所示的结构,此时为了在唇/颊舌侧厚度方向上同时布置内置穿孔和沟槽,就需要辅助矫治装置的厚度足够大,这会导致辅助矫治装置厚度过大,影响患者佩戴的舒适度。In an implementation structure, when the auxiliary correction device is provided with the built-in perforation and the groove at the same time, the center of the section of the built-in perforation along the lip/buccal-lingual direction and the groove along the lip/buccal-lingual The central line of the lateral cross-section is not perpendicular to the long axis of the tooth fixed by the auxiliary orthodontic device. As shown in Fig. 6b, the cross-sectional center line c between the built-in perforation 603 and the groove 604 of the auxiliary orthodontic device 600 is not perpendicular to the long axis d of the tooth. Specifically, the included angle between the two lines is denoted as α, and the included angle α is preferably an acute angle, more preferably 30°-60°. Other examples include the angle α shown in Figure 9b. When the line c between the cross-sectional center of the built-in perforation along the lip/buccal-lingual direction and the cross-sectional center of the groove along the lip/buccal-lingual direction is perpendicular to the long axis d of the tooth fixed by the auxiliary orthodontic device, It is the structure shown in Figure 7. In order to arrange the built-in perforations and grooves in the thickness direction of the lip/buccal lingual side at the same time, the thickness of the auxiliary correction device needs to be large enough, which will cause the thickness of the auxiliary correction device to be too large and affect The comfort of the patient.
在所述的辅助矫治装置的矫正部中,所述内置穿孔和/或所述沟槽各自设置的数量为至少一个,即,所述内置穿孔可以设置一个或多个,所述沟槽可以设置一个或多个。当内置穿孔或沟槽设置多个时,一方面可以根据具体的矫治需求进行不同位置的内置穿孔选择,或者不同位置的沟槽选择,或者不同位置的内置穿孔和沟槽的选择,另一方面,可以根据实际的矫治需求进行多根弓丝同时设置的不同选择。In the correction part of the auxiliary correction device, the number of the built-in perforations and/or the grooves is at least one, that is, one or more of the built-in perforations may be provided, and the grooves may be provided one or more. When there are multiple built-in perforations or grooves, on the one hand, you can choose different positions of the built-in perforations, or the different positions of the grooves, or the different positions of the built-in perforations and grooves according to the specific orthodontic needs, on the other hand, , According to the actual correction needs, multiple arch wires can be set at the same time for different options.
在所述的辅助矫治装置中,所述基准部为平面结构或与牙齿表面贴合的曲面结构。当所述基准部为平面结构时,所述内置穿孔和/或所述沟槽与所述基准部沿近远中方向平行设置。当所述基准部为与牙齿表面贴合的曲面结构时,所述基准部的弯曲弧度与所述内置穿孔和/或所述沟槽沿近远中方向的弯曲弧度吻合,如图11a所示,基准部1301的弯曲弧度与沟槽1304沿近远中方向的弯曲弧度吻合;如图11b所示,基准部1401的弯曲弧度1403沿近远中方向的弯曲弧度吻合。在图1a-图9b所示的辅助矫治装置的结构中,图2、图3中的基准部201、301为平面结构,其余图中基准部为曲面结构,并且每个曲面结构型基准部的弯曲弧度可以选择为各种合适的弧度,本申请不对此进行限定。In the auxiliary orthodontic device, the reference portion is a flat structure or a curved structure that is attached to the surface of the tooth. When the reference part has a planar structure, the built-in perforation and/or the groove and the reference part are arranged in parallel along the mesio-distal direction. When the reference portion is a curved structure that fits the tooth surface, the curvature of the reference portion is consistent with the curvature of the built-in perforation and/or the groove in the mesio-distal direction, as shown in Figure 11a , The curvature of the reference part 1301 coincides with the curvature of the groove 1304 in the mesio-distal direction; as shown in FIG. In the structure of the auxiliary orthodontic device shown in Figs. 1a-9b, the reference parts 201 and 301 in Figs. The bending radian can be selected as various suitable radians, which are not limited in this application.
在一些优选的结构中,所述辅助矫治装置的基准部临近牙齿一侧还设有增大摩擦力的表面结构,例如图9a、图9b中所示的凸点结构908,使得所述辅助矫治装置与牙齿接触或粘贴后的稳定性更佳,粘贴后不易从牙齿上脱落,避免后续修补粘贴对牙齿表面再次造成损伤。In some preferred structures, the reference part of the auxiliary orthodontic device is also provided with a friction-increasing surface structure on the side adjacent to the tooth, such as the convex point structure 908 shown in FIGS. 9a and 9b, so that the auxiliary orthodontic The stability of the device after contacting or pasting the tooth is better, and it is not easy to fall off the tooth after pasting, so as to avoid subsequent repair and pasting to damage the surface of the tooth again.
为了达到辅助矫治装置的强度和佩戴舒适度的平衡,在所述辅助矫治装置沿唇/颊舌侧向截面中,所述辅助矫治装置除所述通道外的长度为0.2mm-4.0mm。也就是说,辅助矫治装置中进行内置穿孔设置或沟槽设置,为了防止辅助矫治装置由于开孔或开槽设置而降低辅助矫治装置的稳定性,因此确保辅助矫治装置除通道外的长度,也就是保证了辅助矫治装置在唇/颊舌侧向需要设置一定的厚度才能够保证辅助矫治装置与紧固件之间相互作用产生相应的矫治效果。In order to achieve a balance between the strength of the auxiliary correction device and the wearing comfort, in the lateral section of the auxiliary correction device along the lip/buccal tongue, the length of the auxiliary correction device excluding the channel is 0.2mm-4.0mm. That is to say, the built-in perforation setting or groove setting is provided in the auxiliary correction device, in order to prevent the auxiliary correction device from reducing the stability of the auxiliary correction device due to the opening or groove setting, so as to ensure the length of the auxiliary correction device except for the channel. It is to ensure that the auxiliary orthodontic device needs to be provided with a certain thickness in the lip/buccal-lingual lateral direction to ensure that the interaction between the auxiliary orthodontic device and the fastener produces a corresponding orthodontic effect.
在一个实施结构中,所述辅助矫治装置邻近牙龈线一侧的下端面(图中方位所示的下端面)向咬合面(图中方位所示的上端面)一侧延伸的轮廓为平滑过渡的倾斜曲面,如图9a、图9b、图6a、图6b、图5a、图5b、图1a、图1b所示,该倾斜曲面分别标记为905、605、505、105。倾斜曲面的结构设置使得与辅助矫治装置配合的壳状牙齿矫治器摘戴容易。In an implementation structure, the contour of the lower end surface (the lower end surface shown in the orientation shown in the figure) of the auxiliary orthodontic device adjacent to the gum line to the side of the occlusal surface (the upper end surface shown in the orientation shown in the figure) is a smooth transition The inclined curved surface is shown in Fig. 9a, Fig. 9b, Fig. 6a, Fig. 6b, Fig. 5a, Fig. 5b, Fig. 1a, and Fig. The structure of the inclined curved surface makes it easy to remove and put on the shell-shaped dental appliance matched with the auxiliary orthodontic device.
在一个实施结构中,所述辅助矫治装置临近咬合面一侧和/或邻近牙龈线一侧还设有容纳辅助矫治件的辅助容纳部,所述辅助容纳部可以为向所述辅助矫治装置中心凹陷设置的容纳槽,所述容纳槽可以在临近咬合面一侧和邻近牙龈线一侧各设置一个且为对称设置。在图1a-图9b中所示的辅助矫治装置,在临近咬合面一侧(图中上端面一侧)和/或邻近牙龈线一侧(图中下端面一侧)均设置有一个凹陷的容纳槽,分别记为106、107、206、207、306、307、406、407、506、507、606、607、706、707、806、807、906、907,两个容纳槽为镜像对称或不对称。辅助紧固件如橡皮链、结扎圈能够辅助将相邻两个辅助矫治装置紧固为一体,并且其是在唇/颊舌侧向放置,能够将沿近远中方向穿过的弓丝在唇/颊舌侧向相对固定,当需要多颗牙齿紧固在一起作为整体支抗时可以使用。In an implementation structure, the auxiliary orthodontic device is further provided with an auxiliary accommodating part for accommodating auxiliary orthodontics on the side adjacent to the occlusal surface and/or on the side adjacent to the gum line. A recessed receiving groove may be provided on the side adjacent to the occlusal surface and the side adjacent to the gum line, and the receiving grooves may be arranged symmetrically. The auxiliary orthodontic device shown in Figure 1a-9b is provided with a recess on the side adjacent to the occlusal surface (the upper end surface in the figure) and/or the side adjacent to the gum line (the lower end surface in the figure) Containing slots, respectively marked as 106, 107, 206, 207, 306, 307, 406, 407, 506, 507, 606, 607, 706, 707, 806, 807, 906, 907, the two containing slots are mirror symmetry or Asymmetry. Auxiliary fasteners such as rubber chains and ligature rings can assist in fastening two adjacent auxiliary orthodontic devices into one body, and they are placed on the lip/buccal-lingual side, which can hold the archwire passing in the mesial and distal directions. The lip/buccal and tongue are relatively fixed laterally, and can be used when multiple teeth are required to be fastened together as a whole anchor.
请参见图12、图13,本实施例还提供一种壳状牙齿矫治器1000,用于配合设置在患者牙齿上的所述辅助矫治装置12实现矫治目标,所述壳状牙齿矫治器1000上至少设有两个容纳上述任一的辅助矫治装置的附件容置部1001。在图12所示的壳状牙齿矫治器1000上,设有三个附件容置部1001。此外,附件容置部的数量还可以选择其他任何合适的数量和位置。所述壳状牙齿矫治器1000上在相邻所述附件容置部1001之间还设有连通所述相邻附件容置部1000且容纳所述紧固件13例如弓丝的联通部1002,相邻的所述附件容置部1000与所述联通部1002之间连通设置。在图12中,设置两个联通部1002。本实施例提供的壳状牙齿矫治器1000,还可用于配合设置在牙颌模型上的所述辅助矫治装置12实现模拟矫治目标的实现,其中所述辅助矫治装置12与壳状牙齿矫治器1000相互作用后产生的矫治效果模拟牙颌模型上的牙齿向目标矫治位置移动,以实现部分模拟矫治计划的实现。如模拟牙颌模型上牙齿的平移时,将牙颌模型上的牙齿模型从起始点移动至阶段 目标位置时,使用壳状牙齿矫治器1000与设置在牙颌模型上的辅助矫治装置12相互配合实现。Referring to Figures 12 and 13, this embodiment also provides a shell-shaped dental appliance 1000, which is used to cooperate with the auxiliary orthodontic device 12 arranged on the patient’s teeth to achieve the goal of correction. The shell-shaped dental appliance 1000 is At least two accessory accommodating parts 1001 for accommodating any of the above-mentioned auxiliary orthodontic devices are provided. On the shell-shaped dental appliance 1000 shown in FIG. 12, three accessory accommodating parts 1001 are provided. In addition, the number of accessory accommodating parts can also be any other suitable number and position. The shell-shaped dental appliance 1000 is further provided with a communicating portion 1002 between the adjacent accessory accommodating portions 1001 that communicates with the adjacent accessory accommodating portion 1000 and accommodating the fastener 13, such as an arch wire, The adjacent accessory accommodating portion 1000 and the communicating portion 1002 are connected to each other. In FIG. 12, two communication parts 1002 are provided. The shell-shaped dental appliance 1000 provided in this embodiment can also be used to cooperate with the auxiliary orthodontic device 12 set on the dental jaw model to realize the realization of the simulation treatment goal, wherein the auxiliary appliance 12 and the shell-shaped dental appliance 1000 The treatment effect produced by the interaction simulates the movement of the teeth on the dental model to the target treatment position, so as to realize the realization of part of the simulation treatment plan. For example, when simulating the translation of teeth on the dental model, when the tooth model on the dental model is moved from the starting point to the stage target position, the shell-shaped dental appliance 1000 is used to cooperate with the auxiliary orthodontic device 12 set on the dental model accomplish.
在一个实施方式中,所述附件容置部1001设置多个时,所述附件容置部1001与所述联通部1002形成的连通空间的两端还设有容纳及辅助所述紧固件固定的辅助紧固部。这是由于紧固件(如弓丝)贯穿于辅助矫治装置中,其在颊舌侧向能够相对固定,但是在近远中方向不易固定,因此在近远中方向采用的固定方式可以是如图13a所示将弓丝的两端弯折,防止弓丝在近远中方向的相对滑动,辅助紧固部就是壳状牙齿矫治器上容纳弯折后弓丝的空间1003。或者,辅助紧固部的另一种如图13b所示,将弓丝在近远中方向固定的方式是,弓丝穿过辅助矫治装置后,对于弓丝两侧的自由端不做弯折处理,利用弓丝和辅助矫治装置上的通道之间的摩擦关系进行相对位置的固定,如辅助矫治装置上设置的内置穿孔的内表面和弓丝的外表面上设置能够增大摩擦力的结构,如磨砂结构或凸点结构等,增大内置穿孔内表面与弓丝外表面的摩擦力,实现近远中方向的固定,其中弓丝两侧的自由端凸出于辅助矫治装置的部分,对应的第二容置空间与第三容置空间形成的联通空间的两端具有辅助所述紧固件固定的辅助紧固部1004,能够容纳突出设置的弓丝。In one embodiment, when there are multiple accessory accommodating portions 1001, both ends of the communication space formed by the accessory accommodating portion 1001 and the communicating portion 1002 are also provided to accommodate and assist in fixing the fasteners. The auxiliary fastening part. This is because the fasteners (such as arch wires) run through the auxiliary orthodontic device, which can be relatively fixed in the cheek-lingual direction, but not easy to fix in the mesio-distal direction. Therefore, the fixing method used in the mesio-distal direction can be as follows As shown in Fig. 13a, the two ends of the arch wire are bent to prevent the relative sliding of the arch wire in the mesio-distal direction. The auxiliary fastening part is the space 1003 on the shell-shaped dental appliance that accommodates the bent arch wire. Or, another auxiliary fastening part is shown in Figure 13b. The way to fix the arch wire in the mesio-distal direction is to not bend the free ends of the arch wire after passing through the auxiliary orthodontic device. Treatment, using the friction relationship between the archwire and the channel on the auxiliary orthodontic device to fix the relative position, such as the inner surface of the built-in perforation provided on the auxiliary orthodontic device and the structure that can increase the friction on the outer surface of the archwire , Such as frosted structure or convex structure, etc., increase the friction between the inner surface of the built-in perforation and the outer surface of the arch wire, and realize the fixation in the mesio-distal direction. The free ends on both sides of the arch wire protrude from the part of the auxiliary correction device. The two ends of the communication space formed by the corresponding second accommodating space and the third accommodating space have auxiliary fastening parts 1004 for assisting the fixing of the fasteners, and can accommodate the protruding arch wires.
所述的壳状牙齿矫治器中,所述联通部1002沿唇/颊舌侧向的截面为圆弧形、椭圆弧形、或多边形中的一种。联通部1002用于容纳弓丝,其形状可选择与弓丝一致,其截面尺寸可选择大于或略大于弓丝。In the shell-shaped dental appliance, the cross section of the communicating portion 1002 along the lip/buccal-lingual direction is one of a circular arc shape, an elliptical arc shape, or a polygonal shape. The communicating portion 1002 is used to accommodate the arch wire, and its shape can be selected to be consistent with the arch wire, and its cross-sectional size can be selected to be larger or slightly larger than the arch wire.
所述的壳状牙齿矫治器中,所述附件容置部临近所述辅助矫治装置的一侧与所述辅助矫治装置外表面配合以产生矫治作用,以更好的实现容置和相互配合作用,从而达到矫治效果。In the shell-shaped dental appliance, the side of the accessory accommodating portion adjacent to the auxiliary orthodontic device cooperates with the outer surface of the auxiliary orthodontic device to produce an orthodontic effect, so as to better realize the accommodation and mutual cooperation. , So as to achieve the corrective effect.
在进行隐形牙齿矫治的过程中,通常还需要常规附件来辅助矫治,因此所述壳状牙齿矫治器上还设有一个或多个容纳牙科正畸常规附件的第二附件容置部(图中未示),具体牙科正畸常规附件的设置可根据实际的矫治需求进行相应的设置。In the process of invisible orthodontic treatment, conventional accessories are usually needed to assist in the treatment. Therefore, the shell-shaped dental appliance is also provided with one or more second accessory accommodating parts for accommodating conventional orthodontic accessories (in the figure) (Not shown), the settings of specific orthodontic routine accessories can be set accordingly according to actual orthodontic needs.
本申请的实施例还提供一种牙齿矫治套组,图14和图15分别示出了一种牙齿矫治套组,图14所示的牙齿矫治套组包括用于分别佩戴在第一牙列和对颌牙列的第一壳状牙齿矫治器1101和第二壳状牙齿矫治器1102,图15所示的牙齿矫治套组包括用于分别佩戴在第一牙列和对颌牙列的第一壳状牙齿矫治器1201和第二壳状牙齿矫治器1202;其中,所述第一壳状牙齿矫治器1101、1201为上述任一的壳状牙齿矫治器。其中第一壳状牙齿矫治器可以佩戴在上颌也可以佩戴在下颌,当第一壳状牙齿矫治器佩戴在上颌牙齿上时,则第二壳状牙齿矫治器佩戴在其对颌,即下颌牙齿上。并且,图14中所示的第二壳状牙齿矫治器1102,包括容纳所述对颌牙列的空腔结构。The embodiments of the present application also provide an orthodontic set. Figures 14 and 15 respectively show an orthodontic set. The orthodontic set shown in Figure 14 includes a set for wearing on the first dentition and The first shell-shaped dental appliance 1101 and the second shell-shaped dental appliance 1102 of the opposing dentition. The orthodontic set shown in FIG. Shell-shaped dental appliances 1201 and second shell-shaped dental appliances 1202; wherein, the first shell-shaped dental appliances 1101, 1201 are any of the above-mentioned shell-shaped dental appliances. The first shell-shaped dental appliance can be worn on the upper jaw or the lower jaw. When the first shell-shaped dental appliance is worn on the upper teeth, the second shell-shaped dental appliance is worn on the opposite jaw, that is, the lower jaw. superior. In addition, the second shell-shaped dental appliance 1102 shown in FIG. 14 includes a cavity structure for accommodating the opposite-jaw dentition.
在图15所示的矫治套组中,所述第二壳状牙齿矫治器1202也为上述任一的壳状牙齿矫治器。第二壳状牙齿矫治器1202可以佩戴在上颌也可以佩戴在下颌,当第二壳状牙齿矫治器佩戴在上颌时,则第一壳状牙齿矫治器1201佩戴在其对颌,即上颌牙齿上。In the orthodontic set shown in FIG. 15, the second shell-shaped dental appliance 1202 is also any of the above-mentioned shell-shaped dental appliances. The second shell-shaped dental appliance 1202 can be worn on the upper jaw or the lower jaw. When the second shell-shaped dental appliance is worn on the upper jaw, the first shell-shaped dental appliance 1201 is worn on the opposite jaw, that is, the upper teeth. .
应当说明的是,上述实施例均可根据需要自由组合。以上所述仅是本申请的替代实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本申请原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本申请的保护范围。It should be noted that the above embodiments can be freely combined as required. The above are only alternative implementations of this application. It should be pointed out that for those of ordinary skill in the art, without departing from the principle of this application, several improvements and modifications can be made, and these improvements and modifications are also Should be regarded as the scope of protection of this application.

Claims (34)

  1. 一种辅助矫治装置,用于配合壳状牙科器械进行牙齿矫治,以使牙齿从初始位置逐渐变化至目标矫治位置,其中,所述壳状牙科器械上设置附件容置部,所述辅助矫治装置包括:An auxiliary orthodontic device is used for cooperating with a shell-shaped dental instrument to perform tooth orthodontics, so that the teeth gradually change from an initial position to a target orthodontic position, wherein the shell-shaped dental instrument is provided with an accessory accommodating part, and the auxiliary orthodontic device include:
    能够固定于牙齿表面的基准部,以及A reference part that can be fixed to the surface of the tooth, and
    由所述基准部向远离牙齿表面一侧延伸设置的、且与所述壳状牙科器械配合使用的矫正部,其中,An orthodontic part extending from the reference part to the side away from the tooth surface and used in conjunction with the shell-shaped dental instrument, wherein:
    所述矫正部至少部分容置于对应所述矫正部设置的所述附件容置部内,并且,The correction part is at least partially accommodated in the accessory accommodating part provided corresponding to the correction part, and,
    所述矫正部设置有至少一个可使紧固件通过并能够固定所述紧固件的通道,所述矫正部的外轮廓与一种能够配合所述附件容置部进行牙齿矫治的附件的外轮廓至少部分吻合,以使所述辅助矫治装置还具有与所述附件基本相同的矫治作用。The orthodontic part is provided with at least one channel through which the fastener can pass and can fix the fastener. The contours are at least partially anastomosed, so that the auxiliary orthodontic device also has substantially the same orthodontic effect as the accessory.
  2. 根据权利要求1所述的辅助矫治装置,其中,所述通道与所述基准部不相交。The auxiliary orthodontic device according to claim 1, wherein the channel does not intersect with the reference part.
  3. 根据权利要求1或2所述的辅助矫治装置,其中,所述通道为所述矫正部中沿近远中方向设置的内置穿孔和/或所述矫正部外表面上沿近远中方向设置的沟槽。The auxiliary orthodontic device according to claim 1 or 2, wherein the channel is a built-in perforation provided along the mesio-distal direction in the correction part and/or the outer surface of the correction part is provided in the mesio-distal direction. Groove.
  4. 根据权利要求3所述的辅助矫治装置,其中,当所述通道包括内置穿孔时,所述内置穿孔与所述基准部之间的距离不大于所述内置穿孔与所述矫正部外表面之间的距离。The auxiliary orthodontic device according to claim 3, wherein when the channel includes a built-in perforation, the distance between the built-in perforation and the reference part is not greater than the distance between the built-in perforation and the outer surface of the correction part distance.
  5. 根据权利要求4所述的辅助矫治装置,其中,所述内置穿孔的位置为唇/颊舌侧剖视面的中心处或邻近中心处;当所述辅助矫治装置同时设有所述内置穿孔和所述沟槽时,所述内置穿孔设置的位置较所述沟槽设置的位置更邻近于所述基准部。The auxiliary orthodontic device according to claim 4, wherein the position of the built-in perforation is at or near the center of the lip/buccal-lingual cross-sectional surface; when the auxiliary orthodontic device is provided with the built-in perforation and In the groove, the position where the built-in perforation is arranged is closer to the reference part than the position where the groove is arranged.
  6. 根据权利要求3所述的辅助矫治装置,其中,所述辅助矫治装置的通道仅为单独设置的内置穿孔或沟槽时,设置所述内置穿孔的辅助矫治装置沿近远中方向的宽度小于设置所述沟槽的辅助矫治装置沿近远中方向的宽度。The auxiliary orthodontic device according to claim 3, wherein when the channel of the auxiliary orthodontic device is only a built-in perforation or groove provided separately, the width of the auxiliary orthodontic device provided with the built-in perforation in the mesio-distal direction is smaller than that of the channel. The width of the auxiliary correcting device of the groove in the mesio-distal direction.
  7. 根据权利要求3所述的辅助矫治装置,其中,所述内置穿孔沿唇/颊舌侧向的截面为圆形、半圆形、椭圆形、半椭圆形、多边形中的一种或上述形状的组合中的一种。The auxiliary orthodontic device according to claim 3, wherein the cross-section of the built-in perforation along the lip/buccal-lingual direction is one of a circle, a semicircle, an ellipse, a semiellipse, and a polygon, or any of the above shapes One of the combinations.
  8. 根据权利要求7所述的辅助矫治装置,其中,所述内置穿孔沿唇/颊舌侧向的截面为圆形时,所述截面的直径为0.25mm-0.78mm;所述内置穿孔沿唇/颊舌侧向的截面为方形/矩形/正六边形时,所述截面的边长尺寸为0.40-0.72mm。The auxiliary orthodontic device according to claim 7, wherein when the cross-section of the built-in perforation along the lip/buccal-lingual direction is circular, the diameter of the cross-section is 0.25mm-0.78mm; the built-in perforation runs along the lip/ When the buccal-lingual cross-section is square/rectangular/regular hexagon, the side length of the cross-section is 0.40-0.72 mm.
  9. 根据权利要求3所述的辅助矫治装置,其中,所述沟槽沿唇/颊舌侧向的截面为圆弧形、半圆弧形、椭圆弧形、半椭圆弧形、多边形中的一种或上述形状的组合中的一种。The auxiliary orthodontic device according to claim 3, wherein the cross section of the groove along the lip/buccal-lingual direction is one of a circular arc, a semicircular arc, an elliptical arc, a semielliptical arc, and a polygon. One of the combinations of the above shapes.
  10. 根据权利要求9所述的辅助矫治装置,其中,所述沟槽沿唇/颊舌侧向的截面为:临近基准部一侧的剖面设置为半圆形,而临近唇/颊舌侧的剖面设置为矩形。The auxiliary orthodontic device according to claim 9, wherein the cross-section of the groove along the lip/buccal-lingual side is: the cross-section on the side adjacent to the reference part is set in a semicircular shape, and the cross-section on the side adjacent to the lip/buccal-lingual Set to rectangle.
  11. 根据权利要求3所述的辅助矫治装置,其中,当所述辅助矫治装置同时设有所述内置穿孔和所述沟槽时,所述内置穿孔沿唇/颊舌侧向的截面中心与所述沟槽沿唇/颊舌侧向的截面中心连线,与所述辅助矫治装置所固定的牙齿长轴不垂直。The auxiliary orthodontic device according to claim 3, wherein when the auxiliary orthodontic device is provided with the built-in perforation and the groove at the same time, the center of the cross-section of the built-in perforation along the lip/buccal-lingual direction and the The groove is connected with the center of the cross section along the lip/buccal-lingual side, and is not perpendicular to the long axis of the tooth fixed by the auxiliary orthodontic device.
  12. 根据权利要求11所述的辅助矫治装置,其中,所述内置穿孔沿唇/颊舌侧向的截面中心与所述沟槽沿唇/颊舌侧向的截面中心连线,与所述辅助矫治装置所固定的牙齿长轴形成的夹角α为锐角。The auxiliary orthodontic device according to claim 11, wherein the cross-sectional center of the built-in perforation along the lip/buccal-lingual direction is connected with the cross-sectional center of the groove along the lip/buccal-lingual direction, and is connected to the auxiliary treatment The angle α formed by the long axis of the tooth fixed by the device is an acute angle.
  13. 根据权利要求12所述的辅助矫治装置,其中,所述内置穿孔沿唇/颊舌侧向的截面中心与所述沟槽沿唇/颊舌侧向的截面中心连线,与所述辅助矫治装置所固定的牙齿长轴形成的夹角α为30°-60°。The auxiliary orthodontic device according to claim 12, wherein the cross-sectional center of the built-in perforation along the lip/buccal-lingual direction is connected to the cross-sectional center of the groove along the lip/buccal-lingual direction, and is connected to the auxiliary orthodontic The angle α formed by the long axis of the tooth fixed by the device is 30°-60°.
  14. 根据权利要求3所述的辅助矫治装置,其中,所述内置穿孔和/或所述沟槽各自设置的数量为至少一个。The auxiliary orthodontic device according to claim 3, wherein the number of each of the built-in perforations and/or the grooves is at least one.
  15. 根据权利要求1所述的辅助矫治装置,其中,所述基准部为平面结构或与牙齿表面贴合的曲面结构。The auxiliary orthodontic device according to claim 1, wherein the reference portion is a flat structure or a curved structure that is attached to the surface of the tooth.
  16. 根据权利要求15所述的辅助矫治装置,其中,当所述基准部为平面结构时,所述内置穿孔和/或所述沟槽与所述基准部沿近远中方向平行设置。The auxiliary orthodontic device according to claim 15, wherein when the reference portion is a planar structure, the built-in perforation and/or the groove and the reference portion are arranged in parallel along the mesio-distal direction.
  17. 根据权利要求15所述的辅助矫治装置,其中,当所述基准部为与牙齿表面贴合的曲面结构时,所述基准部的弯曲弧度与所述内置穿孔和/或所述沟槽沿近远中方向的弯曲弧度吻合。The auxiliary orthodontic device according to claim 15, wherein when the reference portion is a curved structure that fits the surface of the tooth, the curvature of the reference portion is close to the built-in perforation and/or the groove. The curved arc in the distal direction coincides.
  18. 根据权利要求15所述的辅助矫治装置,其中,所述基准部临近牙齿一侧还设有增大摩擦力的表面结构。The auxiliary orthodontic device according to claim 15, wherein the reference part is further provided with a surface structure to increase friction on the side adjacent to the tooth.
  19. 根据权利要求1所述的辅助矫治装置,其中,在所述辅助矫治装置沿唇/颊舌侧向截面中,所述辅助矫治装置除所述通道外的长度为0.2mm-4.0mm。The auxiliary orthodontic device according to claim 1, wherein, in the lateral cross-section of the auxiliary orthodontic device along the lip/buccal tongue, the length of the auxiliary orthodontic device excluding the channel is 0.2mm-4.0mm.
  20. 根据权利要求1所述的辅助矫治装置,其中,所述辅助矫治装置邻近牙龈线一侧的下端面向咬合面一侧延伸的轮廓为平滑过渡的倾斜曲面。The auxiliary orthodontic device according to claim 1, wherein the contour of the lower end of the auxiliary orthodontic device on the side adjacent to the gum line facing the occlusal surface is a smoothly transitioned inclined curved surface.
  21. 根据权利要求1所述的辅助矫治装置,其中,所述矫正部的外轮廓与一种能够配合所述附件容置部进行牙齿矫治的附件的外轮廓至少部分吻合,以使所述辅助矫治装置还具有与所述附件相同的矫治作用。The auxiliary orthodontic device according to claim 1, wherein the outer contour of the orthodontic part is at least partially coincident with the outer contour of an accessory capable of cooperating with the accessory accommodating part for orthodontic treatment, so that the auxiliary orthodontic device It also has the same corrective effect as the accessory.
  22. 根据权利要求1所述的辅助矫治装置,其中,所述矫正部的外轮廓与一种能够配合所述附件容置部进行牙齿矫治的附件的外轮廓吻合,以使所述辅助矫治装置还具有与所述附件基本相同的矫治作用。The auxiliary orthodontic device according to claim 1, wherein the outer contour of the orthodontic part coincides with the outer contour of an accessory capable of cooperating with the accessory accommodating part for orthodontic treatment, so that the auxiliary orthodontic device also has Basically the same corrective effect as the accessory.
  23. 根据权利要求1所述的辅助矫治装置,其中,所述矫正部的外轮廓与一种能够配 合所述附件容置部进行牙齿矫治的附件的外轮廓吻合,以使所述辅助矫治装置还具有与所述附件相同的矫治作用。The auxiliary orthodontic device according to claim 1, wherein the outer contour of the orthodontic part coincides with the outer contour of an accessory capable of cooperating with the accessory accommodating part for orthodontic treatment, so that the auxiliary orthodontic device also has The same corrective effect as the accessory.
  24. 根据权利要求1-23中任一项所述的辅助矫治装置,其中,所述辅助矫治装置临近咬合面一侧和/或邻近牙龈线一侧还设有容纳辅助矫治件的辅助容纳部。The auxiliary orthodontic device according to any one of claims 1 to 23, wherein the auxiliary orthodontic device is further provided with an auxiliary accommodating part for accommodating auxiliary orthodontics on a side adjacent to the occlusal surface and/or adjacent to the gum line.
  25. 根据权利要求24所述的辅助矫治装置,其中,所述辅助容纳部为向所述辅助矫治装置中心凹陷设置的容纳槽。The auxiliary orthodontic device according to claim 24, wherein the auxiliary accommodating portion is a accommodating groove recessed toward the center of the auxiliary orthodontic device.
  26. 根据权利要求25所述的辅助矫治装置,其中,所述容纳槽在临近咬合面一侧和邻近牙龈线一侧各设置一个且为对称设置。The auxiliary orthodontic device according to claim 25, wherein the receiving groove is provided on a side adjacent to the occlusal surface and a side adjacent to the gum line, and is symmetrically arranged.
  27. 一种壳状牙齿矫治器,其中,所述壳状牙齿矫治器上至少设有两个容纳如权利要求1-26中任一项所述的辅助矫治装置的所述附件容置部,并且所述壳状牙齿矫治器上在相邻所述附件容置部之间还设有连通相邻所述附件容置部且容纳所述紧固件的联通部,相邻的所述附件容置部与所述联通部之间连通设置。A shell-shaped dental appliance, wherein the shell-shaped dental appliance is provided with at least two accessory accommodating parts for accommodating the auxiliary orthodontic device according to any one of claims 1-26, and The shell-shaped dental appliance is further provided with a communication part communicating with the adjacent accessory accommodating part and accommodating the fastener between the adjacent accessory accommodating parts, and the adjacent accessory accommodating parts It is connected with the communication part.
  28. 根据权利要求27所述的壳状牙齿矫治器,其中,所述附件容置部设置多个时,所述附件容置部与所述联通部形成的连通空间的两端还设有容纳及辅助所述紧固件固定的辅助紧固部。The shell-shaped dental appliance according to claim 27, wherein when a plurality of accessory accommodating parts are provided, both ends of the communication space formed by the accessory accommodating part and the communicating part are also provided with accommodating and auxiliary The auxiliary fastening part fixed by the fastener.
  29. 根据权利要求27所述的壳状牙齿矫治器,其中,所述联通部沿唇/颊舌侧向的截面为圆弧形、椭圆弧形、或多边形中的一种。The shell-shaped dental appliance according to claim 27, wherein the cross section of the communicating portion along the lip/buccal-lingual direction is one of a circular arc shape, an elliptical arc shape, or a polygonal shape.
  30. 根据权利要求27所述的壳状牙齿矫治器,其中,所述附件容置部临近所述辅助矫治装置的一侧与所述辅助矫治装置外表面配合以产生矫治作用。27. The shell-shaped dental appliance according to claim 27, wherein a side of the accessory accommodating portion adjacent to the auxiliary treatment device cooperates with the outer surface of the auxiliary treatment device to produce a treatment effect.
  31. 根据权利要求27所述的壳状牙齿矫治器,其中,所述壳状牙齿矫治器上还设有容纳牙科正畸附件的第二附件容置部。The shell-shaped dental appliance according to claim 27, wherein the shell-shaped dental appliance is further provided with a second accessory accommodating part for accommodating the orthodontic accessory.
  32. 一种牙齿矫治套组,包括用于分别佩戴在第一牙列的第一壳状牙齿矫治器和对颌牙列的第二壳状牙齿矫治器,其中,所述第一壳状牙齿矫治器为如权利要求27-31中任一项所述的壳状牙齿矫治器。An orthodontic set, comprising a first shell-shaped dental appliance for wearing on a first dentition and a second shell-shaped dental appliance for the antagonist dentition, wherein the first shell-shaped dental appliance It is a shell-shaped dental appliance according to any one of claims 27-31.
  33. 根据权利要求32所述的牙齿矫治套组,其中,所述第二壳状牙齿矫治器包括容纳所述对颌牙列的空腔结构。The orthodontic set according to claim 32, wherein the second shell-shaped dental appliance includes a cavity structure for accommodating the opposing dentition.
  34. 根据权利要求32所述的牙齿矫治套组,其中,所述第二壳状牙齿矫治器为如权利要求27-31中任一项所述的壳状牙齿矫治器。The dental treatment kit according to claim 32, wherein the second shell-shaped dental appliance is the shell-shaped dental appliance according to any one of claims 27-31.
PCT/CN2021/089463 2020-06-10 2021-04-23 Auxiliary correcting apparatus, shell-shaped tooth correcting device and correcting kit WO2021249044A1 (en)

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