CN106156476A - Conversion from tooth set to rectifier in orthodontic therapy art - Google Patents

Conversion from tooth set to rectifier in orthodontic therapy art Download PDF

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Publication number
CN106156476A
CN106156476A CN201510195744.8A CN201510195744A CN106156476A CN 106156476 A CN106156476 A CN 106156476A CN 201510195744 A CN201510195744 A CN 201510195744A CN 106156476 A CN106156476 A CN 106156476A
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China
Prior art keywords
rectifier
tooth
tooth set
patient
maintenance
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CN201510195744.8A
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Chinese (zh)
Inventor
史丹利·S·黄
克雷格·安德莱科
I·基钦
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Ormco Corp
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Ormco Corp
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Priority to CN201510195744.8A priority Critical patent/CN106156476A/en
Publication of CN106156476A publication Critical patent/CN106156476A/en
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Abstract

The tooth set being placed on tooth is held till preassigned is met.While being maintained at tooth set on tooth, meeting of response preassigned, subscribe multiple rectifier.Described tooth set is replaced by the first rectifier in multiple rectifiers.

Description

Conversion from tooth set to rectifier in orthodontic therapy art
Technical field
The present invention relates to method, system and the computer for tooth set is replaced by orthodontic therapy operation rectifier can Read medium.
Background technology
Orthodontic therapy is a dental profession, and its overall appearance relating to improvement patient teeth and correction occlusion are not Just, crooked and other defects in teeth.Orthodontic therapy tooth set is a kind of device, and it is arranged on patient's tooth by dentist On tooth.In orthodontic therapy tooth set, wire and bracket interact, and tooth moves to the position needing.Often, Such orthodontic therapy tooth set needs periodically to be adjusted by dentist, to help alignment and aligning tooth.Dentist's Treatment contributes to repositioning teeth, with corrective pitting the overall appearance improving patient teeth.
The another kind of method of orthodontic therapy art is to use a series of dental aligners independent, dismountable to replace correction Rescue tooth set.A series of rectifiers are succeedingly worn by patient, carry out corrective pitting with repositioning teeth.
United States Patent (USP) 7,074,038 discloses a kind of integrates tooth set and the rectifier mechanism for orthodontic therapy art.? United States Patent (USP) 7,074, in 038, if patient suffers from serious malocclusion, tooth set and rectifier are used together. If patient does not exist serious malocclusion, then use rectifier.According to United States Patent (USP) 7,074,038, following feelings Condition means that the A-P of serious malocclusion: greater than 2mm revises;Vertically/AP revises required mandibular and revolves voluntarily Turn;For the CR-CO difference correction/treatment in addition to central occlusion;Premolar teeth and/or canine tooth more than 20 degree Moderate is revised to serious rotation;Serious deep occlusion is opened to perfect condition or open type occlusion is closed and arrived perfect condition;Remove Outside combine as a torque part or with deep root adjoining teeth, tooth is prominent is more than 1mm;Tooth is tilted beyond 45 degree; Multiple disappearance teeth;Corona is less than the 70% of normal size;The occlusion of backteeth district is open;Revising for A-P needs whole tooth Bow is mobile.
In orthodontic therapy, there is an apparatus that two classes are important: tooth set and rectifier.Rectifier can provide it to think for patient That wants is attractive in appearance, and more more comfortable than tooth set.Rectifier also makes dentist can terminate treatment more easily, because of Go to curve wire for rectifier without dentist or reorientate bracket.But, rectifier also has weakness, and it is not All of case can be processed.Effect in terms of revising malocclusion for the rectifier is limited.
The bracket of tooth set and wire can process the case that rectifier cannot be processed.But, the rounding-off work of bracket is more Difficulty.Additionally, bracket is also be not as so comfortable and attractive in appearance as rectifier.
Although United States Patent (USP) 7,074,038 discloses a kind of mechanism for integrating tooth set and rectifier, United States Patent (USP) 7,074,038 but teaching need to use tooth set after rectifier (as shown in the Figure 14 and 15 with regard to prior art, it is right Should be in Fig. 8 of United States Patent (USP) 7,074,038 and 9).Owing to United States Patent (USP) 7,074,038 teaching need to be after rectifier Using tooth set, United States Patent (USP) 7,074,038 exists serious deficiency.
Content of the invention
The invention provides a kind of method and system, wherein keeping the tooth set being arranged on tooth until meeting pre-calibration Accurate.While being maintained at tooth set on tooth, respond the reservation standard being met and subscribe multiple rectifier.Described Tooth set replaced by the first rectifier in multiple rectifiers.
In certain embodiments, when tooth will not be conflicted, described reservation standard is met.
In a further embodiment, when on the multiple rectifiers subscribed without using AC-tive fittings, described pre-calibration Standard is met.
In a further embodiment, when the quantity of required multiple rectifiers is less than threshold values, described preassigned obtains Meet.
In a further embodiment, when wire appropriateness is submitted to, described preassigned is met.
In certain embodiments, described reservation standard is met in a case where: when tooth will not be conflicted;When When on the multiple rectifiers subscribed without using AC-tive fittings;When the quantity of required multiple rectifiers is less than threshold values When;And when wire appropriateness is submitted to.
In a further embodiment, at least the first rectifier relative to the lax cooperation of tooth and is maintenance rectifier, its In subscribe and obtain between multiple rectifier, the motion of tooth is limited by tooth set.
In a further embodiment, it compared with the sequencing rectifier in multiple rectifiers, is used for manufacturing maintenance rectifier Material there is higher flexibility.
In a further embodiment, it compared with the sequencing rectifier in multiple rectifiers, is used for manufacturing maintenance rectifier Material thinner.
In certain embodiments, in order to judge whether to meet preassigned, implement one or more heating occlusion operation and Scan operation.
In a further embodiment, the plurality of rectifier includes having the one or more solid of different fitness from tooth Position rectifier, wherein coordinates maintenance rectifier the tightest to be installed on tooth so that tooth returns back to customized with tooth Tooth location and direction during the plurality of rectifier.
In a further embodiment, before tooth set is replaced with the first rectifier, the rectifier of butt is attached to tooth Tooth and from tooth set, do not take off tooth set, to judge whether described first rectifier can be attached to tooth after taking off tooth set Tooth.
In certain embodiments, described tooth set is tongue side tooth set.
In a further embodiment, described tooth set replaced by the first rectifier being used on arcus dentalis superior.
In a further embodiment, a rectifier being used on arcus dentalis superior and on inferior dental arch at least another is rectified Described tooth set replaced by positive device.
A kind of method for manufacturing multiple rectifier for patient is also provided, wherein, has used the tooth set being placed on tooth Patient is treated.This manufacture method includes: receives the order for multiple rectifiers, wherein makes tooth set protect Hold and while being arranged on tooth, obtain this order to multiple rectifiers, and this order is to be expired at preassigned Obtain after foot.Respond the reception of described order, manufacture multiple rectifier, wherein with in the plurality of rectifier Tooth set replaced by first rectifier.
The invention provides a kind of method and system, wherein, bracket and wire are installed and are put on tooth, have jaggy Rectifier is arranged on tooth, and wherein said bracket and wire are coupled in described breach.
In another embodiment, described wire is configured to adjustable moving teeth, and described rectifier is joined It is set to moving teeth.
In another embodiment, the tooth by adjusting obtained by wire moves more than being obtained by a series of rectifiers To tooth move.
Present invention also offers a kind of method and system, wherein, rectifier is arranged on the arcus dentalis superior of patient, tooth set cloth Being placed on the inferior dental arch of patient, wherein said rectifier and tooth set are used for adjusting the tooth in the arcus dentalis superior of patient and inferior dental arch The position of tooth and direction.
Present invention also offers a kind of method for designing tooth set and multiple rectifier, system and computer-readable storage Medium.Computer equipment uses the digital picture of tooth to design tooth set, and wherein said tooth set is kept until meeting pre- Till fixed standard.According to the additional digital image of tooth, design multiple rectifier, wherein with in multiple rectifiers Described tooth set replaced by first rectifier.
Present invention also offers the multiple rectifiers for tooth, wherein, the plurality of rectifier includes: first corrects Device, this first rectifier and tooth be lax to be coordinated and is maintenance rectifier;Sequencing rectifier, this sequencing is corrected Device is different from described first rectifier.In certain embodiments, compared with the sequencing rectifier in multiple rectifiers, Material for manufacturing described maintenance rectifier has higher flexibility.In some other embodiments, rectify with multiple Sequencing rectifier in positive device is compared, and the material for manufacturing described maintenance rectifier is thinner.
Brief description
Referring now to accompanying drawing, the same reference numerals in figure represents corresponding parts in the text.
Fig. 1 show according to some embodiments for be arranged on tooth set and rectifier on patient teeth calculating, system Make and use the block diagram of environment;
Fig. 2 shows the flow chart according to some embodiments, the flow diagrams illustrates the step subscribing rectifier for patient;
Fig. 3 shows the flow chart according to some embodiments, the flow diagrams illustrates the rectifier subscribed for patient solid Step performed after fixed;
Fig. 4 shows the block diagram according to some embodiments, this diagram show for tooth set is converted into the one of rectifier Series preassigned;
Fig. 5 shows the flow chart according to some embodiments, the flow diagrams illustrates the patient being provided with tooth set and waits The item that the rectifier subscribed is occurred during putting in place;
Fig. 6 shows the flow chart according to some embodiments, it illustrates after taking off tooth set and installation procedure Before rectifier, the lax rectifier coordinating is how to be arranged on tooth.
Fig. 7 shows the block diagram according to some embodiments, this diagram show and can be mounted to have on the tooth of tooth set Butt rectifier;
Fig. 8 shows the flow chart according to some embodiments, the flow diagrams illustrates and how to judge with butt rectifier Whether multiple rectifiers may be consistent with tooth;
Fig. 9 shows the flow chart according to some embodiments, the flow diagrams illustrates some steps;
Figure 10 shows the block diagram according to some embodiments, this diagram show how rectifier is attached to the upper of patient On dental arch, and how tooth set is attached on the inferior dental arch of patient;
Figure 11 shows the block diagram according to some embodiments, this diagram show tool rectifier jaggy, and breach is joined Close on the tooth set on tooth.
Figure 12 shows the flow chart according to some embodiments, the flow diagrams illustrates and to implement heating how at home and sting Close step;
Figure 13 shows the flow chart of the computer system according to some embodiments, and this computer system is used for designing tooth Hoop and rectifier;
Figure 14 shows the method for the prior art for integrating rectifier and tooth set;
Figure 15 shows the method for the another kind of prior art for integrating rectifier and tooth set.
Detailed description of the invention
In the following description, with reference to as this specification part the accompanying drawing illustrating some embodiments.Should Understand, it is possible to use other embodiments, and the change structurally and operationally gone up can be made.
The problem solving to integrate rectifier and tooth set
Although always known for many years tooth set and rectifier can be continually used for orthodontic therapy art, wherein tooth set is for using Serious malocclusion corrected by rectifier after carrying out orthodontic therapy art, this way is simultaneously infrequently made by dentist With.Except determining the serious malocclusion that United States Patent (USP) 7,074,038 is discussed, also have current not for this area institute The many factors known may have a strong impact on the integration of tooth set and rectifier, and makes United States Patent (USP) 7, institute in 074,038 The tooth set discussing and the integration of rectifier cannot be implemented.Additionally, United States Patent (USP) 7,074,038 teaching tooth set is to correct Using after device, such embodiment is simultaneously undesirable, and may cause inferior result in abnormal tooth is orthopedic. Seeming United States Patent (USP) 7,074,038 is in teaching, if using rectifier to carry out treating unsuccessful, then just use tooth Hoop.Therefore, be not aware that in the prior art rectifier and tooth set can be integrated to carry out successful abnormal tooth orthopedic Operation.Tooth set is suitable to make tooth produce relatively large movement, and rectifier is suitable to do last modification work.By Rectifier is used, it appears that be not aware that in the prior art and integrate tooth set and rectifier with to patient before tooth set Carry out the correct mechanism of suitable orthodontic therapy art, or this mechanism is not correctly realized.On the contrary, the present invention Some disclosed embodiments describe how to be replaced by tooth set rectifier implementing orthodontic therapy art to patient, thus Rectifier can be then used to carry out modifying work first by tooth set.
If first tooth set being used for patient to revise serious malocclusion, then subscribe rectifier, then manufacturing During rectifier, wherein there is the tooth of tooth set slight movement still can occur, thus the new rectifier subscribed May be just no longer suitable when reaching the office of dentist.
Additionally, when tooth set is replaced by rectifier, in addition to revising serious malocclusion, in addition it is also necessary to consider other Factor.Such as, some embodiments may need to eliminate before being converted into rectifier from tooth set and conflict, in addition it is also necessary to extremely Judge the conversion from tooth set to rectifier according to following factors less.
A () is when needs use moveable attachment with moving teeth to rectifier, it should change;
B () needs whether the quantity of rectifier is more than threshold values;
C whether () need nonetheless remain for being curved adjustment in hospital to the wire on tooth set.
Some embodiments provide for being converted to rectifier to implement the mechanism of orthodontic therapy art to patient from tooth set, its Institute according to factor include: before tooth set is replaced by rectifier eliminate conflict;Determine without the master by rectifier Dynamic annex carrys out moving teeth;Determine required rectifier quantity;Determine the need for adjusting wire to carry out in hospital Orthodontic therapy art.
Some embodiments also subscribe multiple rectifier, wherein, in a series of rectifiers before several rectifiers be to compare The maintenance rectifier being fitted loosely on tooth.As a result, even if tooth occurs slight when waiting rectifier to put in place Mobile, the maintenance rectifier of described lax cooperation remains able to be arranged on tooth, so that tooth returns back to described in reservation Position when a series of rectifiers.The material that the rectifier of described lax cooperation is used has more than other rectifiers Good is flexible or thinner.
Some embodiments provide the rectifier that tool is jaggy, may be installed on tongue side or lip side tooth set.Some embodiments Arcus dentalis superior uses rectifier, and on inferior dental arch, uses tooth set.
Embodiment
Fig. 1 illustrates calculating according to some specific embodiment, manufactures and use and arrange bracket and rectifier on patient teeth The block diagram of environment 100.
Dentist can by tooth set (brace) 102 and rectifier (aligner) 104,104b ... 104n is contained in patient teeth 106 On.Described tooth set 102 includes bracket 108 and wire 110, wherein wire 110 also referred to as arch wire.Dentist is permissible Adjust wire 110 termly, and during the regular hour, the tooth 106 of patient is moved to desired position And direction.Dentist can place a series of dental aligners 104a equally ... 104n, in turn moves the tooth 106 of patient To desired position and direction.
In a particular embodiment, heat engaging device 112 can be used on patient teeth 106.On heating engaging device, Patient is engaged to produce the impression of patient teeth on the polymer of setting.After being processed by computing device 116, generate correspondence Digital picture 114 in heating occlusion impression.In concrete alternate embodiment, imprinting apparatus 118 can be used in trouble On the tooth 106 of person, and processed the corresponding number of the impression generating and being imprinted with device 118 acquisition by computing device Word image 114.
In another embodiment, intraoral imaging system 120 can be used to obtain for being processed by computing device 116 The image of patient teeth 106.
Computing device 116 can include tooth set design application 122 and rectifier design application 124.Tooth set designs Application program 122 can be used to design the tooth set 102 being placed on patient teeth 106, and rectifier design application Can be used to the rectifier 104a of design adaptation patient teeth 106 ... 104n.
Computing device 116 saves and the corresponding digital picture of initial tooth positions and direction 126 and model.Computing device 116 Also preserve and the orthodontic therapy 128 corresponding digital picture of tooth position and direction to be reached afterwards and model.Tooth set sets Meter application program 122 can be according to initial tooth position and direction 126 and desired tooth position and direction 128 next life Become the design of the bracket 108 being placed on patient teeth 106 and wire 110.Rectifier design application 124 Can generate be placed in patient teeth according to initial tooth apparatus and direction 126 and desired tooth position and direction 128 A series of rectifier 104a on 106 ... which design of 104n puts.Manufacturer can be according to tooth set design application 122 He The design that rectifier design application 124 generates manufactures tooth set 102 and rectifier 104a ... 104n.
In certain embodiments, dentist can place tooth set 102 on patient teeth 106.When tooth set changes 130 to rectifier Preset condition meet after, dentist can subscribe a series of rectifier 104a ... 104n, then removes tooth set 102 simultaneously With this series of rectifier 104a ... 104n starts orthodontic therapy process, until reaching the expectation tooth position of patient teeth 106 Put and direction 128.
Fig. 2 illustrate according to some specific embodiment, show for patient subscribe rectifier operation flow process Figure 200.? In some embodiment, the 112nd, the operation shown in Fig. 2 (such as can heat engaging device in computing device 116 and other devices Imprinting apparatus 118, or imaging system 120 in mouth) with the help of implemented by dentist.
Control starts from square 202, starts a treatment process this dentist, its objective is to change institute on patient teeth 106 State position and the direction of patient teeth 106, to improve the aesthetic feeling of patient teeth 106.Control proceeds to square 204, wherein Dentist obtains the digital scan data of described patient teeth 106 by imaging system in mouth 120, or is imprinted with device 118 Obtain the teeth mark of described patient teeth 106 and teeth mark is converted to digital picture 114.
In mouthful, digital scan or the digital picture 114 corresponding to imprinting apparatus 118 of imaging system 120 can pass through tooth set Design application 122 is analyzed, thus create with initial tooth position and direction 126 and orthodontic therapy after institute's phase Hope the corresponding data structure of tooth position and direction 128 reaching.Based on initial tooth position and direction 126 and expectation Tooth position and direction 128, tooth set design application 122 can be designed that the tooth set being suitable to mobile patient teeth 106 102.Tooth set 102 is manufactured and is sent to dentist, and bracket 108 is fixed on the tooth of (at square 206) patient by dentist, And it is attached the wire 110 being referred to as arch wire.In square 208, arch wire 110 is adjusted by dentist termly, and dentist Determine whether (at square 210) patient is ready to use rectifier.Without ("No" branch line 211a), control returns to Square 208, will adjust arch wire again at this.If be already prepared to, ("Yes" branch line 211b) control proceeds to square 212, Combination and wire 110 is kept to be retained in situ at this bracket 108.Heating engaging device 112 is used to obtain (in side Block 214) still use the teeth mark of patient teeth 106 of tooth set 102, and corresponding digital picture 114 is generated with application In computing device 116.In an alternative embodiment, in mouth imaging system 120 can be used to scanning above still with The patient teeth 106 of tooth set 102, and corresponding digital picture can be sent in computing device 116.
Control proceeds to square 216, the tooth after this rectifier design application 124 upchecks tooth set 102 treatment Position, and determine whether the present location of patient teeth 106 is suitable to by correcting based on standard 130 set in advance Device reaches desired position and direction 128.If not suitable for ("No" branch line 217a), control return to square 208 and And adjust arch wire this dentist.If being suitable for ("Yes" branch line 217b), then dentist's reservation (at square 218) is set by rectifier A series of rectifier 104a of meter application program 124 design ... 104n.When tooth set 102 is also on patient teeth 106, etc. Treat a series of rectifier 104a ... 104n puts in place.
Fig. 3 illustrate according to some specific embodiment, show and be fixed for the flow process subscribing operation after rectifier of patient Figure 30 0.In some specific embodiment, the operating procedure shown in Fig. 3 can in computing device 106 with other equipment (for example Heating and engaging device the 112nd, imprinting apparatus 118, or mouth in imaging system 120) with the help of operated by dentist.
Control starts from square 302, receives rectifier 104a this dentist ... 104n.When receiving rectifier 104a ... 104n When, dentist removes (at square 304) bracket 108 and arch wire 110 (for example, tooth set 102 is removed) from patient teeth 106, And begin through placement (square 306) the first rectifier 104a starting with the therapeutic process of rectifier, thus by patient Tooth returns to moment patient teeth's location and the direction of predetermined dental aligners in square 218, wherein first rectify Positive device 104a is maintenance rectifier (retentive aligner).Maintenance rectifier 104a (can for example have width loosely Loose fit) it is arranged on patient teeth 106, thus start with the process of rectifier treatment.Rectifier therapeutic process (leads to Cross square 308 to show), a series of rectifier 104a ... 104n is sequentially placed moves patient on patient teeth 106 Tooth.
As a series of rectifier 104a of utilization ... at the end of the rectifier therapeutic process 308 of 104n, it is thus necessary to determine that whether suffering from Obtaining satisfied end on person's tooth, such as tooth is moved to desired position and direction 128, and result is to create an aesthetic feeling 's.If it is not, ("No" branch line 311a) control proceed to square 312, at this obtain patient teeth heating occlusion or Person's scan data, and subscribe the existing position according to tooth and direction and desired tooth position and direction (at square 314) new rectifier.Rectifier is received (at square 316) and rectifier treatment is again started up (at square 308).
At square 310, if obtaining satisfactory result ("Yes" branch line 311b) on patient teeth, control proceeds to square 318, Orthodontic therapy this patient can terminate.
Therefore, Fig. 3 illustrates some embodiment, and wherein tooth set 102 is at rectifier 104a ... 104n is removed after putting in place, And till rectifier treatment lasts till that tooth reaches desired locations 128.
Fig. 4 illustrates a series of preassigneds 130 being converted to rectifier according to some specific embodiment, instruction from tooth set Block diagram 400.A series of standards 130 pre-establishing were met in the following moment: when tooth is not conflicted (collisions), when (square 402), multiple rectifiers of reservation do not need AC-tive fittings (active attachement) (side Block 404), the quantity of multiple rectifiers of needs is less than threshold value (square 406), and tooth set appropriateness submits to (passive) (square 408) when.In certain embodiments, dentist can specify threshold value, and different dentists can use different threshold values.At some In embodiment, threshold value is less than 10.By standard set in advance, can implement to be changed into rectifier from tooth set by software Mechanism.
Tooth is conflicted and be can be described as not having enough spaces to allow a tooth to move to described two between the two teeth Occur when between tooth.AC-tive fittings refers to that the sequencing rectifier (programmed aligner) allowing moving teeth is put Put the annex on patient teeth, and passive annex (passive attachment) can be that to make permission be maintained at tooth former The annex (that is, compared with sequencing rectifier, the mobile minimum of tooth) that the maintenance rectifier of position is placed on patient teeth.
If the number of the rectifier required for adjustment tooth exceedes specific threshold, then the rectifier treatment required time is very Long, before starting rectifier treatment, proceed treatment with tooth set 102 may obtain faster and/or more preferable result.
Additionally, if wire 110 submits to (passive), (for example, they do not apply active force on tooth, do not move Tooth and simply tooth is held in place), then can be satisfied by another condition that tooth set 102 is treated.
In a particular embodiment, it is provided that the various factors with different weights the 402nd, the 404th, the 406th, 408, and total score Number determines the treatment finally whether beginning to use rectifier.For example, some embodiment may at four preassigneds the 402nd, the 404th, 404th, there are three treatments beginning to use rectifier when being satisfied in 408.In further embodiments, if tooth has Slight conflict, but other standards is the 404th, the 406th, 408 all satisfied, then can begin to use the treatment of rectifier.At another In a little embodiments, when condition 404, one of 404,406,408 to multiple being satisfied when, rectifier can be begun to use Treatment.
Fig. 5 illustrates the flow chart 500 according to some specific embodiment, it is shown that wait reservation the patient wearing tooth set The motion that rectifier occurs during putting in place on tooth.
Control starts from square 502, and when the heating of patient teeth 106 is engaged or scans obtained, and tooth set is still placed When on patient teeth, the SBR (at square 504) to rectifier for the rectifier design application 124 is tested. If tooth set is satisfied ("Yes" branch line 505a) to the preassigned 130 that rectifier is changed, then subscribe rectifier ( Square 506), ("No" branch line 505b) other operations (square 508) under reverse situation will be performed.
After subscribing rectifier (at square 506), patient is arranged to wait (at square 510) rectifier after being completed by manufacture Send here.Before receiving rectifier (square 512), and tooth set (square 514) be removed before stand-by period 510 in, Tooth with tooth set is carried out substantial motion (at square 516) by restriction.Therefore, in fact, waiting rectifier to arrive Position and before being placed on rectifier on tooth after tooth set removes (at square 514), the tooth with tooth set is not any Motion.
If the tooth being furnished with tooth set when waiting rectifier moves on a small quantity, in some concrete alternate embodiment, rectifier Design application 124 is at design rectifier 104a ... can take into account this small amount of potential motion during 104n.
Fig. 6 illustrates the block diagram 600 according to some detailed description of the invention, is shown in after removing tooth set, places sequencing Before rectifier, how the rectifier with loose fit is placed on tooth.
The first rectifier 602a in a series of rectifiers can be manufactured into the maintenance rectifier of loose fit.Described one is Second rectifier 602b of row rectifier can be manufactured into the maintenance rectifier of less loose fit.Described a series of rectification 3rd rectifier 602c of device can be manufactured into the maintenance rectifier of less loose fit.Dentist may determine that rectifier In 602a, 602b, 602c, which coordinates on patient teeth 106 with least action (for example, the most tightly) and starts to make With the treatment (at square 604) of rectifier.Maintenance rectifier tooth is returned to during customized rectifier tooth location and Direction (at square 606).Then, sequencing rectifier 608a, 608b, 608c etc. be placed sequentially on tooth 106 with Make described teeth training to desired tooth position and direction 128 (at square 610).
Therefore, Fig. 6 illustrates some specific embodiment, wherein by the first loose maintenance before using sequencing rectifier Rectifier makes tooth move to desired final position 128.Loose maintenance rectifier may be corrected by relative to sequencing Thinner, the more soft material of device is made.Loose maintenance rectifier is easily fitted on tooth and reduces rectifier because not The possibility being suitable for tooth and being retired.
Fig. 7 illustrates the block diagram 700 according to some embodiment, it is shown that may coordinate the quilt on the tooth using tooth set (truncated) rectifier of butt.
It is to be noted that when tooth set 102 is removed to coordinate rectifier, if rectifier can not coordinate, then will again Subscribe rectifier and tooth set may be reapposed, and this process is time-consuming and loaded down with trivial details.In order to avoid being again placed at tooth set On tooth, the rectifier of First ray is probably the rectifier 704 of butt rather than the rectifier 702 of routine.Rectifying of butt Positive device 704 is the butt version of conventional corrective device 702, so that the characteristic of conventional corrective device 702 disappears.Therefore, The rectifier 704 of described butt can be placed on the top with bracket 108 and the tooth of wire 110, thus determines Whether rectifier conventional (as shown in square 706) after bracket 108 and wire 110 are removed may match with tooth Close.If the rectifier of butt can not coordinate, then need a series of new rectifier.
Fig. 8 illustrates the flow chart 800 according to some specific embodiment, it is shown that how the rectifier of butt is used to determine Whether multiple rectifiers may coordinate with patient teeth.
Control starts from square 802, is received at this rectifier, and removes tooth set when receiving rectifier (at square 804), the rectifier of butt is placed on tooth (at square 806).The rectifier of butt is the quilt of a maintenance rectifier The part of butt.
Make the decision (at square 808) if appropriate for tooth for the rectifier of butt.If be suitable for ("Yes" branch line 809a), Remove tooth set (at square 810) and rectifier treatment is activated (at square 812).If it is not, ("No" branch line 809b) Then make a reservation for a series of new rectifiers (at square 814).
Therefore, Fig. 7 and 8 illustrates the detailed description of the invention that the rectifier of butt is used on the tooth with tooth set, is used for Determine whether the conventional corrective device receiving may coordinate with tooth after removing tooth set.
Fig. 9 illustrates according to some specific embodiment, the flow chart 900 of display concrete operations.Control starts from square 902, The wire of the tooth set 102 being placed at this on tooth is adjusted termly, until preassigned is satisfied.It is being embodied as In example, preassigned was satisfied in the following moment: when tooth is not conflicted;Do not need actively attached on the multiple rectifiers subscribed Part;The numerical value of the multiple rectifiers needing is less than threshold value;And wire submits to.
Control proceeds to square 904a, in the case that preassigned is satisfied, when making tooth set 102 be retained on tooth, Subscribe multiple rectifier 104a ... 104n.Control proceeds to square 904, in the case of receiving multiple rectifier of reservation, Tooth set 102 and multiple rectifier 104a ... the first rectifier in 104n puts together.Wherein, subscribing and receiving many Individual rectifier 104a ... between 104n, limits teeth training.
Figure 10 illustrates the block diagram 1000 according to some detailed description of the invention, it is shown that how rectifier 1002 is placed on trouble Person's arcus dentalis superior 1004, and how tooth set 1006 to be placed on the inferior dental arch 1008 of patient.Arcus dentalis superior observability is more preferable, and And rectifier 1002 provides more preferable aesthetic feeling, so rectifier 1002 is used on arcus dentalis superior.Inferior dental arch 1008 can Opinion property usually not arcus dentalis superior is so good, so tooth set 1006 can enough meet most of patients examining for inferior dental arch 1008 U.S. requirement.
Figure 11 illustrates the rectifier 1102 according to the demonstration of some specific embodiment with impression, and this rectifier is arranged on to be put On tooth set on tooth, tooth set includes bracket and wire 106.As shown in figure 11, bracket and wire can be in tongue sides 1008, but in substituting embodiment, bracket and wire can be in lip sides.
By integrating rectifier 1102 and breach (indentations) 1104, the rectifier after modification can be placed on bracket With on wire.Therefore, bracket and wire and rectifier can be used to make tooth move to desired locations.
Figure 12 illustrates the block diagram 1200 according to some specific embodiment, demonstrate patient how to be in complete heating and sting Closing operation.
Control starts from square 1202, and being in this patient completes heating and occlusion operation and send described heating and occlusion tooth Print is to manufacturer (at square 1204).Manufacturer sends rectifier to patient (at square 1206), reception (at square 1208) Use rectifier (1210) to the patient of described rectifier and determine whether he is satisfied with (at square 1212) for final result.As Fruit is satisfied ("Yes" branch line 1213a), and process stops (at square 1214).Dissatisfied if ("No" line 1213b), then Patient is in and completes another heating and occlusion operation.In some specific embodiment, be in complete heating and occlusion operation can To reduce the treatment cost of patient.
Therefore, Fig. 1-12 illustrates and completes from tooth set to rectification for orthodontic therapy patient based on specifically presetting standard Some specific embodiments of device conversion.When the maintenance rectifier of other loose fit is used to that tooth is returned to customized rectifier Tooth location.The rectifier of butt can be used on tooth, with determine routine rectifier if appropriate for.
In some specific embodiment, the rectifier with impression is installed in tongue side or lip side.In further embodiments, Rectifier is installed in arcus dentalis superior and tooth set is installed in inferior dental arch.
Some specific embodiment provides design tooth set 102 and rectifier 104a ... the method for 104n, system and computer can Read storage medium.Computing device 116 utilizes the digital picture of tooth to design the tooth set that its wire 110 is periodically adjusted 102, until meeting standard set in advance.Based on the additional digital image of the tooth with tooth set 102, multiple rectifiers 104a ... 104n is devised, is wherein receiving multiple rectifier 104a ... after 104n, tooth set 102 is by multiple rectifiers 104a ... the first rectifier 102a in 104n is substituted, and customizing and receiving multiple rectifier 104a ... between 104n, Limit teeth training.
Under many circumstances, dentist is when attempting treatment patient, it has been found that the malocclusion rectifier of this patient is corrected non- Often difficulty.Subsequently, this doctor can transfer to implement denture fixing device/tooth set treatment to patient, and the embodiment being previously mentioned is not aobvious Show problems.
Having in some cases, dentist can not be suitable for rectifier.Having some to use in bracket/case wiry, dentist is difficult to Complete.Specific embodiment processes a lot of different types of case, including the sight mentioned, and has provided outstanding complete Become result.The advantage that specific embodiment considers two kinds of application types in treatment.It allows patient to be converted at the appropriate time rectifying Positive device guarantees best to complete result.This means patient can forward to one more create an aesthetic feeling, more comfortable treatment method. Whole therapeutic process eliminates doubt bracket/wire application being terminated to difficulty.
Other embodiment details
Operation described in the accompanying drawings can be implemented as method, device or computer program, and its use is many The technology of kind produces software, firmware, hardware or their any combination.Additionally, some embodiment can use computer The form of program product, is embodied in one or more computer-readable recording medium, these computer-readable storage mediums Matter has the computer readable program code being stored therein.
Computer-readable recording medium can include the system of electronics, magnetic, optical, electromagnetic or semiconductor, device or equipment, Or any appropriate combination of above-mentioned object.Computer-readable recording medium can also include having one or more lead The electrical connection of line, portable computer tape or disk, hard disk, random access memory (RAM), read-only storage (ROM) programmable read-only memory (EPROM or flash memory), portable laser compact disc read-only memory can, be eliminated (CD-ROM), light storage device, magnetic memory apparatus etc..Computer-readable recording medium can be any can comprise or The tangible medium of storage program, described program can be commanded execution system, device or equipment use or in combination makes With.
Computer-readable signal media includes the data-signal being transmitted wherein with computer readable program code.Meter Calculation machine readable signal medium can be any computer-readable medium, and it is not computer-readable recording medium, and can lead to Letter, transmission and conveying program use or in connection for instruction execution system, device or equipment.Computer can Read storage medium and be different from described computer-readable signal media.
Computer program code for performing the operation of each aspect of the present invention can use one or more programming languages Any combination is write.
Flow chart and/or module map below with reference to the method according to some embodiment, system and computer program Various aspects of the invention are described.Some thing that at least some of operation display having illustrated in the drawings is occurred by a graded Part.In alternative embodiments, some operation can perform in a different order, be modified or deleted.Additionally, operation Above-mentioned logic can be added to but still meet described embodiment.Additionally, operate as described herein can be suitable Sequence ground occurs, or some operation can be processed concurrently.Further, operation can be processed list by single Unit, or performed by distributed processing unit.Computer program instructions can be with the module of implementing procedure figure.These meters Calculation machine programmed instruction can be provided to the processor of computer in order to perform.
Figure 13 shows the frame of the computer system 1300 for designing tooth set and rectifier according to some embodiments Figure.This system 1300 can include circuit 1302, and this circuit 1302 at least includes processor 1304 in certain embodiments. Processor 1304 can include suitable processor as known in the art, and such as ALU, central authorities process single Unit, the circuit performing operation, the hardware performing the instruction of computer program, microprocessor, parallel processor, array Processor, vector processor, transistorization CPU, microcontroller, logic circuit etc..According to one or Any device of multiple operation instructions or in a predetermined manner process digital information is all the example of processor 1304.System System 1300 may also include internal memory 1306 (such as volatile memory device) and memory 1308.Memory 1308 can wrap Include nonvolatile memory device (for example, EEPROM, ROM, PROM, RAM, DRAM, SRAM, flash memory, firmware, FPGA etc.), disc driver, CD drive, tape drive etc..In memory 1308 can include The storage device of portion's storage device, additional memory devices and/or network-accessible.System 1300 can include programmed logic 1310, programmed logic 1310 includes code 1312, and this code 1312 can be loaded in memory 1306 and be located Reason device 1304 or circuit 1302 perform.In certain embodiments, programmed logic 1310 includes code 1312, code 1312 can be stored in memory 1308.At some in other embodiment, programmed logic 1310 can be at circuit Implement in 1302.Therefore, although Figure 13 illustrates that programmed logic 1310 is mutually independent with other element, program is patrolled Collect 1310 to implement in memory 1306 and/or circuit 1302.
Present invention also offers a kind of method, the method includes: keep the tooth set being placed on tooth, until preassigned It is satisfied;Meeting in response to preassigned, while being maintained at tooth set on tooth, subscribes multiple rectifier; Replace described tooth set with the first rectifier in multiple rectifiers.
In some embodiments, when not having tooth to conflict, described preassigned is met.Some embodiment party In formula, when on the plurality of rectifier without using AC-tive fittings, described preassigned is met.Real at some Executing in mode, when the quantity of required multiple rectifiers is less than threshold values, described preassigned is met.At some In embodiment, when wire appropriateness is submitted to, described preassigned is met.In some embodiments, institute State preassigned to be met in a case where: do not have tooth to conflict;Without using actively on the plurality of rectifier Annex;The quantity of required multiple rectifiers is less than threshold values;And wire appropriateness submits to.
In some embodiments, at least the first rectifier relative to the lax cooperation of tooth and is maintenance rectifier, its In subscribe and receive between multiple rectifier, by tooth set limit tooth motion.
In some embodiments, it compared with the sequencing rectifier in multiple rectifiers, is used for manufacturing maintenance rectifier Material there is higher flexibility.In some embodiments, with the sequencing rectifier phase in the plurality of rectifier Ratio, the material for manufacturing maintenance rectifier is thinner.
In some embodiments, in order to determine whether described preassigned is met, one or many heating is performed Occlusion operation and scan operation.
In some embodiments, the plurality of rectifier includes having the one or more solid of different fitness from tooth Position rectifier, wherein coordinates maintenance rectifier the tightest to be installed on tooth so that tooth returns to customized described with tooth Described tooth location and direction during multiple rectifier.
In some embodiments, before replacing described tooth set with the first rectifier, the rectifier of a butt is pacified Be contained on tooth and do not remove described tooth set, with determine described first rectifier after described tooth set is removed whether permissible Coordinate with tooth.
In some embodiments, described tooth set is tongue side tooth set.In some embodiments, described tooth set is at upper tooth Substituted by described first rectifier at bow.In some embodiments, described tooth set at arcus dentalis superior by a rectification Device is substituted, and is substituted by least another rectifier at inferior dental arch.
Present invention also offers another kind of method, the method includes: be placed in bracket and wire on tooth;And will Having rectifier jaggy to be placed on tooth, wherein said bracket and wire are coupled in described breach.
In some embodiments, the method farther includes: adjust wire with moving teeth, wherein said rectification Device is also configured as moving teeth, is wherein rectified more than by a series of by the tooth amount of movement obtained by adjustment wire Tooth amount of movement obtained by positive device.
Present invention also offers another method, the method includes: be placed in rectifier on the arcus dentalis superior of patient;And will Tooth set is placed on the inferior dental arch of patient, and wherein said rectifier and tooth set are for adjusting in arcus dentalis superior and the inferior dental arch of patient The position of tooth and direction.
Unless otherwise expressly stated, term " embodiment ", " embodiment ", " multiple embodiment ", " that Embodiment ", " those embodiments ", " one or more embodiment ", " some embodiments " and " a reality Execute example " refer to " one or more (but not all) embodiment of the present invention ".
Unless otherwise expressly stated, term " includes ", "comprising", " having " and various deformation thereof refer to " bag Include but be not limited to ".
Unless otherwise expressly stated, the inventory of enumerating of project is not meant to that any or all of project excludes each other 's.
Unless otherwise expressly stated, term " ", " one " and " that " refer to " one or more ".
Unless otherwise expressly stated, the device of interconnection is not necessarily to continuously coupled each other.In addition, interconnective device Can be directly connected to or be indirectly connected with by one or more intermediate mediums.
The embodiment that description has some assemblies being connected to each other is not meant to that all these assembly is all required.Phase Instead, description includes different optional assemblies to illustrate much possible embodiment.
When single assembly described herein or article, it is obvious that can be with more than one device/thing Product (no matter whether they cooperate) replace single assembly/article.Similarly, if there is described herein more than one device Or article (no matter whether they cooperate), it is obvious that can be more than one with single assembly or item in place Device or article, or can be by the device of quantity shown by the device/item in place of varying number or program. The function of device and/or feature can be had the device of this function/feature selected by one or more not clearly stating Represent to selecting property.
Carry out the aforementioned description to various embodiments of the invention for the purpose of illustration and description.This paper exhaustive Or wish to limit the present invention to disclosed precise forms.Can make in the above teachings many improvement and Conversion.The scope of the present invention should not be so limited to this detailed description, and should be limited by the application appending claims. Above specification, example and data provide the realization of the composition to the present invention and the complete explanation of use.Due to can To make a lot of embodiments of the invention without departing from the scope of the invention, therefore the present invention is subordinated to appended In claim.

Claims (17)

1. manufacture a method for multiple rectifier for patient, wherein with the tooth set being placed on tooth, patient is entered Row treatment, the method includes:
Receive the order to multiple rectifiers, wherein while making tooth set be maintained on tooth, receive this and rectify to multiple The just order of device, and this order receives after preassigned is met;
The reception to described order for the response, manufactures multiple rectifier, wherein with the first rectification in the plurality of rectifier Tooth set replaced by device.
2. method according to claim 1, it is characterised in that when not having tooth to conflict, described preassigned It is met.
3. method according to claim 1, it is characterised in that when on the plurality of rectifier without using actively During annex, described preassigned is met.
4. method according to claim 1, it is characterised in that when the quantity of required multiple rectifiers is less than valve During value, described preassigned is met.
5. method according to claim 1, it is characterised in that when wire appropriateness is submitted to, described predetermined Standard is met.
6. method according to claim 1, it is characterised in that at least the first rectifier relaxes relative to tooth Coordinate and be maintenance rectifier, wherein subscribe and obtain between multiple rectifier, the motion of tooth is limited by tooth set.
7. method according to claim 6, it is characterised in that with the sequencing rectifier phase in multiple rectifiers Ratio, the material for manufacturing maintenance rectifier has higher flexibility.
8. method according to claim 6, it is characterised in that correct with the sequencing in the plurality of rectifier Device is compared, and the material for manufacturing maintenance rectifier is thinner.
9. method according to claim 1, it is characterised in that the plurality of rectifier includes having not with tooth With one or more maintenance rectifiers of fitness, maintenance rectifier the tightest is wherein coordinated to be installed in tooth with tooth It is upper so that tooth returns to described tooth location and direction during customized the plurality of rectifier.
10. a system, it is characterised in that comprising:
The bracket being placed on tooth and wire;With
The tool rectifier jaggy being placed on tooth, wherein said bracket and wire are coupled in described breach.
11. systems according to claim 10, it is characterised in that
Described wire is configured to by adjusting moving teeth;With
Described rectifier is configured to moving teeth, wherein by adjusting the tooth amount of movement that obtains of wire more than passing through The tooth amount of movement that a series of rectifiers obtain.
12. 1 kinds for designing tooth set and the method for multiple rectifier, it is characterised in that the method includes:
By computer equipment, using the digital picture of tooth to design tooth set, wherein said tooth set is kept to make a reservation for Till standard is met;With
According to the additional digital image of tooth, design multiple rectifier, wherein use first in the plurality of rectifier Described tooth set replaced by rectifier.
13. 1 kinds are used for designing tooth set and the system of multiple rectifier, and this system includes:
Memory;With
Being connected to the processor of described memory, wherein this processor is configured to perform operation, and described operation includes:
Use tooth digital picture design tooth set, wherein said tooth set be kept to preassigned be met for Only;With
The multiple rectifier of additional digital image design according to tooth, wherein with the first rectification in the plurality of rectifier Described tooth set replaced by device.
14. 1 kinds for designing tooth set and the computer-readable recording medium of multiple rectifier, it is characterised in that storage Code in this computer-readable recording medium is being when executed by performing operation, and described operation includes:
Designing tooth set by the digital picture of tooth, wherein said tooth set is kept to till preassigned is met; With
The multiple rectifier of additional digital image design according to tooth, wherein, uses first in the plurality of rectifier Described tooth set replaced by rectifier.
The 15. multiple rectifiers being used for tooth, it is characterised in that the plurality of rectifier includes:
First rectifier, this first rectifier and tooth be lax to be coordinated and is maintenance rectifier;
Sequencing rectifier, this sequencing rectifier is different from described first rectifier.
16. multiple rectifiers according to claim 15, it is characterised in that with the journey in the plurality of rectifier Sequence rectifier is compared, and the material for manufacturing described maintenance rectifier has higher flexibility.
17. multiple rectifiers according to claim 15, it is characterised in that with the journey in the plurality of rectifier Sequence rectifier is compared, and the material for manufacturing described maintenance rectifier is thinner.
CN201510195744.8A 2015-04-23 2015-04-23 Conversion from tooth set to rectifier in orthodontic therapy art Pending CN106156476A (en)

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