CN107303205A - A kind of bite plate of cohesive maintenance - Google Patents
A kind of bite plate of cohesive maintenance Download PDFInfo
- Publication number
- CN107303205A CN107303205A CN201610246697.XA CN201610246697A CN107303205A CN 107303205 A CN107303205 A CN 107303205A CN 201610246697 A CN201610246697 A CN 201610246697A CN 107303205 A CN107303205 A CN 107303205A
- Authority
- CN
- China
- Prior art keywords
- patient
- maintenance
- bite plate
- facing
- cohesive
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000012423 maintenance Methods 0.000 title claims abstract description 54
- 239000011230 binding agent Substances 0.000 claims abstract description 15
- 238000000034 method Methods 0.000 claims abstract description 10
- 239000011521 glass Substances 0.000 claims abstract description 8
- 238000000465 moulding Methods 0.000 claims abstract description 7
- 239000011347 resin Substances 0.000 claims abstract description 7
- 229920005989 resin Polymers 0.000 claims abstract description 7
- 210000003254 palate Anatomy 0.000 claims abstract description 5
- 239000000853 adhesive Substances 0.000 claims abstract description 4
- 230000001070 adhesive effect Effects 0.000 claims abstract description 4
- 210000004513 dentition Anatomy 0.000 claims abstract description 3
- 230000036346 tooth eruption Effects 0.000 claims abstract description 3
- 238000013461 design Methods 0.000 claims description 8
- 210000004357 third molar Anatomy 0.000 claims description 8
- 238000005259 measurement Methods 0.000 claims description 3
- 239000003795 chemical substances by application Substances 0.000 claims description 2
- 239000011120 plywood Substances 0.000 claims description 2
- 210000000214 mouth Anatomy 0.000 abstract description 9
- 229910000831 Steel Inorganic materials 0.000 abstract description 6
- 230000000717 retained effect Effects 0.000 abstract description 6
- 239000010959 steel Substances 0.000 abstract description 6
- 210000001738 temporomandibular joint Anatomy 0.000 description 6
- 208000008822 Ankylosis Diseases 0.000 description 5
- 206010023198 Joint ankylosis Diseases 0.000 description 5
- 238000002591 computed tomography Methods 0.000 description 3
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 230000002980 postoperative effect Effects 0.000 description 3
- 206010028813 Nausea Diseases 0.000 description 2
- 238000010521 absorption reaction Methods 0.000 description 2
- 210000002455 dental arch Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 238000007711 solidification Methods 0.000 description 2
- 230000008023 solidification Effects 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 230000001815 facial effect Effects 0.000 description 1
- 210000001847 jaw Anatomy 0.000 description 1
- 210000001161 mammalian embryo Anatomy 0.000 description 1
- 210000004373 mandible Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000008693 nausea Effects 0.000 description 1
- 238000002278 reconstructive surgery Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 210000002810 unerupted tooth Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/04—Measuring instruments specially adapted for dentistry
- A61C19/05—Measuring instruments specially adapted for dentistry for determining occlusion
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Biophysics (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
The invention discloses a kind of bite plate of cohesive maintenance, remporomandibular joint reconstruction operations are instructed for stablizing intermaxillary relation.Bite plate is inwardly formed depression, and the tooth of the full denture of the upper lower jaw of parcel patient closes face, depression form and patient's facing form fit, and leaves filling adhesive in space, space between patient's facing, and maintenance is bonded with patient's facing.Bite plate is designed by digitizing technique, uses light-cured resin integrated molding；Thickness determines that the parcel depth to patient's facing is 1.5mm, and each extends over out at least 1mm thickness in the lip buccal side of patient's facing and tongue palate side according to patient's spaced dentition；Bite plate bonds maintenance by the glass ion binding agent of 0.3mm thickness with patient's facing.The present invention is applied to the patient that there are problems that limitation of mouth opening, and bite plate bonds and is seated in patient's facing, saves in the art of steel wire ligation or Screw retained and operates, and reduces the wound to patient oral cavity, specifically avoid the damage to young children's tooth bud.
Description
Technical field
The present invention relates to field of medical technology, and in particular to a kind of bite plate of cohesive maintenance.
Background technology
It is that remporomandibular joint area is most commonly seen that ankylosis of temporo-mandibular joint and the prominent idiopathic of condyle, which absorb this two classes disease,
Disease, treatment difficulty is big, and risk is high, and such patient is often accompanied by the illness of deformitas maxillaris.Such disease one
As treated using remporomandibular joint reconstruction operations., need to be by being engaged to patient in joint reconstructive surgery
Positioned, to stablize mandible position, so as to complete the reconstruction of remporomandibular joint.
The method of traditional stable occlusion is preoperative acquisition patient's dental arch model, and position is finally engaged according to patient's jawbone
Put, make bite plate.But ankylosis of temporo-mandibular joint or condyle dash forward idiopathic absorption patient due to there is limitation of mouth opening
The problem of, it is impossible to carry out preoperative modulus, can only by blocked in art condyle it is prominent after, patient passively dehisces to obtain tooth
Row model, makes bite plate immediately, extremely wastes operating time, increases operation risk.At present, also have
Person discloses preoperative simulation patient's denture structure, makes the technical scheme of bite plate, but this kind of bite plate needs
Patient oral cavity is fixed in the way of steel wire ligation or Screw retained, is made during maintenance working expenditure and to patient oral cavity
Into larger wound, in clinical practice, still unerupted tooth bud in damage young children's jawbone is particularly susceptible,
In the presence of certain risk.
The content of the invention
The present invention provides a kind of bite plate of cohesive maintenance, to solve ankylosis of temporo-mandibular joint and the prominent idiopathic of condyle
Absorb in patient's art using steel wire ligation or Screw retained bite plate to the traumatogenic problem in oral cavity, especially keep away
The damage to young children's tooth bud is exempted from.
To realize object above, the invention provides a kind of bite plate of cohesive maintenance.The tooth for bonding maintenance is closed
Plate is inwardly formed depression, and the tooth of the full denture of the upper lower jaw of parcel patient closes face, form and the patient's tooth of the depression
Facial contour is matched, and leaves filling adhesive in space, space between patient's facing, and bite plate passes through viscous
Tie agent and bond maintenance with patient's facing.
Alternatively, the bite plate for bonding maintenance is designed by digitizing technique, digitizing technique
Design includes：CT (Computed Tomography, computed tomography) based on patient's Maxillary region
Three-dimensional reconstruction after scanning, intermaxillary relation is determined by three-dimensional one-point measurement, is set in the interocclusal clearance region of patient
Count bite plate.
Alternatively, the bite plate for bonding maintenance uses light-cured resin integrated molding.
Alternatively, the thickness of bite plate of maintenance is bonded according to the denture after the positioning of patient's jawbone
Gap is determined.
Alternatively, the bite plate for bonding maintenance is 1.5mm to the parcel depth of patient's facing.
Alternatively, lip buccal side and tongue palate side of the bite plate of maintenance in patient's facing are bonded, point
Do not extend at least 1mm thickness.
Alternatively, the binding agent that bonding maintenance is used is glass ion binding agent.
Alternatively, the depression and the spacing in space between patient's facing of the bite plate of maintenance are bonded
For 0.3mm.
Alternatively, the depression parcel full denture of the upper and lower jaw of patient of the bite plate of maintenance is bonded,
The signified full denture of upper and lower jaw does not include the third molar of patient herein.
The advantage of the invention is that：Designed by the bonding maintenance of bite plate, can be with hurtless measure by bite plate
It is seated on patient's facing, eliminates bite plate in the prior art and use the cumbersome of steel wire ligation or Screw retained
Operation, saves operating time, using simple and convenient, and avoids the risk of damage young children's tooth bud；It is logical
Preoperative digitizing technique design bite plate is crossed, and uses light-cured resin integrated molding, temporomandibular joint is saved
Arthrocleisis and the prominent idiopathic of condyle absorb the remporomandibular joint reconstruction operations time of patient, reduce operation risk；
Depth 1.5mm design is wrapped up patient's facing, refers to that the cup depth that bite plate is inwardly formed is 1.5mm,
The depth ensure that the good location of patient's denture, help to provide the colleague in cohesive space, binding agent solidification
Preceding patient's denture is difficult to slip；Lip buccal side and tongue palate side of the bite plate in patient's facing, are each extended over out at least
1mm thickness, it is ensured that the intensity of bite plate；Glass ion binding agent is a kind of good biocompatibility, is glued
Knotting strength is high, bland binding agent, and 0.3mm is that glass ion binding agent plays cementation
Preferred thickness value, with reference to bite plate moulding material light-cured resin is durable in use, stability, watertightness and
The characteristics of biocompatibility is very prominent, bite plate is firmly bonded in patient's facing, it is postoperative it is sustainable wear,
The stability for rebuilding posterior joint is ensure that, joint pressure is alleviated, is conducive to the post-operative recovery of patient；In addition,
During the depression parcel full denture of the upper and lower jaw of patient of bite plate, signified full denture does not include third molar, is
Because third molar is located at cavity interior position, if bite plate profile extends to third molar position and wrapped
Wrap up in, may be extended internally because of bite plate end long, cause bite plate in art to wear inconvenience, Yi Jishu
Easily cause the symptom of patient's nausea afterwards.
Brief description of the drawings
A kind of overlooking the structure diagram of the bite plate for cohesive maintenance that Fig. 1 provides for the present invention；
A kind of positive structure diagram of the bite plate for cohesive maintenance that Fig. 2 provides for the present invention.
Embodiment
With reference to the accompanying drawings and in conjunction with specific embodiments, the present invention is described in further detail.
During the embodiment of the present invention is a kind of bite plate of cohesive maintenance, the present embodiment：
As depicted in figs. 1 and 2, the bite plate 1 for bonding maintenance is inwardly formed depression 2, and parcel patient is upper and lower
The tooth of the full denture 3 of jaw closes face, form and the patient's facing form fit of the depression, and with patient's facing it
Between leave filling adhesive in space, space, bite plate passes through binding agent and bonds maintenance with patient's facing.It is logical
The bonding maintenance design of bite plate is crossed, bite plate can be seated on patient's facing with hurtless measure, eliminated
Bite plate saves operating time, application using steel wire ligation or the troublesome operation of Screw retained in the prior art
It is simple and convenient, it specifically avoid the risk of damage young children's tooth bud.
Optionally, the bite plate for bonding maintenance is designed by digitizing technique, and digitizing technique design includes：
Three-dimensional reconstruction after CT scan based on patient's Maxillary region, intermaxillary relation is determined by three-dimensional one-point measurement, is being suffered from
The interocclusal clearance region design bite plate of person.
Optionally, the bite plate for bonding maintenance uses light-cured resin integrated molding.
When the optional mode of both the above is used in combination, i.e., bite plate is designed by preoperative digitizing technique, and
Using light-cured resin integrated molding, solve ankylosis of temporo-mandibular joint and condyle dash forward idiopathic absorb patient by
It is largely effective in there is limitation of mouth opening, it is necessary to obtain the problem of dental arch model makes bite plate immediately in art
Ground saves the remporomandibular joint reconstruction operations time, reduces operation risk.
Optionally, the thickness for bonding the bite plate of maintenance is determined according to the spaced dentition after the positioning of patient's jawbone.
Optionally, the bite plate for bonding maintenance is 1.5mm, parcel herein to the parcel depth of patient's facing
Depth refers to the top surface or bottom edge of bite plate to the distance of patient teeth end, i.e. bite plate is inwardly formed
Cup depth be 1.5mm.The depth ensure that the good location of patient's denture, and there is provided bond the same of space
When, patient's denture is difficult to slip before binding agent solidification.
Optionally, lip buccal side and tongue palate side of the bite plate in patient's facing of maintenance are bonded, each extend over out to
Few 1mm thickness, it is ensured that the intensity of bite plate.
Optionally, bite plate is carried out using glass ion binding agent bonding maintenance, it is possible to use with human body mouthful
Chamber compatibility is preferable and can guarantee that other binding agents of adhesion strength.
Optionally, the spacing in space is 0.3mm between the depression and patient's facing of the bite plate of bonding maintenance,
This spacing bonds a preferred value in space for balance denture locating effect and offer, and spacing is too small easily to lead bonding
Effect is poor, and the excessive patient's denture of spacing is easily shaken, the accuracy of influence denture positioning.
When the optional mode of two above is used in combination, i.e., using the glass ion binding agent of 0.3mm thickness to tooth
Plywood carries out bonding maintenance, can obtain preferable bond effect, because 0.3mm is glass ion binding agent hair
Wave the preferred thickness value of cementation.
Optionally, the depression parcel full denture of the upper and lower jaw of patient of the bite plate of maintenance is bonded, the full denture is not
Third molar comprising patient, because third molar is located at outside the position of oral cavity more inside, bite plate
If shape extends to third molar position and wrapped up, it may be extended internally because of bite plate end long,
Bite plate in art is caused to wear inconvenience, and the postoperative symptom for easily causing patient nauseous.
In summary, the bite plate of cohesive maintenance provided in an embodiment of the present invention, can be designed and produced in the preoperative,
There is the patient of limitation of mouth opening suitable for ankylosis of temporo-mandibular joint or the prominent idiopathic absorption of condyle etc., when saving operation
Between, reduce operation risk；Meanwhile, designed by bonding maintenance, bite plate hurtless measure is seated in patient's facing,
Bite plate is saved using steel wire ligation or the troublesome operation of Screw retained, damage young children's tooth is specifically avoid
The risk of embryo.
Above-described optional technical scheme can be implemented simultaneously or part combination is implemented.
Finally it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention, rather than it is limited
System.It will be understood by those within the art that, still can be to the technical side described in previous embodiment
Case is modified, or carries out equivalent substitution to which part or all technical characteristic, and these modifications or
Person replaces, and the essence of appropriate technical solution is departed from the scope of technical solution of the present invention.
Claims (9)
1. a kind of bite plate of cohesive maintenance, it is characterised in that the bite plate of the cohesive maintenance is inwardly formed
Depression, the tooth of the parcel full denture of the upper and lower jaw of patient closes face, form and the patient's facing profile of the depression
Match somebody with somebody, and leave between patient's facing filling adhesive in space, the space, the tooth of the cohesive maintenance
Plywood bonds maintenance by binding agent and patient's facing.
2. the bite plate of maintenance is bonded as claimed in claim 1, it is characterised in that the cohesive maintenance
Bite plate is designed by digitizing technique, and the digitizing technique design includes：Meter based on patient's Maxillary region
Three-dimensional reconstruction after calculation machine tomoscan, intermaxillary relation is determined by three-dimensional one-point measurement, between the occlusion of patient
Design bite plate in gap region.
3. the bite plate of the bonding maintenance as described in claim 1 or 2, it is characterised in that the bonding
The bite plate of maintenance uses light-cured resin integrated molding.
4. the bite plate of any cohesive maintenance as described in claims 1 to 3, it is characterised in that described viscous
The thickness for tying the bite plate of maintenance is determined according to the spaced dentition after the positioning of patient's jawbone.
5. the bite plate of any cohesive maintenance as described in Claims 1-4, it is characterised in that described viscous
The bite plate for tying maintenance is 1.5mm to the parcel depth of patient's facing.
6. the bite plate of any cohesive maintenance as described in claim 1 to 5, it is characterised in that described viscous
The bite plate of maintenance is tied, lip buccal side and tongue palate side in patient's facing each extend over out at least 1mm thickness.
7. the bite plate of any cohesive maintenance as described in claim 1 to 6, it is characterised in that described viscous
Tying agent includes glass ion binding agent.
8. the bite plate of any cohesive maintenance as described in claim 1 to 7, it is characterised in that the sky
The spacing of gap is 0.3mm.
9. the bite plate of any cohesive maintenance as described in claim 1 to 8, it is characterised in that described
The full denture of the upper and lower jaw of patient does not include third molar.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610246697.XA CN107303205A (en) | 2016-04-20 | 2016-04-20 | A kind of bite plate of cohesive maintenance |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610246697.XA CN107303205A (en) | 2016-04-20 | 2016-04-20 | A kind of bite plate of cohesive maintenance |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107303205A true CN107303205A (en) | 2017-10-31 |
Family
ID=60152783
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610246697.XA Pending CN107303205A (en) | 2016-04-20 | 2016-04-20 | A kind of bite plate of cohesive maintenance |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107303205A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109481067A (en) * | 2018-12-24 | 2019-03-19 | 中国人民解放军总医院 | The biteplate and preparation method thereof of the treatment temporomandibular joint disorcler TMP of 3D printing |
| CN109481043A (en) * | 2018-12-29 | 2019-03-19 | 西安交通大学 | Photosensitized composite material shaping method and application is rapidly completed in the template of 3D printing resin periodontal splint |
| CN110147647A (en) * | 2019-06-15 | 2019-08-20 | 广西科技大学 | Tooth jawbone 3-dimensional digital modeling method based on remporomandibular joint stability |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2003190185A (en) * | 2001-12-28 | 2003-07-08 | Nr Nippon Seitai Kogo Kenkyusho | Occlusal assist device |
| US20030211441A1 (en) * | 2002-05-07 | 2003-11-13 | Mauro Joseph V. | Method and device for treatment of temporomandibular dysfunction syndrome and facial/dental deformities |
| CN202568555U (en) * | 2012-05-25 | 2012-12-05 | 周小陆 | Gap type stable occlusal splint |
| CN203138736U (en) * | 2012-11-30 | 2013-08-21 | 上海交通大学医学院附属第九人民医院 | Digital bite plate system |
| CN103860277A (en) * | 2014-04-09 | 2014-06-18 | 上海市徐汇区牙病防治所 | Appliance for mandibular retrusion |
| WO2015053808A1 (en) * | 2013-10-11 | 2015-04-16 | Ultradent Products, Inc. | Wax-based compositions, articles made therefrom, and methods of manufacture and use |
| CN205758748U (en) * | 2016-04-20 | 2016-12-07 | 上海交通大学医学院附属第九人民医院 | A kind of bite plate of the maintenance that bonds |
-
2016
- 2016-04-20 CN CN201610246697.XA patent/CN107303205A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2003190185A (en) * | 2001-12-28 | 2003-07-08 | Nr Nippon Seitai Kogo Kenkyusho | Occlusal assist device |
| US20030211441A1 (en) * | 2002-05-07 | 2003-11-13 | Mauro Joseph V. | Method and device for treatment of temporomandibular dysfunction syndrome and facial/dental deformities |
| CN202568555U (en) * | 2012-05-25 | 2012-12-05 | 周小陆 | Gap type stable occlusal splint |
| CN203138736U (en) * | 2012-11-30 | 2013-08-21 | 上海交通大学医学院附属第九人民医院 | Digital bite plate system |
| WO2015053808A1 (en) * | 2013-10-11 | 2015-04-16 | Ultradent Products, Inc. | Wax-based compositions, articles made therefrom, and methods of manufacture and use |
| CN103860277A (en) * | 2014-04-09 | 2014-06-18 | 上海市徐汇区牙病防治所 | Appliance for mandibular retrusion |
| CN205758748U (en) * | 2016-04-20 | 2016-12-07 | 上海交通大学医学院附属第九人民医院 | A kind of bite plate of the maintenance that bonds |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109481067A (en) * | 2018-12-24 | 2019-03-19 | 中国人民解放军总医院 | The biteplate and preparation method thereof of the treatment temporomandibular joint disorcler TMP of 3D printing |
| CN109481043A (en) * | 2018-12-29 | 2019-03-19 | 西安交通大学 | Photosensitized composite material shaping method and application is rapidly completed in the template of 3D printing resin periodontal splint |
| CN110147647A (en) * | 2019-06-15 | 2019-08-20 | 广西科技大学 | Tooth jawbone 3-dimensional digital modeling method based on remporomandibular joint stability |
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| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
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| RJ01 | Rejection of invention patent application after publication | ||
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Application publication date: 20171031 |