WO2022165830A1 - Method for acquiring jaw position by using digital gum balancer to perform masticatory muscle deprogramming - Google Patents

Method for acquiring jaw position by using digital gum balancer to perform masticatory muscle deprogramming Download PDF

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Publication number
WO2022165830A1
WO2022165830A1 PCT/CN2021/075965 CN2021075965W WO2022165830A1 WO 2022165830 A1 WO2022165830 A1 WO 2022165830A1 CN 2021075965 W CN2021075965 W CN 2021075965W WO 2022165830 A1 WO2022165830 A1 WO 2022165830A1
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balancer
gum
occlusal
recorded
jaw
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PCT/CN2021/075965
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French (fr)
Chinese (zh)
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蔡林凯
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杭州雅智医疗技术有限公司
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Priority to PCT/CN2021/075965 priority Critical patent/WO2022165830A1/en
Publication of WO2022165830A1 publication Critical patent/WO2022165830A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/04Measuring instruments specially adapted for dentistry
    • A61C19/05Measuring instruments specially adapted for dentistry for determining occlusion

Definitions

  • the invention relates to a digital method, in particular to a method for obtaining a jaw position after programming the masticatory muscles using a digital gum balancer.
  • TMD Temporomandibular Disorders
  • Cervical Spinal Disorder is one of the more common diseases.
  • the etiology of CSD is complex and the clinical manifestations are diverse.
  • the main symptom is neck and shoulder pain. Shoulder muscle tenderness.
  • TMD patients are often accompanied by some symptoms of cervical spine dysfunction, and the incidence of TMD in the CSD population is also higher, indicating that the two are closely related.
  • TMD pathogenesis
  • the jaw position relationship refers to the positional relationship between the upper and lower jaws, whether there is tooth contact or not, the positional relationship between the mandible and the maxilla and even the skull, including three major relationships: the median position, the rest position, and the median position.
  • digital reconstruction and design of jaw relationship are one of the key steps. Obtaining an accurate jaw relationship can greatly improve the efficiency and quality of subsequent dental restorations.
  • the current method of recording the jaw position relationship is mainly obtained by hand, which is mostly based on experience, lacks precision, and is prone to errors in the process of shifting the jaw position.
  • the jaw position relationship is recorded by using the occlusal bracket to determine and record the appropriate height of the lower 1/3 of the face of the recorded person and the supra of the condyles on both sides when the mandibular joint is in the physiological posterior position of the concave joint.
  • Mandibular position relationship generally need to record the vertical jaw position relationship and the horizontal jaw position relationship, including the following steps: make the occlusal bracket - determine the jaw position relationship - check the jaw position relationship - mark the marking line - fix the jaw position
  • the accuracy of the jaw relationship recording is largely dependent on the operator's clinical experience.
  • a recording method and device for jaw position relationship provides a method to obtain the scan data of the upper and lower jaw, the scan data of the maxillary model and the scan data of the mandible model, and use the common area between the two to obtain
  • the method of three-dimensional scanning data of jaw position relationship requires multiple scanning data, superimposed processing of scanned data, which leads to the defect that once the scanning error is too large, in addition, the acquisition of upper and lower jaw lip and cheek scanning data needs to keep the agreement.
  • the edentulous alveolar ridges of the upper and lower jaws exposed by the scan under the relationship of the jaw position are also difficult to generate, which requires the cooperation of the recorded person and a high level of operation.
  • the purpose of the present invention is to provide a method for obtaining the jaw position after programming the masticatory muscles by using a digital gum balancer.
  • the method combines the use of the gum balancer to digitally record the jaw position relationship, so as to improve the accuracy of the jaw position relationship recording, and It can accurately transfer the jaw position and has great application prospects in the process of oral restoration.
  • the present invention provides a method for obtaining jaw position after using a digital gum balancer to program the masticatory muscles, including the following steps: designing a gum balancer adapted to the recorded person; Correction and adjustment of the gum balancer; making the mark position; correcting the position of the gum balancer; relaxing the masticatory muscles and checking the degree of muscle relaxation; temporarily fixing the occlusal position; relaxing the muscles of the whole body and detecting the degree of muscle relaxation; occlusal positioning and scanning the jaw position
  • the method combines the use of a gum balancer to digitally record the jaw position relationship, improves the accuracy of the jaw position relationship record, and can accurately transfer the jaw position, which has great application prospects in the process of oral restoration.
  • the present invention has the following characteristics:
  • the jaw position relationship finally recorded by this method is more scientific and accurate than the traditional judgment method based on experience: in this method, the position of the gum balancer is continuously adjusted by programming the masticatory muscles to obtain accurate jaw relationship.
  • the digital scanning method can greatly reduce the error caused by the gypsum expansion rate problem caused by the traditional manual taking of the gypsum model and the maxillary frame, thereby further ensuring the acquisition of accurate jaw position. relation.
  • This program can assist patients to finally restore the correct jaw position and achieve the intended purpose of correcting TMD.
  • this program applies the scope of TMD treatment to relieve the tension of maxillofacial and cervical myoelectric nerves, which can be treated from the cause.
  • the technology can be extended and innovatively applied to the diagnosis and treatment of cervical spine dysfunction.
  • FIG. 1 is a schematic structural diagram of a gum balancer utilized according to the present invention.
  • FIG. 2 is a schematic flow chart of a method of using a digital gum balancer to program the jaw position for masticatory muscles according to the present invention.
  • the present invention provides a method and device for obtaining jaw position after using a digital gum balancer to program the masticatory muscles.
  • the device at least includes: a gum balancer, an occlusal foil, a dental adhesive, a dental impression material, Occlusion recording materials, dental thermoplastic materials, carving knives, recording pens, light-emitting lamps, intraoral scanners.
  • a digital intraoral scanner is used to scan the dental data of the recorded person to obtain the upper and lower gum data of the recorded person, and a three-dimensional model of the upper and lower gums is established according to the upper and lower gum shape data. , and design the upper and lower balancers according to the set conditions.
  • the maxillary balancer is designed to cover the width of 1.5-2 cm from the lingual incisal edge of the maxillary teeth of the recorded person to the gum, and the corresponding chinstrap position is a circular plane parallel to the ground plane;
  • the mandibular balancer is designed to cover the width of 1.5-2cm from the lingual incisal edge of the maxillary teeth of the recorded subject to the gums, and the corresponding lingual frenulum position is a circular plane parallel to the ground plane.
  • a small cylinder is placed on the mandibular balancer, and the diameter of the small cylinder is controlled at 1-3mm, and 2mm is selected in this embodiment.
  • a dental adhesive is applied on the surface of the gum balancer close to the dentition
  • the dental adhesive is an existing general technology
  • the impression material is selected as a silicone rubber impression material
  • the dental adhesive is adhesive. The impression material and the gum balancer are combined, and the impression material covers the surface of the gum balancer close to the dentition.
  • the corresponding upper gum balancer is placed on the lingual side of the upper dentition, and the corresponding lower gum balancer is placed on the lingual side of the lower dentition.
  • the impression material After the impression material is naturally cured, it is taken out, and the edge material of the impression material is cut off. At this time, the impression material records the dentition shape of the recorded person.
  • the gum balancer is modified according to the process of curing the dentition shape of the impression material, so that the gum balancer is more suitable for the dentition of the recorded person.
  • this step it further includes the step of checking whether the gum balancer is stable:
  • the recorded subject closes the gums, observes and adjusts the support rod of the mandibular balancer to be in the center of the support plane of the maxillary balancer.
  • the support rod of the mandibular balancer should be a 2*2mm cylinder, and try to align with the center of the support plane of the maxillary balancer. If not, take out the mandibular balancer and make appropriate adjustments. , that is, the size of the cylinder of the designed mandibular balancer is relatively large, if there is a situation that cannot be aligned, the cylinder should be adjusted; The gap should be minimized as much as possible, but there must be a gap of more than 2mm, but only the support positions of the upper and lower balancers are in contact.
  • the recorded subject remains in a sitting position, and the recorded subject performs tooth clasping and mandibular movements to relax the masticatory muscles.
  • masticatory muscles As one of the important components of the oral-maxillary system, the functional state of the masticatory muscles directly affects the growth and development of cranio-maxillary occlusion.
  • the strength of masticatory muscle function can change the blood supply and mechanical environment of the craniofacial skeleton on the one hand, and affect the growth pattern of the face. On the other hand, it also affects the balance and stability of the occlusal relationship. Fully relax the masticatory muscles.
  • the recorded person when the recorded person maintains the sitting position, it is ensured that the recorded person's hips are slightly higher than the knees. And let the person to be recorded sit opposite the operator, look up, straighten his back, put his feet on the ground, and adjust the height of the chair.
  • the spearing movement is to let the recorded person do opening and closing movements at a certain frequency within a set time, including small spearing movement, middle spearing movement and large spearing movement, as follows:
  • a small clasp movement let the recorded person do a clasp movement of about 1CM-3CM, which can be 2CM, about a finger thickness opening degree, and the control time is 8-12 minutes, can be 10 minutes, and 80-10 minutes per minute. 100 times, the frequency can be 90 times, to ensure that the impact sound between the upper and lower gum balancers is heard each time it is closed.
  • Do the big buckling exercise let the recorded person do the buckling movement with the maximum opening degree. At this time, the recorded person can feel the muscles under the chin stretch, about 10-30 times per minute, and it can be 20 times. Frequency, do it about 50 times, and make sure that the head will not move during the movement of the teeth, and only the lower jaw is moving. When closing, let the lower jaw retract naturally and make contact with the upper jaw to ensure that the upper and lower jaws can be heard each time it is closed. Clash between balancers.
  • the mandibular movement is to pull the mandible of the recorded person in different directions, including forward stretching, leftward pulling and rightward pulling, specifically:
  • Stretch forward the subject opens his mouth slightly, stretches his jaw forward, stretches for 2-3 seconds, and then returns to the starting position, repeating 4-8 times, 5 times, 6 times, and 7 times can be selected.
  • Pulling to the left the subject's lower jaw is pulled to the left for 2-3 seconds and then return to the starting position. Repeat 4-8 times, 5 times, 6 times, and 7 times can be selected.
  • Pulling to the right The subject's lower jaw is pulled to the right for 2-3 seconds and then returns to the starting position. Repeat 4-8 times, 5 times, 6 times, and 7 times can be selected.
  • the person to be recorded keeps standing and the teeth are closed.
  • the occlusal recording material is filled on the occlusal surface of the upper and lower posterior teeth of the recorded person. After the occlusal recording material is fixed, it is taken out. On the occlusal surface of the posterior teeth, the teeth of the recorded subject were closed, and it was checked whether the masticatory muscles on both sides of the recorded subject were symmetrical and powerful.
  • the standing posture of the recorded person is to stand up, hold the head up, and look straight ahead.
  • the recorded person can do at least one set of tooth clasping movements, especially for a series of small clasping movements, which can be 3 small clasping movements to relax the masticatory muscles, close the teeth after finishing, and exhale. gas.
  • the occlusal recording material is selected as a silicone rubber occlusal recording material, and the silicone rubber occlusal recording material is taken out after being cured naturally on the occlusal surfaces of the upper and lower posterior teeth. Correct the scrap shape of the cured silicone rubber occlusal recording material, and put it on the occlusal surface of the upper and lower posterior teeth of the recorded person.
  • the occlusal recording material is placed in the oral cavity of the recorded person, and the teeth are closed, and muscle relaxation exercises are performed to fully relax the muscles of the whole body. Whether the masticatory muscles on the side are symmetrical and fully relaxed, if so, continue to the next step, if not, continue to relax the masticatory muscles.
  • the subject should ensure that the teeth are in a closed state. If the mouth is opened or moved, repeat the steps of temporarily fixing the occlusal position.
  • the second action the body is upright, the arms are extended to the sides and horizontal to the shoulders, the arms are first turned forward, then turned backward, and a total of 8 sets are done.
  • the fourth action the body is upright, the arms are extended to the sides and horizontal to the shoulders, and the palms are stretched back and forth 4 times, and then the palms are stretched back 4 times. Do a total of 2 sets.
  • the fifth action keep the body upright, keep the body stable, stretch the head to the left back side 4 times, then stretch the right back direction 4 times, do a total of 2 sets.
  • the sixth action Stand upright, keep your body stable, stretch your head to the upper left for 4 times, and then stretch to the upper right for 4 times, for a total of 2 sets.
  • the seventh action keep the body upright, keep the body stable, stretch the head to the lower left 4 times, and then stretch the lower right 4 times, do a total of 2 sets.
  • the eighth action Stand upright, keep your body stable, stretch your head to the left 4 times, and then stretch to the right 4 times, for a total of 2 sets.
  • the ninth action Stand upright, spread your feet shoulder-width apart, fold your hands in front of your chest, turn to the left and back, turn your head and body as far back as possible, keep your left leg still, and turn your right leg with your body. Then do the same movement in the opposite direction for a total of 8 sets.
  • the tenth action Stand upright, lift your knees vertically upwards, alternate left and right, and do 8 sets in total.
  • the eleventh action spread the legs as far as possible, put the weight on the left leg, keep the right leg straight, do the leg press 4 times, then put the weight on the right leg, keep the left leg straight, and do the leg press 4 times for a total of 2 sets.
  • the twelfth action the body is upright, the knees are lifted vertically, and then turned out, alternating left and right, a total of 8 sets.
  • the thirteenth action stand upright, feet shoulder-width apart, stand on tiptoe with left leg, keep the forefoot on the ground, straighten the right leg, put the weight on the right leg, switch left and right, do a total of 8 sets.
  • the mandibular balancer Take out the mandibular balancer, keep the subject's mouth open, grind the support rod of the mandibular balancer into a pointed shape, put the mandibular balancer with the pointed support rod back on the lingual side of the subject's mandible, and place the occlusal foil Between the upper and lower gums, the upper and lower gums are occluded at least 3 times.
  • the occlusal contact point is clear and at the same point, grind the occlusal hole on the maxillary balancer at the position corresponding to the occlusal contact point; place the maxillary balancer and close the upper and lower gums Make sure that the tip of the support rod on the mandibular balancer is located in the hole of the maxillary balancer, fill the occlusal recording material on the occlusal surface of the upper and lower posterior teeth, and take it out after it is cured.
  • the maxillary balancer was placed on the lingual side of the upper jaw of the subject, the subject stood up straight, raised his head and raised his chest, his eyes were looking straight ahead, and he opened his mouth and inhaled slowly and closed it.
  • 4-5 bites are made, at which point the pointed support rods form a bite contact point on the bite foil.
  • the occlusal recording material is a silicone rubber occlusal recording material.
  • the mandible of the recorded person is advanced to the position where the mandibular incisors are aligned with or slightly beyond the maxillary incisors, and the silicone rubber occlusal recording material is filled on the occlusal surfaces of the upper and lower posterior teeth.
  • the present invention is not limited to the above-mentioned best embodiment, and anyone can obtain other various forms of products under the inspiration of the present invention, but no matter if any changes are made in its shape or structure, all products with the same or similar characteristics as those of the present application can be obtained. Similar technical solutions all fall within the protection scope of the present invention.

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Abstract

A method for acquiring a jaw position by using a digital gum balancer to perform masticatory muscle deprogramming. The method comprises the following steps: designing a gum balancer adapted to a recorded person; performing pre-treatment to prepare the gum balancer; correcting and adjusting the gum balancer; making a marker position; calibrating the position of the gum balancer; relaxing masticatory muscles and examining the relaxing degree of the muscles; temporarily fixing an occlusion position; relaxing muscles of the whole body and examining the relaxing degree of the muscles; and performing occlusion positioning and scanning a jaw position relationship. According to the method, digital recording of a jaw position relationship is performed by combining a gum balancer, such that the accuracy of jaw position relationship recording is increased, and a jaw position can be accurately transferred.

Description

利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法A method of obtaining jaw position after programming the masticatory muscles using a digital gum balancer 技术领域technical field
本发明涉及一种数字化方法,特别涉及一种利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法。The invention relates to a digital method, in particular to a method for obtaining a jaw position after programming the masticatory muscles using a digital gum balancer.
背景技术Background technique
颞下颌关节紊乱病(Temporomandibular Disorders,TMD)不是单一的疾病,而是一种涉及颞下颌关节和咀嚼肌疼痛和功能障碍的疾病总称,在口腔科常见病排名中高居第4位,主要症状表现是关节弹响、杂音,关节区疼痛以及下颌运动障碍。Temporomandibular Disorders (TMD) is not a single disease, but a general term for diseases involving pain and dysfunction of temporomandibular joints and masticatory muscles. It ranks fourth in the ranking of common diseases in stomatology, and the main symptoms are These are joint snapping, murmurs, pain in the joint area, and jaw movement disorders.
已有大量的临床及研究证据显示:TMD与全身多个部位的疼痛存在着共病性。颈椎功能紊乱(Cervical Spinal Disorder,CSD)即是其中较为常见的一种疾病,CSD病因较复杂,临床表现多样化,主要症状为颈肩痛,检查时可见患侧颈部肌痉挛,同时伴颈肩肌群压痛。由于TMD患者常伴有颈椎功能紊乱的某些症状,而CSD人群中TMD的发病率也较高,说明两者关系密切。A large amount of clinical and research evidence has shown that TMD has comorbidity with pain in multiple parts of the body. Cervical Spinal Disorder (CSD) is one of the more common diseases. The etiology of CSD is complex and the clinical manifestations are diverse. The main symptom is neck and shoulder pain. Shoulder muscle tenderness. Because TMD patients are often accompanied by some symptoms of cervical spine dysfunction, and the incidence of TMD in the CSD population is also higher, indicating that the two are closely related.
TMD的发病原因较多,目前被众多学者们接受的是多因素共同致病理论,即由于颞下颌关节周围动力性的肌肉和限制性的韧带关节囊发生问题或疾病,导致关节发生不正确的运动,从而造成TMD。在众多的致病因素中,正是咬合因素占据主导地位。There are many reasons for the pathogenesis of TMD. At present, many scholars have accepted the multi-factor common pathogenic theory, that is, due to the problems or diseases of the dynamic muscles and restrictive ligaments and joint capsules around the temporomandibular joint, the joints are not correct. exercise, resulting in TMD. Among the many pathogenic factors, it is the occlusal factor that dominates.
颌位关系,是指上下颌骨的位置关系,无论有无牙的接触,下颌骨对上颌骨乃至颅骨的位置关系,主要包括:正中关系位、休息位以及正中合位这三大关系。在口腔修复过程中,颌位关系数字重建及设计制作是非常关键的步骤之 一,获取一个精准的颌位关系可极大提高后续的口腔修复的效率和质量。The jaw position relationship refers to the positional relationship between the upper and lower jaws, whether there is tooth contact or not, the positional relationship between the mandible and the maxilla and even the skull, including three major relationships: the median position, the rest position, and the median position. In the process of oral restoration, digital reconstruction and design of jaw relationship are one of the key steps. Obtaining an accurate jaw relationship can greatly improve the efficiency and quality of subsequent dental restorations.
然而目前记录颌位关系的方式主要还是通过手工获取的方式,这种方式多以经验为准,缺乏精准度,在转移颌位的过程中容易产生误差。具体而言,目前传统的口腔修复中,记录颌位关系是利用牙合托来确定并记录被记录者面下1/3的适宜高度和两侧髁突在下颌关节凹生理后位时的上下颌位置关系,一般需要记录垂直颌位关系和水平颌位关系,包括以下几个步骤:制作牙合托--确定颌位关系--核对颌位关系--标记标志线---固定颌位关系,颌位关系记录的精准度很大程度地取决于操作人员的临床经验。However, the current method of recording the jaw position relationship is mainly obtained by hand, which is mostly based on experience, lacks precision, and is prone to errors in the process of shifting the jaw position. Specifically, in the current traditional oral restoration, the jaw position relationship is recorded by using the occlusal bracket to determine and record the appropriate height of the lower 1/3 of the face of the recorded person and the supra of the condyles on both sides when the mandibular joint is in the physiological posterior position of the concave joint. Mandibular position relationship, generally need to record the vertical jaw position relationship and the horizontal jaw position relationship, including the following steps: make the occlusal bracket - determine the jaw position relationship - check the jaw position relationship - mark the marking line - fix the jaw position The accuracy of the jaw relationship recording is largely dependent on the operator's clinical experience.
另外,像是CN106456305B“一种颌位关系的记录方法及装置”提供了一种获取上下颌唇颊扫描数据,获取上颌模型扫描数据和下颌模型扫描数据,利用两者之间的共同区域,获得颌位关系三维扫描数据的方式,该记录颌位关系的方式存在需要多次扫描数据,叠加处理扫描数据,进而导致一旦扫描误差偏大的缺陷,另外获取上下颌唇颊扫描数据需要在保持约定颌位关系下扫描暴露出的上下颌无牙颌牙槽嵴位于双侧口角间的唇颊面生成的操作难度也较大,需要被记录者的配合以及高超的操作水平。In addition, such as CN106456305B "a recording method and device for jaw position relationship" provides a method to obtain the scan data of the upper and lower jaw, the scan data of the maxillary model and the scan data of the mandible model, and use the common area between the two to obtain The method of three-dimensional scanning data of jaw position relationship requires multiple scanning data, superimposed processing of scanned data, which leads to the defect that once the scanning error is too large, in addition, the acquisition of upper and lower jaw lip and cheek scanning data needs to keep the agreement. The edentulous alveolar ridges of the upper and lower jaws exposed by the scan under the relationship of the jaw position are also difficult to generate, which requires the cooperation of the recorded person and a high level of operation.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于提供一种利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,该方法结合利用牙床平衡器进行颌位关系的数字化记录,提高颌位关系记录的精准度,且可准确转移颌位,在口腔修复过程中有着极大的应用前景。The purpose of the present invention is to provide a method for obtaining the jaw position after programming the masticatory muscles by using a digital gum balancer. The method combines the use of the gum balancer to digitally record the jaw position relationship, so as to improve the accuracy of the jaw position relationship recording, and It can accurately transfer the jaw position and has great application prospects in the process of oral restoration.
为了实现以上任一发明目的,本发明提供一种利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,包括以下步骤:设计适配被记录者的牙床平衡 器;前处理准备牙床平衡器;修正调整牙床平衡器;制作标记位置;校正牙床平衡器的位置;放松咀嚼肌且检查肌肉的放松程度;临时固定咬合位置;放松全身肌肉且检测肌肉的放松程度;咬合定位以及扫描颌位关系,该方法结合利用牙床平衡器进行颌位关系的数字化记录,提高颌位关系记录的精准度,且可准确转移颌位,在口腔修复过程中有着极大的应用前景。In order to achieve any of the above purposes of the invention, the present invention provides a method for obtaining jaw position after using a digital gum balancer to program the masticatory muscles, including the following steps: designing a gum balancer adapted to the recorded person; Correction and adjustment of the gum balancer; making the mark position; correcting the position of the gum balancer; relaxing the masticatory muscles and checking the degree of muscle relaxation; temporarily fixing the occlusal position; relaxing the muscles of the whole body and detecting the degree of muscle relaxation; occlusal positioning and scanning the jaw position The method combines the use of a gum balancer to digitally record the jaw position relationship, improves the accuracy of the jaw position relationship record, and can accurately transfer the jaw position, which has great application prospects in the process of oral restoration.
相较现有技术,本发明具有以下的特点:Compared with the prior art, the present invention has the following characteristics:
1、应用该方法最终记录的颌位关系相对于传统的以经验来判断方法更为科学和精准:在该方法中不断地通过去咀嚼肌程序化来调整牙床平衡器的位置,进而获取精准的颌位关系。1. The jaw position relationship finally recorded by this method is more scientific and accurate than the traditional judgment method based on experience: in this method, the position of the gum balancer is continuously adjusted by programming the masticatory muscles to obtain accurate jaw relationship.
2、在转移最终的颌位关系时,采用数字化扫描的方式可大幅度降低由于传统手工取石膏模型和上颌架时造成的由于石膏膨胀率问题产生的误差,从而进一步地确保获取精准的颌位关系。2. When transferring the final jaw position, the digital scanning method can greatly reduce the error caused by the gypsum expansion rate problem caused by the traditional manual taking of the gypsum model and the maxillary frame, thereby further ensuring the acquisition of accurate jaw position. relation.
3.本方案可协助患者最终恢复正确的颌位关系,起到矫治TMD的预期目的,同时本方案将TMD治疗范围应用到解除了颌面、颈部肌电神经紧张,从病因治疗上可以起到缓解颌面、肩颈疼痛的疗效,即,本技术可拓展创新应用于颈椎功能紊乱等的诊断以及治疗。3. This program can assist patients to finally restore the correct jaw position and achieve the intended purpose of correcting TMD. At the same time, this program applies the scope of TMD treatment to relieve the tension of maxillofacial and cervical myoelectric nerves, which can be treated from the cause. To the curative effect of relieving maxillofacial, shoulder and neck pain, that is, the technology can be extended and innovatively applied to the diagnosis and treatment of cervical spine dysfunction.
附图说明Description of drawings
图1是根据本发明利用的牙床平衡器的结构示意图。FIG. 1 is a schematic structural diagram of a gum balancer utilized according to the present invention.
图2是根据本发明利用数字化牙床平衡器去咀嚼肌程序化获取颌位的方法的流程示意图。FIG. 2 is a schematic flow chart of a method of using a digital gum balancer to program the jaw position for masticatory muscles according to the present invention.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. All other embodiments obtained by those of ordinary skill in the art based on the embodiments in the present invention fall within the protection scope of the present invention.
本领域技术人员应理解的是,在本发明的揭露中,术语“纵向”、“横向”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”“内”、“外”等指示的方位或位置关系是基于附图所示的方位或位置关系,其仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此上述术语不能理解为对本发明的限制。It should be understood by those skilled in the art that in the disclosure of the present invention, the terms "portrait", "horizontal", "upper", "lower", "front", "rear", "left", "right", " The orientation or positional relationship indicated by vertical, horizontal, top, bottom, inner, outer, etc. is based on the orientation or positional relationship shown in the accompanying drawings, which are only for the convenience of describing the present invention and The description is simplified rather than indicating or implying that the device or element referred to must have a particular orientation, be constructed and operate in a particular orientation, and thus the above terms should not be construed as limiting the invention.
可以理解的是,术语“一”应理解为“至少一”或“一个或多个”,即在一个实施例中,一个元件的数量可以为一个,而在另外的实施例中,该元件的数量可以为多个,术语“一”不能理解为对数量的限制。It should be understood that the term "a" should be understood as "at least one" or "one or more", that is, in one embodiment, the number of an element may be one, while in another embodiment, the number of the element may be one. The number may be plural, and the term "one" should not be understood as a limitation on the number.
如图所示,本发明提供一利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法和设备,该设备至少包括:牙床平衡器、咬合箔、牙科粘结剂、牙科印模材料、牙合记录材料、牙科热塑材料、雕刻刀、记录笔、发光灯具、口内扫描器。As shown in the figure, the present invention provides a method and device for obtaining jaw position after using a digital gum balancer to program the masticatory muscles. The device at least includes: a gum balancer, an occlusal foil, a dental adhesive, a dental impression material, Occlusion recording materials, dental thermoplastic materials, carving knives, recording pens, light-emitting lamps, intraoral scanners.
该利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法的步骤如下:The steps of the method for obtaining the jaw position after programming the masticatory muscles using the digital gum balancer are as follows:
设计适配被记录者的牙床平衡器:The gum balancer designed to fit the recorded subject:
扫描被记录者的口腔,获取牙齿数据,设计并得到牙床平衡器,其中所述牙床平衡器包括上颌平衡器和下颌平衡器;Scan the oral cavity of the recorded person, obtain dental data, design and obtain a gum balancer, wherein the gum balancer includes an upper jaw balancer and a lower jaw balancer;
具体而言,在本发明的实施例中,利用数字化口内扫描仪扫描被记录者的牙齿数据,获取该被记录者的上牙床数据和下牙床数据,根据该上下牙床形状 数据建立上下牙床三维模型,根据设定条件设计上平衡器和下平衡器。Specifically, in the embodiment of the present invention, a digital intraoral scanner is used to scan the dental data of the recorded person to obtain the upper and lower gum data of the recorded person, and a three-dimensional model of the upper and lower gums is established according to the upper and lower gum shape data. , and design the upper and lower balancers according to the set conditions.
其中设定条件如下:上颌平衡器设计为:覆盖在被记录者的上颌牙齿舌侧切缘至牙龈1.5-2cm的宽度,对应颚系带位置为平行于地平面的圆形平面;The setting conditions are as follows: the maxillary balancer is designed to cover the width of 1.5-2 cm from the lingual incisal edge of the maxillary teeth of the recorded person to the gum, and the corresponding chinstrap position is a circular plane parallel to the ground plane;
下颌平衡器设计为:覆盖在被记录者的上颌牙齿舌侧切缘至牙龈1.5-2cm的宽度,对应舌系带位置为平行于地平面的圆形平面,以舌系带为中心线的位置在下颌平衡器上放置一个小圆柱,该小圆柱的直径控制在1-3mm,本实施例选择2mm.The mandibular balancer is designed to cover the width of 1.5-2cm from the lingual incisal edge of the maxillary teeth of the recorded subject to the gums, and the corresponding lingual frenulum position is a circular plane parallel to the ground plane. A small cylinder is placed on the mandibular balancer, and the diameter of the small cylinder is controlled at 1-3mm, and 2mm is selected in this embodiment.
得到上颌平衡器和下颌平衡器的设计模型后,利用医用树脂圆盘打印出上颌平衡器和下颌平衡器,通过切削机雕刻出上颌平衡器和下颌平衡器。After obtaining the design models of the maxillary balancer and the mandibular balancer, use the medical resin disc to print the maxillary balancer and the mandibular balancer, and engrave the maxillary balancer and the mandibular balancer by a cutting machine.
前处理准备牙床平衡器:Pre-treatment to prepare the gum balancer:
消毒牙床平衡器,并在牙床平衡器表面均匀涂抹牙科粘结剂,待牙科粘结剂干燥后,在相同位置添加印模材料;Sterilize the gum balancer, and evenly apply the dental adhesive on the surface of the gum balancer. After the dental adhesive is dry, add the impression material in the same position;
在本发明的实施例中,在牙床平衡器贴近牙列的表面涂抹牙科粘结剂,该牙科粘结剂为现有通用技术,印模材料选择为硅橡胶印模材料,牙科粘结剂粘结该印模材料和牙床平衡器,印模材料覆盖牙床平衡器贴近牙列的表面。In the embodiment of the present invention, a dental adhesive is applied on the surface of the gum balancer close to the dentition, the dental adhesive is an existing general technology, the impression material is selected as a silicone rubber impression material, and the dental adhesive is adhesive. The impression material and the gum balancer are combined, and the impression material covers the surface of the gum balancer close to the dentition.
修正调整牙床平衡器:Corrected adjustment of the gum balancer:
将涂抹有印模材料的牙床平衡器对应放置于被记录者上下牙列的舌侧,待印模材料固化后取出,得到修正后的牙床平衡器,将修正后的牙床平衡器再次放入被记录者上下牙列舌侧。Place the gum balancer smeared with the impression material on the lingual side of the upper and lower dentition of the recorded person. After the impression material is cured, take it out to obtain the corrected gum balancer. The recorder recorded the upper and lower dentition on the lingual side.
值得一提的是,对应的上牙床平衡器放置在上牙列的舌侧,对应的下牙床平衡器放置在下牙列的舌侧。待印模材料自然固化后取出,且切除印模材料的边料,此时印模材料记录被记录者的牙列形状。根据印模材料的牙列形状固化的过程修正牙床平衡器,使得牙床平衡器更加适配被记录者的牙列。It is worth mentioning that the corresponding upper gum balancer is placed on the lingual side of the upper dentition, and the corresponding lower gum balancer is placed on the lingual side of the lower dentition. After the impression material is naturally cured, it is taken out, and the edge material of the impression material is cut off. At this time, the impression material records the dentition shape of the recorded person. The gum balancer is modified according to the process of curing the dentition shape of the impression material, so that the gum balancer is more suitable for the dentition of the recorded person.
另外,在该步骤当中,进一步包括检查牙床平衡器是否稳定的步骤:In addition, in this step, it further includes the step of checking whether the gum balancer is stable:
检测修正后的牙床平衡器在被记录者的牙列舌侧是否稳定,若不稳定,可在牙床平衡器上垫置牙科热塑材料加以固定;Check whether the corrected gum balancer is stable on the lingual side of the recorded dentition. If it is not stable, a dental thermoplastic material can be placed on the gum balancer to fix it;
制作标记位置:Make marker location:
在下颌平衡器上制作标记被记录者的舌系带位置,此时如果下颌平衡器上的圆柱位置偏移舌系带位置,则调整下颌平衡器的位置,使得圆柱的位置位于舌系带的位置。Make a mark on the mandibular balancer to mark the position of the lingual frenulum of the recorded person. At this time, if the position of the cylinder on the mandibular balancer deviates from the position of the lingual frenulum, adjust the position of the mandibular balancer so that the position of the cylinder is located at the position of the lingual frenulum. Location.
校正牙床平衡器的位置:To correct the position of the gum balancer:
被记录者闭合牙床,观察并调整下颌平衡器的支撑杆位于上颌平衡器支撑平面的中心位置。The recorded subject closes the gums, observes and adjusts the support rod of the mandibular balancer to be in the center of the support plane of the maxillary balancer.
需要注意的是,在本发明的实施例中,下颌平衡器的支撑杆应该为2*2mm的圆柱体,并尽量对准上颌平衡器支撑平面中心,若不是,取出下颌平衡器做适当的调整,即,设计的下颌平衡器的圆柱的尺寸较大,如果出现无法对准的情况,则调磨圆柱;另外,保持被记录者的牙床处于闭合状态时,被记录者口内上下牙齿之间的间隙尽量降到最低,但须有2mm以上的间隙,却只有上下平衡器的支撑位置接触。It should be noted that, in the embodiment of the present invention, the support rod of the mandibular balancer should be a 2*2mm cylinder, and try to align with the center of the support plane of the maxillary balancer. If not, take out the mandibular balancer and make appropriate adjustments. , that is, the size of the cylinder of the designed mandibular balancer is relatively large, if there is a situation that cannot be aligned, the cylinder should be adjusted; The gap should be minimized as much as possible, but there must be a gap of more than 2mm, but only the support positions of the upper and lower balancers are in contact.
放松咀嚼肌且检查肌肉的放松程度:Relax the masticatory muscles and check muscle relaxation:
被记录者保持坐姿,且被记录者做扣齿运动和下颌运动,放松咀嚼肌,检测被记录者两侧的咀嚼肌对称且充分放松,若是,继续下一步骤,若否,继续放松咀嚼肌。The recorded subject remains in a sitting position, and the recorded subject performs tooth clasping and mandibular movements to relax the masticatory muscles. Check that the masticatory muscles on both sides of the recorded subject are symmetrical and fully relaxed. If yes, continue to the next step. If not, continue to relax the masticatory muscles. .
咀嚼肌对建牙合和维持咬合的作用:咀嚼肌群作为口颌系统重要组成部分之一,其功能状态直接影响颅颌牙合生长发育。咀嚼肌功能的强弱一方面可以改变颅颌面骨骼周缘的血供及机械力学环境,影响面部的生长型,另一方面也 影响了牙牙合关系的平衡稳定,故在确定颌位关系之前需要充分放松咀嚼肌。The role of masticatory muscles on occlusion and occlusion maintenance: As one of the important components of the oral-maxillary system, the functional state of the masticatory muscles directly affects the growth and development of cranio-maxillary occlusion. The strength of masticatory muscle function can change the blood supply and mechanical environment of the craniofacial skeleton on the one hand, and affect the growth pattern of the face. On the other hand, it also affects the balance and stability of the occlusal relationship. Fully relax the masticatory muscles.
在本发明的实施例中,被记录者保持坐姿时,保证被记录者的臀部略高于膝盖的位置。且让被记录者坐在操作人员的对面,抬头,挺直背部,双脚放在地上,调整椅子的高度。In the embodiment of the present invention, when the recorded person maintains the sitting position, it is ensured that the recorded person's hips are slightly higher than the knees. And let the person to be recorded sit opposite the operator, look up, straighten his back, put his feet on the ground, and adjust the height of the chair.
所述扣齿运动即是让被记录者在设定的时间内以一定的频率做开口和闭口运动,包括小扣齿运动、中扣齿运动和大扣齿运动,具体如下:The spearing movement is to let the recorded person do opening and closing movements at a certain frequency within a set time, including small spearing movement, middle spearing movement and large spearing movement, as follows:
做小扣齿运动:让被记录者做1CM-3CM左右,可以是2CM的,约一个手指厚度开口度的扣齿运动,控制时间在8-12分钟,可以是10分钟,每分钟为80-100次,可以是90次的频率,保证每次闭合时听到上下牙床平衡器之间的撞击声。Do a small clasp movement: let the recorded person do a clasp movement of about 1CM-3CM, which can be 2CM, about a finger thickness opening degree, and the control time is 8-12 minutes, can be 10 minutes, and 80-10 minutes per minute. 100 times, the frequency can be 90 times, to ensure that the impact sound between the upper and lower gum balancers is heard each time it is closed.
做中扣齿运动:让被记录者做3CM-5CM左右,可以是4CM的,约2个手指厚度开口度的扣齿运动,控制时间在在8-12分钟,可以是10分钟,每分钟为50-70次的频率,可以是60次的频率,保证每次闭合时听到上下牙床平衡器之间的撞击声。Do the middle clasp movement: let the recorded person do the clasp movement of about 3CM-5CM, which can be 4CM, about 2 finger thickness and opening degree, and the control time is 8-12 minutes, it can be 10 minutes, and every minute is The frequency of 50-70 times, can be the frequency of 60 times, to ensure that the impact sound between the upper and lower gum balancers can be heard each time it is closed.
做大扣齿运动:让被记录者做最大开口度的扣齿运动,此时,被记录者能够感受到下巴下方的肌肉有牵拉感,约每分钟10-30次,可以是20次的频率,做大约50次,且在过程中保证头部在扣齿运动中不会移动,只有下颌在运动,闭合时,让下颌自然地收回并与上颌接触,保证每次闭合时听到上下牙床平衡器之间的撞击声。Do the big buckling exercise: let the recorded person do the buckling movement with the maximum opening degree. At this time, the recorded person can feel the muscles under the chin stretch, about 10-30 times per minute, and it can be 20 times. Frequency, do it about 50 times, and make sure that the head will not move during the movement of the teeth, and only the lower jaw is moving. When closing, let the lower jaw retract naturally and make contact with the upper jaw to ensure that the upper and lower jaws can be heard each time it is closed. Clash between balancers.
所述下颌运动即是让被记录者的下颌向着不同的方向牵拉,包括向前拉伸、向左牵拉和向右牵拉的运动,具体而言:The mandibular movement is to pull the mandible of the recorded person in different directions, including forward stretching, leftward pulling and rightward pulling, specifically:
向前拉伸:被记录者微微张嘴,下颌向前拉伸,拉伸2-3秒后回到起始位置,重复4-8次,可选择为5次,6次,7次。Stretch forward: the subject opens his mouth slightly, stretches his jaw forward, stretches for 2-3 seconds, and then returns to the starting position, repeating 4-8 times, 5 times, 6 times, and 7 times can be selected.
向左牵拉:被记录者下颌往左侧牵拉,持续2-3秒后回到起始位置,重复 4-8次,可选择为5次,6次,7次。Pulling to the left: the subject's lower jaw is pulled to the left for 2-3 seconds and then return to the starting position. Repeat 4-8 times, 5 times, 6 times, and 7 times can be selected.
向右牵拉:被记录者下颌往右侧牵拉,持续2-3秒后回到起始位置,重复4-8次,可选择为5次,6次,7次。Pulling to the right: The subject's lower jaw is pulled to the right for 2-3 seconds and then returns to the starting position. Repeat 4-8 times, 5 times, 6 times, and 7 times can be selected.
值得一提的是,在本发明的实施例中,若被记录者的咀嚼肌不够放松时,重新进行大扣齿运动和下颌运动,直至处于放松的状态。It is worth mentioning that, in the embodiment of the present invention, if the masticatory muscles of the recorded person are not relaxed enough, the large buckling movement and the jaw movement are performed again until they are in a relaxed state.
临时固定咬合位置:Temporarily fix the occlusal position:
被记录者保持站姿且牙齿闭合,在被记录者的上下后牙咬合面上填充牙合记录材料,待牙合记录材料固定后取出,修正牙合记录材料后再次放入被记录者的上下后牙咬合面上,被记录者牙齿闭合,检查被记录者两侧咀嚼肌是否对称且有力。The person to be recorded keeps standing and the teeth are closed. The occlusal recording material is filled on the occlusal surface of the upper and lower posterior teeth of the recorded person. After the occlusal recording material is fixed, it is taken out. On the occlusal surface of the posterior teeth, the teeth of the recorded subject were closed, and it was checked whether the masticatory muscles on both sides of the recorded subject were symmetrical and powerful.
此时,被记录者的站姿为起身站立,抬头挺胸,双眼平视前方的姿势。在填充牙合记录材料之前,可让被记录者做至少一组扣齿运动,特别为系列小扣齿运动,可以为3个小扣齿运动,以放松咀嚼肌,做完后闭合牙齿,呼气。At this time, the standing posture of the recorded person is to stand up, hold the head up, and look straight ahead. Before filling the occlusal recording material, the recorded person can do at least one set of tooth clasping movements, especially for a series of small clasping movements, which can be 3 small clasping movements to relax the masticatory muscles, close the teeth after finishing, and exhale. gas.
在本发明的实施例中,牙合记录材料选择为硅橡胶牙合记录材料,硅橡胶牙合记录材料在上下后牙咬合面上自然固化后取出。修正固化后的硅橡胶牙合记录材料的边料形状,再放入被记录者的上下后牙咬合面上。In the embodiment of the present invention, the occlusal recording material is selected as a silicone rubber occlusal recording material, and the silicone rubber occlusal recording material is taken out after being cured naturally on the occlusal surfaces of the upper and lower posterior teeth. Correct the scrap shape of the cured silicone rubber occlusal recording material, and put it on the occlusal surface of the upper and lower posterior teeth of the recorded person.
通过让被记录者做咬紧和放松运动,检查被记录者两侧咀嚼肌是否对称且有力。Check whether the masticatory muscles on both sides of the recorded person are symmetrical and powerful by letting the recorded person do clenching and relaxing movements.
放松全身肌肉且检查肌肉的放松程度:Relax the muscles of the whole body and check the degree of relaxation of the muscles:
被记录者口腔内放置有牙合记录材料,且牙齿闭合,做肌肉放松操,以充分放松全身肌肉,在被记录者放松下颌,上下平衡器之间不接触的情况下,检测被记录者两侧的咀嚼肌是否对称且充分放松,若是,继续下一步骤,若否,继续放松咀嚼肌。The occlusal recording material is placed in the oral cavity of the recorded person, and the teeth are closed, and muscle relaxation exercises are performed to fully relax the muscles of the whole body. Whether the masticatory muscles on the side are symmetrical and fully relaxed, if so, continue to the next step, if not, continue to relax the masticatory muscles.
在被记录者做肌肉放松操的全程过程中均需保证牙齿全程处于闭合状态,若嘴巴有张开或者有移动,重复临时固定咬合位置步骤。During the whole process of the muscle relaxation exercise, the subject should ensure that the teeth are in a closed state. If the mouth is opened or moved, repeat the steps of temporarily fixing the occlusal position.
肌肉放松操的具体步骤如下:The specific steps of the muscle relaxation exercise are as follows:
第一个动作:身体直立,左手臂伸直,贴着身体往后转八圈,然后反方向转八圈。接着右手臂也完成同样的动作。The first action: Stand upright, straighten your left arm, turn back eight circles against your body, and then turn eight circles in the opposite direction. Then do the same for the right arm.
第二个动作:身体直立,双臂向两侧展开水平于肩,手臂先向前翻转,再向后翻转,总共做8组。The second action: the body is upright, the arms are extended to the sides and horizontal to the shoulders, the arms are first turned forward, then turned backward, and a total of 8 sets are done.
第三个动作:身体直立,双手自然下垂,深呼吸、踮脚同时两肩上提向后转八圈,然后反方向转八圈。The third action: Stand upright, with your hands hanging down naturally, take a deep breath, stand on tiptoe while lifting your shoulders and turn back eight circles, then turn in the opposite direction for eight circles.
第四个动作:身体直立,双臂向两侧展开水平于肩,掌心朝下向后拉伸4次,然后掌心朝上向后拉伸4次,总共做2组。The fourth action: the body is upright, the arms are extended to the sides and horizontal to the shoulders, and the palms are stretched back and forth 4 times, and then the palms are stretched back 4 times. Do a total of 2 sets.
第五个动作:身体直立,保持身体稳定,头朝左后侧拉伸4次,再向右后方向拉伸4次,总共做2组。The fifth action: keep the body upright, keep the body stable, stretch the head to the left back side 4 times, then stretch the right back direction 4 times, do a total of 2 sets.
第六个动作:身体直立,保持身体稳定,头朝左上方拉伸4次,再向右上方拉伸4次,总共做2组。The sixth action: Stand upright, keep your body stable, stretch your head to the upper left for 4 times, and then stretch to the upper right for 4 times, for a total of 2 sets.
第七个动作:身体直立,保持身体稳定,头朝左下方拉伸4次,再向右下方拉伸4次,总共做2组。The seventh action: keep the body upright, keep the body stable, stretch the head to the lower left 4 times, and then stretch the lower right 4 times, do a total of 2 sets.
第八个动作:身体直立,保持身体稳定,头朝左侧拉伸4次,再向右侧拉伸4次,总共做2组。The eighth action: Stand upright, keep your body stable, stretch your head to the left 4 times, and then stretch to the right 4 times, for a total of 2 sets.
第九个动作:身体直立,双脚张开与肩同宽,双手叠于胸前,向左后方转身,头和身体尽量向后转,保持左腿不动,右腿跟着身体转。然后反方向做同样的运动,总共做8组。The ninth action: Stand upright, spread your feet shoulder-width apart, fold your hands in front of your chest, turn to the left and back, turn your head and body as far back as possible, keep your left leg still, and turn your right leg with your body. Then do the same movement in the opposite direction for a total of 8 sets.
第十个动作:身体直立,膝盖垂直向上抬,左右交替,总共做8组。The tenth action: Stand upright, lift your knees vertically upwards, alternate left and right, and do 8 sets in total.
第十一个动作:双腿尽量张开,重心放在左腿上,右腿保持伸直,做压腿动作4次,然后重心放在右腿上,左腿保持伸直,做压腿动作4次,总共做2组。The eleventh action: spread the legs as far as possible, put the weight on the left leg, keep the right leg straight, do the leg press 4 times, then put the weight on the right leg, keep the left leg straight, and do the leg press 4 times for a total of 2 sets.
第十二个动作:身体直立,膝盖垂直向上抬,然后往外翻,左右交替,总共做8组。The twelfth action: the body is upright, the knees are lifted vertically, and then turned out, alternating left and right, a total of 8 sets.
第十三个动作:身体直立,双脚于肩同宽,左腿踮起,保持前脚掌不离地,右腿伸直,重心放在右腿上,左右切换,总共做8组。The thirteenth action: stand upright, feet shoulder-width apart, stand on tiptoe with left leg, keep the forefoot on the ground, straighten the right leg, put the weight on the right leg, switch left and right, do a total of 8 sets.
第十四个动作:左腿向前张开,重心放在左腿上,右腿保持伸直,做压腿动作4次,然后右腿向前张开,重心放在右腿上,左腿保持伸直,做压腿动作4次总共做2组。The fourteenth action: open the left leg forward, put the weight on the left leg, keep the right leg straight, do the leg press 4 times, then open the right leg forward, put the weight on the right leg, the left leg Keeping straight, do 4 leg presses for a total of 2 sets.
咬合定位:Occlusal positioning:
将下颌平衡器取出,被记录者保持张口状态,将下颌平衡器的支撑杆磨成尖形,将带有尖形支撑杆的下颌平衡器放回被记录者的下牙床舌侧,放置咬合箔在上下牙床之间,上下牙床咬合至少3次,若咬合接触点清晰且在同一个点上,在上颌平衡器上对应该咬合接触点的位置打磨咬合孔;放入上颌平衡器,闭合上下牙床确保下颌平衡器上的支撑杆的杆尖位于上颌平衡器的孔内,填充牙合记录材料在上下后牙咬合面上,待其固化后取出。Take out the mandibular balancer, keep the subject's mouth open, grind the support rod of the mandibular balancer into a pointed shape, put the mandibular balancer with the pointed support rod back on the lingual side of the subject's mandible, and place the occlusal foil Between the upper and lower gums, the upper and lower gums are occluded at least 3 times. If the occlusal contact point is clear and at the same point, grind the occlusal hole on the maxillary balancer at the position corresponding to the occlusal contact point; place the maxillary balancer and close the upper and lower gums Make sure that the tip of the support rod on the mandibular balancer is located in the hole of the maxillary balancer, fill the occlusal recording material on the occlusal surface of the upper and lower posterior teeth, and take it out after it is cured.
在带有尖形支撑杆的下颌平衡器放回被记录者的下牙床舌侧后,被记录者身体站立,抬头挺胸,双眼平视前方,慢慢吸气并保持在胸腔内,做扣齿运动。After the mandibular balancer with the pointed support rod was put back on the lingual side of the lower gum of the recorded subject, the subject stood up, raised his head and raised his chest, looked straight ahead with his eyes, inhaled slowly and kept it in the chest cavity, and made buckle teeth. sports.
在上颌平衡器放入被记录者的上牙床舌侧后,被记录者身体站直,抬头挺胸,双眼平视前方,张口吸气慢慢闭合。After the maxillary balancer was placed on the lingual side of the upper jaw of the subject, the subject stood up straight, raised his head and raised his chest, his eyes were looking straight ahead, and he opened his mouth and inhaled slowly and closed it.
在本发明的实施例中,咬合4-5次,此时尖形支撑杆会在咬合箔上形成咬合接触点。In an embodiment of the present invention, 4-5 bites are made, at which point the pointed support rods form a bite contact point on the bite foil.
牙合记录材料为硅橡胶牙合记录材料。且,在本发明的实施例中,被记录者的下颌往前伸至下颌门牙与上颌门牙对齐或轻微超出位置,将硅橡胶牙合记录材料填充在上下后牙咬合面上。The occlusal recording material is a silicone rubber occlusal recording material. Moreover, in the embodiment of the present invention, the mandible of the recorded person is advanced to the position where the mandibular incisors are aligned with or slightly beyond the maxillary incisors, and the silicone rubber occlusal recording material is filled on the occlusal surfaces of the upper and lower posterior teeth.
扫描颌位数据:Scan jaw data:
修正取出的牙合记录材料,放回被记录者的口腔,保持正常咬合状态,左右均匀乏力,三维扫描得到牙合记录材料数据,整合牙齿数据与牙合记录材料数据,获得精准的颌位关系。牙合记录材料上会留有牙齿的印记,我们把牙齿印记和原先扫描的牙齿数据进行重合,就可以得到最终的颌位关系。Correct the occlusal recording material taken out, put it back into the oral cavity of the recorded person, maintain a normal occlusal state, evenly weaken left and right, obtain the occlusal recording material data by 3D scanning, integrate the dental data and the occlusal recording material data, and obtain the precise jaw position relationship . There will be dental imprints on the occlusal recording material. We can get the final jaw position by overlapping the dental imprints with the previously scanned dental data.
本发明不局限于上述最佳实施方式,任何人在本发明的启示下都可得出其他各种形式的产品,但不论在其形状或结构上作任何变化,凡是具有与本申请相同或相近似的技术方案,均落在本发明的保护范围之内。The present invention is not limited to the above-mentioned best embodiment, and anyone can obtain other various forms of products under the inspiration of the present invention, but no matter if any changes are made in its shape or structure, all products with the same or similar characteristics as those of the present application can be obtained. Similar technical solutions all fall within the protection scope of the present invention.

Claims (10)

  1. 一种利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,其特征在于,包括以下步骤:A method for obtaining jaw position after using a digital gum balancer to program the masticatory muscles, comprising the following steps:
    设计适配被记录者的牙床平衡器:扫描被记录者的口腔,获取牙齿数据,设计并得到牙床平衡器,其中所述牙床平衡器包括上颌平衡器和下颌平衡器;Designing a gum balancer suitable for the recorded person: scan the oral cavity of the recorded person, obtain dental data, design and obtain a gum balancer, wherein the gum balancer includes an upper jaw balancer and a lower jaw balancer;
    前处理准备牙床平衡器:在牙床平衡器表面均匀涂抹牙科粘结剂,待牙科粘结剂干燥后,在相同位置添加印模材料;Pre-treatment and preparation of the gum balancer: evenly spread the dental adhesive on the surface of the gum balancer, and after the dental adhesive is dry, add the impression material in the same position;
    修正调整牙床平衡器:将涂抹有印模材料的牙床平衡器对应放置于被记录者上下牙列的舌侧,待印模材料固化后取出,得到修正后的牙床平衡器,将修正后的牙床平衡器再次放入被记录者上下牙列的舌侧;Correction and adjustment of the gum balancer: Place the gum balancer coated with the impression material on the lingual side of the upper and lower dentition of the recorded person. After the impression material is cured, take it out to obtain the corrected gum balancer. The balancer is again placed on the lingual side of the upper and lower dentition of the recorded person;
    制作标记位置:在下颌平衡器上制作标记被记录者的舌系带位置,调整圆柱的位置位于舌系带位置;Make the mark position: mark the tongue-tie position of the recorded person on the mandibular balancer, and adjust the position of the cylinder to be at the tongue-tie position;
    校正牙床平衡器的位置:被记录者闭合牙床,观察并调整下颌平衡器的支撑杆位于上颌平衡器支撑平面的中心位置;Correct the position of the gum balancer: the recorded subject closes the gums, observes and adjusts the support rod of the mandibular balancer to be in the center of the support plane of the maxillary balancer;
    放松咀嚼肌且检查肌肉的放松程度:被记录者保持坐姿,且被记录者做扣齿运动和下颌运动,放松咀嚼肌,检测被记录者两侧的咀嚼肌对称且充分放松,若是,继续下一步骤,若否,继续放松咀嚼肌;Relax the masticatory muscles and check the degree of relaxation of the muscles: the recorded subject remains in a sitting position, and the recorded subject performs tooth clasping and jaw movements, relaxes the masticatory muscles, and checks that the masticatory muscles on both sides of the recorded subject are symmetrical and fully relaxed, if so, continue to go down One step, if not, continue to relax the masticatory muscles;
    临时固定咬合位置:被记录者保持站姿且牙齿闭合,在被记录者的上下后牙咬合面上填充牙合记录材料,待牙合记录材料固定后取出,修正牙合记录材料后再次放入被记录者的上下后牙咬合面上,被记录者牙齿闭合,检查被记录者两侧咀嚼肌是否对称且有力;Temporary fixation of the occlusal position: the subject remains standing and the teeth are closed, and the occlusal recording material is filled on the occlusal surface of the upper and lower posterior teeth of the recorded subject. After the occlusal recording material is fixed, it is taken out, and the occlusal recording material is corrected and put in again. On the occlusal surface of the upper and lower posterior teeth of the recorded person, the recorded person's teeth are closed, and check whether the masticatory muscles on both sides of the recorded person are symmetrical and powerful;
    放松全身肌肉且检查肌肉的放松程度:被记录者口腔内放置有牙合记录材料,且牙齿闭合,做肌肉放松操,以充分放松全身肌肉,在被记录者放松下颌,上下平衡器之间不接触的情况下,检测被记录者两侧的咀嚼肌是否对称且充分 放松,若是,继续下一步骤,若否,继续放松咀嚼;Relax the muscles of the whole body and check the degree of relaxation of the muscles: The occlusal recording material is placed in the oral cavity of the recorded person, and the teeth are closed, and muscle relaxation exercises are performed to fully relax the muscles of the whole body. In the case of contact, check whether the masticatory muscles on both sides of the recorded person are symmetrical and fully relaxed, if so, continue to the next step, if not, continue to relax chewing;
    咬合定位:将下颌平衡器取出,被记录者保持张口状态,将下颌平衡器的支撑杆磨成尖形,将带有尖形支撑杆的下颌平衡器放回被记录者的下牙床舌侧,放置咬合箔在上下牙床之间,上下牙床咬合至少3次,若咬合接触点清晰且在同一个点上,在该咬合接触点的位置打磨咬合孔;放入上颌平衡器,闭合上下牙床确保下颌平衡器上的支撑杆的杆尖位于上颌平衡器的孔内,填充牙合记录材料在上下后牙咬合面上,待其固化后取出;Occlusal positioning: take out the mandibular balancer, keep the mouth open, grind the support rod of the mandibular balancer into a pointed shape, and put the mandibular balancer with the pointed support rod back on the lingual side of the mandible of the subject to be recorded, Place the occlusal foil between the upper and lower gums, and occlude the upper and lower gums at least 3 times. If the occlusal contact point is clear and at the same point, grind the occlusal hole at the position of the occlusal contact point; put in the maxillary balancer, close the upper and lower gums to ensure the lower jaw The tip of the support rod on the balancer is located in the hole of the maxillary balancer, and the occlusal recording material is filled on the occlusal surface of the upper and lower posterior teeth, and is taken out after it is cured;
    扫描颌位数据:修正取出的牙合记录材料,放回被记录者的口腔,保持正常咬合状态,左右均匀乏力,三维扫描得到牙合记录材料数据,整合牙齿数据与牙合记录材料数据,获得颌位关系。Scan jaw data: correct the extracted occlusal recording material, put it back into the oral cavity of the recorded person, maintain a normal occlusal state, evenly weaken left and right, obtain the occlusal recording material data by 3D scanning, integrate the dental data and the occlusal recording material data, and obtain jaw relationship.
  2. 根据权利要求1所述的利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,其特征在于,在设计适配被记录者的牙床平衡器中,上颌平衡器设计为覆盖在被记录者的上颌牙齿舌侧切缘至牙龈1.5-2cm的宽度,对应颚系带位置为平行于地平面的圆形平面;下颌平衡器设计为覆盖在被记录者的上颌牙齿舌侧切缘至牙龈1.5-2cm的宽度,对应舌系带位置为平行于地平面的圆形平面,以舌系带为中心线的位置在下颌平衡器上放置直径控制在1-3mm的圆柱。The method for obtaining jaw position after using a digital gum balancer to program the masticatory muscles according to claim 1, wherein in designing a gum balancer adapted to the recorded person, the maxillary balancer is designed to cover the recorded jaw. The width of the lingual incisal edge of the maxillary teeth of the subject to the gums is 1.5-2cm, and the corresponding jaw frenulum position is a circular plane parallel to the ground plane; the mandibular balancer is designed to cover the lingual incisal edge of the maxillary teeth of the recorded subjects to the gums 1.5- The width of 2cm corresponds to the position of the lingual frenulum, which is a circular plane parallel to the ground plane. A cylinder with a diameter of 1-3mm is placed on the mandibular balancer at the position of the lingual frenulum as the centerline.
  3. 根据权利要求1所述的利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,其特征在于,在修正调整牙床平衡器的步骤当中,检测修正后的牙床平衡器在被记录者的牙列舌侧是否稳定,若不稳定,可在牙床平衡器上垫置牙科热塑材料加以固定。The method for obtaining the jaw position after using a digital gum balancer to program the masticatory muscles according to claim 1, wherein in the step of correcting and adjusting the gum balancer, it is detected that the corrected gum balancer is in the recorded person's jaw position. Whether the lingual side of the dentition is stable, if it is unstable, a dental thermoplastic material can be placed on the gum balancer to fix it.
  4. 根据权利要求1所述的利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,其特征在于,在校正牙床平衡器的位置的步骤中,保持被记录者的牙床处于闭合状态时,被记录者口内上下牙齿之间的间隙大于圆柱的高度,只 有上下平衡器的支撑位置接触。The method for obtaining the jaw position after using a digital gum balancer to program the masticatory muscles according to claim 1, wherein in the step of correcting the position of the gum balancer, when the gums of the recorded person are kept in a closed state, The gap between the upper and lower teeth in the recorded subject's mouth is larger than the height of the cylinder, and only the supporting positions of the upper and lower balancers are in contact.
  5. 根据权利要求1所述的利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,其特征在于,在放松咀嚼肌的步骤当中,保证被记录者的臀部高于膝盖的位置;扣齿运动是让被记录者在设定的时间内以设定频率做开口和闭口运动,包括小扣齿运动、中扣齿运动和大扣齿运动;下颌运动是让被记录者的下颌向着不同的方向牵拉,包括向前拉伸、向左牵拉和向右牵拉的运动。The method for obtaining the jaw position after using a digital gum balancer to program the masticatory muscles according to claim 1, characterized in that, in the step of relaxing the masticatory muscles, it is ensured that the hips of the recorded person are higher than the knees; Movement is to let the recorded person do opening and closing movements at a set frequency within a set period of time, including small tooth movement, middle tooth movement, and large tooth movement; Directional pulls include movements that stretch forward, pull to the left, and pull to the right.
  6. 根据权利要求1所述的利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,其特征在于,在临时固定咬合位置的步骤当中,在填充牙合记录材料之前,让被记录者做至少一组扣齿运动,通过让被记录者做咬紧和放松运动,检查被记录者两侧咀嚼肌是否对称且有力。The method for obtaining the jaw position after using a digital gum balancer to program the masticatory muscles according to claim 1, wherein in the step of temporarily fixing the occlusal position, before filling the occlusal recording material, let the person to be recorded do At least one set of tooth-clinching movements is performed to check whether the masticatory muscles on both sides of the recorded person are symmetrical and powerful by letting the recorded person do clenching and relaxing movements.
  7. 根据权利要求1所述的利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,其特征在于,在放松全身肌肉且检查肌肉的放松程度的步骤当中,在被记录者做肌肉放松操的全程过程中均需保证牙齿全程处于闭合状态,若嘴巴有张开或者有移动,重复临时固定咬合位置步骤。The method for obtaining the jaw position after using a digital gum balancer to program the masticatory muscles according to claim 1, wherein in the step of relaxing the muscles of the whole body and checking the degree of relaxation of the muscles, the recorded person does a muscle relaxation exercise It is necessary to ensure that the teeth are in a closed state throughout the whole process of the treatment. If the mouth is opened or moved, repeat the steps of temporarily fixing the occlusal position.
  8. 根据权利要求1所述的利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,其特征在于,在咬合定位的步骤当中,被记录者的下颌往前伸至下颌门牙与上颌门牙对齐或轻微超出位置,将牙合记录材料填充在上下后牙咬合面上。The method for obtaining the jaw position after using a digital gum balancer to program the masticatory muscles according to claim 1, wherein in the step of occlusal positioning, the mandible of the recorded person is extended forward until the mandibular incisors are aligned with the maxillary incisors Or slightly beyond the position, fill the occlusal recording material on the occlusal surface of the upper and lower posterior teeth.
  9. 根据权利要求1所述的利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,其特征在于,在扫描颌位数据的步骤当中,牙合记录材料上会留有牙齿印记,牙齿印记和原先扫描的牙齿数据进行重合,得到最终的颌位关系。The method for obtaining the jaw position after using a digital gum balancer to program the masticatory muscles according to claim 1, wherein in the step of scanning the jaw position data, a dental imprint is left on the occlusal recording material, and the dental imprint is It is overlapped with the original scanned tooth data to obtain the final jaw position relationship.
  10. 根据权利要求1到9任一所述的利用数字化牙床平衡器去咀嚼肌程序化后获取颌位的方法,其特征在于,印模材料为硅橡胶印模材料,牙合记录材 料选择为硅橡胶牙合记录材料,牙床平衡器为医用树脂圆盘材料。The method for obtaining jaw position after using a digital gum balancer to program the masticatory muscles according to any one of claims 1 to 9, wherein the impression material is silicone rubber impression material, and the occlusal recording material is selected as silicone rubber The occlusal recording material and the gum balancer are medical resin discs.
PCT/CN2021/075965 2021-02-08 2021-02-08 Method for acquiring jaw position by using digital gum balancer to perform masticatory muscle deprogramming WO2022165830A1 (en)

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Publication number Priority date Publication date Assignee Title
CN107028670A (en) * 2017-04-27 2017-08-11 杭州雅智医疗技术有限公司 Gum balancer and the digitized manufacturing system method that Occlusal pad is made using the balancer
CN110025391A (en) * 2019-04-19 2019-07-19 杭州雅智医疗技术有限公司 The method for going after masseter sequencing to obtain jaw position using digitlization gum balancer
US20190350676A1 (en) * 2018-05-18 2019-11-21 Music Cap Tokyo Corporation Mouthpiece, system for supporting production of mouthpiece, mini-splint, and method for producing mouthpiece
US20200368000A1 (en) * 2019-05-15 2020-11-26 Marco Navarro Method for Ensuring Functional Occlusion for Customized Orthodontic Devices

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107028670A (en) * 2017-04-27 2017-08-11 杭州雅智医疗技术有限公司 Gum balancer and the digitized manufacturing system method that Occlusal pad is made using the balancer
US20190350676A1 (en) * 2018-05-18 2019-11-21 Music Cap Tokyo Corporation Mouthpiece, system for supporting production of mouthpiece, mini-splint, and method for producing mouthpiece
CN110025391A (en) * 2019-04-19 2019-07-19 杭州雅智医疗技术有限公司 The method for going after masseter sequencing to obtain jaw position using digitlization gum balancer
US20200368000A1 (en) * 2019-05-15 2020-11-26 Marco Navarro Method for Ensuring Functional Occlusion for Customized Orthodontic Devices

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