SUMMERY OF THE UTILITY MODEL
The utility model provides a device is rescued in supplementary of shelly dental appliance, shelly tooth are rescued and are rescued ware and rescue the suit, can solve the comparatively limited problem of effect that the ware was rescued to current shelly tooth and exert under the condition of above-mentioned tooth malocclusion deformity.
The utility model provides a technical scheme as follows:
an auxiliary correcting device is used for matching with a shell-shaped dental appliance to correct teeth so as to enable the teeth to gradually change from an initial position to a target correcting position, wherein the shell-shaped dental appliance is provided with an accessory accommodating part; the auxiliary correcting device comprises:
a reference portion capable of being fixed to a tooth surface, an
A correction unit which is provided so as to extend from the reference unit to a side away from the tooth surface and which is used in cooperation with the shell-shaped dental instrument,
the correcting portion is at least partially accommodated in the accessory accommodating portion provided in correspondence with the correcting portion, and,
the correcting part is provided with at least one channel which can pass through a fastening piece and can fix the fastening piece, and meanwhile,
the outer contour of the correction part is at least partially matched with the outer contour of an accessory which can be matched with the accessory containing part for tooth correction, so that the auxiliary correction device also has the substantially same correction function as the accessory.
Preferably, the channel does not intersect the datum.
In a preferred embodiment, the channel is a built-in perforation in the correction portion arranged in a mesial-distal direction and/or a groove on an outer surface of the correction portion arranged in a mesial-distal direction.
In a preferred embodiment, when the channel comprises an internal perforation, the distance between the internal perforation and the reference portion is no greater than the distance between the internal perforation and the outer surface of the orthotic portion.
In a preferred embodiment, when the channel of the auxiliary appliance is only a built-in through hole or a groove which is separately arranged, the width of the auxiliary appliance provided with the built-in through hole in the proximal-distal direction is smaller than the width of the auxiliary appliance provided with the groove in the proximal-distal direction.
Further preferably, the location of the built-in perforation is at or near the center of the labial/bucco-lingual cross-sectional plane; when the auxiliary correcting device is provided with the built-in through hole and the groove at the same time, the position of the built-in through hole is closer to the reference part than the position of the groove.
In some embodiments, the cross-section of the built-in perforation in the labial/buccal-lingual direction is one of circular, semicircular, elliptical, semi-elliptical, polygonal, or one of a combination thereof.
In a preferred embodiment, when the cross-section of the built-in perforation in the labial/buccal-lingual direction is circular, the diameter of the cross-section is 0.25mm to 0.78 mm; when the section of the built-in perforation along the lateral direction of the lip/cheek and tongue is a square/rectangle/regular hexagon, the side length of the section is 0.40-0.72 mm.
In some embodiments, the cross-section of the groove in the labial/buccolingual direction is one of a circular arc, a semi-circular arc, an elliptical arc, a semi-elliptical arc, a polygon, or a combination thereof. One preferred combination of the above shapes is: the cross section of the groove along the lip/buccolingual side direction is as follows: the section of the side adjacent to the reference portion is formed in a semicircular shape, and the section of the side adjacent to the lip/bucco-lingual side is formed in a rectangular shape.
In a preferred embodiment, when the auxiliary appliance is provided with the built-in perforation and the groove at the same time, the connecting line of the center of the section of the built-in perforation along the lip/buccolingual direction and the center of the section of the groove along the lip/buccolingual direction is not perpendicular to the long axis of the tooth fixed by the auxiliary appliance.
Further preferably, an included angle α formed by a connecting line of a center of a section of the built-in perforation along the labial/buccolingual direction and a center of a section of the groove along the labial/buccolingual direction and a long axis of a tooth fixed by the auxiliary correcting device is an acute angle.
Still further preferably, the center of the cross section of the built-in perforation along the labial/buccolingual direction and the center of the cross section of the groove along the labial/buccolingual direction form an included angle α of 30 ° to 60 ° with the long axis of the tooth fixed by the auxiliary appliance.
In some embodiments, the built-in perforations and/or the grooves are each provided in at least one number.
In some embodiments, the reference portion is a planar structure or a curved structure that conforms to the surface of the tooth.
Further preferably, when the reference portion is a planar structure, the built-in through hole and/or the groove are arranged in parallel to the reference portion in the proximal-distal direction.
Further preferably, when the reference part is a curved structure which is attached to the surface of the tooth, the curvature of the reference part is matched with the curvature of the built-in perforation and/or the groove along the proximal and distal directions.
In a preferred embodiment, the side of the reference part adjacent to the teeth is also provided with a surface structure for increasing friction.
In some embodiments, the auxiliary appliance has a length of 0.2mm to 4.0mm in the labial/buccal-lingual lateral section of the auxiliary appliance except for the channel.
In a preferred embodiment, the lower end of the auxiliary correcting device adjacent to the side of the gum line extends towards the occlusal surface and is provided with a smoothly-transitional inclined curved surface.
In a preferred embodiment, the auxiliary appliance is further provided with an auxiliary accommodating part for accommodating the auxiliary appliance on the side close to the occlusal surface and/or the side close to the gum line. The auxiliary correcting piece can be, for example, a rubber chain, a ligature ring, and the like.
Further preferably, the auxiliary accommodating part is an accommodating groove recessed towards the center of the auxiliary orthodontic device.
Still further preferably, the receiving grooves are symmetrically formed at a side adjacent to the occlusal surface and a side adjacent to the gum line.
Further preferably, the outer contour of the correction portion at least partially matches the outer contour of an attachment capable of fitting the attachment receptacle for tooth correction, so that the auxiliary correction device also has the same correction function as the attachment.
Further preferably, the outer contour of the correction portion is matched with the outer contour of an accessory which can be matched with the accessory accommodating portion for tooth correction, so that the auxiliary correction device also has the substantially same correction function as the accessory.
Further preferably, the outer contour of the correction portion is matched with the outer contour of an accessory which can be matched with the accessory accommodating portion for tooth correction, so that the auxiliary correction device also has the same correction function as the accessory.
Based on the same inventive concept, the utility model also provides a shell-shaped tooth appliance, wherein at least two accessory accommodating parts for accommodating any one auxiliary correcting device are arranged on the shell-shaped tooth appliance; when the accessory accommodating parts are arranged in a plurality, communication parts which are used for communicating the adjacent accessory accommodating parts and accommodating the fastening pieces are further arranged between the adjacent accessory accommodating parts on the shell-shaped tooth appliance, and the adjacent accessory accommodating parts and the communication parts are communicated.
More preferably, when a plurality of accessory receiving portions are provided, auxiliary fastening portions for receiving and assisting the fastening of the fastening member are further provided at both ends of a communication space formed by the accessory receiving portion and the communication portion.
As one preferable aspect of the shell-shaped dental appliance described above, the cross section of the communicating portion in the labial/buccolingual direction is one of a circular arc shape, an elliptical arc shape, or a polygonal shape.
As a preferred aspect of the shell-shaped dental appliance, the side of the attachment receptacle adjacent to the auxiliary appliance cooperates with the outer surface of the auxiliary appliance to produce an orthodontic effect.
As one of the above shell-shaped dental appliances, the shell-shaped dental appliance is preferably further provided with a second attachment receiving portion for receiving an orthodontic attachment.
Based on the same inventive concept, the utility model also provides a set is rescued to tooth, including being used for wearing the first shellliform tooth of first dentition respectively and correcting the ware to the second shellliform tooth of jaw dentition, wherein, the first shellliform tooth is corrected the ware for above-mentioned arbitrary shellliform tooth.
As one preferable example of the above-described dental correction kit, the second shell-shaped dental appliance includes a cavity structure that accommodates the pair of jaw teeth rows.
In another preferred embodiment of the kit for orthodontic treatment, the second shell-shaped appliance is any one of the shell-shaped appliances described above.
Through the utility model provides a shell form dental appliance assists and rescues device, shell form tooth and rescues the ware and rescue the suit, can bring following at least one beneficial effect:
1. the auxiliary correcting device can be used as an accessory when the auxiliary correcting device interacts with the invisible tooth correcting device, and meanwhile, the auxiliary correcting device can also be used as a bracket of a fixing technology, so that the fastener (such as an arch wire) passes through the channel (such as a built-in perforation and/or a groove) arranged on the auxiliary correcting device, and the fixing correcting effect is achieved. When patient's tooth needs jointly to fix and correct technique and stealthy technique of correcting, only need to paste supplementary device of correcting on the tooth, it can possess the function of annex and support the groove respectively in different periods, or possess the dual function of annex and support the groove simultaneously in the same period, has avoided the difference to correct the phenomenon that the demand need paste annex and support the groove many times on the tooth surface to reduce the damage to patient's tooth.
2. The auxiliary correcting device comprises a built-in through hole and/or a groove interpenetration or slot fastener arranged on the auxiliary correcting device, such as a segment arch wire, a shell-shaped tooth correcting device wraps the auxiliary correcting device and the fastener, wherein the shell-shaped tooth correcting device, the auxiliary correcting device and the fastener are combined to realize invisible correction and fixed correction combined treatment, the shell-shaped tooth correcting device wraps the auxiliary correcting device and the fastener, the three are mutually matched to realize mutual compensation of fixed correction and invisible correction treatment effects, and the malocclusion correction and anchorage synergy aiming at individual teeth, group teeth and local dentitions have better treatment effects.
3. The combination of the shell-shaped tooth appliance and the auxiliary appliance can realize the effect of invisible tooth appliance, namely the auxiliary appliance can interact with the accessory accommodating part arranged on the shell-shaped tooth appliance to generate appliance force; the auxiliary correcting device can also interact with the fastener to generate correcting force; the two conditions can be realized simultaneously, and the correction can also be realized in stages, so that the correction target is finally reached.
4. The auxiliary accommodating parts are manufactured at the upper end and the lower end of the auxiliary correcting device so as to be embedded into the ligature ring or the rubber chain, a fastener such as an arch wire is effectively fixed, and the correcting and moving effects of force application in the fixing direction are realized.
Detailed Description
In order to more clearly illustrate embodiments of the present invention or technical solutions in the prior art, specific embodiments of the present invention will be described below with reference to the accompanying drawings. It is obvious that the drawings in the following description are only examples of the invention, and that for a person skilled in the art, other drawings and embodiments can be obtained from these drawings without inventive effort.
The utility model provides an it rescues the ware and rescues suit cooperation and use to supplementary shell form tooth of correcting device and corresponding can provide bigger power of correcting to more be suitable for torsion, slope, lip tongue to dislocation, perpendicular to correcting to low level etc. and flattening Spee curve and establish back tooth interlock butt joint and correct, and draw out the tooth case and the front tooth adduction, back tooth axle inclination control and draw out the tooth remain the type of closing etc..
The design idea of the utility model is that, make supplementary device of correcting have stealthy conventional annex of correction and fix the dual function of correcting traditional support groove concurrently, make this supplementary device of correcting when fulfilling stealthy annex task of correcting, can regard as the support groove of fixed technology and play a role. When the bracket is used, a fastener such as a segment arch wire is inserted or inserted between the auxiliary correcting devices, and under the overall covering and control of the shell-shaped tooth correcting device, the correction such as dislocation correction and anchorage synergy of individual teeth, group teeth and local dentition with the advantages of the classic fixing technology are carried out.
Examples
As shown in fig. 1a to 9b, the auxiliary orthodontic device provided in this embodiment is used for performing orthodontic treatment in cooperation with shell-shaped dental appliances such as shell-shaped orthodontic appliances (also called invisible orthodontic appliances) so as to gradually change teeth from initial positions to target orthodontic positions, where the initial positions of the teeth may be initial positions of teeth to be orthodontic treated or positions before any orthodontic treatment in the orthodontic treatment process, and the target orthodontic positions of the teeth may be any positions closer to orthodontic targets than the initial positions; wherein the shell-shaped dental appliance is provided with an accessory accommodating part for matching with the auxiliary correcting device, specifically,
the auxiliary correcting device comprises:
a reference portion capable of being fixed to a tooth surface, an
A correction unit which is extended from the reference unit to a side away from the tooth surface and is used in cooperation with the shell-shaped dental device,
the correcting portion is accommodated at least partially in an attachment accommodating portion of the shell-shaped dental apparatus provided in correspondence with the correcting portion, and,
the correcting part is provided with at least one channel which can pass through a fastening piece and can fix the fastening piece, and meanwhile,
the outer contour of the correction part is at least partially matched with the outer contour of an accessory which can be matched with the accessory containing part for tooth correction, so that the auxiliary correction device also has the substantially same correction function as the accessory.
Specifically, the reference part may be a surface of the auxiliary appliance that is attached to the tooth surface, and is used to attach the auxiliary appliance to the tooth surface; the correcting part has the shape of a conventional accessory matched with the invisible appliance, can realize the function of the conventional accessory, such as fixing the shell-shaped dental appliance, or applying correcting force to teeth by matching the shell-shaped dental appliance, and is also set to have the function of a traditional bracket, so that a fastener, such as an arch wire, can pass through the passage and is fixed on the correcting part through the passage.
The correction part and the accessory containing part are matched with each other to finish corresponding correction effect, and the relation between the outer contour of the correction part and the outer contour of an accessory which can be matched with the accessory containing part to correct teeth is explained, wherein the outer contour of the correction part can be matched with the outer contour of the accessory to correct teeth so as to realize the same correction effect as the accessory; or the outer contour of the correcting part is matched with one part of the outer contour of the accessory, and the matched part generates corresponding correcting force for interacting with the shell-shaped dental corrector; the outer contour of the correction portion may be matched with the outer contour of the attachment, so that the auxiliary correction device further has a correction effect substantially the same as that of the attachment, for example, the attachment is a rectangular attachment, the outer contour of which is matched with the outer contour of the correction portion, and the correction effect generated by the interaction between the rectangular attachment and the shell-shaped dental appliance is also the retention effect generated by the interaction between the correction portion and the shell-shaped dental appliance, so that the correction effects of the correction portion and the attachment are similar or substantially the same; the outer contour of the correction portion may be matched with one part of the outer contour of the attachment, so that the auxiliary correction device further has the same correction function as the attachment, for example, the attachment is a rectangular attachment, only one surface of the attachment which interacts with the shell-shaped dental appliance to generate the correction effect is one surface of the attachment, the auxiliary correction device has the same surface of the attachment which can generate the corresponding correction effect, but the rest part of the auxiliary correction device is different from the outer contour of the attachment, and the same correction effect can also be achieved. The auxiliary correcting device is used for matching with the shell-shaped dental appliance to generate correcting force, and the auxiliary correcting device can be matched with the shell-shaped dental appliance to generate correcting force; in another case, the auxiliary appliance is fitted to the attachment receptacle on the shell-like dental instrument without producing an orthodontic force, and the auxiliary appliance functions as an attachment only for retention of the appliance.
The fasteners are archwires or other components, typically in the form of wires or strips, capable of securing two or more adjacent auxiliary appliances.
In order to enable the auxiliary correcting device to be matched with the fastener to achieve the effect of effectively and uniformly correcting the force and finish the correcting effect on the teeth, the channel on the correcting part of the auxiliary correcting device is not intersected with the reference part, if the channel is intersected with the reference part, the fastener (such as an arch wire) can be caused to be in contact with the surface of the teeth when passing through the channel, the surface of the teeth is abraded and directly subjected to the correcting force applied by the arch wire, the mouth feel discomfort is increased, and after the channel is intersected with the reference part, a channel through hole or a groove can be formed in the reference part, so that the contact area between the reference part and the surface of the teeth is reduced, and the firmness of the auxiliary.
In a preferred structure of the auxiliary correcting device, the channel is a built-in perforation arranged in a proximal-distal direction in the correcting part and/or a groove arranged in a proximal-distal direction on an outer surface of the correcting part.
Referring to fig. 1a and 1b, a structure of the auxiliary orthodontic device 100 is shown. The auxiliary orthodontic device 100 comprises a reference part 101, wherein the reference part 101 is a surface close to the surface of a tooth and can be adhered to the surface of the tooth; the part except the reference part 101 is called a correction part 102, the external shape of the correction part 102 is the shape of a common accessory matched with the invisible appliance, and the correction part can be accommodated or partially accommodated in an accessory accommodating part correspondingly arranged on the shell-shaped dental appliance, so that the auxiliary correction device can be matched with the shell-shaped dental appliance for use. The correction device 102 is provided with a mesial-distal built-in aperture 103 near the center of the clinical crown, the built-in aperture 103 allowing a fastener, such as an archwire, to pass through and enable the archwire to be secured to the auxiliary appliance 100. The built-in through hole 103 does not intersect with the reference portion 101. Through the arrangement of the built-in perforation 103, the arch wire can be arranged on the auxiliary correcting device 100 and exert correcting force on the teeth.
FIG. 2 illustrates another configuration of an auxiliary orthosis 200 having a built-in perforation. The outline is different from that of fig. 1, and is substantially rectangular.
The auxiliary appliances of fig. 1a, 1b and 2 are each contoured to have a height along the long axis of the teeth that is greater than the width along the mesial-distal direction of the teeth, and may be referred to as vertical attachments. Since the channel is selected to be a built-in perforation in each of fig. 1a, 1b and 2, the width in the mesial-distal direction is selected to be relatively small, and the length in the long axis direction of the tooth is selected to be relatively long, so that the processing and manufacturing of the built-in perforation and the penetration of the arch wire can be facilitated. The auxiliary correcting device with the structure can be made of ceramic or metal materials, the vertical position of the accessory can be an anterior tooth zone or a posterior tooth zone, the auxiliary correcting device is adaptively added according to a specific correcting scheme, and the auxiliary correcting device is preferably arranged in the anterior tooth zone and is more suitable for teeth which are relatively long along the length of the long axis direction of the teeth.
Wherein the "posterior dental area" is defined according to the classification of teeth in the 2 nd edition of "introduction to oral medicine" published by Beijing university medical Press, pages 36-38, including premolar and molar teeth, and is represented by FDI notation of 4-8 teeth and FDI notation of anterior dental area is represented by 1-3 teeth. The anterior zone of the shell-shaped dental appliance may be used to accommodate the middle incisors, lateral incisors and cuspids of the upper or lower jaw teeth, and the posterior zone of the shell-shaped dental appliance may be used to accommodate the first premolars, second premolars, first molars, second molars and third molars of the upper or lower jaw teeth.
FIG. 3 illustrates another alternative configuration of the auxiliary orthosis 300, wherein the channel is optionally flanked by proximal and distal grooves 304. In addition, the groove 304 is in an opening shape, so that the arch wire is easy to process and convenient to penetrate. The outer contour of the auxiliary appliance 300 is smaller than the width of the tooth in the direction of the long axis, which can be called as horizontal attachment. Therefore, the width of the auxiliary correcting device arranged along the mesial-distal horizontal direction can be set relatively wide, thereby being suitable for being arranged on teeth with wide mesial-distal directions, such as molars in the posterior teeth area. After the auxiliary correcting device is stuck to the teeth, the area of contact with the arch wire in the near-far direction is larger, and the mutual action of the auxiliary correcting device and the arch wire is more favorable for providing correcting force. The supplementary device of correcting of above-mentioned structure can adopt ceramic or metal material to make, and the level can be for anterior teeth district or posterior teeth district to the position that the annex specifically set up, can carry out adaptability according to concrete correction scheme and add, and preferred setting is in the posterior teeth district.
Fig. 4 a-9 b illustrate several different configurations of auxiliary orthosis with channels selected as simultaneous built-in perforations and grooves in the mesial-distal direction. Set up the advantage of built-in perforation and slot simultaneously and lie in, can realize fixing an arch wire or a plurality of arch wires at first, provide more according to the actual demand of correcting and correct the power and apply the scheme, thereby the arch wire can select more suitable fixed position to pass the arch wire in built-in perforation or slot according to correcting the demand when fixed thereby reaches and corrects the purpose.
The built-in through holes and the grooves may be arranged on different levels, as shown in fig. 4a, 4b, 5a, 5b, 6a, 6b, 8a, 8b, 9a and 9b, or they may be arranged on the same level, as shown in fig. 7.
In the preferred scheme, the built-in through holes and the grooves are arranged in a staggered mode, namely the built-in through holes and the grooves are not in the same horizontal plane, so that the thickness of the auxiliary correcting device along the lip/cheek-tongue side direction is relatively thin, and the foreign body sensation worn by a patient is relieved.
In order to obtain a better distribution of the corrective forces and a suitable strength of the auxiliary corrective device, when the channel comprises an internal perforation, the distance between the internal perforation and the reference portion is preferably not greater than the distance between the internal perforation and the outer surface of the corrective portion.
Taking fig. 4b as an example, the distance between the built-in through hole 403 and the reference part 401 is the distance between the point on the left side of the built-in through hole 403 nearest to the reference part 401 and the surface of the nearest reference part 401, and is marked as a; the distance between the inner perforation 403 and the adjacent labial/buccal side or lingual side (also referred to as the correction outer surface) of the correction portion 402 is the distance between the farthest point of the right side of the inner perforation 403 from the reference portion 401 and the adjacent labial/buccal side or lingual side of the auxiliary appliance, and is marked b. In this case, a is not more than b. More preferably, a ═ b. This is because, when a > b (the left and right orientations are the left and right examples shown in fig. 1a, 1b, 2, 4a to 9 b), the distance between the archwire and the teeth is large when the archwire is passed and the orthodontic force is applied, and the force is likely to be deviated, and in addition, when b is too small, the right side of the auxiliary appliance is damaged when the force is excessively applied, so the optimum design position of the built-in through-hole is at or near the center of the labial/buccal-lingual cross-sectional view.
In order to optimize the correction force scheme and better ensure the strength of the auxiliary correction device, when the auxiliary correction device is provided with the built-in perforation and the groove at the same time, the built-in perforation is arranged at a position closer to the reference part than the groove is arranged, and specifically, the central axis of the built-in perforation is closer to the reference part than the central axis of the groove. On the one hand, the arch wire is more convenient to penetrate through the groove, and on the other hand, the force application is more accurate when the arch wire is penetrated through the built-in through hole.
The cross-sectional shape of the built-in hole of the auxiliary appliance is selected to be a shape suitable for penetration of an arch wire, for example, the cross-section of the built-in hole along the labial/buccal-lingual direction is one of a circle, a semicircle, an ellipse, a semi-ellipse, a polygon or a combination of the above shapes, and the combination of the above shapes refers to a combination shape formed by two or more shapes, for example, a combination of a semicircle and a rectangle. In fig. 1a to 2 and 4a to 9b, the inner holes provided in the auxiliary orthodontic device are all circular, and other shapes or combinations of shapes may achieve the same or similar technical effects, which are not described herein again.
In order to balance the strength and wearing comfort of the auxiliary correcting device, when the section of the built-in perforation along the lip/cheek-tongue side direction is circular, the diameter of the section is 0.25mm-0.78mm, and the numerical value converted into inches is 0.0098 inches-0.031 inches; when the section of the built-in perforation along the lateral direction of the lip/cheek and tongue is a square/rectangle/regular hexagon, the side length of the section is 0.40-0.72 mm. It can be selected according to the needs of the fastener, such as the diameter of the arch wire, and the type of the orthodontic arch wire is various: the round filaments are classified into (unit: inch) 0.012, 0.014, 0.016, 0.018 and 0.020 according to their thickness. The following are the main ones (unit: inch) common to the thickness of the square filament: 0.016*0.016,0.017*0.022,0.017*0.025,0.018*0.025,0.019*0.025,0.0215*0.028. From the arch wire material: stainless steel wire and nickel titanium wire are commonly used. The nickel-titanium wires can be divided into common nickel-titanium wires, thermally activated nickel-titanium wires and beta-titanium wires according to the difference of performances. From the cross-sectional shape of the arch wire: the wire is characterized by comprising round wires (the cross section is circular), square wires (the cross section is rectangular or square) and twisted wires (which are formed by twisting a plurality of strands of arch wires together and are like twist). The performance of the arch wires produced by different manufacturers is not the same. The performance of stainless steel wire is better for import, especially square wire.
The cross-sectional shape of the groove on the auxiliary appliance is selected to be a shape suitable for penetration of an arch wire, for example, the cross section of the groove along the lip/buccolingual side direction is one of circular arc, semi-circular arc, elliptical arc, semi-elliptical arc and polygon or one of the combination of the shapes, and the combination of the shapes refers to a combination shape formed by more than two shapes. The grooves are formed in such a manner that the section adjacent to the reference portion side is formed in a semicircular shape and the section adjacent to the lip/buccolingual side is formed in a rectangular shape in order that the section adjacent to the reference portion side is formed in a semicircular shape to be closer to the contour of the archwire, and the section adjacent to the lip/buccolingual side is formed in a rectangular shape in order to facilitate the penetration of the archwire. In addition, in order to prevent the arch wire from penetrating the groove and then sliding out, can also set up anti-disengaging structure, as shown in fig. 10a, 10b, wherein the anti-disengaging structure who shows is a modular structure, constitute by rectangle 10a and similar semicircular structure 10b, the section that is close to benchmark portion one side sets up to the rectangle, the section that is close to lip/buccolingual side sets up to be similar to semicircular structure, the arch wire enters into to the rectangular structure from similar semicircular structure, the position is relatively stable, because the place that both connect has the bending, the arch wire is difficult for following the rectangular structure after penetrating and sliding out, the zonulae occludens between supplementary device and the fastener of correcting has been increased, thereby realize better effect of correcting. The grooves in fig. 4 a-9 b are arc-shaped or semi-arc-shaped, and the shapes of the grooves can be matched with an arch wire with a circular diameter, so that the arch wire can be conveniently mounted and dismounted.
In a preferred embodiment, when the auxiliary appliance is provided with the built-in perforation and the groove, a line connecting a center of a cross section of the built-in perforation along a labial/buccolingual direction and a center of a cross section of the groove along the labial/buccolingual direction is not perpendicular to a long axis of a tooth fixed by the auxiliary appliance. As shown in FIG. 6b, the center line c of the cross-section of the built-in hole 603 and the channel 604 of the auxiliary appliance 600 is not perpendicular to the long axis d of the tooth. Specifically, the angle between the two lines is denoted as α, and this angle α is preferably an acute angle, more preferably 30 ° to 60 °. Other examples are also the angle alpha shown in fig. 9 b. When a connecting line c of the center of the section of the built-in through hole along the lip/buccolingual side and the center of the section of the groove along the lip/buccolingual side is perpendicular to the long axis d of the tooth fixed by the auxiliary correcting device, the structure shown in fig. 7 is obtained, and at this time, in order to arrange the built-in through hole and the groove in the thickness direction of the lip/buccolingual side, the thickness of the auxiliary correcting device needs to be large enough, which may cause the thickness of the auxiliary correcting device to be too large, and the wearing comfort of the patient is affected.
In the correction part of the auxiliary correcting device, the number of the built-in perforations and/or the grooves is at least one, namely, the built-in perforations can be one or more, and the grooves can be one or more. When built-in perforation or slot set up a plurality ofly, can carry out the built-in perforation of different positions according to the concrete demand of correcting on the one hand and select, or the slot of different positions selects, or the selection of the built-in perforation and the slot of different positions, on the other hand, can carry out the different selections that many archwires set up simultaneously according to the actual demand of correcting.
In the auxiliary therapeutic device, the reference part has a planar structure or a curved structure that conforms to the surface of the tooth. When the reference portion is a planar structure, the built-in through-hole and/or the groove are arranged in parallel with the reference portion in the proximal-distal direction. When the reference part is a curved structure which is attached to the surface of the tooth, the curvature of the reference part is matched with the curvature of the built-in perforation and/or the groove along the mesial-distal direction, as shown in fig. 11a, the curvature of the reference part 1301 is matched with the curvature of the groove 1304 along the mesial-distal direction; as shown in fig. 11b, the curvature 1403 of the reference portion 1401 is coincident with the curvature in the mesial-distal direction. In the structure of the auxiliary orthodontic device shown in fig. 1a to 9b, the reference portions 201 and 301 in fig. 2 and 3 are of a planar structure, the reference portions in the remaining figures are of a curved structure, and the curvature of each curved structure type reference portion can be selected to be various suitable curvatures, which is not limited by the present invention.
In some preferred structures, a surface structure for increasing friction force, such as the convex point structure 908 shown in fig. 9a and 9b, is further disposed on a side of the reference portion of the auxiliary orthodontic device, which is close to the teeth, so that the auxiliary orthodontic device has better stability after being contacted with or adhered to the teeth, and is not easy to fall off from the teeth after being adhered, thereby preventing the surfaces of the teeth from being damaged again by subsequent repairing and adhering.
In order to achieve a balance between the strength and wearing comfort of the auxiliary orthosis, the length of the auxiliary orthosis excluding the channel in the labial/buccolingual lateral section is 0.2mm to 4.0 mm. That is to say, carry out built-in perforation setting or slot setting among the supplementary device of correcting, in order to prevent that supplementary device of correcting reduces supplementary device's stability of correcting owing to trompil or fluting setting, consequently ensures that supplementary device of correcting length except the passageway, has guaranteed that supplementary device of correcting is just guaranteed to need to set up certain thickness in lip/buccolingual side direction just can guarantee to assist and correct the effect of correcting between device and the fastener production correspondingly.
In a preferred embodiment, the lower end surface (lower end surface in the orientation shown in the figure) of the auxiliary appliance adjacent to the gum line extends to the occlusal surface (upper end surface in the orientation shown in the figure) and has a smoothly transitional inclined curved surface, as shown in fig. 9a, 9b, 6a, 6b, 5a, 5b, 1a and 1b, and the inclined curved surfaces are respectively designated as 905, 605, 505 and 105. The structure of the inclined curved surface enables the shell-shaped tooth appliance matched with the auxiliary correcting device to be easily taken off and worn.
In preferred implementation structure, the supplementary device of correcting is close to occlusal surface one side and/or is close to gum line one side and still is equipped with the supplementary portion of holding that holds supplementary piece of correcting, supplementary portion of holding can be for to the supplementary sunken holding tank that sets up in device center that corrects, the holding tank can respectively set up one and set up for the symmetry near occlusal surface one side and close to gum line one side. In the auxiliary appliance shown in fig. 1 a-9 b, a recessed receiving groove is provided on the side adjacent to the occlusal surface (upper surface side in the figure) and/or on the side adjacent to the gum line (lower surface side in the figure), 106, 107, 206, 207, 306, 307, 406, 407, 506, 507, 606, 607, 706, 707, 806, 807, 906, 907, respectively, and the two receiving grooves are mirror images or asymmetric. The auxiliary fastening piece such as a rubber chain and a ligature ring can assist in fastening two adjacent auxiliary correction devices into a whole, is placed laterally at the lip/buccolingual side, can relatively fix an arch wire passing through along the mesial-distal direction at the lip/buccolingual side, and can be used when a plurality of teeth are required to be fastened together to be used as integral anchorage.
Referring to fig. 12 and 13, the present embodiment further provides a shell-shaped dental appliance 1000 for matching with the auxiliary orthodontic device 12 disposed on the teeth of the patient to achieve the orthodontic goal, wherein the shell-shaped dental appliance 1000 is provided with at least two accessory receiving portions 1001 for receiving any one of the auxiliary orthodontic devices. In the shell-shaped dental appliance 1000 shown in fig. 12, three attachment receiving portions 1001 are provided. Furthermore, any other suitable number and location of accessory receptacles may be selected. The shell-shaped dental appliance 1000 is further provided with communication portions 1002 which communicate with the adjacent accessory receiving portions 1000 and receive the fasteners 13 such as archwires between the adjacent accessory receiving portions 1001, and the adjacent accessory receiving portions 1000 communicate with the communication portions 1002. In fig. 12, two communication portions 1002 are provided. The shell-shaped tooth appliance 1000 provided by this embodiment can also be used to realize the simulated orthodontic target by matching with the auxiliary orthodontic device 12 provided on the dental model, wherein the orthodontic effect generated by the interaction between the auxiliary orthodontic device 12 and the shell-shaped tooth appliance 1000 simulates the movement of teeth on the dental model to the target orthodontic position, so as to realize the realization of a partial simulated orthodontic plan. If the translation of the teeth on the dental model is simulated, the shell-shaped dental appliance 1000 is used to be matched with the auxiliary appliance 12 arranged on the dental model when the teeth model on the dental model is moved from the starting point to the stage target position.
In a preferred embodiment, when a plurality of accessory receiving portions 1001 are provided, auxiliary fastening portions for receiving and assisting the fastening of the fastening member are further provided at both ends of a communication space formed by the accessory receiving portions 1001 and the communication portion 1002. This is because the fastener (e.g., an archwire) is inserted into the auxiliary appliance and can be fixed relatively in the buccolingual direction, but is not fixed easily in the mesial-distal direction, so the archwire can be fixed in the mesial-distal direction by bending both ends of the archwire as shown in fig. 13a to prevent the relative sliding of the archwire in the mesial-distal direction, and the auxiliary fastener is a space 1003 in the shell-shaped appliance for accommodating the bent archwire. Alternatively, as shown in figure 13b, the auxiliary securing members may be used to secure the archwire in the mesial-distal direction, after the archwire has passed through the auxiliary correction device, the free ends at the two sides of the arch wire are not bent, the relative position is fixed by utilizing the friction relation between the arch wire and the channel on the auxiliary correcting device, if the inner surface of the built-in perforation arranged on the auxiliary correcting device and the outer surface of the arch wire are provided with structures capable of increasing friction force, such as a frosted structure or a salient point structure, and the like, increases the friction force between the inner surface of the built-in through hole and the outer surface of the arch wire, realizes the fixation in the near-far direction, the free ends of the two sides of the arch wire protrude out of the auxiliary correcting device, and the two ends of the communication space formed by the corresponding second accommodating space and the corresponding third accommodating space are provided with auxiliary fastening parts 1004 for assisting the fixing of the fastening piece, so that the arch wire which is arranged in a protruding mode can be accommodated.
In the shell-shaped dental appliance, the cross section of the communicating part 1002 along the lip/buccolingual side direction is one of circular arc, elliptic arc or polygon. The communicating portion 1002 is adapted to receive an archwire and may be selected to conform to the shape of the archwire and to have a cross-sectional size that is selected to be larger or slightly larger than the archwire.
In the shell-shaped tooth appliance, one side of the accessory accommodating part close to the auxiliary correcting device is matched with the outer surface of the auxiliary correcting device to generate correcting effect, so that the accommodating and mutual matching effect is better realized, and the correcting effect is achieved.
In the process of invisible tooth correction, conventional accessories are usually required to assist in correction, so that one or more second accessory accommodating portions (not shown) for accommodating the conventional orthodontic accessories are further arranged on the shell-shaped tooth corrector, and the setting of the specific conventional orthodontic accessories can be correspondingly set according to the actual correction requirement.
The embodiment of the present invention further provides a set of teeth correction, fig. 14 and 15 respectively show a set of teeth correction, the set of teeth correction shown in fig. 14 includes a first shell-shaped teeth correction device 1101 and a second shell-shaped teeth correction device 1102 for respectively wearing on a first dentition and a contra-mandibular dentition, the set of teeth correction shown in fig. 15 includes a first shell-shaped teeth correction device 1201 and a second shell-shaped teeth correction device 1202 for respectively wearing on the first dentition and the contra-mandibular dentition; the first shell-shaped dental appliances 1101 and 1201 are any one of the shell-shaped dental appliances described above. The first shell-shaped dental appliance can be worn on the upper jaw and can also be worn on the lower jaw, and when the first shell-shaped dental appliance is worn on the upper jaw teeth, the second shell-shaped dental appliance is worn on the opposite jaw, namely the lower jaw teeth. Also, the second shell-like dental appliance 1102, shown in FIG. 14, includes a cavity structure that receives the pair of jaw dentitions.
In the kit shown in fig. 15, the second shell appliance 1202 is also any of the shell appliances described above. The second shell appliance 1202 may be worn on the upper jaw or the lower jaw, and when the second shell appliance is worn on the upper jaw, the first shell appliance 1201 is worn on its opposing jaw, i.e., the upper jaw teeth.
It should be noted that the above embodiments can be freely combined as necessary. The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, a plurality of modifications and decorations can be made without departing from the principle of the present invention, and these modifications and decorations should also be regarded as the protection scope of the present invention.