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CN113303932A - Moving device and method for depressing overlong maxillary posterior teeth - Google Patents

Moving device and method for depressing overlong maxillary posterior teeth Download PDF

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Publication number
CN113303932A
CN113303932A CN202110696104.0A CN202110696104A CN113303932A CN 113303932 A CN113303932 A CN 113303932A CN 202110696104 A CN202110696104 A CN 202110696104A CN 113303932 A CN113303932 A CN 113303932A
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CN
China
Prior art keywords
depressing
artificial tooth
posterior teeth
teeth
tooth
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
Application number
CN202110696104.0A
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Chinese (zh)
Inventor
周团锋
王新知
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Peking University School of Stomatology
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Peking University School of Stomatology
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Priority to CN202110696104.0A priority Critical patent/CN113303932A/en
Publication of CN113303932A publication Critical patent/CN113303932A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0093Features of implants not otherwise provided for
    • A61C8/0096Implants for use in orthodontic treatment

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

A movable device and a method for depressing overlength upper jaw posterior teeth comprise a combination support, a clamping ring, an artificial tooth part and a base, the movable device is beneficial to obtaining an implant with good bone combination and supporting natural healthy teeth near and far away from the lacuna side, a patient can control occlusal force as main depressing force, the movable device is controllable biological material, and a resin artificial tooth plane on a high-pressure depressing device is gradually adjusted to obtain a good depressing effect.

Description

Moving device and method for depressing overlong maxillary posterior teeth
Technical Field
The invention relates to a moving device and a moving method for depressing overlong posterior teeth, in particular to a moving device and a moving method for depressing overlong maxillary posterior teeth.
Background
After the mandibular posterior teeth are lost, the maxillary posterior teeth often droop obviously along with the prolonging of time, the insufficient distance between the jaws often influences the repair of the mandibular missing teeth, influences the physiological functions of the patients such as chewing and the like, and further causes the patients to chew on a deviated side, face deviation and physical and psychological health.
Two methods of achieving normal bite gaps are commonly used for overlength posterior maxillary teeth: one is to adopt pulp inactivation to overlength back tooth, perfects the root canal treatment back, gets rid of partial clinical dental crown, and the restoration of full crown resumes normal occlusal plane again, improves suitable restoration clearance for the lower jaw is planted and is restoreed. However, the method reduces the clinical height of the upper jaw overlength posterior teeth, reduces the strength of full-crown restoration, and has obvious influence on the long-term stability of the restoration. The other method is that overlong maxillary posterior teeth are pressed down by an orthodontic method, the time of conventional orthodontic treatment is long, and a plurality of devices are arranged in the mouth such as a bracket, an arch wire and the like; has obvious influence on the life and the study of adults and increases the difficulty of oral hygiene maintenance. At present, along with the development of planting technique, implant the micro-implant nail at the back teeth area buccal lingual side of upper jaw more, keep on ascending traction force suppression overlength back teeth through implant nail anchorage and the rubber band through the tooth surface, clinical treatment time obviously shortens, and it is higher to suppress inefficiency, but the treatment needs implant the micro-implant nail operation, and draw gear is more, causes food waste to be detained easily, is unfavorable for oral hygiene to maintain, if there is osteoporosis's patient, implant anchorage drops very easily and traction failure.
Disclosure of Invention
The invention aims to solve the problems of maxillary osteoporosis and high implantation anchorage failure rate, and provides a moving device and a moving method for depressing overlong posterior teeth.
A device for depressing the overlength upper jaw posterior teeth comprises a combined support 1, a snap ring 2, an artificial tooth part 3 and a base 4, wherein the combined support 1 does not need to prepare teeth; in the using process, the tooth paste is completely attached to the edge ridge of the side close to the gap of the adjacent tooth and takes the shape of a circular triangle with the tip pointing to the far end of the gap; the width of the combining support 1 is 1/3 of the width of a dental crown, the length of the combining support is 1/4 of the length of the dental crown, and the thickness of the combining support is about 1.5 mm; the thickness of the clamping ring 2 is about 1.0-1.5 mm; in the use process, the buccal snap ring arm 2/3 is positioned on the outline high point line of the abutment, the snap ring tip 1/3 is positioned below the outline abutment high point to play a role in retention, and the lingual snap ring arm is positioned on the outline high point line; the artificial tooth part 3 is a resin tipless artificial tooth and is used for filling the position of a natural tooth at the dentition defect; the surface of the artificial tooth part 3 is smooth, the occlusal surface is a plane and is parallel to the occlusal plane, and the height of the artificial tooth part 3 is 1.0-1.5 mm higher than the vertical gingival occlusion distance; the base 4 part, the implant transmits the supporting force to the artificial tooth part 3 through the base 4 of the crest of the alveolar ridge; in the use process, the base 4 is closely attached to the alveolar ridge crest implant healing abutment and the buccal side of the alveolar ridge, the buccal side base covers the alveolar ridge and extends to the bottom of the vestibular sulcus, and the lingual side is folded back to the mouth bottom without interfering with the movement of the buccal tongue;
wherein the joint holder 1 is cast;
wherein the artificial tooth part 3 is made of a photo-curing composite resin.
A method of depressing maxillary posterior teeth using the over-long maxillary posterior articulating device of claim 1 comprising the steps of:
(1) the jawbone has obvious drooping, the implanted mandible lacks teeth, the ISQ value of osseointegration is more than or equal to 80, and the healing abutment is higher than the gingiva by more than 1.0 mm;
(2) the lower upper jaw overlong posterior tooth moving device is arranged in the edentulous gap;
(3) according to the depression amount of the overlong upper jaw back teeth, the plane of the artificial tooth part 3 of the over-long upper jaw back tooth depression moving device is uniformly added with light-cured composite resin, so that the occlusion gap of about 1.0-1.5 mm in occlusion is guaranteed to be lifted.
Drawings
FIG. 1: the invention relates to a device for depressing overlong posterior teeth of upper jaw
FIG. 2-1: the buccal lingual surface of the device for depressing overlength upper jaw posterior teeth
FIG. 2-2: the invention relates to an occlusal surface view of a superlong upper jaw posterior teeth moving device
FIGS. 2 to 3: the invention relates to a tissue surface view of a superlong maxillary posterior tooth pressing device
FIGS. 2 to 4: the invention relates to a device for depressing overlong upper jaw posterior teeth
FIG. 3: method for depressing upper jaw posterior teeth by adopting moving device of the invention
In the figure:
1: combination support
2: snap ring
3: artificial tooth part
4: base support
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings.
Referring to fig. 1-3, a device for depressing the overlength upper jaw posterior teeth comprises a bracket 1, a clasp 2, an artificial teeth part 3 and a base 4,
the close support is completely attached to the marginal ridge of the side close to the gap of the adjacent tooth without preparing a tooth body, is in a circular triangle with a sharp point pointing to the far end of the gap, has the width of 1/3 of the width of the dental crown and the length of 1/4 of the length of the dental crown, and has the thickness of about 1.5 mm; the clamp ring is about 1.0-1.5 mm thick, the buccal clamp ring arm 2/3 is positioned on the outline high point line of the abutment, the clamp tip 1/3 is positioned under the outline high point of the abutment to play a role in retention, and the lingual clamp arm is positioned on the outline high point line of the abutment to play a role in resisting retention; the resin cusp-free artificial tooth part is used for filling the position of natural teeth at the dentition defect position, the surface is smooth, the occlusal surface is a plane and is parallel to the occlusal plane, and the height of the resin cusp-free artificial tooth part is 1.0-1.5 mm higher than the vertical gingival occlusion distance for the first time. Correspondingly adjusting and heightening according to the upper jaw overlong posterior tooth depression amount, ensuring that a gap of 1.0-1.5 mm exists between the upper jaw and the lower jaw, and continuously depressing the upper jaw overlong posterior tooth; the base support part is tightly attached to the alveolar ridge crest implant healing abutment and the buccal and lingual sides of the alveolar ridge to help retention, the buccal base support covers the alveolar ridge and extends to the bottom of the vestibule sulcus, the lingual side is folded back to the oral bottom without interfering with buccal and lingual movement, the base support has certain strength to ensure the thickness of 2.0mm, and the implant conducts supporting force to the artificial tooth part through the base support of the alveolar ridge crest and depresses overlong upper posterior teeth.
Firstly, implant is implanted in the edentulous area of the lower jaw, the implant is used as a support in the lower jaw posterior tooth area which completes osseointegration, a movable device for occluding and depressing overlong upper jaw posterior teeth is installed, and the implant has a good retention effect in examination. Order the patient to wear the appliance by himself, and the continuous occlusal force depresses the overlong upper posterior teeth. And (3) periodically checking, gradually increasing the height of the artificial tooth part of the movable device for the upper jaw posterior teeth with overlong occlusal depression until the upper jaw posterior teeth with overlong occlusal depression is lowered to an upper jaw occlusal plane, obtaining enough clearance for repairing lower jaw posterior teeth, finally completing the fixed repair of the lower jaw implant denture, ensuring good occlusal contact and lower jaw movement, recovering the physiological functions of chewing and the like of the patient, and being more beneficial to the physical and psychological health recovery of the patient.
The device for depressing the overlong maxillary posterior teeth is suitable for 1-2 posterior teeth on one side of the lower jaw, healthy or well-treated natural teeth are arranged at the front and the back, the length of a tooth root in an alveolar bone is more than or equal to 8.0mm, after the completion of the bone integration of an implant operation in a mandibular teeth-missing area for 3 months, the ISQ value of the implant stability measurement is more than or equal to 80, and the diameter of the implant is more than or equal to 4.0mm, and the method for depressing the maxillary posterior teeth by adopting the movable device comprises the following steps:
referring to fig. 3-1, the jaw molars have obvious sagging, the implanted lower jaw lacks teeth, the osseointegration ISQ value is more than or equal to 80, and the healing abutment is 1.0mm higher than the gingiva;
referring to fig. 3-2, the movable device for depressing the overlong maxillary posterior teeth is arranged in the edentulous gap, the combined support 1 is completely attached to the edge ridge of the side close to the edentulous gap of the adjacent teeth, the base 4 is completely attached to the implant abutment and the edge ridge of the bucco-lingual side, and the snap ring of the bucco-lingual side of the adjacent teeth is tightly attached to the tooth surface to play a role in retention and raise the occlusal contract by 1.0-1.5 mm;
referring to fig. 3-3, the overlength of the maxillary posterior teeth is gradually depressed, and the distance between the upper and lower jaws is obviously reduced;
referring to fig. 3-4, according to the depression amount of the overlength upper jaw posterior teeth, a layer of light-cured composite resin is uniformly added on the plane of the artificial teeth part 3 of the over-length upper jaw posterior teeth depression moving device, so that the occlusion gap of about 1.0-1.5 mm in occlusion is ensured to be lifted;
referring to fig. 3-5, the maxillary first molars have been compressed into the normal height position and the occlusal curve corrected;
referring to fig. 3-6, the mandibular first molar achieves sufficient implant restoration clearance to ultimately achieve the desired implant restoration effect.
The invention has the beneficial technical effects that: the invention is a movable device, which is convenient for the patient to maintain, clean, take off and wear, and is also convenient for the doctor to adjust according to the situation at any time. The upper jaw overlength posterior teeth of suppressing mainly do benefit to the implant that has obtained good osseointegration and the nearly long-range natural healthy tooth of scarce side and do the support, and the bite-force that the patient can control is as main power of suppressing, is a controllable living beings material resources, and the artifical tooth plane of resin on the device is suppressed to the accent gradually, and the mandible is compared to upper jaw sclerotin, and its sclerotin is more loose, can obtain good effect of suppressing.

Claims (4)

1. The utility model provides a suppress upper jaw overlength posterior teeth mobile device, includes to close and supports (1), snap ring (2), artifical tooth part (3) and base (4), its characterized in that:
the combination support (1) does not need to prepare a tooth body; in the using process, the tooth paste is completely attached to the edge ridge of the side close to the gap of the adjacent tooth and takes the shape of a circular triangle with the tip pointing to the far end of the gap; the width of the combining support (1) is 1/3 of the width of a dental crown, the length of the combining support is 1/4 of the length of the dental crown, and the thickness of the combining support is about 1.5 mm;
the thickness of the snap ring (2) is about 1.0-1.5 mm; in the use process, the buccal snap ring arm 2/3 is positioned on the outline high point line of the abutment, the snap ring tip 1/3 is positioned under the outline high point of the abutment to play a role in retention, and the lingual snap ring arm is positioned on the outline high point line of the abutment;
the artificial tooth part (3) is a resin tipless artificial tooth and fills the position of a natural tooth at the dentition defect; the surface of the artificial tooth part (3) is smooth, the occlusal surface is a plane and is parallel to the occlusal plane, and the height of the artificial tooth part (3) is 1.0-1.5 mm higher than the vertical gingival occlusion distance;
the base (4) part, the implant transmits the supporting force to the artificial tooth part (3) through the base (4) of the crest of the alveolar ridge; in the use process, the base (4) is closely attached to the alveolar ridge crest implant healing abutment and the buccal side of the alveolar ridge, the buccal side base covers the alveolar ridge and extends to the bottom of the vestibule sulcus, and the lingual side is folded back to the mouth bottom without interfering with the movement of the buccal tongue.
2. The device for depressing overlength maxillary posterior teeth of claim 1 wherein: the combination bracket (1) is formed by casting.
3. The device for depressing overlength maxillary posterior teeth of claim 1 wherein: the artificial tooth part (3) adopts light-cured composite resin.
4. A method of depressing maxillary posterior teeth using the over-long maxillary posterior articulating device of claim 1 comprising the steps of:
(1) the jawbone has obvious drooping, the implanted mandible lacks teeth, the ISQ value of osseointegration is more than or equal to 80, and the healing abutment is higher than the gingiva by more than 1.0 mm;
(2) the lower upper jaw overlong posterior tooth moving device is arranged in the edentulous gap;
(3) according to the depression amount of the overlong upper jaw posterior teeth, the plane of the artificial tooth part (3) of the over-long upper jaw posterior tooth depression moving device is uniformly added with the light-cured composite resin, so that the occlusion gap of about 1.0-1.5 mm in occlusion is guaranteed to be lifted.
CN202110696104.0A 2021-06-23 2021-06-23 Moving device and method for depressing overlong maxillary posterior teeth Pending CN113303932A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202110696104.0A CN113303932A (en) 2021-06-23 2021-06-23 Moving device and method for depressing overlong maxillary posterior teeth

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Application Number Priority Date Filing Date Title
CN202110696104.0A CN113303932A (en) 2021-06-23 2021-06-23 Moving device and method for depressing overlong maxillary posterior teeth

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CN113303932A true CN113303932A (en) 2021-08-27

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117860415A (en) * 2024-03-11 2024-04-12 成都四维齿科技术开发有限公司 Denture fixing and repairing equipment and method

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1596839A (en) * 2004-07-26 2005-03-23 四川大学 Removable local artificial tooth and its making method
CN106037969A (en) * 2016-07-08 2016-10-26 洪亮 Removable denture and manufacturing process thereof
CN109620440A (en) * 2019-01-17 2019-04-16 西安新定远精密齿研有限公司 Removable denture and its manufacturing process
CN109745131A (en) * 2019-02-20 2019-05-14 重庆医科大学附属口腔医院 Mandibular posterior teeth depression device
CN211049657U (en) * 2019-06-25 2020-07-21 西安医学院 Customized polyether-ether-ketone removable partial denture bracket

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1596839A (en) * 2004-07-26 2005-03-23 四川大学 Removable local artificial tooth and its making method
CN106037969A (en) * 2016-07-08 2016-10-26 洪亮 Removable denture and manufacturing process thereof
CN109620440A (en) * 2019-01-17 2019-04-16 西安新定远精密齿研有限公司 Removable denture and its manufacturing process
CN109745131A (en) * 2019-02-20 2019-05-14 重庆医科大学附属口腔医院 Mandibular posterior teeth depression device
CN211049657U (en) * 2019-06-25 2020-07-21 西安医学院 Customized polyether-ether-ketone removable partial denture bracket

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117860415A (en) * 2024-03-11 2024-04-12 成都四维齿科技术开发有限公司 Denture fixing and repairing equipment and method
CN117860415B (en) * 2024-03-11 2024-05-10 成都四维齿科技术开发有限公司 Denture fixing and repairing equipment and method

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