CN107115155A - A kind of accurate method for describing basal arch line and dental arch curve - Google Patents

A kind of accurate method for describing basal arch line and dental arch curve Download PDF

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Publication number
CN107115155A
CN107115155A CN201710457090.0A CN201710457090A CN107115155A CN 107115155 A CN107115155 A CN 107115155A CN 201710457090 A CN201710457090 A CN 201710457090A CN 107115155 A CN107115155 A CN 107115155A
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model
drawing board
oral cavity
pen
base
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CN107115155B (en
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周昱
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SCHOOL & HOSPITAL OF STOMATOLOGY WENZHOU MEDICAL UNIVERSITY
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SCHOOL & HOSPITAL OF STOMATOLOGY WENZHOU MEDICAL UNIVERSITY
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/12Brackets; Arch wires; Combinations thereof; Accessories therefor
    • A61C7/20Arch wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/04Measuring instruments specially adapted for dentistry

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

A kind of accurate method for describing basal arch line and dental arch curve, it is characterised in that mainly comprise the following steps:1)Prepare oral cavity model plotting board;2)Marked a little in oral cavity model;3)Fixed oral cavity model;4)Model orientation;5)Drawing board is placed in drawing board frame;6)All mark points on model are transferred on drawing board;7)Drawing board is taken out, each mark point is linked to be arcuate line.It can be realized by the device and accurately depict the bowl lines such as dental arch, basal arch, be also used for the analysis of other data of oral cavity model.

Description

A kind of accurate method for describing basal arch line and dental arch curve
Technical field
The present invention relates to a kind of oral cavity medical apparatus, and in particular to a kind of oral cavity model plotting board and is entered using the device The method that row describes basal arch line and dental arch curve.
Background technology
Tooth malocclusion clinic orthodontic treatment purpose be balance, stably, it is attractive in appearance.A stabilization is obtained after orthodontic treatment , the personalized Arch width stability long-term to patient's orthodontic treatment is most important.And Arch width and basal arch form Closely related, correction clinically, when we design and formulate the therapeutic scheme of correction patient, should take into full account individual difference Property, and personalized arch wire is bent according to the base Bones morphology of its patient itself, base Bones morphology is mainly determined by inherent cause, basal arch Form is closely related with Arch width, therefore we recognize that to the very limited degree of change of Arch width in orthodontic treatment, such as Because arch bend it is excessive caused by denture excessively expand stabilization of the bow not only bad for treatment, and all bone crackings of root of the tooth etc. can be caused Serious adverse consequences.Arch wire determines position of the patient teeth in jawbone, that is, determines Arch width, the arch wire of larger error can draw The arch and patient's jawbone basal arch for playing denture are mismatched, and domestic and international numerous studies show that the movement of any tooth in orthodontic treatment should Using WALA ridge lines be basal arch shape as boundary, beyond limitation correction action not only influence treatment results stability, And periodontal bone can be caused to ftracture, and a series of serious problems such as fenestration, gingival recession, very there are some researches show labial teeth area tooth lip cheek The thickness of face alveolar bone is belittled very much, at 2mm, average thickness only has 0.57 ± 0.37mm, backteeth area tooth below alveolus crestal culmination The thickness of tooth buccal labial surface alveolar bone is average in 1.2mm or so, the alveolar bone thickness belittled Just because of this, so unsuitable bow Shape, is very easy to cause bone problems of crack.And personalized arch wire that one bends according to basal arch form is in place to after denture An Arch width matched with basal arch is inherently obtained, the risk that tooth is remedied to outside basal arch shape line can be avoided, Avoid in corrective therapy because denture arch bend it is unreasonable cause periodontal bone to ftracture, fenestration, gingival recession etc. are a series of Problem.Therefore, according to base Bones morphology to bend personalized arch wire significant for clinic.
And clinical research shows that WALA ridges can be as the reliable anatomic landmark of base bone, basal arch shape is that WALA ridges connect Arch formed by line connection, so-called WALA ridges are attached gingiva and most salient point on the tenia of alveolar mucosa boundary.It is clinical normal It is reference of the basal arch shape as the Arch width for making personalization, specific arch wire with arch formed by the connection of WALA ridges line Bend with reference to require be Arch width second molar area should in basal arch line 2.2mm, first molar area tooth should be in basal arch 2.0mm in line, second bicuspid area should in basal arch line 1.3mm, first bicuspid area should in basal arch line 0.8mm, it is preceding Tooth area matches with basal arch shape, but because basal arch shape is discontinuous on model by being distributed in(WALA ridges)Dissect salient point Constitute, dissection salient point from level to from model some are on the upper side, some are on the lower side, not in same plane, dissect salient point from Occlusal surface is observed, and some are partially interior, and some are partially outer, so basal arch shape is not an arcuate line of necessary being, clinician If removing to bend the personalized arch wire for making to match with patient oral cavity Arch width according to this imaginary basal arch form, clinic behaviour There is bigger difficulty in work, the arch wire bent certainly exists larger error.Clinical clinically doctor uses arch wire at present Method has two kinds, and method one is to use finished product arch wire, and arch wire arcuate has shaped before dispatching from the factory, arcuate point oval type, sharp round, ellipse Type, doctor visually observes patient's oral condition, selects a close arcuate, the shortcoming of this method is that selected arcuate does not possess It is personalized;Method two:Doctor visually observes patient's oral cavity model or intraoral situation, and an arch wire is bent by hand;Two methods institute Obtained arch wire is all that doctor observes this imaginary basal arch shape line, very rough making arch wire or choosing according to clinical experience Preforming arch wire is selected, can not several millimeters accurately at all according to the tooth of what tooth position required in theory in basal arch Seek the arch wire for bending personalization.And use this rough selection or the method for making arch wire usually to cause the tooth of some in dental arch Tooth, which is offset to outside jawbone, causes all bone crackings of root of the tooth, and gum adheres to the complication such as lost.
The content of the invention
For problem present in background technology, the purpose of the present invention is surveyed and drawn by providing a kind of multifunctional oral cavity model Device realizes the accurate method for depicting the bowl lines such as dental arch, basal arch.
The present invention is adopted the following technical scheme that:
A kind of accurate method for describing basal arch line, it is characterised in that mainly comprise the following steps:
1)Prepare oral cavity model plotting board;
The oral cavity model plotting board is mainly including base, the pillar being fixedly connected with base, and portion sets model in the base Seat adjusting means;Being provided with above the model seat adjusting means is used to place and fixes the model seat of oral cavity model;Model seat Top is provided with the drawing board frame being fixed on pillar, and drawing board inframe is provided with matched drawing board;The upper end of pillar is additionally provided with therewith The linkage of flexible connection;The other end of the linkage is provided with drawing apparatus;The drawing apparatus mainly includes retouching bar, Retouching bar lower end and being provided with is used to position the lower pen of each mapped point in oral cavity model, retouches and is provided with that be used for will be each in oral cavity model in the middle part of bar Mapped point is painted into the upper pen on drawing board;
The model seat adjusting means is constituted by tightening piece, height regulating sleeve and provided with externally threaded upper lower dolly bar;It is described Arc-shaped partition is provided with the middle part of height regulating sleeve, internal thread is provided with the inside of the height regulating sleeve below arc-shaped partition, its It is engaged with the external screw thread of upper lower dolly bar;
The lower section of model seat provided with model seat spacing ball, model seat and model seat adjusting means by model seat spacing ball with Arc-shaped partition is engaged realization and rotates connection;
The model seat includes the model base of model retentive base and its top;The side position of plane two is respectively provided with model retentive base One model fixing device;Oral cavity model is to be placed in model base, and mould is passed through after oral cavity model is adjusted to correct position Type fixing device is fixed in model base;The lower pen front end of the drawing apparatus is coniform, and middle part is provided with for retouching Compression spring is provided with the jack of bar lower end insertion, jack, the rear portion of lower pen is provided with trigger, and trigger upper surface is inclined-plane, tiltedly Face is provided with the chute to lower recess;The upper end for retouching bar is connected with linkage, retouches and connection fixed thereto is provided with the middle part of bar Fixture, retouches and is additionally provided with the axle sleeve being flexibly connected therewith in the middle part of bar, spring is provided between axle sleeve and fixture;The drawing apparatus Also include rectangular motion bar, the transverse bar of motion bar passes through axle sleeve, and front end is fixedly connected with pen, the vertical bar of motion bar End is in arc-shaped, in trigger inclined-plane chute;
The model fixing device is made up of bearing, screw and stator, and the bearing upper end is provided with helicoid through hole, with leading to The screw that hole is engaged passes through through hole, and screw is fixedly connected with stator close to one end of model base;
The base provided with 3 groups of chutes, in chute provided with can along slide laser localized light comparing;
Laser localized light comparing is made up of laser lamp, folding rod and screw thread cross bar, and one end that screw thread cross bar stretches out base is provided with nut, leads to Cross and tighten nut laser localized light comparing is fixed on base;
It is provided with preferably, the drawing board outer frame week is provided with upward edge, edge to be used to place in the middle part of drawing board, drawing board frame Through hole;
The line of the lower pen front end end points and upper pen front end end points is perpendicular to horizontal plane;
The drawing board is transparent plastic sheet;
2)Take the patient's oral cavity model one trimmed, observing and nursing, each tooth of being had good positioning on model with marking pen WALA ridge points;Make marks, be marked by since side first molar or second molar, until opposite side first is ground Tooth or second molar, obtain each mark point;
3)In the model base that oral cavity model is placed on to oral cavity model plotting board, adjusted according to model bottom gypsum thickness Model fixing device, by screwing screw, the stator of screw front end is fitted in securely the both sides of oral cavity model, realizes mouth Chamber model is firmly secured in model base;
4)Three laser localized light comparings on base are opened, the height and adjustment model seat spacing ball of regulation model seat adjusting means exist Position in model seat adjusting means, make projection of the light on model that laser localized light comparing launches respectively with left mark point, right mark Note point and the alignment of preceding mark point, then tightening tightening piece makes model seat spacing ball not be rotated further by;Laser localized light comparing is folded down; The left mark point is the WALA ridge points of left side first molar, and right mark point is the WALA ridge points of right side first molar, preceding mark Point is the midpoint of left and right central incisor WALA ridge points;
5)Drawing board is placed in drawing board frame;
6)The hand-held lower pen handle of the right hand, fastens trigger, forces in lower pen handle by the right hand and drive motion bar, make to retouch Pen is placed on above drawing board, and leaves drawing board, each mark point that lower description pen is then described on Alignment model one by one, is accurately positioned Afterwards, relaxation trigger causes pen to be left marks on drawing board;Continue to fasten trigger, continue to describe next mark according to above method Point is remembered, until all mark points are transferred on drawing board on model;
7)Drawing board is taken out, each mark point is linked to be to the basal arch line of arcuate line, as model.
A kind of accurate method for describing dental arch curve, it is characterised in that mainly comprise the following steps:
1)Prepare oral cavity model plotting board;
2)The patient's oral cavity model one trimmed is taken, each tooth contour high point of being had good positioning on model with marking pen, Make marks, be marked by since side first molar or second molar, until opposite side first molar or the second mill Tooth, obtains each mark point;
3)In the model base that oral cavity model is placed on to oral cavity model plotting board, adjusted according to model bottom gypsum thickness Model fixing device, by screwing screw, the stator of screw front end is fitted in securely the both sides of oral cavity model, realizes mouth Chamber model is firmly secured in model base;
4)Three laser localized light comparings on base are opened, the height and adjustment model seat spacing ball of regulation model seat adjusting means exist Position in model seat adjusting means, make projection of the light on model that laser localized light comparing launches respectively with left mark point, right mark Note point and the alignment of preceding mark point, then tightening tightening piece makes model seat spacing ball not be rotated further by;Laser localized light comparing is folded down; The left mark point is the WALA ridge points of left side first molar, and right mark point is the WALA ridge points of right side first molar, preceding mark Point is the midpoint of left and right central incisor WALA ridge points;
5)Drawing board is placed in drawing board frame;
6)The hand-held lower pen handle of the right hand, fastens trigger, forces in lower pen handle by the right hand and drive motion bar, make to retouch Pen is placed on above drawing board, and leaves drawing board, each mark point that lower description pen is then described on Alignment model one by one, is accurately positioned Afterwards, relaxation trigger causes pen to be left marks on drawing board;Continue to fasten trigger, continue to describe next mark according to above method Point is remembered, until all mark points are transferred on drawing board on model;
7)Drawing board is taken out, each mark point is linked to be to the dental arch curve of arcuate line, as model.
Above-mentioned oral cavity model plotting board, ingenious in design, easy to use, functional diversities, and with following beneficial effect Really:(1), can be by WALA ridge points using upper and lower pen using each WALA ridge point in device positioning oral cavity model before rescuing It is transferred on drawing board, is to draw a bowl line for representing basal arch shape by each mark point line;Bilateral is positioned with lower pen Backteeth area corona height of contour, can be transferred to plastic, transparent by bilateral backteeth area corona height of contour using upper and lower pen and put down On plate, corona height of contour is measured on plastic, transparent plate to basal arch shape linear distance, accurately can expand bow size in estimated backteeth area, And whether determine that backteeth area expands bow is that bow is symmetrically expanded in the left and right sides, or asymmetric expand is bent;It can accurately calculate and expand the tooth that bow is brought Gap is arranged, decides whether there is important references meaning as desired by extraction to provide gap to crowded dentition patient.To later stage correction Treat Computer Aided Design significant.(2)Using each WALA ridge point in device positioning oral cavity model before rescuing, using it is upper, WALA ridge points can be transferred on drawing board by lower pen, be to draw the arch for representing a basal arch shape song by each mark point line Line, then according to the requirement of preferable arcuate line, i.e. Arch width be second molar area should in basal arch line 2.2mm, first Grind one's teeth in sleep area's tooth should in basal arch line 2.0mm, second bicuspid area should in basal arch line 1.3mm, first bicuspid area should be 0.8mm in basal arch line, labial teeth area matches with basal arch shape, you can depict one according to basal arch form personalized designs Denture arch, doctor can do sth. in advance to be bent from carefully to thick according to this arch form line, and all patients from soft to hard need to use Arch wire, save patient to examine when clinical manipulation time.Including being intended to bend 0.012,0.014,0.016,0.018 inch of nickel Titanium justifies silk, and 0.016,0.018 inch of stainless steel round wire, 0.016*0.022,0.017*0.022,0.019*0.022,0.020* 0.022nd, 0.016*0.025,0.017*0.025,0.018*0.025,0.019*0.025,0.020*0.025 inches of NiTi side A series of arch wires used in patient oral cavity such as silk.(3)In the orthodontic treatment later stage, take after the oral cavity model of patient, correction model, along Each tooth contour high point describes dental arch curve, and is compared with the basal arch shape described before treatment, when judging Arch width It is whether preferable, provide reference for later stage intense adjustment.Orthodontic treatment terminates, and the oral cavity final cast of patient is taken, along outside each tooth Shape high point describes dental arch curve, and is compared with the basal arch shape described before treatment, is when can accurately judge Arch width No ideal, it is whether reasonable for studying orthodontic treatment design, provide reference for clinic orthodontic treatment.(4)The present apparatus can be used for The analysis of other data of oral cavity model, such as sectional are described on each segment length of dental arch, model on drawing board between left and right sides tooth Width, the length before and after dental arch, basal arch is in width of each tooth section etc..
Brief description of the drawings
Fig. 1 is the structural representation of oral cavity model plotting board of the present invention;
Fig. 2 is the side structure schematic diagram of the use state of oral cavity model plotting board of the present invention;
Fig. 3 is drawing board;
Fig. 4 is the structural representation of laser localized light comparing;
Fig. 5 is the structural representation of model fixing device;
In figure:1- bases;2- models seat;2-1- model retentive bases;2-2- model bases;3- drawing board frames;4- pillars;5- describes dress Put;Pen under 5-1-;The upper pens of 5-2-;5-3- triggers;5-4- retouches bar;5-5- fixtures;5-6- motion bars;5-7- axle sleeves;6- Linkage;7- model fixing devices;7-1- bearings;7-2- screws;7-3- stators;8- models seat adjusting means;8-1- is twisted Tight part;8-2- height regulating sleeves;The upper lower dolly bars of 8-3-;9- models seat spacing ball;10- laser localized light comparings;10-1- laser Lamp;10-2- folding rods;10-3- screw thread cross bars;11- chutes;12- nuts.
Embodiment
The present invention is described in further detail with reference to the accompanying drawings and examples.
Embodiment 1
The present invention devises a kind of oral cavity model plotting board, and the device mainly includes base 1, model seat 2, drawing board frame 3, pillar 4th, drawing apparatus 5 and linkage 6, wherein:The lower end of pillar 4 is fixedly connected on base 1;The middle part of pillar 4 is fixedly connected Drawing board frame 3, the periphery of drawing board frame 3 is provided with upward edge, edge to be used to place and is provided with the middle part of matched drawing board, drawing board frame Through hole is to facilitate drawing board to take out;The upper end of pillar 4 is provided with the linkage 6 being flexibly connected therewith, and linkage 6 can be around pillar 4 rotate;The other end connection drawing apparatus 5 of linkage 6.
The middle part of base 1 sets model seat adjusting means 8;Being provided with above model seat adjusting means is used to place and fixing port The model seat 2 of chamber model.Oral cavity model is securely placed on model seat 2 for convenience, and the model seat that the present invention is designed is two Rotating fields, lower upper small greatly, lower floor is model retentive base 2-1, and upper strata is model base 2-2;In the upper flat of model retentive base 2-1 Face, a model fixing device 7 is respectively provided with by two side positions;Oral cavity model is to be placed on model base 2-2, works as oral cavity model It is adjusted to after correct position be fixed in model base by model fixing device.The structure of model fixing device 7 can be with For:It is made up of bearing 7-1, screw 7-2 and stator 7-3, and the bearing upper end is provided with helicoid through hole, is matched with through hole The screw of conjunction passes through through hole, and screw is fixedly connected with stator close to one end of model base.
Above-mentioned model seat adjusting means is preferably with following structure, i.e., model seat adjusting means 8 is by height regulating sleeve 8- 2 and constituted provided with externally threaded upper lower dolly bar 8-3;Arc-shaped partition is provided with the middle part of height regulating sleeve, under arc-shaped partition Internal thread is provided with the inside of the height regulating sleeve of side, the internal thread is engaged with the external screw thread of upper lower dolly bar;Under model seat 2 Side can be rotated provided with model seat spacing ball 9, model seat spacing ball in arc-shaped partition, by adjusting model seat spacing ball in arc Position in shape dividing plate realizes that the oral cavity model being placed in model base is horizontal, and tightening piece 8-1 is then tightened, by mould Type seat spacing ball 9 is fixed on motionless in arc-shaped partition.
Drawing apparatus designed by the present invention mainly includes retouching bar 5-4, and retouching bar lower end and being provided with is used to position oral cavity model The lower pen 5-1 of each mapped point, retouches the upper pen for being provided with the middle part of bar and being used for being painted into each mapped point in oral cavity model on drawing board 5-2.In order to more easily operate and preferably describe effect, drawing apparatus 5 is preferably following scheme:The rear end structure of lower pen Use for reference pistol structure, i.e., descend pen rear portion be provided with trigger 5-3, tip be set to it is coniform, middle part provided with confession retouch bar lower end The jack of insertion, jack bottom is provided with compression spring;In order to realize that pen 5-2 does not connect with drawing board in mobile drawing apparatus 5 Touch, the upper surface of the trigger 5-3 designed by the present invention is inclined-plane, that is, have certain gradient, and be provided with inclined-plane to lower recess Chute;Motion bar is made up of transverse bar and vertical bar, is mutually perpendicular at right angles;Because motion bar needs are small along above and below bar 5-4 is retouched Width is slided, and the present invention is provided with the middle part of bar and retouches the fixture 5-5 that bar is fixedly connected retouching, and can be along retouching in the middle part of bar setting The axle sleeve 5-7 that bar is moved up and down is retouched, provided with spring (being in contraction state when this spring does not stress) between axle sleeve and fixture;It is living The transverse bar of lever passes through axle sleeve, and front end is fixedly connected with pen 5-2, and the vertical bar end of motion bar is set to arc-shaped, position In trigger inclined-plane chute.The upper end for retouching bar 5-4 is connected with linkage 6.Linkage 6 it is main by left and right connector and Middle connecting rod is constituted.In order to ensure the mapped point in oral cavity model is transferred on drawing board exactly, lower pen 5-1 front ends end The line of point P points and upper pen 5-2 front ends end points C points is perpendicular to horizontal plane.
When fastening trigger, trigger inclined-plane rear end is lifted up, the vertical bar of motion bar chute internal cause inclined-plane rear end to On lift and move up, drive transverse bar and axle sleeve to move up, pen is not contacted away from drawing board with drawing board in realization;When putting down During trigger, upper pen contact drawing board is used for mapped point(Such as WALA ridge points)It is painted on drawing board.
In order to ensure oral cavity model places level, the present invention devises laser localized light comparing 10, the lower end of laser localized light comparing 10 with Base is connected and can slided on base, therefore, and the present invention sets 3 groups on the base 1 of multifunctional oral cavity model plotting board Be respectively equipped with chute 11, every group of chute can along slide laser localized light comparing 10.The laser localized light comparing 10 is by laser lamp 10-1, folding rod 10-2 and screw thread cross bar 10-3 are constituted, and one end that screw thread cross bar 10-3 stretches out base is provided with nut 12, by twisting Laser localized light comparing 10 is fixed on base by tight nut 12.In use, projection of the light launched of laser lamp in oral cavity model It is aligned respectively with left and right, preceding mark point, wherein the WALA ridge points of left mark point alignment left side first molar, right mark point alignment The WALA ridge points of left side first molar, preceding mark point is directed at the midpoint of left and right central incisor WALA ridge points.Oral cavity model regulation is fixed After good, folding rod 10-2 can be folded down and drawn in, to facilitate mapping operation.
Embodiment 2
The description of basal arch line, operating method is as follows:
1)Take the patient's oral cavity model one trimmed, observing and nursing, each tooth of being had good positioning on model with marking pen WALA ridge points;Make marks, be marked by since the first molar of side, until opposite side first molar, obtains each Mark point;
2)Oral cavity model is placed on the model base 2-2 of oral cavity model plotting board, adjusted according to model bottom gypsum thickness Whole good model fixing device 7, by screwing screw 7-2, oral cavity model is fitted in by the stator 7-3 of screw front end securely Both sides, realize that oral cavity model is firmly secured on model base 2-2;
3)Three laser localized light comparings 10 on base are opened, the height and adjustment model seat of regulation model seat adjusting means 8 are spacing Position of the ball 9 in model seat adjusting means, make projection of the light on model that laser localized light comparing 10 launches respectively with left mark Point, right index point and the alignment of preceding index point, then tightening tightening piece 8-1 makes model seat spacing ball 9 not be rotated further by;By laser positioning Lamp is folded down;The left index point is the WALA ridge points of left side first molar, and right index point is the WALA of right side first molar Ridge point, preceding index point is the midpoint of left and right central incisor WALA ridge points;
4)Drawing board is placed in drawing board frame;
5)The hand-held lower pen 5-1 handles of the right hand, fasten trigger 5-3, force in lower pen handle by the right hand and drive motion bar 5-6, makes pen be placed on above drawing board, and leaves drawing board, each mark point that lower description pen is then described on Alignment model one by one, After being accurately positioned, relaxation trigger causes pen 5-2 to be left marks on drawing board;Continue to fasten trigger, continue according to above method Describe next mark point, until all mark points are transferred on drawing board on model;
6)Drawing board is taken out, each mark point is linked to be to the basal arch line of arcuate line, as model;
7)It is theoretical according to preferable dental arch curve, i.e., preferable Arch width for second molar area should in basal arch line 2.2mm, First molar area tooth should in basal arch line 2.0mm, second bicuspid area should in basal arch line 1.3mm, first bicuspid area Should in basal arch line 0.8mm, labial teeth area matches with basal arch shape.With this according to the preferable arch form line of description.
Embodiment 3
The description of arch wire, operating method is as follows:
1)The patient's oral cavity model one trimmed is taken, this model can be the archetype of patient before orthodontic treatment, also may be used To be in orthodontic treatment or orthodontic treatment terminates the final cast of rear patient, selection, observing and nursing, in mould are needed according to clinical treatment Had good positioning each tooth contour high point, made marks since side first molar or second molar with marking pen in type, by It is marked, until opposite side first molar or second molar;
2)Oral cavity model is placed on the model base 2-2 of oral cavity model plotting board, adjusted according to model bottom gypsum thickness Whole good model fixing device 7, by screwing screw 7-2, oral cavity model is fitted in by the stator 7-3 of screw front end securely Both sides, realize that oral cavity model is firmly secured on model base 2-2;
3)Three laser localized light comparings 10 on base are opened, the height and adjustment model seat of regulation model seat adjusting means 8 are spacing Position of the ball 9 in model seat adjusting means, make projection of the light on model that laser localized light comparing 10 launches respectively with left mark Point, right index point and the alignment of preceding index point, then tightening tightening piece 8-1 makes model seat spacing ball 9 not be rotated further by;By laser positioning Lamp is folded down;The left index point is the WALA ridge points of left side first molar, and right index point is the WALA of right side first molar Ridge point, preceding index point is the midpoint of left and right central incisor WALA ridge points;
4)Drawing board is placed in drawing board frame;
5)The hand-held lower pen 5-1 handles of the right hand, fasten trigger 5-3, force in lower pen handle by the right hand and drive motion bar 5-6, makes pen be placed on above drawing board, and leaves drawing board, each mark point that lower description pen is then described on Alignment model one by one, After being accurately positioned, relaxation trigger causes pen 5-2 to be left marks on drawing board;Continue to fasten trigger, continue according to above method Describe next mark point, until all mark points are transferred on drawing board on model;
6)Drawing board is taken out, each mark point is linked to be to the dental arch curve of arcuate line, as model.
Situation one:If basal arch mark point is that WALA ridge points and corona height of contour are marked using archetype by we Point be transferred on drawing board, then on drawing board we can with measuring scale measure WALA ridge points to corona height of contour distance, this The ideal distance value of base bone and corona height of contour that distance subtracts tooth position is that the preferable of tooth position expands bow amount(Ideal distance Value:Second molar corona height of contour should in basal arch line 2.2mm, first molar corona height of contour tooth should be in basal arch line Interior 2.0mm, second bicuspid corona height of contour should in basal arch line 1.3mm, first bicuspid corona height of contour should be 0.8mm in basal arch line, labial teeth area matches with basal arch shape, similarly hereinafter), and the expansion of dental arch bow can bring gap for denture, Expand the spaced dentition that bow is brought by accurately calculating, decide whether have to provide gap to crowded dentition patient as desired by extraction Important references meaning.It is significant to later stage orthodontic treatment Computer Aided Design.
Situation two:If basal arch mark point is WALA ridge points and corona profile using the oral cavity model after treatment by we High point mark point is transferred on drawing board, then we can measure WALA ridge points to corona height of contour with measuring scale on drawing board Distance, the base bone by this distance with tooth position compares with the ideal distance value of corona height of contour, you can assess orthodontic treatment Afterwards each tooth position whether base bone rational position, the effect for assessing orthodontic treatment.

Claims (5)

1. a kind of accurate method for describing basal arch line, it is characterised in that mainly comprise the following steps:
1)Prepare oral cavity model plotting board;
The oral cavity model plotting board mainly includes base(1), with base(1)The pillar being fixedly connected(4), in base(1) Middle part sets model seat adjusting means(8);The model seat adjusting means(8)Top, which is provided with, to be used to place and fixed oral cavity model Model seat(2);Model seat(2)Top be provided with and be fixed on drawing board frame on pillar(3), drawing board frame(3)Interior be provided with is matched somebody with somebody therewith The drawing board of conjunction;The upper end of pillar is additionally provided with the linkage being flexibly connected therewith(6);The linkage(6)The other end set There is drawing apparatus(5);The drawing apparatus mainly includes retouching bar(5-4), retouching bar lower end and being provided with is used to position in oral cavity model respectively The lower pen of mapped point(5-1), retouch the upper pen for being provided with the middle part of bar and being used for each mapped point in oral cavity model being painted on drawing board (5-2);
The model seat adjusting means(8)By tightening piece(8-1), height regulating sleeve(8-2)With provided with it is externally threaded it is upper lower Pole(8-3)Constitute;Arc-shaped partition, the height regulating sleeve below arc-shaped partition are provided with the middle part of the height regulating sleeve Inner side is provided with internal thread, and it is engaged with the external screw thread of upper lower dolly bar;
The model seat(2)Lower section provided with model seat spacing ball(9), model seat and model seat adjusting means pass through model seat and limited Position ball is engaged realization rotation with arc-shaped partition and is connected;
The model seat(2)Including model retentive base(2-1)And its model base of top(2-2);Model retentive base(2-1)On The side position of plane two is respectively provided with a model fixing device(7);Oral cavity model is to be placed in model base, when oral cavity model is adjusted It is whole to being fixed in by model fixing device in model base after correct position;The lower pen front end of the drawing apparatus is Coniform, middle part, which is provided with the jack for retouching the insertion of bar lower end, jack, is provided with compression spring, and the rear portion of lower pen is provided with trigger (5-3), trigger(5-3)Upper surface is inclined-plane, and inclined-plane is provided with the chute to lower recess;Retouch bar(5-4)Upper end and connecting rod fill Put(6)It is connected, retouches the fixture that connection fixed thereto is provided with the middle part of bar(5-5), retouch to be additionally provided with the middle part of bar and be flexibly connected therewith Axle sleeve(5-7), spring is provided between axle sleeve and fixture;The drawing apparatus also includes rectangular motion bar(5-6), it is living The transverse bar of lever passes through axle sleeve, and front end is fixedly connected with pen(5-2), the vertical bar end of motion bar is in arc-shaped, is located at In trigger inclined-plane chute;
The model fixing device(7)By bearing(7-1), screw(7-2)And stator(7-3)Constitute, the bearing upper end is set There is helicoid through hole, the screw being engaged with through hole passes through through hole, screw is fixedly connected with fixation close to one end of model base Piece;
The base(1)Provided with 3 groups of chutes(11), in chute provided with can along slide laser localized light comparing(10);
Laser localized light comparing(10)By laser lamp(10-1), folding rod(10-2)With screw thread cross bar(10-3)Constitute, screw thread cross bar (10-3)The one end for stretching out base is provided with nut(12), by tightening nut(12)By laser localized light comparing(10)It is fixed on base On;
2)Take the patient's oral cavity model one trimmed, observing and nursing, each tooth of being had good positioning on model with marking pen WALA ridge points;Make marks, be marked by since side first molar or second molar, until opposite side first is ground Tooth or second molar, obtain each mark point;
3)Oral cavity model is placed on to the model base of oral cavity model plotting board(2-2)On, according to model bottom gypsum thickness Adjust model fixing device(7), pass through screwing screw(7-2), by the stator of screw front end(7-3)Mouth is fitted in securely The both sides of chamber model, realize that oral cavity model is firmly secured to model base(2-2)On;
4)Open three laser localized light comparings on base(10), regulation model seat adjusting means(8)Height and adjustment model seat Spacing ball(9)Position in model seat adjusting means, makes laser localized light comparing(10)Projection difference of the light of transmitting on model It is aligned with left index point, right index point and preceding index point, then tightens tightening piece(8-1)Make model seat spacing ball(9)No longer turn It is dynamic;Laser localized light comparing is folded down;The left index point is the WALA ridge points of left side first molar, and right index point is right side the The one WALA ridge points ground one's teeth in sleep, preceding index point is the midpoint of left and right central incisor WALA ridge points;
5)Drawing board is placed in drawing board frame;
6)The hand-held lower pen of the right hand(5-1)Handle, fastens trigger(5-3), lower pen handle is forced in by the right hand and work is driven Lever(5-6), pen is placed on above drawing board, and leave drawing board, it is each that lower description pen is then described on Alignment model one by one Mark point, after being accurately positioned, relaxation trigger causes pen(5-2)Left marks on drawing board;Continue to fasten trigger, according to the above Method continues to describe next mark point, until all mark points are transferred on drawing board on model;
7)Drawing board is taken out, each mark point is linked to be to the basal arch line of arcuate line, as model.
2. a kind of accurate method for describing dental arch curve, it is characterised in that mainly comprise the following steps:
1)Prepare such as claim 1 step 1)Described in oral cavity model plotting board;
2)The patient's oral cavity model one trimmed is taken, each tooth contour high point of being had good positioning on model with marking pen, Make marks, be marked by since side first molar or second molar, until opposite side first molar or the second mill Tooth, obtains each mark point;
3)Oral cavity model is placed on to the model base of oral cavity model plotting board(2-2)On, according to model bottom gypsum thickness Adjust model fixing device(7), pass through screwing screw(7-2), by the stator of screw front end(7-3)Mouth is fitted in securely The both sides of chamber model, realize that oral cavity model is firmly secured to model base(2-2)On;
4)Open three laser localized light comparings on base(10), regulation model seat adjusting means(8)Height and adjustment model seat Spacing ball(9)Position in model seat adjusting means, makes laser localized light comparing(10)Projection difference of the light of transmitting on model It is aligned with left index point, right index point and preceding index point, then tightens tightening piece(8-1)Make model seat spacing ball(9)No longer turn It is dynamic;Laser localized light comparing is folded down;The left index point is the WALA ridge points of left side first molar, and right index point is right side the The one WALA ridge points ground one's teeth in sleep, preceding index point is the midpoint of left and right central incisor WALA ridge points;
5)Drawing board is placed in drawing board frame;
6)The hand-held lower pen of the right hand(5-1)Handle, fastens trigger(5-3), lower pen handle is forced in by the right hand and work is driven Lever(5-6), pen is placed on above drawing board, and leave drawing board, it is each that lower description pen is then described on Alignment model one by one Mark point, after being accurately positioned, relaxation trigger causes pen(5-2)Left marks on drawing board;Continue to fasten trigger, according to the above Method continues to describe next mark point, until all mark points are transferred on drawing board on model;
7)Drawing board is taken out, each mark point is linked to be to the dental arch curve of arcuate line, as model.
3. a kind of accurate method for describing basal arch line according to claim 1, it is characterised in that:The drawing board frame(3) Periphery, which is provided with upward edge, edge to be used to place, is provided with through hole in the middle part of drawing board, drawing board frame.
4. a kind of accurate method for describing basal arch line according to claim 1, it is characterised in that:The lower pen(5- 1)Front end end points and upper pen(5-2)The line of front end end points is perpendicular to horizontal plane.
5. a kind of accurate method for describing basal arch line according to claim 1, it is characterised in that:The drawing board is transparent Plastic plate.
CN201710457090.0A 2017-06-16 2017-06-16 Method for accurately describing basic bone arch line and dental arch curve Active CN107115155B (en)

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CN109877798A (en) * 2019-03-29 2019-06-14 东莞洋紫荆牙科器材有限公司 Jointly with regard to bit detector
CN110916779A (en) * 2019-12-10 2020-03-27 南京医科大学附属口腔医院 Three-dimensional accurate positioner of upper jaw bone

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US20100105007A1 (en) * 2008-10-23 2010-04-29 Giulio Preti Plate element for the manufacture of a dental prosthesis
CN102648874A (en) * 2012-05-03 2012-08-29 张栋梁 Anatomic model tooth arranging method for personalized tongue side correction
CN104771238A (en) * 2015-02-02 2015-07-15 西安交通大学口腔医院 Apparatus for measuring inclination of tooth cusp

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Publication number Priority date Publication date Assignee Title
EP0191755A2 (en) * 1985-02-12 1986-08-20 Bernhard Lisec Device for the remote determination of the jaw axes and of the linear liniting movement of the lower jaw
US5343391A (en) * 1990-04-10 1994-08-30 Mushabac David R Device for obtaining three dimensional contour data and for operating on a patient and related method
US20100105007A1 (en) * 2008-10-23 2010-04-29 Giulio Preti Plate element for the manufacture of a dental prosthesis
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CN104771238A (en) * 2015-02-02 2015-07-15 西安交通大学口腔医院 Apparatus for measuring inclination of tooth cusp

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109877798A (en) * 2019-03-29 2019-06-14 东莞洋紫荆牙科器材有限公司 Jointly with regard to bit detector
CN110916779A (en) * 2019-12-10 2020-03-27 南京医科大学附属口腔医院 Three-dimensional accurate positioner of upper jaw bone

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