WO2024082505A1 - Mechanically retained full-mouth suction denture apparatus - Google Patents

Mechanically retained full-mouth suction denture apparatus Download PDF

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Publication number
WO2024082505A1
WO2024082505A1 PCT/CN2023/078044 CN2023078044W WO2024082505A1 WO 2024082505 A1 WO2024082505 A1 WO 2024082505A1 CN 2023078044 W CN2023078044 W CN 2023078044W WO 2024082505 A1 WO2024082505 A1 WO 2024082505A1
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mandibular
maxillary
segment
teeth
base
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PCT/CN2023/078044
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French (fr)
Chinese (zh)
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张文龙
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张文龙
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Publication of WO2024082505A1 publication Critical patent/WO2024082505A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/0001In-situ dentures; Trial or temporary dentures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/0027Base for holding castings

Definitions

  • the invention relates to the technical field of full-mouth dentures, and in particular to a full-mouth adsorption denture device with mechanical retention.
  • the retention concept of traditional full-mouth suction dentures in the prior art is mainly to create a negative pressure cavity by sealing the functional edge of the base and use the alveolar ridge as the main pressure-bearing surface to achieve its retention function. Since the edge of the base extends relatively large and is tightly sealed, the tissues around the alveolar ridge are subjected to certain compression and restriction. The patient has a strong sense of foreign body and restraint in the mouth, stiff face, dry lips and tongue, unclear pronunciation, etc.
  • the artificial teeth and dentition structure of traditional full-mouth suction dentures are bionic, and the dentures are always consuming retention force in the process of implementing their functions, causing the denture base to warp or concealedly warp on the alveolar ridge tissue surface, which often causes contusion and ulceration of the alveolar ridge tissue surface.
  • Most patients do not like to wear them all day, which causes their alveolar ridge to atrophy, the base to loosen, and their functions to be limited, and they cannot provide patients with comprehensive functional needs.
  • the present invention proposes a device for strengthening the retention of a denture base by utilizing the principle of a lever.
  • the device improves the artificial abutment teeth and dentition of traditional full-mouth adsorption dentures and performs a set jaw relationship reconstruction to limit the functional movement of the mandibular dentition within a predetermined range of the maxillary dentition, so that the denture can automatically strengthen its retention when there is occlusion.
  • the jaw is in the rest position, the denture base is naturally attached to the patient's mouth through the underlying surface mucosa and saliva, without a sense of foreign matter or restraint, and is comfortable to wear. It is suitable for patients to wear all day long, has good practicality, can effectively solve the problems existing in the background technology, and the device is low-cost.
  • a mechanically retained full-mouth suction denture device comprises a maxillary base, a mandibular base, and maxillary dentition and mandibular dentition respectively fixed thereto.
  • the dentition may be arranged by a single abutment, or may be an arrangement of multiple abutments combined and segmented and preformed, or a whole-segment preformed dentition.
  • this embodiment will take a three-segment preformed dentition, i.e., anterior incisor segment and left and right molar segments, as an example to explain the basic principle, main features and advantages of the present invention.
  • the mechanically retained full-mouth adsorption denture device comprises a maxillary dentition and a mandibular dentition.
  • the maxillary dentition is provided with an upper anterior incisor and upper left and right molar segments, the upper anterior incisor is composed of upper incisors and upper left and right canines, and the lingual crown surfaces of the upper incisor abutment teeth all form a predetermined incisional surface.
  • the mandibular dentition is provided with a lower incisor and lower left and right molar segments.
  • the lower incisor dentition is composed of lower incisors and lower left and right canines.
  • the incisal edge of the mandibular anterior incisor acts on the inner side of the maxillary anterior incisor ridge line, and its reverse force acts on the inner side of the mandibular anterior incisor ridge line, and forms an upper incisional angle greater than 90 degrees and a lower incisional angle less than or equal to 90 degrees with the upper and lower alveolar ridge lines as fulcrums.
  • the jaw surfaces of the upper and lower molar segments are low-pointed or flat-topped jaw surfaces, and the flat-topped jaw surfaces can be arranged in a Y-shaped V-groove.
  • the transverse jaw surfaces of the upper and lower molar segments form a predetermined angle with the jaw plane.
  • the lingual crown surface of the artificial tooth in the maxillary anterior cutting segment is a cutting path surface with a predetermined slope.
  • the artificial tooth maxillary surface of the molar segment is provided with a low-pointed or flat-topped overflow groove, and the transverse maxillary surfaces of the upper and lower molars form a predetermined upward inclination angle with the jaw plane.
  • the occlusal point of the cutting edge of the mandibular anterior cutting segment is located inside the ridge line of the maxillary anterior cutting segment, and the reverse force is located inside the ridge line of the mandibular anterior cutting segment and forms an upper occlusal angle greater than 90 degrees and a lower occlusal angle less than or equal to 90 degrees with the jaw plane.
  • the mechanically retained full-mouth suction denture device has upper and lower jaw dentitions that form a semi-enclosed locking structure on the occlusal surface, and the cutting edge of the lower cutting segment is spaced a predetermined distance from the cutting edge of the upper cutting segment on the jaw plane.
  • the mechanically retained full-mouth adsorption denture device proposed by the present invention has a smaller edge extension of the upper and lower jaw bases and a larger effective base surface (all pressure-bearing surfaces except the labial vestibule are the base surface), which fundamentally solves the problem of the fragility of the pressure-bearing base surface of the traditional full-mouth adsorption denture, strengthens the functionality of the denture, and the base edge does not emphasize the functional edge closure, without the sense of negative pressure restraint.
  • the base edge extension is smaller, which can more effectively avoid various frenulums, glands, periodontal muscles and sensitive areas, and improves the comfort.
  • the upper and lower jaw bases When the jaw is in the resting position, the upper and lower jaw bases can be easily and naturally attached to the patient's mouth through the mucosa and saliva, without a sense of foreign body and restraint, and in the process of the denture implementing the function, as the tension between the base and the base surface changes, the denture base will automatically strengthen the retention force or automatically weaken the retention force. It has strong functionality and high comfort, and is suitable for patients to wear for a long time around the clock.
  • the alveolar ridge and the base arch cavity can be in a long-term match and the biological stress generated by the implementation of the function will make the denture base retention more and more stable, so that the patient can enjoy it for life without loosening.
  • This device successfully avoids the vicious cycle of traditional full-mouth suction dentures, which are tight and uncomfortable in the early stage, and loose and cannot effectively perform their functions in the later stage. It is an innovation of traditional full-mouth suction dentures.
  • FIG1 is a schematic diagram of the longitudinal section of the front cutting segment in an embodiment of the present invention.
  • FIG2 is a schematic diagram of a mandibular base according to an embodiment of the present invention (the shaded portion is the base surface);
  • FIG 3 is a schematic diagram of a maxillary base in an embodiment of the present invention (the shaded portion is the base surface);
  • FIG4 is a schematic diagram of the retention principle of the anterior cutting segment according to an embodiment of the present invention.
  • Fig. 5 is a schematic diagram of the molar maxillofacial surface
  • Fig. 6 is a schematic diagram of the top surface of a molar
  • A is the mandibular incision point
  • A' is the maxillary ridge line fulcrum
  • B is the lower incision recoil force point
  • B' is the mandibular ridge line fulcrum
  • C is the jaw plane
  • angle 1 is the upper incision angle
  • angle 2 is the lower incision angle
  • 1 is the maxillary base
  • 2 is the mandibular base
  • 6 is the maxillary ridge line
  • 7 is the mandibular ridge line
  • 5 is the maxillary base base surface
  • 4 is the mandibular base base surface
  • the one-way arrow is the base retention force
  • the two-way arrow is the occlusal force.
  • H is the upper molar
  • D is the lower molar
  • a1a2 is the lower incisal edge line
  • b1b2 is the lower incisal edge recoil force line
  • c1c2 is the upper incisal edge line.
  • the present invention proposes a technical solution for strengthening the retention force of dentures by utilizing the occlusal force.
  • the mechanically-retained full-mouth adsorption denture device comprises a maxillary base 1 and a mandibular base 2, and maxillary dentition and mandibular dentition respectively fixed thereto, wherein the maxillary dentition comprises an upper anterior incisor segment and an upper molar segment, and the mandibular dentition comprises a lower anterior incisor segment and a lower molar segment.
  • the artificial teeth and the base work together as a whole, and when the artificial teeth are arranged, the predetermined space occupied by the upper and lower artificial teeth is utilized to decompose the bite force AB through the maxillary base 1 and the mandibular base 2 and respectively with the upper dental ridge line 6 and the lower dental ridge line 7 as fulcrums, and decompose the bite force AB to the maxillary body base surface 5 and the mandibular body base surface 6, so that the maxillary base 1 generates an upward forward retention force, and the mandibular base 2 generates a downward forward retention force, thereby strengthening the retention force of the base between the upper and lower jaws, and completing its main function of mechanical retention.
  • the molar segment can generate retention force in the central jaw area through the occlusal static force and the leverage effect of its occlusal inclined surface.
  • the leverage effect of the occlusal inclined surface of the molar segment can also be used to transfer the maxillary retention force to the mandible, so that the retention force of the upper and lower mandibular bases can be balanced to achieve a certain degree of retention stability of the full denture.
  • the present invention does not emphasize the closure of the functional edge of the base, and does not rely on the retention of the negative pressure cavity. Therefore, the denture base in the present invention is of moderate size and can better avoid various frenulums and sensitive areas.
  • the jaw stop without the feeling of negative pressure restraint makes the wearer feel comfortable.
  • the device increases the effective base surface of the upper and lower jaw bases, fundamentally solving the problem of the fragility of the base surface of traditional full-mouth adsorption dentures and enhancing the functionality of the dentures. It is suitable for patients to wear it for a long time around the clock.
  • the base retention will become tighter and tighter, and the functionality will become stronger and stronger, which is suitable for patients to enjoy for a lifetime.
  • the present invention effectively solves the problems of discomfort during use of dentures in the prior art, easy atrophy of the alveolar ridge, easy contusion and ulceration of the alveolar ridge tissue surface, fatigue after wearing, dry mouth, stiff face, unclear pronunciation, easy loosening and dislocation in the later stage, and poor functionality. It successfully avoids the vicious cycle of traditional full-mouth suction dentures that are tight and uncomfortable in the early stage and loose and unable to perform functions in the later stage.

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
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  • Veterinary Medicine (AREA)
  • Dental Prosthetics (AREA)

Abstract

A mechanically retained full-mouth suction denture apparatus, comprising a maxillary base support (1), a mandibular base support (2), and maxillary teeth and mandibular teeth, which are fixedly connected to the maxillary base support (1) and the mandibular base support (2), respectively. An occlusion force point formed by teeth of the mandibular anterior segment is located at an inner side of a maxillary anterior segment tooth crest line (6), and the reverse acting force of the occlusion point acts on the inner side of the mandibular anterior segment tooth crest line (7), forming an upper fitting angle ∠1 greater than 90 degrees on the jaw plane (C) and forming a lower fitting angle ∠2 less than or equal to 90 degrees, and the upper cutting segment edge being a predetermined interval from the lower cutting segment edge, so that functional motion of the mandibular teeth is limited within a preset range of the maxillary teeth, and a mouth and jaw system capable of converting occlusion force into a base support retention force is achieved using a lever effect of the teeth, the base supports and the alveolar crest.

Description

一种机械力学固位的全口吸附义齿装置A mechanically retained full-mouth suction denture device 技术领域Technical Field
本发明涉及全口义齿技术领域,具体是指一种机械力学固位的全口吸附义齿装置。The invention relates to the technical field of full-mouth dentures, and in particular to a full-mouth adsorption denture device with mechanical retention.
背景技术Background technique
现有技术中关于传统全口吸附性义齿的固位理念,主要是以基托功能缘封闭产生负压腔并以牙槽嵴为主要承压面来实现其固位功能的。由于其基托边缘延伸较大且密封严实,使牙槽嵴周边组织受到一定压迫和限制,患者口中异物感、束缚感极强,面部僵硬,唇舌发干,发音不清等。且传统全口吸附性义齿的人工牙及牙列结构仿生,义齿在实施功能的过程中始终在消耗着固位力,致使义齿基托在牙槽嵴组织面上产生翘动或隐性翘动,常常会使牙槽嵴组织面受到挫伤溃疡,大多患者不喜欢全天候佩戴,造成其牙槽嵴萎缩、基托松动、使其功能受限,无法为患者提供全面的功能需求。The retention concept of traditional full-mouth suction dentures in the prior art is mainly to create a negative pressure cavity by sealing the functional edge of the base and use the alveolar ridge as the main pressure-bearing surface to achieve its retention function. Since the edge of the base extends relatively large and is tightly sealed, the tissues around the alveolar ridge are subjected to certain compression and restriction. The patient has a strong sense of foreign body and restraint in the mouth, stiff face, dry lips and tongue, unclear pronunciation, etc. In addition, the artificial teeth and dentition structure of traditional full-mouth suction dentures are bionic, and the dentures are always consuming retention force in the process of implementing their functions, causing the denture base to warp or concealedly warp on the alveolar ridge tissue surface, which often causes contusion and ulceration of the alveolar ridge tissue surface. Most patients do not like to wear them all day, which causes their alveolar ridge to atrophy, the base to loosen, and their functions to be limited, and they cannot provide patients with comprehensive functional needs.
因此,一种能够解决上述问题的装置有待提出。Therefore, a device capable of solving the above problems needs to be proposed.
发明内容Summary of the invention
针对背景技术中存在的问题,本发明提出了一种利用杠杆原理使义齿基托加强固位的装置,本装置通过对传统全口吸附性义齿的人工基牙及其牙列的改进并进行设定性颌关系重建,把下颌牙列的功能性运动限制在上颌牙列的预定区间内,使义齿在有咬合时能自动加强固位,而在息止颌位时,义齿基托通过基础面黏膜及唾液很自然的附着在患者口中,无异物感和束缚感,佩戴舒适,适合患者全天候佩戴,具有很好的实用性,可有效解决背景技术中存在的问题,且该装置造价低廉。In response to the problems existing in the background technology, the present invention proposes a device for strengthening the retention of a denture base by utilizing the principle of a lever. The device improves the artificial abutment teeth and dentition of traditional full-mouth adsorption dentures and performs a set jaw relationship reconstruction to limit the functional movement of the mandibular dentition within a predetermined range of the maxillary dentition, so that the denture can automatically strengthen its retention when there is occlusion. When the jaw is in the rest position, the denture base is naturally attached to the patient's mouth through the underlying surface mucosa and saliva, without a sense of foreign matter or restraint, and is comfortable to wear. It is suitable for patients to wear all day long, has good practicality, can effectively solve the problems existing in the background technology, and the device is low-cost.
本发明提供的技术方案为:The technical solution provided by the present invention is:
一种机械力学固位的全口吸附义齿装置,包括上颌基托、下颌基托以及分别固接在二者上的上颌牙列和下颌牙列。其中所述牙列可以是由单个基牙排列,也可以是多个基牙组合分段并予成后的排列或整段式予成牙列。为便于对本发明进行说明和描述,本实施例中将以三段式予成牙列,即前切段和左右磨牙段为例,对本发明的基本原理和主要特征及优点进行阐述。A mechanically retained full-mouth suction denture device comprises a maxillary base, a mandibular base, and maxillary dentition and mandibular dentition respectively fixed thereto. The dentition may be arranged by a single abutment, or may be an arrangement of multiple abutments combined and segmented and preformed, or a whole-segment preformed dentition. For the convenience of illustrating and describing the present invention, this embodiment will take a three-segment preformed dentition, i.e., anterior incisor segment and left and right molar segments, as an example to explain the basic principle, main features and advantages of the present invention.
所述一种机械力学固位的全口吸附义齿装置,包括上颌牙列和下颌牙列。所述上颌牙列装有上前切段和上左右磨牙段,所述上前切段是由上切牙及上左右尖牙组成,所述上切段基牙的舌侧冠面均成预定切道面。所述下颌牙列装有下切段和下左右磨牙段。所述下切段牙列是由下切牙及下左右尖牙组成。所述下颌前切段切缘作用于上颌前切段牙嵴线内侧,其反向力作用于下颌前切段牙嵴线内侧,并以上下牙槽嵴线为支点形成了大于90度的上切合角以及形成了小于等于90度的下切合角。所述其上下颌磨牙段颌面为低尖或平顶颌面,所述平顶颌面可成Y型V沟设置。所述上下磨牙段横颌面与颌平面成预定夹角。The mechanically retained full-mouth adsorption denture device comprises a maxillary dentition and a mandibular dentition. The maxillary dentition is provided with an upper anterior incisor and upper left and right molar segments, the upper anterior incisor is composed of upper incisors and upper left and right canines, and the lingual crown surfaces of the upper incisor abutment teeth all form a predetermined incisional surface. The mandibular dentition is provided with a lower incisor and lower left and right molar segments. The lower incisor dentition is composed of lower incisors and lower left and right canines. The incisal edge of the mandibular anterior incisor acts on the inner side of the maxillary anterior incisor ridge line, and its reverse force acts on the inner side of the mandibular anterior incisor ridge line, and forms an upper incisional angle greater than 90 degrees and a lower incisional angle less than or equal to 90 degrees with the upper and lower alveolar ridge lines as fulcrums. The jaw surfaces of the upper and lower molar segments are low-pointed or flat-topped jaw surfaces, and the flat-topped jaw surfaces can be arranged in a Y-shaped V-groove. The transverse jaw surfaces of the upper and lower molar segments form a predetermined angle with the jaw plane.
优选的,所述其上颌前切段人工牙的舌侧冠面为预定斜度的切道面。Preferably, the lingual crown surface of the artificial tooth in the maxillary anterior cutting segment is a cutting path surface with a predetermined slope.
优选的,所述其磨牙段人工牙颌面为低尖或平顶排溢沟设置,且上下磨牙横颌面与颌平面向中成预定上倾角。Preferably, the artificial tooth maxillary surface of the molar segment is provided with a low-pointed or flat-topped overflow groove, and the transverse maxillary surfaces of the upper and lower molars form a predetermined upward inclination angle with the jaw plane.
优选的,所述下颌前切段切缘的咬合点位于上颌前切段牙嵴线内侧,且反向作用力位于下颌前切段牙嵴线内侧且与颌平面形成了大于90度的上切合角以及形成了小于等于90度的下切合角。Preferably, the occlusal point of the cutting edge of the mandibular anterior cutting segment is located inside the ridge line of the maxillary anterior cutting segment, and the reverse force is located inside the ridge line of the mandibular anterior cutting segment and forms an upper occlusal angle greater than 90 degrees and a lower occlusal angle less than or equal to 90 degrees with the jaw plane.
优选地,所述一种机械力学固位的全口吸附义齿装置其上下颌牙列在咬合面上成上外下内的半包围锁扣式结构,且下切段切缘距上切段切缘在颌平面上成预定间隙。Preferably, the mechanically retained full-mouth suction denture device has upper and lower jaw dentitions that form a semi-enclosed locking structure on the occlusal surface, and the cutting edge of the lower cutting segment is spaced a predetermined distance from the cutting edge of the upper cutting segment on the jaw plane.
有益效果Beneficial Effects
本发明与现有技术相比的优点在于:The advantages of the present invention compared with the prior art are:
本发明提出的机械力学固位的全口吸附义齿装置,其上下颌基托的边缘延伸较小且有效基础面较大(除唇侧前庭外的所有承压面均为基础面)从根本上解决了传统全口吸附性义齿承压基础面脆弱的问题,加强了义齿的功能性,基托边缘不强调功能缘封闭,无负压束缚感。基托边缘延伸较小,能更有效避让各系带、腺体、牙周肌群及敏感区,提高了舒适度。在息止颌位时上下颌基托可以通过黏膜及唾液轻松自然的附着在患者口内,无异物感和束缚感,且在义齿实施功能的过程中随着基托与基础面之间的张力变化会使义齿基托自动加强固位力或自动减弱固位力,功能性强,舒适度高,适宜患者全天候长久佩戴。尤其是牙槽嵴与基托弓腔能够长久吻合并实施功能所产生的生物应力作用,会使得义齿基托固位越来越稳定,因此患者可终生享用不会松脱。该装置成功避免了传统全口吸附性义齿前期固位紧不舒服,后期松动不能有效实施功能的恶性循环困局,是传统全口吸附性义齿的一次创新。The mechanically retained full-mouth adsorption denture device proposed by the present invention has a smaller edge extension of the upper and lower jaw bases and a larger effective base surface (all pressure-bearing surfaces except the labial vestibule are the base surface), which fundamentally solves the problem of the fragility of the pressure-bearing base surface of the traditional full-mouth adsorption denture, strengthens the functionality of the denture, and the base edge does not emphasize the functional edge closure, without the sense of negative pressure restraint. The base edge extension is smaller, which can more effectively avoid various frenulums, glands, periodontal muscles and sensitive areas, and improves the comfort. When the jaw is in the resting position, the upper and lower jaw bases can be easily and naturally attached to the patient's mouth through the mucosa and saliva, without a sense of foreign body and restraint, and in the process of the denture implementing the function, as the tension between the base and the base surface changes, the denture base will automatically strengthen the retention force or automatically weaken the retention force. It has strong functionality and high comfort, and is suitable for patients to wear for a long time around the clock. In particular, the alveolar ridge and the base arch cavity can be in a long-term match and the biological stress generated by the implementation of the function will make the denture base retention more and more stable, so that the patient can enjoy it for life without loosening. This device successfully avoids the vicious cycle of traditional full-mouth suction dentures, which are tight and uncomfortable in the early stage, and loose and cannot effectively perform their functions in the later stage. It is an innovation of traditional full-mouth suction dentures.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1是本发明实施例中的前切段纵剖面固位示意图;FIG1 is a schematic diagram of the longitudinal section of the front cutting segment in an embodiment of the present invention;
图2是本发明实施例中下颌基托示意图(阴影部分为基托基础面);FIG2 is a schematic diagram of a mandibular base according to an embodiment of the present invention (the shaded portion is the base surface);
图3是本发明实施例中上颌基托示意图(阴影部分为基托基础面);3 is a schematic diagram of a maxillary base in an embodiment of the present invention (the shaded portion is the base surface);
图4是本发明实施例中前切段固位原理图;FIG4 is a schematic diagram of the retention principle of the anterior cutting segment according to an embodiment of the present invention;
图5是磨牙颌面示意图;Fig. 5 is a schematic diagram of the molar maxillofacial surface;
图6是磨牙顶面示意图;Fig. 6 is a schematic diagram of the top surface of a molar;
图中:A为下颌切点,A'为上颌牙嵴线支点,B为下切反冲力点,B'为下颌牙嵴线支点,C为颌平面,角1为上切合角,角2为下切合角,1为上颌基托,2为下颌基托,6为上颌牙嵴线,7为下颌牙嵴线,5为上颌基托基础面,4为下颌基托基础面,单向箭头为基托固位力,双向箭为咬合力。H为上磨牙,D为下磨牙,a1a2为下切缘线,b1b2为下切缘反冲力线,c1c2为上切缘线。In the figure: A is the mandibular incision point, A' is the maxillary ridge line fulcrum, B is the lower incision recoil force point, B' is the mandibular ridge line fulcrum, C is the jaw plane, angle 1 is the upper incision angle, angle 2 is the lower incision angle, 1 is the maxillary base, 2 is the mandibular base, 6 is the maxillary ridge line, 7 is the mandibular ridge line, 5 is the maxillary base base surface, 4 is the mandibular base base surface, the one-way arrow is the base retention force, and the two-way arrow is the occlusal force. H is the upper molar, D is the lower molar, a1a2 is the lower incisal edge line, b1b2 is the lower incisal edge recoil force line, and c1c2 is the upper incisal edge line.
具体实施方式Detailed ways
下面结合附图1-6对本发明做进一步的详细说明。The present invention is further described in detail below with reference to Figures 1-6.
本发明提出了一种利用咬合力来加强义齿固位力的技术方案。The present invention proposes a technical solution for strengthening the retention force of dentures by utilizing the occlusal force.
所述一种机械力学固位的全口吸附义齿装置,包括上颌基托1和下颌基托2以及分别固接在二者上的上颌牙列和下颌牙列,所述上颌牙列包括上前切段和上磨牙段,所述下颌牙列包括下前切段和下磨牙段。在该技术的实施过程中,所述人工牙与基托做为一个整体共同发挥作用,在排人工牙时,利用上下颌人工牙预定的空间占位,把咬合力AB通过上颌基托1和下颌基托2并分别以上牙嵴线6和下牙嵴线7为支点,将咬合力AB分解到上颌体基础面5和下颌体基础面6,使得上颌基托1产生一个上前向的固位力,使得下颌基托2产生一个下前向的固位力,从而使基托在上下颌之间的固位力得到加强,完成其机械力固位主体功能。所述其磨牙段,正中颌区间内可通过咬合静力及其咬合斜面的杠杆作用产生固位力,在咀嚼远端,还可利用磨牙段咬合斜面的杠杆作用把上颌部分固位力转移至下颌,使上下颌基托的固位力得到一定的均衡,以实现全口义齿固位稳定。The mechanically-retained full-mouth adsorption denture device comprises a maxillary base 1 and a mandibular base 2, and maxillary dentition and mandibular dentition respectively fixed thereto, wherein the maxillary dentition comprises an upper anterior incisor segment and an upper molar segment, and the mandibular dentition comprises a lower anterior incisor segment and a lower molar segment. In the implementation of the technology, the artificial teeth and the base work together as a whole, and when the artificial teeth are arranged, the predetermined space occupied by the upper and lower artificial teeth is utilized to decompose the bite force AB through the maxillary base 1 and the mandibular base 2 and respectively with the upper dental ridge line 6 and the lower dental ridge line 7 as fulcrums, and decompose the bite force AB to the maxillary body base surface 5 and the mandibular body base surface 6, so that the maxillary base 1 generates an upward forward retention force, and the mandibular base 2 generates a downward forward retention force, thereby strengthening the retention force of the base between the upper and lower jaws, and completing its main function of mechanical retention. The molar segment can generate retention force in the central jaw area through the occlusal static force and the leverage effect of its occlusal inclined surface. At the distal end of chewing, the leverage effect of the occlusal inclined surface of the molar segment can also be used to transfer the maxillary retention force to the mandible, so that the retention force of the upper and lower mandibular bases can be balanced to achieve a certain degree of retention stability of the full denture.
本发明在现有技术的基础上,不强调基托功能缘封闭,不依赖负压腔固位,因此本发明中义齿基托大小适中,能够更好的避让各系带及敏感区。加以无负压束缚感的颌息止位,使得佩戴者感到舒适。且该装置加大了上下颌基托的有效基础面,从根本上解决了传统全口吸附性义齿基础面脆弱的问题,增强了义齿的功能性。适合患者全天候长久佩戴。同时由于牙槽嵴能与基托弓腔长久吻合所产生的生物应力作用,会使基托固位越来越紧密,功能性也会越来越强,适合患者终身享用。Based on the prior art, the present invention does not emphasize the closure of the functional edge of the base, and does not rely on the retention of the negative pressure cavity. Therefore, the denture base in the present invention is of moderate size and can better avoid various frenulums and sensitive areas. The jaw stop without the feeling of negative pressure restraint makes the wearer feel comfortable. In addition, the device increases the effective base surface of the upper and lower jaw bases, fundamentally solving the problem of the fragility of the base surface of traditional full-mouth adsorption dentures and enhancing the functionality of the dentures. It is suitable for patients to wear it for a long time around the clock. At the same time, due to the biological stress generated by the long-term anastomosis of the alveolar ridge with the base arch cavity, the base retention will become tighter and tighter, and the functionality will become stronger and stronger, which is suitable for patients to enjoy for a lifetime.
本发明有效解决了现有技术中义齿在使用过程中存在的不适感及牙槽嵴容易萎缩,牙槽嵴组织面易挫伤溃疡,佩戴疲劳,口干舌燥,面部僵硬发音不清以及后期容易松动脱位功能性不强等问题。成功避免了传统全口吸附性义齿前期固位紧不舒服后期松动不能实施功能的恶性循环困局。The present invention effectively solves the problems of discomfort during use of dentures in the prior art, easy atrophy of the alveolar ridge, easy contusion and ulceration of the alveolar ridge tissue surface, fatigue after wearing, dry mouth, stiff face, unclear pronunciation, easy loosening and dislocation in the later stage, and poor functionality. It successfully avoids the vicious cycle of traditional full-mouth suction dentures that are tight and uncomfortable in the early stage and loose and unable to perform functions in the later stage.
以上对本发明的基本原理和主要特征及其实施方式进行了描述,这种描述没有限制性,附图中所示的也只是本发明的实施方式之一,实际的结构并不局限于此。总而言之如果本领域的普通技术人员受其启示,在不脱离本发明创造宗旨的情况下,不经创造性的设计出与该技术方案相似的结构方式及实施例,均应属于本发明的保护范围。The above describes the basic principle and main features of the present invention and its implementation methods, which are not restrictive. The drawings show only one implementation method of the present invention, and the actual structure is not limited thereto. In short, if ordinary technicians in the field are inspired by it, without departing from the purpose of the invention, they can design a structure and embodiment similar to the technical solution without creativity, which should fall within the protection scope of the present invention.

Claims (4)

  1. 一种机械力学固位的全口吸附义齿装置,其特征在于,所述由下切段切缘所形成的咬合力点位于上颌前切段牙嵴线内侧,其反向作用力位于下颌前切段牙嵴线内侧,且在颌平面上形成了小于等于90度的下切合角,以及形成了大于90度的上切合角。A mechanically retained full-mouth suction denture device, characterized in that the occlusal force point formed by the cutting edge of the lower cutting segment is located on the inner side of the maxillary anterior cutting segment ridge line, and its reverse force is located on the inner side of the mandibular anterior cutting segment ridge line, and a lower incisional angle less than or equal to 90 degrees and an upper incisional angle greater than 90 degrees are formed on the jaw plane.
  2. 根据权利要求1所述的一种机械力固位的全口吸附义齿装置,其特征在于,所述上颌前切段人工牙舌侧冠面均成预定切道面。According to the mechanically retained full-mouth suction denture device of claim 1, it is characterized in that the lingual crown surfaces of the artificial teeth of the maxillary anterior cutting segment all form predetermined cutting surface.
  3. 根据权利要求1所述的一种机械力学固位的全口吸附义齿装置,其特征在于,所述上磨牙段和下磨牙段的颌面均为低尖或平顶排溢沟设置,且磨牙横合面与颌平面成预定夹角。According to the mechanically retained full-mouth suction denture device of claim 1, it is characterized in that the jaw surfaces of the upper molar segment and the lower molar segment are both provided with low-pointed or flat-topped overflow grooves, and the transverse occlusal surface of the molar forms a predetermined angle with the jaw plane.
  4. 根据权利要求1—3任何一项所述的一种机械力学固位的全口吸附义齿装置,其特征在于,所述上颌牙列和下颌牙列在咬颌面上成上外下内的半包围锁扣式结构,且下切缘与上切缘成预定间隙。A mechanically retained full-mouth suction denture device according to any one of claims 1 to 3, characterized in that the maxillary dentition and the mandibular dentition form a semi-enclosed locking structure on the occlusal surface with the upper and lower inward portions, and a predetermined gap is formed between the lower cutting edge and the upper cutting edge.
PCT/CN2023/078044 2022-10-19 2023-02-24 Mechanically retained full-mouth suction denture apparatus WO2024082505A1 (en)

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CN115581533A (en) * 2022-10-19 2023-01-10 张文龙 Complete-mouth adsorption denture device with mechanical-mechanical retention function

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CN107981944A (en) * 2017-12-31 2018-05-04 山东大学 A kind of complete denture and preparation method thereof
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CN216797888U (en) * 2021-12-10 2022-06-24 北京碧然美医疗科技中心(有限合伙) Reversible pestle and mortar occlusion type artificial posterior tooth
CN115581533A (en) * 2022-10-19 2023-01-10 张文龙 Complete-mouth adsorption denture device with mechanical-mechanical retention function

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CN105266912A (en) * 2015-09-15 2016-01-27 王强 Adsorption force improving complete denture
CN107981944A (en) * 2017-12-31 2018-05-04 山东大学 A kind of complete denture and preparation method thereof
US20220142757A1 (en) * 2019-03-28 2022-05-12 Tokuyama Dental Corporation Denture, reference denture, and denture manufacturing method
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CN111658200A (en) * 2020-07-02 2020-09-15 北京大学口腔医学院 Complete denture occlusion auxiliary inspection adjuster and complete denture occlusion adjusting method
CN112716633A (en) * 2021-01-04 2021-04-30 洛阳曦美义齿有限公司 Manufacturing method of comfortable full-mouth adsorption denture meeting aesthetic function
CN216797888U (en) * 2021-12-10 2022-06-24 北京碧然美医疗科技中心(有限合伙) Reversible pestle and mortar occlusion type artificial posterior tooth
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