CN221180657U - Digital stable repositioning jaw pad for treating temporomandibular joint disorder - Google Patents

Digital stable repositioning jaw pad for treating temporomandibular joint disorder Download PDF

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Publication number
CN221180657U
CN221180657U CN202322386226.7U CN202322386226U CN221180657U CN 221180657 U CN221180657 U CN 221180657U CN 202322386226 U CN202322386226 U CN 202322386226U CN 221180657 U CN221180657 U CN 221180657U
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jaw pad
jaw
temporomandibular joint
repositioning
dentition
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CN202322386226.7U
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Chinese (zh)
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李娟�
林军
王慧明
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First Affiliated Hospital of Zhejiang University School of Medicine
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First Affiliated Hospital of Zhejiang University School of Medicine
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Abstract

The utility model discloses a digital stable repositioning jaw pad for treating temporomandibular joint disorder. The repositioning jaw pad includes a jaw pad body detachably covering the mandibular dentition and contacting the maxillary dentition. The utility model adopts the first premolars area retreating control ridge to reduce the foreign body sensation of wearing the repositioning jaw pad by a patient, maintain the position of the mandible after repositioning, and prevent the mandible from retreating so as to treat pain and joint disc displacement caused by temporomandibular joint disorder; the front and rear parts of the jaw pad form stable point contact of the whole dentition, so that various clinical symptoms caused by temporomandibular joint disorder are effectively relieved; the jaw pad surrounds the mandibular whole dentition, and 3D digital personalized printing improves the accuracy and comfort of patient treatment.

Description

Digital stable repositioning jaw pad for treating temporomandibular joint disorder
Technical Field
The utility model relates to a repositioning jaw pad, relates to the technical field of oral medical appliances, and in particular relates to a digital stable repositioning jaw pad for treating temporomandibular joint disorder.
Background
Temporomandibular joint disorder (Temporomandibular disorders, TMD) is a generic term for a group of diseases whose etiology is not completely understood and which have the same or similar clinical symptoms, and is a clinically common and frequently occurring disease of the stomatology department, mainly including masticatory muscle dysfunction and temporomandibular joint intracapsular disorder. Patients with masticatory muscle dysfunction are mainly manifested as joint pain and masticatory muscle pain; patients with temporomandibular joint intracapsular disorders often experience restorative or irreducible pre-discal displacement, and therefore clinically manifest as mandibular motion abnormalities, pain, ringing or murmurs. When TMD occurs, especially in the growth and development stage of teenagers, the growth and development of the temporomandibular joint condyle are affected, the development of the maxillofacial skeleton is further affected, and if the treatment is not timely carried out, the mandibular retroversion or deflection is easily caused, so that secondary dentofacial and maxillofacial deformity is caused.
The treatment of temporomandibular joint disorders is mainly conservative treatment, usually selected from oral health education, drugs, physiotherapy, jaw pad or surgical methods such as joint cavity lavage, arthroscopic reduction, open surgery, etc. Currently, a relatively effective way to do this is to wear mandibular repositioning jaw pad (Repositioning Splint, RS), which can help the patient to eliminate the ringing and twist lock symptoms caused by the anterior displacement of the articular disc immediately, and Magnetic Resonance Imaging (MRI) also demonstrates that the articular disc can be well repositioned. However, the repositioning area of the repositioning jaw pad in the market is often placed in the anterior dental region, so that the patient often has a larger foreign body sensation and discomfort in the anterior dental region. Furthermore, repositioning the jaw pad does not allow for stable contact of the full dentition, resulting in the jaw pad not helping the patient effectively solve various clinical problems such as temporomandibular joint and masticatory muscle pain. In addition, the existing jaw pad model is designed in a broad spectrum mode according to the conditions of most patients, the occlusion design is single, the manufacturing is inaccurate, and in clinical operation, a doctor is usually required to adjust the jaw pad for multiple times according to the conditions of the patients, and the number of times of patient review is large.
Along with the development of the digital technology and the 3D printing technology, the personalized model or prosthesis can be prepared more accurately and rapidly according to the self condition of a patient by applying the digital technology and the 3D printing technology in clinic, and the prepared model and prosthesis have high anastomosis and good prognosis effect due to individuation, and repeated adjustment and grinding are not needed.
Therefore, there is a need for a non-anterior dental zone repositioning jaw pad that can address the above-mentioned technical problems with a personalized and accurate design, and that achieves a stable contact of the full dentition, effectively solving various clinical problems of TMD patients.
Disclosure of utility model
In order to solve the problems in the background art, the utility model provides a digital stable repositioning jaw pad for treating temporomandibular joint disorder. Solves the defects of poor comfort, strong foreign body sensation, inaccurate jaw pad manufacture, poor stability and the like of the existing front tooth area repositioning jaw pad, and provides a digital stable repositioning jaw pad for treating temporomandibular joint disorder, which has the advantages of repositioning front tooth area, stable contact of whole dentition, accurate and personalized jaw plate design and good prognosis effect.
The technical scheme adopted by the utility model is as follows:
The digital stable repositioning jaw pad for treating temporomandibular joint disorder of the present utility model includes a jaw pad body detachably covering and contacting the mandibular dentition.
The upper surface of the rear part of the jaw pad inner wall of the jaw pad body wraps the whole mandibular rear tooth crown, and the upper surface of the rear part of the jaw pad outer wall is contacted with the shallow concave contact area of the upper mandibular rear tooth tongue tip.
The front part of the jaw pad outer wall of the jaw pad body is provided with a jaw front tooth area punctate contact area, and the jaw front tooth area punctate contact area is in punctate contact with the upper front teeth; the lower surface of the front part of the inner wall of the jaw pad wraps 1/3 of the lower front tooth cutting end. The front and rear parts of the jaw pad body form stable contact of the whole dentition, so that the pain caused by temporomandibular joint disorder can be relieved.
The upper surface of the cuspid-premolaring region retreating control ridge is contacted with the near-middle inclined plane of the first molar of the upper jaw. The canine teeth-premolaring tooth areas on two sides of the lower jaw are retreated to control the ridge to form retention force on the lower jaw, maintain the position of the lower jaw after repositioning, prevent the lower jaw from retreating, and treat the anterior displacement of the joint disc caused by temporomandibular joint disorder.
The thickness of the cheek tongue side of the jaw pad body is 1-1.2mm, the edge is round and blunt, the accuracy is high, the clinical grinding adjustment is less, the foreign body sensation of the patient wearing the pad is small, and repeated grinding adjustment is not needed.
The jaw pad body is made of transparent or semitransparent biocompatible materials, so that the aesthetic degree of the manufactured jaw pad body can be improved, and the material precision of the jaw pad body is higher than 50 mu m.
The beneficial effects of the utility model are as follows:
The utility model adopts the backgrinding control ridge of the premolars area to prevent the mandible from backgrinding, thereby reducing the foreign body sensation of wearing the repositioning jaw pad by a patient; the front and rear parts of the jaw pad form stable point contact of the whole dentition, so that various clinical symptoms caused by temporomandibular joint disorder are effectively relieved; the jaw pad wraps the whole dentition of the lower jaw, 3D digital personalized printing improves the experience and comfort of patient treatment, repeated grinding adjustment is not needed, and the treatment effect is improved.
Drawings
Fig. 1 is a schematic view of the structure in the jaw pad mouth of the present utility model, wherein fig. 1 (a) is a front view of the structure in the jaw pad mouth, fig. 1 (b) is a front view of the structure in the jaw pad mouth, and fig. 1 (c) is a left side view of the structure in the jaw pad mouth;
FIG. 2 is an aerial view of the jaw pad of the present utility model;
FIG. 3 is a rear view of the jaw pad of the present utility model;
FIG. 4 is a view of the inner wall of the jaw pad of the present utility model;
In the figure: 1. the upper jaw dentition, 2, a jaw pad body, 3, a lower jaw dentition, 21, a punctiform contact area of a jaw front dental area, 22, a cuspid-premolaring area retreating control ridge, 23, a rear dental area tongue tip shallow concave contact area, 24, a first premolaring near-middle inclined plane, 25, a jaw pad inner wall rear part, 26 and a jaw pad inner wall front part.
Detailed Description
The utility model will be described in further detail with reference to the accompanying drawings and specific examples.
As shown in fig. 1 (a), 1 (b), 1 (c), 2, 3 and 4, the digitally stabilized repositioning jaw pad for treating temporomandibular joint disorders comprises a jaw pad body 2 detachably covering mandibular dentition 3 and contacting maxillary dentition 1.
The upper surface of the rear part 25 of the inner wall of the jaw pad body 2 wraps the whole mandibular back dental crown, and the upper surface of the rear part of the outer wall of the jaw pad is contacted with the contact area of the shallow concave 23 of the tip of the tongue of the maxillary back dental.
The front part of the jaw pad outer wall of the jaw pad body 2 is provided with a jaw front tooth area punctate contact area 21, and the jaw front tooth area punctate contact area 21 is in punctate contact with the upper front teeth; the lower surface of the anterior portion 26 of the inner jaw pad wall wraps 1/3 of the lower anterior incisor end. The front and rear parts of the jaw pad body 2 form a stable contact of the whole dentition, and pain caused by temporomandibular joint disorder can be relieved.
The first premolars on both sides of the lower jaw of the jaw pad body 2 are provided with cuspid-premolars area receding control ridges 22, and the upper surfaces of the cuspid-premolars area receding control ridges 22 are in contact with the upper jaw first molar mesial slope 24. The canine-premolaring area retraction control ridges 22 on both sides of the mandible form retention forces on the mandible, maintain the position of the mandible after repositioning, prevent mandibular retraction, and treat the anterior displacement of the articular disc due to temporomandibular joint disorder.
The thickness of the cheek tongue side of the jaw pad body 2 is 1-1.2mm, the edge is round and blunt, the accuracy is high, the clinical grinding adjustment is less, the foreign body sensation of the patient wearing the pad is small, and the repeated grinding adjustment is not needed.
The jaw pad body 2 is made of transparent or semitransparent biocompatible materials, so that the aesthetic degree of the manufactured jaw pad body 2 can be improved, and the material precision of the jaw pad body 2 is higher than 50 mu m.
The jaw pad body 2 is digitally manufactured in the whole process, when the jaw pad is manufactured, after the muscles of a patient are firstly reprogrammed, the patient is instructed to perform forward extension and opening and closing movements, and therapeutic jaw position data are acquired and recorded according to the temporomandibular joint movement condition. And scanning the upper and lower dentition and the therapeutic dentition by using an intraoral three-dimensional scanner, acquiring digital dentition impressions and bite records, and outputting in an STL format. And importing the patient dentition occlusion data into three-dimensional drawing software, and reconstructing the patient dentition occlusion three-dimensional data. And a personalized stable repositioning jaw pad is designed in the three-dimensional drawing software. And printing the designed digital jaw pad through a 3D printer to finish the manufacturing of the jaw plate.
The drawing is only a schematic structure, and a person skilled in the art can well combine the drawing and clinical practice to obtain a structure diagram meeting clinical needs. The foregoing has described exemplary embodiments of the utility model, it being understood that any simple variations, modifications, or other equivalent arrangements which would not unduly obscure the utility model may be made by those skilled in the art without departing from the spirit of the utility model.

Claims (3)

1. A digitally stabilized repositioning jaw pad for treating temporomandibular joint disorders, characterized by: comprises a jaw pad body (2) which is detachably covered on a mandibular dentition (3) and is contacted with a maxillary dentition (1);
The upper surface of the rear part (25) of the inner wall of the jaw pad body (2) wraps the whole mandibular rear tooth crown, and the upper surface of the rear part of the outer wall of the jaw pad is contacted with a shallow concave contact area (23) of the tip of the tongue of the maxillary rear tooth;
The front part of the jaw pad outer wall of the jaw pad body (2) is provided with a jaw front tooth area punctiform contact area (21), and the jaw front tooth area punctiform contact area (21) is in punctiform contact with the upper front teeth; the lower surface of the front part (26) of the inner wall of the jaw pad wraps 1/3 of the lower front tooth cutting end;
The first premolars on two sides of the lower jaw of the jaw pad body (2) are provided with cuspids-premolars area retreating control ridges (22), and the upper surfaces of the cuspids-premolars area retreating control ridges (22) are contacted with the upper jaw first molar near-middle inclined plane (24).
2. The digitally stabilized repositioning jaw pad for treating temporomandibular joint disorders according to claim 1, wherein: the thickness of the cheek-tongue side of the jaw pad body (2) is 1-1.2mm.
3. The digitally stabilized repositioning jaw pad for treating temporomandibular joint disorders according to claim 1, wherein: the jaw pad body (2) is made of transparent or semitransparent biocompatible materials.
CN202322386226.7U 2023-09-04 2023-09-04 Digital stable repositioning jaw pad for treating temporomandibular joint disorder Active CN221180657U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202322386226.7U CN221180657U (en) 2023-09-04 2023-09-04 Digital stable repositioning jaw pad for treating temporomandibular joint disorder

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202322386226.7U CN221180657U (en) 2023-09-04 2023-09-04 Digital stable repositioning jaw pad for treating temporomandibular joint disorder

Publications (1)

Publication Number Publication Date
CN221180657U true CN221180657U (en) 2024-06-21

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202322386226.7U Active CN221180657U (en) 2023-09-04 2023-09-04 Digital stable repositioning jaw pad for treating temporomandibular joint disorder

Country Status (1)

Country Link
CN (1) CN221180657U (en)

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