Correct the fixed vertical device of grinding one's teeth in sleep of the impaction of descending to grind one's teeth in sleep to lean forwardTechnical field
The utility model relates to a kind of fixed vertical device of grinding one's teeth in sleep of impaction of leaning forward of grinding one's teeth in sleep of correcting down, belong to technical field of medical instruments.
Background technology
The impaction that leans forward of grinding one's teeth in sleep down is common clinically patho-occlusion.Its harm mainly contains (1) and easily is detained food, causes the dental caries of himself and adjacent teeth.(2) partial periodontal lesion (3) often causes the antagonist elongation when this tooth closes the plane because of impaction is lower than, thereby causes the further disorder of the relation of closing.
Setting upright the method for grinding one's teeth in sleep under the mesial inclination at present mainly contains: vertical spring method, cantilever bowing and implant anchorage method etc.But these methods all have its deficiency:
Wherein vertical spring method, cantilever bowing: 1) need on the trouble tooth of toppling over, lay band or bonding buccal tube, can't be used for corona and expose not enough person.2) mechanics principle complexity is difficult to accurate control.3) easily oppress soft tissue, cause damage.
The implant anchorage method: 1) wound is arranged, stressed back implantation body comes off easily even fractures.2) the back zone soft tissue of grinding one's teeth in sleep is thicker, and osseous tissue is fine and close, and these all make laying of plantation nail very difficult.
Summary of the invention
The utility model proposes a kind of fixed vertical device of grinding one's teeth in sleep of impaction of leaning forward of grinding one's teeth in sleep of correcting down, its purpose is intended to overcome the above-mentioned defective of existing in prior technology.
Technical solution of the present utility model: it is characterized in that comprising linguoplate, hyoid arch, band, hyoid arch welding section, be surrounded by the far away middle hook connector of self curing plastic, middle hook far away outward, wherein the leading portion of hyoid arch is embedded in the linguoplate of being made by self curing plastic; The postmedian of hyoid arch is bent into a hyoid arch welding section and with silver soldering it is welded on the tongue side of band; The back segment of hyoid arch continues extension in far away, hook connector during formation is far away, and middle hook connector far away outside is coated with self curing plastic; The hook connector continues rearward to extend and hook in the back zone of grinding one's teeth in sleep forms far in far away.
Advantage of the present utility model: 1) size and Orientation of pull strength can be adjusted as required, and this both can make the trouble tooth break away from stopping of adjacent teeth smoothly, can avoid taking place in this tooth setting process disadvantageous elongation again; 2) anchorage is reliable: owing to whole traction apparatus is to improve on the hyoid arch basis, the counteracting force of corrective force is born jointly by whole dental arch and anterior alveolar process, and pull strength generally can not cause the forfeiture of anchorage; 3) need not label dress and wear band suffering from the sound of baby talk, as long as suffer from the sound of baby talk hat exposed face be arranged, the tongue side that can bond button can begin traction correcting, even for hiding the resistance survivor fully, also can reach this purpose by cutting the gum expose portion corona of boning; 4) the sealed case of one-sided and bilateral all is suitable for.
It should be noted that suffering from tooth should keep a period of time after vertically, reach fashionable dress then and wear band and carry out fixed orthodontic, in order to avoid the recurrence of leaning forward.The problem that whether will pull out about following third molar: generally speaking, all need to descend in advance third molar to pull out.But do not have obvious resistance if show third molar down on orthopantomography or the CT sheet for second molar vertical motion down, then can pull out.
Description of drawings
Accompanyingdrawing 1 is a structural representation of the present utility model.
Among the figure 1 is linguoplate, the 2nd, hyoid arch, the 3rd, band, the 4th, hyoid arch welding section, the 5th, the outer far away middle hook connector, the 6th that is surrounded by self curing plastic, middle hook far away.
This figure is the fixed vertical device of grinding one's teeth in sleep of bilateral type that is applicable to bilateral backteeth inclination patient, so there is middle draw hook far away both sides. If the patient that unilateral posterior teeth tilts only needs to adopt the only fixed vertical device of grinding one's teeth in sleep of one-sided type of draw hook in Ipsilateral bends far.
The specific embodiment
Contrast accompanying drawing 1, its structure compriselinguoplate 1,hyoid arch 2,band 3, hyoidarch welding section 4, outward be surrounded byhook connector 5 in self curing plastic far away, far away in hook 6.Wherein the leading portion ofhyoid arch 2 is embedded in the linguoplate of being made byself curing plastic 1; The postmedian ofhyoid arch 2 is bent into a hyoidarch welding section 4 and with silver soldering it is welded on the tongue side ofband 3; The back segment ofhyoid arch 2 continues extension in far away,hook connector 5 during formation is far away, and middle hook connector far away 5 outsides are coated with self curing plastics;Hook connector 5 continues rearward to extend and hook 6 in the back zone of grinding one's teeth in sleep forms far in far away.
Describedlinguoplate 1 bears the counteracting force of corrective force, and conducts to anterior alveolar process to obtain anchorage.Hyoidarch 2 plays a part each parts is connected as one, and it is that tooth section special stainless steel silk with 1.0 mm dias bends andforms.Band 3 can be a finished product, and the band of other teeth that (being generally the first molar band) or self manufacture form is as the second bicuspid band.Hyoidarch welding section 4 is positioned at the postmedian ofhyoid arch 2, is the part of hyoid arch 2.Weld together with silver soldering between hyoidarch welding section 4 and theband 3, thereby constitute the complete fixed vertical device of grinding one's teeth insleep.Hook connector 5 is come by the continuity ofhyoid arch 2 back segments in far away, and in order to strengthen its rigidity, it is indeformable to make it stressed back, coated one deck self curing plastic in its outside.Hook 6 bends by 5 continuation of hook connector in far away extension rearward and in the back zone of grinding one's teeth in sleep and forms far, during practical application, at this hook be bonded in and place the elastic traction chain ring between the tongue side button of suffering from the sound of baby talk face, realize suffering from vertically setting upright of tooth to apply corrective force to suffering from tooth.
Using method
To correct down earlier grinds one's teeth in sleep, and the lean forward fixed vertical device of grinding one's teeth in sleep of impaction is in place at the mandibular dentition cementation, and bonding tongue side button on following the grinding one's teeth in sleep of inclination impaction in order to reduce expulsion rate, should use the light-curing adhesive bonding then.Need carry out tension force with power chain between hook in vertical device far away and the tongue side button that is bonded on the trouble tooth when afterburning draws.Usually need be on dental arch of maxilla the close pad of adapted through suitably grinding, its objective is the occluding relation of temporary transient disengaging backteeth, in order to avoid antagonist contacts the damage that causes the latter two with grind one's teeth in sleep vertical device and the intercrescence of tongue side garnishment and comes off.
After curative effect reaches, need to be generally for 2~4 weeks through suitable maintenance.After this should band in time be installed on vertical trouble tooth and further adjust its attitude with the fixed orthodontic technology.