CN221866039U - Improved Frankel-III function regulator - Google Patents
Improved Frankel-III function regulator Download PDFInfo
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Abstract
Description
技术领域Technical Field
本实用新型属于口腔设备技术领域,具体涉及一种改良型Frankel-III功能调节器。The utility model belongs to the technical field of oral equipment, and specifically relates to an improved Frankel-III function regulator.
背景技术Background Art
III类错牙合是临床上常见的一种错牙合畸形,在儿童和青少年中非常普遍。它不仅会对颅面部的正常成长和发育产生严重影响,还会影响个体的咀嚼、发音等方面。如果不加以治疗,随着时间的推移,牙齿错位程度将逐渐加重,导致更严重的牙齿和颌面部畸形,影响美观和自信心。Class III malocclusion is a common malocclusion in clinical practice and is very common in children and adolescents. It not only has a serious impact on the normal growth and development of the craniofacial area, but also affects the individual's chewing, pronunciation and other aspects. If left untreated, the degree of tooth misalignment will gradually worsen over time, leading to more serious dental and maxillofacial deformities, affecting beauty and self-confidence.
在正畸中,III类错颌畸形中舌肌的重要性不可忽视。舌肌是口腔内的重要肌肉之一,对上下颌骨的生长和发育有着至关重要的作用。在III类错颌畸形中,普遍认为当上颌骨发育受限,上颌弓狭窄或腭顶低平,上颌固有口腔容积减小,迫使舌体偏前下,而对下颌牙弓产生异常的推动作用,或是因为呼吸功能的需要,舌体前移,带动下颌持续前伸。因此,舌肌异常会导致吞咽和语言等活动异常,从而对III类错颌畸形的形成和发展产生负面影响。In orthodontics, the importance of tongue muscles in Class III malocclusion cannot be ignored. The tongue muscle is one of the important muscles in the oral cavity and plays a vital role in the growth and development of the maxillary and mandibular bones. In Class III malocclusion, it is generally believed that when the maxillary bone is underdeveloped, the maxillary arch is narrow or the palate is flat, the maxillary intrinsic oral volume is reduced, forcing the tongue to move forward and downward, which has an abnormal driving effect on the mandibular dental arch, or because of the need for respiratory function, the tongue moves forward, driving the mandible to continue to protrude. Therefore, tongue muscle abnormalities can lead to abnormal activities such as swallowing and language, which have a negative impact on the formation and development of Class III malocclusion.
功能矫治器能够对唇、舌、升降颌肌群等口周软组织产生作用。口面部肌肉的功能活动、异常肌肉习惯位是形成错牙合的主要原因。Frankel-III功能调节器是一种用于治疗III类错牙合畸形的口腔矫治器,常用于青少年的正畸治疗中,通过作用于口面部肌肉环境,调整上下颌骨的关系和限制下颌骨生长来矫正牙齿的错位,进而引导颌骨、牙列的正常发育。这种矫治器结构简单,佩戴方便,且能够矫正III类错牙合畸形。但是,传统的Frankel-III功能调节器通常还存在以下缺陷:Functional appliances can act on the lips, tongue, and jaw lifting muscles, etc. The functional activities of the oral and facial muscles and abnormal muscle habit positions are the main causes of malocclusion. The Frankel-III functional adjuster is an oral appliance used to treat Class III malocclusion. It is often used in orthodontic treatment for adolescents. It acts on the oral and facial muscle environment, adjusts the relationship between the upper and lower jaws, and restricts the growth of the mandible to correct the misalignment of teeth, thereby guiding the normal development of the jaw and dentition. This appliance has a simple structure, is easy to wear, and can correct Class III malocclusion. However, traditional Frankel-III functional adjusters usually have the following defects:
(1)传统Frankel-III功能调节器在吞咽及咀嚼运动时无法保持舌的正确位置。传统的Frankel-III功能调节器设置有腭弓、舌弓,阻挡了舌对上颌牙弓的扩弓作用,下颌的颊屏可抵挡舌的侧向运动,但无法阻止舌对下牙弓的矢状扩展作用,在异常舌体和舌位存在的情况下,可能增大下颌弓继续前伸的趋势。在传统的Frankel-III功能调节器治疗过程中,需要通过语音训练和口腔康复等方法,才能改善舌肌的运动方式和位置,从而帮助舌肌发挥正常的生长发育作用。(1) The traditional Frankel-III functional adjuster cannot maintain the correct position of the tongue during swallowing and chewing. The traditional Frankel-III functional adjuster is equipped with a palatal arch and a lingual arch, which blocks the tongue from expanding the maxillary dental arch. The mandibular buccal screen can resist the lateral movement of the tongue, but cannot prevent the tongue from expanding the mandibular dental arch in the sagittal direction. In the presence of abnormal tongue body and tongue position, the tendency of the mandibular arch to continue to protrude may be increased. In the treatment process of the traditional Frankel-III functional adjuster, speech training and oral rehabilitation are needed to improve the movement and position of the tongue muscles, thereby helping the tongue muscles to play a normal role in growth and development.
(2)传统Frankel-III功能调节器在探讨III类错牙合形成机理时,更多地强调限制上唇及颊肌的矢状向及水平向的肌张力,并针对此类肌张力创造了唇挡和颊屏与之拮抗,但未对维持口腔内外肌动力平衡的舌肌的位置及活动加以足够的重视和针对性的矫治。(2) When discussing the formation mechanism of Class III malocclusion, the traditional Frankel-III functional regulator places more emphasis on limiting the sagittal and horizontal muscle tension of the upper lip and cheek muscles, and creates lip stops and cheek guards to counteract this muscle tension. However, it does not pay enough attention to the position and activity of the tongue muscles that maintain the balance of muscle dynamics inside and outside the oral cavity, and does not provide targeted corrections.
(3)骨性Ⅲ类错牙合通常伴随下前牙会向内倾斜,而上前牙会向外倾斜,这是为了让上下颌牙齿能够更好地咬合的代偿现象,这种代偿无法被传统的Frankel-III功能调节器所限制。在使用传统Frankel-III功能调节器进行矫治时,下切牙舌侧倾斜的代偿现象可能会继续存在,从而影响矫治效果。(3) Skeletal Class III malocclusion is usually accompanied by the lower front teeth tilting inwards and the upper front teeth tilting outwards. This is a compensatory phenomenon to allow the upper and lower teeth to occlude better. This compensation cannot be limited by the traditional Frankel-III functional adjuster. When using the traditional Frankel-III functional adjuster for correction, the compensatory phenomenon of the lingual tilt of the lower incisor may continue to exist, thus affecting the correction effect.
实用新型内容Utility Model Content
本实用新型的目的是提供一种改良型Frankel-III功能调节器,既能够实现对上下颌骨、牙齿和舌体的综合矫治,解决传统Frankel-III功能调节器在矫治异常舌体及异常舌位方面的不足,又能够恢复口腔内外肌动力平衡,避免舌对牙齿和颌骨的不利影响。The purpose of the utility model is to provide an improved Frankel-III functional regulator, which can not only realize the comprehensive correction of the upper and lower jaws, teeth and tongue, solve the shortcomings of the traditional Frankel-III functional regulator in correcting abnormal tongue and abnormal tongue position, but also restore the muscle power balance inside and outside the oral cavity, and avoid the adverse effects of the tongue on the teeth and jaws.
为了解决上述技术问题,本实用新型采用的技术方案如下:In order to solve the above technical problems, the technical solutions adopted by the utility model are as follows:
一种改良型Frankel-III功能调节器,其包括颊屏、唇挡、舌栅和钢丝部分,所述钢丝部分包括唇挡连接丝、下颌唇弓、前腭弓、后腭弓和颌支托;An improved Frankel-III functional regulator, comprising a cheek guard, a lip guard, a tongue grid and a steel wire portion, wherein the steel wire portion comprises a lip guard connecting wire, a mandibular lip arch, an anterior palatal arch, a posterior palatal arch and a jaw support;
所述颊屏设有两个,分别为左颊屏和右颊屏,所述颊屏用于在矫治畸形时放置于上、下颌前庭沟内,且其远中部位覆盖到磨牙末端,近中部位覆盖到尖牙的远中;The buccal shields are provided with two, namely the left buccal shield and the right buccal shield, and are used to be placed in the upper and lower mandibular vestibule grooves when correcting deformities, and the distal part thereof covers the end of the molars, and the mesial part covers the distal part of the canines;
所述唇挡连接丝的左右两端分别与所述左颊屏的前侧上部和所述右颊屏的前侧上部固定连接;所述唇挡固定在所述唇挡连接丝上,所述唇挡用于在矫治畸形时贴合在上切牙唇侧的黏膜转折处;The left and right ends of the lip stopper connecting wire are respectively fixedly connected to the front upper part of the left cheek screen and the front upper part of the right cheek screen; the lip stopper is fixed on the lip stopper connecting wire, and the lip stopper is used to fit the mucosal turning point of the labial side of the upper incisor when correcting deformity;
所述前腭弓的左右两端分别与所述左颊屏的前侧中部和所述右颊屏的前侧中部固定连接,所述前腭弓用于在矫治畸形时从尖牙远中面通过并贴合在患者的上切牙腭侧舌隆突处;The left and right ends of the anterior palatal arch are respectively fixedly connected to the front middle part of the left buccal screen and the front middle part of the right buccal screen. The anterior palatal arch is used to pass through the distal surface of the canine and fit on the lingual protuberance of the upper incisor of the patient's palate when correcting the deformity.
所述前腭弓的前部包覆有与上切牙舌侧接触的保护垫;所述舌栅由多根向下延伸的钢丝排列组成,所述舌栅的上端伸至所述保护垫内并与所述前腭弓固定连接,所述舌栅用于在矫治畸形时设置在上颌腭侧两个尖牙之间,且与患者的舌体大小和舌尖到前牙中心的距离适配;The front part of the anterior palatal arch is covered with a protective pad in contact with the lingual side of the upper incisor; the tongue fence is composed of a plurality of steel wires extending downward, the upper end of the tongue fence extends into the protective pad and is fixedly connected to the anterior palatal arch; the tongue fence is used to be arranged between the two canines on the maxillary palate side when correcting deformities, and is adapted to the patient's tongue size and the distance from the tongue tip to the center of the front teeth;
所述下颌唇弓的左右两端分别与所述左颊屏的前侧下部和所述右颊屏的前侧下部固定连接,所述下颌唇弓用于在矫治畸形时贴合在下切牙唇侧中部;The left and right ends of the mandibular labial arch are respectively fixedly connected to the front lower part of the left buccal screen and the front lower part of the right buccal screen, and the mandibular labial arch is used to fit in the middle of the labial side of the lower incisor when correcting the deformity;
所述后腭弓的左右两端分别与所述左颊屏的后侧中部和所述右颊屏的后侧中部固定连接,所述后腭弓用于在矫治畸形时从最后一颗磨牙的远中面通过并贴合在患者的上腭;The left and right ends of the posterior palatal arch are respectively fixedly connected to the posterior middle part of the left buccal screen and the posterior middle part of the right buccal screen. The posterior palatal arch is used to pass through the distal surface of the last molar and fit on the upper palate of the patient when correcting the deformity.
所述颌支托设有两个,分别为左侧颌支托和右侧颌支托,所述左侧颌支托自所述左颊屏的后侧中部伸出并向前弯曲形成,所述右侧颌支托自所述右颊屏的后侧中部伸出并向前弯曲形成,所述颌支托用于在矫治畸形时放置于双侧第二乳磨牙或第一恒磨牙中央窝内。There are two jaw supports, namely a left jaw support and a right jaw support. The left jaw support extends from the middle of the back side of the left cheek screen and bends forward, and the right jaw support extends from the middle of the back side of the right cheek screen and bends forward. The jaw supports are used to be placed in the central fossa of the bilateral second deciduous molars or the first permanent molars when correcting deformities.
作为本实用新型的优选方案,所述颊屏为热固性塑料板,厚度为1mm~3mm;所述颊屏与上牙槽间距为3mm。As a preferred solution of the utility model, the cheek guard is a thermosetting plastic plate with a thickness of 1 mm to 3 mm; the distance between the cheek guard and the upper alveolar is 3 mm.
作为本实用新型的优选方案,所述保护垫为热固性塑料板。As a preferred solution of the utility model, the protection pad is a thermosetting plastic plate.
作为本实用新型的优选方案,所述舌栅的钢丝间隔地设有4根,所述舌栅的钢丝直径为0.8mm-1.2mm。As a preferred solution of the utility model, four steel wires of the tongue grid are arranged at intervals, and the diameter of the steel wire of the tongue grid is 0.8mm-1.2mm.
作为本实用新型的优选方案,所述唇挡左右对称地设有两个,两个所述唇挡之间的唇挡连接丝呈U形弯曲;所述唇挡为热固性塑料板,厚度为2mm~3mm;所述唇挡到上颌前庭的距离为3mm~5mm,所述唇挡与牙槽嵴平行;所述唇挡的上缘到上切牙唇侧的黏膜距离为1mm~2mm。As a preferred embodiment of the utility model, two lip guards are symmetrically arranged on the left and right, and the lip guard connecting wire between the two lip guards is bent in a U shape; the lip guard is a thermosetting plastic plate with a thickness of 2mm to 3mm; the distance from the lip guard to the maxillary vestibule is 3mm to 5mm, and the lip guard is parallel to the alveolar ridge; the distance from the upper edge of the lip guard to the mucosa of the labial side of the upper incisor is 1mm to 2mm.
作为本实用新型的优选方案,所述唇挡连接丝所采用的钢丝直径为0.8mm-1.2mm。As a preferred solution of the utility model, the diameter of the steel wire used for the lip stop connecting wire is 0.8mm-1.2mm.
作为本实用新型的优选方案,所述下颌唇弓所采用的钢丝直径为0.8mm-1.2mm。As a preferred embodiment of the present invention, the diameter of the steel wire used in the mandibular labial arch is 0.8mm-1.2mm.
作为本实用新型的优选方案,所述前腭弓所采用的钢丝直径为0.8mm-1.2mm。As a preferred solution of the utility model, the diameter of the steel wire used in the anterior palatine arch is 0.8mm-1.2mm.
作为本实用新型的优选方案,所述后腭弓所采用的钢丝直径为0.8mm-1.2mm。As a preferred solution of the utility model, the diameter of the steel wire used in the posterior palatal arch is 0.8mm-1.2mm.
作为本实用新型的优选方案,所述颌支托所采用的钢丝直径为0.8mm-1.2mm。As a preferred solution of the utility model, the diameter of the steel wire used in the jaw support is 0.8mm-1.2mm.
实施本实用新型提供的一种改良型Frankel-III功能调节器,与现有技术相比,其有益效果在于:The improved Frankel-III functional regulator provided by the utility model has the following beneficial effects compared with the prior art:
首先,本实用新型针对传统Frankel-III功能调节器的矫治缺陷,在传统的Frankel-III型功能调节器的基础上结合了舌栅的设置,通过舌栅能够促使舌被迫向后上移位恢复正常位置,有利于舌的肌力传导至上颌,增强了上颌向前发育的推力,改善了舌肌位置与活动习惯,消除了舌肌的异常肌肉动力作用对上下颌骨的不利影响;同时,舌栅可作为舌的训练装置,通过对舌的位置和活动进行反复训练,能够快速恢复口腔内外的肌动力平衡,有助于改善III类错颌畸形的发展;Firstly, the utility model aims at the correction defects of the traditional Frankel-III functional regulator. On the basis of the traditional Frankel-III functional regulator, the utility model combines the setting of the tongue grid. The tongue grid can force the tongue to shift backward and upward to restore the normal position, which is beneficial to the transmission of the tongue muscle force to the maxilla, enhances the thrust of the maxilla forward development, improves the position and activity habits of the tongue muscles, and eliminates the adverse effects of the abnormal muscle dynamics of the tongue muscles on the maxilla and mandible. At the same time, the tongue grid can be used as a tongue training device. By repeatedly training the position and activity of the tongue, the muscle dynamic balance inside and outside the oral cavity can be quickly restored, which is helpful to improve the development of Class III malocclusion.
其次,由于舌栅的存在,改良后的Frankel-III功能调节器对于已经有上前牙唇倾、下前牙舌倾的早期骨性反合的矫治效果更好,不会因矫治而加重;Secondly, due to the presence of the tongue grid, the modified Frankel-III functional regulator has a better correction effect on early skeletal crossbite with labial inclination of the upper anterior teeth and lingual inclination of the lower anterior teeth, and will not be aggravated by correction;
再有,舌栅由一个类似金属栅栏的钢丝组成,能够防止舌头向前推挤、向前牙施力,或防止舌位于上下颌前牙之间;舌栅能够训练舌头远离前牙,并打破吮吸拇指或手指的习惯。Additionally, a tongue guard consists of a wire that acts like a metal fence and prevents the tongue from being pushed forward, exerting force on the front teeth, or being positioned between the upper and lower front teeth; the tongue guard can train the tongue to stay away from the front teeth and break the habit of sucking the thumb or fingers.
总之而言,本实用新型的改良型Frankel-III功能调节器特别适合用于有舌体较大、不良舌习惯、舌体靠前下的发育期Ⅲ类错牙合患者,能够有效恢复舌体正常位置、维持口腔内外肌力平衡、缓解上下前牙代偿趋势、促进上颌骨向前发育、抑制下颌骨持续前下生长,并且不会加重已有的错颌畸形,临床使用价值高。In summary, the improved Frankel-III functional regulator of the utility model is particularly suitable for developmental Class III malocclusion patients with a large tongue, bad tongue habits, and a tongue that leans forward and downward. It can effectively restore the normal position of the tongue, maintain the balance of muscle strength inside and outside the oral cavity, alleviate the compensatory trend of the upper and lower front teeth, promote the forward development of the maxilla, inhibit the continued forward and downward growth of the mandible, and will not aggravate the existing malocclusion. It has high clinical use value.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
为了更清楚地说明本实用新型实施例的技术方案,下面将对实施例的附图作简单地介绍。In order to more clearly illustrate the technical solution of the embodiment of the utility model, the drawings of the embodiment will be briefly introduced below.
图1是本实用新型实施例的改良型Frankel-III功能调节器的结构示意图。FIG1 is a schematic structural diagram of an improved Frankel-III functional regulator according to an embodiment of the present utility model.
图中标记:Markings in the figure:
颊屏1;左颊屏1a;右颊屏1b;唇挡2;舌栅3;唇挡连接丝4;下颌唇弓5;前腭弓6;后腭弓7;颌支托8;保护垫9。Cheek screen 1; left cheek screen 1a; right cheek screen 1b; lip guard 2; tongue guard 3; lip guard connecting wire 4; mandibular labial arch 5; anterior palatal arch 6; posterior palatal arch 7; jaw support 8; protective pad 9.
具体实施方式DETAILED DESCRIPTION
下面详细描述本实用新型的实施例,所述实施例的示例在附图中示出,其中自始至终相同或类似的标号表示相同或类似的元件或具有相同或类似功能的元件。下面通过参考附图描述的实施例是示例性的,仅用于解释本实用新型,而不能理解为对本实用新型的限制。The embodiments of the present invention are described in detail below, and examples of the embodiments are shown in the accompanying drawings, wherein the same or similar reference numerals throughout represent the same or similar elements or elements having the same or similar functions. The embodiments described below with reference to the accompanying drawings are exemplary and are only used to explain the present invention, and cannot be understood as limiting the present invention.
在本实用新型的描述中,需要理解的是,涉及到方位描述,例如上、下、前、后、左、右等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本实用新型的限制。In the description of the present invention, it should be understood that descriptions involving orientation, such as up, down, front, back, left, right, etc., indicating orientations or positional relationships, are based on the orientations or positional relationships shown in the accompanying drawings, and are only for the convenience of describing the present invention and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as a limitation on the present invention.
在本实用新型的描述中,若干的含义是一个或者多个,多个的含义是两个以上,大于、小于、超过等理解为不包括本数,以上、以下、以内等理解为包括本数。如果有描述到第一、第二只是用于区分技术特征为目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量或者隐含指明所指示的技术特征的先后关系。In the description of the present utility model, "several" means one or more, "more" means more than two, "greater than", "less than", "exceed" etc. are understood to exclude the number itself, and "above", "below", "within" etc. are understood to include the number itself. If there is a description of "first" or "second", it is only used for the purpose of distinguishing the technical features, and cannot be understood as indicating or implying the relative importance or implicitly indicating the number of the indicated technical features or implicitly indicating the order of the indicated technical features.
本实用新型的描述中,除非另有明确的限定,设置、安装、连接等词语应做广义理解,所属技术领域技术人员可以结合技术方案的具体内容合理确定上述词语在本实用新型中的具体含义。In the description of the present invention, unless otherwise clearly defined, terms such as setting, installing, connecting, etc. should be understood in a broad sense, and technicians in the relevant technical field can reasonably determine the specific meanings of the above terms in the present invention based on the specific content of the technical solution.
请一并参阅图1,现对本实用新型实施例提供的改良型Frankel-III功能调节器进行说明。Please refer to FIG. 1 , and the improved Frankel-III functional regulator provided by the embodiment of the utility model will now be described.
如图1所示,本实用新型实施例的改良型Frankel-III功能调节器,其包括颊屏1、唇挡2、舌栅3和钢丝部分,所述钢丝部分包括唇挡连接丝4、下颌唇弓5、前腭弓6、后腭弓7和颌支托8。As shown in Figure 1, the improved Frankel-III functional regulator of the embodiment of the utility model includes a cheek guard 1, a lip guard 2, a tongue guard 3 and a wire part, and the wire part includes a lip guard connecting wire 4, a mandibular labial arch 5, anterior palatal arch 6, posterior palatal arch 7 and a jaw support 8.
所述颊屏1设有两个,分别为左颊屏1a和右颊屏1b,所述颊屏1用于在矫治畸形时放置于上、下颌前庭沟内,且其远中部位覆盖到磨牙末端,近中部位覆盖到尖牙的远中。本实施例中,所述颊屏1为热固性塑料板,厚度为1mm~3mm,以确保颊屏1的稳定性和耐用性;所述颊屏1的上颌部分与上牙槽间距为3mm,为上颌牙提供一个扩展的空间;所述颊屏1的下颌部分与上牙槽贴合;并且,颊屏1的外形应当与牙弓的外形相适应,以确保颊屏1能够正确地贴合颊部。The cheek shield 1 is provided with two, namely the left cheek shield 1a and the right cheek shield 1b. The cheek shield 1 is used to be placed in the upper and lower vestibule grooves when correcting deformities, and its distal part covers the end of the molar, and the mesial part covers the distal of the canine. In this embodiment, the cheek shield 1 is a thermosetting plastic plate with a thickness of 1mm to 3mm to ensure the stability and durability of the cheek shield 1; the maxillary part of the cheek shield 1 is 3mm away from the upper alveolar space to provide an expansion space for the maxillary teeth; the mandibular part of the cheek shield 1 fits the upper alveolar space; and the shape of the cheek shield 1 should be adapted to the shape of the dental arch to ensure that the cheek shield 1 can fit the cheek correctly.
所述唇挡连接丝4的左右两端分别与所述左颊屏1a的前侧上部和所述右颊屏1b的前侧上部固定连接;所述唇挡2固定在所述唇挡连接丝4上,所述唇挡2用于在矫治畸形时贴合在上切牙唇侧的黏膜转折处。本实施例中,所述唇挡连接丝4所采用的钢丝直径为0.8mm-1.2mm,优选为0.9mm,材质为不锈钢,以确保唇挡连接丝4的稳定性和耐用性;所述唇挡2左右对称地设有两个,两个所述唇挡2之间的唇挡连接丝4呈U形弯曲,避开上唇系带;所述唇挡2为热固性塑料板,厚度为2mm~3mm;所述唇挡2到上颌前庭的距离为3mm~5mm,所述唇挡2与牙槽嵴平行;所述唇挡2的上缘到上切牙唇侧的黏膜距离为1mm~2mm。这样的设计,能够使唇挡有效作用于上唇,并将上唇向前推移,使上唇与上颌骨之间形成一个负压空间,这个空间可以促进上颌骨的向前和向外的生长。同时,这样的唇挡也可以限制上唇的闭合,使上唇不能与下唇形成一个封闭的环,这个环会抑制上颌骨的发育;也可以增加上唇的张力,使上唇对上颌骨产生一个持续的牵拉力,这个牵拉力可以刺激上颌骨的骨质增生。因此,唇挡对上颌骨的刺激是通过多种机制,使上颌骨发育更加均衡和协调。The left and right ends of the lip stopper connecting wire 4 are respectively fixedly connected to the front upper part of the left cheek screen 1a and the front upper part of the right cheek screen 1b; the lip stopper 2 is fixed on the lip stopper connecting wire 4, and the lip stopper 2 is used to fit the mucosal turning point of the labial side of the upper incisor when correcting the deformity. In this embodiment, the diameter of the steel wire used in the lip stopper connecting wire 4 is 0.8mm-1.2mm, preferably 0.9mm, and the material is stainless steel to ensure the stability and durability of the lip stopper connecting wire 4; the lip stopper 2 is symmetrically provided with two, and the lip stopper connecting wire 4 between the two lip stops 2 is U-shaped and avoids the upper lip frenulum; the lip stopper 2 is a thermosetting plastic plate with a thickness of 2mm to 3mm; the distance from the lip stopper 2 to the maxillary vestibule is 3mm to 5mm, and the lip stopper 2 is parallel to the alveolar ridge; the distance from the upper edge of the lip stopper 2 to the mucosal membrane of the labial side of the upper incisor is 1mm to 2mm. This design enables the lip stopper to effectively act on the upper lip and push the upper lip forward, forming a negative pressure space between the upper lip and the maxilla, which can promote the forward and outward growth of the maxilla. At the same time, such a lip stopper can also limit the closure of the upper lip, so that the upper lip cannot form a closed ring with the lower lip, which will inhibit the development of the maxilla; it can also increase the tension of the upper lip, so that the upper lip exerts a continuous pulling force on the maxilla, which can stimulate the bone hyperplasia of the maxilla. Therefore, the stimulation of the maxilla by the lip stopper is through multiple mechanisms, making the development of the maxilla more balanced and coordinated.
所述前腭弓6的左右两端分别与所述左颊屏1a的前侧中部和所述右颊屏1b的前侧中部固定连接,所述前腭弓6用于在矫治畸形时从尖牙远中面通过并贴合在患者的上切牙腭侧舌隆突处。本实施例中,所述前腭弓6所采用的钢丝直径为0.8mm-1.2mm,优选为1.2mm,材质为不锈钢,以确保前腭弓6的稳定性和耐用性;使用时可以对前腭弓6施加预紧力轻微推动上前牙向前。The left and right ends of the anterior palatal arch 6 are respectively fixedly connected to the front middle of the left cheek screen 1a and the front middle of the right cheek screen 1b. The anterior palatal arch 6 is used to pass through the distal surface of the canine and fit on the lingual protuberance of the upper incisor of the patient's palate when correcting the deformity. In this embodiment, the diameter of the steel wire used in the anterior palatal arch 6 is 0.8mm-1.2mm, preferably 1.2mm, and the material is stainless steel to ensure the stability and durability of the anterior palatal arch 6; when in use, a pre-tightening force can be applied to the anterior palatal arch 6 to slightly push the upper front teeth forward.
所述前腭弓6的前部包覆有与上切牙舌侧接触的保护垫9;所述舌栅3由多根向下延伸的钢丝排列组成,所述舌栅3的上端伸至所述保护垫9内并与所述前腭弓6固定连接,所述舌栅3用于在矫治畸形时设置在上颌腭侧两个尖牙之间,且与患者的舌体大小和舌尖到前牙中心的距离适配。本实施例中,所述保护垫9优选为热固性塑料板,为使舌栅3具有良好的强度和透气性,所述舌栅3的钢丝间隔地设有4根,所述舌栅3的钢丝直径为0.8mm-1.2mm,优选为0.8mm。The front part of the anterior palatal arch 6 is covered with a protective pad 9 in contact with the lingual side of the upper incisor; the tongue grid 3 is composed of a plurality of steel wires extending downward, the upper end of the tongue grid 3 extends into the protective pad 9 and is fixedly connected to the anterior palatal arch 6, and the tongue grid 3 is used to be set between the two canines on the maxillary palate side when correcting deformities, and is adapted to the patient's tongue size and the distance from the tongue tip to the center of the front teeth. In this embodiment, the protective pad 9 is preferably a thermosetting plastic plate. In order to make the tongue grid 3 have good strength and air permeability, 4 steel wires of the tongue grid 3 are arranged at intervals, and the diameter of the steel wire of the tongue grid 3 is 0.8mm-1.2mm, preferably 0.8mm.
所述下颌唇弓5的左右两端分别与所述左颊屏1a的前侧下部和所述右颊屏1b的前侧下部固定连接,所述下颌唇弓5用于在矫治畸形时贴合在下切牙唇侧中部并轻微施加预紧力。制作时在下颌工作模型的下前牙颈部,相当于牙尖乳头的位置刻一条小槽,将弯制的下颌唇弓5放于小槽中,这样可以保证戴入矫治器时,下唇弓5与下前牙紧密接触,下颌唇弓5尽量放于下前牙颈部防止下前牙舌倾。本实施例中,所述下颌唇弓5所采用的钢丝直径为0.8mm-1.2mm,优选为1.2mm,材质为不锈钢,以确保下颌唇弓5的稳定性和耐用性。The left and right ends of the mandibular labial arch 5 are respectively fixedly connected to the front lower part of the left buccal screen 1a and the front lower part of the right buccal screen 1b. The mandibular labial arch 5 is used to fit in the middle of the labial side of the lower incisor and slightly apply a pre-tightening force when correcting deformities. During production, a small groove is engraved on the neck of the lower front teeth of the mandibular working model, which is equivalent to the position of the cusp papilla, and the bent mandibular labial arch 5 is placed in the small groove. This ensures that when the orthodontic appliance is worn, the lower labial arch 5 is in close contact with the lower front teeth, and the mandibular labial arch 5 is placed as close to the neck of the lower front teeth as possible to prevent the lower front teeth from lingually tilting. In this embodiment, the diameter of the steel wire used for the mandibular labial arch 5 is 0.8mm-1.2mm, preferably 1.2mm, and the material is stainless steel to ensure the stability and durability of the mandibular labial arch 5.
所述后腭弓7的左右两端分别与所述左颊屏1a的后侧中部和所述右颊屏1b的后侧中部固定连接,所述后腭弓7用于在矫治畸形时从最后一颗磨牙的远中面通过并贴合在患者的上腭。本实施例中,所述后腭弓7所采用的钢丝直径为0.8mm-1.2mm,优选为1.2mm,材质为不锈钢,以确保后腭弓7的稳定性和耐用性。The left and right ends of the posterior palatal arch 7 are respectively fixedly connected to the middle of the rear side of the left cheek screen 1a and the middle of the rear side of the right cheek screen 1b. The posterior palatal arch 7 is used to pass through the distal surface of the last molar and fit on the upper palate of the patient when correcting the deformity. In this embodiment, the diameter of the steel wire used in the posterior palatal arch 7 is 0.8mm-1.2mm, preferably 1.2mm, and the material is stainless steel to ensure the stability and durability of the posterior palatal arch 7.
所述颌支托8设有两个,分别为左侧颌支托和右侧颌支托,所述左侧颌支托自所述左颊屏1a的后侧中部伸出并向前弯曲形成,所述右侧颌支托自所述右颊屏1b的后侧中部伸出并向前弯曲形成,所述颌支托用于在矫治畸形时放置于双侧第二乳磨牙或第一恒磨牙中央窝内,由此限制后方磨牙区域向外扩张,这样有助Ⅲ类错合的磨牙关系的矫正,同时起到辅助固定的作用。本实施例中,所述颌支托8所采用的钢丝直径为0.8mm-1.2mm,优选为1mm,材质为不锈钢,以确保颌支托8的稳定性和耐用性。The jaw supports 8 are provided with two, namely the left jaw support and the right jaw support. The left jaw support extends from the middle of the back side of the left cheek screen 1a and bends forward, and the right jaw support extends from the middle of the back side of the right cheek screen 1b and bends forward. The jaw supports are used to be placed in the central fossa of the bilateral second deciduous molars or the first permanent molars when correcting deformities, thereby limiting the outward expansion of the posterior molar area, which helps to correct the molar relationship of Class III malocclusion and plays a role in auxiliary fixation. In this embodiment, the steel wire used in the jaw support 8 has a diameter of 0.8mm-1.2mm, preferably 1mm, and is made of stainless steel to ensure the stability and durability of the jaw support 8.
实施本实用新型实施例提供的一种改良型Frankel-III功能调节器,其技术关键点在于:The key technical points of the improved Frankel-III functional regulator provided by the embodiment of the utility model are:
首先,本实用新型针对传统Frankel-III功能调节器的矫治缺陷,在传统的Frankel-III型功能调节器的基础上结合了舌栅3的设置,通过舌栅3能够促使舌被迫向后上移位恢复正常位置,有利于舌的肌力传导至上颌,增强了上颌向前发育的推力,改善了舌肌位置与活动习惯,消除了舌肌的异常肌肉动力作用对上下颌骨的不利影响;同时,舌栅3可作为舌的训练装置,通过对舌的位置和活动进行反复训练,能够快速恢复口腔内外的肌动力平衡,有助于改善III类错颌畸形的发展;Firstly, the utility model aims at the correction defects of the traditional Frankel-III functional regulator, and combines the setting of the tongue grid 3 on the basis of the traditional Frankel-III functional regulator. The tongue grid 3 can force the tongue to be forced to move backward and upward to restore the normal position, which is conducive to the transmission of the tongue muscle force to the maxilla, enhances the thrust of the maxilla forward development, improves the position and activity habits of the tongue muscles, and eliminates the adverse effects of the abnormal muscle dynamics of the tongue muscles on the maxilla and mandible; at the same time, the tongue grid 3 can be used as a tongue training device, and through repeated training of the position and activity of the tongue, the muscle dynamic balance inside and outside the oral cavity can be quickly restored, which is helpful to improve the development of Class III malocclusion;
其次,由于舌栅3的存在,改良后的Frankel-III功能调节器对于已经有上前牙唇倾、下前牙舌倾的早期骨性反合的矫治效果更好,不会因矫治而加重;Secondly, due to the presence of the tongue grid 3, the modified Frankel-III functional regulator has a better correction effect on early skeletal crossbite with labial inclination of the upper anterior teeth and lingual inclination of the lower anterior teeth, and will not be aggravated by correction;
再有,舌栅3由一个类似金属栅栏的钢丝组成,能够防止舌头向前推挤、向前牙施力,或防止舌位于上下颌前牙之间;舌栅3能够训练舌头远离前牙,并打破吮吸拇指或手指的习惯。Furthermore, the tongue guard 3 is composed of a steel wire similar to a metal fence, which can prevent the tongue from pushing forward, applying force to the front teeth, or preventing the tongue from being located between the upper and lower front teeth; the tongue guard 3 can train the tongue to stay away from the front teeth and break the habit of sucking the thumb or fingers.
总之而言,本实用新型的改良型Frankel-III功能调节器特别适合用于有舌体较大、不良舌习惯、舌体靠前下的发育期Ⅲ类错牙合患者,能够有效恢复舌体正常位置、维持口腔内外肌力平衡、缓解上下前牙代偿趋势、促进上颌骨向前发育、抑制下颌骨持续前下生长,并且不会加重已有的错颌畸形,临床使用价值高。In summary, the improved Frankel-III functional regulator of the utility model is particularly suitable for developmental Class III malocclusion patients with a large tongue, bad tongue habits, and a tongue that leans forward and downward. It can effectively restore the normal position of the tongue, maintain the balance of muscle strength inside and outside the oral cavity, alleviate the compensatory trend of the upper and lower front teeth, promote the forward development of the maxilla, inhibit the continued forward and downward growth of the mandible, and will not aggravate the existing malocclusion. It has high clinical use value.
以上所述仅是本实用新型的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本实用新型技术原理的前提下,还可以做出若干改进和替换,这些改进和替换也应视为本实用新型的保护范围。The above is only a preferred embodiment of the present invention. It should be pointed out that for ordinary technicians in this technical field, several improvements and substitutions can be made without departing from the technical principle of the present invention. These improvements and substitutions should also be regarded as the protection scope of the present invention.
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