WO2021253174A1 - 下颌骨位移调整装置 - Google Patents

下颌骨位移调整装置 Download PDF

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Publication number
WO2021253174A1
WO2021253174A1 PCT/CN2020/096159 CN2020096159W WO2021253174A1 WO 2021253174 A1 WO2021253174 A1 WO 2021253174A1 CN 2020096159 W CN2020096159 W CN 2020096159W WO 2021253174 A1 WO2021253174 A1 WO 2021253174A1
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WIPO (PCT)
Prior art keywords
positioning portion
mandible
molar
hook
teeth
Prior art date
Application number
PCT/CN2020/096159
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English (en)
French (fr)
Inventor
许汉忠
Original Assignee
许汉忠
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 许汉忠 filed Critical 许汉忠
Priority to EP20941260.0A priority Critical patent/EP4166117A4/en
Priority to JP2022575410A priority patent/JP2023530613A/ja
Priority to CA3187561A priority patent/CA3187561A1/en
Priority to KR1020227043532A priority patent/KR20230010694A/ko
Priority to US18/009,282 priority patent/US20230233360A1/en
Priority to PCT/CN2020/096159 priority patent/WO2021253174A1/zh
Priority to CN202080101761.XA priority patent/CN115734774A/zh
Priority to AU2020453669A priority patent/AU2020453669A1/en
Publication of WO2021253174A1 publication Critical patent/WO2021253174A1/zh

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/56—Devices for preventing snoring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/56—Devices for preventing snoring
    • A61F5/566—Intra-oral devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M21/00—Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis
    • A61M21/02—Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis for inducing sleep or relaxation, e.g. by direct nerve stimulation, hypnosis, analgesia

Definitions

  • the invention relates to a mandibular displacement adjusting device, in particular to a mandibular displacement adjusting device capable of positioning the mandible of the human body forward to keep the breathing passage unobstructed, and at the same time solving the problems of suspended breathing and snoring during sleep.
  • anti-snoring devices In order to solve the above problems, there are many so-called anti-snoring devices or anti-snoring devices on the market. Most of the existing anti-snoring devices use upper and lower braces and combine a connecting mechanism to make the front of the mandible. Shift to prevent the jaws from drooping and blocking the breathing passage 8.
  • the braces will have a certain thickness. Once the mandible is moved forward, the thickness of the upper and lower braces will be This makes the occlusion of the incisor area produce an obvious foreign body sensation. If the user wears this device while sleeping, it will also make it difficult to fall asleep easily.
  • the present invention is equipped with a first positioning portion and a second positioning portion at the upper and lower braces, and an extension section and hook portion are extended from the upper and second positioning parts.
  • the mandible can be placed in the forward position to keep the breathing channel 8 unblocked, and at the same time solve the problem of breathing interruption and snoring; in addition, because the upper and second positioning parts are not tightly matched , It is a movable engagement. Therefore, it has a full range of movement space to avoid discomfort at the joints (condyles) of the mandible due to fastening. Therefore, the present invention should be an optimal solution.
  • the present invention is a mandibular displacement adjusting device, which includes: an upper tooth set having an upper tooth accommodating space formed according to the tooth shape and used to fit on the upper jaw dental arch of the human body, and A first positioning portion extends from the sidewall of the upper dental kit corresponding to the upper molar area, the first positioning portion has a first extension, and the front end of the first extension has a first hook; the lower dental kit, There is a lower tooth accommodating space, which is formed according to the shape of the teeth and is used to fit on the human lower jaw dental arch, the lower jaw dental arch is located on the lower jaw, and the side wall of the lower dental kit corresponds to A second positioning portion extends from the lower molar area, the second positioning portion has a second extension, and the front end of the second extension has a second hook; where the upper dental kit and the lower dental kit are worn , Driving the first hook portion and the second hook portion to hook, so that the human mandible is moved forward and positioned, and the first extension section and the inner space of the first hook portion
  • the upper molar region and the lower molar region both include a first molar, a second molar, a first molar, and a second molar, and the first positioning portion and the second positioning
  • the position of the part can correspond to any molar of the first molar, the second molar, or one side between any two molars.
  • the preferred positions of the first positioning portion and the second positioning portion correspond to one side of the periphery of the first molar.
  • the position of the first positioning portion located in the upper molar area is a preset position for the advance positioning of the mandible. Therefore, the position of the first positioning portion located in the upper molar area follows the advancement of the mandible Positioning acceptable positions are tailor-made, so that the mandible will not be uncomfortable when positioning forward.
  • the upper dental kit or the lower dental kit is provided with an opening relative to the anterior tooth area of the human upper jaw dental arch or the human lower dental arch for exposing the tooth surface of the anterior dental arch.
  • the thickness of the occlusal surface of the upper dental kit and the lower dental kit relative to the anterior region of the human upper jaw dental arch and the human lower dental arch is less than 1 mm.
  • the first positioning portion and the second positioning portion are a movably engaged C-shaped or L-shaped structure.
  • the blocking position is the The preset position for positioning the mandible forward.
  • the first hook portion of the first positioning portion and the second hook portion of the second positioning portion engage with each other, and when the mandible is displaced downward, the second hook portion The hook is blocked by the first hook to keep the mouth of the human body closed.
  • an adjuster may be sleeved on the first extension section of the first positioning portion or the second extension section of the second positioning portion, and the thickness of the adjuster is used to fine-tune the advancement of the mandible The location of the positioning.
  • the present invention combines the first positioning part with The second positioning parts are all C-shaped or L-shaped structures, so that the first extension section of the first positioning part and the inner space of the first hook part form an omnidirectional movable space for the second extension section of the second positioning part And the second hook part can move freely in the omni-directional movement space. Therefore, the mandible can move freely in all directions when the user sleeps. When worn for a long time, the mandibular condyle will not cause any disturbance. comfortability.
  • the present invention When the mandible is moved forward and positioned, the present invention simultaneously pulls the base of the tongue and the supporting soft jaw upward to keep the breathing passage unobstructed, so as to solve the problems of suspended breathing and snoring caused by the user during sleep.
  • Figure 1 is a schematic diagram of the muscles squeezed by the human respiratory passage
  • Figure 2 is a schematic diagram of the dentition and mandible of the human skull
  • 3A is a schematic diagram of the three-dimensional structure of the upper teeth kit of the mandibular displacement adjustment device of the present invention.
  • 3B is a schematic diagram of the top view structure of the upper teeth kit of the mandibular displacement adjustment device of the present invention.
  • 4A is a schematic diagram of the three-dimensional structure of the mandibular set of the mandibular displacement adjustment device of the present invention.
  • 4B is a schematic diagram of the bottom structure of the lower teeth kit of the mandibular displacement adjustment device of the present invention.
  • Fig. 5 is a skeleton diagram of the mandibular displacement adjusting device of the present invention in a worn state
  • Fig. 6 is a schematic diagram of the connection between the upper teeth set and the lower teeth set of the mandibular displacement adjustment device of the present invention.
  • FIG. 7 is a schematic diagram of the breathing channel state after the mandibular displacement adjusting device of the present invention is worn;
  • FIG. 8 is a schematic diagram of the opening structure of the upper tooth kit and the lower tooth kit of the mandibular displacement adjustment device of the present invention.
  • Fig. 9 is a schematic diagram of a sleeve adjuster of the mandibular displacement adjustment device of the present invention.
  • 10A-10C are schematic diagrams of the adjuster of the mandibular displacement adjusting device of the present invention.
  • the human oral cavity has upper and lower dental arches, and the dentition of the upper and lower dental arches is as follows:
  • the dental arch of the upper jaw has the following dentition:
  • the anterior tooth area 31 includes upper front teeth 311, upper front teeth 312, and upper canine teeth 313;
  • the upper molar area 32 includes a first molar 321, a second molar 322, a first molar 323, a second molar 324 (and a third molar).
  • the mandible arch has the following dentition:
  • Anterior teeth area 41 including lower front teeth 411, lower front teeth 412, and lower canine teeth 413;
  • the lower molar area 42 includes a first molar 421, a second molar 422, a first molar 423, a second molar 424 (and a third molar).
  • the mandibular displacement adjustment device of the present invention includes an upper dental kit 1 and a lower dental kit 2. Because the upper dental kit 1 and the lower dental kit 2 each have an upper dental kit 1 and a lower dental kit 2 Tooth accommodating space 11 and lower tooth accommodating space 21. Since the upper dental kit 1 and the lower dental kit 2 are made by 3D scanning the user's teeth, the upper and lower dental arches of the human body will be in line with each other. The upper tooth accommodating space 11 and the lower tooth accommodating space 21 are in close contact;
  • a first positioning portion 12 is provided on the side wall of the upper dental set 1 corresponding to the upper molar area 32.
  • the first positioning portion 12 includes a first extension section 121 extending toward the lower molar area 42, and the first extension section 121 The front end is bent toward the anterior tooth region 41 to form a first hook 122;
  • a second positioning portion 22 is provided on the side wall of the lower dental kit 2 corresponding to the lower molar area 32.
  • the second positioning portion 22 extends toward the upper molar area 32 to extend a second extension 221, and the front end of the second extension 221
  • a second hook portion 222 is bent and extended toward the condyle 51 of the mandible 5;
  • the first positioning portion 12 and the second positioning portion 22 are a C-shaped structure or an L-shaped structure that can be movably hooked. Therefore, when wearing the upper dental kit 1 and the lower dental kit 2 (the mandible 5 After the condyle 51 is in the original position A1), the user must control the mandible 5 to move down through the mouth muscles, and then move the mandible 5 forward to drive the lower teeth set 2 to move forward, and then close the mouth, as shown in the figure As shown in 5, the second hook portion 222 will naturally hook back on the first hook portion 122 (the condyle 51 moves to the forward position A2, and the hooked state is shown in FIG.
  • the first positioning portion 12 and the second positioning portion 22 are both disposed at a side corresponding to the periphery of the first molar tooth 323.
  • the first extension section 121 is mainly used to block the second extension section 221 from moving backward, so as to position the mandible 5 at a preset front
  • the position can be customized for the user. Take a forward position that is acceptable for the user’s physiology. It will not cause discomfort due to too much displacement. The displacement of the mandible 5 depends on the The first positioning portion 12 is arranged at the position of the upper molar region 32.
  • the mandible 5 can be prevented from moving back to the initial position; in addition, the first hook portion 122 mainly prevents the second hook 222 from moving downwards, so that the mandible 5 cannot move downwards, so as to prevent the user from opening the mouth during sleep; therefore, when the mandible 5 moves forward and cannot move down to open the mouth At this time, the base of the tongue 7 and the supporting soft palate 102 can be pulled upward to keep the breathing channel 8 unblocked during sleep and avoid apnea and snoring.
  • the upper molar area 32 and the lower molar area 42 occlude each other, while the lower front teeth area 41 is located in the upper front teeth area.
  • the front teeth areas 31, 41 When the mandible 5 moves forward, the front teeth areas 31, 41 During occlusion, a gap will be formed between the upper molar area 32 and the lower molar area 42.
  • the upper dental kit 1 or/and the lower dental kit 2 are provided with openings 13, 23, respectively, with respect to the anterior regions 31, 41 of the human upper jaw dental arch 3 and the human lower dental arch 4,
  • the tooth surfaces of the anterior teeth regions 31 and 41 can contact each other, and the upper teeth set 1 and the lower teeth set 2 are located
  • the total thickness of the upper molar area 32 and the lower molar area 42 is smaller than the gap generated between the upper molar area 32 and the lower molar area 42, and will not be caused by the thickness of the upper dental kit 1 or/and the lower dental kit 2 being too thick
  • the mandible 5 is in the lower position, which causes discomfort at the condyle 51.
  • the thickness of the occlusal surface of the anterior teeth area 31 and 41 of the mandible arch is designed to be less than 1mm, and the total thickness of the upper teeth set 1 and the lower teeth set 2 located in the upper molar area 32 and the lower molar area 42 is smaller than that of the upper molar area 32 and The gap between the lower molars 42 can make the occlusion of the anterior teeth 31 and 41 be as similar as possible to the occlusal habits before wearing the braces, so as to reduce the user's discomfort.
  • first extension section 121 of the first positioning portion 12 and the second extension section 221 of the second positioning portion 22 extend obliquely at 35-55 degrees, of which an angle of 45 degrees is the best.
  • FIGS. 7, 9 and 10A-10C in which, in order to prevent the position of the mandible 5 from being moved forward and unable to keep the breathing passage clear during sleep, the first extension 121 or the second extension 221 can be used
  • An adjuster 6 (as shown in Fig. 9) is set on the upper side according to the needs. Through the thickness of the adjuster 6, 6', 6”, the position of the mandible 5 can be controlled forward.
  • the adjuster 6, 6', 6" is elastic and has a hole 61, 61', 61".
  • the adjuster 6, 6', 6" is sleeved on On the first extension section 121 or the second extension section 221, the adjuster 6, 6', 6" can be designed to have different thicknesses, so that the user can choose the desired adjuster 6, 6'. , 6” use, self-adjust the position of the mandible 5 forward positioning, to achieve the purpose of fine adjustment, and at the same time, keep the breathing passage 8 unblocked at the forward position acceptable to the user, to avoid breathing interruption and reach during sleep The purpose of stopping snoring.
  • both a positioning portion 12 and the second positioning portion 22 have a C-shaped or L-shaped structure, so that the inner space of the first extension 121 and the first hook portion 122 of the first positioning portion 12 forms an omnidirectional movable space 9.
  • the second extension section 221 of the second positioning portion 22 and the second hook portion 222 can move freely in the omnidirectional movement space 9. Therefore, the mandible 5 can move freely in all directions when the user sleeps. When worn over time, the condyle 51 of the mandible 5 will not cause any discomfort.
  • the base of the tongue 7 and the supporting soft jaw 102 are simultaneously pulled upward to keep the breathing passage 8 unobstructed, so as to solve the problem of the user's breathing interruption and snoring during sleep.

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Abstract

一种下颌骨位移调整装置，包括有一上牙套件（1）及一下牙套件（2），其中该上牙套件（1）及下牙套件（2）具有一上牙容置空间（11）及一下牙容置空间（21），该上牙容置空间（11）及下牙容置空间（21）依据牙齿造型制成，分别套合于人体上颚牙弓与下颚牙弓上，而该上牙套件（1）及下牙套件（2）的侧壁处对应于上臼齿区（32）与下臼齿区（42）延伸出有一第一定位部（12）及一第二定位部（22），当配戴该上牙套件（1）与该下牙套件（2）后，驱使该第一定位部（12）及该第二定位部（22）相嵌合，并保持一活动位移空间，使人体下颌骨（5）前移固定时，不会因紧固而造成人体下颌骨（5）的髁突（51）处的不舒适感，同时可避免舌后根下塌，阻塞呼吸通道（8）。

Description

下颌骨位移调整装置 技术领域
本发明是有关一种下颌骨位移调整装置，特别是一种能够使人体下颌骨前移定位来保持呼吸通道的畅通、同时解决睡眠时呼吸中止及打鼾问题的下颌骨位移调整装置。
 背景技术
有很多人在睡觉时，会有打鼾及呼吸中止的情况，这主要是因为睡觉期间，肌肉会放松，又由于重力的关系，如图1所示，将使得嘴巴10内部口腔101的支撑软颚、舌根7的肌肉往下掉，以使呼吸通道8受到挤压，如此将无法维持空气畅通时，因此鼾声就会出现，甚至严重更会导致呼吸暂停或喘气等状况发生，故又称为睡眠呼吸中止症，而睡眠呼吸中止症则可能造成影响睡眠品质，甚至可能诱发高血压、心脏疾病等等病症。
为了能够解决上述问题，市面上有贩售有许多所谓的止鼾器或止鼾装置等产品，现有的止鼾装置，大多是通过上下牙套，并在结合一连接机构，来使下颌骨前移，用以防止颚垂下垂而堵塞呼吸通道8。
 技术问题
但这上述现有产品都是使用一固定机构，使上、下牙套固定不动，由于是强拉下颌骨前移，并强行固定该下颌骨无法回移，但于久戴的情况下，将会导致下颌骨髁突处极为酸痛，故使用者也将无法适应配戴此装置，如此对于有呼吸中止症状的使用者来讲，将是非常困扰的。
另外，由于现有的止鼾装置大多是定制的规格，与使用者的齿列形状并不符合，使得牙套与牙齿间存在缝隙，因此存在位置偏移甚至脱落的情形，故会造成止鼾与避免呼吸中止的功效不佳的情况产生。
另外，由于现有的止鼾装置是以牙套方式配戴于上颚及下颚的两排齿列周围，但由于牙套会具有一定厚度，若是一旦使下颌骨前移，上下牙套本身的厚度，将会使得门牙区域的咬合产生明显的异物感，若是使用者是睡眠时要配戴此一装置，也会导致不易轻松入眠。
另外，目前还有另一种止鼾装置，是将连接机构设置于门牙区域处，也就是通过将上下门牙的拉扣，以强拉下颌骨前移，但如此设置，将会使得门牙区域受力过大，因此在长期久戴之下，门牙区域对于如此的强力拉扯，将会导致使用者极其难受，故如此这也不是一可长期使用的装置类型。
 技术解决方案
因此，为了解决上述问题，本发明于上牙套及下牙套处各搭配有一第一定位部及第二定位部，并于上、第二定位部各延伸出一延伸段及勾部，当上、第二定位部的勾部相勾合后，将能够使下颌骨处于前移位置，来保持呼吸通道8的畅通，同时解决呼吸中止及打鼾问题；另外，由于上、第二定位部并非紧配，而是活动勾合，因此，具有一全方位的活动空间，避免因紧固而导致人体下颌骨的关节处（髁突处）的不舒适感，因此本发明应为一最佳解决方案。
本发明为一种下颌骨位移调整装置，包括：一上牙套件，具有一上牙容置空间，该上牙容置空间依据牙齿造型所形成，用以套合于人体上颚牙弓上，而该上牙套件侧壁处对应于上臼齿区延伸出有一第一定位部，该第一定位部具有一第一延伸段，而该第一延伸段前端具有一第一勾部；一下牙套件，具有一下牙容置空间，该下牙容置空间依据牙齿造型所形成，用以套合于人体下颚牙弓上，该下颚牙弓位于一下颌骨上，而该下牙套件侧壁处对应于下臼齿区延伸出有一第二定位部，该第二定位部具有一第二延伸段，而该第二延伸段前端具有一第二勾部；其中配戴该上牙套件与该下牙套件后，驱使该第一勾部与该第二勾部相勾合，使人体下颌骨前移定位，而该第一延伸段及该第一勾部内围空间为一全方位活动空间，供该第二延伸段与该第二勾部在该全方位活动空间内自由活动，相对使下颌骨可以自由活动，避免长时间配戴该下颌骨的髁突处产生不适感。
于一较佳实例中，该上臼齿区及该下臼齿区都包括有第一小臼齿、第二小臼齿、第一大臼齿、第二大臼齿，而该第一定位部及该第二定位部的位置能够对应于第一大臼齿、第二大臼齿的任一臼齿或是任两个臼齿之间的一侧处。
于一较佳实例中，该第一定位部及该第二定位部的较佳位置对应于第一大臼齿周边一侧处。
于一较佳实例中，该第一定位部位于该上臼齿区的位置，为该下颌骨前移定位的预设位置，因此，该第一位部位于上臼齿区的位置依照下颌骨前移定位可接受的位置量身订制，使下颌骨前移定位时不会产生不舒适感。
于一较佳实例中，该上牙套件或该下牙套件相对于人体上颚牙弓或人体下颚牙弓的前牙区设置有一开口，用以能够露出该前牙区的齿面。
于一较佳实例中，该上牙套件及该下牙套件相对于人体上颚牙弓及人体下颚牙弓的前牙区的咬合面的厚度细小于1mm。
于一较佳实例中，该第一定位部与该第二定位部为一可活动勾合的C型或L型结构。
于一较佳实例中，该第二定位部的第二延伸段朝水平方向后移时，会受到该第一定位部的第一延伸段的阻挡，无法后移，而该阻挡位置即为该下颌骨前移定位的预设位置。
于一较佳实例中，该人体嘴巴闭合时，该第一定位部的第一勾部与该第二定位部的第二勾部相互勾合，当该下颌骨向下位移时，该第二勾部即会受到该第一勾部的阻挡，用以保持人体嘴巴的闭合状态。
于一较佳实例中，该第一定位部的第一延伸段或该第二定位部的第二延伸段上可套设一调整器，该调整器的厚度大小用以微调整下颌骨前移定位的位置。
 有益效果
本发明的有益效果：
人体在睡眠时，下颌骨会自由的移动，如果将下颌骨固定不动，经长时间后，下颌骨的髁突处肯定会产生极大不舒适感，而本发明将该第一定位部及该第二定位部都为C型或L型构造，使该第一定位部的第一延伸段及第一勾部内围空间形成一全方位活动空间，供该第二定位部的第二伸段及该第二勾部可以在该全方位活动空间内自由活动，因此，使用者在睡眠时该下颌骨可以全方位自由活动，长时间配戴时，下颌骨的髁突不会产生任何的不舒适感。
本发明将下颌骨前移定位时，会将舌根及支撑软颚同时向上拉移，保持呼吸通道畅通，以解决使用者在睡眠时产生的呼吸中止及打鼾问题。
 附图说明
图1为人体呼吸通道受到挤压的肌肉示意图；
图2为人体头骨的齿列及下颌骨示意图；
图3A为本发明下颌骨位移调整装置的上牙套件立体结构示意图；
图3B为本发明下颌骨位移调整装置的上牙套件俯视结构示意图；
图4A为本发明下颌骨位移调整装置的下牙套件立体结构示意图；
图4B为本发明下颌骨位移调整装置的下牙套件仰视结构示意图；
图5为本发明下颌骨位移调整装置的穿戴状态的骨骼示意图；
图6为本发明下颌骨位移调整装置的上牙套件与下牙套件连接示意图；
图7为本发明下颌骨位移调整装置的穿戴后的呼吸通道状态示意图；
图8为本发明下颌骨位移调整装置的上牙套件及下牙套件的开口结构示意图；
图9为本发明下颌骨位移调整装置的套设调整器示意图；
图10A-图10C为本发明下颌骨位移调整装置的调整器示意图。
附图标记说明
1、上牙套件
11、上牙容置空间
12、第一定位部
121、第一延伸段
122、第一勾部
13、开口
2、下牙套件
21、下牙容置空间
22、第二定位部
221、第二延伸段
222、第二勾部
23、开口
31、前牙区
311、上正门牙
312、上侧门牙
313、上犬齿
32、上臼齿区
321、第一小臼齿
322、第二小臼齿
323、第一大臼齿
324、第二大臼齿
41、前牙区
411、下正门牙
412、上侧门牙
413、下犬齿
42、下臼齿区
421、下正门牙
422、下侧门牙
423、下犬齿
424、第二大臼齿
5、下颌骨
51、髁突
6,6’,6”、调整器
61,61’,61”、孔洞
7、舌根
8、呼吸通道
9、全方位活动空间
10、嘴巴
101、口腔
102、支撑软颚
A1 、原始位置
A2、前移位置。
 本发明的最佳实施方式
有关于本发明其他技术内容、特点与功效，在以下配合参考附图的较佳实施例的详细说明中，将可清楚的呈现。
如图2所示，人体口腔内具有上颚牙弓及下颚牙弓，而上颚牙弓及下颚牙弓的齿列如下：
上颚牙弓具有以下齿列：
前牙区31，包括有上正门牙311、上侧门牙312、上犬齿313；
上臼齿区32，包括有第一小臼齿321、第二小臼齿322、第一大臼齿323、第二大臼齿324（及第三大臼齿）。
下颚牙弓具有以下齿列：
前牙区41，包括有下正门牙411、下侧门牙412、下犬齿413；
下臼齿区42，包括有第一小臼齿421、第二小臼齿422、第一大臼齿423、第二大臼齿424（及第三大臼齿）。
如图3A、图3B、图4A、图4B所示，本发明下颌骨位移调整装置包括一上牙套件1及一下牙套件2，由于该上牙套件1与该下牙套件2分别具有一上牙容置空间11及一下牙容置空间21，由于该上牙套件1与该下牙套件2是以3D扫描使用者的齿型制作而成，因此人体的上颚牙弓及下颚牙弓会与该上牙容置空间11与下牙容置空间21相密合；
该上牙套件1侧壁处对应于上臼齿区32设置有一第一定位部12，该第一定位部12包括一朝向下臼齿区42延伸的第一延伸段121，而该第一延伸段121前端朝该前牙区41弯折形成一第一勾部122；
该下牙套件2侧壁处对应于下臼齿区32设置有一第二定位部22，该第二定位部22朝该上臼齿区32延伸出一第二延伸段221，该第二延伸段221前端朝下颌骨5的髁突51处弯折延伸一第二勾部222；
而该第一定位部12与该第二定位部22为一可活动勾合的C型结构或L型结构，因此，当配戴该上牙套件1与该下牙套件2（下颌骨5的髁突51位于原始位置A1）后，使用者须通过嘴部肌肉控制下颌骨5下移，再将下颌骨5前移，带动该下牙套件2随之前移，之后将嘴巴闭上，如图5所示，该第二勾部222会自然回勾于该第一勾部122上（髁突51处移动到前移位置A2，而勾合的状态如图6所示），而于本实施例中，该第一定位部12及该第二定位部22都是设置对应于第一大臼齿323周边一侧处。当该第一勾部122与第二勾部222相勾合时，该第一延伸段121主要用于阻挡该第二延伸段221后移，用以将该下颌骨5定位在预设的前移位置，该位置可为使用者量身订制，取一个使用者能生理机能可接受的前移位置，不会因位移量太大而造成不适感，而该下颌骨5位移量取决于该第一定位部12设置在该上臼齿区32的位置，当第二延伸段221受到第一延伸段121的阻挡时，即可避免该下颌骨5移回初始位置；另外，该第一勾部122主要是阻挡第二勾部222下移，使该下颌骨5无法向下移动，如此即可避免使用者在睡眠时张开嘴巴；因此，当该下颌骨5前移定位及无法下移张嘴时，即可将舌根7及支撑软颚102向上拉移，保持睡眠时呼吸通道8的畅通，避免呼吸中止症及打鼾情况发生。
另外，大部分人在闭嘴状态下，上臼齿区32与下臼齿区42是相互咬合，而下前牙区41位于上前牙区内，当下颌骨5前移使前牙区31,41咬合时，该上臼齿区32与下臼齿区42之间即会产生缝隙。
另外，如图8所示，该上牙套件1或/及该下牙套件2相对于人体上颚牙弓3及人体下颚牙弓4的前牙区31,41分别设置有一开口13,23，用以能够露出该前牙区31,41的齿面，使使用者的下颌骨5前移时，该前牙区31,41的齿面可以相互接触，而上牙套件1及下牙套件2位于上臼齿区32及下臼齿区42的加总厚度小于该上臼齿区32与下臼齿区42之间产生的缝隙，不会因为上牙套件1或/及该下牙套件2的厚度太厚造成下颌骨5处于一下移位置，而造成髁突51处的不舒适感。
另外，为了避免因上牙套件1或/及该下牙套件2的厚度造成使用者的咬合不舒适感，故能够于该上牙套件1及该下牙套件2相对于人体上颚牙弓及人体下颚牙弓的前牙区31,41的咬合面的厚度设计小于1mm，而上牙套件1及下牙套件2位于上臼齿区32及下臼齿区42的加总厚度小于该上臼齿区32与下臼齿区42之间产生的缝隙，如此能够使前牙区31,41的咬合能够尽可能与未配戴牙套前的咬合习惯较为类似，以降低使用者的不舒适感。
另外，该第一定位部12的第一延伸段121及该第二定位部22的第二延伸段221以35-55度斜向延伸，其中以45度角延伸为最佳。
请参阅图7、图9及图10A-图10C，其中，为避免下颌骨5前移定位的位置无法在睡眠时保持呼吸通道畅通，可以在该第一延伸段121或该第二延伸段221上根据需求套设一调整器6(如图9所示)，通过调整器6，6’,6”的厚度，即可控制下颌骨5前移定位的位置。如图10A-图10C所示，该调整器6,6’,6”具有弹性，具有一孔洞61,61’,61”，通过孔洞61,61’,61”的设计将该调整器6,6’,6”套设于该第一延伸段121或该第二延伸段221上，并可将该调整器6,6’,6”设计成不同的厚度大小，供使用者自行选择所需后的调整器6,6’,6”使用，自行调整该下颌骨5前移定位的位置，达到微调整的目的，同时在使用者可以接受的前移位置下，保持呼吸通道8的畅通，避免睡眠时的呼吸中止及达到止鼾目的。
本发明所提供的下颌骨位移调整装置，与其他现有技术相互比较时，其优点如下：
人体在睡眠时，下颌骨5会自由的移动，如果将下颌骨5固定不动，经长时间后，下颌骨5的髁突51处肯定会产生极大不舒适感，而本发明将该第一定位部12及该第二定位部22都为C型或L型构造，使该第一定位部12的第一延伸段121及第一勾部122内围空间形成一全方位活动空间9，供该第二定位部22的第二伸段221及该第二勾部222可以在该全方位活动空间9内自由活动，因此，使用者在睡眠时该下颌骨5可以全方位自由活动，长时间配戴时，下颌骨5的髁突51不会产生任何的不舒适感。
本发明将下颌骨5前移定位时，会将舌根7及支撑软颚102同时向上拉移，保持呼吸通道8畅通，以解决使用者在睡眠时产生的呼吸中止及打鼾问题。
本发明已通过上述的实施例公开如上，然其并非用以限定本发明，任何熟悉此一技术领域具有通常知识，在了解本发明上述的技术特征及实施例，并在不脱离本发明的精神和范围内，当可作些许的更动与润饰，因此本发明的专利保护范围须根据本说明书所附的权利要求所界定为准。

Claims (10)

  1. 一种下颌骨位移调整装置，其特征在于：包括：
    一上牙套件，具有一上牙容置空间，该上牙容置空间依据牙齿造型所形成，用以套合于人体上颚牙弓上，而该上牙套件侧壁处对应于上臼齿区延伸出有一第一定位部，该第一定位部具有一第一延伸段，而该第一延伸段前端具有一第一勾部；
    一下牙套件，具有一下牙容置空间，该下牙容置空间依据牙齿造型所形成，用以套合于人体下颚牙弓上，该下颚牙弓位于一下颌骨上，而该下牙套件侧壁处对应于下臼齿区延伸出有一第二定位部，该第二定位部具有一第二延伸段，而该第二延伸段前端具有一第二勾部；
    其中配戴该上牙套件与该下牙套件后，驱使该第一勾部与该第二勾部相勾合，使人体下颌骨前移定位，而该第一延伸段及该第一勾部内围空间为一全方位活动空间，供该第二延伸段与该第二勾部在该全方位活动空间内自由活动，相对使下颌骨可以自由活动，避免长时间配戴该下颌骨的髁突处产生不适感。
  2. 如权利要求1所述的下颌骨位移调整装置，其特征在于：该上臼齿区及该下臼齿区都包括有第一小臼齿、第二小臼齿、第一大臼齿、第二大臼齿，而该第一定位部及该第二定位部的位置能够对应于第一大臼齿、第二大臼齿的任一臼齿或是任两个臼齿之间的一侧处。
  3. 如权利要求2所述的下颌骨位移调整装置，其特征在于：该第一定位部及该第二定位部的较佳位置对应于第一大臼齿周边一侧处。
  4. 如权利要求3所述的下颌骨位移调整装置，其特征在于：该第一定位部位于该上臼齿区的位置，为该下颌骨前移定位的预设位置，因此，该第一位部位于上臼齿区的位置依照下颌骨前移定位可接受的位置量身订制，使下颌骨前移定位时不会产生不舒适感。
  5. 如权利要求1所述的下颌骨位移调整装置，其特征在于：该上牙套件或/及该下牙套件相对于人体上颚牙弓或/及人体下颚牙弓的前牙区设置有一开口，用以能够露出该前牙区的齿面。
  6. 如权利要求1所述的下颌骨位移调整装置，其特征在于：该上牙套件及该下牙套件相对于人体上颚牙弓及人体下颚牙弓的前牙区的咬合面的厚度细小于1mm。
  7. 如权利要求1所述的下颌骨位移调整装置，其特征在于：该第一定位部与该第二定位部为一可活动勾合的C型或L型结构。
  8. 如权利要求1所述的下颌骨位移调整装置，其特征在于：该第二定位部的第二延伸段朝水平方向后移时，会受到该第一定位部的第一延伸段的阻挡，无法后移，而该阻挡位置即为该下颌骨前移定位的预设位置。
  9. 如权利要求1所述的下颌骨位移调整装置，其特征在于：该人体嘴巴闭合时，该第一定位部的第一勾部与该第二定位部的第二勾部相互勾合，当该下颌骨向下位移时，该第二勾部即会受到该第一勾部的阻挡，用以保持人体嘴巴的闭合状态。
  10. 如权利要求1所述的下颌骨位移调整装置，其特征在于：该第一定位部的第一延伸段或该第二定位部的第二延伸段上可套设一调整器，该调整器的厚度大小用以微调整下颌骨前移定位的位置。
PCT/CN2020/096159 2020-06-15 2020-06-15 下颌骨位移调整装置 WO2021253174A1 (zh)

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CA3187561A CA3187561A1 (en) 2020-06-15 2020-06-15 Mandible displacement adjustment device
KR1020227043532A KR20230010694A (ko) 2020-06-15 2020-06-15 하악 변위 조절장치
US18/009,282 US20230233360A1 (en) 2020-06-15 2020-06-15 Mandible displacement adjustment device
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CN202080101761.XA CN115734774A (zh) 2020-06-15 2020-06-15 下颌骨位移调整装置
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