CN101019780B - Upper jaw embedded impacted tooth guide rod type correcting appliance - Google Patents
Upper jaw embedded impacted tooth guide rod type correcting appliance Download PDFInfo
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- CN101019780B CN101019780B CN2007100674381A CN200710067438A CN101019780B CN 101019780 B CN101019780 B CN 101019780B CN 2007100674381 A CN2007100674381 A CN 2007100674381A CN 200710067438 A CN200710067438 A CN 200710067438A CN 101019780 B CN101019780 B CN 101019780B
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Abstract
The present invention relates to oral orthodontic technology, and is especially one kind of guide rod type orthodontic appliance for upper jaw embedded canine teeth. The orthodontic appliance includes a plastic palatal arch support, a fixing block, a guide rod, and an extraction device. The present invention aims at providing one kind of guide rod type orthodontic appliance for upper jaw embedded canine teeth with 3D adjustable orthodontic force, no use of dentition as anchorage and less irritation on upper lip mucous membrane. The present invention has the advantages of small orthodontic force, less blocking interference of adjacent teeth, reduced teeth moving resistance, less irritation on mucous membrane, etc.
Description
Technical field
The present invention relates to the mouth cavity orthodontic technical field, particularly a kind of upper jaw of rescuing is hidden the guide rod type appliance of canine tooth.
Background technology
Upper jaw underuption is common malocclusion, and sickness rate is the highest is that upper jaw level is hidden impacted cuspid and inversion and hidden the impaction central incisor, and these malocclusions can have a strong impact on face appearance and masticatory function.
Upper jaw underuption, especially Fu Za case, it is bigger to rescue difficulty, and main cause has: 1. strange the and adjacent teeth root of the corona of embedded tooth on three-dimensional space position has juxtaposition; 2. the buccolingual diameter of alveoli dentales maxillae bone is narrower, and embedded tooth is limited in the narrower alveolar bone; Corona displacement is bigger when 3. rescuing, and the time of rescuing is long; 4. need the complicated technology of rescuing and bending of arch edgewise.
Present just abnormal doctor often windows by the surgical operation of routine and elastic traction is rescued embedded tooth, embedded tooth is drawn to entopic method mainly contains three kinds, but some shortcomings are all arranged:
1, adopt dental arch and arch wire as towing point and anchorage method: 1. this method is directly drawn underuption with arch wire as towing point, and the embedded tooth of being rescued is vulnerable to stopping of adjacent teeth root on moving track, often occurs that embedded tooth does not move or the adjacent teeth velamen absorbs; The anchorage of dental arch load is big when 2. rescuing, and easily causes anchorage loss, the anchorage tooth occurs and is depressed, and open for a short time the part
3. it is approaching parallel with the tooth long axis of body to rescue force direction, makes the power of rescuing excessive, causes embedded tooth root of the tooth pressurized, contacts and is absorbed with cortical bone.
2, removable appliance method: this method advantage is to be anchorage with alveolar ridge mucosa and denture, avoids or reduces anchorage loss; And can utilize removable appliance lip, cheek side adnexa as pull strength, can be reasonable in design rescue force direction, the embedded tooth that can make traction is walked around the adjacent teeth root and is avoided the absorption of adjacent teeth root.But also there are many weak points in this method: 1. need patient's close fit, use inconvenient; 2. removable appliance can not use simultaneously with fixed appliance, and efficient is rescued in reduction and the time is rescued in prolongation; 3. the terminal volume of adnexa is little and sharp-pointed, stimulates mucosa of upper lip easily.
3, segment bow technology: can design the spatial power of the rescuing method of reasonable three-dimensional of traction embedded tooth, avoid using gravity, can draw embedded tooth and walk around the adjacent teeth root to its normal arrangement position.But segment bow technology is defectiveness also: 1. need very loaded down with trivial details bending of arch edgewise; 2. the anchorage load is still born by dental arch, is prone to anchorage loss; 3. the terminal mucosa of upper lip that easily stimulates of arch wire causes local wound.
Summary of the invention
The objective of the invention is to design and a kind ofly on three dimensions, can rationally adjust rescuing force direction, need be with the upper jaw embedded impacted tooth quide rod type correcting appliance of denture as anchorage.
In order to achieve the above object, the present invention adopts following technical solution: a kind of upper jaw embedded impacted tooth quide rod type correcting appliance, it is characterized in that it comprises the holder of Nai Shi (Nance) bow plastics palate, fixedly locked groove piece, guide rod, traction apparatus, fixedly the locked groove piece is embedded in the holder of Nai Shi bow plastics palate, guide rod one end is fixedlyed connected with fixedly the locked groove piece is detachable, and the other end is fixedlyed connected with traction apparatus is detachable.
Owing to utilize mouth cavity orthodontic Nai Shi bow plastics palate holder commonly used clinically, with one fixedly the locked groove piece be embedded in the plastics palate holder of Nai Shi bow,, avoided as anchorage with upper jaw anterior palate portion mucoperiosteum with the side effect of denture as anchorage.The guide rod two ends connect the detachable syndeton of employing simultaneously, by the guide rod of selecting different length and the position of adjusting the terminal traction apparatus of guide rod, can raise the whole force direction of reasonably rescuing at three dimensions, reduce the resistance that tooth moves, light power traction embedded tooth moves, make embedded tooth avoid the interference that stops of adjacent teeth root, avoid embedded tooth and adjacent teeth root resorption.
This guide rod type appliance also have fabrication and installation easy, can be simultaneously complicated wrong in conjunction with the appliance treatment
Shape, patient easily accept and advantage such as cooperation.Rescuing various upper jaw lips, cheek side underuption, especially the many impacted tooths that need be pulled out in the past, as be inverted central incisor, level and hide canine tooth, transposition and hide and special advantage is arranged in impacted cuspid and a plurality of underuption, have high clinical value.
Description of drawings
Below in conjunction with accompanying drawing, embodiment with rescue application the present invention is described in further detail.
Fig. 1 is a present embodiment overall structure sketch map.
Fig. 2 is fixing locked groove block structure combination sketch map in the present embodiment.
Fig. 3 is guide rod and a traction apparatus STRUCTURE DECOMPOSITION sketch map in the present embodiment.
Fig. 4 is fixedly locked groove piece, guide rod and the structural representation after traction apparatus is connected in the present embodiment.
Fig. 5 hides the reference diagram (upper jaw palatine upward view) of impacted cuspid for present embodiment is used to rescue upper jaw level.
Fig. 6 is inverted and hides the reference diagram (upper jaw palatine upward view) of impaction central incisor for present embodiment is used to rescue the upper jaw.
Fig. 7 is a first afterburning upper jaw right direction view among Fig. 5.
Fig. 8 rescues the process guide rod to adjust afterburning upper jaw right direction view behind direction and the position among Fig. 5.
Fig. 9 is a first afterburning upper jaw right direction view among Fig. 6.
Figure 10 rescues the process guide rod to adjust afterburning upper jaw right direction view behind direction and the position among Fig. 6.
The specific embodiment
As Fig. 1-shown in Figure 4, present embodiment comprises the plastics palate holders (1) of Nai Shi (Nance) bow, fixedly locked groove piece (2), guide rod (3), traction apparatus (4).Wherein, fixedly the locked groove piece is pancake structure (as Fig. 2), be embedded in the holder of Nai Shi bow plastics palate, its body center have a level to duct (5) and one and the vertical screw in duct (6), the body both sides are flat side flanks (7) with holes.As shown in Figure 3, guide rod (3) is for having certain rigidity and can carrying out certain crooked Elastic Steel body, with the form that adapts to the alveoli dentales maxillae ridge and can three dimensions raise perfect square to, its guide bar head (8) is a flat, there is a screw (9) at the center, be plugged on fixedly in the locked groove piece horizontal hole (5), constitute detachable fixedlying connected by screw with fixing locked groove piece by screw (10); The guide rod tail is screw shaped structure (11).The contact surface of traction apparatus and mucosa of upper lip is the smooth cambered surface of hemispherical (12), reduced stimulation to lip buccal mucosa, the traction apparatus position relative with upper jaw gingiva face is provided with the embedded type nut (13) that is connected with guide rod afterbody screw rod, with hook (14), be convenient to adhering to of elastic traction rubber band on the nut.
Rescue and use one:
For being used to rescue upper jaw level, present embodiment hides the reference diagram of impacted cuspid as Fig. 5, Fig. 7, Fig. 8.As requested, the upper jaw is worn the holder of Nai Shi bow plastics palate, at the fixedly locked groove piece of the plastics palate holder side embedding guide rod type appliance of Nai Shi bow.The guide rod head of guide rod type appliance is inserted the locked groove duct, and fix with screw rod.The guide rod afterbody extends to the upper jaw and hides in the buccal vestibule district, canine tooth district, adjust the direction of guide rod afterbody traction apparatus, make to be connected hook (14) and to hide the pull strength direction of the elastic force rubber band (16) between the tongue side button (15) on the canine tooth (surgical operation of having gone is windowed and is stained with tongue side button) and get around the lateral incisor root of the tooth, and become 90 ° approximately with the canine tooth major axis, at first draw canine tooth hat buccally side and rear.Along with move at the cheek side and the rear of canine tooth hat, constantly change the position of terminal traction apparatus, canine tooth hat is avoided and the contacting of lateral incisor root of the tooth all the time, walked around the lateral incisor root of the tooth until the canine tooth corona, then adjust the length of guide rod and the position of traction apparatus, traction canine tooth hat moves to the back lower place, is aligned in the denture up to canine tooth.
Its correcting action is as follows:
1, traction is hidden impacted cuspid hat and is got around the lateral incisor root of the tooth, and the absorption of lateral incisor root of the tooth has also been avoided in the interference of avoiding the lateral incisor root of the tooth that canine tooth is moved.
2, lead and canine tooth tooth long axis of body move based on rotation canine tooth near becoming 90 °, avoid or the power that is pressed into that minimizing is parallel with the tooth long axis of body, and avoid using the probability of gravity with the root absorption of minimizing canine tooth.
3, strengthen the anchorage effect: because that level is hidden the corona displacement of impacted cuspid is longer, anchorage is had relatively high expectations, use the guide rod type appliance, the anchorage load during treatment is born by the mucoperiosteum under the holder of Nai Shi bow plastics palate, and the bicuspid district when having avoided doing the anchorage measure with dental arch and denture opens for a short time
4, terminal traction apparatus is the smooth globoidal structure of hemispherical, can avoid the stimulation to mucosa of upper lip, more comfortable, the easier acceptance of patient.
Rescue and use two:
Be inverted and hide the reference diagram of impaction central incisor for present embodiment is used to rescue the upper jaw as Fig. 6, Fig. 9, Figure 10.The upper jaw is inverted and is hidden impaction central incisor corona towards the top (at the bottom of the nose), and root of the tooth is towards the below, and the corona lingual surface is towards the place ahead.As requested, the upper jaw is worn the Nai Shi bow, bends the fixedly locked groove piece of the place ahead embedding guide rod type appliance of plastics palate holder at Nai Shi.The guide rod head of guide rod type appliance is inserted the locked groove duct, and fix with screw rod.The guide rod afterbody extends to the upper jaw and is inverted in the labial vestibule district, incisor district, adjust the direction of guide rod afterbody traction apparatus, make the pull strength direction that is connected the elastic force rubber band (16) between hook (14) and the tongue side button (15) of hiding on the central incisor (surgical operation of having gone is windowed and is stained with tongue side button) become 90 ° approximately, draw central incisor to the front lower place with the central incisor major axis.Along with moving down of last central incisor corona, constantly adjust the length of guide rod, and change the position of traction apparatus, make the direction of the power of rescuing become 90 ° approximately with the tooth long axis of body all the time.
Its correcting action is as follows:
1, the power of rescuing of three-dimensional that can be reasonable in design makes and rescues force direction and embedded tooth long axis of body near becoming 90 °, and the component that the tooth body is rotated is big, and hiding corona can be mobile down forward rapidly; Simultaneously, make the component of tooth body pressure little, can avoid that tooth is pressed into, root of the tooth contacts with palate side lamina dura, root of the tooth is absorbed.
2, can be inverted the upper jaw and hide central incisor and carry out the early treatment, this is extremely important for its prognosis.The upper jaw is inverted and is hidden central incisor more early to begin rectifying effect good more, begin in early days to rescue the position that to adjust root of the tooth, its is broken away from and the contacting of palate side alveolus hone lamella, as early as possible the spongy bone between lip, palate side lamina dura, bring into play its last root of the tooth growth potential, make root of the tooth continue to grow.Otherwise, being in budding root of the tooth and contacting with palate side lamina dura, short root and curved root must appear, finally have to pull out.
3, anchorage effect: the plastics palate holder that can utilize Nai Shi bow is as anchorage, the last incisor of avoiding utilizing eruption as anchorage cause Upper Anterior Teeth to be depressed, anchorage loss situation such as lip inclines.For young patient, still do not have or only have when carrying out the early treatment under the situation that goes up the incisor eruption, utilize the holder of Nai Shi bow plastics palate as anchorage device, then more can bring into play its advantage.
In sum, the present invention compared with prior art has following advantage:
1, can raise the whole force direction of reasonably rescuing at three dimensions, it is light to rescue power, can make impacted tooth avoid the interference that stops of adjacent teeth root, avoids impacted tooth and adjacent teeth External apical root resorption, reduces the resistance of Tooth Movement.
2, with the palate mucous periosteum as anchorage, need to be with denture as anchorage.
3, little to lip cheek MMi.
But the early treatment of 4 particular patient.
5, can be complicated wrong in conjunction with the fixed appliance treatment simultaneously
Deformity shortens and rescues the time.
6, fabrication and installation are easy, and the patient is easy to accept and cooperate.
Claims (4)
1. upper jaw embedded impacted tooth quide rod type correcting appliance, it is characterized in that it comprises the plastics palate holders (1) of Nai Shi (Nance) bow, fixedly locked groove piece (2), guide rod (3), traction apparatus (4), fixedly locked groove piece (2) is embedded in the holder of Nai Shi bow plastics palate, guide rod (3) one ends and fixing detachable the fixedlying connected of locked groove piece (2), the other end and detachable the fixedlying connected of traction apparatus (4).
2. upper jaw embedded impacted tooth quide rod type correcting appliance according to claim 1, it is characterized in that fixedly the locked groove piece is the pancake structure, its body center have a level to duct (5) and one with the vertical screw in duct (6), the body both sides are flat side flanks (7) with holes; The guide bar head of guide rod (8) is a flat, and there is a screw (9) at the center, is plugged on fixedly in the locked groove piece horizontal hole, constitutes detachable fixedly connected by screw with fixing locked groove piece by screw (10).
3. upper jaw embedded impacted tooth quide rod type correcting appliance according to claim 2, it is characterized in that the guide rod afterbody is screw shaped structure (11), the contact surface of traction apparatus and mucosa of upper lip is the smooth cambered surface of hemispherical (12), the traction apparatus position relative with upper jaw gingiva face is provided with the embedded type nut (13) that is connected with guide rod afterbody screw rod, has hook (14) on the nut.
4. upper jaw embedded impacted tooth quide rod type correcting appliance according to claim 3 is characterized in that guide rod (3) is for having certain rigidity and can carrying out certain crooked elasticity guide rod.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2007100674381A CN101019780B (en) | 2007-03-10 | 2007-03-10 | Upper jaw embedded impacted tooth guide rod type correcting appliance |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2007100674381A CN101019780B (en) | 2007-03-10 | 2007-03-10 | Upper jaw embedded impacted tooth guide rod type correcting appliance |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101019780A CN101019780A (en) | 2007-08-22 |
| CN101019780B true CN101019780B (en) | 2010-04-21 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2007100674381A Expired - Fee Related CN101019780B (en) | 2007-03-10 | 2007-03-10 | Upper jaw embedded impacted tooth guide rod type correcting appliance |
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| CN (1) | CN101019780B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101816591A (en) * | 2010-04-26 | 2010-09-01 | 倪振宇 | Implant type impacted molar correction device |
Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103330600B (en) * | 2013-07-08 | 2015-11-04 | 季骏 | Multi-functional embedded tooth traction correcting external member |
| CN108378939A (en) * | 2018-03-12 | 2018-08-10 | 保定翰阳科技有限公司 | A kind of special draw hook of customized type invisible orthotic device and its design method |
| CN110464488B (en) * | 2018-05-11 | 2022-08-23 | 重庆多乐医疗管理有限公司 | Oral cavity function appliance |
| CN111728721A (en) * | 2020-06-29 | 2020-10-02 | 四川大学 | Traction device and correction method for impacted upper anterior teeth |
| CN113974870B (en) * | 2021-10-13 | 2023-03-07 | 北京大学口腔医学院 | Nance arch orthodontic molar control device |
| CN117257497A (en) * | 2022-04-22 | 2023-12-22 | 苏州口腔医院(集团)有限公司 | Multi-tooth-generating traction pulling device on palate side of upper anterior tooth area and traction method thereof |
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| US4026023A (en) * | 1975-11-26 | 1977-05-31 | Robert Leon Fisher | Closed flap spring for orthodontic appliances |
| CN1806772A (en) * | 2005-08-23 | 2006-07-26 | 温州医学院附属口腔医院 | Implanter type function correction appliance |
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| CN201029946Y (en) * | 2007-03-10 | 2008-03-05 | 温州医学院附属口腔医院 | Tail rod type correction device for the impacted tooth embedded in upper jaw |
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2007
- 2007-03-10 CN CN2007100674381A patent/CN101019780B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4026023A (en) * | 1975-11-26 | 1977-05-31 | Robert Leon Fisher | Closed flap spring for orthodontic appliances |
| CN1806772A (en) * | 2005-08-23 | 2006-07-26 | 温州医学院附属口腔医院 | Implanter type function correction appliance |
| CN2897189Y (en) * | 2006-03-27 | 2007-05-09 | 徐葆琛 | Impacted tooth guiding-out device |
| CN201029946Y (en) * | 2007-03-10 | 2008-03-05 | 温州医学院附属口腔医院 | Tail rod type correction device for the impacted tooth embedded in upper jaw |
Non-Patent Citations (3)
| Title |
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| 廖建宏等.固定矫治器矫治前牙骨埋伏阻生.华中科技大学学报(医学版)35 1.2006,35(1),137-138. * |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101816591A (en) * | 2010-04-26 | 2010-09-01 | 倪振宇 | Implant type impacted molar correction device |
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| Publication number | Publication date |
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| CN101019780A (en) | 2007-08-22 |
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Granted publication date: 20100421 Termination date: 20140310 |