CN214073670U - Shell-shaped tooth correcting device, correcting device set and dental correcting system - Google Patents
Shell-shaped tooth correcting device, correcting device set and dental correcting system Download PDFInfo
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- CN214073670U CN214073670U CN202021563321.XU CN202021563321U CN214073670U CN 214073670 U CN214073670 U CN 214073670U CN 202021563321 U CN202021563321 U CN 202021563321U CN 214073670 U CN214073670 U CN 214073670U
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Abstract
The utility model discloses a shellliform tooth appliance, appliance suit and dental appliance system, the shellliform tooth appliance includes a shellliform body for accommodating a plurality of teeth, wherein, at least one part of the back tooth area of at least one side of the left and right sides of the shellliform body is provided with a correction part protruding towards the jaw direction on the buccal side or the lingual side for adjusting the relative position of the upper jaw and the lower jaw, and the correction part includes an action end; when the upper jaw and the lower jaw are occluded, the action end at least covers the cheek side surface or the tongue side surface of the partial teeth in the back teeth area of the opposite jaw, and the action end and the opposite jaw interact to enable at least partial area below the nose bridge of the face of a patient to gradually change from a first position to a second position. Appliance suit and dentistry are rescued the system and are contained above-mentioned shelly tooth and rescued the ware, can be used to correct patient's jaw deviation symptom, take into account pleasing to the eye convenient taking off and wearing simultaneously, have reduced patient's misery, increase patient's compliance simultaneously to obtain the better curative effect of correcting the jaw deviation.
Description
Technical Field
The utility model belongs to the technical field of just abnormal correction, more exactly say and relate to the shellliform dental appliance who corrects inclined to one side jaw, especially relate to a correct shellliform tooth of inclined to one side jaw and rescue ware, rescue ware suit and dentistry and rescue the system.
Background
Deviated jaw refers to a deformity with main clinical characteristics of asymmetric left and right faces, chin deviation, inconsistent tooth midline and contraocclusion of unilateral dentition due to different widths of upper and lower teeth. The deviated jaw can be caused by jaw bone trauma, tooth replacement disorder, early functional retropulsion, side chewing and the like, and gradually aggravates along with the age, and develops from functional deviation to bony deviation. The facial asymmetry of moderate deviated jaw patients in the permanent period is more obvious, the unilateral dentition is reversely matched with the dental compensation, and partial jaws of the patients have asymmetric changes. Not only affecting the beauty and the occlusion function, but also causing the pathological changes of temporomandibular joint, affecting the mental health of patients and being treated as early as possible.
Currently, there are many methods for correcting an offsnathic jaw. Orthognathic surgery is mostly adopted to correct the orthognathic jaw aiming at the serious osseous orthognathic deformity, but the surgery treatment brings great trauma to patients and the burden of treatment cost, many patients cannot accept psycho-physiologically, and meanwhile, the orthognathic surgery is unnecessary for the patients with moderate functional orthognathic deformity.
In recent years, a plurality of clinicians increase jaw resin in the mouth of a patient to raise the occlusion on one side, and in addition, the functional deviated jaw deformity patient is treated by increasing the deviated lateral maxillofacial traction, so that good curative effect is achieved. However, the jaw pad is comfortable and needs to be stuck in the mouth of a patient, so that the jaw pad is inconvenient to take off and wear, and brings much pain to the life diet of the patient.
Therefore, the research on the tooth appliance which can be conveniently worn and removed and can effectively solve the problem of the correction of deviated jaws has important significance.
SUMMERY OF THE UTILITY MODEL
The utility model discloses aim at correcting patient's functional inclined to one side jaw through setting up the shell form tooth correction ware including correcting the portion, conveniently plucking when taking into account pleasing to the eye and wear, reduced patient's misery, increase patient's compliance simultaneously to the phase obtains the better curative effect of correcting inclined to one side jaw.
The technical scheme provided by the invention is as follows:
a shell-shaped dental appliance for adjusting the jaw relation of a deviated jaw patient comprises a shell-shaped body for accommodating a plurality of teeth, wherein,
at least one part of the posterior dental area on at least one of the left side and the right side of the shell-shaped body is provided with a correction part protruding towards the jaw direction to adjust the relative position of the upper jaw and the lower jaw on the cheek side surface or the tongue side surface, and the correction part comprises an action end; when the upper and lower jaws are occluded, the action end at least covers the cheek side surface or the tongue side surface of the partial teeth in the back teeth area of the opposite jaw, and the action end and the opposite jaw interact to enable at least partial area below the nasal bridge of the face of a patient to gradually change from a first position to a second position. The term "action end" as used herein covers the buccal or lingual side of a portion of the teeth in the posterior dental area of the jaw, and means that the action end covers the teeth of the jaw, or that the action end covers a portion or all of the posterior dental area of a shell-shaped dental appliance worn on the jaw.
As a preferred embodiment of the shell-shaped dental appliance, the gradual change from the first position to the second position causes the patient's face to be symmetrical or substantially symmetrical at least in the portion below the bridge of the nose.
As a preferred embodiment of the shell-shaped dental appliance, the correction portion is in contact with the buccal side or the lingual side of the maxillary teeth so that the shorter facial side of the patient is stretched to be symmetrical or substantially symmetrical to the longer facial side.
As a preferred embodiment of the shell-shaped dental appliance, at least a portion of the area of the patient's face below the bridge of the nose includes the lips.
As a preferred embodiment of the shell dental appliance, at least a portion of the area of the patient's face below the bridge of the nose includes bilateral cheeks.
As a preferred embodiment of the shell-shaped dental appliance, the action end includes an action-end lingual side and an action-end buccal side, wherein,
the acting end lingual side surface extends along the buccal cusp position of the teeth in the posterior dental area of the shell-shaped body towards the opposite jaw direction, and the acting end buccal side surface extends along the buccal side surface of the posterior dental area of the shell-shaped body; or,
the buccal side surface of the action end extends towards the opposite jaw direction along the lingual apex position of the teeth in the posterior tooth area of the shell-shaped body, and the lingual side surface of the action end extends along the lingual side surface of the posterior tooth area of the shell-shaped body.
As a preferred embodiment of the shell-shaped dental appliance, when the acting lingual side extends in the opposite jaw direction along the buccal cusps of the teeth in the posterior dental area of the shell-shaped body, the acting lingual side has a guide surface for guiding the correction portion to interact with the opposite jaw to a stable occlusion position; when the acting buccal side surface extends towards the opposite jaw direction along the tongue apex position of the teeth in the posterior dental area of the shell-shaped body, the acting buccal side surface is provided with a guide surface for guiding the correcting part to interact with the opposite jaw to a stable occlusion position.
As a preferred embodiment of the shell-shaped dental appliance, the guide surface is a guide ramp or guide arc structure that guides the correction portion to interact with the opposing jaw to a stable bite position.
In a preferred embodiment of the shell-shaped dental appliance, a protruding portion protruding in an opposite jaw direction is provided at least partially in a region of one of left and right sides of the shell-shaped body, the region accommodating the teeth of the posterior dental area.
In a preferred embodiment of the shell-shaped dental appliance, the projections and the correction portions are provided on the left and right sides of the shell-shaped body, respectively; or the convex part and the correcting part are arranged on the left side or the right side of the shell-shaped body together.
In a preferred embodiment of the shell-shaped dental appliance, when the projection and the correction unit are provided on the left side or the right side of the shell-shaped body together, one side surface of the correction unit projects in the opposite jaw direction along the buccal surface or the lingual surface of the projection, and the other side surface of the correction unit is connected to one surface of the projection which is in contact with the opposite jaw.
In a preferred embodiment of the shell-shaped dental appliance, the other side surface of the correction portion and the surface of the projection portion that contacts the opposing jaw constitute a guide surface, or the surface of the correction portion that interacts with the opposing jaw is a guide surface that guides the opposing jaw from a side of deviation from symmetry to a position at least partially symmetrical or substantially symmetrical below the nose bridge of the patient's face.
In a preferred embodiment of the shell-shaped dental appliance, a friction portion for stably contacting the upper and lower jaws is further provided on a surface of the protrusion portion contacting the opposing jaw.
As a preferable embodiment of the shell-shaped dental appliance, the friction portion is one or a combination of two or more of a structure that is concave-convex matched with the occlusal surface of the opposite jaw tooth, a structure that is occlusally matched with the occlusal surface of the opposite jaw tooth, a structure having a frosted surface, a structure having a protruding point, a structure having a hollowed-out surface, or a structure having a perforated surface.
In a preferred embodiment of the shell-shaped dental appliance, when the protrusion and the correction unit are respectively provided on the left and right sides of the shell-shaped body, the protrusion is provided on the shorter side of the face of the patient, and the correction unit is provided on the longer side of the face of the patient.
In a preferred embodiment of the shell-shaped dental appliance, the portion of the protrusion facing the occlusal surface of the maxillary dentition is further provided with a friction portion for stabilizing the upper and lower jaws in contact with each other when the inter-jaw relationship of the deviated jaw patient is adjusted.
As a preferable embodiment of the shell-shaped dental appliance, the friction portion is one or a combination of two or more of a structure that is concave-convex matched with the occlusal surface of the opposite jaw tooth, a structure that is occlusally matched with the occlusal surface of the opposite jaw tooth, a structure having a frosted surface, a structure having a convex point, a structure having a hollowed-out surface, or a structure having a perforated surface.
As a preferable embodiment of the shell-shaped dental appliance, the friction portion provided on the protrusion has a multi-layer structure, or the thickness of the friction portion is greater than the thickness of the protrusion except for the friction portion.
In a preferred embodiment of the shell-shaped dental appliance, the hardness and/or elastic modulus of the projections and the correction portion are greater than the hardness and/or elastic modulus of the other portions of the shell-shaped body.
In a preferred embodiment of the shell-shaped dental appliance, the correction portion and/or the projection is a shell-shaped structure having a cavity, and the shell of the shell-shaped structure is a multi-layer structure, or the thickness of the correction portion and/or the projection is greater than the thickness of the shell-shaped body.
In a preferred embodiment of the shell-shaped dental appliance, the shell of the correction portion and/or the bulge portion has a thickness of 2 to 3 mm.
In a preferred embodiment of the shell-shaped dental appliance, the projections are further filled with fillers.
As a preferable embodiment of the shell-shaped dental appliance, the left and right sides of the shell-shaped body, which accommodate the teeth in the posterior teeth area, are each provided with a protrusion at least partially protruding in the opposite jaw direction.
As a preferred embodiment of the shell-shaped dental appliance, the orthodontic portions are respectively provided on one side or both sides of the shell-shaped body; when the correction portion is provided on one side or both sides of the shell-shaped body, one side surface of the correction portion protrudes in the opposite jaw direction along the buccal side surface or the lingual side surface of the protrusion, and the other side surface of the correction portion is connected to one surface of the protrusion which is in contact with the opposite jaw.
In a preferred embodiment of the shell-shaped dental appliance, the surface of the correction portion that contacts the opposite jaw of the projection constitutes a guide surface, or the surface of the correction portion that interacts with the opposite jaw is a guide surface that guides the jaw to gradually change from a side of deviation from symmetry to at least a portion below the nose bridge of the patient, which is symmetrical or substantially symmetrical.
In a preferred embodiment of the shell-shaped dental appliance, the portion of the protrusion facing the occlusal surface of the maxillary dentition is further provided with a friction portion for stabilizing the upper and lower jaws in contact with each other when the inter-jaw relationship of the deviated jaw patient is adjusted.
As a preferable embodiment of the shell-shaped dental appliance, the friction portion is one or a combination of two or more of a structure that is concave-convex matched with the occlusal surface of the opposite jaw tooth, a structure that is occlusally matched with the occlusal surface of the opposite jaw tooth, a structure having a frosted surface, a structure having a convex point, a structure having a hollowed-out surface, or a structure having a perforated surface.
As a preferable embodiment of the shell-shaped dental appliance, the friction portion provided on the protrusion has a multi-layer structure, or the thickness of the friction portion is greater than the thickness of the protrusion except for the friction portion.
In a preferred embodiment of the shell-shaped dental appliance, the hardness and/or elastic modulus of the projections and/or the correction portions are greater than the hardness and/or elastic modulus of the other portions of the shell-shaped body.
In a preferred embodiment of the shell-shaped dental appliance, the protrusion and/or the correction portion is a shell-shaped structure having a cavity, the shell of the shell-shaped structure is a multi-layer structure, or the thickness of the protrusion and/or the correction portion is greater than the thickness of the shell-shaped body.
In a preferred embodiment of the shell-shaped dental appliance, the thickness of the shell of the projection and/or the correction portion is 2 to 3 mm.
In a preferred embodiment of the shell-shaped dental appliance, the projections are further filled with fillers.
As a preferred embodiment of the shell-like dental appliance, the shell-like body has a geometry that gradually changes the teeth from an initial position to a target correction position.
Based on the same inventive concept, the utility model also provides an appliance suit, including wearing the upper jaw tooth in the upper jaw dentition and wearing the lower jaw tooth in the lower jaw dentition and rescuing the ware, wherein, the upper jaw tooth is rescued the ware and/or the lower jaw tooth is rescued the ware for arbitrary shell form tooth of the aforesaid.
Preferably, when the maxillary dental appliance is any one of the shell-shaped dental appliances, the maxillary dental appliance has a geometric structure which enables at least the posterior teeth to gradually reach the target correction position from the initial position.
Further, the mandibular dental appliance has a geometry that gradually moves at least the posterior dental zone teeth from an initial position to a target correction position.
Preferably, when the mandibular dental appliance is any one of the shell-shaped dental appliances described above, the mandibular dental appliance has a geometry that causes at least the posterior teeth to gradually move from an initial position to a target correction position.
Further, the maxillary dental appliance has a geometry that gradually brings at least the posterior teeth from an initial position to a target correction position.
The appliance set is also preferably selected, when the maxillary dental appliance and the mandibular dental appliance are any of the shell-shaped dental appliances, the orthodontic sections arranged on the maxillary dental appliance and the mandibular dental appliance are arranged in a structure which does not cause occlusion interference when interacting with each other.
Based on the same inventive concept, the utility model also provides a dental appliance system, including the first corrector suit of adjusting the tooth from original overall arrangement to first middle overall arrangement, adjust the tooth from first middle overall arrangement to a plurality of middle corrector suits of follow-up middle overall arrangement and adjust the tooth from last middle overall arrangement to the final corrector suit of target overall arrangement, wherein, at least one of them is rescued the ware suit and is above-mentioned arbitrary.
The shell-shaped tooth correcting device, the correcting device set and the dental correcting system for correcting deviated jaw, provided by the invention, can bring at least one of the following beneficial effects:
firstly, the adaptation diseases of the shell-shaped tooth appliance used for invisible correction can be expanded, deviated jaws can be corrected while invisible correction is carried out, synchronous correction and correction are realized, convenience is brought to taking and wearing, discomfort of patients is relieved, and the application range of the shell-shaped tooth appliance is further expanded;
secondly, the shell-shaped tooth appliance with the function of correcting the deviated jaw is worn except eating every day, which is beneficial to promoting the asymmetrical condylar process of the deviated jaw patient to grow symmetrically and can correct the jaw relation, the face and the joints.
Drawings
The foregoing features, technical features, advantages and embodiments are further described in the following detailed description of the preferred embodiments, which is to be read in connection with the accompanying drawings.
Fig. 1 is a schematic structural view of a shell-shaped dental appliance provided in embodiment 1 of the present invention;
fig. 2 is a schematic structural view of the occlusion between the shell-shaped tooth appliance and the opposite jaw or opposite jaw shell-shaped tooth appliance provided in embodiment 1 of the present invention;
fig. 3 is a schematic structural view of another shell-shaped dental appliance provided in embodiment 1 of the present invention;
FIG. 4 is a schematic representation of the shell-shaped dental appliance of FIG. 3 with the lingual side of the action end and the buccal side of the action end marked;
fig. 5 is a schematic structural view of a shell-shaped tooth appliance and an action end provided thereon according to embodiment 1 of the present invention;
fig. 6 is a schematic structural view of a first shell-shaped dental appliance provided in embodiment 2 of the present invention;
fig. 7 is a schematic structural view of a second shell-shaped dental appliance provided in embodiment 2 of the present invention;
fig. 8 is a schematic structural view of a third shell-shaped dental appliance provided in embodiment 2 of the present invention;
fig. 9 is a schematic structural view of a fourth shell-shaped dental appliance provided in embodiment 2 of the present invention;
fig. 10 is a schematic structural view of a fifth shell-shaped dental appliance provided in embodiment 2 of the present invention;
fig. 11 is a schematic structural view of a shell-shaped dental appliance provided in embodiment 3 of the present invention;
fig. 12 is a schematic structural view of a first appliance set provided in embodiment 4 of the present invention;
fig. 13 is a schematic structural diagram of a second appliance set provided in embodiment 4 of the present invention.
Detailed Description
In order to more clearly illustrate embodiments of the present invention or technical solutions in the prior art, specific embodiments of the present invention will be described below with reference to the accompanying drawings. It is obvious that the drawings in the following description are only examples of the invention, and that for a person skilled in the art, other drawings and embodiments can be obtained from these drawings without inventive effort.
Example 1
Referring to fig. 1, the present embodiment provides a shell-shaped dental appliance 100 for adjusting the jaw relation of a deviated jaw patient, wherein the shell-shaped dental appliance 100 includes a shell-shaped body 11 accommodating a plurality of teeth, and,
at least a part of the posterior dental area on at least one of the left and right sides of the shell-shaped body 11 is provided with a corrective part protruding in the opposite jaw direction on the buccal side or lingual side to adjust the relative position of the upper and lower jaws, for example, in the shell-shaped dental appliance 100 shown in fig. 1, the corrective part 12 is provided on a part of the posterior dental area on the right side of the shell-shaped body and is located on the buccal side; the correcting part arranged on the buccal side surface or the lingual side surface comprises an acting end; when the upper and lower jaws are occluded, the active end covers the buccal or lingual side of at least some of the teeth in the posterior dental area of the jaw, for example in the occlusion shown in fig. 2, the active end 121 of the orthotic device 12 covers the buccal side of the corresponding tooth in the jaw, and the active end (e.g., the active end 121) interacts with the opposing jaw such that at least some area of the patient's face below the bridge of the nose gradually changes from the first position to the second position. As used herein and elsewhere in the present disclosure, "left or right" refers to the left and right sides of the human jaw, rather than the left or right portions as shown in the drawings, after the appliance is worn over the teeth. Further, the active end may be a part or all of the orthotic.
Wherein the "posterior dental zone" is defined according to the classification of teeth, including premolars and molars, shown as teeth 4-8 by FDI notation, in pages 36-38 of the "introduction to oral medicine" published by Beijing university medical Press. The posterior dental zone of the shell-shaped dental appliance may be used to accommodate first premolars, second premolars, first molars, second molars and third molars of the maxillary or mandibular teeth. At least a portion of the posterior dental area of the shell-like body may be a portion that receives any one or more of the first premolar, the second premolar, the first molar, the second molar, and the third molar.
Specifically, in fig. 1, the shell-like body 11 is provided with a correcting portion 12 protruding in the opposite jaw direction to adjust the relative position of the upper and lower jaws, on a buccal side surface of a part of the posterior dental area on one side (wherein a part of the posterior dental area may be a part of the posterior dental area of the shell-like body that wraps a part of the teeth of the posterior dental area). When the upper and lower jaws are occluded, the active end 121 covers the buccal side of a portion of the teeth of the posterior mandibular area and interacts with the opposing jaw such that at least a portion of the area of the patient's face below the bridge of the nose gradually changes from a first position to a second position. More specifically, when the shell-like body 11 is worn on the maxillary teeth, the correcting portion 12 provided thereon is provided to project in the mandibular direction and is located to project in the mandibular direction at the buccal side surface of a part or the entire posterior dental area of the shell-like body 11, and when the upper and lower jaws interact, the action end 121 provided on the shell-like appliance worn on the upper jaw covers the buccal side surfaces of a part or the entire posterior dental area teeth in the mandibular posterior dental area to push or produce a relative movement of the mandibular buccolingual position which is a gradual change from a deviated symmetrical position to the normal occlusal position of the upper and lower jaws.
In other embodiments, the orthodontic part 12 and/or the action end 121 may be further provided on a part of or the entire posterior dental area on one side of the shell-like body 11 with a lingual side surface thereof protruding in a mandibular direction, and the action end provided on the shell-like dental appliance worn on the upper jaw is overlaid on lingual side surfaces of a part of or the entire posterior dental area teeth of the mandibular posterior dental area when the upper and lower jaws interact to push or produce a relative movement of a mandibular-buccal-lingual position which is gradually changed from a deviated symmetrical position to a normal occlusal position of the upper and lower jaws.
In other embodiments, the buccal orthodontic part 12 provided thereon is provided to protrude in the maxillary direction at a buccal side of a part or the whole of the posterior dental area of the shell-shaped body 11 when the shell-shaped body 11 is worn on the lower jaw teeth, and is provided to protrude in the maxillary direction at a buccal side thereof, and when the upper and lower jaws interact with each other, the lower shell-shaped dental appliance is provided with an action end covering a buccal side of a part or the whole of the teeth of the posterior dental area of the upper jaw to push or generate a relative movement of a mandibular buccal-lingual position which is gradually changed from a deviated symmetrical position to a normal occlusal position of the upper and lower jaws.
In further embodiments, the lingual corrective part 12 provided thereon is provided to project in the maxillary direction when the shell-like body 11 is worn on the mandibular teeth, and is specifically provided to project in the maxillary direction on the lingual side of a part or the entire posterior area of the shell-like body 11, and the lower and upper jaws are interacted with each other such that the action end provided on the shell-like dental appliance of the lower jaw covers the lingual side of a part or the entire posterior teeth of the maxillary posterior area to push or produce a relative movement of the mandibular-buccal-lingual position which is a gradual change from a deviated symmetrical position to the normal occlusal position of the lower and upper jaws.
The position and the mode of the correction unit 12 in each of the different embodiments described above can be selected in a targeted manner for the actual case of the patient.
In addition, a correction portion protruding toward the jaw may be further provided on a buccal side surface or a lingual side surface of a partial or whole region of the posterior dental area on both sides of the shell-shaped body 11, such as a shell-shaped dental appliance structure shown in fig. 3, wherein the left dental jaw is provided with the correction portion 12' on the lingual side surface, the right dental jaw is provided with the correction portion 12 ″ on the buccal side surface, and the left and right sides of the shell-shaped dental appliance are provided with the correction portions to more effectively fix the relative positions of the upper and lower jaws, so that the occlusal relationship between the upper and lower jaws is more stable when the upper and lower jaws are used for partial jaw correction, and the effect is stronger.
Wherein the gradual transition from the first position to the second position as described herein enables the patient's face to be symmetrical or substantially symmetrical at least in the portion below the bridge of the nose. This can solve the following problems: for a deviated jaw patient, after a wound exists on one side of a tooth, the other side of the tooth is chewed for a long time, so that the facial surfaces of the two sides are asymmetric, and the condyles of the two sides are asymmetric.
Further, the correction of the contact between the correction portions (e.g., correction portions 12, 12', 12 ") and the buccal or lingual side of the jaw teeth described herein causes the shorter side of the patient's facial surface to be stretched to be symmetrical or substantially symmetrical to the longer side of the facial surface, such arrangement can gradually correct the side deviating from the normal occlusion position to the normal occlusion position, and simultaneously promote the growth of the condyles on the shorter side of the facial surface to be consistent with the condyles on the opposite side, so that the condyles on both sides tend to be symmetrical after correction, and the relationship among facial surface, joints and jaw can be synchronously adjusted.
Specifically, for example, at least a part of the area below the nose bridge of the face of the patient comprises lips, and the correction adjustment mode can improve the face of the patient, not only correct the bad habits of the patient, but also enhance the self-confidence of the patient.
In addition, at least part of the area below the nose bridge of the face of the patient comprises double cheeks, the face of the deviated jaw patient is usually asymmetric, namely one cheek is longer, and the other cheek is shorter, so that certain influence is caused on the psychology and physiology of the patient, and the shell-shaped dental appliance provided by the embodiment can adjust the relative position and symmetry of the double cheeks of the patient.
In the shell-shaped dental appliance, the acting end further comprises the following two surfaces: the lingual side of the action end and the buccal side of the action end, when worn in the upper jaw, are exemplified by a shell-shaped dental appliance:
in one embodiment, when the correction portion is disposed on the buccal side of a part or all of the posterior dental area of the shell-shaped body, the structure shown in fig. 4 is shown, in which the acting lingual side is marked as 121a and the acting buccal side is marked as 121b, the acting lingual side 121a extends along the buccal cusp position of the teeth in the posterior dental area of the shell-shaped body 11 in the opposite jaw direction, and the acting buccal side 121b extends along the buccal side of the posterior dental area of the shell-shaped body 11; more specifically, the action end 121 may be a vacuole structure in which the correction portion or the shell-like body protrudes in the opposite jaw direction, and the vacuole structure is formed by connecting an action-end lingual side 121a and an action-end buccal side 121b, and since the width of the upper jaw of the normal tooth in the lateral direction of the buccal-lingual side of the arch is larger than the width of the lower jaw in the lateral direction of the buccal-lingual side of the arch, the action-end buccal side 121b extends along the buccal side of the posterior dental area of the shell-like body 11, and the action-end lingual side 121a extends in the opposite jaw direction along the position of the buccal cusps of the teeth in the posterior dental area of the shell-like body 11, in such a manner that the action end 121 can cover the buccal side of at least a part of the teeth in the posterior dental area of the lower jaw in the normal occlusion relationship, and when worn by an offsite patient, the action end 121 can effectively correct the lower jaw deviated from the normal position to the normal position.
In another embodiment, when the correction portion is provided on the lingual side of a part or all of the posterior dental area of the shell-shaped body, the correction portion 12' provided on the lingual side of the left dental jaw as shown in fig. 3 includes an action buccal side 121b ' and an action lingual side 121a ', as indicated by reference in fig. 4, the action buccal side 121b ' extends in the opposite jaw direction along the lingual apex position of the teeth of the posterior dental area of the shell-shaped body, and the action lingual side 121a ' extends along the lingual side of the posterior dental area of the shell-shaped body; more specifically, the working end may be a correction portion or a vacuole structure in which the shell-like body protrudes in the opposite jaw direction, and the vacuole structure is composed of a working-end lingual side surface 121a 'and a working-end buccal side surface 121b', and since the width of the upper jaw of the normal tooth in the lateral direction of the arch buccal lingual side is larger than the width of the lower jaw in the lateral direction of the arch buccal lingual side, the working-end lingual side surface 121a 'extends along the lingual side surface of the posterior dental area of the shell-like body, and the working-end buccal side surface 121b' extends in the opposite jaw direction along the position of the lingual cusp of the teeth in the posterior dental area of the shell-like body, the working end can cover the lingual side surface of at least a part of the teeth in the posterior dental area of the lower jaw in the normal occlusion relationship, and when worn by an offshoot patient, the working end can effectively correct the lower jaw deviated from the normal position to the normal position.
Further, the correction portion is provided with a guide surface for guiding the jaw to a stable occlusion position, which will be described by way of example when the shell-shaped dental appliance is worn on the upper jaw:
in some embodiments, as shown in the shell-shaped dental appliance of fig. 1 and 5, when the correction portion 12 is provided on a buccal side surface of a part or all of the posterior dental area of the shell-shaped body and the action-side lingual surface 121a extends in the opposite jaw direction along a buccal cusp position of teeth in the posterior dental area of the shell-shaped body 11, the action-side lingual surface 121a has a guide surface for guiding the correction portion to interact with the opposite jaw to a stable occlusion position, as shown in fig. 5; more specifically, for the deviated jaw patient, the common condition is that when the patient is in an opening, the midline of the upper jaw and the lower jaw is basically symmetrical, and in the closed occlusion process, the occlusion track is deviated, so that the occlusion relation is dislocated; when the guide surface is arranged on the acting end lingual side 121a, the lower jaw slides on the guide surface or is driven by the guide surface to engage up and down at a normal position and stabilize the occlusion, so that the reconstruction of the occlusion relationship of the patient can be quickly guided.
In other embodiments, as shown in fig. 3 and 4, when the correction portion 12' is provided on the lingual side of part or all of the posterior teeth area of the shell-shaped body, and the acting buccal side 121b ' extends in the opposite jaw direction along the lingual apex position of the teeth in the posterior teeth area of the shell-shaped body, the acting buccal side 121b ' has a guide surface for guiding the correction portion to interact with the opposite jaw to a stable occlusion position; more specifically, for the deviated jaw patient, the common condition is that when the patient is in an opening, the midline of the upper jaw and the lower jaw is basically symmetrical, and in the closed occlusion process, the occlusion track is deviated, so that the occlusion relation is dislocated; when the guide surface is arranged on the buccal side surface of the acting end, the lower jaw slides on the guide surface or is driven by the guide surface to engage up and down at a normal position and stabilize the occlusion, so that the reconstruction of the occlusion relation of the patient can be quickly guided.
More specifically, for example, the guide surface is a guide ramp or guide arc structure that guides the correction portion to interact with the opposing jaw to a stable bite position, as shown in fig. 1, 2 and 3, 4, in order to allow the lower jaw to more quickly move into the normal bite position, and more specifically, the guide ramp or guide arc structure may be a smooth flat or curved surface.
Furthermore, the geometry of the cavity of the shell-like body 11 housing the plurality of teeth may also have the function of repositioning the teeth, so that the plurality of teeth are positioned from a first arrangement to a second arrangement different from the first arrangement. For a deviated jaw patient, the jaw relation is not only inconsistent, but also the occlusion relation between upper and lower teeth can be inconsistent due to the inconsistency of the upper and lower jaw relation for a long time, the stable occlusion relation of the upper and lower jaws is relative to the fossa acustica under the normal condition, the normal occlusion relation is broken for the deviated jaw patient, but on the premise of chewing, the deviated occlusion relation can be reestablished, and the incorrect occlusion relation established for a long time can cause the abrasion and position adjustment of the teeth, so that the shell-shaped tooth appliance provided in the embodiment aims at not only needing the adjustment of the jaw relation but also needing the adjustment of the tooth position for the deviated jaw patient. The plurality of teeth are positioned from the first layout to a second layout different from the first layout, the first layout may be an initial tooth layout of the patient, or a layout at any intermediate position in the correcting process, and the second layout may be a final correcting target layout of the patient, or a second layout which is closer to a target correcting position after the first layout.
Example 2
Referring to fig. 6, the present embodiment provides a shell-shaped dental appliance 200 for adjusting the jaw relation of a deviated jaw patient, wherein the shell-shaped dental appliance includes a shell-shaped body 21 accommodating a plurality of teeth, and,
at least a part of the posterior dental area on at least one of the left and right sides of the shell-shaped body 21 is provided with a correction part 22 protruding in the opposite jaw direction to adjust the relative position of the upper and lower jaws on the buccal side or lingual side, the correction part includes an action end 221, and in fig. 6, the buccal side of the posterior dental area on the right side is provided with the correction part 22 and the action end 221; when the upper and lower jaws are occluded, the action end 221 covers at least the buccal or lingual side of the teeth of the posterior dental area of the opposing jaw (in fig. 6 the action end 221 covers the lingual side), and the action end 221 interacts with the opposing jaw such that at least a portion of the area below the bridge of the nose of the face of the patient gradually changes from the first position to the second position. In addition, in the present embodiment, it is further included that a region of one of the left and right sides of the shell-shaped body 21, which accommodates the teeth in the posterior dental area, is at least partially provided with a protruding portion protruding toward the jaw direction, and specifically, as shown in fig. 6 of the present embodiment, the protruding portion 23 and the correction portion 22 are respectively provided on the left and right sides of the shell-shaped body 21.
Wherein the "posterior dental zone" is defined according to the classification of teeth, including premolars and molars, shown as teeth 4-8 by FDI notation, in pages 36-38 of the "introduction to oral medicine" published by Beijing university medical Press. The posterior dental zone of the shell-shaped dental appliance may be used to accommodate first premolars, second premolars, first molars, second molars and third molars of the maxillary or mandibular teeth. At least a portion of the posterior dental area of the shell-like body may be a portion that receives any one or more of the first premolar, the second premolar, the first molar, the second molar, and the third molar.
Specifically, in fig. 6, a buccal side surface of a part of the posterior dental area on one side of the shell-shaped body 21 is provided with a correction portion 22 which is projected in the opposite jaw direction to adjust the relative position of the upper and lower jaws. When the upper and lower jaws are occluded, the active end 221 covers the buccal side of a portion of the teeth of the posterior mandibular area and interacts with the opposing jaw such that at least a portion of the area of the patient's face below the bridge of the nose gradually changes from a first position to a second position. In addition, the correcting portion may be disposed on the entire area of the posterior tooth area of the shell-shaped body, or may be protruded from the lingual side of the posterior tooth area of the shell-shaped body 21 toward the opposite jaw direction, and the specific disposing manner is described in detail in embodiment 1 and will not be described herein again.
In the embodiment shown in fig. 6, when the convex portion 23 and the correction portion 22 are provided on the left and right sides of the shell-shaped body, the convex portion 23 is provided on the shorter side of the patient's face, and the correction portion 22 is provided on the longer side of the patient's face. For a patient with deviated jaw, the common condition is that when the patient is opened, the midline of the upper jaw and the lower jaw is basically symmetrical, and in the occlusion process of the closed jaw, the occlusion track is deviated, so that the occlusion relation is dislocated; the side of the face of the patient, which is shorter than the face, is usually the side with jaw position tendency deviation, and the patient usually uses the side to chew, the convex part 23 is arranged on the side, so that the malposition of the occlusion track of the patient during occlusion can be effectively blocked, and the correcting part 22 on the other side can stably limit the relative position between the upper jaw and the lower jaw without relative movement, so that occlusion is stable.
Furthermore, the part of the convex part 23 facing to the occlusal surface of the jaw dentition is also provided with a friction part 23a which enables the upper jaw and the lower jaw to be stably contacted when the jaw relation of the deviated jaw patient is adjusted; the friction part 23a is arranged to enable the upper and lower jaws of the patient to be contacted more stably without relative position movement.
Specifically, the friction portion may be one, two or more of a structure that is concave-convex matched with the occlusal surface of the opposite jaw tooth, a structure that is occlusally matched with the occlusal surface of the opposite jaw tooth, a structure having a frosted surface, a structure having convex points, a structure having a hollowed-out surface, or a structure having a perforated surface.
In other embodiments, the protrusion in the shell-shaped dental appliance may be provided on the left side and/or the right side of the shell-shaped body together with the correction portion, as shown in the shell-shaped dental appliance 200' shown in fig. 7, the correction portion 22' and the protrusion 23' are both provided on the right side of the shell-shaped dental appliance 200' and are provided in an overlapping manner, and of course, the correction portion 22' and the protrusion 23' may also be provided in an overlapping manner on the left side or both sides of the shell-shaped dental appliance 200' (as shown in fig. 8).
And, when the convex portion and the correction portion are provided on the left side and/or the right side of the shell-like body in common, the correction portion may be provided along the buccal side or the lingual side of the convex portion, specifically, as shown in fig. 7, explained in a one-sided explanation, when the correction portion is provided along the buccal side of the convex portion, one side surface (outer side surface) of the correction portion 22 'is convex in the opposite jaw direction along the buccal side surface of the convex portion 23', and the other side surface 221 'of the correction portion 22' is connected to one surface 231 'of the convex portion 23' which is in contact with the jaw (as shown in fig. 7); wherein the projection 23 'and the face 231' in contact with the oppositional jaw may be configured to match the engagement relationship of the oppositional jaw, and the connection face may be connected from a partial region in contact with the oppositional jaw, or may be connected to an end portion in contact with the oppositional jaw.
Alternatively, as shown in FIG. 9, the correction unit 22 "is provided along the lingual side of the convex unit 23", one side of the correction unit 22 "is convex in the antipathogenic direction along the lingual side of the convex unit 23", and the other side 221 "of the correction unit 22" is connected to a surface 231 "of the convex unit 23" which is in contact with the antipathogenic side; the face 231 ″ where the projection and the opposing jaw contact may be a structure matching the opposing jaw bite relationship, and the connecting face may extend from a partial area of contact with the opposing jaw, or may be connected to an end of contact with the opposing jaw.
In some embodiments, the locations where the corrective portions on both sides extend along the bulge toward the opposite jaw may be provided on both buccal and lingual sides of the bulge on both left and right sides, as shown in fig. 11 of example 3; alternatively, either one of the left and right sides may be disposed on the buccal side and the other on the lingual side, as shown in fig. 10, and the specific arrangement may be selected according to actual case requirements of the patient.
Further, based on the above definition, as shown in fig. 7, the tongue side surface 221' of the correction portion 22' and the one surface 231' of the convex portion 23' that is in contact with the opposing jaw constitute a guide surface, but of course, only the tongue side surface 221' of the correction portion 22' may interact with the opposing jaw, and the guide surface guides the opposing jaw to gradually change from the side deviating from symmetry to the patient's face at least partially symmetrically or substantially symmetrically below the bridge of the nose. The arrangement of this guide face can be fast effectual the guide to jaw and bulge stable contact, damage the phenomenon of correction portion when difficult emergence is gone up the jaw bite.
Further preferably, in the shell-shaped dental appliance, a friction portion for stably contacting the upper jaw and the lower jaw is further provided on a surface 231' of the protrusion, which is in contact with the opposing jaw; the friction part is arranged to enable the upper jaw and the lower jaw of the patient to be more stable in contact, and relative position movement cannot be generated. Specifically, the friction portion may be one or a combination of two or more of a structure that is concave-convex matched with the occlusal surface of the opposite jaw tooth, a structure that is occlusally matched with the occlusal surface of the opposite jaw tooth, a structure having a frosted surface, a structure having convex points, a structure having a hollowed-out surface, or a structure having a perforated surface.
In the shell-shaped tooth appliance with the two structures, the friction part arranged on the protruding part is preferably of a multilayer structure, or the thickness of the friction part is greater than that of the protruding part except the friction part, so that the friction part obtains higher mechanical strength, and when the upper jaw and the lower jaw are occluded, the protruding part cannot deform, and the correction effect is reduced.
In the shell-shaped dental appliance described above, preferably, the hardness and/or elastic modulus of the protrusion and the correction portion are greater than those of other portions of the shell-shaped body. Because the convex part and the correcting part are the main force application parts of deviated jaw correction, the higher hardness and/or the higher elastic modulus of the convex part and the correcting part can ensure the smoothness of force application and further ensure the smoothness of orthodontic treatment.
Further preferably, the correcting part and/or the convex part is a shell-shaped structure with a cavity, the shell of the shell-shaped structure is a multilayer structure, or the thickness of the correcting part and/or the convex part is larger than that of the shell-shaped body. The provision of a multi-layer structure or thickness of the correction portion and/or the projections enables these components to achieve higher hardness and/or modulus of elasticity.
Further preferably, the thickness of the shell of the correction portion and/or the projection is 2-3 mm. The thickness can effectively provide the acting force required in the process of correcting the deviation, and the correction effect caused by insufficient thickness or hardness of the correction part and/or the convex part in the correction process is prevented from being poor.
In some embodiments, a filler may be further disposed within the protrusion. The filler may be, for example, a resin suitable for dental use, and improves the stability of the projected portion when the upper jaw and the lower jaw are engaged with each other, thereby preventing deformation.
Example 3
Referring to fig. 11, the present embodiment provides a shell-shaped dental appliance 300, which can be used for adjusting the jaw relation of a deviated jaw patient, wherein the shell-shaped dental appliance 300 includes a shell-shaped body 31 for accommodating a plurality of teeth, and,
at least a part of the posterior dental area on at least one of the left and right sides of the shell-shaped body 31 is provided with a correction part 32 protruding toward the opposite jaw direction to adjust the relative position of the upper jaw and the lower jaw on the buccal side or the lingual side, the correction part including an action end 321; when the upper and lower jaws are occluded, the action end 321 covers at least the buccal or lingual side of a part of the teeth in the posterior dental area of the opposite jaw, and the action end 321 interacts with the opposite jaw such that at least a part of the area below the nasal bridge of the face of the patient gradually changes from the first position to the second position.
In addition, in the present embodiment, the shell-shaped body 31 further includes protruding portions 33 protruding in the opposite jaw direction on at least a part of the regions for receiving the teeth in the posterior dental area on the left and right sides thereof. At this time, at least one of the left and right sides of the shell-shaped body 31 is provided with the correction portion 32 and the projection 33 at the same time.
In the example shown in fig. 11, both the left and right sides of the shell-like body 31 are provided with the configuration of the correction portion 32 and the projection 33. In this structure, the correction forces generated by the right and left correction portions 32 are different in magnitude, and can be specifically realized by selecting different materials, thicknesses or shapes. The protruding heights of the protruding parts arranged on the left side and the right side in the arrangement mode are different towards the jaw direction, and particularly the protruding height of the protruding part arranged on the shorter side of the face towards the jaw direction can be larger than the protruding height of the protruding part arranged on the longer side of the face towards the jaw direction.
Wherein the "posterior dental zone" is defined according to the classification of teeth, including premolars and molars, shown as teeth 4-8 by FDI notation, in pages 36-38 of the "introduction to oral medicine" published by Beijing university medical Press. The posterior dental zone of the shell-shaped dental appliance may be used to accommodate first premolars, second premolars, first molars, second molars and third molars of the maxillary or mandibular teeth. At least a portion of the posterior dental area of the shell-like body may be a portion that receives any one or more of the first premolar, the second premolar, the first molar, the second molar, and the third molar.
Specifically, in fig. 11, a buccal surface of a part of the posterior dental area on one side of the shell-shaped body 31 is provided with a correction portion 32 which is projected in the opposite jaw direction to adjust the relative position of the upper and lower jaws. When the upper and lower jaws are occluded, the active end 321 covers the buccal side of a portion of the teeth of the posterior mandibular area and interacts with the opposing jaw such that at least a portion of the area of the patient's face below the bridge of the nose gradually changes from a first position to a second position. More specifically, when the shell-like body 31 is worn on the upper teeth, the orthodontic part 32 provided thereon is provided to project toward the lower jaw direction and is specifically positioned to project toward the lower jaw direction at the buccal side of a part or the whole of the posterior dental area of the shell-like body 31, and when the upper and lower jaws interact with each other, the action end 321 provided on the shell-like dental appliance worn on the upper jaw covers the buccal side of a part or the whole of the teeth of the posterior dental area of the lower jaw to push or produce a relative movement of the mandibular-buccal-lingual position which is a gradual change from a deviated symmetrical position to the normal occlusal position of the upper and lower jaws. In other embodiments, the orthodontic part 32 and/or the action end 321 may be provided on a lingual side of a part or the entire posterior dental zone of the shell-shaped body 31 to protrude in a mandibular direction, and the action end 321 provided on the shell-shaped dental appliance worn on the upper jaw covers lingual sides of a part or all of teeth of the posterior dental zone of the lower jaw when the upper jaw and the lower jaw interact with each other to push or generate a relative movement of a mandibular-buccal-lingual position which is gradually changed from a deviated symmetrical position to a normal occlusal position of the upper jaw and the lower jaw when the upper jaw and the lower jaw interact with each other. In some embodiments, when the shell-shaped body 31 is worn on the lower jaw teeth, the orthodontic part 32 provided thereon is provided to project in the upper jaw direction and to project in the buccal side surface of a part or the whole of the posterior dental area of the shell-shaped body 31 in the upper jaw direction, and when the upper and lower jaws interact with each other, the action end 321 provided on the shell-shaped dental appliance worn on the lower jaw covers the buccal side surfaces of a part or the whole of the teeth in the upper jaw posterior dental area to push or produce a relative movement of the mandibular buccolingual side position which is a gradual change from a deviated symmetrical position to the normal occlusal position of the upper and lower jaws. In some embodiments, when the shell-shaped body 31 is worn on the lower teeth, the orthodontic part 32 provided thereon is provided to project in the upper jaw direction and to project in the lingual side of a part or the entire posterior area of the shell-shaped body 31 in the upper jaw direction, and when the upper and lower jaws interact with each other, the action end 321 provided on the shell-shaped dental appliance worn on the lower jaw covers the lingual side of a part or the entire posterior teeth in the upper jaw posterior area to push or produce a relative movement of the mandibular buccolingual side position which is a gradual change from a deviated symmetrical position to the normal occlusal position of the upper and lower jaws. The arrangement of the correction unit 32 in the above-described different embodiments can be selected specifically for an actual case of a patient.
In the shell-shaped dental appliance described herein in this embodiment, the correction portions 32 may be respectively disposed on one side or both sides of the shell-shaped body 31, only the structure shown in fig. 11 is disposed on both sides, and the correction portions disposed on both left and right sides can more effectively fix the relative positions of the upper and lower jaws, so that the occlusal relationship between the upper and lower jaws is more stable when performing deviated jaw correction, and the action effect is stronger; when the correction portion 32 is provided on one side or both sides of the shell-shaped body 31, the correction portion 32 may be located on a buccal side or a lingual side of the convex portion, and when the correction portion 32 is located on the buccal side of the convex portion, one side surface of the correction portion 32 is convex in an antipathogenic direction along a buccal side surface of the convex portion 33, and the other side surface of the correction portion 32 is connected to a surface 331 of the convex portion 33 which is in contact with the antipathogenic side; when the correction portion 32 is located on the lingual side of the convex portion, one side surface of the correction portion 32 is convex in the antipodal direction along the lingual side surface of the convex portion 33, and the other side surface of the correction portion 32 is connected to a surface 331 of the convex portion 33 that is in contact with the antipodal. The face where the convex portion 33 and the opponent are contacted may be a structure matching the occlusion relationship of the opponent, and the connection face may be connected from a partial region contacting the opponent and may also be connected to an end contacting the opponent.
Referring to the shell-shaped dental appliance 300 shown in fig. 11, one surface 331 of the correction portion 32 in contact with the opposite jaw in the protrusion 33 constitutes a guide surface, or the lingual side of the action end 321 becomes a guide surface that interacts with the opposite jaw, the guide surface guiding the jaw to gradually change from a side of deviation from symmetry to at least a portion below the nose bridge of the patient's face, which is symmetrical or substantially symmetrical. More specifically, for the deviated jaw patient, the common condition is that when the patient is in an opening, the midline of the upper jaw and the lower jaw is basically symmetrical, and in the closed occlusion process, the occlusion track is deviated, so that the occlusion relation is dislocated; after the correction part is arranged, a patient normally carries out upper and lower occlusion according to the conventional occlusion habit, the phenomenon that the correction part is damaged when the lower jaw is blocked or has large force after contacting the correction part is caused, and when the guide surface is arranged on the lingual side surface of the action end 321, the lower jaw slides on the guide surface along with the closure of the lower jaw or is driven by the guide surface to carry out upper and lower occlusion normal positions and stabilize the occlusion, so that the reconstruction of the occlusion relation of the patient can be quickly guided. The arrangement of this guide face can be fast effectual the guide to jaw and bulge stable contact, damage the phenomenon of correction portion when difficult emergence is gone up the jaw bite.
Further preferably, the portion 331 of the protruding portion 33 facing the occlusal surface of the jaw dentition is further provided with a friction portion for stably contacting the upper and lower jaws when adjusting the jaw relation of the deviated jaw patient; the friction part is arranged to enable the upper jaw and the lower jaw of the patient to be more stable in contact, and relative position movement cannot be generated. Preferably, the friction part may be one, two or more of a structure matching with the concave-convex of the occlusal surface of the opposite jaw tooth, a structure matching with the occlusal surface of the opposite jaw tooth, a structure having a frosted surface, a structure having convex points, a structure having a hollowed-out surface, or a structure having a perforated surface.
Further preferably, the friction part arranged on the protrusion part is of a multilayer structure, or the thickness of the friction part is greater than that of the protrusion part except the friction part, so that the friction part has higher mechanical strength, and when the upper jaw and the lower jaw are occluded, the deformation of the protrusion part cannot occur, and the correction effect is reduced.
Further preferably, the hardness and/or the elastic modulus of the convex portion and/or the correction portion are greater than the hardness and/or the elastic modulus of other portions of the shell-like body. Because the convex part and the correcting part are the main force application parts of deviated jaw correction, the higher hardness and/or the higher elastic modulus of the convex part and the correcting part can ensure the smoothness of force application and further ensure the smoothness of orthodontic treatment.
In a preferred embodiment, the protrusion and/or the correction portion is a shell structure having a cavity, a shell of the shell structure is a multilayer structure, or a thickness of the protrusion and/or the correction portion is larger than a thickness of the shell body. The provision of a multi-layer structure or thickness of the correction portion and/or the projections enables these components to achieve higher hardness and/or modulus of elasticity.
More preferably, the thickness of the housing of the projection and/or the correction portion is 2-3 mm. The thickness can effectively provide the acting force required in the process of correcting the deviation, and the correction effect caused by insufficient thickness or hardness of the correction part and/or the convex part in the correction process is prevented from being poor.
In some embodiments, a filler may be further disposed within the protrusion. The filler may be, for example, a resin suitable for dental use, and improves the stability of the projected portion when the upper jaw and the lower jaw are engaged with each other, thereby preventing deformation.
The shell-shaped dental appliance can also be provided with a shell-shaped body which has a geometric structure that enables the teeth to gradually change from an initial position to a target correction position. For a deviated jaw patient, the jaw relation is not only inconsistent, but also inconsistent occlusion relation between upper and lower teeth caused by the long-term inconsistency of the upper and lower jaw relation, the stable occlusion relation of the upper and lower jaws is relative to the fossa acupunctiformis under normal conditions, and the normal occlusion relation is broken for the deviated jaw patient. The plurality of teeth are positioned from the first layout to a second layout different from the first layout, the first layout may be an initial tooth layout of the patient, or a layout at any intermediate position in the correcting process, and the second layout may be a final correcting target layout of the patient, or a second layout which is closer to a target correcting position after the first layout.
Example 4
The present embodiment provides an appliance set, including a maxillary dental appliance worn on a maxillary dentition and a mandibular dental appliance worn on a mandibular dentition, wherein the maxillary dental appliance and/or the mandibular dental appliance is the shell-shaped dental appliance described in any one of embodiments 1 to 3.
Referring to fig. 12 and 13, when the maxillary dental appliances 10 and 30 are shell-shaped dental appliances described in any one of embodiments 1 to 3, the maxillary dental appliances 10 and 30 have a geometry such that at least the posterior teeth gradually move from an initial position to a target correction position. In such an arrangement, since the adjustment of the deviated jaw generally requires the synchronous adjustment of the teeth, the upper jaw orthodontic appliance has both the functions of correcting the teeth and correcting the deviated jaw, and the efficiency of the correction can be improved. It is also preferred that the mandibular dental appliance 20, 40 has a geometry that gradually moves at least the posterior teeth from the initial position to the target appliance position.
In another embodiment, when the mandibular dental appliance is the shell dental appliance described in any one of embodiments 1-3, the mandibular dental appliance has a geometry that gradually moves at least the posterior teeth from an initial position to a target correction position. It is also preferred that the maxillary dental appliance has a geometry such that at least the posterior teeth gradually move from an initial position to a target correction position. Because the occlusal relationship of the teeth in the posterior dental area of the deviated jaw patient is not coordinated, the upper jaw position and the lower jaw position can be adjusted and simultaneously the upper jaw teeth and/or the lower jaw teeth can be corrected, and the correct occlusal relationship can be obtained after the adjustment of the upper jaw position and the lower jaw position is finished.
In yet another embodiment, when the maxillary and mandibular appliances are both shell appliances as described in any one of embodiments 1-3, the appliances provided on the maxillary and mandibular appliances are arranged to interact with each other in a configuration that does not create a bite disturbance. When the correction parts are arranged on the upper jaw and the lower jaw, occlusion interference exists sometimes, namely, when the upper jaw and the lower jaw are occluded in a closed mouth, the correction parts respectively positioned on the upper jaw and the lower jaw are not arranged on the buccal side on the left side or the lingual side on the left side at the same time; or not both on the buccal side of the right side and on the lingual side of the right side; the adjustment of setting position can be carried out according to the clinical needs of correcting of reality, as long as can reach the effect that the deviated jaw was corrected all can.
Example 5
The present embodiments provide a dental appliance system comprising a first appliance set that adjusts teeth from an original layout to a first intermediate layout, a plurality of intermediate appliance sets that adjust teeth from the first intermediate layout to a subsequent intermediate layout, and a last appliance set that adjusts teeth from the last intermediate layout to a target layout, wherein at least one appliance set is any of the appliance sets described in embodiment 4. A series of ware suit of rescuring that above-mentioned system was rescued in dentistry includes can be effectual adjust patient's upper and lower jaw position relation at the patient in-process of wearing, arrange simultaneously the tooth of upper and lower jaw, not only adjust the symmetry of patient's face at the in-process of rescuring, can also impel the left and right sides condyle process to tend to the symmetry.
It should be noted that the above embodiments can be freely combined as necessary. The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, a plurality of modifications and decorations can be made without departing from the principle of the present invention, and these modifications and decorations should also be regarded as the protection scope of the present invention.
Claims (42)
1. A shell-shaped dental appliance for adjusting the jaw relation of a deviated jaw patient is characterized by comprising a shell-shaped body for accommodating a plurality of teeth, wherein,
at least one part of the posterior dental area on at least one of the left side and the right side of the shell-shaped body is provided with a correction part protruding towards the jaw direction to adjust the relative position of the upper jaw and the lower jaw on the cheek side surface or the tongue side surface, and the correction part comprises an action end; when the upper and lower jaws are occluded, the action end at least covers the cheek side surface or the tongue side surface of the partial teeth in the back teeth area of the opposite jaw, and the action end and the opposite jaw interact to enable at least partial area below the nasal bridge of the face of a patient to gradually change from a first position to a second position.
2. The shell-shaped dental appliance of claim 1, wherein the gradual change from the first position to the second position causes the patient's face to be symmetrical or substantially symmetrical at least in a portion below the bridge of the nose.
3. The shell dental appliance of claim 2, wherein the correction portion is in contact with a buccal or lingual side of the maxillary tooth such that the shorter side of the patient's facial surface is stretched to be symmetrical or substantially symmetrical to the longer side of the facial surface.
4. The shell dental appliance of claim 1, wherein at least a portion of the area of the patient's face below the bridge of the nose includes the lips.
5. The shell dental appliance of claim 1 or 4, wherein at least a portion of the area of the patient's face below the bridge of the nose includes bilateral cheeks.
6. The shell-shaped dental appliance of any one of claims 1-4, wherein the action end comprises an action-end lingual side and an action-end buccal side, wherein,
the acting end lingual side surface extends along the buccal cusp position of the teeth in the posterior dental area of the shell-shaped body towards the opposite jaw direction, and the acting end buccal side surface extends along the buccal side surface of the posterior dental area of the shell-shaped body; or,
the buccal side surface of the action end extends towards the opposite jaw direction along the lingual apex position of the teeth in the posterior tooth area of the shell-shaped body, and the lingual side surface of the action end extends along the lingual side surface of the posterior tooth area of the shell-shaped body.
7. The shell-shaped dental appliance of claim 6, wherein the action-side lingual side is provided with a guide surface that guides the correction portion to interact with the opposing jaw to a stable bite position when the action-side lingual side extends in the opposing jaw direction along a buccal cusp position of the shell-shaped body posterior teeth; when the acting buccal side surface extends towards the opposite jaw direction along the tongue apex position of the teeth in the posterior dental area of the shell-shaped body, the acting buccal side surface is provided with a guide surface for guiding the correcting part to interact with the opposite jaw to a stable occlusion position.
8. The shell dental appliance of claim 7, wherein the guide surface is a guide ramp or guide arc structure that guides the correction portion to interact with the opposing jaw to a stable bite position.
9. The shell-shaped dental appliance of claim 1, wherein a region of one of the left and right sides of the shell-shaped body that receives the teeth of the posterior dental area is at least partially provided with a projection that projects in an opposite jaw direction.
10. The shell-shaped dental appliance of claim 9, wherein the projections and the correction portions are disposed on the left and right sides of the shell-shaped body, respectively; or the convex part and the correcting part are arranged on the left side or the right side of the shell-shaped body together.
11. The shell-shaped dental appliance according to claim 10, wherein when the protrusion and the correction portion are provided together on the left or right side of the shell-shaped body, one side surface of the correction portion protrudes in the opposite jaw direction along the buccal or lingual side surface of the protrusion, and the other side surface of the correction portion is connected to one surface of the protrusion that is in contact with the opposite jaw.
12. The shell-shaped dental appliance of claim 11, wherein the other side of the correction portion and the side of the protrusion that contacts the opposing jaw constitute a guide surface, or the side of the correction portion that interacts with the opposing jaw is a guide surface that guides the opposing jaw from gradually changing from a side of departure from symmetry to at least partially symmetrical or substantially symmetrical below the bridge of the nose of the patient.
13. The shell-shaped dental appliance of claim 12, wherein the side of the protrusion that contacts the opposing jaw is further provided with a friction portion that stabilizes contact between the upper and lower jaws.
14. The shell-shaped dental appliance of claim 13, wherein the friction portion is one, a combination of two or more of a structure that matches the occlusal surface of the opposing jaw teeth, a structure having a frosted surface, a structure having raised points, a structure having a hollowed-out surface, or a structure having a perforated surface.
15. The shell-shaped dental appliance of claim 10, wherein the protrusion is disposed on a shorter side of the face of the patient and the correction device is disposed on a longer side of the face of the patient when the protrusion and the correction device are disposed on the left and right sides of the shell-shaped body, respectively.
16. The shell-shaped dental appliance of claim 15, wherein a portion of the protrusion facing the occlusal surface of the maxillary dentition is further provided with a friction portion for stabilizing contact between the upper and lower jaws when the inter-jaw relationship of the deviated jaw patient is adjusted.
17. The shell-shaped dental appliance of claim 16, wherein the friction portion is one, a combination of two or more of a structure that matches the occlusal surface of the opposing jaw teeth, a structure having a frosted surface, a structure having raised points, a structure having a hollowed-out surface, or a structure having a perforated surface.
18. The shell-shaped dental appliance of claim 16, wherein the friction portion provided on the protrusion is a multi-layered structure or has a thickness greater than a thickness of the protrusion other than the friction portion.
19. The shell-shaped dental appliance of claim 15, wherein the projections and the correction portion have a hardness and/or modulus of elasticity greater than the hardness and/or modulus of elasticity of other portions of the shell-shaped body.
20. The shell dental appliance of claim 19, wherein the correction portion and/or projection is a shell structure having a cavity, the shell of the shell structure is a multi-layer structure, or the thickness of the correction portion and/or projection is greater than the thickness of the shell body.
21. The shell dental appliance of claim 20, wherein the shell of the correction portion and/or tab has a thickness of 2-3 mm.
22. The shell-shaped dental appliance of claim 10, wherein the projections further include a filler therein.
23. The shell-shaped dental appliance of claim 1, wherein the left and right sides of the shell-shaped body, which receive the teeth of the posterior dental area, are each provided with a protrusion at least partially protruding in the opposite jaw direction, and the protrusions on the left and right sides have different heights protruding in the opposite jaw direction.
24. The shell-shaped dental appliance of claim 23, wherein the correction portions are respectively provided on one or both sides of the shell-shaped body; when the correction portion is provided on one side or both sides of the shell-shaped body, one side surface of the correction portion protrudes in the opposite jaw direction along the buccal side surface or the lingual side surface of the protrusion, and the other side surface of the correction portion is connected to one surface of the protrusion which is in contact with the opposite jaw.
25. The shell-shaped dental appliance of claim 24, wherein the side of the correction portion that contacts the opposing jaw and the bulge constitutes a guide surface, or the side of the correction portion that interacts with the opposing jaw is a guide surface that guides the jaw to gradually change from a side of departure from symmetry to at least a portion of the patient's facial surface that is symmetrical or substantially symmetrical below the bridge of the nose.
26. The shell-shaped dental appliance of claim 25, wherein the portion of the protrusion facing the occlusal surface of the maxillary dentition is further provided with a friction portion for stabilizing contact between the upper and lower jaws of the maxillofacial patient during adjustment of the inter-jaw relationship therebetween.
27. The shell-shaped dental appliance of claim 26, wherein the friction portion is one, a combination of two or more of a structure that matches the occlusal surface of the opposing jaw teeth, a structure having a frosted surface, a structure having raised points, a structure having a hollowed-out surface, or a structure having a perforated surface.
28. The shell-shaped dental appliance of claim 26, wherein the friction portion provided on the protrusion is a multi-layered structure or has a thickness greater than a thickness of the protrusion other than the friction portion.
29. The shell-shaped dental appliance of claim 22, wherein the projections and/or the correction portions have a hardness and/or modulus of elasticity greater than the hardness and/or modulus of elasticity of other portions of the shell-shaped body.
30. The shell dental appliance of claim 29, wherein the protrusion and/or the correction portion is a shell structure having a cavity, the shell of the shell structure is a multi-layered structure, or the thickness of the protrusion and/or the correction portion is greater than the thickness of the shell body.
31. The shell dental appliance of claim 30, wherein the projections and/or the shell of the correction portion have a thickness of 2-3 mm.
32. The shell-shaped dental appliance of claim 22, wherein the projections further comprise a filler therein.
33. The shell-shaped dental appliance of any one of claims 1-3, wherein the shell-shaped body has a geometry that gradually changes the teeth from an initial position to a target appliance position.
34. A set of appliances comprising a maxillary dental appliance worn on a maxillary dentition and a mandibular dental appliance worn on a mandibular dentition, wherein the maxillary dental appliance is the shell-like dental appliance of any one of claims 1 to 33.
35. The kit of appliances of claim 34, wherein the maxillary dental appliances have a geometry that gradually progresses at least the posterior teeth from an initial position to a target appliance position.
36. The kit of appliances of claim 35, wherein the mandibular dental appliance has a geometry that gradually brings at least the posterior teeth from an initial position to a target appliance position.
37. A set of appliances comprising a maxillary dental appliance to be worn on a maxillary dentition and a mandibular dental appliance to be worn on a mandibular dentition, wherein the mandibular dental appliance is the shell dental appliance of any one of claims 1 to 33.
38. The kit of appliances of claim 37, wherein the mandibular dental appliance has a geometry that gradually brings at least the posterior teeth from an initial position to a target appliance position.
39. The kit of appliances of claim 38, wherein the maxillary dental appliances have a geometry that gradually progresses at least the posterior teeth from an initial position to a target appliance position.
40. A set of appliances comprising a maxillary dental appliance to be worn on a maxillary dentition and a mandibular dental appliance to be worn on a mandibular dentition, wherein the maxillary and mandibular dental appliances are shell-like dental appliances as claimed in any one of claims 1 to 33.
41. The kit of appliances of claim 40, wherein the appliances provided on the maxillary and mandibular appliances are arranged to interact in a configuration that does not create a bite interference.
42. A dental appliance system comprising a first set of appliances for adjusting teeth from an original arrangement to a first intermediate arrangement, a plurality of intermediate sets of appliances for adjusting teeth from the first intermediate arrangement to a subsequent intermediate arrangement, and a final set of appliances for adjusting teeth from the final intermediate arrangement to a target arrangement, wherein at least one of the sets of appliances is the set of appliances of any one of claims 34-41.
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CN202021563321.XU CN214073670U (en) | 2020-07-31 | 2020-07-31 | Shell-shaped tooth correcting device, correcting device set and dental correcting system |
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CN202021563321.XU CN214073670U (en) | 2020-07-31 | 2020-07-31 | Shell-shaped tooth correcting device, correcting device set and dental correcting system |
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CN202021563321.XU Active CN214073670U (en) | 2020-07-31 | 2020-07-31 | Shell-shaped tooth correcting device, correcting device set and dental correcting system |
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