CN102551946A - Oral fixing device and oral fixing method using same - Google Patents

Abstract

The invention discloses an oral fixing device and an oral fixing method using the same. The oral fixing device comprises a U-shaped corrector and an arch plate. The arch plate is connected to the inner side wall of the U-shaped corrector, wherein the thickness of the arch plate at the center is thicker than that at the connection part. A maximum thickness of the arched plate is greater than 2 mm.

Description

Translated fromChinese

口腔固定装置及采用其的口腔固定方法Oral fixation device and oral fixation method using same

技术领域technical field

本发明涉及一种固定装置及采用其的固定方法，且特别是涉及一种口腔固定装置及采用其的口腔固定方法。The invention relates to a fixing device and a fixing method using the same, and in particular to an oral fixing device and a fixing method using the same.

背景技术Background technique

在现今社会中，人们常因各种需求而需要一种固定口腔的装置。惟现今的口腔固定装置，皆只有固定牙齿的功用，并没有兼具固定舌头的用途。In today's society, people often need a device for fixing the oral cavity due to various needs. However, the present oral fixation devices all only have the function of fixing the teeth, and do not have the function of fixing the tongue concurrently.

因此，如何将现有的口腔固定装置，改良成既可固定牙齿，也可以固定舌头，且改良后的口腔固定装置能将口腔内部的所有器官皆完善地固定住，实为目前研究发展的一重要方向。Therefore, how to improve the existing oral fixation device to not only fix the teeth but also fix the tongue, and the improved oral fixation device can perfectly fix all the internal organs of the oral cavity is a current research and development. important direction.

发明内容Contents of the invention

本发明的目的在于提供一种口腔固定装置及采用其的口腔固定方法，其利用拱型板与U型矫正器的结合，使得使用者不仅可通过此口腔固定装置固定牙齿，也能够固定舌头。The object of the present invention is to provide an oral fixation device and an oral fixation method using it, which utilizes the combination of an arched plate and a U-shaped aligner so that the user can not only fix teeth but also fix the tongue through the oral fixation device.

为达上述目的，根据本发明的一方面，提出一种口腔固定装置。口腔固定装置包括一U型矫正器及一拱型板。此拱型板连接于U型矫正器的内侧壁，其中拱型板的中央处的厚度比连接处厚，拱型板的一最大厚度大于2毫米。To achieve the above purpose, according to one aspect of the present invention, an oral fixation device is proposed. The oral cavity fixation device includes a U-shaped corrector and an arched plate. The arched plate is connected to the inner side wall of the U-shaped corrector, wherein the thickness of the center of the arched plate is thicker than that of the joint, and the maximum thickness of the arched plate is greater than 2 mm.

根据本发明的另一方面，提出一种口腔固定装置。口腔固定装置包括一U型矫正器及一拱型板。此U型矫正器用以套合一上排牙齿及一下排牙齿。此一拱型板连接U型矫正器的一内侧壁，并介于一舌头与一上颚之间，拱型板的一最大厚度实质上等于该舌头与该上颚的距离。According to another aspect of the present invention, an oral fixation device is provided. The oral cavity fixation device includes a U-shaped corrector and an arched plate. This U-shaped aligner is used to fit an upper row of teeth and a lower row of teeth. The arched plate is connected to an inner wall of the U-shaped corrector and is between a tongue and a palate. A maximum thickness of the arched plate is substantially equal to the distance between the tongue and the palate.

根据本发明的再一方面，提出一种口腔的固定方法。此口腔的固定方法包括下列步骤。提供一口腔固定装置，此口腔固定装置包括一U型矫正器与一拱型板，拱型板连接U型矫正器的一内侧壁。将口腔固定装置置入一舌头与一上颚之间，以使拱型板的一上表面实质上接触上颚，拱型板的一下表面实质上接触舌头。将一上排牙齿及一下排牙齿置入此U型矫正器内。According to still another aspect of the present invention, a method for fixing the oral cavity is provided. The method for fixing the oral cavity includes the following steps. An oral cavity fixation device is provided, and the oral cavity fixation device includes a U-shaped straightener and an arched plate, and the arched plate is connected to an inner side wall of the U-shaped straightened device. The oral fixture is placed between a tongue and a palate such that an upper surface of the arcuate plate substantially contacts the palate and a lower surface of the arcuate plate substantially contacts the tongue. Put an upper row of teeth and a lower row of teeth into this U-shaped aligner.

为让本发明的上述内容能更明显易懂，下文特举一实施例，并配合所附附图，作详细说明如下：In order to make the above-mentioned content of the present invention more obvious and understandable, an embodiment is specifically cited below, together with the accompanying drawings, and the detailed description is as follows:

附图说明Description of drawings

图1为本发明一实施例的口腔固定装置的立体图；Fig. 1 is a perspective view of an oral fixation device according to an embodiment of the present invention;

图2为本发明口腔固定装置的后视图；Figure 2 is a rear view of the oral fixture of the present invention;

图3为本发明口腔固定装置的上视图；Fig. 3 is a top view of the oral fixation device of the present invention;

图4为图3的口腔固定装置沿截面线4-4’的剖视图；Fig. 4 is a cross-sectional view of the oral fixture of Fig. 3 along section line 4-4';

图5为本发明使用口腔固定装置的流程图；Fig. 5 is the flowchart of using the oral cavity fixation device in the present invention;

图6为本发明使用者将口腔固定装置置入舌头与上颚之间的示意图。Fig. 6 is a schematic view of the user of the present invention placing the oral fixation device between the tongue and the palate.

主要元件符号说明Description of main component symbols

100：口腔固定装置100: oral fixture

110：U型矫正器110: U-shaped orthotic

111：U型上牙槽111: U-shaped upper alveolar

112：U型下牙槽112: U-shaped lower alveolar

120：拱型板120: arch plate

210、220：内侧端点210, 220: inner endpoints

310：内侧壁310: Medial wall

410：上牙槽前端410: front end of upper alveolar

420：下牙槽前端420: front end of lower alveolar

610：舌头610: Tongue

620：上颚620: Palate

630：上排牙齿630: Upper row of teeth

640：下排牙齿640: lower row of teeth

650：下颚650: Jaw

S510～S530：流程步骤S510～S530: process steps

L：拱型板120的最大厚度L: the maximum thickness of thearched plate 120

M：U型上牙槽111的前端410距离内侧壁310的距离M: the distance between thefront end 410 of the U-shaped upper alveolar 111 and theinner wall 310

N：U型下牙槽112的前端420距离内侧壁310的距离N: the distance between thefront end 420 of the U-shaped lower alveolar 112 and theinner side wall 310

W：两内侧端点210、220的距离W: the distance between the twoinner endpoints 210 and 220

具体实施方式Detailed ways

以下是提出一实施例进行详细说明，实施例仅用以作为范例说明，并不会限缩本发明欲保护的范围。此外，实施例中的附图省略不必要的元件，以清楚显示本发明的技术特点。The following is a detailed description of an embodiment, which is only used as an example and does not limit the scope of protection of the present invention. In addition, the drawings in the embodiments omit unnecessary elements to clearly show the technical characteristics of the present invention.

请参照图1至图4，其中图1是绘示依照本发明一实施例的口腔固定装置100的立体图。图2是绘示口腔固定装置100的后视图。图3是绘示口腔固定装置100的上视图。图4是绘示图3的口腔固定装置100沿截面线4-4’的剖视图。Please refer to FIGS. 1 to 4 , wherein FIG. 1 is a perspective view illustrating anoral fixture 100 according to an embodiment of the present invention. FIG. 2 is a rear view of theoral fixture 100 . FIG. 3 is a top view showing theoral fixture 100 . FIG. 4 is a cross-sectional view of theoral fixture 100 shown in FIG. 3 along the section line 4-4'.

本实施例的口腔固定装置100包括一U型矫正器110以及一拱型板120。此U型矫正器110用以套合口腔中的上排牙齿630(绘示于图6)及下排牙齿640(绘示于图6)。拱型板120具有非均匀的厚度且连接于U型矫正器110的内侧壁310，并介于一舌头610(绘示于图6)与一上颚620(绘示于图6)之间。其中拱型板120的中央处的厚度比连接处厚。举例来说，拱型板120的厚度可为由连接处往中央处递增。在一实施例中，U型矫正器110可以是一U型牙套。Theoral fixture 100 of this embodiment includes aU-shaped aligner 110 and anarched plate 120 . The U-shapedaligner 110 is used to cover the upper row of teeth 630 (shown in FIG. 6 ) and the lower row of teeth 640 (shown in FIG. 6 ) in the oral cavity. Thearch plate 120 has a non-uniform thickness and is attached to theinner side wall 310 of the U-shapedaligner 110 between a tongue 610 (shown in FIG. 6 ) and a palate 620 (shown in FIG. 6 ). Wherein the thickness of the center of thearched plate 120 is thicker than that of the connection. For example, the thickness of thearched plate 120 may increase from the connection to the center. In one embodiment, the U-shapedaligner 110 may be a U-shaped brace.

如图2所示，拱型板120的一最大厚度L实质上等于舌头610与上颚620的距离，例如是大于2毫米且小于15毫米，此外，更可以视其需要而客制化。又例如，使用者为小孩子时，拱型板120的最大厚度L也可以为介于2毫米与8毫米之间。如此一来，因为拱型板120能抵住舌头610，所以能去除阻塞呼吸道的变因。As shown in FIG. 2 , a maximum thickness L of thearched plate 120 is substantially equal to the distance between the tongue 610 and the palate 620 , for example, greater than 2 mm and less than 15 mm. In addition, it can be customized according to needs. For another example, when the user is a child, the maximum thickness L of thearched plate 120 may also be between 2 mm and 8 mm. In this way, since thearched plate 120 can be pressed against the tongue 610, the variable cause of obstructing the airway can be removed.

再者，请参照图4，在口腔装置100中，U型矫正器110还具有一U型上牙槽111及一U型下牙槽112。U型上牙槽111的前端410距离内侧壁310为一第一距离M。U型下牙槽112的前端420距离内侧壁310为一第二距离N。其中第二距离N大于第一距离M。换句话说，如图4所示，U型下牙槽112实质上在U型上牙槽111的前方。所以，当使用者戴上此口腔固定装置100时，下颚650(绘示于图6)将会略向前凸。如此一来，可打开使用者呼吸道侧壁的肌肉。Furthermore, please refer to FIG. 4 , in theoral device 100 , theU-shaped aligner 110 also has a U-shapedupper alveolar 111 and a U-shapedlower alveolar 112 . Thefront end 410 of the U-shapedupper alveolar 111 is a first distance M away from theinner wall 310 . Thefront end 420 of the U-shapedlower alveolar 112 is a second distance N away from theinner wall 310 . Wherein the second distance N is greater than the first distance M. In other words, as shown in FIG. 4 , the U-shapedlower alveolar 112 is substantially in front of the U-shapedupper alveolar 111 . Therefore, when the user wears theoral fixture 100 , the lower jaw 650 (shown in FIG. 6 ) will slightly protrude forward. In doing so, the muscles in the side walls of the user's airway are opened.

除此之外，拱型板120介于一舌头610与一上颚620之间，为了能够稳定使用者舌头的位置，拱型板120的设计为填满使用者口腔内舌头610与一上颚620的空间而呈现一非均匀厚度，请再参照图2，拱型板120的最大厚度L位于此拱型板120的中央处。也就是说，拱型板120的中央较厚，而拱型板120的两侧较薄。而人体舌头610与上颚620之间的间隙也是在中央处较宽，两侧较窄。当使用者戴上此口腔固定装置100时，上述设计将使得使用者的舌头能牢固地固定在口腔固定装置100的拱型板120的下方。In addition, thearched plate 120 is between a tongue 610 and a palate 620. In order to stabilize the position of the user's tongue, thearched plate 120 is designed to fill the space between the tongue 610 and the palate 620 in the user's oral cavity. The space presents a non-uniform thickness, please refer to FIG. 2 again, the maximum thickness L of thearched plate 120 is located at the center of thearched plate 120 . That is to say, the center of thearched plate 120 is thicker, while the two sides of thearched plate 120 are thinner. The gap between the human tongue 610 and the palate 620 is also wider at the center and narrower at both sides. When the user wears theoral fixture 100 , the above design will enable the user's tongue to be firmly fixed under thearched plate 120 of theoral fixture 100 .

再来，请参照图5及图6，图5绘示使用口腔固定装置100的流程图，图6绘示使用者将口腔固定装置100置入舌头610与上颚620之间的示意图。首先，在步骤S510中，提供口腔固定装置100。Next, please refer to FIG. 5 and FIG. 6 , FIG. 5 shows a flowchart of using theoral fixture 100 , and FIG. 6 shows a schematic diagram of a user placing theoral fixture 100 between the tongue 610 and the palate 620 . First, in step S510, theoral fixture 100 is provided.

接着，在步骤S520中，将一上排牙齿630及一下排牙齿640置入U型矫正器110内。如图6所示，上排牙齿630与下排牙齿640牢牢地固定于U型矫正器110内，调整上下排牙齿咬合位置，使得U型上牙槽111的前端410距离内侧壁310为一第一距离M。U型下牙槽112的前端420距离内侧壁310为一第二距离N。其中第二距离M大于第一距离N。换句话说，如图4所示，U型下牙槽112实质上在U型上牙槽111的前方。Next, in step S520 , an upper row of teeth 630 and a lower row of teeth 640 are placed into theU-shaped aligner 110 . As shown in Figure 6, the upper row of teeth 630 and the lower row of teeth 640 are firmly fixed in theU-shaped aligner 110, and the occlusal position of the upper and lower rows of teeth is adjusted so that thefront end 410 of the U-shapedupper alveolar 111 is at a distance from theinner wall 310. The first distance M. Thefront end 420 of the U-shapedlower alveolar 112 is a second distance N away from theinner wall 310 . Wherein the second distance M is greater than the first distance N. In other words, as shown in FIG. 4 , the U-shapedlower alveolar 112 is substantially in front of the U-shapedupper alveolar 111 .

接着，在步骤S530中，将口腔固定装置100置入舌头610与上颚620之间，顺应舌头610与上颚620中间的空隙，修整拱型板120的厚度，以使拱型板120的一上表面120a实质上接触上颚620，拱型板120的一下表面120b实质上接触舌头610。举例来说，请参照图6。可明显看到，当拱型板120的上表面120a与下表面120b各别实质上接触上颚620与舌头610时，因拱型板120牢牢地固定在上颚620的下方，使得舌头610受到拱型板120的挤压而固定在拱型板120的下方。如此一来，当使用者的牙齿咬住U型矫正器110时，拱型板120将同时受到U型矫正器110与上颚620的挤压，所以拱型板120在舌头610上方上、下、左、右、前、后同时固定住，将更可确保舌头610的固定。Next, in step S530, theoral fixture 100 is placed between the tongue 610 and the palate 620, and the thickness of thearched plate 120 is trimmed to conform to the gap between the tongue 610 and the palate 620, so that an upper surface of thearched plate 120 120a substantially contacts the palate 620 and the lower surface 120b of thearcuate plate 120 substantially contacts the tongue 610 . For example, please refer to Figure 6. It can be clearly seen that when the upper surface 120a and the lower surface 120b of thearched plate 120 are in substantial contact with the upper palate 620 and the tongue 610 respectively, the tongue 610 will be arched because thearched plate 120 is firmly fixed below the upper jaw 620. The extrusion of the profiledplate 120 is fixed below the arched profiledplate 120. In this way, when the user's teeth bite theU-shaped aligner 110 , thearched plate 120 will be squeezed by theU-shaped aligner 110 and the upper jaw 620 at the same time, so thearched plate 120 goes up, down, and above the tongue 610 . Fixing the left, right, front and back at the same time will further ensure the fixation of the tongue 610.

本实施例所述的口腔固定装置100，因U型上牙槽111的前端410距离内侧壁310的第一距离M，U型下牙槽112的前端420距离内侧壁310的第二距离N，且第二距离N大于第一距离M，所以可利用口腔固定装置100以下颚650(绘示于图6)向前凸的方式打开使用者呼吸道侧壁的肌肉。并且因为拱型板120能抵住舌头610，所以能去除阻塞呼吸道的变因。再者，也因拱型板120将舌头610周围空间填满，所以能在使用者躺卧时支撑舌头610下垂重力，将舌头610保持在自然的位置不受重力的影响而掉落，能避免堵塞使用者呼吸道。所以本实施例所述的口腔固定装置100至少具有“打开呼吸道侧壁的肌肉”、“去除阻塞呼吸道的变因”以及“将舌头保持在自然的位置不受重力的影响而掉落”的特性。In theoral fixture 100 described in this embodiment, due to the first distance M between thefront end 410 of the U-shapedupper alveolar 111 and theinner wall 310, the second distance N between thefront end 420 of the U-shapedlower alveolar 112 and theinner wall 310, And the second distance N is greater than the first distance M, so theoral fixture 100 can be used to open the muscles of the sidewall of the user's airway in a way that the lower jaw 650 (shown in FIG. 6 ) protrudes forward. And because thearched plate 120 can bear against the tongue 610, the variable that blocks the airway can be removed. Moreover, because thearched plate 120 fills up the space around the tongue 610, it can support the drooping gravity of the tongue 610 when the user is lying down, and keep the tongue 610 in a natural position from falling due to the influence of gravity. Block user's airway. Therefore, theoral fixation device 100 described in this embodiment at least has the characteristics of "opening the muscles of the sidewall of the airway", "removing the cause of obstruction of the airway" and "keeping the tongue in a natural position without falling due to the influence of gravity". .

再者，因舌头610保持在自然的位置，所以长时间使用不会造成不适感，也不需太多外力即可稳定舌头610。而也因口腔固定装置100固定上、下排牙齿630、640，所以即使使用者在睡眠状态下使用此口腔固定装置100，使用者仍不会因丧失肌张力而张口呼吸。故本实施例的口腔固定装置100更具有“长时间使用不会造成不适感”的特性。因此，本口腔固定装置100可适用于睡眠呼吸中止的装置的口腔界面，利于防止呼吸道阻塞而造成呼吸中止的现象。Furthermore, since the tongue 610 is kept in a natural position, it will not cause discomfort when used for a long time, and the tongue 610 can be stabilized without too much external force. And because theoral fixture 100 fixes the upper and lower rows of teeth 630, 640, even if the user uses theoral fixture 100 in a sleeping state, the user will not open his mouth to breathe due to loss of muscle tension. Therefore, theoral fixture 100 of this embodiment has the characteristic of "no discomfort caused by prolonged use". Therefore, theoral fixation device 100 can be applied to the oral interface of a sleep apnea device, which is beneficial to prevent respiratory apnea caused by airway obstruction.

本实施例的口腔固定装置100于2006年7月至2009年12月间由台湾大学附设医院针对五位临床试验对象进行试验。首先，这五位临床试验对象均先经过健康检查后排除下列五种疾病：(1)非阻塞性睡眠呼吸暂停症后群(Non-obstructive sleep apnea syndrome)、(2)阻塞性睡眠呼吸暂停症后群(OSAS)以外的睡眠呼吸疾病、(3)系统性疾病(例如类风湿性关节炎(rheumatoid arthritis))、(4)颞颚关节障碍(Temporo-Mandibular disorder)、(5)牙周病(periodontal disease)、牙痛或不能使用矫正器的其他情况。Theoral fixture 100 of this embodiment was tested on five clinical test subjects by the Hospital Affiliated to National Taiwan University from July 2006 to December 2009. First of all, the five clinical trial subjects all underwent health checks before excluding the following five diseases: (1) Non-obstructive sleep apnea syndrome (Non-obstructive sleep apnea syndrome), (2) Obstructive sleep apnea syndrome Sleep-breathing disorders other than OSAS, (3) systemic diseases (such as rheumatoid arthritis), (4) Temporo-Mandibular disorder, (5) periodontal disease (periodontal disease), toothache, or other conditions that prevent the use of aligners.

此临床试验先利用多功能生理睡眠检查仪(PSG)记录年龄、身体质量指数(body mass index，BMI)、颈围及侧位片(lateral cephalometricphotography)。然后，由牙科医师针对各个临床试验对象个别地制作传统的口腔固定装置及本实施例的口腔固定装置100。每位临床试验对象穿戴传统口腔固定装置三个月并接受生理睡眠检查仪(PSG)测试其效果。然后，每位临床试验对象穿戴本实施例的口腔固定装置100三个月并接受生理睡眠检查仪(PSG)测试其效果。表一描述临床试验的结果。其中「AHI」表示睡眠呼吸暂停低通气指数(apnea hypopnea index)，为阻塞性睡眠呼吸暂停严重度的指标。In this clinical trial, age, body mass index (BMI), neck circumference, and lateral cephalometric photography were recorded using a multifunctional physiological sleep tester (PSG). Then, the traditional oral fixture and theoral fixture 100 of this embodiment are manufactured individually for each clinical trial subject by a dentist. Each clinical trial subject wore a traditional oral fixation device for three months and underwent a physiological sleep test (PSG) to test its effect. Then, each clinical trial subject wore theoral fixation device 100 of this embodiment for three months and underwent a physiological sleep test (PSG) to test its effect. Table 1 describes the results of the clinical trials. Among them, "AHI" stands for sleep apnea hypopnea index (apnea hypopnea index), which is an indicator of the severity of obstructive sleep apnea.

表一：临床试验的结果Table 1: Results of Clinical Trials

很明显地，穿戴本实施例口腔固定装置100可以减少AHI值。因此，相比较于传统口腔固定装置，本实施例的口腔固定装置100更适合用以避免阻塞性睡眠呼吸暂停情况。Obviously, wearing theoral fixture 100 of this embodiment can reduce the AHI value. Therefore, compared with the traditional oral fixture, theoral fixture 100 of the present embodiment is more suitable for avoiding obstructive sleep apnea.

综上所述，虽然结合以上一实施例揭露了本发明，然而其并非用以限定本发明。本发明所属技术领域中熟悉此技术者，在不脱离本发明的精神和范围内，可作各种的更动与润饰。因此，本发明的保护范围应以附上的权利要求所界定的为准。In summary, although the present invention is disclosed in combination with the above embodiment, it is not intended to limit the present invention. Those skilled in the art to which the present invention belongs can make various changes and modifications without departing from the spirit and scope of the present invention. Therefore, the protection scope of the present invention should be defined by the appended claims.

Claims (10)

1. oral cavity fixture comprises:

U type appliance; And

The arch form plate is connected in a medial wall of this U type appliance, and wherein the thickness of the centre of this arch form plate is thicker than the junction, and a maximum ga(u)ge of this arch form plate is greater than 2 millimeters.

2. oral cavity as claimed in claim 1 fixture, wherein this maximum ga(u)ge of this arch form plate is less than 15 millimeters.

3. oral cavity as claimed in claim 1 fixture; Wherein this U type appliance has on the U type alveolus under the alveolus and U type; Alveolar front end is one first distance apart from this medial wall on this U type; Alveolar front end is a second distance apart from this medial wall under this U type, and wherein this second distance is greater than this first distance.

4. oral cavity as claimed in claim 1 fixture, wherein this maximum ga(u)ge is positioned at the centre of this arch form plate.

5. oral cavity as claimed in claim 1 fixture, wherein this maximum ga(u)ge is greater than 2 millimeters and less than 8 millimeters.

6. oral cavity as claimed in claim 1 fixture, wherein the thickness of this arch form plate is increased progressively toward centre by the junction.

7. oral cavity fixture comprises:

U type appliance is gone up row's tooth and is arranged tooth once in order to the cover unification; And

The arch form plate connect a medial wall of this U type appliance, and between a tongue and a maxillary, a thickness of this arch form plate equals the distance of this tongue and this maxillary in fact.

8. oral cavity as claimed in claim 7 fixture; Wherein this U type appliance also comprises on the U type alveolus under the alveolus and U type; Alveolar front end is one first distance apart from this medial wall on this U type; The front end of alveolar U type is a second distance apart from this medial wall under this U type, and this second distance is greater than this first distance.

9. the fixing means in an oral cavity comprises:

One oral cavity fixture is provided, and this oral cavity fixture comprises U type appliance and arch form plate, and this arch form plate connects a medial wall of this U type appliance;

With row's tooth on one and arrange tooth once and insert in this U type appliance; And

This oral cavity fixture is inserted between a tongue and the maxillary, so that a upper surface of this arch form plate contacts this maxillary in fact, a lower surface of this arch form plate contacts this tongue in fact.

10. method as claimed in claim 9; Wherein in the step that this oral cavity fixture is provided; This U type appliance also comprises on the U type alveolus under the alveolus and U type; Alveolar front end is apart from this medial wall one first distance on this U type, and the front end of alveolar U type is apart from this medial wall one second distance under this U type, and this second distance is greater than this first distance.

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