CN107088101A - The method of invisalign Mandibular deviation and the invisalign device based on this kind of method - Google Patents
The method of invisalign Mandibular deviation and the invisalign device based on this kind of method Download PDFInfo
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- 238000000034 method Methods 0.000 title claims abstract description 27
- 210000002455 dental arch Anatomy 0.000 claims abstract description 14
- 206010061274 Malocclusion Diseases 0.000 claims abstract description 13
- 238000012423 maintenance Methods 0.000 claims description 16
- 210000004283 incisor Anatomy 0.000 claims description 13
- 210000001847 jaw Anatomy 0.000 claims description 13
- 230000014759 maintenance of location Effects 0.000 claims description 13
- 208000006650 Overbite Diseases 0.000 claims description 8
- 238000005094 computer simulation Methods 0.000 claims description 3
- 238000007493 shaping process Methods 0.000 claims description 3
- 239000007787 solid Substances 0.000 claims 1
- 210000004513 dentition Anatomy 0.000 description 6
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- 230000036346 tooth eruption Effects 0.000 description 6
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- 238000000605 extraction Methods 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 3
- 238000003825 pressing Methods 0.000 description 3
- 206010051821 Retrognathia Diseases 0.000 description 2
- 238000012937 correction Methods 0.000 description 2
- 230000005489 elastic deformation Effects 0.000 description 2
- 206010068051 Chimerism Diseases 0.000 description 1
- 208000007038 Dens in Dente Diseases 0.000 description 1
- 241001653121 Glenoides Species 0.000 description 1
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- 239000003814 drug Substances 0.000 description 1
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- 230000006641 stabilisation Effects 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
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Abstract
The invention discloses a kind of method of invisalign Mandibular deviation and the invisalign device based on this kind of method.The method of invisalign Mandibular deviation comprises the following steps：Obtain the correlation circumstance for treating treating tooth, determine the target location of the leading upper jaw and the target location of lower jaw, according to the target range that lower jaw is leading relative to the upper jaw, divide some steps by the leading target location to lower jaw of the initial position of lower jaw from lower jaw, simultaneously according to teeth arrangement situation, each tooth in dental arch is carried out laterally, vertical adjustment and control to, sagittal to three-dimensional, and the target location that maxillary first molar is far moved is determined according to the target range of Mandibular deviation, maxillary first molar is moved so far to target location from initial position.Invisalign device rescues facing, Mandibular deviation inclined-plane Occlusal pad and labial teeth including invisible three-dimensional and forces down auxiliary guide plate.The present invention can carry out leading lower jaw simultaneously, push away maxillary molar to remote middle movement, and that improves angle Ⅱ malocclusion case rescues efficiency.
Description
Technical field
The present invention relates to technical field of oral medicine, more particularly to a kind of invisalign Mandibular deviation method and based on this
The invisalign device of the method for kind.
Background technology
Under normal circumstances, Class II malocclusion misfit patient is narrow with maxillary protrusion, dental arch toward contact in addition to mandibular retrusion
Narrow, the deep overbite symptom such as covering deeply.To such patient in growth and development stage, more effective treatment method is first to apply work(
Energy appliance guiding lower jaw is forward, then remote to move maxillary molar, then interior receipts force down labial teeth and set up iS-One I class occluding relations.
To the mandibular ncoplasms patient in growth and development stage, clinic commonly uses the activator of various leading lower jaw classes
To improve upper and lower jaw relation.With the leading lower jaw of straightening method, and then stimulate condylar cartilage to grow and fossa glenoid reconstruction, make
Lower jaw is obtained to grow forward, and the method for suppressing upper jaw growth and occlusal reconstruction by reaction force makes lower jaw form new stabilization
Neuromuscular position.Chinese patent literature discloses a kind of submaxilla anterior guidance device, including Mandibular deviation inclined-plane Occlusal pad and three-dimensional are rectified
Positive facing, Mandibular deviation inclined-plane Occlusal pad is arranged at the occlusal surface of three-dimensional correction facing, and the three-dimensional correction facing includes tree
Fat tooth mould and coating layer.Above-mentioned design causes the leading of lower jaw accurately to be controlled by computer, and can synchronously carry out
Straightening of teeth.But there are still following deficiency for the appliance：1st, for being gathered around with maxillary molar reach and Upper Anterior Teeth area simultaneously
Crowded case, the appliance can only leading lower jaw and straightening of teeth, and each tooth in dental arch can not be carried out laterally, it is vertical
To adjustment from, sagittal to three-dimensional and control, it is impossible to while carrying out distal movement of molar；2nd, patient need to be rescued stage by stage, be made
The cycle length that must rescue and efficiency is low；3rd, for there is the case of deep overbite simultaneously, being particularly engaged and opening in Mandibular deviation
In the state of, it is less efficient that labial teeth is forced down.
For the angle Ⅱ malocclusion case of the growth and development stage moved forward with maxillary molar, clinically typically use and subtract
The method of number tooth or tooth of turning a millstone is rescued.But, as development that is theoretical and rescuing technology is rescued in modernization, distraction is with regard to energy
Space needed for acquisition teeth arrangement is so as to the problem of solving crowded dentition.Most of mild or moderate angle Ⅱ malocclusions are sick at present
Example just can need not effectively release crowded dentition by way of extraction.Which not only simplifies therapeutic process, and subtract
The light psychological burden of patient.But upper jaw thrust bearing test rig is normally only applied to the case that denture is slight or moderate is crowded,
Also need to reach the final purpose rescued while coordinating and expanding the methods such as bow.And traditional distal movement of molar device comfort level is poor,
Its success or not treated is largely dependent upon the degree of cooperation of patient.The problem of wanting to solve to dash forward before tooth, then need
Spend the longer course for the treatment of and energy.
The content of the invention
It is an object of the present invention to：A kind of method of invisalign Mandibular deviation is provided, it can be carried out simultaneously before
Lead lower jaw and each tooth in dental arch is carried out laterally, vertical adjustment and control to, sagittal to three-dimensional.
It is another object of the present invention to：A kind of method of invisalign Mandibular deviation is provided, its step is simple, safety
Effectively, it is possible to increase efficiency is rescued to angle Ⅱ malocclusion case.
Another object of the present invention is：A kind of invisalign device is provided, its comfortable wearing, good appearance can
Lower jaw is kept extension state for a long time, premanillary teeth, mandibular anterior teeth can be improved force down efficiency.
Another object of the present invention is：A kind of invisalign device is provided, it can utilize intramaxillary anchorage and jaw
Between anchorage stably by maxillary first molar push to it is remote in, the light moderate of the upper jaw is solved by the movement of maxillary first molar control root crowded
The problem of.
For up to this purpose, the present invention uses following technical scheme：
A kind of method of invisalign Mandibular deviation is provided, comprised the following steps：
(1) obtain first the patient upper jaw, lower jaw tooth to be rescued digitized initial three-dimensional dentognathic model and under
The initial position of jaw, the lower jaw mesh leading relative to the upper jaw is determined according to the face type of patient on the initial three-dimensional dentognathic model
Subject distance, the height of Mandibular deviation inclined-plane Occlusal pad is set according to lower jaw leveling arch amount, contrasts the initial position of lower jaw with
The target location of jaw, according to the target range that lower jaw is leading relative to the upper jaw, point some steps are by lower jaw from the initial position of lower jaw
The leading target location to lower jaw, while according to teeth arrangement situation, each tooth in dental arch is carried out laterally, it is vertical to, arrow
Shape makes the sharp nest of the upper jaw, mandibular teeth relatively and contact extensively, covers tooth conjunction, covering normally to the adjustment and control of three-dimensional, and
The target location that maxillary first molar is far moved is determined according to the target range of Mandibular deviation, the initial bit of maxillary first molar is contrasted
The target location with maxillary first molar is put, maxillary first molar is moved so far to the upper jaw from the initial position of maxillary first molar
One target location ground one's teeth in sleep；
(2) according to patient's labial teeth deep overbite situation, it is determined whether need to carry out auxiliary pressure to premanillary teeth, mandibular anterior teeth
It is low to rescue, if desired then force down guide plate control premanillary teeth, mandibular anterior teeth using auxiliary and force down；
(3) according to the three-dimensional dentognathic model in computer simulation each stage, by each stage model rapid shaping and stealth is suppressed
Three-dimensional orthotic device.
As a kind of preferred technical scheme of the method for described invisalign Mandibular deviation, in the step (1)
Behind the target location that the target location and maxillary first molar for determining Mandibular deviation are far moved, according to the actual conditions of patient by under
The distance of protraction and the remote distance for moving maxillary first molar are divided into and realized for several times, wherein, each leading distance of lower jaw is about
For 0.1-3.0mm, the distance that the maxillary first molar is moved every time is 0-2.0mm, and according to Mandibular deviation apart from sublevel
Section sets the length of Mandibular deviation inclined-plane Occlusal pad, and the distance moved according to the maxillary first molar obtains some substep tooth jaws
Model, is made corresponding substep invisible three-dimensional by the substep dentognathic model and rescues facing, or every certain period of time root
The length of the Mandibular deviation inclined-plane Occlusal pad of subsequent time period is set according to the lower jaw in the distance of upper period Mandibular deviation
And the distance far moved of the maxillary first molar according to a upper period sets the stage dentognathic model of subsequent time period, and root
Corresponding stage invisible three-dimensional is made according to the stage dentognathic model and rescues facing.
As a kind of preferred technical scheme of the method for described invisalign Mandibular deviation, in the step (1) on
Jaw labial teeth, mandibular anterior teeth, which are forced down, is divided into some substeps progress, and each substep obtains a labial teeth and pushes component, and the labial teeth is pushed
Component is 0-0.5mm, and pushing the next substep of component setting according to each labial teeth pushes model, and the substep is pushed
Model is made substep and pushes invisible three-dimensional and rescue facing.
A kind of invisalign device is provided, including invisible three-dimensional rescues facing, Mandibular deviation inclined-plane Occlusal pad and labial teeth
Auxiliary guide plate is forced down, the invisible three-dimensional, which rescues facing, to be used to receive tooth to be rescued, and the invisible three-dimensional rescues facing
Maxillary first molar cheek side position is provided with raised annex, and the raised annex is used to aid in the maxillary first molar far to move,
Mandibular deviation inclined-plane Occlusal pad is arranged on the invisible three-dimensional and rescued at the occlusal surface of facing, and the labial teeth forces down auxiliary and led
Plate is arranged on the invisible three-dimensional and rescued at maxillary central incisors and the infradentale tongue side tooth conjunction of facing.
As a kind of preferred technical scheme of described invisalign device, Mandibular deviation inclined-plane Occlusal pad includes
Mandibular deviation inclined-plane Occlusal pad upper jaw part and Mandibular deviation inclined-plane Occlusal pad lower jaw part.
It is used as a kind of preferred technical scheme of described invisalign device, the Mandibular deviation inclined-plane Occlusal pad upper jaw
Part is provided with hemispheric maintenance projection, the lower jaw in the side close to the Mandibular deviation inclined-plane Occlusal pad lower jaw part
Preceding guiding incline Occlusal pad lower jaw part close to the Mandibular deviation inclined-plane Occlusal pad upper jaw part side be provided with it is described
The raised corresponding retention grooves of maintenance, the raised and described retention grooves of the maintenance with the invisible three-dimensional for being rescued wearing
Facing is realized chimeric when being in protrusive articulation state.
As a kind of preferred technical scheme of described invisalign device, the raised radius of the maintenance is 2mm, institute
The radius for stating retention grooves is 2mm.
As a kind of preferred technical scheme of described invisalign device, the raised annex includes being arranged on the upper jaw
The vertical rectangular preiection of the nearly middle position in first molar cheek side and the horizontal square for being arranged on the remote middle position in maxillary first molar cheek side
Shape is raised.
As a kind of preferred technical scheme of described invisalign device, the labial teeth, which forces down auxiliary guide plate, to be included setting
Put that upper jaw auxiliary forces down guide plate and lower jaw auxiliary forces down guide plate, the upper jaw auxiliary, which forces down guide plate and is arranged on the invisible three-dimensional, to be rectified
Control at the maxillary central incisors position of facing, it is vertical with the long axis of tooth of maxillary central incisors that upper jaw auxiliary forces down guide plate, it is described under
Jaw auxiliary, which forces down guide plate and is arranged on the invisible three-dimensional, to be rescued at the infradentale position of facing, and the lower jaw auxiliary, which is forced down, to be led
It is vertical that plate forces down guide plate with upper jaw auxiliary.
As a kind of preferred technical scheme of described invisalign device, the upper jaw auxiliary is forced down guide plate and is arranged on
At 1/3 position that maxillary central incisors tongue side tooth is closed, the lower jaw auxiliary forces down guide plate and is arranged on the conjunction of infradentale tongue side tooth
1/3 position at.
Beneficial effects of the present invention are：Substep, rescuing stage by stage are carried out to tooth using the method for invisalign, simultaneously
Realize Mandibular deviation and push away maxillary first molar in remote, the degree of crowding of maxillary teeth can be slowed down, be coming into line for tooth
Headspace, reduces the possibility of extraction；By method of the present invention, can leading lower jaw while, also can basis
Teeth arrangement situation, each tooth in dental arch is carried out laterally, it is vertical to adjustment from, sagittal to three-dimensional and control, that is, exist
While leading lower jaw, leveling dental arch, adjustment upperdental arch width, leveling arch leveling spee curves can be also come into line, can be right
Dental arch carries out the adjustment on three-dimensional and far moves maxillary first molar, effectively improves the efficiency rescued.Invisible three-dimensional is rectified
Control facing facing is rescued using transparent three-dimensional press mold so that invisalign device there is specious, comfortable wearing, it is easily clear
Clean the characteristics of, the psychological burden of patient can be mitigated；By set invisible three-dimensional rescue facing, Mandibular deviation inclined-plane Occlusal pad and
Labial teeth forces down auxiliary guide plate, and leading lower jaw can be carried out simultaneously, maxillary first molar is pushed away in remote, sets invisible three-dimensional to rescue tooth
Set and labial teeth force down auxiliary guide plate, dental arch can be controlled in three-dimensional, straightening of teeth and effectively force down the upper jaw
Labial teeth, mandibular anterior teeth, substantially increase the efficiency of orthodontic, reduce the sense of discomfort of patient；By premanillary teeth and premolar teeth
As intramaxillary anchorage, the reaction force acts of lower jaw forward are led in maxillary dentition and intermaxillary anchorage is produced, it is ensured that first molar
Anchorage during remote shifting.Set vertical rectangular preiection and horizontal rectangular raised, pass through vertical rectangular preiection and horizontal rectangular
The raised extruding rescued in invisible three-dimensional on facing produces screen resilience, can effectively aid in maxillary first molar to be pushed away in remote
It is dynamic, realize the control root movement of first molar, advantageously account for going forward crowding tooth the problem of, reduce the possibility of extraction.
Brief description of the drawings
The present invention is described in further detail below according to drawings and examples.
Fig. 1 is the structural representation of invisalign device described in embodiment.
Fig. 2 is the structural representation of Mandibular deviation inclined-plane Occlusal pad described in embodiment.
Fig. 3 is that the labial teeth under non-occlusive and interlocking pattern forces down the structural representation for aiding in guide plate.
In figure：
1st, invisible three-dimensional rescues facing；2nd, Mandibular deviation inclined-plane Occlusal pad upper jaw part；3rd, Mandibular deviation inclined-plane Occlusal pad
Lower jaw part；4th, maintenance is raised；5th, retention grooves；6th, vertical rectangular preiection；7th, horizontal rectangular is raised；8th, upper jaw auxiliary, which is forced down, leads
Plate；9th, lower jaw auxiliary forces down guide plate.
Embodiment
Further illustrate technical scheme below in conjunction with the accompanying drawings and by embodiment.
As shown in Figures 1 to 3, in the present embodiment, a kind of method of invisalign Mandibular deviation of present invention offer, including with
Lower step：
(1) obtain first the patient upper jaw, lower jaw tooth to be rescued digitized initial three-dimensional dentognathic model and under
The initial position of jaw, the lower jaw mesh leading relative to the upper jaw is determined according to the face type of patient on the initial three-dimensional dentognathic model
Subject distance, the height of Mandibular deviation inclined-plane Occlusal pad is set according to lower jaw leveling arch amount, contrasts the initial position of lower jaw with
The target location of jaw, according to the target range that lower jaw is leading relative to the upper jaw, point some steps are by lower jaw from the initial position of lower jaw
The leading target location to lower jaw, while according to teeth arrangement situation, each tooth in dental arch is carried out laterally, it is vertical to, arrow
Shape makes the sharp nest of the upper jaw, mandibular teeth relatively and contact extensively, covers tooth conjunction, covering normally to the adjustment and control of three-dimensional, and
The target location that maxillary first molar is far moved is determined according to the target range of Mandibular deviation, the initial bit of maxillary first molar is contrasted
The target location with maxillary first molar is put, maxillary first molar is moved so far to the upper jaw from the initial position of maxillary first molar
One target location ground one's teeth in sleep；
(2) according to patient's labial teeth deep overbite situation, it is determined whether need to carry out auxiliary pressure to premanillary teeth, mandibular anterior teeth
It is low to rescue, if desired then force down guide plate control premanillary teeth, mandibular anterior teeth using auxiliary and force down；
(3) according to the three-dimensional dentognathic model in computer simulation each stage, by each stage model rapid shaping and stealth is suppressed
Three-dimensional orthotic device.
Wherein, during maxillary first molar is shifted to far, the problem of maxillary teeth is crowded is can solve the problem that, is that coming into line for tooth is pre-
Spacing, using Mandibular deviation inclined-plane Occlusal pad by Mandibular deviation, the problem of can solve the problem that mandibular retrusion.In implementation process,
Each tooth in dental arch is carried out laterally, it is vertical to adjustment from, sagittal to three-dimensional and control, can play and come into line leveling tooth
Bow, adjustment upperdental arch width, leveling arch flatten the effect of spee curves, the sharp nest of the upper jaw, mandibular teeth can be made relative and
Contact extensively, laminating, covering is normal.Judged according to patient's labial teeth deep overbite situation, judge whether to need to before the upper jaw
Tooth, forcing down for mandibular anterior teeth are rescued, if necessary to aid in rescuing, then by set labial teeth force down auxiliary guide plate to the upper jaw before
Tooth, mandibular anterior teeth carry out auxiliary and forced down.A kind of method of invisalign Mandibular deviation of the present invention can in dental arch each
Tooth carry out laterally, vertical adjustment from, sagittal to three-dimensional and control to and maxillary first molar is far moved, so as to reality
Existing high good rectifying effect, that improves tooth rescues efficiency.
In the present embodiment, target location and the maxillary first molar of Mandibular deviation are determined in the step (1)
Behind the target location far moved, the distance of mandibular protraction and the remote distance for moving first molar are divided into according to the actual conditions of patient
Realize for several times, wherein, each leading distance of lower jaw is about 0.1-3.0mm, the distance that the maxillary first molar is moved every time
For 0-2.0mm, and the length of Mandibular deviation inclined-plane Occlusal pad is set according to the distance of the Mandibular deviation stage by stage, according to described
The distance of maxillary first molar movement obtains some substep dentognathic models, the substep dentognathic model is made into corresponding substep hidden
Shape three-dimensional rescues facing, or next in the distance setting of upper period Mandibular deviation according to lower jaw every certain period of time
The distance that the length and the maxillary first molar according to a upper period of the Mandibular deviation inclined-plane Occlusal pad of period are far moved
The stage dentognathic model of subsequent time period is set, and corresponding stage invisible three-dimensional is made according to the stage dentognathic model and is rescued
Facing.Wherein, the reaction force acts of Mandibular deviation are in maxillary dentition and produce the anchorage between jaw, and maxillary first molar is shifted to
In remote, realize that control root is far moved.The setting of substep dentognathic model lower jaw can be carried out it is gradual leading, while can substep will be upper
Jaw first molar is moved to target location, and is provided with corresponding Mandibular deviation in each corresponding substep dentognathic model
Inclined-plane tooth jaw pad and the substep dentognathic model for far moving maxillary first molar, it is convenient to each to be designed to by this continuous process
The setting of individual substep dentognathic model, has saved the time of setting dentognathic model, has saved cost.It is understood that by right
The distance of upper period Mandibular deviation and and the distance far moved of maxillary first molar, carry out subsequent time period to Mandibular deviation
The setting of inclined-plane Occlusal pad and stage dentognathic model, more targetedly leading lower jaw and can far move maxillary first molar.
The period being wherein separated by can be one week, two weeks, either one month two weeks, and the specific period is according to specific patient's
Depending on situation.
In the present embodiment, premanillary teeth, mandibular anterior teeth force down and are divided into some substeps and carry out in the step (1), each
Substep obtains a labial teeth and pushes component, and the labial teeth pushes component for 0-0.5mm, pushes component according to each labial teeth and set
Fixed next substep pushes model, and the substep is pushed into model substep is made pushes invisible three-dimensional and rescue facing.
In the present embodiment, a kind of invisalign device of the present invention, including invisible three-dimensional rescue facing 1, lower jaw
Preceding guiding incline Occlusal pad and labial teeth force down auxiliary guide plate, and the invisible three-dimensional, which rescues facing 1, to be used to receive tooth to be rescued,
The maxillary first molar cheek side position that the invisible three-dimensional rescues facing 1 is provided with raised annex, and the raised annex is used for auxiliary
The maxillary first molar is helped far to move, Mandibular deviation inclined-plane Occlusal pad is arranged on the invisible three-dimensional and rescues stinging for facing 1
Conjunction face place, the labial teeth forces down auxiliary guide plate and is arranged on the invisible three-dimensional and rescues to be cut in the maxillary central incisors and lower jaw of facing 1
At tooth tongue side tooth conjunction.It is by Mandibular deviation inclined-plane Occlusal pad, lower jaw is incrementally leading, rescue facing 1 in invisible three-dimensional
Upper jaw cheek side position is provided with the raised annex for aiding in far moving the maxillary first molar, invisible three-dimensional rescue facing 1 with
Maxillary first molar and raised annex produce screen resilience during compression, make invisible three-dimensional of the maxillary first molar to the step
Rescue the direction movement of facing 1.During first molar is far moved, premanillary teeth and upper jaw premolar teeth as intramaxillary anchorage,
The reaction force acts of lower jaw forward are led in maxillary dentition and intermaxillary anchorage is produced, screen resilience is in intramaxillary anchorage and intermaxillary anchorage
First molar is controlled on three-dimensional under effect, realizes and the control root of first molar is far moved, advantageously account for labial teeth
Crowded the problem of, reduce the possibility of extraction.Wherein, the preceding guiding plane and bite plane of Mandibular deviation inclined-plane Occlusal pad formation
In 70 ° of angle.Set invisible three-dimensional rescue facing 1, Mandibular deviation inclined-plane Occlusal pad and labial teeth force down auxiliary guide plate cause
Orthodontic can control can incrementally leading lower jaw while, in dental arch each tooth carry out vertical direction, horizontal direction
And the control near and far direction three-dimensional, labial teeth, which forces down auxiliary guide plate, forces down labial teeth, improves rectifying for deep overbite case
Efficiency is controlled, the operating time in tooth chair is reduced.Premanillary teeth and premolar teeth are used as intramaxillary anchorage, the reaction masterpiece of leading lower jaw
For maxillary dentition and intermaxillary anchorage is produced, in the presence of intramaxillary anchorage and intermaxillary anchorage, by maxillary first molar in remote
It is mobile to carry out control root movement, auxiliary guide plate is forced down with labial teeth to the labial teeth of deep overbite and rescued, is stung in leading lower jaw, opening
Auxiliary forces down premanillary teeth, mandibular anterior teeth in the state of conjunction, improves orthodontic efficiency, reduces the operating time by dentist's chair
The sense of discomfort of patient is also reduced simultaneously, to obtain good rectifying effect.
In the present embodiment, Mandibular deviation inclined-plane Occlusal pad includes the He of Mandibular deviation inclined-plane Occlusal pad upper jaw part 2
Mandibular deviation inclined-plane Occlusal pad lower jaw part 3.The Mandibular deviation inclined-plane Occlusal pad upper jaw part 2 is close to the Mandibular deviation
The side of inclined-plane Occlusal pad lower jaw part 3 is provided with hemispheric maintenance projection 4, the Mandibular deviation inclined-plane Occlusal pad lower jaw part
Points 3 are provided with and maintenance projection 4 is corresponding consolidates in the side close to the Mandibular deviation inclined-plane Occlusal pad upper jaw part 2
Position groove 5, maintenance projection 4 and the retention grooves 5 are used to rescue facing 1 with the invisible three-dimensional and sting in extension wearing
Realized during conjunction state chimeric.Wherein, the radius of the maintenance projection 4 is 2mm, and the radius of the retention grooves 5 is 2mm.It is described
The maintenance projection 4 and retention grooves 5 are upper and lower respectively is distributed on the inclined-plane of Mandibular deviation inclined-plane Occlusal pad, maintenance 4 Hes of projection
Retention grooves 5 are mutually chimeric, remain able to make the position of lower jaw to keep stable in the state of sleep is loosened, under being conducive to
The lasting progress of jaw joint reconstruction, can significantly improve the efficiency of Mandibular deviation.Specifically, Mandibular deviation inclined-plane Occlusal pad is set
It is equipped with two and is symmetrically arranged at the both sides that invisible three-dimensional rescues facing 1.
In an embodiment of the present invention, the raised annex includes being arranged on the perpendicular of the nearly middle position in maxillary first molar cheek side
Straight rectangular preiection 6 and the horizontal rectangular projection 7 for being arranged on the remote middle position in maxillary first molar cheek side.Wherein, the vertical square
The thickness of shape projection 6 is 0.6-1.2mm, and the thickness of the horizontal rectangular projection 7 is 0.6-1.2mm.Pass through vertical rectangular preiection 6
With control of the horizontal rectangular projection 7 on three-dimensional to maxillary first molar, good molar root movement effect can be realized
Really.
In the present embodiment, the labial teeth, which forces down auxiliary guide plate and includes being arranged on upper jaw auxiliary, forces down guide plate 8 and lower jaw is auxiliary
The low guide plate 9 of pressing aid, the upper jaw auxiliary forces down guide plate 8 and is arranged on the maxillary central incisors position that the invisible three-dimensional rescues facing 1
Place, it is vertical with the long axis of tooth of maxillary central incisors that upper jaw auxiliary forces down guide plate 8, and the lower jaw, which aids in forcing down guide plate 9, to be arranged on
The invisible three-dimensional is rescued at the infradentale position of facing 1, and the lower jaw auxiliary forces down guide plate 9 and aids in pressing with the upper jaw
Low guide plate 8 is vertical.Wherein, the upper jaw auxiliary is forced down guide plate 8 and is arranged at 1/3 position of maxillary central incisors tongue side tooth conjunction,
The lower jaw auxiliary is forced down guide plate 9 and is arranged at 1/3 position of infradentale tongue side tooth conjunction.Specifically, upper jaw auxiliary pressure
The length of low guide plate 8 regard mandibular protraction be engaged when maintenance projection 4 with retention grooves 5 in chimeric state when maxillary central incisors and
Between infradentale depending on distance and angle, it is to be understood that force down guide plate 8 when upper jaw auxiliary and aid in forcing down with lower jaw leading
Contact area is maximum between plate 9 and upper jaw auxiliary to force down guide plate 8 be optimal embodiment in short-term as far as possible.Wherein, lower jaw is auxiliary
The length of the low guide plate 9 of pressing aid than the upper jaw aid in forcing down guide plate 8 and lower jaw aid in forcing down producing between guide plate 9 gently contact away from
From about long 0.5mm, and upper jaw auxiliary force down guide plate 8 and lower jaw auxiliary force down guide plate 9 width and thickness be respectively 6mm,
3mm.When the maintenance projection 4 and retention grooves 5 of Mandibular deviation inclined-plane Occlusal pad are in chimerism, upper jaw auxiliary forces down guide plate
8 and lower jaw auxiliary force down the elastic deformation that guide plate 9 is in contact and produces 0.5mm, wherein, the resilience produced during elastic deformation
Power can be forced down premanillary teeth, mandibular anterior teeth so that in state of the lower jaw in leveling arch, labial teeth still can be kept
The effect forced down.
It is preferred that, the invisible three-dimensional rescues facing 1 and rescues facing using transparent three-dimensional press mold.Transparent three-dimensional press mold
Rescue facing have it is specious, wear conveniently, easy cleaning the characteristics of, the sense of discomfort of patient can be efficiently reduced, mitigate
The psychological burden of patient.
The English entitled occlusion of " tooth conjunction " in applying herein, in dentistry dens in dente and the left side for being combined into a word
Portion and right part, but can not find in common character library such word, therefore separately writing.
It is to be understood that, above-mentioned embodiment is only that presently preferred embodiments of the present invention and institute's application technology are former
Reason, in technical scope disclosed in this invention, change that any one skilled in the art is readily apparent that or
Replace, should all cover within the scope of the present invention.
Claims (10)
1. a kind of method of invisalign Mandibular deviation, it is characterised in that comprise the following steps：
(1) the digitized initial three-dimensional dentognathic model and lower jaw of patient's upper jaw, lower jaw tooth to be rescued are obtained first
Initial position, determined according to the face type of patient on the initial three-dimensional dentognathic model lower jaw target leading relative to the upper jaw away from
From setting the height of Mandibular deviation inclined-plane Occlusal pad according to lower jaw leveling arch amount, contrast the initial position and lower jaw of lower jaw
Target location, according to the target range that lower jaw is leading relative to the upper jaw, point some steps are leading by the initial position of lower jaw from lower jaw
To the target location of lower jaw, while according to teeth arrangement situation, each tooth in dental arch is carried out laterally, it is vertical to, sagittal to
The adjustment and control of three-dimensional, make the sharp nest of the upper jaw, mandibular teeth relatively and contact extensively, cover tooth conjunction, covering normally, and according to
The target range of Mandibular deviation determines the target location that maxillary first molar is far moved, contrast maxillary first molar initial position and
The target location of maxillary first molar, is moved so far to the upper jaw first from the initial position of maxillary first molar by maxillary first molar and grinds
The target location of tooth；
(2) according to patient's labial teeth deep overbite situation, it is determined whether need to force down strong to premanillary teeth, mandibular anterior teeth progress auxiliary
Control, if desired then force down guide plate control premanillary teeth, mandibular anterior teeth using auxiliary and force down；
(3) according to the three-dimensional dentognathic model in computer simulation each stage, by each stage model rapid shaping and invisible three-dimensional is suppressed
Orthotic device.
2. the method for invisalign Mandibular deviation according to claim 1, it is characterised in that in the step (1) really
Behind the target location that the target location and maxillary first molar for determining Mandibular deviation are far moved, according to the actual conditions of patient by lower jaw
The distance of extension and the remote distance for moving maxillary first molar are divided into and realized for several times, wherein, each leading distance of lower jaw is about
0.1-3.0mm, the distance that the maxillary first molar is moved every time is 0-2.0mm, and according to the distance of Mandibular deviation stage by stage
The length of Mandibular deviation inclined-plane Occlusal pad is set, and the distance moved according to the maxillary first molar obtains some substep tooth jaw moulds
Type, is made corresponding substep invisible three-dimensional by the substep dentognathic model and rescues facing, or every certain period of time according to
The lower jaw upper period Mandibular deviation distance set subsequent time period Mandibular deviation inclined-plane Occlusal pad length with
And the distance far moved of the maxillary first molar according to a upper period sets the stage dentognathic model of subsequent time period, and according to
The stage dentognathic model is made corresponding stage invisible three-dimensional and rescues facing.
3. the method for invisalign Mandibular deviation according to claim 2, it is characterised in that the upper jaw in the step (1)
Labial teeth, mandibular anterior teeth, which are forced down, to be divided into some substeps and carries out, and each substep obtains a labial teeth and pushes component, and the labial teeth is pushed point
Measure as 0-0.5mm, component is pushed according to each labial teeth set next substep and push model, and by the substep dip mold
Type is made substep and pushes invisible three-dimensional and rescue facing.
4. a kind of invisalign device, it is characterised in that including invisible three-dimensional rescue facing, Mandibular deviation inclined-plane Occlusal pad and
Labial teeth forces down auxiliary guide plate, and the invisible three-dimensional, which rescues facing, to be used to receive tooth to be rescued, and the invisible three-dimensional rescues tooth
The maxillary first molar cheek side position of set is provided with raised annex, and the raised annex is used to aid in the maxillary first molar remote
Move, Mandibular deviation inclined-plane Occlusal pad is arranged on the invisible three-dimensional and rescued at the occlusal surface of facing, and the labial teeth forces down auxiliary
Assistant director of a film or play's plate is arranged on the invisible three-dimensional and rescued at maxillary central incisors and the infradentale tongue side tooth conjunction of facing.
5. invisalign device according to claim 4, it is characterised in that under Mandibular deviation inclined-plane Occlusal pad includes
Guiding incline Occlusal pad upper jaw part and Mandibular deviation inclined-plane Occlusal pad lower jaw part before jaw.
6. invisalign device according to claim 5, it is characterised in that the Mandibular deviation inclined-plane Occlusal pad maxillar part
Divide and be provided with the side close to the Mandibular deviation inclined-plane Occlusal pad lower jaw part before hemispheric maintenance projection, the lower jaw
Guiding incline Occlusal pad lower jaw part close to the Mandibular deviation inclined-plane Occlusal pad upper jaw part side be provided with it is described solid
The raised corresponding retention grooves in position, the raised and described retention grooves of the maintenance with the invisible three-dimensional for rescuing tooth wearing
Set is realized chimeric when being in protrusive articulation state.
7. invisalign device according to claim 6, it is characterised in that the raised radius of the maintenance is 2mm, described
The radius of retention grooves is 2mm.
8. invisalign device according to claim 4, it is characterised in that the raised annex includes being arranged on the upper jaw the
One grind one's teeth in sleep cheek side it is near in position vertical rectangular preiection and be arranged on maxillary first molar cheek side it is remote in position horizontal rectangular
It is raised.
9. invisalign device according to claim 4, it is characterised in that the labial teeth, which forces down auxiliary guide plate, to be included setting
Upper jaw auxiliary forces down guide plate and lower jaw auxiliary forces down guide plate, and the upper jaw auxiliary, which forces down guide plate and is arranged on the invisible three-dimensional, to be rescued
At the maxillary central incisors position of facing, it is vertical with the long axis of tooth of maxillary central incisors that upper jaw auxiliary forces down guide plate, the lower jaw
Auxiliary, which forces down guide plate and is arranged on the invisible three-dimensional, to be rescued at the infradentale position of facing, and the lower jaw auxiliary forces down guide plate
It is vertical that guide plate is forced down with upper jaw auxiliary.
10. invisalign device according to claim 9, it is characterised in that the upper jaw auxiliary is forced down guide plate and is arranged on
At 1/3 position that maxillary central incisors tongue side tooth is closed, the lower jaw auxiliary forces down guide plate and is arranged on the conjunction of infradentale tongue side tooth
1/3 position at.
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