CN109662864B - Mandible movement function recovery training device - Google Patents

Mandible movement function recovery training device Download PDF

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Publication number
CN109662864B
CN109662864B CN201910075757.XA CN201910075757A CN109662864B CN 109662864 B CN109662864 B CN 109662864B CN 201910075757 A CN201910075757 A CN 201910075757A CN 109662864 B CN109662864 B CN 109662864B
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China
Prior art keywords
connecting rod
training
rod
movable
limiting
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Active
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CN201910075757.XA
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Chinese (zh)
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CN109662864A (en
Inventor
常士平
马秦
杨妍
赵晋龙
田磊
张武阳
贾骏麒
刘洋
刘义闻
王敬夫
商洪涛
蔡卜磊
宗春琳
王维佳
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Priority to CN201910075757.XA priority Critical patent/CN109662864B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/02Head
    • A61H2205/026Mandible

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The invention discloses a mandible movement function recovery trainer, which comprises an upper training connecting rod, wherein a fixed stress application device is arranged on the outer surface of the middle part of the upper training connecting rod, a mandible forward extending device is arranged on the outer surface of the other end of the upper training connecting rod, a lower training connecting rod is arranged on the outer surface of the fixed stress application device, and a passive stress application device is arranged on the outer surface of one side of the lower training connecting rod. According to the invention, the force application device is fixed, the resistance can be increased by screwing during active resistance training, the exercise of the muscle strength of the relevant muscle is further increased, the training of a patient is facilitated, the mandible can be ensured to obtain the movement of the forward extending movement according to the characteristics of the movement function track of the mandible by the mandible forward extending device, the opening force of the trainer can be applied by the extension of the force application rod by the passive force application device, and the purpose of passive auxiliary opening training is further achieved.

Description

Mandible movement function recovery training device
Technical Field
The invention relates to the field of oral and maxillofacial surgery, in particular to a mandibular movement function recovery trainer.
Background
In the field of maxillofacial surgery, there are patients who have fracture of the mandibular condyle after being subjected to trauma, or who have a disease affecting the mandibular condyle, such as temporomandibular joint rigidity, and the like, and who often suffer from impairment of the mandibular movement function after receiving surgical treatment of the mandibular condyle, and require rehabilitation training of the mandibular movement function in subsequent treatments, and this training is also an important link to successful treatment.
The mandible movement function recovery training mouth gag is an auxiliary device for mandible movement function recovery training, which is used by a training control device for mandible movement track and muscle balance in the process of opening function recovery training after mandible movement function is damaged, is convenient to use, can effectively play a role in recovering the opening function, and is widely used clinically. However, with the development of medical technology, people have not only satisfied the simple opening function of the mandibular movement function, but have emphasized the overall restoration of the mandibular movement function more, and especially the problems in the functional movement (side jaw movement) and the movement track have been paid attention to the clinician. The functional requirements of the trainer are also increasing.
The mandible movement function recovery trainer can complete the following operations in the use process: the action of stabilizing the motion trail of the mandible on the sagittal plane is achieved by controlling the motion trail of the mandible in the training process; meanwhile, a resistance device is added, so that the damaged muscles can perform active resistance training, the recovery of the muscle force is promoted, and the functional movement (side jaw movement) can be effectively trained; the two can be added to promote balance of muscle force on two sides, so that the mandible movement is recovered symmetrically.
The existing mouth gag has simple structure and convenient use, but has single function, can not control the movement track of the mandible in the use process, only has simple function of expanding the mandible, and does not fully train the movement function of the mandible; the existing mouth gag can only realize passive recovery of mandible movement function in the auxiliary training process, does not pay attention to resistance training (mainly winged external muscles) of related damaged muscles, cannot balance the action of bilateral muscles, and cannot solve the key problems in mandible movement function recovery training; the existing mouth gag only has limited attention on whether the maximum opening degree can be achieved or not when in use, but ignores the characteristics of the mandibular movement function track, does not consider the recovery and training of the function movement, and has certain adverse effects. In summary, we propose a mandibular movement function recovery trainer.
Disclosure of Invention
The invention aims to overcome the existing defects and provide the mandibular movement function recovery trainer which can effectively solve the problems in the background technology.
In order to achieve the above purpose, the present invention provides the following technical solutions: including last training connecting rod, its characterized in that: the middle part surface of going up training connecting rod is provided with fixed thrust augmentation device, the other end surface of going up training connecting rod is provided with mandibular advancement device, fixed thrust augmentation device's surface is provided with down the training connecting rod, one side surface of training connecting rod is provided with passive thrust augmentation device down.
1. As a preferable technical scheme of the invention, a first movable limiting piece is arranged on one side of the fixed stress application device, an elastic screw is arranged on the outer surface of one side of the first movable limiting piece, a first limiting rotating shaft is fixedly connected with the outer surface of the other side of the first movable limiting piece, a second limiting rotating shaft is arranged on the outer surface of one side of the first limiting rotating shaft, and a second movable limiting piece is fixedly connected with the outer surface of one side of the second limiting rotating shaft.
2. As a preferable technical scheme of the invention, one end of the mandible forward extending device is provided with a fixed limit sleeve rod, one end of the fixed limit sleeve rod is provided with a forward extending limit rod, and the outer surface of one end of the forward extending limit rod is fixedly connected with a training connecting rod.
3. As a preferable technical scheme of the invention, the upper end of the passive force application device is provided with an upper movable limiting part, the lower end of the upper movable limiting part is provided with a force application rod, the outer surface of the lower end of the force application rod is provided with a force application sleeve, a telescopic thread and a scale mark are arranged between the force application rod and the upper movable limiting part, and the outer surface of the force application rod is movably connected with the inner surface of the lower end of the upper movable limiting part through the telescopic thread.
4. As a preferable technical scheme of the invention, a first movable ball is arranged between the stress application sleeve and the upper training connecting rod, the outer surface of one end of the stress application sleeve is movably connected with the inner surface of one side of the upper training connecting rod through the first movable ball, a second movable ball is arranged between the upper movable limiting piece and the lower training connecting rod, and the outer surface of one end of the upper movable limiting piece is movably connected with the inner surface of one side of the lower training connecting rod through the second movable ball.
5. As a preferable technical scheme of the invention, a lower movable connecting rod is arranged on the outer surface of one end of the lower training connecting rod, a lower external connecting piece is arranged at one end of the lower movable connecting rod, a first rotating shaft is arranged between the lower movable connecting rod and the lower training connecting rod, the outer surface of one end of the lower movable connecting rod is fixedly connected with the outer surface of one end of the lower training connecting rod through the rotating shaft, a first buckle type device is arranged between the lower movable connecting rod and the lower external connecting piece, and the outer surface of one end of the lower movable connecting rod is detachably connected with the outer surface of one end of the lower external connecting piece through the first buckle type device.
6. As a preferable technical scheme of the invention, the inner surface of the fixed limit sleeve rod is provided with a forward extending sliding groove, one end outer surface of the fixed limit sleeve rod is provided with an upper external connecting piece, a second rotating shaft is arranged between the upper training connecting rod and the forward extending limit rod, one end outer surface of the upper training connecting rod is in non-detachable connection with the outer surface of the forward extending limit rod through the second rotating shaft, the forward extending limit rod penetrates through one end outer surface of the fixed limit sleeve rod, the outer surface of the forward extending limit rod is movably connected with the inner surface of the fixed limit sleeve rod through the forward extending sliding groove, a second buckle type device is arranged between the fixed limit sleeve rod and the upper external connecting piece, and one end outer surface of the fixed limit sleeve rod is in detachable connection with one end outer surface of the upper external connecting piece through the second buckle type device.
7. According to the optimal technical scheme, an elastic thread is arranged between the elastic screw and the second limiting rotating shaft, the inner surface of the other side of the second limiting rotating shaft is movably connected with the outer surface of the elastic screw through the elastic thread, a dislocation rotating opening is formed between the upper training connecting rod and the lower training connecting rod, the outer surface of one side of the middle part of the upper training connecting rod is movably connected with the outer surface of one side of the middle part of the lower training connecting rod through the dislocation rotating opening, the outer surface of the first limiting rotating shaft is movably connected with the inner surface of the middle part of the upper training connecting rod, and the outer surface of the second limiting rotating shaft is movably connected with the inner surface of the middle part of the lower training connecting rod.
Compared with the prior art, the invention has the beneficial effects that:
1. according to the invention, through the fixed force applying device, the device can be unscrewed to a non-resistance state for improving the efficiency during passive opening training, and the resistance can be increased by screwing during active resistance training, so that the exercise of the muscle strength of the related muscle is further increased, and meanwhile, the graduated scale is arranged at the position, so that the numerical value of the opening degree can be directly converted and known, and the training effect is clear.
2. The invention can ensure the mandible to obtain the characteristics of the exercise of the forward extending movement and the mandible movement function track when the mandible movement function is recovered and trained by the mandible forward extending device, and is beneficial to the recovery and training of the mandible movement function.
3. According to the invention, the opening force of the trainer can be applied through the passive force application device and the extension of the force application rod, so that the purpose of passive auxiliary opening training is achieved.
Drawings
FIG. 1 is an overall view of the present invention;
FIG. 2 is a front view of the present invention;
FIG. 3 is a bottom view of the present invention;
FIG. 4 is a top view of the present invention;
FIG. 5 is a schematic view of the internal structure of the over-fixed force device 4 of FIG. 1 in accordance with the present invention;
fig. 6 is a schematic view showing an internal structure of the mandibular advancement device 5 of fig. 1 according to the present invention;
FIG. 7 is a schematic illustration of the structure of the passive force device 6 of FIG. 1 in accordance with the present invention;
in the figure: 1. a training connecting rod is arranged on the upper part; 2. a lower training connecting rod; 3. a forward extending sliding groove; 4. fixing a stress application device; 41. a first movable limiting piece; 42. a first limit rotating shaft; 43. a second limit rotating shaft; 44. a second movable limiting piece; 45. tightening the screw; 5. mandibular advancement device; 51. fixing a limit sleeve rod; 52. a forward extending limit rod; 53. a forwardly extending movable connecting piece; 6. a passive force application device; 61. an upper movable limiting piece; 62. a stress application rod; 63. a stress application sleeve; 7. an upper external connection; 8. a lower external connection; 9. and a lower movable connecting rod.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Referring to fig. 1-7, the present invention provides a technical solution: including last training connecting rod 1, go up the middle part surface of training connecting rod 1 and be provided with fixed thrust augmentation device 4, go up the other end surface of training connecting rod 1 and be provided with mandibular forward device 5, the surface of fixed thrust augmentation device 4 is provided with down training connecting rod 2, and the one side surface of lower training connecting rod 2 is provided with passive thrust augmentation device 6.
Can increase the exercise of relevant muscle strength, be favorable to patient's rehabilitation, in this embodiment, preferably, one side of fixed thrust augmentation device 4 is provided with a movable spacing piece 41, one side surface of a movable spacing piece 41 is provided with elasticity screw 45, the opposite side surface fixed connection of a movable spacing piece 41 has a spacing rotation axis 42, one side surface of a spacing rotation axis 42 is provided with No. two spacing rotation axes 43, one side surface fixed connection of No. two spacing rotation axes 43 has No. two movable spacing pieces 44.
The mandible can be ensured to move in a forward extending manner, in this embodiment, preferably, one end of the mandible forward extending device 5 is provided with a fixed limit sleeve rod 51, one end of the fixed limit sleeve rod 51 is provided with a forward extending limit rod 52, and an outer surface of one end of the forward extending limit rod 52 is fixedly connected with a forward extending movable connecting piece 53.
The purpose of passive auxiliary opening training can be achieved, in this embodiment, preferably, the upper end of the passive force applying device 6 is provided with an upper movable limiting member 61, the lower end of the upper movable limiting member 61 is provided with a force applying rod 62, the outer surface of the lower end of the force applying rod 62 is provided with a force applying sleeve 63, a telescopic thread and a scale mark are arranged between the force applying rod 62 and the upper movable limiting member 61, and the outer surface of the force applying rod 62 is movably connected with the inner surface of the lower end of the upper movable limiting member 61 through the telescopic thread.
More than half of the sphere of the movable ball falls into the upper training connecting rod 1, which is beneficial to the movement of the passive force application device 6, in the embodiment, preferably, a first movable ball is arranged between the force application sleeve 63 and the upper training connecting rod 1, one end outer surface of the force application sleeve 63 is movably connected with one side inner surface of the upper training connecting rod 1 through the first movable ball, a second movable ball is arranged between the upper movable limiting piece 61 and the lower training connecting rod 2, and one end outer surface of the upper movable limiting piece 61 is movably connected with one side inner surface of the lower training connecting rod 2 through the second movable ball.
Make things convenient for medical personnel's use, in this embodiment, preferably, the one end surface of lower training connecting rod 2 is provided with movable connecting rod 9 down, the one end of movable connecting rod 9 is provided with down external connection spare 8 down, be provided with a rotation axis down between movable connecting rod 9 and the lower training connecting rod 2, the one end surface of movable connecting rod 9 passes through rotation axis and the one end surface fixed connection of lower training connecting rod 2 down, be provided with a buckle formula device down between movable connecting rod 9 and the external connection spare 8 down, the one end surface of movable connecting rod 9 down can dismantle with the one end surface of external connection spare 8 through a buckle formula device down and be connected.
So that medical personnel's use, in this embodiment, preferably, the internal surface of fixed limit loop bar 51 is provided with and stretches sliding tray 3, the one end surface of fixed limit loop bar 51 is provided with external connection spare 7, go up and train connecting rod 1 and reach and be provided with No. two rotation axes between the swing joint spare 53, go up the one end surface of training connecting rod 1 and stretch the one end surface swing joint of swing joint spare 53 through No. two rotation axes, the one end surface of fixed limit loop bar 51 is run through to the limit bar 52, the surface of fixed limit loop bar 52 is through stretching sliding tray 3 and the internal surface swing joint of fixed limit loop bar 51, be provided with No. two buckle formula devices between fixed limit loop bar 51 and the upper external connection spare 7, the one end surface of fixed limit loop bar 51 is through No. two buckle formula devices and be connected with the one end surface of last external connection spare 7 can be dismantled.
Can guarantee that the patient uses the effect that can reach the training, in this embodiment, preferably, be provided with the elasticity screw between elastic screw 45 and the spacing rotation axis 43 of No. two, the opposite side internal surface of the spacing rotation axis 43 of No. two passes through the surface swing joint of elastic screw 45, set up dislocation rotation mouth between last training connecting rod 1 and the lower training connecting rod 2, the middle part one side surface of going up training connecting rod 1 passes through dislocation rotation mouth and the middle part one side surface swing joint of lower training connecting rod 2, the surface of the spacing rotation axis 42 of No. one and the middle part internal surface swing joint of last training connecting rod 1, the surface of the spacing rotation axis 43 of No. two and the middle part internal surface swing joint of lower training connecting rod 2.
The working principle and the using flow of the invention are as follows: people still use the manual training at the initial period of mandible healing, make can reach the opening degree that can accomplish the taking a mould in a certain time (can consider optical impression technique, make and accomplish the taking a mould as early as possible when patient opening degree is still not big enough, thereby make the patient train with the training ware as early as possible, after reaching the opening degree of taking a mould, medical personnel get patient's upper and lower jaw model, prepare upper and lower jaw dentition stereoplasm pad, shift patient's jaw position relation to the jaw frame simultaneously, wear into the jaw pad, grind the space of placing and fixing connecting device in corresponding position, then place and fix external connecting device, guarantee that the connecting rod is located simultaneously on the sagittal plane of upper and lower jaw model, if can not take concurrently upper and lower jaws, wear into the jaw pad again in the mouth, connect the training ware, whether the manual afterburning carries out the opening, if suitable for starting to open training, can be according to the characteristics of jaw motion function track, take into consideration of functional motion, put into by medical personnel again, the medical personnel is by 6, it is able to take a record to the afterburning, the stress application device is able to the maximum extent, if it is born by the scale. Repeatedly performing opening and closing training for 1 minute each time, then keeping the maximum opening degree for 1 minute each time, 5 groups each time, and at least 3 times per day, so that the aim of passive auxiliary opening training can be fulfilled, then wearing an opening device on the next day, unscrewing the fixed stressing device 4, performing active opening, checking whether the scale reaches the maximum degree of the previous passive opening, and if not, continuing to perform the passive opening training; if the training period is available, the active training period is started, firstly, the non-resistance active opening training is carried out, the maximum opening degree is reached each time, then the resistance is gradually increased, the opening degree requirement can be appropriately reduced according to the situation, when the maximum opening degree of the period can be reached under the condition of resistance, the next period training is carried out, the previous step is repeated, the exercise of the muscle strength of the related muscle can be increased, the clear training effect is obtained through the arranged graduated scale, finally, all period training is finished until the opening degree requirement of at least three fingers can be reached under the resistance state, no deflection exists, and after the opening device is removed, the symmetrical side jaw, the forward extension and the opening movement in the normal range can be carried out, so that the early rehabilitation of a patient is facilitated.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (4)

1. Mandible motion function resumes training ware, including last training connecting rod (1), its characterized in that: the outer surface of the middle part of the upper training connecting rod (1) is provided with a fixed stress application device (4), the outer surface of the other end of the upper training connecting rod (1) is provided with a mandible forward extending device (5), the outer surface of the fixed stress application device (4) is provided with a lower training connecting rod (2), and the outer surface of one side of the lower training connecting rod (2) is provided with a passive stress application device (6);
a first movable limiting piece (41) is arranged on one side of the fixed stress application device (4), an elastic screw (45) is arranged on the outer surface of one side of the first movable limiting piece (41), a first limiting rotating shaft (42) is fixedly connected with the outer surface of the other side of the first movable limiting piece (41), a second limiting rotating shaft (43) is arranged on the outer surface of one side of the first limiting rotating shaft (42), and a second movable limiting piece (44) is fixedly connected with the outer surface of one side of the second limiting rotating shaft (43);
one end of the mandible forward extending device (5) is provided with a fixed limit sleeve rod (51), one end of the fixed limit sleeve rod (51) is provided with a forward extending limit rod (52), and the outer surface of one end of the forward extending limit rod (52) is fixedly connected with a forward extending movable connecting piece (53);
the upper end of the passive force application device (6) is provided with an upper movable limiting part (61), the lower end of the upper movable limiting part (61) is provided with a force application rod (62), the outer surface of the lower end of the force application rod (62) is provided with a force application sleeve (63), a telescopic thread and a scale mark are arranged between the force application rod (62) and the upper movable limiting part (61), and the outer surface of the force application rod (62) is movably connected with the inner surface of the lower end of the upper movable limiting part (61) through the telescopic thread;
the utility model discloses a fixed limiting sleeve rod, including fixed limiting sleeve rod (51), fixed limiting sleeve rod (51) and fixed limiting sleeve rod (51) are provided with external connection spare (7), be provided with No. two rotation axis between last training connecting rod (1) and the preceding swing joint spare (53), the one end surface of going up training connecting rod (1) is through No. two rotation axis and the one end surface swing joint of preceding swing joint spare (53), the one end internal surface of fixed limiting sleeve rod (51) is run through to reach limiting sleeve rod (52), the surface of stretching limiting sleeve rod (52) is through the internal surface swing joint of preceding limiting sleeve rod (51) of stretching sliding groove (3), be provided with No. two buckle formula devices between fixed limiting sleeve rod (51) and the last external connection spare (7), the one end surface of fixed limiting sleeve rod (51) is through No. two buckle devices and the one end surface of last external connection spare (7) can dismantle and be connected.
2. The mandibular movement function recovery trainer according to claim 1, wherein: be provided with a movable ball between afterburning sleeve (63) and last training connecting rod (1), the one end surface of afterburning sleeve (63) is through a movable ball and go up one side internal surface swing joint of training connecting rod (1), go up and be provided with No. two movable balls between movable locating part (61) and lower training connecting rod (2), the one end surface of last movable locating part (61) is through No. two movable balls and one side internal surface swing joint of lower training connecting rod (2).
3. The mandibular movement function recovery trainer according to claim 1, wherein: the utility model discloses a lower training connecting rod, including lower training connecting rod (2), lower movable connecting rod (9) and lower training connecting rod (2) are connected through rotation axis and lower training connecting rod (2)'s one end surface, be provided with a buckle formula device between lower movable connecting rod (9) and lower external connection piece (8), lower movable connecting rod (9)'s one end surface can dismantle with lower external connection piece (8) through a buckle formula device's one end surface and be connected.
4. The mandibular movement function recovery trainer according to claim 1, wherein: the automatic training device is characterized in that elastic threads are arranged between the elastic screw (45) and the second limiting rotating shaft (43), the inner surface of the other side of the second limiting rotating shaft (43) is movably connected with the outer surface of the elastic screw (45) through the elastic threads, a dislocation rotating opening is formed between the upper training connecting rod (1) and the lower training connecting rod (2), the outer surface of one side of the middle of the upper training connecting rod (1) is movably connected with the outer surface of one side of the middle of the lower training connecting rod (2) through the dislocation rotating opening, the outer surface of the first limiting rotating shaft (42) is movably connected with the inner surface of the middle of the upper training connecting rod (1), and the outer surface of the second limiting rotating shaft (43) is movably connected with the inner surface of the middle of the lower training connecting rod (2).
CN201910075757.XA 2019-01-25 2019-01-25 Mandible movement function recovery training device Active CN109662864B (en)

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CN109662864B true CN109662864B (en) 2023-09-12

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CN2662882Y (en) * 2003-09-19 2004-12-15 上海第二医科大学附属第九人民医院 Passive mouth-opening trainer
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CN203724241U (en) * 2013-08-31 2014-07-23 龙小平 Telescopic rod type orthodontic appliance for malocclusion
CN104306131A (en) * 2014-10-29 2015-01-28 武汉大学 Mouth opener allowing opening degree to be adjusted
CN105982807A (en) * 2015-02-12 2016-10-05 王海英 Jaw movement training apparatus
CN205626893U (en) * 2016-05-17 2016-10-12 安徽医科大学第一附属医院 Muscular training ware around oral cavity

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