技术领域technical field
本发明属于口腔医学技术领域,尤其涉及一种猫形辅弓隐形矫治器。The invention belongs to the technical field of stomatology, and in particular relates to a cat-shaped auxiliary arch invisible appliance.
背景技术Background technique
口腔正畸治疗通过使牙齿发生生理性移动来矫正各种错牙合畸形,治疗目标为协调牙齿咬合,协调牙齿与颌面部软硬组织之间的位置关系,以改善口颌面部的健康、美观和功能。前牙覆牙合是牙齿咬合的主要指标之一,与咬合建立、颌骨发育和面部美观有重要关联。上前牙切缘盖过下前牙牙冠长度1/3以上,被称为深覆牙合,是临床常见的错牙合畸形,伴有上切牙舌倾的称为内倾型深覆牙合。深覆牙合主要表现为上颌和/或下颌前牙伸长,下颌前牙切缘咬在上颌前牙的牙冠颈1/3处,甚至咬在上颌舌侧牙龈,导致下切牙过度磨耗、上颌牙龈创伤,内倾型深覆牙合限制下颌矢状向发育、影响颞下颌关节健康。对于该类患者,正畸治疗需压低前牙,打开前牙咬合,建立正常的前牙覆牙合。Orthodontic treatment corrects various malocclusions by making the teeth move physiologically. The treatment goal is to coordinate the occlusion of the teeth and coordinate the positional relationship between the teeth and the soft and hard tissues of the maxillofacial region, so as to improve the health of the oral and maxillofacial region. , beauty and functionality. Anterior overbite is one of the main indicators of dental occlusion, which is closely related to occlusal establishment, jaw development and facial aesthetics. The incisal edge of the upper anterior teeth covers more than 1/3 of the length of the lower anterior teeth crown, which is called deep overbite, which is a common clinical malocclusion deformity. . Deep overbite is mainly manifested by the elongation of the maxillary and/or mandibular anterior teeth, the incisal edge of the mandibular anterior teeth bites at 1/3 of the crown neck of the maxillary anterior teeth, or even bites on the maxillary lingual gums, resulting in excessive wear of the mandibular incisors, Maxillary gingival trauma, introverted deep overbite restricts the sagittal development of the mandible and affects the health of the temporomandibular joint. For such patients, orthodontic treatment needs to lower the anterior teeth, open the anterior occlusion, and establish a normal anterior overbite.
常用的治疗方法是采用固定矫治,矫治器由托槽和钢丝组成,矫治器美观度和舒适度差,疗程长达一年以上,很多患者由于矫治器长期妨碍美观而放弃治疗。近年来,无托槽隐形矫治技术给口腔正畸治疗提供了新的选择,现有的隐形矫治器由分别覆盖上下颌牙列的透明牙套和粘接于牙面上的附件组成,通过透明牙套对牙面和/或附件的推挤力来实现牙齿的移动。无托槽隐形矫治器具有美观、舒适的优点,然而治疗深覆牙合的矫治效能弱,打开咬合所需疗程长于固定矫治,尤其对于严重深覆牙合的病例,常发生牙齿脱套、咬合打开量不足,导致频繁重启甚至矫治失败。现有技术将隐形牙套和固定矫治器结合起来,提高了打开前牙咬合的效能,但仍具有以下缺陷:1,矫治器设置托槽和辅簧,舒适度较差;2,矫治器就位需分步进行,患者每天多次取戴矫治器需自行安放牙套、安置辅簧,操作困难,难以保证操作准确性和安全性,治疗可控性差。The commonly used treatment method is to use fixed orthodontic treatment. The orthodontic appliance consists of brackets and steel wires. The appliance has poor aesthetics and comfort, and the course of treatment lasts for more than one year. Many patients give up treatment because the appliance has hindered the appearance for a long time. In recent years, bracket-free invisible orthodontic technology has provided a new option for orthodontic treatment. The existing invisible orthodontic appliance consists of transparent braces covering the upper and lower dentition and attachments bonded to the tooth surface. Through the transparent braces Tooth movement is achieved by pushing against the tooth surface and/or attachment. Bracketless invisible appliance has the advantages of beauty and comfort. However, the orthodontic effect for the treatment of deep overbite is weak, and the course of treatment required to open the occlusion is longer than that of fixed orthodontic treatment. Especially for severe overbite cases, tooth detachment and occlusion often occur. The amount of opening is insufficient, resulting in frequent restarts or even failure of correction. The prior art combines invisible braces and fixed appliances to improve the efficiency of opening the occlusion of the anterior teeth, but still has the following defects: 1. The appliance is provided with brackets and auxiliary springs, resulting in poor comfort; 2. The appliance is in place It needs to be carried out step by step, and patients need to place their own braces and auxiliary springs when they take out and wear appliances multiple times a day. The operation is difficult, it is difficult to ensure the accuracy and safety of the operation, and the treatment controllability is poor.
本文中的“牙合”是口腔医学专业词汇,英文为occlusion,牙与合是一个字的左部和右部,在普通字库中找不到该字,故分开书写为“牙合”。In this article, "occlusion" is a professional vocabulary of stomatology. It is occlusion in English. Teeth and occlusion are the left and right parts of a word. This word cannot be found in the ordinary font library, so it is written as "occlusion" separately.
发明内容SUMMARY OF THE INVENTION
鉴于上述现有技术的缺点,本发明的目的在于供一种猫形辅弓隐形矫治器,克服现有技术中存在的诸多缺陷,能高效打开前牙咬合、改正深覆牙合,提高矫治效能,兼有摘戴方便、戴用舒适、外形美观等特点。In view of the shortcomings of the above-mentioned prior art, the purpose of the present invention is to provide a cat-shaped auxiliary arch invisible appliance, which overcomes many defects existing in the prior art, can efficiently open anterior occlusion, correct deep overbite, and improve orthodontic efficacy , It has the characteristics of convenient removal and wearing, comfortable wearing and beautiful appearance.
为实现上述发明目的,本发明技术方案如下:In order to realize the above-mentioned purpose of the invention, the technical scheme of the present invention is as follows:
一种猫形辅弓隐形矫治器,包括:猫形辅弓、辅弓鞘、固定槽、固位套。A cat-shaped auxiliary arch invisible appliance comprises a cat-shaped auxiliary arch, an auxiliary arch sheath, a fixing groove and a retaining sleeve.
所述固位套覆盖上颌牙列或覆盖下颌牙列;所述固位套包括前牙套、后牙套、连接桥,所述前牙套覆盖双侧中切牙和侧切牙,或覆盖双侧尖牙和切牙;所述后牙套覆盖双侧前磨牙和磨牙,或覆盖双侧第二前磨牙、磨牙;所述连接桥为覆盖牙齿唇侧和舌侧的条带状结构,连接桥的近中与前牙套相连接,远中与后牙套相连接;所述固位套各结构均采用透明或半透明的材料制成,使矫治器隐形;The retention sleeve covers the maxillary dentition or covers the lower jaw dentition; the retention sleeve includes anterior braces, posterior braces, and connecting bridges, and the anterior braces cover bilateral central incisors and lateral incisors, or cover bilateral canines and incisors; the posterior brace covers bilateral premolars and molars, or covers bilateral second premolars and molars; the connecting bridge is a strip-like structure covering the labial and lingual sides of the teeth, connecting the mesial side of the bridge It is connected with the front braces, and the distal part is connected with the posterior braces; each structure of the retaining sleeve is made of transparent or translucent materials, so that the appliance is invisible;
所述猫形辅弓为牙弓形态,由金属丝制成,在前段具有两个猫耳状弯曲;所述猫形辅弓的两端分别插入辅弓鞘,中段固定于固定槽内。The cat-shaped auxiliary arch is in the form of a dental arch, is made of metal wire, and has two cat-ear-shaped bends in the front section;
所述辅弓鞘位于双侧后牙套的颊侧面;所述辅弓鞘为一倾斜的管状或鞘状结构,与牙合平面呈30°-60°交角;位于此交角范围内的辅弓鞘可为猫形辅弓提供合适的附着部位,以产生合适的矫治力,调整辅弓鞘与牙合平面的交角可调控猫形辅弓产生的垂直向力值的大小。The auxiliary arch sheath is located on the buccal side of the bilateral posterior braces; the auxiliary arch sheath is an inclined tubular or sheath-like structure, and is at an angle of 30°-60° with the occlusal plane; the auxiliary arch sheath is located within the range of this angle. It can provide a suitable attachment site for the cat-shaped auxiliary arch to generate appropriate orthodontic force, and adjust the angle between the auxiliary arch sheath and the occlusal plane to adjust the vertical force value generated by the cat-shaped auxiliary arch.
所述固定槽位于前牙套的舌侧面;所述固定槽为枕状隆起结构,具有舌侧面、牙合面、近中面、远中面,所述舌侧面、牙合面为光滑面,所述近中面和远中面为弯钩形状;枕状为枕头一样的形状;The fixing groove is located on the lingual side of the front mouthpiece; the fixing groove is a pillow-like raised structure, with a lingual side, an occlusal surface, a mesial surface, and a distal surface, and the lingual side and the occlusal surface are smooth surfaces, so the The mesial surface and the distal surface are in the shape of hooks; the pillow shape is in the shape of a pillow;
所述隐形矫治器的各部件均位于上颌牙列,或均位于下颌牙列。Each component of the invisible appliance is located in the maxillary dentition, or all located in the mandibular dentition.
所述固位套为矫治器提供固位,并为辅弓鞘、固定槽提供附着部位;所述辅弓鞘为猫形辅弓的两端提供附着部位;所述固定槽为猫形辅弓提供施力点;所述猫形辅弓的回弹力能对前牙施以垂直向压低、或唇倾、或舌倾的矫治力;通过调整固定槽与前牙阻力中心的位置关系,并调整猫形辅弓施加矫治力的方向和力值大小,可实现前牙的整体移动、或倾斜移动、或控根移动;对前牙移动方式的精确调控和有效实现,可高效打开前牙咬合,改正深覆牙合,加强对牙合平面的垂直向控制,有利于建立正常的前牙覆牙合覆盖,协调上下牙列垂直向位置关系,改善咬合功能和面部美观。The retention sleeve provides retention for the appliance, and provides attachment sites for the auxiliary arch sheath and the fixing groove; the auxiliary arch sheath provides attachment parts for both ends of the cat-shaped auxiliary arch; the fixing groove is the cat-shaped auxiliary arch. Provide a force application point; the resilience of the cat-shaped auxiliary arch can apply vertical depression, or lip inclination, or lingual inclination to the anterior teeth. The direction and force value of the orthodontic force applied by the auxiliary arch can realize the overall movement, tilt movement, or root control movement of the anterior teeth; the precise adjustment and effective realization of the movement mode of the anterior teeth can effectively open the occlusion of the anterior teeth and correct the Deep overbite strengthens the vertical control of the occlusal plane, is conducive to the establishment of normal anterior overbite coverage, coordinates the vertical positional relationship between the upper and lower dentition, and improves occlusal function and facial aesthetics.
作为优选方式,所述猫形辅弓分为A型和B型两种结构,所述猫形辅弓A型的猫耳状弯曲跨过侧切牙与尖牙之间的邻间隙,所述猫形辅弓B型的猫耳状弯曲跨过尖牙与第一前磨牙之间的邻间隙;As a preferred mode, the cat-shaped auxiliary arch is divided into two types: A-type and B-type. The cat-ear-shaped curvature of the cat-shaped auxiliary arch A-type spans the adjacent space between the lateral incisors and the canines. The cat-ear-like curvature of the B-shaped auxiliary arch spans the interproximal space between the canine and the first premolar;
作为优选方式,所述猫形辅弓上设置限制圈,所述限制圈固定于猫形辅弓上,或直接由猫形辅弓弯制成型而来;所述限制圈位于辅弓鞘的近中或远中;通过调整双侧限制圈的位置,即调整双侧限制圈近中段弓丝的长度,可控制对前牙施加唇倾或舌倾的力值大小,以调控力和力矩比例,实现前牙的整体移动、或倾斜移动、或控根移动;As a preferred way, a restriction ring is set on the cat-shaped auxiliary bow, and the restriction ring is fixed on the cat-shaped auxiliary bow, or is directly formed by bending the cat-shaped auxiliary bow; the restriction ring is located on the side of the auxiliary bow sheath. Mesial or distal; by adjusting the position of the bilateral confinement rings, that is, adjusting the length of the archwire in the proximal and middle segments of the bilateral confinement rings, the force value of the labial or lingual inclination applied to the anterior teeth can be controlled to adjust the ratio of force and torque , to achieve the overall movement, or tilt movement, or root control movement of the anterior teeth;
作为优选方式,所述辅弓鞘和固定槽可由固位套的表面直接成形而来,与固位套形成一个整体;或作为单独的结构与固位套相连接;所述辅弓鞘和固定槽采用透明或半透明的材料制成;As a preferred way, the auxiliary arch sheath and the fixing groove can be directly formed from the surface of the retention sleeve, forming an integral body with the retention sleeve; or connected with the retention sleeve as a separate structure; the auxiliary arch sheath and the fixing sleeve The slot is made of transparent or translucent material;
作为优选方式,与猫形辅弓B型搭配的前牙套,在前牙套对应切牙切端的位置设置缓冲空间,适用于需仅压低尖牙时取消或减小对切牙的压低力;As a preferred way, for the front braces matched with the cat-shaped auxiliary arch B, a buffer space is provided at the position of the front braces corresponding to the incisal ends of the incisors, which is suitable for canceling or reducing the depression force of the incisors when only the canines need to be depressed;
作为优选方式,所述固位套上有空泡结构,对应牙面上设有粘接附件,粘接附件的外表面与所述空泡结构的内表面形态大小一致,粘接附件与空泡内壁通过机械嵌合将固位套固定于牙齿上;As a preferred mode, the retaining sleeve has a vacuolar structure, and the corresponding tooth surface is provided with an adhesive attachment, the outer surface of the adhesive attachment is the same size as the inner surface of the cavitation structure, and the adhesive attachment and the cavitation are in the same shape and size. The inner wall fixes the retaining sleeve on the teeth through mechanical fitting;
作为优选方式,位于上颌牙列的矫治器的后牙套牙合面向牙合方隆起或增厚,形成后牙升高垫;所述后牙升高垫覆盖双侧后牙,或覆盖部分后牙;As a preferred way, the occlusal surface of the posterior brace of the appliance located in the maxillary dentition is raised or thickened on the occlusal side to form a posterior tooth raising pad; the posterior tooth raising pad covers the bilateral posterior teeth, or covers part of the posterior teeth ;
作为优选方式,所述后牙升高垫为实心或空心结构,采用透明或半透明的材料制成;所述后牙升高垫的咬合面为平坦光滑面,咬合时与对颌后牙成均匀点状接触;后牙升高垫的厚度使上下颌咬合时下颌前牙切缘距离固位槽牙合面0到1毫米。As a preferred way, the posterior teeth raising pad is a solid or hollow structure, and is made of transparent or translucent material; the occlusal surface of the posterior teeth raising pad is a flat and smooth surface, which is formed with the opposite posterior teeth during occlusion. Uniform point contact; the thickness of the posterior riser pads is such that the incisal edge of the mandibular anterior teeth is 0 to 1 mm away from the occlusal surface of the retaining molars when the upper and lower jaws are occluded.
本发明的有益效果如下:The beneficial effects of the present invention are as follows:
1,该矫治器在前牙段的施力部件隐藏于牙齿的舌侧,固位套透明,因而美观隐形;矫治器各部件与口腔黏膜接触的区域均采用光滑弧面,因而舒适度高;2,该矫治器结构简洁,施力部件由医师预先组装好,患者使用时只需将固位套放置在牙列上,摘戴简单方便,易于操作,3,该隐形矫治器的施力部件利用金属丝的回弹力,力量持续柔和,从而显著提高矫治效能;4,该矫治器的施力点、施力方向和力值大小具有灵活的可调性,通过调整辅弓鞘的倾斜角度,可调节猫形辅弓产生的垂直向力值的大小;通过调整双侧限制圈的位置,即调整双侧限制圈近中段弓丝的长度,可调节对前牙施加矢状向力的方向和力值大小;通过调整固定槽与前牙阻力中心的位置关系,可调节力矩大小;上述调节可精确控制前牙所受力和力矩的方向、大小、力/力矩比例,因而可以有效实现前牙的整体移动、或倾斜移动、或控根移动;可高效打开前牙咬合,改正深覆牙合,建立正常的前牙覆牙合覆盖,改善咬合功能和口颌面部美观。1. The force-applying parts of the appliance in the anterior segment are hidden on the lingual side of the teeth, and the retaining sleeve is transparent, so it is beautiful and invisible; the areas where each part of the appliance is in contact with the oral mucosa adopts a smooth arc surface, so the comfort is high; 2. The appliance has a simple structure, and the force-applying parts are pre-assembled by the physician. When the patient uses it, the retaining sleeve only needs to be placed on the dentition, which is easy to remove and put on and easy to operate. Using the rebound force of the metal wire, the force is continuously soft, thereby significantly improving the orthodontic efficacy; 4. The force application point, force direction and force value of the appliance are flexibly adjustable. By adjusting the inclination angle of the auxiliary bow sheath, the Adjust the magnitude of the vertical force generated by the cat-shaped auxiliary arch; by adjusting the position of the bilateral confinement circles, that is, adjusting the length of the archwire in the near and middle segments of the bilateral confinement circles, the direction and force of the sagittal force applied to the anterior teeth can be adjusted By adjusting the positional relationship between the fixed groove and the resistance center of the anterior teeth, the magnitude of the torque can be adjusted; the above adjustment can precisely control the direction, magnitude, and force/torque ratio of the force and torque on the anterior teeth, so that the anterior teeth can be effectively controlled. Overall movement, tilt movement, or root control movement; it can effectively open the anterior occlusion, correct the deep overbite, establish a normal anterior overbite coverage, and improve the occlusal function and oral and maxillofacial appearance.
附图说明Description of drawings
图1是本发明的整体结构示意图,用于显示包括A型猫形辅弓的矫治器,其中图1(1)为A型猫形辅弓示意图,图1(2)为该矫治器牙合面观,图1(3)为该矫治器侧面观;Fig. 1 is a schematic diagram of the overall structure of the present invention, which is used to display an appliance comprising an A-type cat-shaped auxiliary arch, wherein Fig. 1(1) is a schematic diagram of an A-type cat-shaped auxiliary arch, and Fig. 1(2) is the occlusion of the appliance. Face view, Figure 1 (3) is a side view of the appliance;
图2是本发明的整体结构示意图,用于显示包括B型猫形辅弓的矫治器,其中图2(1)为该B型猫形辅弓示意图,图2(2)为该矫治器牙合面观,图2(3)为该矫治器侧面观;Figure 2 is a schematic diagram of the overall structure of the present invention, used to display the appliance comprising a B-shaped cat-shaped auxiliary arch, wherein Figure 2 (1) is a schematic diagram of the B-shaped cat-shaped auxiliary arch, and Figure 2 (2) is the appliance tooth The occlusal view, Figure 2 (3) is the side view of the appliance;
图3是本发明所述矫治器的固定槽结构示意图,其中图3(1)为矢状面观,图3(2)为舌侧面观;Figure 3 is a schematic view of the fixing groove structure of the appliance according to the present invention, wherein Figure 3 (1) is a sagittal view, and Figure 3 (2) is a lingual side view;
其中,1为猫形辅弓,2为限制圈,3为猫耳状弯曲,4为辅弓鞘,5为固定槽,6为前牙套,7为后牙套,8为连接桥,9为后牙升高垫,10为舌侧面,11为牙合面,12为近中面。Among them, 1 is a cat-shaped auxiliary bow, 2 is a restriction ring, 3 is a cat ear-shaped bend, 4 is an auxiliary bow sheath, 5 is a fixing groove, 6 is an anterior brace, 7 is a rear brace, 8 is a connecting bridge, and 9 is a rear brace Tooth lift pad, 10 is the lingual surface, 11 is the occlusal surface, and 12 is the mesial surface.
具体实施方式Detailed ways
以下通过特定的具体实例说明本发明的实施方式,本领域技术人员可由本说明书所揭露的内容轻易地了解本发明的其他优点与功效。本发明还可以通过另外不同的具体实施方式加以实施或应用,本说明书中的各项细节也可以基于不同观点与应用,在没有背离本发明的精神下进行各种修饰或改变。The embodiments of the present invention are described below through specific specific examples, and those skilled in the art can easily understand other advantages and effects of the present invention from the contents disclosed in this specification. The present invention can also be implemented or applied through other different specific embodiments, and various details in this specification can also be modified or changed based on different viewpoints and applications without departing from the spirit of the present invention.
对比例Comparative ratio
固定矫治,矫治器由托槽和钢丝组成,托槽固定于牙面,钢丝的回弹力通过托槽传递给牙齿而使牙齿移动,矫治器美观度和舒适度差,打开咬合阶段的疗程都长达半年以上。Fixed orthodontic treatment. The appliance consists of brackets and steel wires. The brackets are fixed on the tooth surface. The resilience of the steel wire is transmitted to the teeth through the brackets to move the teeth. The aesthetics and comfort of the appliance are poor. for more than half a year.
现有隐形矫治器由分别覆盖上下颌牙列的透明牙套和粘接于牙面上的附件组成,通过透明牙套对牙面和/或附件的推挤力来移动牙齿,隐形矫治器美观舒适度较好,然而打开前牙咬合的矫治效能弱,所需疗程长于固定矫治,常发生牙齿脱套、咬合打开量不足。The existing invisible appliance is composed of transparent braces covering the upper and lower dentition and accessories bonded to the tooth surface respectively. The teeth are moved by the pushing force of the transparent braces on the tooth surface and/or the accessory, and the invisible appliance is aesthetically pleasing and comfortable. However, the orthodontic effect of opening anterior occlusion is weak, and the required course of treatment is longer than that of fixed orthodontic treatment. Teeth dislocation and insufficient occlusal opening often occur.
对33名前牙深覆牙合且不伴有牙列拥挤的患者,分三组分别配戴本发明实施例1和实施例2所述隐形矫治器、固定矫治、现有技术隐形矫治器,在治疗期间让患者进行配戴舒适度评分(评分区间0-10分,0-2分:非常难受,无法忍受;2-4分:难受,尚可忍受;4-6分:无明显不适;6-8分:舒适;8-10分:非常舒适)、配戴美观度评分(评分区间0-10分,0-2分:非常不美观;2-4分:不美观;4-6分:尚可接受;6-8分:美观;8-10分:非常美观),统计疗程长短(患者完成治疗所需的月数),并进行疗效评价,其中疗效评价项目为前牙覆牙合改善量(测量前牙覆牙合,计算治疗后比治疗前减小的毫米数,数值越大,说明疗效越好)。统计数据如表1,可见对于该类患者的治疗,该隐形矫治系统除具有舒适度高、美观度好的优点外,较之固定矫治和现有隐形矫治技术,本发明所述隐形矫治器的疗效更好,打开前牙咬合的矫治效能更高。For 33 patients with deep occlusion of anterior teeth and no crowded dentition, they were divided into three groups to wear the invisible appliances described in Examples 1 and 2 of the present invention, fixed appliances, and invisible appliances in the prior art. During the treatment, patients were asked to score the wearing comfort (score range: 0-10 points, 0-2 points: very uncomfortable, unbearable; 2-4 points: uncomfortable, tolerable; 4-6 points: no obvious discomfort; 6 -8 points: comfortable; 8-10 points: very comfortable), wearing aesthetic score (score range 0-10 points, 0-2 points: very unsightly; 2-4 points: unsightly; 4-6 points: Acceptable; 6-8 points: beautiful; 8-10 points: very beautiful), the length of the course of treatment (the number of months required for the patient to complete the treatment), and the efficacy evaluation, the efficacy evaluation item is the improvement of anterior overbite Quantity (measure the overbite of the anterior teeth, calculate the millimeters decreased after treatment compared with before treatment, the larger the value, the better the curative effect). The statistical data are shown in Table 1, it can be seen that for the treatment of this type of patients, the invisible orthodontic system has the advantages of high comfort and good aesthetics. The curative effect is better, and the orthodontic effect of opening the anterior occlusion is higher.
表1Table 1
实施例1Example 1
于本实施例中,本发明所述的一种隐形矫治器,如图1(1)-图1(3)所示,包括猫形辅弓、辅弓鞘、固定槽、固位套。所述固位套覆盖上颌牙列;所述固位套包括前牙套、后牙套、连接桥,所述前牙套覆盖双侧上颌中切牙和侧切牙,所述后牙套覆盖双侧上颌第一前磨牙到第一磨牙,所述连接桥为双条带状结构,覆盖双侧尖牙的唇侧和舌侧面,连接桥的近中与前牙套相连接,远中与后牙套相连接。所述辅弓鞘为一倾斜的管状结构,位于双侧后牙套对应上颌第二前磨牙处的颊侧面,所述辅弓鞘与上颌牙合平面呈30°-60°交角。In this embodiment, an invisible appliance according to the present invention, as shown in FIG. 1(1)-FIG. 1(3), includes a cat-shaped auxiliary arch, an auxiliary arch sheath, a fixing groove, and a retaining sleeve. The retention sleeve covers the maxillary dentition; the retention sleeve includes an anterior brace, a posterior brace, and a connecting bridge, the anterior brace covers the bilateral maxillary central incisors and the lateral incisors, and the posterior brace covers the bilateral maxillary first From the premolar to the first molar, the connecting bridge is a double-striped structure, covering the labial and lingual sides of the bilateral canines, the mesial of the connecting bridge is connected with the anterior brace, and the distal part is connected with the posterior brace. The auxiliary arch sheath is an inclined tubular structure and is located on the buccal side of the bilateral posterior braces corresponding to the maxillary second premolars, and the auxiliary arch sheath and the maxillary occlusal plane intersect at an angle of 30°-60°.
本实施例中,所述猫形辅弓为牙弓形态、由不锈钢丝制成,为A型结构,在前段具有两个猫耳状弯曲;其猫耳状弯曲跨过侧切牙与尖牙之间的邻间隙,所述猫形辅弓的两端分别插入辅弓鞘,中段固定于固定槽内。In this embodiment, the cat-shaped auxiliary arch is in the form of a dental arch, made of stainless steel wire, and has an A-shaped structure, with two cat-ear-shaped curves in the front section; The two ends of the cat-shaped auxiliary arch are respectively inserted into the auxiliary arch sheath, and the middle section is fixed in the fixing groove.
如图3(1)-图3(2)所示,所述固定槽位于前牙套的舌侧面;所述固定槽为枕状隆起结构,具有舌侧面、牙合面、近中面、远中面,所述舌侧面和牙合面为光滑面,所述近中面和远中面为弯钩形状;所述猫形辅弓上设置限制圈,所述限制圈位于辅弓鞘的近中或远中;所述限制圈固定于猫形辅弓上,或直接由辅弓弯制成型而来;通过调整双侧限制圈的位置,即调整双侧限制圈近中段弓丝的长度,可控制对前牙施加唇倾或舌倾的力值大小。所述固位套为矫治器提供固位,并为辅弓鞘、固定槽提供附着部位;所述辅弓鞘为猫形辅弓的两端提供附着部位,所述固定槽为猫形辅弓提供施力点。As shown in Fig. 3(1)-Fig. 3(2), the fixing groove is located on the lingual side of the front mouthpiece; the fixing groove is a pillow-like raised structure with lingual side, occlusal surface, mesial surface, and distal surface. Surface, the lingual side surface and the occlusal surface are smooth surfaces, and the mesial surface and the distal surface are hook shapes; the cat-shaped auxiliary arch is provided with a restriction ring, and the restriction ring is located in the middle of the auxiliary arch sheath or distal; the restriction ring is fixed on the cat-shaped auxiliary arch, or is directly formed by bending the auxiliary arch; by adjusting the position of the bilateral restriction rings, that is, adjusting the length of the arch wire in the proximal and middle segments of the bilateral restriction rings, You can control the amount of force applied to the front teeth with labial tilt or lingual tilt. The retention sleeve provides retention for the appliance, and provides attachment sites for the auxiliary arch sheath and the fixing groove; the auxiliary arch sheath provides attachment sites for both ends of the cat-shaped auxiliary arch, and the fixing groove is the cat-shaped auxiliary arch. Provide a force point.
本实施例中,所述后牙套对应双侧第一磨牙和第一前磨牙的颊侧面上有空泡结构,对应牙面上设有粘接附件,粘接附件的外表面与所述空泡结构的内表面形态大小一致,通过机械嵌合将后牙套固定于牙列上;后牙套的牙合面向牙合方隆起或增厚,形成后牙升高垫,所述后牙升高垫覆盖双侧后牙,或覆盖部分后牙;所述后牙升高垫的咬合面为平坦光滑面,咬合时与对颌后牙成均匀点状接触;后牙升高垫的厚度使上下颌咬合时下颌前牙切缘距离固位槽牙合面0到1毫米。所述固位套、辅弓鞘、固定槽、后牙升高垫均采用透明或半透明的材料制成,使矫治器隐形。In this embodiment, the buccal surfaces of the posterior braces corresponding to the bilateral first molars and the first premolars have vacuoles structures, and the corresponding tooth surfaces are provided with bonding attachments, and the outer surfaces of the bonding attachments are connected to the vacuoles. The inner surface of the structure has the same shape and size, and the posterior braces are fixed on the dentition by mechanical fitting; the occlusal surface of the posterior braces is raised or thickened on the occlusal side to form a posterior tooth raising pad, which covers the posterior tooth raising pad Bilateral posterior teeth, or covering part of the posterior teeth; the occlusal surface of the posterior teeth raising pad is a flat and smooth surface, which is in uniform point contact with the opposite posterior teeth during occlusion; the thickness of the posterior teeth raising pad makes the upper and lower jaws occlude The incisal edge of the mandibular anterior teeth is 0 to 1 mm away from the occlusal surface of the retaining incisors. The retaining sleeve, the auxiliary arch sheath, the fixing groove, and the rear tooth raising pad are all made of transparent or translucent materials, so that the appliance is invisible.
该隐形矫治器的使用方法为:配戴该矫治器后,所述猫形辅弓的回弹力能对前牙施以垂直向压低的矫治力,辅弓鞘的倾斜角度可调控猫形辅弓产生的垂直向力值的大小;通过调整双侧限制圈的位置,可调控猫形辅弓对前牙施加唇倾或舌倾矫治力的方向和力值大小;通过调整固定槽与前牙阻力中心的位置关系,可调节力矩大小、力/力矩比例,因而可实现前牙的整体移动、或倾斜移动、或控根移动。对前牙移动方式的精确调控和有效实现,可高效打开前牙咬合,改正深覆牙合,协调上下牙列垂直向位置关系,建立正常的前牙覆牙合覆盖,改善咬合功能和口颌面部美观。The use method of the invisible appliance is as follows: after wearing the appliance, the resilience of the cat-shaped auxiliary arch can apply a vertically depressed orthodontic force to the front teeth, and the inclination angle of the auxiliary arch sheath can adjust the cat-shaped auxiliary arch The magnitude of the vertical force value generated; by adjusting the position of the bilateral limit circles, the direction and force value of the cat-shaped auxiliary arch’s orthodontic force applied to the anterior teeth with lip tilt or lingual tilt can be adjusted; by adjusting the fixed groove and the resistance of the anterior teeth The positional relationship of the center can adjust the magnitude of the moment and the ratio of force/moment, so that the overall movement of the front teeth, or the tilt movement, or the root control movement can be realized. Precise control and effective realization of the movement of anterior teeth can effectively open the occlusion of the anterior teeth, correct the deep overbite, coordinate the vertical positional relationship of the upper and lower dentition, establish a normal overbite coverage of the anterior teeth, and improve the occlusal function and oral jaw. Beautiful face.
实施例2Example 2
如图2(1)-图2(3)所示,本实施例和实施例1的区别在于,所述前牙套覆盖双侧上颌尖牙和切牙;所述后牙套覆盖双侧上颌第二前磨牙、磨牙;所述连接桥覆盖双侧上颌第一前磨牙的唇侧和舌侧面;所述前牙套对应双侧上颌尖牙的舌侧面形成枕状隆起结构,为固定槽;所述猫形辅弓为B型,所述猫形辅弓B型的猫耳状弯曲跨过尖牙与第一前磨牙之间的邻间隙;所述前牙套对应切牙切端的位置设置缓冲空间,适用于仅压低尖牙时取消或减小对切牙的压低力。As shown in FIG. 2(1)-FIG. 2(3), the difference between this embodiment and Embodiment 1 is that the front braces cover the bilateral maxillary canines and incisors; the posterior braces cover the bilateral maxillary second teeth premolars and molars; the connecting bridge covers the labial and lingual sides of the bilateral maxillary first premolars; the anterior braces form a pillow-like raised structure corresponding to the lingual sides of the bilateral maxillary canines, which are fixed grooves; the cat The auxiliary arch is B-type, and the cat-ear-shaped curvature of the cat-shaped auxiliary arch spans the adjacent gap between the canine and the first premolar; Cancel or reduce the depression force on the incisors when depressing only the canines.
实施例3Example 3
于本实施例中,本发明所述的一种隐形矫治器,包括猫形辅弓、辅弓鞘、固定槽、固位套。所述固位套覆盖下颌牙列;所述固位套包括前牙套、后牙套、连接桥,所述前牙套覆盖双侧下颌中切牙和侧切牙,所述后牙套覆盖双侧下颌第一前磨牙到第一磨牙,所述连接桥为双条带状结构,覆盖下颌双侧尖牙的唇侧和舌侧面,连接桥的近中与前牙套相连接,远中与后牙套相连接。所述后牙套对应双侧下颌第二前磨牙的颊侧面形成倾斜的鞘状结构,为辅弓鞘,所述辅弓鞘与下颌牙合平面呈30°-60°交角。In this embodiment, an invisible appliance according to the present invention includes a cat-shaped auxiliary arch, an auxiliary arch sheath, a fixing groove, and a retaining sleeve. The retention sleeve covers the mandibular dentition; the retention sleeve includes an anterior brace, a posterior brace, and a connecting bridge, the anterior brace covers the bilateral mandibular central incisors and the lateral incisors, and the posterior brace covers the bilateral mandibular first From the premolar to the first molar, the connecting bridge is a double-striped structure covering the labial and lingual sides of the bilateral canines of the lower jaw. The posterior braces form an inclined sheath-like structure corresponding to the buccal surfaces of the bilateral mandibular second premolars, which are auxiliary arch sheaths, and the auxiliary arch sheaths and the mandibular occlusal plane are at an angle of 30°-60°.
本实施例中,所述猫形辅弓为牙弓形态、由不锈钢丝制成,为A型结构,在前段具有两个猫耳状弯曲;其猫耳状弯曲跨过侧切牙与尖牙之间的邻间隙,所述猫形辅弓的两端分别插入辅弓鞘,中段固定于固定槽内。In this embodiment, the cat-shaped auxiliary arch is in the form of a dental arch, made of stainless steel wire, and has an A-shaped structure, with two cat-ear-shaped curves in the front section; The two ends of the cat-shaped auxiliary arch are respectively inserted into the auxiliary arch sheath, and the middle section is fixed in the fixing groove.
所述前牙套对应下颌中切牙和侧切牙的舌侧面形成枕状隆起结构,为固定槽,所述固定槽具有舌侧面、牙合面、近中面、远中面,所述舌侧面和牙合面为光滑面,所述近中面和远中面为弯钩形状;所述猫形辅弓上设置限制圈,所述限制圈位于辅弓鞘的近中或远中;所述限制圈固定于猫形辅弓上,或直接由辅弓弯制成型而来;通过调整双侧限制圈的位置,即调整双侧限制圈近中段弓丝的长度,可控制对下前牙施加唇倾或舌倾的力值大小。所述固位套为矫治器提供固位,并为辅弓鞘、固定槽提供附着部位;所述辅弓鞘为猫形辅弓的两端提供附着部位,所述固定槽为猫形辅弓提供施力点。The front braces correspond to the lingual sides of the mandibular central incisors and the lateral incisors to form a pillow-like raised structure, which is a fixing groove. The fixing groove has a lingual side, an occlusal surface, a mesial surface, and a distal surface. The occlusal surface is a smooth surface, and the mesial surface and the distal surface are in the shape of hooks; a restriction ring is arranged on the cat-shaped auxiliary arch, and the restriction ring is located in the mesial or distal middle of the auxiliary arch sheath; the restriction The ring is fixed on the cat-shaped auxiliary arch, or is directly formed by bending the auxiliary arch; by adjusting the position of the bilateral restriction rings, that is, adjusting the length of the arch wire in the near and middle segments of the bilateral restriction rings, the application to the lower anterior teeth can be controlled. The magnitude of the force with which the lips or tongue are tilted. The retention sleeve provides retention for the appliance, and provides attachment sites for the auxiliary arch sheath and the fixing groove; the auxiliary arch sheath provides attachment sites for both ends of the cat-shaped auxiliary arch, and the fixing groove is the cat-shaped auxiliary arch. Provide a force point.
本实施例中,所述后牙套对应双侧下颌第一磨牙和第一前磨牙的颊侧面上有空泡结构,对应牙面上设有粘接附件,粘接附件的外表面与所述空泡结构的内表面形态大小一致,通过机械嵌合将后牙套固定于牙列上;所述固位套、辅弓鞘、固定槽均采用透明或半透明的材料制成,使矫治器隐形。In this embodiment, the buccal surfaces of the posterior braces corresponding to the bilateral mandibular first molars and the first premolars have vacuoles structures, the corresponding tooth surfaces are provided with adhesive attachments, and the outer surfaces of the adhesive attachments are connected to the cavities. The shape and size of the inner surface of the bubble structure are consistent, and the posterior brace is fixed on the dentition by mechanical fitting; the retaining sleeve, the auxiliary arch sheath, and the fixing groove are all made of transparent or translucent materials, so that the appliance is invisible.
该隐形矫治器的使用方法为:配戴该矫治器后,所述猫形辅弓的回弹力能对下前牙施以垂直向压低的矫治力,辅弓鞘的倾斜角度可调控猫形辅弓产生的垂直向力值的大小;通过调整双侧限制圈的位置,可调控猫形辅弓对下前牙施加唇倾或舌倾矫治力的方向和力值大小;通过调整固定槽与前牙阻力中心的位置关系,可调节力矩大小、力/力矩比例,因而可实现下前牙的整体移动、或倾斜移动、或控根移动。对牙移动方式的精确调控和有效实现,可高效打开前牙咬合,改正深覆牙合,协调上下牙列垂直向位置关系,建立正常的前牙覆牙合覆盖,改善咬合功能和口颌面部美观。The use method of the invisible appliance is as follows: after wearing the appliance, the resilience of the cat-shaped auxiliary arch can apply a vertically depressed orthodontic force to the lower anterior teeth, and the inclination angle of the auxiliary arch sheath can adjust the cat-shaped auxiliary arch. The magnitude of the vertical force value generated by the arch; by adjusting the position of the bilateral limit rings, the direction and force value of the cat-shaped auxiliary arch applied to the lower anterior teeth with the lip tilt or lingual tilt correction force can be adjusted; by adjusting the fixed groove and the anterior teeth The positional relationship of the tooth resistance center can adjust the magnitude of the moment and the ratio of force/moment, so that the overall movement of the lower anterior teeth, or the inclined movement, or the root control movement can be realized. Precise control and effective realization of the movement of the teeth can effectively open the occlusion of the anterior teeth, correct the deep overbite, coordinate the vertical positional relationship between the upper and lower dentition, establish a normal overbite coverage of the anterior teeth, and improve the occlusal function and oral and maxillofacial surfaces. Department is beautiful.
上述实施例仅例示性说明本发明的原理及其功效,而非用于限制本发明。任何熟悉此技术的人士皆可在不违背本发明的精神及范畴下,对上述实施例进行修饰或改变。因此,凡所属技术领域中具有通常知识者在未脱离本发明所揭示的精神与技术思想下所完成的一切等效修饰或改变,仍应由本发明的权利要求所涵盖。The above-mentioned embodiments merely illustrate the principles and effects of the present invention, but are not intended to limit the present invention. Anyone skilled in the art can modify or change the above embodiments without departing from the spirit and scope of the present invention. Therefore, all equivalent modifications or changes made by those with ordinary knowledge in the technical field without departing from the spirit and technical idea disclosed in the present invention should still be covered by the claims of the present invention.
| Application Number | Priority Date | Filing Date | Title |
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| CN201910433853.7ACN110013332B (en) | 2019-05-23 | 2019-05-23 | Invisible appliance for cat-shaped auxiliary bow |
| Application Number | Priority Date | Filing Date | Title |
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| CN201910433853.7ACN110013332B (en) | 2019-05-23 | 2019-05-23 | Invisible appliance for cat-shaped auxiliary bow |
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| CN110013332Atrue CN110013332A (en) | 2019-07-16 |
| CN110013332B CN110013332B (en) | 2024-01-30 |
| Application Number | Title | Priority Date | Filing Date |
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| CN201910433853.7AActiveCN110013332B (en) | 2019-05-23 | 2019-05-23 | Invisible appliance for cat-shaped auxiliary bow |
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| CN206995355U (en)* | 2017-01-26 | 2018-02-13 | 上海市徐汇区牙病防治所 | Beneficial to control tooth vertically to the buccal tube of position |
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| CN112914759A (en)* | 2021-03-26 | 2021-06-08 | 桂林医学院附属口腔医院 | Invisible tooth socket, extraoral arch matched with invisible tooth socket and invisible orthodontic extraoral arch system with invisible tooth socket |
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| CN112972023A (en)* | 2021-03-26 | 2021-06-18 | 桂林医学院附属口腔医院 | Upper jaw invisible tooth socket, J hook matched with upper jaw invisible tooth socket and invisible orthodontic J hook system with upper jaw invisible tooth socket |
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| CN113598986B (en)* | 2021-08-30 | 2023-01-10 | 北京大学口腔医学院 | Tongue force and occlusal force mediated invisible correcting device and manufacturing method |
| CN114145862A (en)* | 2021-11-18 | 2022-03-08 | 中国人民解放军空军军医大学 | Invisible device that lowers the front teeth and raises the back teeth to open the bite during invisible orthodontic treatment |
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| CN115054387A (en)* | 2022-05-20 | 2022-09-16 | 上海交通大学医学院附属第九人民医院 | Composite dental shell type appliance with various mechanical characteristics |
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