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CN210903425U - Orthodontic lingual force and occlusal force mediator - Google Patents

Orthodontic lingual force and occlusal force mediator Download PDF

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Publication number
CN210903425U
CN210903425U CN201921463557.3U CN201921463557U CN210903425U CN 210903425 U CN210903425 U CN 210903425U CN 201921463557 U CN201921463557 U CN 201921463557U CN 210903425 U CN210903425 U CN 210903425U
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China
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force
tongue
lingual
base
occlusal
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CN201921463557.3U
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许天民
宋广瀛
张佳音
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Peking University School of Stomatology
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Peking University School of Stomatology
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Abstract

A lingual force and occlusal force mediator for orthodontics comprises a lingual force mediation base, a lingual force mediation base and a tongue body, wherein the lingual force mediation base is used for being placed above a tongue body; the pair of back occlusal pads are arranged at two sides of the tongue force-mediated base, and are respectively attached to molar occlusal surfaces at the left side and the right side of a patient when the tongue force-mediated base is placed above a tongue body; and when the tongue force mediation base is placed above the tongue body, the other end of the retention hook can extend to the adjacent space of the upper jaw molars. The utility model relates to an it is just abnormal with tongue power occlusal force mediation ware has had the non-invasive of conservative measure control molar removal and the validity of control molar concurrently, and easy and simple to handle, the advantage that patient compliance is good compromise the convenience of patient's impression and medical technical personnel work, has reduced medical cost simultaneously.

Description

Orthodontic lingual force and occlusal force mediator
Technical Field
The utility model belongs to the technical field of orthodontic equipment, more specifically relates to an just abnormal tongue power occlusal force mediation ware that uses.
Background
Vertical control of molar is always a hot point and a difficult point in orthodontic treatment, traditional means comprise an extraoral arch, a vertical chin pocket, a cross palate bar and the like, but evidence of evidence shows that the molar depression effect of the measures is not exact, and the good matching of patients is mostly required. At present, only the implant nail with definite effect is provided, but the implant nail is an invasive measure and has certain clinical risk. For patients who can not accept the planting nails, fall off the planting nails repeatedly or have contraindications, other conservative measures still need to be taken.
The tongue body is an important component of the oral cavity system and is one of important functional factors participating in oral cavity force balance, the swallowing times of a person are about 2400 times every day, the tongue muscle pressure during swallowing is intermittent gravity, and the tongue can generate continuous resting pressure in a resting state and is continuous light force. Both of these forces generated by the tongue may be used to control or move the teeth. However, in current corrective measures, the application of such physiological forces to the tongue is less. Many different types of anchorage measures are proposed and practiced in orthodontics, and the origin of the anchorage is hard tissues such as teeth and bones, and the soft tissue is rarely used as anchorage.
Therefore, it is desired to develop a device capable of vertically controlling molar using tongue force assistance.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing an orthodontic lingual force occlusal force mediator which is used for the case that molar depression or anchorage enhancement is needed, and vertical control is carried out by the assistance of lingual force.
In order to achieve the above objects, the present invention provides an orthodontic lingual force/occlusal force mediator for depressing molars of a patient, the mediator including:
a tongue force-mediated base for placement over a tongue body;
the pair of rear occlusal pads are arranged on two sides of the tongue force-mediated base, and are respectively attached to molar occlusal surfaces on the left side and the right side of a patient when the tongue force-mediated base is placed above a tongue body;
and when the tongue force mediation base is placed above the tongue body, the other end of the retention hook can extend to the adjacent space of the upper jaw molars.
Preferably, the tongue force mediating base is arcuate.
Preferably, the tongue force-mediating base is shaped to conform to the patient's tongue position record.
Preferably, the tongue force-mediated base support and the rear occlusal pad are made of self-setting resin, and the tongue force-mediated base support and the rear occlusal pad are integrally formed.
Preferably, the lingual force-mediated base has a width between buccal surfaces of the bilateral maxillary first molars, a length from mesial first molars to distal second molars, and a thickness of 2-4 mm.
Preferably, the lower surface of the tongue force-mediated base support is provided with a soft lining layer, and the thickness of the soft lining layer is 0.8-1.2 mm.
Preferably, the one end of each of the retention hooks extends into the tongue force-mediating base, and the connection part of the retention hook in the tongue force-mediating base is wavy.
Preferably, the other end of the retention hook is rounded and smooth.
Preferably, the retention hook is a stainless steel interproximal hook.
Preferably, the retention hook is two pairs, one pair of retention hook is used for respectively joint in the second preceding molar of patient's left and right sides and between the adjacent space of first molar, another pair of retention hook is used for respectively joint in the first molar of patient's left and right sides and the molar buccal shaft angle between the outside undercut area down of second molar.
The utility model relates to an orthodontic lingual force occlusal force mediator, its beneficial effect lies in: the occlusal force is utilized to enable the posterior bite pad to depress the molar, and the tongue force is utilized to vertically press the mediator, so that the control and the movement of the posterior teeth in the vertical direction and the sagittal direction are realized by utilizing the tongue force; the device has the advantages of non-invasiveness of conservative measure control of molar movement and effectiveness of control of molar, is simple and convenient to operate, has good patient compliance, gives consideration to the feeling of the patient and convenience of work of medical technicians, and reduces medical cost.
Other features and advantages of the present invention will be described in detail in the detailed description which follows.
Drawings
The above and other objects, features and advantages of the present invention will become more apparent by describing in more detail exemplary embodiments thereof with reference to the attached drawings, in which like reference numerals generally represent like parts throughout the exemplary embodiments of the present invention.
Fig. 1 illustrates a front view of an orthodontic lingual force/bite force mediator according to an exemplary embodiment of the present invention;
fig. 2 illustrates a top view of an orthodontic lingual force occlusal force mediator in accordance with an exemplary embodiment of the present invention;
fig. 3 illustrates a side view of an orthodontic lingual force occlusal force mediator of an exemplary embodiment of the present invention;
description of reference numerals:
1 tongue force mediated base, 2 posterior occlusal pad, 3 connecting part, 4 retention hook.
Detailed Description
Preferred embodiments of the present invention will be described in more detail below. While the following describes preferred embodiments of the present invention, it should be understood that the present invention may be embodied in various forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art.
In order to solve the problems existing in the prior art, the utility model provides an orthodontic lingual force occlusal force mediator which is used for depressing molar of a patient, and comprises:
the tongue force mediated base support is used for being placed above the tongue body;
the pair of back occlusal pads are arranged at two sides of the tongue force-mediated base, and are respectively attached to molar occlusal surfaces at the left side and the right side of a patient when the tongue force-mediated base is placed above a tongue body;
and one end of each pair of retention hooks is respectively connected with two sides of the tongue force mediation base, one end of each retention hook is connected with the rear occlusion pad, and when the tongue force mediation base is placed above the tongue body, the other end of each retention hook can extend to the adjacent space of the upper jaw molars.
The utility model relates to a lingual force occlusal force mediating device for orthodontics, which utilizes occlusal force to press a posterior bite pad to lower molar teeth, utilizes the vertical pressure of the lingual force on the mediating device, and realizes the control and movement of the lingual force on the posterior teeth in the vertical direction and the sagittal direction; the device has the advantages of non-invasiveness of conservative measure control of molar movement and effectiveness of control of molar, is simple and convenient to operate, has good patient compliance, gives consideration to the feeling of the patient and convenience of work of medical technicians, and reduces medical cost.
The molar comprises a third molar, a second molar, a first molar, a second premolar and a first premolar which are sequentially arranged from back to front on the left side and the right side of a human body, wherein the cuspid is positioned in front of the first premolar, and the molar far center, the molar near center, the molar buccal surface interval width, the molar adjacent gap, the molar buccal axial angle undercut region and the like are all professional terms in the field, are well known in the field, and are not repeated.
Preferably, the lingual force mediating base is integrally formed with the pair of posterior bite blocks.
Preferably, the tongue force-mediating base is curved to facilitate the fitting of tongue force.
Preferably, the tongue force-mediating base is shaped to conform to the patient's tongue position record. The tongue force mediated base and the shape and the position of the posterior occlusal pad are determined according to the strength and the functional shape characteristics of the tongue muscle of the individual patient, so that the real personalized manufacture is achieved, and the error caused by individual difference is reduced. Meanwhile, the vertical and sagittal control and movement of the posterior teeth by physiological force are realized by using the intermittent gravity of the tongue body during swallowing movement, the continuous light force in a resting state and the vertical pressure of the posterior occlusal pad on the upper and lower posterior teeth during occlusion.
The tongue force and occlusion force mediator for orthodontics of the utility model can transmit the tongue muscle force and the occlusion force to the upper molars, and provide the supporting and resisting force in the upward and backward directions so as to prevent the molars from extending and moving in the near middle; the support force is realized by the action that the acting force center of the tongue body is far away from the resistance center of the first molar, so that the force arm is prolonged, and the lever action of retroversion of the first molar is increased. That is, the lingual force mediating base depresses the posterior teeth by the lingual muscle force of the lingual body, the posterior bite block simultaneously depresses the upper and lower posterior teeth by the occlusal force, and the retention hook connected between the posterior bite block and the upper molar teeth serves as a bracket to distribute stress and prevent the lingual force mediating base from dislocating.
Preferably, the tongue force-mediated base and the posterior bite block are made of self-setting resin, the tongue force-mediated base and the posterior bite block are integrally formed, and the posterior bite block is used for depressing upper and lower molars and avoiding plane rotation caused by extension of the lower molars when the upper molars are depressed. The back bite-block is made according to the individual molar face of fitting of patient, and with the individual molar face of fitting of patient interlock good, the laminating degree is high, increases and wears the comfort level.
Preferably, the tongue force-mediated base has a width between the buccal surfaces of first two maxillary molars of an individual patient, a length from the mesiodial to distal middle of the first molars, a thickness of 2-4mm, a smooth surface and convenient wearing, so that the wearing comfort of the patient is increased, and the patient has good compliance.
Preferably, the posterior bite block conforms to the molar bite plane in a range from mesial to distal of the cuspids.
Preferably, the lower surface of the tongue force mediating base support is provided with a soft lining layer, the thickness of the soft lining layer is 0.8-1.2mm, and the comfort degree of the tongue body during movement is increased.
Preferably, one end of each retention hook extends into the tongue force mediating base, and the connection portion of the retention hook in the tongue force mediating base is wavy. The connecting part which is set into wave shape is fixed on the tongue force-mediated base plate as a bracket, which disperses stress and prevents the retention hook from rotating in the base plate.
Preferably, the other end of the retention hook is round and smooth, i.e. the outer edge of the other end of the retention hook is arc-shaped and smooth in surface, so as to be clamped in the adjacent space of the molar.
Preferably, the retention hook is a stainless steel interproximal hook, one end of the retention hook is fixed in the tongue force-mediated base, and the other end of the retention hook extends to the interproximal space of the molars.
Preferably, the retention hooks are two pairs, one pair of retention hooks is used for being clamped between adjacent gaps of second premolars and first molars on the left side and the right side of the patient respectively, and the other pair of retention hooks is used for being clamped between lower outer side inverted concave areas of molar cheek shaft angles of the first molars and the second molars on the left side and the right side of the patient respectively. The number of the retention hooks is determined according to actual conditions, such as missing teeth, loose teeth or deciduous permanent tooth replacement, only one retention hook can be arranged on the left side or the right side or one side of the patient. The outer edge of the other end of the retention hook is arc-shaped, so that the other end of the retention hook is in a water drop shape, and the water drop shape of the other end of the retention hook is clamped between adjacent gaps of adjacent molar teeth or between inverted concave areas at the lower outer side of buccal axial angles of the adjacent molar teeth respectively.
The utility model relates to a manufacturing method of a tongue force and occlusal force mediator for orthodontics, which comprises the following steps:
step 1, bending a retention hook and a connecting part on the retention hook by using a stainless steel adjacent space hook;
step 2, manufacturing a male die according to the tongue position record of the patient, paving a certain amount of self-setting resin between the tongue position record male die and the palatal vault of the upper jaw model, respectively placing the connecting parts of the two pairs of fixing hooks in the middle of two sides of the self-setting resin, occluding the male die and the upper jaw model before the self-setting resin is hardened, and performing compression molding to obtain a tongue force mediated base consistent with the tongue position record;
step 3, trimming the edges of the self-hardening resin to enable the lingual force-mediated base to cover the two sides of the maxillary posterior occlusal surfaces to form a posterior occlusal pad, and determining the thickness of the posterior occlusal pad and the range of the posterior occlusal pad which is attached to the molar occlusal surfaces according to the occlusion record of the patient;
and 4, coating soft lining materials on the tongue force mediated base and the tongue body to form a tongue body contact area.
When the molar needs to be depressed, the record of the tongue position of the individual patient is obtained by using silicon rubber, and an intra-oral model of the individual patient is made by using plaster so as to obtain an upper jaw model. When the tongue force and occlusal force mediating device for orthodontics is used, a patient needs to wear the device for as long as possible, and the movement of molar teeth is controlled by combining an orthodontics means, so that the molar teeth can be pressed down by using the force of tongue muscles, and the opening and closing are solved; the rear occlusal pad can further lower molar by using occlusal force; meanwhile, as the tongue force mediated base support is similar to a cross palate rod structure, the molar movement can be controlled in orthodontic treatment, and the effect of increasing molar anchorage is achieved.
Example 1
As shown in fig. 1 to 3, the present invention provides an orthodontic lingual occlusal force mediator for depressing molars of a patient, the mediator including:
the tongue force mediated base support 1 is used for being placed above a tongue body;
the pair of back occlusal pads 2 are arranged at two sides of the tongue force mediating base 1, and when the tongue force mediating base 1 is placed above the tongue body, the pair of back occlusal pads 2 are respectively attached to the molar occlusal surfaces at the left side and the right side of a patient;
and at least one pair of retention hooks 4, wherein each pair of retention hooks 4 is respectively connected with two sides of the tongue force mediation base 1, one end of each retention hook 4 is connected with the rear occlusal pad 2, and when the tongue force mediation base 1 is placed above the tongue body, the other end of each retention hook 4 can extend to the adjacent space of the upper jaw molars.
In this embodiment, the tongue force mediating base 1 is integrally formed with a pair of posterior bite blocks 2.
The tongue force mediating base 1 is arc-shaped. The shape of the tongue force-mediated base 1 is consistent with the patient tongue position record.
The lingual force mediation base 1 depresses the posterior teeth by the lingual muscle force of the lingual body, the posterior bite pad 2 simultaneously depresses the upper and lower posterior teeth by the occlusal force, and the retention hook 4 connected between the posterior bite pad 2 and the upper molar teeth serves as a bracket to disperse stress and prevent the lingual force mediation base 1 from dislocating.
The tongue force mediating base 1 and the back occlusal pad 2 are made of self-setting resin, and the tongue force mediating base 1 and the back occlusal pad 2 are integrally formed.
The width of the tongue force-mediated base 1 is the width between the buccal surfaces of first two maxillary molars of an individual patient, the length is from the mesiodial of the first molars to the distal of the second molars, the thickness is 3mm, and the surface is smooth.
The posterior bite block 2 fits the molar bite plane from the mesial of the cuspids to the distal of the second molar.
The lower surface of the tongue force mediated base 1 is provided with a soft lining layer, and the thickness of the soft lining layer is 1 mm.
In this embodiment, one end of each retention hook 4 extends into the tongue force-mediating base 1, and the connecting portion 3 of the retention hook 4 in the tongue force-mediating base 1 is wavy.
The other end of the retention hook 4 is round and smooth, namely the outer edge of the other end of the retention hook 4 is arc-shaped and has a smooth surface, so that the retention hook is convenient to clamp in the adjacent gap of the molar.
The retention hook 4 is a stainless steel adjacent-to-adjacent hook, one end of the retention hook 4 is fixed in the tongue force mediated base 1, and the other end of the retention hook 4 extends to the adjacent gap of the molar.
The maintenance hook 4 is two pairs, and a pair of maintenance hook 4 is used for the joint respectively in the second of patient's left and right sides before the molar with between the adjacent gap of first molar, another pair of maintenance hook 4 is used for the joint respectively in the patient's left and right sides the molar cheek shaft angle of first molar with the second molar between the outside undercut region down.
The utility model relates to a manufacturing method of a tongue force and occlusal force mediator for orthodontics, which comprises the following steps:
step 1, bending a retention hook 4 and a connecting part 3 on the retention hook 4 by using a stainless steel adjacent-to-adjacent hook;
step 2, manufacturing a male die according to the tongue position record of the patient individual, paving a certain amount of self-setting resin between the tongue position record male die and the palatal vault of the upper jaw model, respectively placing the connecting parts 3 of the two pairs of fixing hooks 4 in the middle of two sides of the self-setting resin, meshing the male die with the upper jaw model before the self-setting resin is hardened, and performing compression molding to obtain a tongue force mediated base 1 consistent with the tongue position record;
step 3, trimming the edge of the self-hardening resin to enable the tongue force mediated base 1 to cover the two sides of the maxillary posterior occlusal surfaces to form a posterior occlusal pad 2, and determining the thickness of the posterior occlusal pad 2 and the range of the posterior occlusal pad 2 attached to the molar occlusal surfaces according to the occlusion record of the patient;
and 4, coating soft lining materials on the tongue force mediated base 1 and the tongue body to form a tongue body contact area.
When the molar needs to be depressed, the record of the tongue position of the individual patient is obtained by using silicon rubber, and an intra-oral model of the individual patient is made by using plaster so as to obtain an upper jaw model.
While various embodiments of the present invention have been described above, the above description is intended to be illustrative, not exhaustive, and not limited to the disclosed embodiments. Many modifications and variations will be apparent to those of ordinary skill in the art without departing from the scope and spirit of the described embodiments.

Claims (10)

1. An orthodontic lingual force/occlusal force mediator for depressing molars of a patient, the mediator comprising:
a tongue force-mediating base (1), the tongue force-mediating base (1) being for placement over a tongue body;
the pair of rear occlusal pads (2) are arranged at two sides of the tongue force-mediated base (1), and when the tongue force-mediated base (1) is placed above a tongue body, the pair of rear occlusal pads (2) are respectively attached to molar occlusal surfaces at the left side and the right side of a patient;
at least one pair of retention hooks (4), wherein each pair of retention hooks (4) is respectively connected with two sides of the tongue force mediation base (1), one end of each retention hook (4) is connected with the rear occlusion pad (2), and when the tongue force mediation base (1) is placed above the tongue body, the other end of each retention hook (4) can extend to the adjacent space of the upper molar.
2. The orthodontic lingual force/occlusal force mediator according to claim 1, wherein the lingual force mediation base (1) is arc-shaped.
3. Orthodontic lingual force/bite force mediator according to claim 1, wherein the lingual force mediation base (1) has a shape corresponding to a patient's lingual record.
4. The orthodontic lingual force/occlusal force mediator according to claim 1, wherein the lingual force mediation base (1) and the posterior bite block (2) are made of self-setting resin, and the lingual force mediation base (1) and the posterior bite block (2) are integrally molded.
5. The orthodontic lingual force/occlusal force mediator according to claim 1, wherein the lingual force mediation base (1) has a width of a bilateral maxillary first molar buccal inter-facial width, a length from a first molar mesial to a second molar distal, and a thickness of 2-4 mm.
6. The orthodontic lingual force/occlusal force mediator as set forth in claim 1, wherein the lower surface of the lingual force mediation base (1) is provided with a soft lining having a thickness of 0.8-1.2 mm.
7. The orthodontic lingual force/occlusion force mediator according to claim 1, wherein the one end of each of the retention hooks (4) protrudes into the lingual force mediation base (1), and the connection portion (3) of the retention hook (4) in the lingual force mediation base (1) is wave-shaped.
8. The orthodontic lingual force/occlusion force mediator of claim 1, wherein the other end of the retention hook (4) is rounded and smooth.
9. The orthodontic lingual force-occlusal force mediator of claim 1, wherein the retention hooks (4) are stainless steel interproximal hooks.
10. The orthodontic lingual occlusal force mediator as defined in claim 1, wherein the retention hooks (4) are provided in two pairs, one pair of the retention hooks (4) is adapted to be engaged between the interproximal spaces of the second premolar and the first molar on the left and right sides of the patient, respectively, and the other pair of the retention hooks (4) is adapted to be engaged between the molar buccal axial inferior lateral undercut regions of the first molar and the second molar on the left and right sides of the patient, respectively.
CN201921463557.3U 2019-09-04 2019-09-04 Orthodontic lingual force and occlusal force mediator Active CN210903425U (en)

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Application Number Priority Date Filing Date Title
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113598986A (en) * 2021-08-30 2021-11-05 北京大学口腔医学院 Tongue force and occlusal force mediated invisible correcting device and manufacturing method
CN113974870A (en) * 2021-10-13 2022-01-28 北京大学口腔医学院 Nance Bow Orthodontic Molar Control Device

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113598986A (en) * 2021-08-30 2021-11-05 北京大学口腔医学院 Tongue force and occlusal force mediated invisible correcting device and manufacturing method
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
CN113974870A (en) * 2021-10-13 2022-01-28 北京大学口腔医学院 Nance Bow Orthodontic Molar Control Device

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