WO2024001628A1 - Dental device, dental device set, and method for manufacturing dental device - Google Patents

Dental device, dental device set, and method for manufacturing dental device Download PDF

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Publication number
WO2024001628A1
WO2024001628A1 PCT/CN2023/096351 CN2023096351W WO2024001628A1 WO 2024001628 A1 WO2024001628 A1 WO 2024001628A1 CN 2023096351 W CN2023096351 W CN 2023096351W WO 2024001628 A1 WO2024001628 A1 WO 2024001628A1
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WO
WIPO (PCT)
Prior art keywords
dental instrument
shell
shield
screen
shaped body
Prior art date
Application number
PCT/CN2023/096351
Other languages
French (fr)
Chinese (zh)
Inventor
庄慧敏
王星星
张超群
姚峻峰
Original Assignee
正雅齿科科技(上海)有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from CN202221674649.8U external-priority patent/CN217828109U/en
Priority claimed from CN202210765516.XA external-priority patent/CN117357284A/en
Application filed by 正雅齿科科技(上海)有限公司 filed Critical 正雅齿科科技(上海)有限公司
Publication of WO2024001628A1 publication Critical patent/WO2024001628A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/10Devices having means to apply outwardly directed force, e.g. expanders
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T17/00Three dimensional [3D] modelling, e.g. data description of 3D objects

Definitions

  • the embodiments of the present application belong to the field of dental medical instruments, and more specifically relate to a dental instrument, a dental instrument set and a manufacturing method of the dental instrument.
  • the technical problem solved by this application is to overcome the shortcomings of the existing technology and provide a dental instrument, a dental instrument set and a manufacturing method of the dental instrument that can correct the function of the labial and buccal muscles or the orbicularis oris muscle.
  • a dental instrument including a first shell-shaped body having a tooth receiving cavity for accommodating multiple teeth of the jaw, and a shield that is detachably fixedly connected to the labial and buccal sides of the first shell-shaped body, and the first shell-shaped body
  • the relative positional relationship between the main body and the shield is such that after the dental instrument is worn on the jaw, the shield is kept at a predetermined position in the mouth, and the predetermined position allows the lip corresponding to the teeth covered by the shield to be maintained.
  • the buccinator muscle is blocked by the shield and does not contact the covering teeth, wherein when the traction force received by the shield in a predetermined direction is greater than or equal to a predetermined force value, the shield moves from the first shell-shaped Detach without damaging the body.
  • a dental instrument set including the dental instrument as described in any one of the above, and further comprising a second shell-shaped body with a tooth receiving cavity for a plurality of teeth in the opposite jaw, the labial side and/or of the second shell-shaped body Or the buccal side is provided with a locking part that is detachable from the second connecting part on the screen.
  • a method of manufacturing a dental instrument including: obtaining a patient's oral cavity data, the oral cavity data including the patient's tooth data, gum data and labial and buccal muscle data; generating a three-dimensional model representing the dental instrument based on the oral cavity data; the three-dimensional The model includes a three-dimensional model of the screen and a three-dimensional model of the first shell-shaped body; based on the correction plan, the three-dimensional model of the first shell-shaped body has a first connection part model generated according to the correction plan, and on the three-dimensional model of the screen There is a second connection part model generated according to the correction plan; a dental instrument including a first shell-shaped body and a shield is produced according to the three-dimensional model.
  • the dental instruments, dental instrument sets and dental instrument manufacturing methods provided by the embodiments of the present application can bring at least one of the following beneficial effects:
  • the dental instrument in this application includes a detachable connection between the first shell-shaped body and the shield.
  • the shield When the shield is connected to the first shell-shaped body and used, the shield can block the labial and buccal muscles from exerting pressure on the teeth and promote tooth growth. , providing sufficient space for dental arch development.
  • the screen when the screen is subjected to external pulling force, it can be easily detached from the first shell-shaped body. The detached screen can pull the screen and can be used to correct the labial and buccal muscles.
  • the shield in this application has a simple structure and is easy to operate. Through a special connection arrangement with the first shell-shaped body, it can not only eliminate the abnormality of the labial and cheek muscles, but also train the labial and cheek muscles to establish a new muscle balance. .
  • the application also includes a dental instrument set.
  • the dental instrument set has a first shell-shaped body and a second shell-shaped body that are respectively worn on the patient's upper and lower jaws, and can be connected to the first shell-shaped body and the second shell-shaped body respectively. Remove the attached screen stop. The relative position of the upper and lower jaws can be locked through the screen, thereby correcting the patient's mouth breathing and tongue thrusting problems.
  • the shield in this application has a simple structure and is easy to manufacture. It can correct a variety of oral problems and is applicable to a wide range of cases. At the same time, there is a detachable structure between the screen and the shell body, which facilitates cleaning and prevents the accumulation of food residues.
  • Figure 1 is a schematic diagram of an embodiment of the dental instrument in the present application.
  • FIG. 2 is a schematic diagram of another embodiment of the dental instrument in the present application.
  • Figure 3 is a schematic diagram of an embodiment of the first shell-shaped body in the dental instrument of the present application.
  • Figure 4 is a schematic diagram of an embodiment of the shield in the dental instrument of the present application.
  • Figure 5 is a partial enlarged view of area A in Figure 3;
  • Figure 6 is a partial enlarged view of area B in Figure 4.
  • Figure 7 is a schematic diagram of another embodiment of the first shell-shaped body in the dental instrument of the present application.
  • Figure 8 is a schematic diagram of an embodiment of the second connection part in the dental instrument of the present application.
  • Figure 9 is a schematic diagram of another embodiment of the second connection part in the dental instrument of the present application.
  • Figure 10 is a schematic diagram of another embodiment of the first shell-shaped body in the dental instrument of the present application.
  • Figure 11 is a schematic diagram of another embodiment of the shield in the dental instrument of the present application.
  • Figure 12 is a schematic view of Figure 11 from another angle
  • Figure 13 is a schematic diagram of another embodiment of the shield in the dental instrument of the present application.
  • Figure 14 is a schematic diagram of another embodiment of the shield in the dental instrument of the present application.
  • Figure 15 is a schematic diagram of another embodiment of the shield in the dental instrument of the present application.
  • Figure 16 is a flow chart of the manufacturing method of the dental instrument in this application.
  • the "posterior tooth area” in this application is defined according to the classification of teeth on pages 36-38 of the second edition of "Introduction to Oral Medicine” published by Peking University Medical Press, including premolars and molars, and is shown in FDI notation as Teeth 4-8, FDI labeling of the anterior region shows teeth 1-3.
  • the anterior tooth area of the first shell-shaped body can be used to accommodate the central incisors and lateral incisors of the teeth.
  • Teeth and canines, the posterior region of the first shell-like body can be used to accommodate the first premolar, second premolar, first molar, second molar and third molar of the tooth.
  • an embodiment of the present application provides a dental instrument 100 , which includes a first shell-like body 1 having a tooth receiving cavity 11 for accommodating multiple teeth of the jaw, and a detachable and fixedly connected first shell body 1 .
  • the shield 2 on the labial and buccal side of the shell-shaped body 1.
  • the first shell-shaped body 1 can be worn on the patient's maxillary dentition or mandibular dentition, and wrap all the teeth on the dentition.
  • the first shell-shaped body 1 has a first connecting portion on the labial side or the labial-buccal side.
  • a second connecting part 22 is detachably connected to the first connecting part 12 on a surface of one side of the shell-shaped body 1 .
  • the predetermined position allows the muscles of the labial and buccal muscles corresponding to the teeth covered by the screen 2 to be blocked by the screen 2 and not in contact with the covered teeth. That is to say, the teeth covered by the screen 2 can remain separated from their corresponding labial and buccal muscles. , ensuring that the labiobuccal muscles do not exert inward pressure on these teeth.
  • connection between the first connection part 12 and the second connection part 22 is a detachable connection and meets the requirement that when the traction force on the screen 2 in a predetermined direction is greater than or equal to a predetermined force value, the screen 2 can Detached from the first shell-shaped body 1 without damage, the patient can then use the separated shield 2 to train the labial and buccal muscles, so that the labial and buccal muscles can establish a balanced state in a new position.
  • the dental instrument 100 of the present application when a force exceeding 2N is applied to the outside of the oral cavity, the first connecting part 12 and the second connecting part 22 will separate from each other.
  • the first shell-like body 1 has at least two first connecting parts 12 , and all the first connecting parts 12 are symmetrically arranged about the tooth center line, such that the distance between the first connecting part 12 and the second connecting part 22 is The traction force (load) is evenly distributed.
  • the first connecting part 12 may be disposed on the outer surface of the tooth receiving cavity 11 corresponding to the incisors and/or premolars, where the outer surface is the labial/buccal surface.
  • the first connecting parts 12 are provided at tooth positions 3-4 corresponding to the tooth receiving cavities 11 ; when the first shell-like body 1 When there are three first connecting parts 12, one of the first connecting parts 12 is disposed at the tooth receiving cavity 11 corresponding to tooth position 1-1, and is axially symmetrical about the tooth midline; in some embodiments, the first connecting part 12
  • the shell-like body 1 has four first connecting parts 12, which are respectively provided on the tooth receiving cavities 11 corresponding to the central incisor and tooth No. 5, because the tooth receiving cavity 11 of the central incisor is the tooth receiving cavity 11 with the largest surface area. , there is enough area to place the first connecting part 12.
  • the tooth receiving cavity 11 corresponding to the No. 5 tooth position is the tooth receiving cavity 11 with the gentlest outer surface, where the angle and orientation design of the first connecting part 12 are more It is simple and does not require too much consideration of the influence of the tooth receiving cavity 11 itself on the design of the first connecting part 12 .
  • the detachable connection structure between the first connection part 12 and the second connection part 22 is a snap-in structure.
  • the first connecting portion 12 is an anchoring opening on the outer surface of the tooth receiving cavity 11 at the corresponding position.
  • the anchor opening structure has an introduction groove 121 and a fixing groove 122;
  • the second connection part 22 is provided on the surface of the screen 2 adjacent to the side of the first shell-shaped body 1, and is protruding toward the direction of the first shell-shaped body 1 , the second connecting portion 22 can be integrally formed with the screen 2 , and in some embodiments can be provided by a surface of the screen 2 adjacent to the first shell-shaped body 1 that protrudes toward the first shell-shaped body 1 .
  • the second connecting part 22 has a guide post 221 corresponding to the introduction groove 121 and an anchoring part 222 corresponding to the fixing groove 122 .
  • the guide post 221 slides along the introduction groove 121 until the anchoring part 222 snaps into the fixing groove 122 .
  • the width of the introduction groove 121 is approximately larger than the size of the guide post 221 so that the guide post 221 can pass through the introduction groove 121 smoothly, and the size of the anchoring portion 222 is larger than the size of the fixing groove 122 so that the second connecting portion 22 After being clicked into the first connecting part 12, it is not easy to fall off from the first connecting part 12.
  • the introduction groove 121 may be an opening structure extending along the vertical direction, and the first connection part 12 and the second connection part 22 are vertically engaged, or the introduction groove 121 may be an opening structure extending at an angle to the vertical direction. There is an angle between the first connecting part 12 and the second connecting part 22 .
  • the above two latching methods can be selected according to the positions of the first connecting part 12 and the second connecting part 22 .
  • connection relationship between the first connection part 12 and the second connection part 22 also needs to meet the requirement that when the traction force on the screen 2 in a predetermined direction is greater than or equal to a predetermined force value, the screen 2 moves from the first connection part 12 to the second connection part 22 .
  • the shell-shaped body 1 is detached without damage.
  • the patient can pull the shield 2 toward the outside of the oral cavity.
  • the anchoring portion 222 elastically deforms from the fixing groove.
  • the second connecting part 22 needs to be made of a material with elastic bending ability that can restore its original shape after extrusion deformation. Medical silicone rubber material can be used.
  • the structure of the screen 2 in this application can also be made of medical silicone rubber material.
  • Silicone rubber has a certain supporting capacity and can effectively block the contact between the labial and buccal muscles and the corresponding dentition, and the screen 2 fits the soft tissue in the patient's mouth. Silicone rubber can provide soft and comfortable use.
  • the first connecting part 12 is a mounting base bonded to the outer surface of the first shell-like body 1 .
  • the mounting base can be a hollow structure, and the outer surface of the mounting base has an anchoring opening structure consistent with the above-mentioned structure, or the mounting base can be a solid structure, and the surface of the mounting base adjacent to the second connecting portion 22 has an anchor opening connected to the second connecting portion 22
  • the shape matches the groove structure, and the second connecting part 22 can be snapped into the groove.
  • the first connecting part 12 is an anchoring opening structure on the outer surface of the tooth receiving cavity 11 or the first connecting part 12 is hollow.
  • the guide column 221 can also be provided with a clamping part 223 to prevent the screen 2 from moving labially or buccal-lingually.
  • the distance h1 between the anchoring part 222 and the clamping part 223 is It is equal to the thickness of the first shell body 1 or the wall thickness of the mounting base.
  • the first connecting part 12 is an anchoring opening structure on the outer surface of the tooth receiving cavity 11 or the first connecting part 12 is hollow.
  • the guide post 221 can be a truncated cone structure with inconsistent widths.
  • the width h2 of the guide post 221 gradually increases from the end adjacent to the tooth receiving cavity 11 to the end far away from the tooth receiving cavity 11.
  • the minimum width of the guide post 221 is smaller than the width of the introduction groove 121
  • the maximum width of the guide post 221 is greater than the width of the introduction groove 121 .
  • the first connecting part 12 may be a protruding structure having a guide post 221 and an anchoring part 222
  • the second connecting part 22 may be a slot structure corresponding to the first connecting part 12.
  • the first connecting part 12 is a convex structure protruding in the distal direction on the outer surface of the tooth receiving cavity 11 .
  • the convex first connecting part 12 is integrally formed with the first shell-shaped body 1 .
  • the second connection part 22 is a groove formed on the side surface of the shield 2 adjacent to the first shell-shaped body 1 and is concave in the distal direction.
  • the proximal end of the groove is a channel structure, and the end of the channel structure is with the first connection part.
  • the anchoring portion 222 of the shield 2 has a consistent shape and is embedded in the groove, so that the second connecting portion 22 on the screen 2 can be detachably and fixedly connected with the first connecting portion 12 along the labial (buccal) and lingual direction.
  • the first connection part 12 and the second connection part 22 are detachably connected by a suction cup.
  • the screen 2 is provided with a second connection part 22 with a horn suction cup structure on a surface adjacent to the first shell body 1.
  • the first connection part 12 may be the outer surface of the tooth receiving cavity 11, and the second connection part 22 is directly adsorbed on the teeth.
  • the outer surface of the receiving cavity 11 or the first connecting portion 12 can be a platform provided on the outer surface of the tooth receiving cavity 11 and slightly raised toward the distal direction.
  • the surface of the platform adjacent to the second connecting portion 22 is provided as a smooth horizontal surface. Provide better adsorption conditions between the first connection part 12 and the second connection part 22 so that the screen 2 will not fall off from the first shell-shaped body 1 without external force.
  • the shield 2 has an arcuate structure consistent with the curved shape of the dental arch.
  • the screen 2 can only block the contact between the teeth in the anterior teeth area and the labialis superioris and labialis minor muscles. Therefore, the screen 2 only needs to cover the anterior teeth in the maxillary and mandibular dentition. All teeth.
  • the screen 2 is in contact with the gums corresponding to all the teeth in the anterior area of the mandibular dentition at the same time.
  • the screen 2 can extend from 1mm-2mm away from the maxillary vestibular sulcus to 1mm-2mm away from the mandibular vestibular sulcus. This avoids irritating the muscles in the vestibular sulcus.
  • the structure of the shield 2 can be selected to block the contact between the upper and lower mandibular dentition and the labiobuccal muscles in the anterior and posterior regions.
  • the labial and buccinator muscles here specifically refer to the upper and lower labial muscles, the upper and lower buccinator muscles on the left and right sides.
  • the width of the screen 2 in the vertical direction gradually decreases from the anterior teeth area to the posterior teeth area.
  • the screen 2 can cover the entire crown part of the teeth in the anterior and posterior areas.
  • the screen 2 In the anterior area, the screen 2 extends from 1mm-2mm away from the maxillary vestibular sulcus to 1mm-2mm away from the mandibular vestibular sulcus, and the screen 2 2.
  • the maximum value of the width H1 in the vertical direction of the anterior teeth is 1.8cm; in the posterior teeth, the screen 2 extends from the gingival margin of the maxillary posterior teeth to the gingival margin of the maxillary posterior teeth.
  • the minimum width H2 of the screen 2 in the vertical direction of the anterior tooth area is 0.8cm.
  • a V-shaped cutout 23 may be provided in the middle of the front teeth area of the screen 2 to serve as a lip frenulum avoidance area.
  • the length in the vertical direction is about 2mm.
  • the surface of the screen 2 adjacent to the labial side is also provided with a traction part 21 needed for training the strength of the perioral muscles.
  • the traction part 21 projects from the labial side of the screen 2 toward the labial side. Stretch settings.
  • an integrated molding structure is adopted, and a high-temperature and high-pressure stamping process can be used to produce the shield 2 with the traction portion 21 using medical silicone rubber as the material.
  • the surface of the shield 2 is also provided with a plurality of ventilation holes 24 arranged in an array to facilitate effective circulation of air between the patient's mouth and the outside after using the dental instrument 100 .
  • the traction portion 21 provided on the surface of the screen 2 adjacent to the lip side is connected to the screen 2 separately.
  • the traction part 21 is threadedly connected to the screen 2
  • the traction part 21 is provided with a screw on a side adjacent to the screen 2
  • the screen 2 is provided with a through screw hole 26 .
  • the shield 2 can be fixed on the first shell-shaped body 1 through the first connecting part 12 and the second connecting part 22, and the shield 2 blocks the labial and buccal muscles from the corresponding dentition. contact to provide sufficient space for the patient's tooth growth and development.
  • the screen 2 When the screen 2 is needed for perioral muscle training, the screen 2 is separated from the first shell-shaped body 1, and then the traction part 21 is connected to the labial side of the screen 2 , the patient uses the traction part 21 to train the perioral muscles, so that the muscles reach a balanced state in a new position.
  • the traction part 21 and the screen 2 can have a snap-on structure, and a ventilation hole 24 structure is added to the front tooth area of the screen 2.
  • the ventilation hole 24 is two holes with a crossbar structure 25 in the middle.
  • one end of the traction part 21 adjacent to the screen 2 can be provided with a structure that snaps into the ventilation hole 24 and the cross bar structure 25, or the cross bar can be wired and then stretched to assist in applying force.
  • the first shell-shaped body 1 in the present application has a dental orthodontic function and can exert movement, turning force and torque on the wrapped teeth. That is, the tooth receiving cavity 11 of the first shell-like body 1 has a geometric structure that allows the teeth it wraps to move from the first position to the second position.
  • the present application also includes a dental instrument set, which includes the dental instrument 100 of any one of the above, and also includes a second shell-shaped body with a tooth receiving cavity 11 for a plurality of teeth in the opposite jaw, the first shell-shaped body 1 and the third
  • the two shell-shaped bodies are respectively worn on the patient's upper and lower jaw dentitions.
  • the labial and/or buccal sides of the second shell-shaped body 2 are also provided with detachable locking portions from the second connecting portion 22 .
  • the second connecting part 22 is connected to the first connecting part 12 and the locking part simultaneously to lock the relative positional relationship between the upper and lower jaws.
  • the dental instrument set in this application is used to correct mouth breathing at night.
  • the screen 2 can lock the upper and lower jaws in an occlusal state, thereby helping the patient change from mouth breathing to nasal breathing.
  • connection part 22 there is a detachable snap-in structure or a suction cup-type connection structure between the second connection part 22 and the locking part.
  • the specific structure between the locking part and the second connecting part 22 is consistent with the connection relationship between the first connecting part 12 and the second connecting part 22. Referring to the above embodiment between the first connecting part 12 and the second connecting part 22, No need to go into details here.
  • FIG. 16 is a schematic flow chart of a manufacturing method of dental instrument 100 in one embodiment of the present application.
  • the patient's oral cavity data is obtained.
  • the oral cavity data includes the patient's tooth data, gum data, and labiobuccal muscle data.
  • the patient's oral cavity data may be obtained by direct measurements of the patient's oral cavity.
  • a silicone mold may be taken of the patient's oral cavity, and then the model may be measured to obtain data on the patient's oral cavity.
  • the patient's oral cavity can be scanned to obtain a three-dimensional digital model, and then the three-dimensional digital model can be measured to obtain data of the patient's oral cavity.
  • the scanning equipment can include an intraoral scanner, a cone beam CT (CBCT), and Spiral CT, etc.
  • the dental data includes tooth shape, dental arch length, and dental arch curvature.
  • the labial and buccinator muscle data include the contours of the upper and lower mandibular vestibular sulcus bottoms, the upper and lower labial muscle contours, and the upper and lower buccinator muscle contours on the left and right sides.
  • a three-dimensional model representing the dental instrument 100 is generated based on the oral cavity data obtained in any of the above methods; including a three-dimensional model of the screen 2 and a three-dimensional model of the first shell-shaped body 1.
  • the three-dimensional model of the first shell-shaped body 1 may be the patient's dental model or a shell-shaped appliance model corresponding to the dental model.
  • the three-dimensional model of the first shell-like body 1 has a first connection part 12 model generated according to the correction plan
  • the three-dimensional model of the screen 2 has a second connection part 22 model generated according to the correction plan.
  • the front end of the three-dimensional model of the screen 2 may also be designed with a traction part 21 model.
  • the front end of the three-dimensional model of the screen 2 also has a ventilation hole 24 that penetrates the screen 2 in the sagittal direction.
  • a dental instrument 100 including a first shell body 1 and a shield 2 is produced according to the three-dimensional model.
  • the dental instrument 100 having the first shell-shaped body 1 and the shield 2 is manufactured using an additive manufacturing method based on the three-dimensional model.
  • Additive manufacturing can also be called 3D printing. It integrates computer-aided design, material processing and molding technology, and is based on digital model files. Special metal materials, non-metal materials and medical biological materials are extruded through software and CNC systems. , sintering, melting, light curing, spraying and other methods to accumulate layer by layer to create manufacturing technology of physical objects.

Abstract

Provided are a dental device (100), a dental device set, and a method for manufacturing the dental device (100). The dental device (100) comprises a first crown-shaped body (1) having a tooth receiving cavity (11) for accommodating a plurality of teeth on the jaw, and a shield (2) detachably fixed to a lip/cheek side of the first crown-shaped body (1). The relative positions of the first crown-shaped body (1) and the shield (2) allow the shield (2) to be kept at a predetermined position in the mouth after the dental device (100) is worn on the jaw. At the predetermined position, the lip and cheek muscles corresponding to teeth covered by the shield (2) are separated by the shield (2) and are not in contact with the covered teeth. When a traction force borne by the shield (2) in a predetermined direction is greater than or equal to a predetermined force value, the shield (2) is detached from the first crown-shaped body (1) without damage. The dental device (100) and the dental device set can be used for ameliorating lip/cheek muscle disorders and treating various oral problems due to bad habits.

Description

牙科器械、牙科器械套组及牙科器械的制造方法Dental instruments, dental instrument sets and dental instrument manufacturing methods
相关申请的交叉引用Cross-references to related applications
本申请基于申请号为“202210765516.X”、申请日为2022年7月1日的中国专利申请,以及,“202221674649.8”、申请日为2022年7月1日的中国专利申请提出,并要求上述中国专利申请的优先权,上述中国专利申请的全部内容在此以引入方式并入本申请。This application is filed based on the Chinese patent application with application number "202210765516. Priority rights of Chinese patent applications, the entire contents of the above-mentioned Chinese patent applications are hereby incorporated into this application by introduction.
技术领域Technical field
本申请实施例属于牙科医疗器械领域,更确切地说涉及一种牙科器械、牙科器械套组及牙科器械的制造方法。The embodiments of the present application belong to the field of dental medical instruments, and more specifically relate to a dental instrument, a dental instrument set and a manufacturing method of the dental instrument.
背景技术Background technique
错颌畸形的发展类似生长发育,是基因控制的细胞增殖和环境因素相互作用的产物。人类经过几千年的生存繁衍,食物越来越精细,对于人类的咀嚼要求大大的减弱了,儿童时期经常因为口周肌肉锻炼的不充足而影响后续的牙齿生长。The development of malocclusion is similar to growth and development and is the product of the interaction of genetically controlled cell proliferation and environmental factors. After thousands of years of survival and reproduction, human food has become more and more refined, and the requirements for chewing have been greatly weakened. In childhood, insufficient perioral muscle exercise often affects subsequent tooth growth.
2岁至5岁,在这个阶段小孩的生长速度最快,而且不正确的咬合关系和乳牙不调也能够有所显示,研究表明,这些早期就出现的问题在之后的几个发育阶段仍然存在,并随着恒牙的萌出会使正畸问题变得更加突出。例如,习惯吮指,长期使用奶嘴,吐舌和口呼吸(统称肌功能习惯不良)是导致颌骨发育不良和牙齿拥挤的主要原因。纠正这些不良习惯,可以避免后续恒牙萌出时进行复杂的正畸治疗。Between the ages of 2 and 5, children grow the fastest during this period, and incorrect bite relationships and misaligned primary teeth can also show up. Research shows that these early problems persist in later developmental stages. , and orthodontic problems will become more prominent as the permanent teeth erupt. For example, thumb-sucking habits, long-term pacifier use, tongue thrusting, and mouth breathing (collectively referred to as poor muscle function habits) are the main causes of jaw dysplasia and dental crowding. Correcting these bad habits can avoid complicated orthodontic treatment when the permanent teeth erupt later.
现有技术中,经常会使用Frankel矫治器或者Balters生物调节器来消除牙槽骨发育过程中脸颊和/或嘴唇的向心压力,有利于舌肌发挥作用。但是上述矫治通常是由树脂和弯制的钢丝制成,体积大在患者口中具有较强的异物感,并且上述矫治器是通过钢丝在口中实现固定,当患者进食或说话时需要将其从口中摘除,现有的矫治器体量过大摘戴不便。In the existing technology, Frankel appliances or Balters biological adjusters are often used to eliminate the centripetal pressure on the cheeks and/or lips during the development of the alveolar bone, which is beneficial to the function of the tongue muscles. However, the above-mentioned braces are usually made of resin and bent steel wires. They are large and have a strong foreign body sensation in the patient's mouth. Moreover, the above-mentioned braces are fixed in the mouth through steel wires. When the patient eats or speaks, they need to be removed from the mouth. Removal, the existing braces are too bulky and inconvenient to remove and wear.
此外,无论是Frankel矫治器、Balters生物调节器还是市面上其他类型的肌激动器,都只能起到隔绝脸颊和/或嘴唇的向牙齿施加的压力,当矫治器摘除后,唇颊肌或口轮匝肌又恢复到原来的位置,无法有效的实现唇颊肌或口轮匝肌在正确的位置建立新的平衡态,实现重塑肌肉的作用。In addition, whether it is a Frankel appliance, a Balters biological adjuster or other types of muscle activators on the market, they can only isolate the pressure exerted on the teeth by the cheeks and/or lips. When the appliance is removed, the labiobuccal muscles or The orbicularis oris muscle has returned to its original position, and it is unable to effectively establish a new balance state for the labiobuccal muscle or orbicularis oris muscle in the correct position to achieve the role of muscle reshaping.
为此,本申请针对上述问题提供了一种解决方案。To this end, this application provides a solution to the above problems.
发明内容Contents of the invention
本申请解决的技术问题是克服现有技术存在的缺陷,提供了一种能够矫治唇颊肌或口轮匝肌功能的牙科器械、牙科器械套组及牙科器械的制造方法。The technical problem solved by this application is to overcome the shortcomings of the existing technology and provide a dental instrument, a dental instrument set and a manufacturing method of the dental instrument that can correct the function of the labial and buccal muscles or the orbicularis oris muscle.
为了实现上述目的,本申请采用的技术方案如下: In order to achieve the above objectives, the technical solutions adopted in this application are as follows:
一种牙科器械,包括具有容纳牙颌多个牙齿的牙齿收纳腔的第一壳状本体和可拆卸的固定连接在所述第一壳状本体唇颊侧的屏挡,所述第一壳状本体与所述屏挡之间的相对位置关系满足使所述牙科器械佩戴于牙颌后所述屏挡在口内保持在预定位置处,所述预定位置使所述屏挡所覆盖牙齿对应的唇颊肌被所述屏挡阻隔而与所述覆盖牙齿不接触,其中,当所述屏挡在预定方向上受到的牵引力大于等于预定的力值时,所述屏挡从所述第一壳状本体上无破坏地脱离。A dental instrument, including a first shell-shaped body having a tooth receiving cavity for accommodating multiple teeth of the jaw, and a shield that is detachably fixedly connected to the labial and buccal sides of the first shell-shaped body, and the first shell-shaped body The relative positional relationship between the main body and the shield is such that after the dental instrument is worn on the jaw, the shield is kept at a predetermined position in the mouth, and the predetermined position allows the lip corresponding to the teeth covered by the shield to be maintained. The buccinator muscle is blocked by the shield and does not contact the covering teeth, wherein when the traction force received by the shield in a predetermined direction is greater than or equal to a predetermined force value, the shield moves from the first shell-shaped Detach without damaging the body.
一种牙科器械套组,包括如上述任意一项所述的牙科器械,还包括具有对颌多个牙齿的牙齿收纳腔的第二壳状本体,所述第二壳状本体的唇侧和/或颊侧面设有与所述屏挡上的第二连接部可拆卸的锁定部。A dental instrument set, including the dental instrument as described in any one of the above, and further comprising a second shell-shaped body with a tooth receiving cavity for a plurality of teeth in the opposite jaw, the labial side and/or of the second shell-shaped body Or the buccal side is provided with a locking part that is detachable from the second connecting part on the screen.
一种牙科器械的制造方法,包括:获得患者的口腔数据,所述口腔数据包括患者的牙齿数据、牙龈数据以及唇颊肌数据;基于所述口腔数据生成表示牙科器械的三维模型;所述三维模型包括屏挡三维模型和第一壳状本体三维模型;基于矫治方案,所述第一壳状本体三维模型上具有根据矫治方案生成的第一连接部模型,以及在所述屏挡三维模型上具有根据矫治方案生成的第二连接部模型;根据所述三维模型制作包括具有第一壳状本体和屏挡的牙科器械。A method of manufacturing a dental instrument, including: obtaining a patient's oral cavity data, the oral cavity data including the patient's tooth data, gum data and labial and buccal muscle data; generating a three-dimensional model representing the dental instrument based on the oral cavity data; the three-dimensional The model includes a three-dimensional model of the screen and a three-dimensional model of the first shell-shaped body; based on the correction plan, the three-dimensional model of the first shell-shaped body has a first connection part model generated according to the correction plan, and on the three-dimensional model of the screen There is a second connection part model generated according to the correction plan; a dental instrument including a first shell-shaped body and a shield is produced according to the three-dimensional model.
通过本申请实施例提供的牙牙科器械、牙科器械套组及牙科器械的制造方法,能够带来以下至少一种有益效果:The dental instruments, dental instrument sets and dental instrument manufacturing methods provided by the embodiments of the present application can bring at least one of the following beneficial effects:
本申请中的牙科器械包括第一壳状本体和屏挡之间为可拆卸连接,当屏挡与第一壳状本体连接使用时,屏挡可以阻隔唇颊肌对牙齿施加压力,给牙齿生长、牙弓发育提供充分的空间。此外,当屏挡受到外界拉力时,很容易就从第一壳状本体上脱离,脱离后的屏挡对其进行牵拉,可用来进行唇颊肌矫治。本申请中的屏挡结构简单,操作方便,通过与第一壳状本体之间特殊的连接设置,使其既能破除唇颊肌的异常,又能对唇颊肌进行训练建立新的肌肉平衡。The dental instrument in this application includes a detachable connection between the first shell-shaped body and the shield. When the shield is connected to the first shell-shaped body and used, the shield can block the labial and buccal muscles from exerting pressure on the teeth and promote tooth growth. , providing sufficient space for dental arch development. In addition, when the screen is subjected to external pulling force, it can be easily detached from the first shell-shaped body. The detached screen can pull the screen and can be used to correct the labial and buccal muscles. The shield in this application has a simple structure and is easy to operate. Through a special connection arrangement with the first shell-shaped body, it can not only eliminate the abnormality of the labial and cheek muscles, but also train the labial and cheek muscles to establish a new muscle balance. .
本申请还包括一种牙科器械套组,牙科器械套组具有分别佩戴于患者上下颌的第一壳状本体和第二壳状本体,以及与第一壳状本体和第二壳状本体分别可拆卸连接的屏挡。通过屏挡可以锁定上下颌的相对位置关系,从而矫正患者口呼吸以及吐舌的问题。The application also includes a dental instrument set. The dental instrument set has a first shell-shaped body and a second shell-shaped body that are respectively worn on the patient's upper and lower jaws, and can be connected to the first shell-shaped body and the second shell-shaped body respectively. Remove the attached screen stop. The relative position of the upper and lower jaws can be locked through the screen, thereby correcting the patient's mouth breathing and tongue thrusting problems.
本申请中的屏挡结构简单,制造方便,同时可以矫正多种口腔问题,适用病例广泛。同时,屏挡与壳状本体之间为可拆卸结构,利于清洗,不易造成食物残渣堆积。The shield in this application has a simple structure and is easy to manufacture. It can correct a variety of oral problems and is applicable to a wide range of cases. At the same time, there is a detachable structure between the screen and the shell body, which facilitates cleaning and prevents the accumulation of food residues.
附图说明 Description of drawings
下面将以明确易懂的方式,结合附图说明优选实施例,对上述特性、技术特征、优点及其实现方式予以进一步说明。The preferred embodiments will be described below in a clear and easy-to-understand manner with reference to the accompanying drawings, and the above-mentioned characteristics, technical features, advantages and implementation methods will be further described.
图1为本申请中牙科器械的一种实施例的示意图;Figure 1 is a schematic diagram of an embodiment of the dental instrument in the present application;
图2为本申请中牙科器械的另一种实施例的示意图;Figure 2 is a schematic diagram of another embodiment of the dental instrument in the present application;
图3为本申请牙科器械中第一壳状本体的一种实施例的示意图;Figure 3 is a schematic diagram of an embodiment of the first shell-shaped body in the dental instrument of the present application;
图4为本申请牙科器械中屏挡的一种实施例的示意图;Figure 4 is a schematic diagram of an embodiment of the shield in the dental instrument of the present application;
图5为图3中A区域的局部放大图;Figure 5 is a partial enlarged view of area A in Figure 3;
图6为图4中B区域的局部放大图;Figure 6 is a partial enlarged view of area B in Figure 4;
图7为本申请牙科器械中第一壳状本体的另一种实施例的示意图;Figure 7 is a schematic diagram of another embodiment of the first shell-shaped body in the dental instrument of the present application;
图8为本申请牙科器械中第二连接部的一种实施例的示意图;Figure 8 is a schematic diagram of an embodiment of the second connection part in the dental instrument of the present application;
图9为本申请牙科器械中第二连接部的另一种实施例的示意图;Figure 9 is a schematic diagram of another embodiment of the second connection part in the dental instrument of the present application;
图10为本申请牙科器械中第一壳状本体的另一种实施例的示意图;Figure 10 is a schematic diagram of another embodiment of the first shell-shaped body in the dental instrument of the present application;
图11为本申请牙科器械中屏挡的另一种实施例的示意图;Figure 11 is a schematic diagram of another embodiment of the shield in the dental instrument of the present application;
图12为图11中另一角度的示意图;Figure 12 is a schematic view of Figure 11 from another angle;
图13为本申请牙科器械中屏挡的另一种实施例的示意图;Figure 13 is a schematic diagram of another embodiment of the shield in the dental instrument of the present application;
图14为本申请牙科器械中屏挡的另一种实施例的示意图;Figure 14 is a schematic diagram of another embodiment of the shield in the dental instrument of the present application;
图15为本申请牙科器械中屏挡的另一种实施例的示意图;Figure 15 is a schematic diagram of another embodiment of the shield in the dental instrument of the present application;
图16为本申请中牙科器械的制造方法流程图。Figure 16 is a flow chart of the manufacturing method of the dental instrument in this application.
具体实施方式Detailed ways
为使本申请实施例的目的、技术方案和优点更加清楚,下面将结合附图对本申请的各实施方式进行详细的阐述。然而,本领域的普通技术人员可以理解,在本申请各实施例中,为了使读者更好地理解本申请而提出了许多技术细节。但是,即使没有这些技术细节和基于以下各实施例的种种变化和修改,也可以实现本申请所要求保护的技术方案。以下各个实施例的划分是为了描述方便,不应对本申请的具体实现方式构成任何限定,各个实施例在不矛盾的前提下可以相互结合相互引用。In order to make the purpose, technical solutions and advantages of the embodiments of the present application clearer, each implementation mode of the present application will be described in detail below with reference to the accompanying drawings. However, those of ordinary skill in the art can understand that in each embodiment of the present application, many technical details are provided to enable readers to better understand the present application. However, even without these technical details and various changes and modifications based on the following embodiments, the technical solution claimed in this application can also be implemented. The division of the following embodiments is for the convenience of description and should not constitute any limitation on the specific implementation of the present application. The various embodiments can be combined with each other and referenced with each other on the premise that there is no contradiction.
本文中描述时使用的“上”、“下”、“左”、“右”等方向性术语均为附图中的方向,并不指代特殊限定。Directional terms such as “up”, “down”, “left” and “right” used in the description in this article refer to the directions in the drawings and do not refer to special limitations.
本申请中的“后牙区”根据北京大学医学出版社出版的《口腔医学导论》第2版第36-38页中对于牙齿的分类进行定义,包括前磨牙以及磨牙,以FDI标记法显示为4-8的牙齿,前牙区FDI标记法显示为1-3的牙齿。第一壳状本体的前牙区可用于容纳牙齿的中切牙、侧切 牙和尖牙,第一壳状本体的后牙区可用于容纳牙齿的第一前磨牙、第二前磨牙、第一磨牙、第二磨牙和第三磨牙。The "posterior tooth area" in this application is defined according to the classification of teeth on pages 36-38 of the second edition of "Introduction to Oral Medicine" published by Peking University Medical Press, including premolars and molars, and is shown in FDI notation as Teeth 4-8, FDI labeling of the anterior region shows teeth 1-3. The anterior tooth area of the first shell-shaped body can be used to accommodate the central incisors and lateral incisors of the teeth. Teeth and canines, the posterior region of the first shell-like body can be used to accommodate the first premolar, second premolar, first molar, second molar and third molar of the tooth.
参见图1至图4所示,本申请实施例提供了一种牙科器械100,包括具有容纳牙颌多个牙齿的牙齿收纳腔11的第一壳状本体1和可拆卸的固定连接在第一壳状本体1唇颊侧的屏挡2。第一壳状本体1可以用来佩戴在患者的上颌牙列上或者下颌牙列上,并包裹牙列上的所有牙齿,第一壳状本体1的唇侧面或唇颊侧面具有第一连接部12,即第一壳状本体1的前牙区的牙齿收纳腔11的外表面,或者前牙区和后牙区的牙齿收纳腔11的外表面具有第一连接部12,屏挡2邻近第一壳状本体1一侧的表面设有与第一连接部12可拆卸连接的第二连接部22。当本申请中的牙科器械100佩戴在患者口腔后,通过第一连接部12与第二连接部22将屏挡2定位至预定位置,即第一壳状本体1与屏挡2之间的相对位置关系满足使牙科器械100佩戴于牙颌后屏挡2在口内保持在预定位置处。预定位置使屏挡2所覆盖牙齿对应的唇颊肌部分的肌肉被屏挡2阻隔而与被覆盖牙齿不接触,也就是说,被屏挡2覆盖的牙齿可以保持与其对应的唇颊肌分开,保证唇颊肌不对这些牙齿施加向内的压力。在一些实施例中,第一连接部12与第二连接部22之间的连接为可拆卸连接且满足当屏挡2在预定方向上受到的牵引力大于等于预定的力值时,屏挡2可从第一壳状本体1上无破坏地脱离,然后患者可以利用分离后的屏挡2进行唇颊肌训练,使得唇颊肌能够在新的位置建立平衡态。本申请的牙科器械100在使用过程中,当受到向口腔外超过2N的力,第一连接部12与第二连接部22就会互相分离。Referring to FIGS. 1 to 4 , an embodiment of the present application provides a dental instrument 100 , which includes a first shell-like body 1 having a tooth receiving cavity 11 for accommodating multiple teeth of the jaw, and a detachable and fixedly connected first shell body 1 . The shield 2 on the labial and buccal side of the shell-shaped body 1. The first shell-shaped body 1 can be worn on the patient's maxillary dentition or mandibular dentition, and wrap all the teeth on the dentition. The first shell-shaped body 1 has a first connecting portion on the labial side or the labial-buccal side. 12, that is, the outer surface of the tooth receiving cavity 11 in the anterior tooth area of the first shell-like body 1, or the outer surface of the tooth receiving cavity 11 in the anterior tooth area and the posterior tooth area has a first connecting portion 12, and the screen 2 is adjacent to the first connecting portion 12. A second connecting part 22 is detachably connected to the first connecting part 12 on a surface of one side of the shell-shaped body 1 . When the dental instrument 100 in this application is worn in the patient's mouth, the shield 2 is positioned to a predetermined position through the first connection part 12 and the second connection part 22 , that is, the relative position between the first shell-shaped body 1 and the shield 2 The positional relationship is such that the dental instrument 100 is worn on the jaw and the screen 2 is kept at a predetermined position in the mouth. The predetermined position allows the muscles of the labial and buccal muscles corresponding to the teeth covered by the screen 2 to be blocked by the screen 2 and not in contact with the covered teeth. That is to say, the teeth covered by the screen 2 can remain separated from their corresponding labial and buccal muscles. , ensuring that the labiobuccal muscles do not exert inward pressure on these teeth. In some embodiments, the connection between the first connection part 12 and the second connection part 22 is a detachable connection and meets the requirement that when the traction force on the screen 2 in a predetermined direction is greater than or equal to a predetermined force value, the screen 2 can Detached from the first shell-shaped body 1 without damage, the patient can then use the separated shield 2 to train the labial and buccal muscles, so that the labial and buccal muscles can establish a balanced state in a new position. During use of the dental instrument 100 of the present application, when a force exceeding 2N is applied to the outside of the oral cavity, the first connecting part 12 and the second connecting part 22 will separate from each other.
在一些实施例中,第一壳状本体1具有至少两个第一连接部12,并且所有第一连接部12关于牙中线对称设置,使得第一连接部12与第二连接部22的之间的牵引力(载荷)均匀分布。第一连接部12可以设置在切牙和/或前磨牙对应的牙齿收纳腔11的外表面,这里的外表面为唇/颊侧的表面。在一些实施例中,当第一壳状本体1具有两个第一连接部12时,第一连接部12设置在3-4号牙位对应牙齿收纳腔11处;当第一壳状本体1具有三个第一连接部12时,其中一个第一连接部12设置在1-1号牙位对应的牙齿收纳腔11处,并且其本身关于牙中线呈轴对称;在一些实施例中第一壳状本体1上具有四个第一连接部12,分别设置于中切牙和5号牙位对应的牙齿收纳腔11上,因为中切牙的牙齿收纳腔11为表面积最大的牙齿收纳腔11,能够有足够的面积放置第一连接部12,此外,5号牙位对应的牙齿收纳腔11为外表面最平缓的牙齿收纳腔11,在此处第一连接部12的角度和朝向设计更加简便,不用过多的考虑牙齿收纳腔11本身对于第一连接部12设计的影响。In some embodiments, the first shell-like body 1 has at least two first connecting parts 12 , and all the first connecting parts 12 are symmetrically arranged about the tooth center line, such that the distance between the first connecting part 12 and the second connecting part 22 is The traction force (load) is evenly distributed. The first connecting part 12 may be disposed on the outer surface of the tooth receiving cavity 11 corresponding to the incisors and/or premolars, where the outer surface is the labial/buccal surface. In some embodiments, when the first shell-like body 1 has two first connecting parts 12 , the first connecting parts 12 are provided at tooth positions 3-4 corresponding to the tooth receiving cavities 11 ; when the first shell-like body 1 When there are three first connecting parts 12, one of the first connecting parts 12 is disposed at the tooth receiving cavity 11 corresponding to tooth position 1-1, and is axially symmetrical about the tooth midline; in some embodiments, the first connecting part 12 The shell-like body 1 has four first connecting parts 12, which are respectively provided on the tooth receiving cavities 11 corresponding to the central incisor and tooth No. 5, because the tooth receiving cavity 11 of the central incisor is the tooth receiving cavity 11 with the largest surface area. , there is enough area to place the first connecting part 12. In addition, the tooth receiving cavity 11 corresponding to the No. 5 tooth position is the tooth receiving cavity 11 with the gentlest outer surface, where the angle and orientation design of the first connecting part 12 are more It is simple and does not require too much consideration of the influence of the tooth receiving cavity 11 itself on the design of the first connecting part 12 .
在一些实施例中,第一连接部12与第二连接部22之间可拆卸的连接结构为卡接结构。具体的参考图5以及图6所示,第一连接部12为对应位置的牙齿收纳腔11外表面的锚固开 口结构,锚固开口结构具有导入槽121和固定槽122;第二连接部22设置在屏挡2邻近第一壳状本体1一侧的表面上,并向第一壳状本体1方向凸起设置,第二连接部22可与屏挡2一体成型,在一些实施例中可以是由屏挡2的邻近第一壳状本体1的表面向第一壳状本体1方向凸起设置。第二连接部22具有与导入槽121对应的导向柱221和与固定槽122对应的锚固部222,导向柱221沿导入槽121滑动至锚固部222卡入固定槽122内。In some embodiments, the detachable connection structure between the first connection part 12 and the second connection part 22 is a snap-in structure. Specifically, as shown in FIG. 5 and FIG. 6 , the first connecting portion 12 is an anchoring opening on the outer surface of the tooth receiving cavity 11 at the corresponding position. The anchor opening structure has an introduction groove 121 and a fixing groove 122; the second connection part 22 is provided on the surface of the screen 2 adjacent to the side of the first shell-shaped body 1, and is protruding toward the direction of the first shell-shaped body 1 , the second connecting portion 22 can be integrally formed with the screen 2 , and in some embodiments can be provided by a surface of the screen 2 adjacent to the first shell-shaped body 1 that protrudes toward the first shell-shaped body 1 . The second connecting part 22 has a guide post 221 corresponding to the introduction groove 121 and an anchoring part 222 corresponding to the fixing groove 122 . The guide post 221 slides along the introduction groove 121 until the anchoring part 222 snaps into the fixing groove 122 .
在一些实施例中,导入槽121的宽度约大于导向柱221的尺寸,使得导向柱221能够顺利通过导入槽121,并且锚固部222的尺寸要大于固定槽122的尺寸,使得第二连接部22卡入第一连接部12后,不容易从第一连接部12上脱落。此外,导入槽121可以为沿垂直方向延伸的开口结构,第一连接部12与第二连接部22之间为垂直卡入,或者导入槽121可以为与垂直方向呈角度延伸的开口结构,第一连接部12与第二连接部22之间为有角度的侧向卡入。上述两种卡入方式,可根据第一连接部12与第二连接部22设置的位置进行选择。In some embodiments, the width of the introduction groove 121 is approximately larger than the size of the guide post 221 so that the guide post 221 can pass through the introduction groove 121 smoothly, and the size of the anchoring portion 222 is larger than the size of the fixing groove 122 so that the second connecting portion 22 After being clicked into the first connecting part 12, it is not easy to fall off from the first connecting part 12. In addition, the introduction groove 121 may be an opening structure extending along the vertical direction, and the first connection part 12 and the second connection part 22 are vertically engaged, or the introduction groove 121 may be an opening structure extending at an angle to the vertical direction. There is an angle between the first connecting part 12 and the second connecting part 22 . The above two latching methods can be selected according to the positions of the first connecting part 12 and the second connecting part 22 .
在一些实施例中,第一连接部12与第二连接部22之间的连接关系还需要满足当屏挡2在预定方向上受到的牵引力大于等于预定的力值时,屏挡2从第一壳状本体1上无破坏地脱离。在一些实施例中,当需要将屏挡2与第一壳状本体1分离时,患者可以向口腔外侧拉动屏挡2,当拉力达到预定的力值,即锚固部222发生弹性形变从固定槽122中脱离出来的力值,第一连接部12与第二连接部22分离。第二连接部22需采用具有弹性弯曲能力的材料,在发生挤压变形后能恢复其原有的形状,可以采用医用硅橡胶材料。In some embodiments, the connection relationship between the first connection part 12 and the second connection part 22 also needs to meet the requirement that when the traction force on the screen 2 in a predetermined direction is greater than or equal to a predetermined force value, the screen 2 moves from the first connection part 12 to the second connection part 22 . The shell-shaped body 1 is detached without damage. In some embodiments, when it is necessary to separate the shield 2 from the first shell body 1 , the patient can pull the shield 2 toward the outside of the oral cavity. When the pulling force reaches a predetermined force value, the anchoring portion 222 elastically deforms from the fixing groove. With a force value of 122, the first connecting part 12 and the second connecting part 22 are separated. The second connecting part 22 needs to be made of a material with elastic bending ability that can restore its original shape after extrusion deformation. Medical silicone rubber material can be used.
本申请中的屏挡2结构也可以采用医用硅橡胶材料,硅橡胶具有一定的支撑能力,能够有效的阻隔唇颊肌与对应牙列接触,并且屏挡2贴合患者口腔内的软组织,使用硅橡胶可以提供柔软舒适的使用效果。The structure of the screen 2 in this application can also be made of medical silicone rubber material. Silicone rubber has a certain supporting capacity and can effectively block the contact between the labial and buccal muscles and the corresponding dentition, and the screen 2 fits the soft tissue in the patient's mouth. Silicone rubber can provide soft and comfortable use.
在一些实施例中,参考图7所示,第一连接部12为粘接在第一壳状本体1外表面的安装底座。安装底座可以为中空结构,并且安装底座的外表面具有与上述结构一致的锚固开口结构,或者安装底座为实体结构,安装底座邻近第二连接部22一侧的表面上具有与第二连接部22形状匹配的凹槽结构,第二连接部22可卡入凹槽内。In some embodiments, as shown in FIG. 7 , the first connecting part 12 is a mounting base bonded to the outer surface of the first shell-like body 1 . The mounting base can be a hollow structure, and the outer surface of the mounting base has an anchoring opening structure consistent with the above-mentioned structure, or the mounting base can be a solid structure, and the surface of the mounting base adjacent to the second connecting portion 22 has an anchor opening connected to the second connecting portion 22 The shape matches the groove structure, and the second connecting part 22 can be snapped into the groove.
在一些实施例中,当第二连接部22为具有导向柱221和锚固部222的凸出结构,第一连接部12为牙齿收纳腔11外表面的锚固开口结构或者第一连接部12为中空结构的安装底座时,参考图8所示,导向柱221上还可以设有防止屏挡2唇舌向或颊舌向移动的卡持部223,锚固部222与卡持部223之间的距离h1等于第一壳状本体1的厚度或者为安装底座的壁厚。In some embodiments, when the second connecting part 22 is a protruding structure with a guide post 221 and an anchoring part 222, the first connecting part 12 is an anchoring opening structure on the outer surface of the tooth receiving cavity 11 or the first connecting part 12 is hollow. When installing the base of the structure, as shown in Figure 8, the guide column 221 can also be provided with a clamping part 223 to prevent the screen 2 from moving labially or buccal-lingually. The distance h1 between the anchoring part 222 and the clamping part 223 is It is equal to the thickness of the first shell body 1 or the wall thickness of the mounting base.
在一些实施例中,当第二连接部22为具有导向柱221和锚固部222的凸出结构,第一连接部12为牙齿收纳腔11外表面的锚固开口结构或者第一连接部12为中空结构的安装底座时,参考图9所示,导向柱221邻近锚固部222的部分穿过固定槽122,导向柱221的另一 部分卡持在固定槽122的外侧,具体导向柱221可以是宽度不一致的圆台结构,具体为导向柱221的宽度h2从邻近牙齿收纳腔11的一端向远离牙齿收纳腔11的的一端逐渐增大,导向柱221最小的宽度小于导入槽121的宽度,导向柱221最大的宽度大于导入槽121的宽度。In some embodiments, when the second connecting part 22 is a protruding structure with a guide post 221 and an anchoring part 222, the first connecting part 12 is an anchoring opening structure on the outer surface of the tooth receiving cavity 11 or the first connecting part 12 is hollow. When installing the base of the structure, as shown in Figure 9, the part of the guide post 221 adjacent to the anchoring part 222 passes through the fixing groove 122, and the other part of the guide post 221 Part of it is clamped on the outside of the fixing groove 122. Specifically, the guide post 221 can be a truncated cone structure with inconsistent widths. Specifically, the width h2 of the guide post 221 gradually increases from the end adjacent to the tooth receiving cavity 11 to the end far away from the tooth receiving cavity 11. , the minimum width of the guide post 221 is smaller than the width of the introduction groove 121 , and the maximum width of the guide post 221 is greater than the width of the introduction groove 121 .
当然,在一些实施例中,第一连接部12可以为具有导向柱221和锚固部222的凸出结构,第二连接部22为与第一连接部12对应的卡槽结构,具体参考图10所示,第一连接部12为牙齿收纳腔11的外表面向远牙方向凸出设置的凸起结构,凸起的第一连接部12与第一壳状本体1一体成型。第二连接部22为屏挡2邻近第一壳状本体1一侧表面向远牙方向凹入形成的凹槽,凹槽的近牙端为通道结构,通道结构的尽头为与第一连接部12的锚固部222形状一致嵌入槽,使得屏挡2上的第二连接部22可以延唇(颊)舌方向与第一连接部12进行可拆卸固定连接。Of course, in some embodiments, the first connecting part 12 may be a protruding structure having a guide post 221 and an anchoring part 222, and the second connecting part 22 may be a slot structure corresponding to the first connecting part 12. Please refer to FIG. 10 for details. As shown in the figure, the first connecting part 12 is a convex structure protruding in the distal direction on the outer surface of the tooth receiving cavity 11 . The convex first connecting part 12 is integrally formed with the first shell-shaped body 1 . The second connection part 22 is a groove formed on the side surface of the shield 2 adjacent to the first shell-shaped body 1 and is concave in the distal direction. The proximal end of the groove is a channel structure, and the end of the channel structure is with the first connection part. The anchoring portion 222 of the shield 2 has a consistent shape and is embedded in the groove, so that the second connecting portion 22 on the screen 2 can be detachably and fixedly connected with the first connecting portion 12 along the labial (buccal) and lingual direction.
在一些实施例中,参考图2和图11所示,第一连接部12与第二连接部22之间为可拆卸的吸盘式连接。屏挡2邻近第一壳状本体1的表面上设有具有喇叭吸盘结构的第二连接部22,第一连接部12可以是牙齿收纳腔11的外表面,第二连接部22直接吸附在牙齿收纳腔11的外表面上,或者第一连接部12可以是设置在牙齿收纳腔11外表面轻微向远牙方向凸起的平台,平台邻近第二连接部22的表面设置为光滑的水平表面,给第一连接部12与第二连接部22之间提供较好的吸附条件,使得屏挡2不会在不受外力的情况下,从第一壳状本体1上脱落。In some embodiments, as shown in FIGS. 2 and 11 , the first connection part 12 and the second connection part 22 are detachably connected by a suction cup. The screen 2 is provided with a second connection part 22 with a horn suction cup structure on a surface adjacent to the first shell body 1. The first connection part 12 may be the outer surface of the tooth receiving cavity 11, and the second connection part 22 is directly adsorbed on the teeth. The outer surface of the receiving cavity 11 or the first connecting portion 12 can be a platform provided on the outer surface of the tooth receiving cavity 11 and slightly raised toward the distal direction. The surface of the platform adjacent to the second connecting portion 22 is provided as a smooth horizontal surface. Provide better adsorption conditions between the first connection part 12 and the second connection part 22 so that the screen 2 will not fall off from the first shell-shaped body 1 without external force.
在一些实施例中,屏挡2的为与牙弓弯曲形状一致的弓形结构。在一些实施例中,参考图1所示,屏挡2可以为只阻隔前牙区的牙齿与上唇肌和小唇肌的接触,因此屏挡2只需要覆盖上下颌牙列的前牙区的所有牙齿。屏挡2同时跟上下颌牙列的前牙区的所有牙齿对应的牙龈接触,屏挡2可以从距离上颌前庭沟1mm-2mm处延伸至距离下颌前庭沟1mm-2mm处。从而避免刺激前庭沟处的肌肉。In some embodiments, the shield 2 has an arcuate structure consistent with the curved shape of the dental arch. In some embodiments, as shown in FIG. 1 , the screen 2 can only block the contact between the teeth in the anterior teeth area and the labialis superioris and labialis minor muscles. Therefore, the screen 2 only needs to cover the anterior teeth in the maxillary and mandibular dentition. All teeth. The screen 2 is in contact with the gums corresponding to all the teeth in the anterior area of the mandibular dentition at the same time. The screen 2 can extend from 1mm-2mm away from the maxillary vestibular sulcus to 1mm-2mm away from the mandibular vestibular sulcus. This avoids irritating the muscles in the vestibular sulcus.
在一些实施例中,参考图2所示,屏挡2结构可以选择为阻隔前牙区以及后牙区上下颌牙列与唇颊肌的接触。这里的唇颊肌具体指上唇肌、下唇肌、左右两侧的上颊肌和下颊肌。在这种实施例下,参考图12所示,屏挡2在垂直方向(图中X轴方向)上的宽度从前牙区到后牙区逐渐减小。并且屏挡2能够覆盖前牙区以及后牙区牙齿的全部牙冠部分,在前牙区屏挡2从距离上颌前庭沟1mm-2mm处延伸至距离下颌前庭沟1mm-2mm处,并且屏挡2在前牙区垂直方向上的宽度H1最大值为1.8cm;在后牙区屏挡2从上颌后牙区牙齿的龈缘端延伸至上颌后牙区牙齿的龈缘端。并且屏挡2在前牙区垂直方向上的宽度H2最小值为0.8cm。In some embodiments, as shown in FIG. 2 , the structure of the shield 2 can be selected to block the contact between the upper and lower mandibular dentition and the labiobuccal muscles in the anterior and posterior regions. The labial and buccinator muscles here specifically refer to the upper and lower labial muscles, the upper and lower buccinator muscles on the left and right sides. In this embodiment, as shown in FIG. 12 , the width of the screen 2 in the vertical direction (X-axis direction in the figure) gradually decreases from the anterior teeth area to the posterior teeth area. And the screen 2 can cover the entire crown part of the teeth in the anterior and posterior areas. In the anterior area, the screen 2 extends from 1mm-2mm away from the maxillary vestibular sulcus to 1mm-2mm away from the mandibular vestibular sulcus, and the screen 2 2. The maximum value of the width H1 in the vertical direction of the anterior teeth is 1.8cm; in the posterior teeth, the screen 2 extends from the gingival margin of the maxillary posterior teeth to the gingival margin of the maxillary posterior teeth. And the minimum width H2 of the screen 2 in the vertical direction of the anterior tooth area is 0.8cm.
在一些实施例中,参考图13所示,屏挡2的前牙区中间位置还可以设有v字形切口23,为唇系带避让区域。在垂直方向的上的长度约2mm。 In some embodiments, as shown in FIG. 13 , a V-shaped cutout 23 may be provided in the middle of the front teeth area of the screen 2 to serve as a lip frenulum avoidance area. The length in the vertical direction is about 2mm.
在一些实施例中,参考图4所示,屏挡2邻近唇侧的表面还设有用来训练口周肌力量时需要的牵引部21,牵引部21由屏挡2的唇侧面向唇侧凸伸设置。在一些实施例中采用一体成型结构,可以使用高温高压冲压成型工艺使用医用硅橡胶为材料制作具有牵引部21的屏挡2。In some embodiments, as shown in FIG. 4 , the surface of the screen 2 adjacent to the labial side is also provided with a traction part 21 needed for training the strength of the perioral muscles. The traction part 21 projects from the labial side of the screen 2 toward the labial side. Stretch settings. In some embodiments, an integrated molding structure is adopted, and a high-temperature and high-pressure stamping process can be used to produce the shield 2 with the traction portion 21 using medical silicone rubber as the material.
在一些实施例中,参考图14所示,屏挡2表面还设有若干个贯穿的通气孔24,陈列排布,便于患者在使用牙科器械100后,口内与外界的空气能够有效进行流通。In some embodiments, as shown in FIG. 14 , the surface of the shield 2 is also provided with a plurality of ventilation holes 24 arranged in an array to facilitate effective circulation of air between the patient's mouth and the outside after using the dental instrument 100 .
在一些实施例中,参考图15所示,屏挡2邻近唇侧的表面设有的牵引部21与屏挡2为分体连接。在一些实施例中,牵引部21与屏挡2之间为螺纹连接,牵引部21邻近屏挡2的一侧设有螺杆,屏挡2上设有贯穿的螺孔26。本申请中的牙科器械100在使用过程中,屏挡2可以通过第一连接部12与第二连接部22固定在第一壳状本体1上,屏挡2进行阻隔唇颊肌与对应牙列的接触,给患者牙齿生长发育提供充足的空间,当需要屏挡2进行口周肌训练时,将屏挡2与第一壳状本体1分开,然后将牵引部21连接在屏挡2唇侧面,患者利用牵引部21进行训练口周肌,使得肌肉在新的位置达到平衡态。In some embodiments, as shown in FIG. 15 , the traction portion 21 provided on the surface of the screen 2 adjacent to the lip side is connected to the screen 2 separately. In some embodiments, the traction part 21 is threadedly connected to the screen 2 , the traction part 21 is provided with a screw on a side adjacent to the screen 2 , and the screen 2 is provided with a through screw hole 26 . During use of the dental instrument 100 in this application, the shield 2 can be fixed on the first shell-shaped body 1 through the first connecting part 12 and the second connecting part 22, and the shield 2 blocks the labial and buccal muscles from the corresponding dentition. contact to provide sufficient space for the patient's tooth growth and development. When the screen 2 is needed for perioral muscle training, the screen 2 is separated from the first shell-shaped body 1, and then the traction part 21 is connected to the labial side of the screen 2 , the patient uses the traction part 21 to train the perioral muscles, so that the muscles reach a balanced state in a new position.
此外,参考图13所示,牵引部21与屏挡2之前可以为卡接结构,在屏挡2的前牙区增加通气孔24结构,通气孔24为两孔,中间有个横杆结构25,牵引部21邻近屏挡2的一端可以设置与通气孔24与横杆结构25卡接的结构,或者横杆可以接线,然后拉伸,辅助加力。In addition, as shown in Figure 13, the traction part 21 and the screen 2 can have a snap-on structure, and a ventilation hole 24 structure is added to the front tooth area of the screen 2. The ventilation hole 24 is two holes with a crossbar structure 25 in the middle. , one end of the traction part 21 adjacent to the screen 2 can be provided with a structure that snaps into the ventilation hole 24 and the cross bar structure 25, or the cross bar can be wired and then stretched to assist in applying force.
在一些实施例中,本申请中的第一壳状本体1具有牙齿矫治作用,可以被包裹的牙齿施加移动、转向的力和力矩。即第一壳状本体1的牙齿收纳腔11具有使其包裹的牙齿从第一位置移动到第二位置的几何结构。In some embodiments, the first shell-shaped body 1 in the present application has a dental orthodontic function and can exert movement, turning force and torque on the wrapped teeth. That is, the tooth receiving cavity 11 of the first shell-like body 1 has a geometric structure that allows the teeth it wraps to move from the first position to the second position.
本申请还包括一种牙科器械套组,包括如上述任意一项的牙科器械100,还包括具有对颌多个牙齿的牙齿收纳腔11的第二壳状本体,第一壳状本体1和第二壳状本体分别佩戴与患者的上下颌牙列,第二壳状本体2的唇侧和/或颊侧面也设有与第二连接部22可拆卸的锁定部。第二连接部22与第一连接部12和锁定部同时连接锁定上下颌相对位置关系。一般情况下,本申请中的牙科器械套组,用来夜间矫治口呼吸使用,屏挡2可以锁定上下颌处于咬合状态,从而帮助患者从口呼吸过度到鼻呼吸。The present application also includes a dental instrument set, which includes the dental instrument 100 of any one of the above, and also includes a second shell-shaped body with a tooth receiving cavity 11 for a plurality of teeth in the opposite jaw, the first shell-shaped body 1 and the third The two shell-shaped bodies are respectively worn on the patient's upper and lower jaw dentitions. The labial and/or buccal sides of the second shell-shaped body 2 are also provided with detachable locking portions from the second connecting portion 22 . The second connecting part 22 is connected to the first connecting part 12 and the locking part simultaneously to lock the relative positional relationship between the upper and lower jaws. Generally, the dental instrument set in this application is used to correct mouth breathing at night. The screen 2 can lock the upper and lower jaws in an occlusal state, thereby helping the patient change from mouth breathing to nasal breathing.
在一些实施例中,第二连接部22与锁定部之间为可拆卸的卡接结构或者吸盘式连接结构。锁定部与第二连接部22之间的具体结构与第一连接部12和第二连接部22之间的连接关系一致,参考上述第一连接部12与第二连接部22之间实施例,在此不过多赘述。In some embodiments, there is a detachable snap-in structure or a suction cup-type connection structure between the second connection part 22 and the locking part. The specific structure between the locking part and the second connecting part 22 is consistent with the connection relationship between the first connecting part 12 and the second connecting part 22. Referring to the above embodiment between the first connecting part 12 and the second connecting part 22, No need to go into details here.
请参考图16所示,为本申请一个实施例中牙科器械100的制造方法的示意性流程图, Please refer to FIG. 16 , which is a schematic flow chart of a manufacturing method of dental instrument 100 in one embodiment of the present application.
在步骤400中,获得患者的口腔数据,口腔数据包括患者的牙齿数据、牙龈数据以及唇颊肌数据。在一个实施例中,患者的口腔数据可以通过对患者口腔的直接测量而获得。在又一实施例中,可以对患者口腔进行硅胶取模,然后对该模型进行测量以获得患者口腔的数据。在又一实施例中,可以对患者口腔进行扫描,获得三维数字模型,然后对该三维数字模型进行测量以获得患者口腔的数据,扫描设备可以包括口内扫描仪、锥形束CT(CBCT)以及螺旋CT等。In step 400, the patient's oral cavity data is obtained. The oral cavity data includes the patient's tooth data, gum data, and labiobuccal muscle data. In one embodiment, the patient's oral cavity data may be obtained by direct measurements of the patient's oral cavity. In yet another embodiment, a silicone mold may be taken of the patient's oral cavity, and then the model may be measured to obtain data on the patient's oral cavity. In yet another embodiment, the patient's oral cavity can be scanned to obtain a three-dimensional digital model, and then the three-dimensional digital model can be measured to obtain data of the patient's oral cavity. The scanning equipment can include an intraoral scanner, a cone beam CT (CBCT), and Spiral CT, etc.
在一些实施例中,牙齿数据包括牙齿形状、牙弓长度以及牙弓弯曲形态。唇颊肌数据包括上、下颌前庭沟底轮廓、上、下唇肌轮廓、左右两侧的上、下颊肌轮廓。In some embodiments, the dental data includes tooth shape, dental arch length, and dental arch curvature. The labial and buccinator muscle data include the contours of the upper and lower mandibular vestibular sulcus bottoms, the upper and lower labial muscle contours, and the upper and lower buccinator muscle contours on the left and right sides.
在步骤500中,基于上述方式中任意一种获取的口腔数据生成表示牙科器械100的三维模型;包括屏挡2三维模型和第一壳状本体1三维模型。第一壳状本体1的三维模型可以是患者的牙列模型或者是牙列模型对应的壳状矫治器模型。In step 500, a three-dimensional model representing the dental instrument 100 is generated based on the oral cavity data obtained in any of the above methods; including a three-dimensional model of the screen 2 and a three-dimensional model of the first shell-shaped body 1. The three-dimensional model of the first shell-shaped body 1 may be the patient's dental model or a shell-shaped appliance model corresponding to the dental model.
基于矫治方案,在第一壳状本体1三维模型上具有根据矫治方案生成的第一连接部12模型,以及在屏挡2三维模型上具有根据矫治方案生成的第二连接部22模型。Based on the correction plan, the three-dimensional model of the first shell-like body 1 has a first connection part 12 model generated according to the correction plan, and the three-dimensional model of the screen 2 has a second connection part 22 model generated according to the correction plan.
在一些实施例中,还可以根据矫治方案需求,屏挡2三维模型的前端还设计牵引部21模型。以及屏挡2三维模型的前端还具有沿矢状方向贯穿所述屏挡2的通气孔24。In some embodiments, according to the needs of the correction plan, the front end of the three-dimensional model of the screen 2 may also be designed with a traction part 21 model. The front end of the three-dimensional model of the screen 2 also has a ventilation hole 24 that penetrates the screen 2 in the sagittal direction.
在步骤600中,根据三维模型制作包括具有第一壳状本体1和屏挡2的牙科器械100。在一种实施例中,根据三维模型采用增材制造的方法制作具有第一壳状本体1和屏挡2的牙科器械100。In step 600, a dental instrument 100 including a first shell body 1 and a shield 2 is produced according to the three-dimensional model. In one embodiment, the dental instrument 100 having the first shell-shaped body 1 and the shield 2 is manufactured using an additive manufacturing method based on the three-dimensional model.
增材制造还可称为3D打印,融合计算机辅助设计、材料加工与成型技术、以数字模型文件为基础,通过软件与数控系统将专用的金属材料、非金属材料以及医用生物材料,按照挤压、烧结、熔融、光固化、喷射等方式逐层堆积,制造出实体物品的制造技术。Additive manufacturing can also be called 3D printing. It integrates computer-aided design, material processing and molding technology, and is based on digital model files. Special metal materials, non-metal materials and medical biological materials are extruded through software and CNC systems. , sintering, melting, light curing, spraying and other methods to accumulate layer by layer to create manufacturing technology of physical objects.
应当说明的是,以上实施例在不产生矛盾的情况下,均可根据需要进行自由组合以形成不同的新的实施方案,这种组合后形成的实施方案均为本申请的保护范围,为了节省申请文本的篇幅,在此不再赘述。It should be noted that, without conflict, the above embodiments can be freely combined as needed to form different new embodiments. The embodiments formed after such combinations are all within the protection scope of the present application. In order to save The length of the application text will not be detailed here.
以上所述仅是本申请的优选实施例,应当指出,对于本技术领域的普通技术人员来说,在不脱离本申请原理的前提下,还可以作出若干改进和润饰,这些改进和润饰也应视为本申请的保护范围。The above are only preferred embodiments of the present application. It should be pointed out that for those of ordinary skill in the art, several improvements and modifications can be made without departing from the principles of the present application, and these improvements and modifications should also be made. regarded as the protection scope of this application.
同样地,以上所述仅为本申请的具体实施例,但本申请的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本申请揭露的技术范围内,可轻易想到变化或替换,都应涵盖在本申请的保护范围之内。因此,本申请的保护范围应以所述权利要求的保护范围为准。 Similarly, the above are only specific embodiments of the present application, but the protection scope of the present application is not limited thereto. Any person familiar with the technical field can easily think of changes or substitutions within the technical scope disclosed in the present application. , should all be covered by the protection scope of this application. Therefore, the protection scope of this application should be subject to the protection scope of the claims.

Claims (33)

  1. 一种牙科器械,包括具有容纳牙颌多个牙齿的牙齿收纳腔的第一壳状本体和可拆卸的固定连接在所述第一壳状本体唇颊侧的屏挡,所述第一壳状本体与所述屏挡之间的相对位置关系满足使所述牙科器械佩戴于牙颌后所述屏挡在口内保持在预定位置处,所述预定位置使所述屏挡所覆盖牙齿对应的唇颊肌被所述屏挡阻隔而与所述覆盖牙齿不接触,其中,当所述屏挡在预定方向上受到的牵引力大于等于预定的力值时,所述屏挡从所述第一壳状本体上无破坏地脱离。A dental instrument, including a first shell-shaped body having a tooth receiving cavity for accommodating multiple teeth of the jaw, and a shield that is detachably fixedly connected to the labial and buccal sides of the first shell-shaped body, and the first shell-shaped body The relative positional relationship between the main body and the shield is such that after the dental instrument is worn on the jaw, the shield is kept at a predetermined position in the mouth, and the predetermined position allows the lip corresponding to the teeth covered by the shield to be maintained. The buccinator muscle is blocked by the shield and does not contact the covering teeth, wherein when the traction force received by the shield in a predetermined direction is greater than or equal to a predetermined force value, the shield moves from the first shell-shaped Detach without damaging the body.
  2. 如权利要求1所述的牙科器械,其中,所述第一壳状本体的唇侧或唇颊侧面具有第一连接部,所述屏挡邻近所述第一壳状本体一侧的表面设有与所述第一连接部可拆卸连接的第二连接部。The dental instrument according to claim 1, wherein the labial side or the labial and buccal side of the first shell-shaped body has a first connecting portion, and the barrier is provided with a surface adjacent to one side of the first shell-shaped body. a second connecting part detachably connected to the first connecting part.
  3. 如权利要求1或2所述的牙科器械,其中,所述第一壳状本体具有至少两个所述第一连接部,并且所述第一连接部关于牙中线对称设置。The dental instrument according to claim 1 or 2, wherein the first shell-like body has at least two first connecting parts, and the first connecting parts are arranged symmetrically about the tooth midline.
  4. 如权利要求1-3中任一项所述的牙科器械,其中,所述第一连接部设置在切牙和/或前磨牙对应的所述牙齿收纳腔的表面。The dental instrument according to any one of claims 1 to 3, wherein the first connecting portion is provided on the surface of the tooth receiving cavity corresponding to the incisors and/or premolars.
  5. 如权利要求2-4中任一项所述的牙科器械,其中,所述第一连接部与所述第二连接部之间可拆卸的连接结构为卡接结构。The dental instrument according to any one of claims 2 to 4, wherein the detachable connection structure between the first connection part and the second connection part is a snap-in structure.
  6. 如权利要求2-5中任一项所述的牙科器械,其中,所述第一连接部为对应的所述牙齿收纳腔表面的锚固开口结构,所述锚固开口结构具有导入槽和固定槽;所述第二连接部在所述屏挡邻近所述第一壳状本体的一侧的表面上向所述第一壳状本体方向凸起设置;所述第二连接部具有与所述导入槽对应的导向柱和与所述固定槽对应的锚固部,所述导向柱沿所述导入槽滑动至所述锚固部卡入所述固定槽内。The dental instrument according to any one of claims 2 to 5, wherein the first connection part is an anchoring opening structure corresponding to the surface of the tooth receiving cavity, and the anchoring opening structure has an introduction groove and a fixing groove; The second connecting portion is protrudingly disposed on a surface of the shield adjacent to the side of the first shell-like body toward the first shell-like body; the second connecting portion has a connection with the introduction groove. Corresponding guide posts and anchoring portions corresponding to the fixing grooves, the guide posts slide along the introduction grooves until the anchoring portions snap into the fixing grooves.
  7. 如权利要求2-5中任一项所述的牙科器械,其中,所述第一连接部为粘接在所述第一壳状本体表面的安装底座,所述安装底座具有固定所述第二连接部的滑槽;所述滑槽具有导入槽和固定槽,所述第二连接部在所述屏挡邻近所述第一壳状本体的一侧的表面上向所述第一壳状本体方向凸起设置;所述第二连接部具有与所述导入槽对应的导向柱和与所述固定槽对应的锚固部,所述导向柱沿所述导入槽滑动至所述锚固部卡入所述固定槽内。The dental instrument according to any one of claims 2 to 5, wherein the first connecting part is a mounting base bonded to the surface of the first shell-shaped body, and the mounting base has the function of fixing the second The chute of the connecting part; the chute has an introduction groove and a fixing groove, and the second connecting part faces the first shell-like body on the surface of the side of the screen adjacent to the first shell-like body. The second connecting part has a guide post corresponding to the introduction groove and an anchoring part corresponding to the fixing groove. The guide post slides along the introduction groove until the anchoring part snaps into place. in the fixed groove.
  8. 如权利要求6或7所述的牙科器械,其中,所述导向柱具有防止所述屏挡唇舌向或颊舌向移动的卡持部,所述锚固部与所述卡持部之间的距离等于所述第一壳状本体的厚度。The dental instrument according to claim 6 or 7, wherein the guide post has a retaining portion that prevents the barrier from moving labially, lingually or buccal-lingually, and the distance between the anchoring portion and the retaining portion Equal to the thickness of the first shell-like body.
  9. 如权利要求6或7所述的牙科器械,其中,所述导向柱邻近所述锚固部的部分穿过所述固定槽,所述导向柱的另一部分卡持在所述固定槽的外侧。The dental instrument according to claim 6 or 7, wherein a portion of the guide post adjacent to the anchoring portion passes through the fixing groove, and another portion of the guide post is held outside the fixing groove.
  10. 如权利要求2-5中任一项所述的牙科器械,其中,所述第一连接部为对应的所述牙齿收纳腔邻近所述屏挡一侧表面设置的凸起;所述第二连接部为所述屏挡邻近所述第一壳状本体一侧表面上与所述凸起对应的凹槽。 The dental instrument according to any one of claims 2 to 5, wherein the first connection part is a protrusion disposed adjacent to one side surface of the shield in the corresponding tooth receiving cavity; the second connection part The portion is a groove corresponding to the protrusion on a side surface of the first shell-shaped body adjacent to the screen.
  11. 如权利要求2-4中任一项所述的牙科器械,其中,所述第一连接部与所述第二连接部之间为可拆卸的吸盘式连接。The dental instrument according to any one of claims 2 to 4, wherein the first connection part and the second connection part are detachably connected by a suction cup.
  12. 如权利要求11所述的牙科器械,其中,所述第一连接部为牙齿收纳腔的表面,或者所述第一连接部邻近所述第二连接部的表面为光滑的水平表面。The dental instrument according to claim 11, wherein the first connecting part is a surface of the tooth receiving cavity, or a surface of the first connecting part adjacent to the second connecting part is a smooth horizontal surface.
  13. 如权利要求1-12中任一项所述的牙科器械,其中,所述屏挡为与牙弓弯曲形状一致的弓形结构。The dental instrument according to any one of claims 1 to 12, wherein the shield is an arcuate structure consistent with the curvature of the dental arch.
  14. 如权利要求1-13中任一项所述的牙科器械,其中,佩戴时,所述屏挡与唇颊肌直接接触,所述唇颊肌包括上唇肌和下唇肌。The dental instrument according to any one of claims 1 to 13, wherein when worn, the shield is in direct contact with the labial and buccinator muscles, and the labial and buccinator muscles include the upper and lower labial muscles.
  15. 如权利要求14所述的牙科器械,其中,佩戴时,所述唇颊肌还包括左右两侧的上颊肌和下颊肌。The dental instrument according to claim 14, wherein when worn, the buccinator labialis muscles further include upper buccinator muscles and lower buccinator muscles on the left and right sides.
  16. 如权利要求1-15中任一项所述的牙科器械,其中,所述屏挡在垂直方向上的宽度从前牙区到后牙区逐渐减小。The dental instrument according to any one of claims 1 to 15, wherein the width of the screen in the vertical direction gradually decreases from the anterior region to the posterior region.
  17. 如权利要求1-16中任一项所述的牙科器械,其中,所述屏挡覆盖后牙区牙齿的全部牙冠。The dental appliance of any one of claims 1-16, wherein the screen covers the entire crown of the posterior tooth.
  18. 如权利要求1-17中任一项所述的牙科器械,其中,所述屏挡从距离上颌前庭沟1mm-2mm处延伸至距离下颌前庭沟1mm-2mm处。The dental instrument according to any one of claims 1 to 17, wherein the screen extends from 1 mm to 2 mm from the maxillary vestibular sulcus to 1 mm to 2 mm from the mandibular vestibular sulcus.
  19. 如权利要求1-18中任一项所述的牙科器械,其中,所述屏挡在垂直方向上前牙区的宽度不大于1.8cm和/或后牙区的的宽度不小于0.8cm。The dental instrument according to any one of claims 1 to 18, wherein the width of the screen in the vertical direction in the anterior teeth area is not greater than 1.8 cm and/or the width in the posterior teeth area is not less than 0.8 cm.
  20. 如权利要求1-19中任一项所述的牙科器械,其中,所述屏挡邻近唇侧的表面设有牵引部,所述牵引部由所述屏挡的唇侧面向唇侧凸伸设置。The dental instrument according to any one of claims 1 to 19, wherein the surface of the shield adjacent to the labial side is provided with a traction portion, and the traction portion is protruding from the labial side of the shield toward the labial side. .
  21. 如权利要求20所述的牙科器械,其中,所述牵引部与所述屏挡之间为可拆卸连接。The dental instrument according to claim 20, wherein the traction part and the shield are detachably connected.
  22. 如权利要求20或21所述的牙科器械,其中,所述牵引部与所述屏挡之间为螺纹连接,所述牵引部邻近所述屏挡的一侧设有螺杆,所述屏挡上设有贯穿的螺孔。The dental instrument according to claim 20 or 21, wherein the traction part and the screen are threadedly connected, a screw is provided on a side of the traction part adjacent to the screen, and the screen is provided with a threaded rod. Equipped with through-holes.
  23. 如权利要求1-22中任一项所述的牙科器械,其中,所述屏挡的表面设有贯通所述屏挡的通气孔。The dental instrument according to any one of claims 1-22, wherein the surface of the shield is provided with a ventilation hole penetrating the shield.
  24. 如权利要求1-23中任一项所述的牙科器械,其中,所述牙齿收纳腔具有使其包裹的牙齿从第一位置移动到第二位置的几何结构。The dental appliance of any one of claims 1-23, wherein the tooth-receiving cavity has a geometry that allows the tooth it encloses to move from a first position to a second position.
  25. 一种牙科器械套组,包括如权利要求1-24中任意一项所述的牙科器械,还包括具有对颌多个牙齿的牙齿收纳腔的第二壳状本体,所述第二壳状本体的唇侧和/或颊侧面设有与所述屏挡上的第二连接部可拆卸的锁定部。A dental instrument set, including the dental instrument according to any one of claims 1-24, and further comprising a second shell-like body having a tooth receiving cavity for a plurality of teeth in the opposite jaw, the second shell-like body The labial side and/or the buccal side are provided with a locking portion that is detachable from the second connecting portion on the screen.
  26. 如权利要求25所述的牙科器械套组,其中,所述第二连接部与第一壳状本体上的第一连接部分别与锁定部同时连接锁定上下颌相对位置关系。 The dental instrument set according to claim 25, wherein the second connecting part and the first connecting part on the first shell-shaped body are connected to the locking part simultaneously to lock the relative positional relationship between the upper and lower jaws.
  27. 如权利要求26所述的牙科器械套组,其中,所述第二连接部与所述锁定部为可拆卸的卡接结构或者吸盘式连接结构。The dental instrument set according to claim 26, wherein the second connection part and the locking part are detachable snap-in structures or suction cup-type connection structures.
  28. 一种牙科器械的制造方法,包括:A method of manufacturing dental instruments, including:
    获得患者的口腔数据,所述口腔数据包括患者的牙齿数据、牙龈数据以及唇颊肌数据;Obtain the patient's oral data, which includes the patient's tooth data, gum data, and labiobuccal muscle data;
    基于所述口腔数据生成表示牙科器械的三维模型;所述三维模型包括屏挡三维模型和第一壳状本体三维模型;基于矫治方案,所述第一壳状本体三维模型上具有根据矫治方案生成的第一连接部模型,以及在所述屏挡三维模型上具有根据矫治方案生成的第二连接部模型;A three-dimensional model representing the dental instrument is generated based on the oral data; the three-dimensional model includes a three-dimensional model of the screen and a three-dimensional model of the first shell-shaped body; based on the correction plan, the three-dimensional model of the first shell-shaped body has a structure generated according to the correction plan. The first connection part model, and the second connection part model generated according to the correction plan on the three-dimensional screen model;
    根据所述三维模型制作包括具有第一壳状本体和屏挡的牙科器械。A dental instrument including a first shell-shaped body and a shield is produced according to the three-dimensional model.
  29. 如权利要求28所述的制造方法,其中,所述牙齿数据包括牙齿形状、牙弓长度以及牙弓弯曲形态。The manufacturing method of claim 28, wherein the tooth data includes tooth shape, dental arch length, and dental arch curvature.
  30. 如权利要求28或29所述的制造方法,其中,所述唇颊肌数据包括上、下颌前庭沟底轮廓、上、下唇肌轮廓、左右两侧的上、下颊肌轮廓。The manufacturing method according to claim 28 or 29, wherein the buccinator labial muscle data includes upper and lower mandibular vestibular sulcus bottom contours, upper and lower labial muscle contours, and upper and lower buccinator muscle contours on the left and right sides.
  31. 如权利要求28所述的制造方法,其中,所述屏挡三维模型的前端还具有牵引部模型。The manufacturing method according to claim 28, wherein the front end of the three-dimensional screen model further has a traction part model.
  32. 如权利要求28所述的制造方法,其中,所述屏挡三维模型的前端还具有沿矢状方向贯穿所述屏挡的通气孔。The manufacturing method according to claim 28, wherein the front end of the three-dimensional screen model further has a ventilation hole penetrating the screen along the sagittal direction.
  33. 如权利要求28所述的制造方法,其中,根据所述三维模型采用增材制造的方法制作具有第一壳状本体和屏挡的牙科器械。 The manufacturing method according to claim 28, wherein the dental instrument having the first shell-shaped body and the shield is manufactured using an additive manufacturing method according to the three-dimensional model.
PCT/CN2023/096351 2022-07-01 2023-05-25 Dental device, dental device set, and method for manufacturing dental device WO2024001628A1 (en)

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CN202221674649.8U CN217828109U (en) 2022-07-01 2022-07-01 Dental instrument and dental instrument set
CN202210765516.XA CN117357284A (en) 2022-07-01 2022-07-01 Dental instrument, dental instrument set, and method for manufacturing dental instrument
CN202221674649.8 2022-07-01

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