WO2012099439A2 - Palatal anchor for orthodontic treatment - Google Patents

Palatal anchor for orthodontic treatment Download PDF

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Publication number
WO2012099439A2
WO2012099439A2 PCT/KR2012/000554 KR2012000554W WO2012099439A2 WO 2012099439 A2 WO2012099439 A2 WO 2012099439A2 KR 2012000554 W KR2012000554 W KR 2012000554W WO 2012099439 A2 WO2012099439 A2 WO 2012099439A2
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WO
WIPO (PCT)
Prior art keywords
orthodontic
palatal
base member
fastening holes
fastening hole
Prior art date
Application number
PCT/KR2012/000554
Other languages
French (fr)
Korean (ko)
Other versions
WO2012099439A3 (en
Inventor
김진홍
김성훈
Original Assignee
경희대학교 산학협력단
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Application filed by 경희대학교 산학협력단 filed Critical 경희대학교 산학협력단
Publication of WO2012099439A2 publication Critical patent/WO2012099439A2/en
Publication of WO2012099439A3 publication Critical patent/WO2012099439A3/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0093—Features of implants not otherwise provided for
    • A61C8/0096—Implants for use in orthodontic treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/12—Brackets; Arch wires; Combinations thereof; Accessories therefor
    • A61C7/20—Arch wires
    • A61C7/22—Tension adjusting means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/10—Devices having means to apply outwardly directed force, e.g. expanders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0018—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
    • A61C8/0031—Juxtaosseous implants, i.e. implants lying over the outer surface of the jaw bone

Definitions

  • the present invention relates to an orthodontic appliance for orthodontic treatment, and more particularly, to a palatal orthodontic pawl fixed source that is fixed to the palate, ie, the palate, and functions as an anchor when providing traction for orthodontics. will be.
  • the orthodontics is a concept including an orthodontic treatment, for example, an orthodontic treatment that simply aligns a crooked tooth, and corrects various skeletal inconsistencies that may occur during the growth process, thereby exerting a normal function.
  • an orthodontic treatment for example, an orthodontic treatment that simply aligns a crooked tooth, and corrects various skeletal inconsistencies that may occur during the growth process, thereby exerting a normal function.
  • the facial lines can also be beautiful to create beautiful facial images.
  • the orthodontics may be divided into orthodontic treatment (Orthodontic Treatment) to improve the orthodontic teeth such as malocclusion through gradual movement of the orthodontic and orthodontic surgery to give a skeletal improvement by performing a surgical operation on the jawbone.
  • orthodontic treatment Orthogonal Treatment
  • the abnormality of the upper teeth and the facial skeletal structure is so severe that orthodontic treatment, orthodontic treatment alone, cannot be treated.
  • the face skeletal itself is corrected by surgery. Orthognathic surgery may be applied in conjunction with the orthodontics to create a facial that is both aesthetic and esthetic.
  • the orthognathic surgery may be used when an orthodontic treatment is incomplete in improving the shape of the face and improving the dental function.
  • the orthodontic surgery may be avoided by using a method such as skeletal improvement through orthodontic surgery, but in the case of adult growth, the operation may be difficult by orthodontics alone. Surgery may be performed in parallel with the orthodontic procedure.
  • the orthodontic treatment may be largely divided into a labyrinth and lingual correction
  • the labyrinth correction is a correction method to perform orthodontics by attaching the orthodontic appliance used for orthodontics to the surface of the lips side of the teeth
  • the orthodontic appliance is a method of orthodontic treatment by attaching the orthodontic appliance to the surface of the tongue side of the tooth surface.
  • the orthodontic appliance examples include a calibration wire (generally referred to as a 'wire wire') for correcting an orthodontic appliance, a wire support (generally referred to as a 'bracket') for supporting the orthodontic wire, and a traction force of the orthodontist.
  • Anchors which are anchors, wherein the brackets are secured to the labial and / or lingual surfaces of the teeth.
  • the bracket is provided with a plurality along the teeth are connected by the correction wire, and transmits the correction force applied from the correction wire to the teeth.
  • the orthodontic treatment may be performed sequentially in a plurality of orthodontic steps, as an example of the orthodontic steps constituting the orthodontic surgery in the case of a patient showing the densities of the anterior teeth or the gap between the teeth of the anterior teeth
  • the orthodontic step of pulling the dentition to the lingual, for example palate side during the orthodontic procedure is referred to as lingual traction step
  • the lingual traction step may be performed after another calibration step, such as the anterior calibration step described above.
  • the orthodontic appliance for lingual traction should be installed inside the mouth of the patient, as shown in Figure 1 for lingual traction on the lingual surface of the teeth (1a, 1b, 1c)
  • Orthodontic appliance for example, the traction wire 10 is fixed using a dental adhesive and connected to the palatal fixation source 30 through a traction member 20, such as a spring or rubber band, so that lingual traction is performed. It became.
  • the palatal fixation source 30 is arranged in a straight line on the midline of the palate (line passing in the front and rear direction of the palate) to provide a corrective force of left and right symmetry in the orthodontic teeth,
  • the palatal fixing member 30 is fixed to the palate, that is, the upper palate by the implantation nail such as screws, the fastening holes are formed on the centerline of the palatal fixing member (30).
  • the conventional palatal fixation source described above has a problem that the fixing force of the implantation nail is gradually lost and the force supporting the corrective force is weakened. Accordingly, the present inventors have a palatal fixation source having a structure and a structure that can minimize or prevent loss of fixation force of the implant nail fixing the palatal fixation element to the palate and can be directly applied to the surface of the palate without incision of the palatal soft tissue.
  • the lingual towing device was developed.
  • the present invention provides a palatal fixation source and a lingual towing device having a structure that can minimize or prevent loss of fixation force of the implantation nail and can be directly applied to the palatal surface without incision of the palatal soft tissue. There is this.
  • the present invention includes: an anchor body fixed to the palate during orthodontic treatment for orthodontics; And it is provided on the anchor body, and provides a brace orthodontic device having orthodontic palatal orthodontic device comprising a hook portion that can be connected to the traction member for providing orthodontic force to the orthodontic.
  • the anchor body is; The left and right sides of the base member which can be fixed to the palate by the implantation nail during the orthodontic treatment, at least one first fastening hole formed in the base member, and passing through the center of the first fastening hole in the front and rear directions At least one second fastening hole is formed in the base member so as to be located on any one side.
  • the lateral distance from the imaginary line passing through the center of the first fastening hole in the front and rear direction to the center of the second fastening hole is 1.0 mm to 4.0 mm.
  • the lateral distance from the virtual line passing through the center of the first fastening hole in the front and rear direction to the center of the second fastening hole is 1.4 mm to 3.5 mm.
  • the at least one first fastening hole and the at least one second fastening hole are formed in the base member to be offset from each other.
  • the first fastening hole and the second fastening hole are arranged diagonally without being disposed side by side on the left and right sides.
  • the first fastening hole is formed in the base member in a plurality of front and rear directions;
  • the second fastening holes are formed in plural in the front-rear direction in the base member, and the centers of the second fastening holes are disposed at positions spaced left or right in an imaginary line passing through the centers of the first fastening holes.
  • first fastening holes and the second fastening holes may be formed in a zigzag pattern on the base member to be alternately shifted one by one.
  • the base member may be bent to allow the relative position of the second fastening hole to be changed based on the first fastening hole.
  • the base member And a first base in the front and rear direction in which the at least one first fastening hole is formed, and a second base in the front and rear direction in which the at least one second fastening hole is formed and integrally formed with the first base.
  • the implantation nail for fixing the palatal fixing circle on the surface of the palate is implanted on the left and right sides of the palatal midline, it is possible to secure the initial fixing force and at the same time after the fastening of the implantation nail Since the anchoring force of the implant nail can be maintained during the period of reconstruction of the surrounding bone, lingual traction can be stably performed during orthodontic treatment.
  • the first fastening hole on the left side and the second fastening hole on the right side to which the implant nails are fastened, respectively can be disposed to be offset from each other, so that the spacing between the implant nails can be secured.
  • the burden and damage on the palatal bone can be reduced, thereby reducing the burden on the patient.
  • the present invention it is possible to minimize the left and right width of the body of the palatal fixation source, that is, anchoring body fixed to the palate, to eliminate interference between the implantation nails and to place the implantation nails close to the palatal midline have.
  • the present invention can be applied directly to the palatal surface without incision of the soft tissue, thereby avoiding complicated surgery such as incision of the soft tissue, thereby reducing the burden on the patient, shortening the recovery period of the damaged palate and the treatment period of orthodontic treatment. Can be.
  • the fixing power of the palatal fixation source can be enhanced.
  • FIG. 1 is a view showing an example of a lingual towing device is applied to the center of the palate conventional palatal fixation.
  • FIG. 2 is a view showing an embodiment of the palatal fixation circle according to the present invention.
  • FIG. 3 is a view showing the arrangement of the fastening holes of the palatal fixing circle shown in FIG.
  • FIG. 4 is a view illustrating a state in which the palatal fixation circle of FIG. 2 is applied to the palate.
  • FIG. 5 is a view illustrating an example of a lingual towing device to which the palatal fixation circle of FIG. 2 is applied.
  • FIG. 6 is a view showing another embodiment of the palatal fixation circle according to the present invention.
  • FIG. 7 is a view showing another embodiment of the palatal fixation circle according to the present invention.
  • FIG. 8 is a view showing another embodiment of the palatal fixation circle according to the present invention.
  • FIG. 9 is a view showing another embodiment of the palatal fixation circle according to the present invention.
  • 'palatal palate' an embodiment of the palatal orthodontic pawl (hereinafter referred to as 'palatal palate') according to the present invention.
  • Figure 2 is a view showing an embodiment of the palatal fixing circle according to the invention
  • Figure 3 is a view showing the arrangement of the fastening holes of the palatal fixing circle shown in Figure 2
  • Figure 4 2 is a view showing a state in which the palatal fixation circle is applied to the palate
  • Figure 5 is a view showing an example of the lingual traction device to which the palatal fixation circle of FIG.
  • an embodiment 100 of the palatal fixation circle according to the present invention is an orthodontic appliance that functions as an anchor which is fixed to the palate and supports traction during orthodontic treatment for orthodontic treatment. to be.
  • the palatal fixing member 100 is configured to include an anchor body 110 and a hook portion 120 provided in the anchor body 110.
  • the anchor body 110 is fixed to the palate for the orthodontic treatment described above, in particular the lingual dog to pull the dentition to the lingual
  • the hook portion 120 is a traction member 300 to provide orthodontic force to the dentition 5), for example, as a structure that can be connected to the elastic member, such as a spring or rubber band, it may be configured in a ring shape or a projection shape and other various shapes or structures, in the present embodiment the hook portion 120 is It is manufactured integrally with the anchor body 110.
  • the anchor body 110 includes a plurality of fastening holes 112a formed in the base member 111 such that the base member 111 and the implantable nail which are fixed to the palate are fastened through the anchoring treatment. , 112b, 113a, and 113b).
  • the palatal fixation circle 100 is fixed by using the implantation nail on the imaginary line in the front and rear direction, that is, palate midline dividing the palate left and right.
  • the plurality of fastening holes 112a, 112b, 113a, and 113b formed in the base member 111 may include one or a plurality of first fastening holes 112a and 112b and one or a plurality of second fastening holes ( 113a, 113b).
  • the palatal fixation circle 100 is fixed to the palate when the insertion nail is placed in the palatal bone by passing through the at least one first fastening hole 112a and 112b and the at least one second fastening hole 113a and 113b, respectively. Can be.
  • the first fastening holes (112a, 112b) can be located on either side of the left and right with respect to the palatal midline.
  • the second fastening holes 113a and 113b may be located at the other side of the palatal midline, and the second fastening holes 113a and 113b may be centered on the first fastening holes 112a and 112b. It is formed on the left or right side of the virtual line t1 passing in the front-rear direction.
  • the second fastening holes 113a and 113b may be formed in parallel to any one side of the left and right sides of the first fastening holes 112a and 112b, and are disposed at positions displaced from the first fastening holes 112a and 112b. It may be formed.
  • the first fastening holes 112a and 112b and the second fastening holes 113a and 113b are formed to be offset from each other, so that the first fastening holes and the second fastening holes are not arranged side by side on the left and right sides.
  • the first fastening hole and the second fastening hole do not overlap when viewed from the left or right side of the anchor body.
  • an imaginary line t2 passing through the second fastening holes 113a and 113b in left and right directions, and a virtual line passing through the centers of the second fastening holes in left and right directions when there are a plurality of second fastening holes, respectively. Refers to a state that does not pass through the center of the fastening holes (112a, 112b).
  • the plurality of first fastening holes 112a and 112b are formed in the front and rear directions in the base member 111, and the second fastening holes 113a and 113b are in the front and rear directions in the base member 111.
  • a plurality of fastening holes may be formed in the base member 111, but the present invention is not limited thereto, and only one fastening hole among the first fastening holes 112a and 112b and the second fastening holes 113a and 113b may be formed in the base member 111. have.
  • the first fastening holes 112a and 112b and the second fastening holes 113a and 113b may be arranged in a zigzag form on the base member 111 alternately one by one.
  • the first fastening holes 112a and 112b are located between two second fastening holes 113a and 113b adjacent to each other in the front and rear directions
  • the second fastening holes 113a and 113b are disposed between two first fastening holes 112a and 112b which are adjacent to each other in the front-rear direction.
  • first fastening holes 112a and 112b are formed in the base member 111 so as to be spaced apart in the front and rear directions
  • second fastening holes 113a and 113b are spaced apart in the front and rear directions.
  • the first fastening holes 112a and 112b and the second fastening holes 113a and 113b are alternately alternately arranged one by one in the form of zigzag on the base member 111 to form a vertex of a substantially equilateral quadrangle.
  • a structure in which fastening holes are formed in the first and second fastening holes 112a and 112b and one of the second fastening holes 113a and 113b, respectively, is disclosed. It may be formed.
  • the thickness is preferably 1.0 mm to 4.0 mm.
  • the palatal bone has a thickness of about 2.0 mm relative to the palatal centerline and is relatively thicker than other parts, and the palatal bone is divided into two sides with respect to the palatal centerline. The closer to the palatal centerline at, the thickness increases.
  • the width between the first fastening holes 112a and 112b and the second fastening holes 113a and 113b is 1.0 mm to 4.0 mm
  • the first fastening holes 112a and 112b and the second fastening holes ( 113a, 113b) is respectively centered in the implant nail is located between 0.5mm ⁇ 2.0mm from the palatal centerline to ensure the initial anchoring force can be minimized the loss of anchoring power during the treatment period.
  • the second fastening in an imaginary line passing through the center of the first fastening holes (112a, 112b) in the forward and backward directions, considering the outer diameter of the insertion nail, that is, the screw and the inner diameter (d) of the fastening holes
  • the distance (width) to the center of the balls 113a and 113b is preferably 1.4 mm to 3.5 mm.
  • the first fastening holes 112a and 112b and the at least one second fastening holes 113a and 113b are formed to be offset from each other, the first fastening holes ( Even if the width between 112a and 112b and the second fastening holes 113a and 113b is narrowed, the first fastening holes 112a and 112b and the second fastening holes 113a and 113b may prevent mutual interference.
  • the implantation nail may be implanted in a relatively thicker portion by minimizing the width between the first fastening holes 112a and 112b and the second fastening holes 113a and 113b.
  • the base member 111 the first base 111a in the front-rear direction in which the at least one first fastening holes 112a and 112b are formed, and the at least one second fastening holes 113a and 113b. It is formed and includes a second base (111b) in the front and rear direction integrally formed with the first base (111a). The first base and the second base are integrally connected to each other by a bridge (111c, Bridge) to form the base member 111.
  • a bridge 111c, Bridge
  • the first base 111a is formed in a thin plate shape extending in the front-rear direction, and the first fastening holes 112a and 112b are formed at the front and rear ends of the first base 111a, respectively.
  • the second base 111b also has a thin plate shape formed in the front and rear direction, and the second fastening holes 113a and 113b are formed at the front and rear ends of the second base 111b, respectively.
  • the first base 111a is integrated at the left side of the bridge 111c, and the second base 111b is integrated at the right side of the bridge 111c.
  • the base member 111 has an approximately 'H' shape. It becomes thin plate structure of.
  • the distance (a) between the first fastening holes is less than 9.0mm and the front and rear distance (c) between the first fastening hole and the second fastening hole is less than 4.0mm, but is not limited thereto, but the patient receives It is desirable to be made as small as possible (Size) so that foreign matter is minimized.
  • the base member 111 may be bent such that the relative positions of the second fastening holes 113a and 113b may be varied based on the first fastening holes 112a and 112b. Accordingly, the operator may change the position of the fastening holes 112a, 112b, 113a, and 113b by adjusting the shape of the base member 111 to fit the patient.
  • the hook portion 120 is configured to include a first support arm 121 and the second support arm 122 inclined diagonally on both sides of the anchor body 110 as in this embodiment, respectively Alternatively, as in the other embodiment 100a illustrated in FIG. 6, the first support arm 121a and the second support arm 122a extend in horizontal directions on both sides of the anchor body 110, respectively.
  • the first support arms 121 and 121a and the second support arms 122 and 122a may be symmetrical with each other.
  • the first catching holes 123 and the second catching holes 124 are provided at end portions of the first support arms 121 and 121a and the second support arms 122 and 122a, respectively.
  • the locking holes 123 and 124 may be configured in various structures such as protrusions or hooks such as hooks, and any structure may be used as long as the towing member 300 may be locked.
  • Towing members 300 ie, elastic members, are connected to the first locking holes 123 and the second locking holes 124, respectively.
  • FIG 5 is a state in which an example of the lingual towing device to which an embodiment of the palatal fixation circle according to the present invention configured as described above is applied is installed in the oral cavity of a patient.
  • the lingual towing device the traction member for connecting the traction wire 200 and the traction wire 200 for transmitting the traction force to the palatal fixed source 100 and the teeth to the palatal fixed source 100 to generate a traction force And 300.
  • the traction wire 200 is pulled by the traction member 300 to pull the maxillary teeth 1a, 1b, 1c, in particular the anterior part, to the line wire 400 fixed along the teeth. Combined.
  • FIG. 7 illustrates another example in which the first fastening holes 112a and 112b and the second fastening holes 113a and 113b are displaced, that is, alternately formed as another embodiment 100b of the palatal fixation circle according to the present invention.
  • the first fastening holes 112a and 112b and the second fastening holes 113a and 113b are alternately arranged, the zigzag shape of the above-described embodiment is alternately arranged.
  • the palatal fixing member according to the present invention may have only one second fastening hole 113a formed in the base member, as in the embodiment 100d shown in FIG. 8, and the embodiment 100e shown in FIG. 9.
  • only one first fastening hole 112b may be formed in the base member.
  • only one first fastening hole 112b may be formed so as to be positioned behind the hook part 120.
  • first fastening hole and the second fastening hole may be formed in the base member, of course, wherein the first fastening hole and the second fastening hole are pulled from the rear of the hook part 120. It is preferable to support the member 300.
  • the present invention is an instrument applied as an anchor in the orthodontic appliance and instrument field, in particular, has the industrial applicability to the orthodontic appliance manufacturing field, according to the present invention, the manufacturing convenience and the accuracy of the orthodontic correction is greatly improved Can be.

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

Abstract

The present invention relates to a palatal anchor for orthodontic treatment, and to a lingual traction device comprising the palatal anchor. The palatal anchor for orthodontic treatment according to the present invention comprises: an anchor body to be fixed in a palate during orthodontic treatment; and a hook portion formed at the anchor body to enable the connection of a traction member providing orthodontic force to teeth. Here, the anchor body includes: a base member fixable to the palate via an implantation nail during orthodontic treatment; at least one first coupling hole formed in the base member; and at least one second coupling hole formed in the base member such that the second coupling hole is located at the left or right side of a virtual line passing through the center of the first coupling hole in the forward and backward directions. According to the present invention, as implantation nails for fixing the palatal anchor at the surface of a palate are fastened onto the left and right sides of the line passing through the right center of the palate, initial anchoring force is ensured and the anchoring force of the implantation nails is maintained during the reformation of bones near the implantation nails after fastening the implantation nails, and thus lingual traction may be stably provided during orthodontic treatment.

Description

치열교정용 구개 고정원Orthodontic Cleft Palate
본 발명은, 치열교정치료를 위한 치열교정기구에 관한 것으로서, 보다 상세하게는 입천장, 즉 구개에 고정되어 치열교정을 위한 견인력 제공시에 앵커(Anchor)로서 기능하는 치열교정용 구개 고정원에 관한 것이다. The present invention relates to an orthodontic appliance for orthodontic treatment, and more particularly, to a palatal orthodontic pawl fixed source that is fixed to the palate, ie, the palate, and functions as an anchor when providing traction for orthodontics. will be.
현대인에게 있어서 외모, 특히 인상은 취업이나 입학 등의 면접시 사람을 판단하는 하나의 기준으로서 작용하며, 대인관계에서도 큰 비중을 차지하는 등 사회생활에 매우 중요한 요소로 작용하는데, 특히 치아와 치열은 인상을 전체적으로 좌우하는 요인이 된다. 이에 따라 성형수술과 함께 치아, 치열, 또는 안면 골격의 개선을 위한 치과교정술이 성행하고 있다.For modern people, appearance, especially impression, serves as a criterion for judging people during job interviews and admissions, and plays an important role in social life. It is a factor that influences overall. Accordingly, orthodontics for the improvement of teeth, dental dentition, or facial skeleton along with plastic surgery are prevalent.
상기 치과교정술은 부정치열을 바르게 하는 시술, 예를 들면 단순히 비뚤어진 치아를 가지런히 하는 협의의 치열교정술을 포함하는 개념으로서, 성장 과정에서 발생할 수 있는 여러 가지 골격적 부조화를 바로잡아 정상적인 기능을 발휘할 수 있도록 하여 건강한 구강 조직에 기여하며, 더 나아가 얼굴 라인을 수려하게 하여 아름다운 얼굴 이미지를 만들어줄 수 있다.The orthodontics is a concept including an orthodontic treatment, for example, an orthodontic treatment that simply aligns a crooked tooth, and corrects various skeletal inconsistencies that may occur during the growth process, thereby exerting a normal function. By contributing to healthy oral tissues, the facial lines can also be beautiful to create beautiful facial images.
상기 치과교정술은 치열의 점진적 이동을 통해 부정교합 등의 부정치열을 개선하는 치열교정시술(Orthodontic Treatment)과 악골에 대한 외과적 수술을 수행하여 골격적 개선을 부여하는 악교정 수술로 구분될 수 있다.The orthodontics may be divided into orthodontic treatment (Orthodontic Treatment) to improve the orthodontic teeth such as malocclusion through gradual movement of the orthodontic and orthodontic surgery to give a skeletal improvement by performing a surgical operation on the jawbone.
다시 말해서, 아래위 치아의 맞물림에 대한 이상이나 안면 골격구조에 대한 이상이 너무나 심해 치열교정술, 즉 치열교정시술만으로는 치료가 불가능한 경우가 있는데, 이러한 경우에는 얼굴의 골격 자체의 이상을 수술로 바로잡아 기능적이고 심미적인 얼굴을 만들기 위해 악교정 수술이 상기 치열교정술과 함께 병행하여 적용되기도 한다. In other words, the abnormality of the upper teeth and the facial skeletal structure is so severe that orthodontic treatment, orthodontic treatment alone, cannot be treated. In this case, the face skeletal itself is corrected by surgery. Orthognathic surgery may be applied in conjunction with the orthodontics to create a facial that is both aesthetic and esthetic.
즉, 상기 악교정 수술(Orthognathic Surgery)은 치열교정시술만으로는 얼굴모양의 개선과 치아기능의 개선이 불완전할 때 사용될 수 있다. 특히 성장중인 아이들의 경우 치열교정시술을 통해 골격적인 개선을 하는 등의 방법으로 상기 악교정 수술을 피할 수 있지만, 성장이 종료된 성인의 경우는 수술이 치열교정만으로는 어려운 경우가 있는데 이러한 경우에 상기 악교정 수술이 상기 치열교정시술과 병행하여 시술될 수 있다.That is, the orthognathic surgery may be used when an orthodontic treatment is incomplete in improving the shape of the face and improving the dental function. In particular, in the case of growing children, the orthodontic surgery may be avoided by using a method such as skeletal improvement through orthodontic surgery, but in the case of adult growth, the operation may be difficult by orthodontics alone. Surgery may be performed in parallel with the orthodontic procedure.
상기 치열교정시술은 크게 순측 교정과 설측 교정으로 구분할 수도 있는데, 상기 순측 교정이란 치열교정에 사용되는 교정기구를 치아의 표면 중 입술 측의 표면에 부착하여 치열교정을 수행하는 교정법이고, 상기 설측 교정이란 상기 교정기구를 치아의 표면 중 혀측의 표면에 부착하여 치열교정을 수행하는 교정법이다.The orthodontic treatment may be largely divided into a labyrinth and lingual correction, the labyrinth correction is a correction method to perform orthodontics by attaching the orthodontic appliance used for orthodontics to the surface of the lips side of the teeth, The orthodontic appliance is a method of orthodontic treatment by attaching the orthodontic appliance to the surface of the tongue side of the tooth surface.
상기 치열교정기구의 예로는 치열을 바르게 하기 위한 교정 와이어(일반적으로 '호선 와이어'라 칭함)와 상기 교정 와이어의 지지를 위한 와이어 지지구(일반적으로 '브라켓'이라 칭함)와 치열의 견인력을 지지하는 앵커인 고정원 등이 있으며, 상기 브라켓은 상기 치아의 순측 및/또는 설측 표면에 고정된다. 상기 브라켓은 치열을 따라 복수개가 구비되어 상기 교정 와이어에 의해 연결되며, 상기 교정 와이어로부터 가해지는 교정력을 상기 치열에 전달한다.Examples of the orthodontic appliance include a calibration wire (generally referred to as a 'wire wire') for correcting an orthodontic appliance, a wire support (generally referred to as a 'bracket') for supporting the orthodontic wire, and a traction force of the orthodontist. Anchors, which are anchors, wherein the brackets are secured to the labial and / or lingual surfaces of the teeth. The bracket is provided with a plurality along the teeth are connected by the correction wire, and transmits the correction force applied from the correction wire to the teeth.
상기 치열교정시술은 복수의 교정단계로 순차적으로 수행될 수도 있으며, 상기 치열교정시술을 구성하는 교정단계의 일 예로서 전치부의 치열밀집 현상을 보이는 환자나 전치부의 치아들 사이가 벌어진 환자의 경우에 상기 전치부의 치열을 상기 호선 와이어와 상기 브라켓을 이용하여 가지런하게 간격조절하는 전치부 교정단계 등이 있다. The orthodontic treatment may be performed sequentially in a plurality of orthodontic steps, as an example of the orthodontic steps constituting the orthodontic surgery in the case of a patient showing the densities of the anterior teeth or the gap between the teeth of the anterior teeth The anterior calibration step of adjusting the teeth of the anterior teeth neatly using the wire wire and the bracket.
한편, 상기 치열교정시술 중 상기 치열을 설측, 예를 들면 구개(Palate)측으로 견인하는 교정단계를 설측 견인단계라 칭하며, 환자의 치열상태에 따라 상기 설측 견인단계가 상기 치열교정시술 과정 중에 수행될 수도 있는데, 상기 설측 견인단계는 다른 교정단계, 예를 들면 전술한 전치부 교정단계 이후에 수행되기도 한다.On the other hand, the orthodontic step of pulling the dentition to the lingual, for example palate side during the orthodontic procedure is referred to as lingual traction step, the lingual traction step according to the orthodontic state of the patient to be performed during the orthodontic procedure Alternatively, the lingual traction step may be performed after another calibration step, such as the anterior calibration step described above.
상기 치열의 설측 견인단계의 수행을 위해서 환자의 구강 내부에는 설측 견인용 치열교정기구가 설치되어야 하는데, 도 1에 도시된 바와 같이 상기 치아들(1a, 1b, 1c)의 설측 표면에 설측 견인용 치열교정기구, 예를 들면 견인용 와이어(10)가 치과용 접착제를 사용하여 고정되고 스프링이나 고무줄 등과 같은 견인부재(20)를 통해 구개 고정원(30)에 연결됨으로써 상기 치열의 설측 견인이 수행되었다.In order to perform the lingual traction step of the dentition, the orthodontic appliance for lingual traction should be installed inside the mouth of the patient, as shown in Figure 1 for lingual traction on the lingual surface of the teeth (1a, 1b, 1c) Orthodontic appliance, for example, the traction wire 10 is fixed using a dental adhesive and connected to the palatal fixation source 30 through a traction member 20, such as a spring or rubber band, so that lingual traction is performed. It became.
상술한 종래의 치열교정기구에 있어서, 상기 구개 고정원(30)은 구개의 정중선(구개의 중앙을 전후방향으로 지나는 선)상에 일직선으로 배치되어 고정되어 치열에 좌우 대칭의 교정력을 제공하는데, 상기 구개 고정원(30)은 나사 등의 식립못에 의해 상기 구개, 즉 상악 구개에 정착되는데 상기 구개 고정원(30)의 중심선상에는 체결공들이 형성된다.In the conventional orthodontic appliance described above, the palatal fixation source 30 is arranged in a straight line on the midline of the palate (line passing in the front and rear direction of the palate) to provide a corrective force of left and right symmetry in the orthodontic teeth, The palatal fixing member 30 is fixed to the palate, that is, the upper palate by the implantation nail such as screws, the fastening holes are formed on the centerline of the palatal fixing member (30).
그러나 상술한 종래의 구개 고정원은 상기 식립못의 정착력이 점차 소실되어 교정력을 지지하는 힘이 약화되는 문제점이 있다. 이에 따라, 본 발명자는, 구개 고정원을 구개에 고정하는 식립못의 정착력 소실을 최소화 또는 방지할 수 있고 구개 연조직의 절개없이 구개의 표면에 직접 적용할 수 있는 구조의 구개 고정원 및 이를 갖는 설측견인장치를 개발하게 되었다.However, the conventional palatal fixation source described above has a problem that the fixing force of the implantation nail is gradually lost and the force supporting the corrective force is weakened. Accordingly, the present inventors have a palatal fixation source having a structure and a structure that can minimize or prevent loss of fixation force of the implant nail fixing the palatal fixation element to the palate and can be directly applied to the surface of the palate without incision of the palatal soft tissue. The lingual towing device was developed.
본 발명은, 식립못의 정착력 소실을 최소화 또는 방지할 수 있고, 더 나아가 구개 연조직의 절개없이 구개의 표면에 직접 적용할 수 있는 구조의 구개 고정원 및 이를 갖는 설측견인장치를 제공하는데 그 목적이 있다.The present invention provides a palatal fixation source and a lingual towing device having a structure that can minimize or prevent loss of fixation force of the implantation nail and can be directly applied to the palatal surface without incision of the palatal soft tissue. There is this.
상술한 목적을 해결하기 위하여 본 발명은: 치열의 교정을 위한 치열교정치료시에 구개에 정착되는 앵커 몸체; 그리고 상기 앵커 몸체에 구비되며, 상기 치열에 교정력을 제공하는 견인부재의 연결이 가능한 걸이부를 포함하여 구성되는 치열교정용 구개 고정원 및 이를 갖는 설측견인장치를 제공한다. 여기서, 상기 앵커 몸체는; 상기 치열교정치료시에 식립못에 의해 상기 구개에 고정 가능한 베이스부재, 상기 베이스 부재에 형성되는 적어도 하나의 제1체결공, 그리고 상기 제1체결공의 중심을 전후방향으로 지나는 가상선의 좌측과 우측 중 어느 일측에 위치하도록, 상기 베이스부재에 형성되는 적어도 하나의 제2체결공을 포함한다.In order to solve the above object, the present invention includes: an anchor body fixed to the palate during orthodontic treatment for orthodontics; And it is provided on the anchor body, and provides a brace orthodontic device having orthodontic palatal orthodontic device comprising a hook portion that can be connected to the traction member for providing orthodontic force to the orthodontic. Here, the anchor body is; The left and right sides of the base member which can be fixed to the palate by the implantation nail during the orthodontic treatment, at least one first fastening hole formed in the base member, and passing through the center of the first fastening hole in the front and rear directions At least one second fastening hole is formed in the base member so as to be located on any one side.
상기 제1체결공의 중심을 전후방향으로 지나는 가상선에서 상기 제2체결공의 중심까지의 좌우방향 거리는 1.0mm 내지 4.0mm인 것을 특징으로 한다.The lateral distance from the imaginary line passing through the center of the first fastening hole in the front and rear direction to the center of the second fastening hole is 1.0 mm to 4.0 mm.
상기 제1체결공의 중심을 전후방향으로 지나는 가상선에서 상기 제2체결공의 중심까지의 좌우방향 거리는 1.4mm 내지 3.5mm인 것을 특징으로 한다.The lateral distance from the virtual line passing through the center of the first fastening hole in the front and rear direction to the center of the second fastening hole is 1.4 mm to 3.5 mm.
상기 적어도 하나의 제1체결공과 상기 적어도 하나의 제2체결공은 서로 어긋나게 상기 베이스부재에 형성된다. 다시 말해서 상기 제1체결공과 상기 제2체결공이 좌우측에 나란하게 배치되지 않고 대각으로 배치되는 것을 말한다.The at least one first fastening hole and the at least one second fastening hole are formed in the base member to be offset from each other. In other words, the first fastening hole and the second fastening hole are arranged diagonally without being disposed side by side on the left and right sides.
상기 제1체결공은, 상기 베이스부재에 전후방향으로 복수개 형성되고; 상기 제2체결공은 상기 베이스부재에 전후방향으로 복수개 형성되며, 상기 제1체결공들의 중심들을 지나는 가상선에서 좌측 또는 우측방향으로 이격된 위치에 상기 제2체결공들의 중심들이 배치된다.The first fastening hole is formed in the base member in a plurality of front and rear directions; The second fastening holes are formed in plural in the front-rear direction in the base member, and the centers of the second fastening holes are disposed at positions spaced left or right in an imaginary line passing through the centers of the first fastening holes.
여기서, 상기 제1체결공들과 상기 제2체결공들은 하나씩 교대로 어긋나게 상기 베이스부재에 지그재그로 형성될 수도 있다.Here, the first fastening holes and the second fastening holes may be formed in a zigzag pattern on the base member to be alternately shifted one by one.
상기 베이스부재는, 상기 제1체결공을 기준으로 상기 제2체결공의 상대적 위치가 가변될 수 있도록, 벤딩(Bending) 가능한 것이 바람직하다.The base member may be bent to allow the relative position of the second fastening hole to be changed based on the first fastening hole.
그리고 상기 베이스부재는; 상기 적어도 하나의 제1체결공이 형성되는 전후방향의 제1베이스와, 상기 적어도 하나의 제2체결공이 형성되며 상기 제1베이스와 일체로 구성되는 전후방향의 제2베이스를 포함한다.And the base member; And a first base in the front and rear direction in which the at least one first fastening hole is formed, and a second base in the front and rear direction in which the at least one second fastening hole is formed and integrally formed with the first base.
본 발명에 따른 치열교정용 구개 고정원에 의하면 다음과 같은 효과가 있다.According to the orthodontic palatal fixation source according to the present invention has the following effects.
첫째, 본 발명에 따르면, 구개 고정원을 구개의 표면에 고정하기 위한 식립못이 구개 정중선의 좌측과 우측에 식립되므로, 초기 정착력을 확보할 수 있는 동시에 상기 식립못의 체결 후에 상기 식립못의 주변 뼈가 재형성되는 기간 동안 상기 식립못의 정착력이 유지될 수 있으므로, 치열교정치료시 설측 견인을 안정적으로 수행할 수 있다.First, according to the present invention, since the implantation nail for fixing the palatal fixing circle on the surface of the palate is implanted on the left and right sides of the palatal midline, it is possible to secure the initial fixing force and at the same time after the fastening of the implantation nail Since the anchoring force of the implant nail can be maintained during the period of reconstruction of the surrounding bone, lingual traction can be stably performed during orthodontic treatment.
둘째, 본 발명에 따르면, 식립못이 각각 체결되는 좌측의 제1체결공과 우측의 제2체결공이 상호 어긋나게 배치되어 식립못들 사이의 간격을 확보할 수 있으므로, 상기 식립못들에 의해 구개골에 식립홀들이 형성될 때 상기 구개골에 가해지는 부담과 손상 및 이로 인해 환자가 받은 부담감이 감소될 수 있다.Second, according to the present invention, the first fastening hole on the left side and the second fastening hole on the right side to which the implant nails are fastened, respectively, can be disposed to be offset from each other, so that the spacing between the implant nails can be secured. When holes are formed, the burden and damage on the palatal bone can be reduced, thereby reducing the burden on the patient.
셋째, 본 발명에 따르면, 상기 구개에 정착되는 구개 고정원의 몸체, 즉 앵커 몸체의 좌우 폭을 최소화할 수 있고, 식립못들간의 간섭을 배제할 수 있으며 식립못들을 구개 정중선에 가깝게 식립할 수 있다.Third, according to the present invention, it is possible to minimize the left and right width of the body of the palatal fixation source, that is, anchoring body fixed to the palate, to eliminate interference between the implantation nails and to place the implantation nails close to the palatal midline have.
넷째, 본 발명은 연조직의 절개없이 구개 표면에 직접 적용될 수 있으므로 연조직의 절개와 같은 복잡한 수술을 피할 수 있어서 환자가 받는 부담감이 감소될 수 있으며, 손상된 구개의 회복기간 및 교정치료의 치료기간도 단축될 수 있다.Fourth, the present invention can be applied directly to the palatal surface without incision of the soft tissue, thereby avoiding complicated surgery such as incision of the soft tissue, thereby reducing the burden on the patient, shortening the recovery period of the damaged palate and the treatment period of orthodontic treatment. Can be.
다섯째, 본 발명에 따르면, 식립못이 구개골 중에서 상대적으로 두꺼운 부위에 식립될 수 있으므로, 구개 고정원의 정착력이 강화될 수 있다.Fifth, according to the present invention, since the nail can be placed in a relatively thick portion of the palatal bone, the fixing power of the palatal fixation source can be enhanced.
도 1은 종래의 구개 고정원이 구개의 중앙에 적용된 설측견인장치의 일 예를 나타낸 도면이다.1 is a view showing an example of a lingual towing device is applied to the center of the palate conventional palatal fixation.
도 2는 본 발명에 따른 구개 고정원의 일 실시예를 나타낸 도면이다.2 is a view showing an embodiment of the palatal fixation circle according to the present invention.
도 3은 도 2에 도시된 구개 고정원의 체결공들의 배치관계를 나타낸 도면이다.3 is a view showing the arrangement of the fastening holes of the palatal fixing circle shown in FIG.
도 4는 도 2의 구개 고정원이 구개에 적용된 상태를 나타낸 도면이다.4 is a view illustrating a state in which the palatal fixation circle of FIG. 2 is applied to the palate.
도 5는 도 2의 구개 고정원이 적용된 설측견인장치의 일 예를 나타낸 도면이다.FIG. 5 is a view illustrating an example of a lingual towing device to which the palatal fixation circle of FIG. 2 is applied.
도 6은 본 발명에 따른 구개 고정원의 다른 실시예를 나타낸 도면이다.6 is a view showing another embodiment of the palatal fixation circle according to the present invention.
도 7은 본 발명에 따른 구개 고정원의 또 다른 실시예를 나타낸 도면이다.7 is a view showing another embodiment of the palatal fixation circle according to the present invention.
도 8은 본 발명에 따른 구개 고정원의 또 다른 실시예를 나타낸 도면이다.8 is a view showing another embodiment of the palatal fixation circle according to the present invention.
도 9는 본 발명에 따른 구개 고정원의 또 다른 실시예를 나타낸 도면이다.9 is a view showing another embodiment of the palatal fixation circle according to the present invention.
이하 본 발명의 목적이 구체적으로 실현될 수 있는 본 발명의 바람직한 실시예가 첨부된 도면을 참조하여 설명된다. 본 실시예를 설명함에 있어서, 동일 구성에 대해서는 동일 명칭 및 동일 부호가 사용되며 이에 따른 부가적인 설명은 하기에서 생략된다.DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, preferred embodiments of the present invention in which the object of the present invention can be specifically realized are described with reference to the accompanying drawings. In describing the present embodiment, the same name and the same reference numerals are used for the same configuration and additional description thereof will be omitted below.
먼저, 도 2 내지 도 5를 참조하여 본 발명에 따른 치열교정용 구개 고정원(이하 '구개 고정원'이라 칭함)의 일 실시예를 설명한다.First, with reference to FIGS. 2 to 5 will be described an embodiment of the palatal orthodontic pawl (hereinafter referred to as 'palatal palate') according to the present invention.
첨부된 도면들 중, 도 2는 본 발명에 따른 구개 고정원의 일 실시예를 나타낸 도면이고, 도 3은 도 2에 도시된 구개 고정원의 체결공들의 배치관계를 나타낸 도면이며, 도 4는 도 2의 구개 고정원이 구개에 적용된 상태를 나타낸 도면이고, 도 5는 도 2의 구개 고정원이 적용된 설측견인장치의 일 예를 나타낸 도면이다.Of the accompanying drawings, Figure 2 is a view showing an embodiment of the palatal fixing circle according to the invention, Figure 3 is a view showing the arrangement of the fastening holes of the palatal fixing circle shown in Figure 2, Figure 4 2 is a view showing a state in which the palatal fixation circle is applied to the palate, Figure 5 is a view showing an example of the lingual traction device to which the palatal fixation circle of FIG.
도 2 내지 도 4를 참조하면, 본 발명에 따른 구개 고정원의 일 실시예(100)는, 치열의 교정을 위한 치열교정치료시에 구개에 정착되어 견인력을 지탱하는 앵커로서 기능하는 치열교정기구이다.2 to 4, an embodiment 100 of the palatal fixation circle according to the present invention is an orthodontic appliance that functions as an anchor which is fixed to the palate and supports traction during orthodontic treatment for orthodontic treatment. to be.
상기 구개 고정원(100)은, 앵커 몸체(110)와 상기 앵커 몸체(110)에 구비되는 걸이부(120)를 포함하여 구성된다. 상기 앵커 몸체(110)는 상술한 치열교정치료, 특히 치열을 설측으로 견인하는 설측견인 시술을 위해 구개에 정착되며, 상기 걸이부(120)는 상기 치열에 교정력을 제공하는 견인부재(300, 도 5 참조), 예를 들면 스프링이나 고무줄 등과 같은 탄성부재의 연결이 가능한 구조로서, 고리형상이나 돌기 형상 기타 다양한 형상이나 구조로 구성될 수 있으며, 본 실시예에 있어서 상기 걸이부(120)는 상기 앵커 몸체(110)와 일체형으로 제조된다.The palatal fixing member 100 is configured to include an anchor body 110 and a hook portion 120 provided in the anchor body 110. The anchor body 110 is fixed to the palate for the orthodontic treatment described above, in particular the lingual dog to pull the dentition to the lingual, the hook portion 120 is a traction member 300 to provide orthodontic force to the dentition 5), for example, as a structure that can be connected to the elastic member, such as a spring or rubber band, it may be configured in a ring shape or a projection shape and other various shapes or structures, in the present embodiment the hook portion 120 is It is manufactured integrally with the anchor body 110.
그리고 상기 앵커 몸체(110)는, 상기 치열교정치료시에 상기 구개에 고정 가능한 베이스부재(111)와 식립못이 각각 관통하여 체결되도록 상기 베이스부재(111)에 형성되는 복수의 체결공들(112a, 112b, 113a, 113b)을 포함하여 구성된다.The anchor body 110 includes a plurality of fastening holes 112a formed in the base member 111 such that the base member 111 and the implantable nail which are fixed to the palate are fastened through the anchoring treatment. , 112b, 113a, and 113b).
본 발명에 따른 구개 고정원(100)은 상기 구개를 좌우로 양분하는 전후 방향의 가상선, 즉 구개 정중선 상에 상기 식립못을 이용하여 고정된다. 여기서, 상기 베이스부재(111)에 형성되는 복수의 체결공들(112a, 112b, 113a, 113b)은, 하나 또는 복수개의 제1체결공(112a, 112b)과 하나 또는 복수개의 제2체결공(113a, 113b)을 포함하여 구성된다. 그리고 적어도 하나의 제1체결공(112a, 112b)과 적어도 하나의 제2체결공(113a, 113b)을 각각 관통하여 상기 식립못이 구개골에 식립되면 상기 구개 고정원(100)이 상기 구개에 고정될 수 있다.The palatal fixation circle 100 according to the present invention is fixed by using the implantation nail on the imaginary line in the front and rear direction, that is, palate midline dividing the palate left and right. Here, the plurality of fastening holes 112a, 112b, 113a, and 113b formed in the base member 111 may include one or a plurality of first fastening holes 112a and 112b and one or a plurality of second fastening holes ( 113a, 113b). The palatal fixation circle 100 is fixed to the palate when the insertion nail is placed in the palatal bone by passing through the at least one first fastening hole 112a and 112b and the at least one second fastening hole 113a and 113b, respectively. Can be.
상기 앵커 몸체(110)가 상기 식립못, 예를 들면 나사에 의해 구개에 고정될 때, 상기 제1체결공(112a, 112b)은 상기 구개 정중선을 기준으로 좌측과 우측 중 어느 일측에 위치될 수 있고, 상기 제2체결공(113a, 113b)은 상기 구개 정중선의 다른 일측에 위치될 수 있도록, 상기 제2체결공(113a, 113b)은, 상기 제1체결공(112a, 112b)의 중심을 전후방향으로 지나는 가상선(t1)의 좌측 또는 우측에 형성된다. When the anchor body 110 is fixed to the palate by the insertion nail, for example, a screw, the first fastening holes (112a, 112b) can be located on either side of the left and right with respect to the palatal midline. The second fastening holes 113a and 113b may be located at the other side of the palatal midline, and the second fastening holes 113a and 113b may be centered on the first fastening holes 112a and 112b. It is formed on the left or right side of the virtual line t1 passing in the front-rear direction.
상기 제2체결공(113a, 113b)은 상기 제1체결공(112a, 112b)의 좌측과 우측 중 어느 일측에 나란하게 형성될 수도 있고, 상기 제1체결공(112a, 112b)과 어긋난 위치에 형성될 수도 있다. 본 실시예에서 상기 제1체결공(112a, 112b)과 제2체결공(113a, 113b)이 서로 어긋나게 형성된다 함은, 상기 제1체결공과 상기 제2체결공이 좌우측에 나란하게 배치되지 않고 대각으로 배치되어 상기 앵커 몸체의 좌측 또는 우측에서 볼 때 상기 제1체결공과 제2체결공이 중첩되지 않는 상태를 말한다. 다시 말해서, 상기 제2체결공(113a, 113b)을 좌우방향으로 지나는 가상선(t2, 상기 제2체결공이 복수개인 경우 제2체결공들의 중심들을 각각 좌우방향으로 지나는 가상선)이 상기 제1체결공(112a, 112b)의 중심을 지나지 않는 상태를 말한다.The second fastening holes 113a and 113b may be formed in parallel to any one side of the left and right sides of the first fastening holes 112a and 112b, and are disposed at positions displaced from the first fastening holes 112a and 112b. It may be formed. In the present embodiment, the first fastening holes 112a and 112b and the second fastening holes 113a and 113b are formed to be offset from each other, so that the first fastening holes and the second fastening holes are not arranged side by side on the left and right sides. The first fastening hole and the second fastening hole do not overlap when viewed from the left or right side of the anchor body. In other words, an imaginary line t2 passing through the second fastening holes 113a and 113b in left and right directions, and a virtual line passing through the centers of the second fastening holes in left and right directions when there are a plurality of second fastening holes, respectively. Refers to a state that does not pass through the center of the fastening holes (112a, 112b).
본 실시예에서, 상기 제1체결공(112a, 112b)은 상기 베이스부재(111)에 전후방향으로 복수개 형성되고, 상기 제2체결공(113a, 113b)은 상기 베이스부재(111)에 전후방향으로 복수개 형성되나, 이에 한정되는 것은 아니고 상기 제1체결공(112a, 112b)과 제2체결공(113a, 113b) 중에서 어느 하나의 체결공만 상기 베이스부재(111)에 2개소 이상 형성될 수도 있다.In the present embodiment, the plurality of first fastening holes 112a and 112b are formed in the front and rear directions in the base member 111, and the second fastening holes 113a and 113b are in the front and rear directions in the base member 111. A plurality of fastening holes may be formed in the base member 111, but the present invention is not limited thereto, and only one fastening hole among the first fastening holes 112a and 112b and the second fastening holes 113a and 113b may be formed in the base member 111. have.
그리고 상기 제1체결공(112a, 112b)과 상기 제2체결공(113a, 113b)은 하나씩 교대로 어긋나게 상기 베이스부재(111)에 지그재그로 형태로 배열될 수도 있다. 다시 말해서, 상기 앵커 몸체(110)의 좌측 또는 우측에서 볼 때 상기 제1체결공(112a, 112b)이 전후방향으로 상호 이웃하는 2개의 제2체결공들(113a, 113b) 사이에 위치하거나, 상기 제2체결공(113a, 113b)이 전후방향으로 상호 이웃하는 2개의 제1체결공들(112a, 112b) 사이에 위치하는 구조가 된다.The first fastening holes 112a and 112b and the second fastening holes 113a and 113b may be arranged in a zigzag form on the base member 111 alternately one by one. In other words, when viewed from the left or right side of the anchor body 110, the first fastening holes 112a and 112b are located between two second fastening holes 113a and 113b adjacent to each other in the front and rear directions, The second fastening holes 113a and 113b are disposed between two first fastening holes 112a and 112b which are adjacent to each other in the front-rear direction.
본 실시예에서는 상기 베이스부재(111)에 2개의 제1체결공들(112a, 112b)이 전후방향으로 이격되게 형성되고, 2개의 제2체결공들(113a, 113b)이 전후방향으로 이격되게 형성되며, 상기 제1체결공(112a, 112b)과 상기 제2체결공(113a, 113b)은 하나씩 교대로 어긋나게 상기 베이스부재(111)에 지그재그(Zigzag)로 형태로 배열되어 대략 평형 사변형의 꼭지점에 각각 체결공을 형성한 구조를 개시하나, 전술한 바와 같이 상기 제1체결공(112a, 112b)과 제2체결공(113a, 113b) 중 어느 하나는 상기 베이스부재(111)에 1개소만 형성될 수도 있다.In the present embodiment, two first fastening holes 112a and 112b are formed in the base member 111 so as to be spaced apart in the front and rear directions, and two second fastening holes 113a and 113b are spaced apart in the front and rear directions. The first fastening holes 112a and 112b and the second fastening holes 113a and 113b are alternately alternately arranged one by one in the form of zigzag on the base member 111 to form a vertex of a substantially equilateral quadrangle. A structure in which fastening holes are formed in the first and second fastening holes 112a and 112b and one of the second fastening holes 113a and 113b, respectively, is disclosed. It may be formed.
한편, 상기 제1체결공(112a, 112b)의 중심을 전후방향으로 지나는 가상선에서 상기 제2체결공(113a, 113b)의 중심까지의 좌우방향 거리(폭) X는 0<X=4.0mm, 특히 1.0mm 내지 4.0mm인 것이 좋다. 일반적으로 상기 구개골은 구개 중심선을 기준으로 대략 2.0mm까지가 다른 부분에 비해 상대적으로 두꺼우며 상기 구개 중심선을 중심으로 구개골이 양쪽으로 분할된 구조로서, 상기 구개 중심선을 기준으로 좌우 2.0mm의 범위 내에서 상기 구개 중심선에 가까워질수록 두께가 증가한다. On the other hand, the left and right distance (width) X from the virtual line passing through the centers of the first fastening holes 112a and 112b in the front-rear direction to the center of the second fastening holes 113a and 113b is 0 <X = 4.0mm In particular, the thickness is preferably 1.0 mm to 4.0 mm. Generally, the palatal bone has a thickness of about 2.0 mm relative to the palatal centerline and is relatively thicker than other parts, and the palatal bone is divided into two sides with respect to the palatal centerline. The closer to the palatal centerline at, the thickness increases.
따라서, 상기 제1체결공(112a, 112b)과 상기 제2체결공(113a, 113b) 사이의 폭이 1.0mm 내지 4.0mm이면, 상기 제1체결공(112a, 112b)과 제2체결공(113a, 113b)에 각각 결합되는 식립못의 중심이 상기 구개 중심선에서 0.5mm~2.0mm 사이에 위치하게 되어 초기 정착력이 확보되는 동시에 치료기간 동안 정착력의 소실이 최소화될 수 있다.Accordingly, when the width between the first fastening holes 112a and 112b and the second fastening holes 113a and 113b is 1.0 mm to 4.0 mm, the first fastening holes 112a and 112b and the second fastening holes ( 113a, 113b) is respectively centered in the implant nail is located between 0.5mm ~ 2.0mm from the palatal centerline to ensure the initial anchoring force can be minimized the loss of anchoring power during the treatment period.
보다 바람직하게는, 상기 식립못, 즉 나사의 외경과 상기 체결공들의 내경(d)을 고려할 때, 상기 제1체결공(112a, 112b)의 중심을 전후방향으로 지나는 가상선에서 상기 제2체결공(113a, 113b)의 중심까지의 좌우방향 거리(폭)는 1.4mm 내지 3.5mm인 것이 좋다.More preferably, the second fastening in an imaginary line passing through the center of the first fastening holes (112a, 112b) in the forward and backward directions, considering the outer diameter of the insertion nail, that is, the screw and the inner diameter (d) of the fastening holes The distance (width) to the center of the balls 113a and 113b is preferably 1.4 mm to 3.5 mm.
이때, 상기 제1체결공(112a, 112b)과 제2체결공(113a, 113b) 사이의 폭(X)이 좁아지면 상기 제1체결공(112a, 112b)과 제2체결공(113a, 113b)이 상호 간섭될 수도 있는데, 상술한 바와 같이 상기 적어도 하나의 제1체결공(112a, 112b)과 상기 적어도 하나의 제2체결공(113a, 113b)은 서로 어긋나게 형성되면 상기 제1체결공(112a, 112b)과 제2체결공(113a, 113b) 사이의 폭이 좁아지더라도 상기 제1체결공(112a, 112b)과 제2체결공(113a, 113b)이 상호 간섭을 방지할 수 있고 상기 제1체결공(112a, 112b)과 제2체결공(113a, 113b) 사이의 폭을 최소화하여 상대적으로 더 두꺼운 부분에 상기 식립못을 식립할 수 있다.In this case, when the width X between the first fastening holes 112a and 112b and the second fastening holes 113a and 113b is narrowed, the first fastening holes 112a and 112b and the second fastening holes 113a and 113b are reduced. ) May interfere with each other. As described above, when the at least one first fastening holes 112a and 112b and the at least one second fastening holes 113a and 113b are formed to be offset from each other, the first fastening holes ( Even if the width between 112a and 112b and the second fastening holes 113a and 113b is narrowed, the first fastening holes 112a and 112b and the second fastening holes 113a and 113b may prevent mutual interference. The implantation nail may be implanted in a relatively thicker portion by minimizing the width between the first fastening holes 112a and 112b and the second fastening holes 113a and 113b.
한편, 상기 베이스부재(111)는, 상기 적어도 하나의 제1체결공(112a, 112b)이 형성되는 전후방향의 제1베이스(111a)와, 상기 적어도 하나의 제2체결공(113a, 113b)이 형성되며 상기 제1베이스(111a)와 일체로 구성되는 전후방향의 제2베이스(111b)를 포함한다. 상기 제1베이스와 제2베이스는 브릿지(111c, Bridge)에 의해 상호 일체로 연결되어 상기 베이스부재(111)를 구성한다.On the other hand, the base member 111, the first base 111a in the front-rear direction in which the at least one first fastening holes 112a and 112b are formed, and the at least one second fastening holes 113a and 113b. It is formed and includes a second base (111b) in the front and rear direction integrally formed with the first base (111a). The first base and the second base are integrally connected to each other by a bridge (111c, Bridge) to form the base member 111.
본 실시예에서 상기 제1베이스(111a)는 전후방향으로 길게 형성된 박판 형태로서, 상기 제1베이스(111a)의 선단과 후단에 상기 제1체결공(112a, 112b)이 각각 형성되고, 상기 제2베이스(111b) 역시 전후방향으로 길게 형성된 박판 형태로서, 상기 제2베이스(111b)의 선단과 후단에 각각 상기 제2체결공(113a, 113b)이 형성된다.In the present embodiment, the first base 111a is formed in a thin plate shape extending in the front-rear direction, and the first fastening holes 112a and 112b are formed at the front and rear ends of the first base 111a, respectively. The second base 111b also has a thin plate shape formed in the front and rear direction, and the second fastening holes 113a and 113b are formed at the front and rear ends of the second base 111b, respectively.
그리고 상기 브릿지(111c)의 좌측에는 상기 제1베이스(111a)가 일체화되고, 우측에는 상기 제2베이스(111b)가 일체화되어, 따라서 본 실시예에서 상기 베이스부재(111)는 대략 'H' 형상의 박판(Thin Plate) 구조가 된다.The first base 111a is integrated at the left side of the bridge 111c, and the second base 111b is integrated at the right side of the bridge 111c. Thus, in the present embodiment, the base member 111 has an approximately 'H' shape. It becomes thin plate structure of.
여기서 상기 제1체결공들간의 거리(a)는 9.0mm 이하로 하고 제1체결공과 제2체결공 간의 전후 방향 거리(c)는 4.0mm 이하로 하나, 이에 한정되는 것은 아니며, 다만 환자가 받는 이물감이 최소화되도록 가능한 한 작은 사이즈(Size)로 제조되는 것이 좋다.Here, the distance (a) between the first fastening holes is less than 9.0mm and the front and rear distance (c) between the first fastening hole and the second fastening hole is less than 4.0mm, but is not limited thereto, but the patient receives It is desirable to be made as small as possible (Size) so that foreign matter is minimized.
그리고 상기 베이스부재(111)는, 상기 제1체결공(112a, 112b)을 기준으로 상기 제2체결공(113a, 113b)의 상대적 위치가 가변될 수 있도록, 벤딩(Bending) 가능한 것이 바람직하며, 이에 따라 시술자가 환자에 맞게 상기 베이스부재(111)의 형상을 조절하여 상기 체결공들(112a, 112b, 113a, 113b)의 위치를 변경할 수도 있다.The base member 111 may be bent such that the relative positions of the second fastening holes 113a and 113b may be varied based on the first fastening holes 112a and 112b. Accordingly, the operator may change the position of the fastening holes 112a, 112b, 113a, and 113b by adjusting the shape of the base member 111 to fit the patient.
한편, 상기 걸이부(120)는 본 실시예에서와 같이 상기 앵커 몸체(110)의 양측에서 각각 경사지게 사선방향으로 연장되는 제1지지암(121)과 제2지지암(122)을 포함하여 구성되거나, 도 6에 도시된 다른 실시예(100a)에서와 같이 상기 앵커 몸체(110)의 양측에서 각각 수평한 방향으로 연장되는 제1지지암(121a)과 제2지지암(122a)을 포함하여 구성될 수도 있으며, 상기 제1지지암(121, 121a)과 제2지지암(122, 122a)은 상호 대칭된다.On the other hand, the hook portion 120 is configured to include a first support arm 121 and the second support arm 122 inclined diagonally on both sides of the anchor body 110 as in this embodiment, respectively Alternatively, as in the other embodiment 100a illustrated in FIG. 6, the first support arm 121a and the second support arm 122a extend in horizontal directions on both sides of the anchor body 110, respectively. The first support arms 121 and 121a and the second support arms 122 and 122a may be symmetrical with each other.
그리고, 상기 제1지지암(121, 121a)과 제2지지암(122, 122a)의 단부에는 각각 제1걸림구(123)와 제2걸림구(124)가 구비된다. 상기 걸림구들(123, 124)는 후크 등의 돌기형상이나 고리형상 등 다양한 구조로 구성될 수 있으며, 상기 견인부재(300)가 걸림될 수 있는 구조이면 어떠한 구조라도 좋다. 상기 제1걸림구(123)와 상기 제2걸림구(124)에는 각각 견인부재(300), 즉 탄성부재가 연결된다. The first catching holes 123 and the second catching holes 124 are provided at end portions of the first support arms 121 and 121a and the second support arms 122 and 122a, respectively. The locking holes 123 and 124 may be configured in various structures such as protrusions or hooks such as hooks, and any structure may be used as long as the towing member 300 may be locked. Towing members 300, ie, elastic members, are connected to the first locking holes 123 and the second locking holes 124, respectively.
상기와 같이 구성되는 본 발명에 따른 구개 고정원의 일 실시예가 적용된 설측견인장치의 일 예가 환자의 구강 내부에 설치된 상태가 도 5에 도시되어 있다.5 is a state in which an example of the lingual towing device to which an embodiment of the palatal fixation circle according to the present invention configured as described above is applied is installed in the oral cavity of a patient.
상기 설측견인장치는, 상기 구개 고정원(100)과 치열에 견인력을 전달하기 위한 견인 와이어(200)와 상기 견인 와이어(200)를 상기 구개 고정원(100)에 연결하며 견인력을 발생시키는 견인부재(300)를 포함하여 구성된다.The lingual towing device, the traction member for connecting the traction wire 200 and the traction wire 200 for transmitting the traction force to the palatal fixed source 100 and the teeth to the palatal fixed source 100 to generate a traction force And 300.
상기 견인 와이어(200)는 상악의 치아들(1a, 1b, 1c), 특히 전치부를 후방으로 당겨주기 위해 상기 견인부재(300)에 의해 견인되며, 상기 치아들을 따라 고정되는 호선 와이어(400)에 결합된다.The traction wire 200 is pulled by the traction member 300 to pull the maxillary teeth 1a, 1b, 1c, in particular the anterior part, to the line wire 400 fixed along the teeth. Combined.
한편, 도 7은 본 발명에 따른 구개 고정원의 또 다른 실시예(100b)로서 제1체결공(112a, 112b)과 제2체결공(113a, 113b)이 어긋난, 즉 엇갈리게 형성된 다른 예를 나타낸 것으로서, 상기 제1체결공(112a, 112b)과 제2체결공(113a, 113b)이 교대로 엇갈리게 배치된 전술한 실시예의 지그재그 형태와 구별된다. Meanwhile, FIG. 7 illustrates another example in which the first fastening holes 112a and 112b and the second fastening holes 113a and 113b are displaced, that is, alternately formed as another embodiment 100b of the palatal fixation circle according to the present invention. As the first fastening holes 112a and 112b and the second fastening holes 113a and 113b are alternately arranged, the zigzag shape of the above-described embodiment is alternately arranged.
그리고 본 발명에 따른 구개 고정원은 도 8에 도시된 실시예(100d)에서와 같이 제2체결공(113a)이 상기 베이스부재에 하나만 형성될 수도 있고, 도 9에 도시된 실시예(100e)와 같이 제1체결공(112b)이 상기 베이스부재에 하나만 형성될 수도 있는데, 특히 상기 걸이부(120)의 후방 위치하도록 하나만 형성될 수도 있으나 이에 한정되는 것은 아니다. In addition, the palatal fixing member according to the present invention may have only one second fastening hole 113a formed in the base member, as in the embodiment 100d shown in FIG. 8, and the embodiment 100e shown in FIG. 9. As described above, only one first fastening hole 112b may be formed in the base member. In particular, only one first fastening hole 112b may be formed so as to be positioned behind the hook part 120.
도시되지는 않았으나, 제1체결공과 제2체결공이 각각 하나씩만 상기 베이스부재에 형성될 수도 있음도 물론이며, 이때 상기 제1체결공과 제2체결공은 상기 걸이부(120)의 후방에서 상기 견인부재(300)를 지지하는 것이 좋다.Although not shown, only one of the first fastening hole and the second fastening hole may be formed in the base member, of course, wherein the first fastening hole and the second fastening hole are pulled from the rear of the hook part 120. It is preferable to support the member 300.
상기와 같이 본 발명에 따른 바람직한 실시예를 살펴보았으며, 앞서 설명된 실시예 이외에도 본 발명이 그 취지나 범주에서 벗어남이 없이 다른 특정 형태로 구체화 될 수 있다는 사실은 해당 기술에 통상의 지식을 가진 이들에게는 자명한 것이다. Having looked at the preferred embodiment according to the present invention as described above, in addition to the embodiment described above, the fact that the present invention can be embodied in other specific forms without departing from the spirit or scope of the present invention It is obvious to them.
그러므로, 상술된 실시예는 제한적인 것이 아니라 예시적인 것으로 여겨져야 하고, 이에 따라 본 발명은 상술한 설명에 한정되지 않고 첨부된 청구항의 범주 및 그 동등 범위 내에서 변경될 수도 있다.Therefore, the above-described embodiments should be regarded as illustrative rather than restrictive, and thus, the present invention is not limited to the above description and may be modified within the scope of the appended claims and their equivalents.
본 발명은 치열교정장치 및 기구분야에 앵커로 적용되는 기구로서, 특히 치열교정기구 제조분야에 대한 산업상 이용가능성을 가지며, 본 발명에 따르면 제조가 편리하면서도 시술 편의성과 치열교정의 정확성이 크게 향상될 수 있다.The present invention is an instrument applied as an anchor in the orthodontic appliance and instrument field, in particular, has the industrial applicability to the orthodontic appliance manufacturing field, according to the present invention, the manufacturing convenience and the accuracy of the orthodontic correction is greatly improved Can be.

Claims (6)

  1. 치열의 교정을 위한 치열교정치료시에 구개에 정착되는 앵커 몸체; 그리고An anchor body fixed to the palate during orthodontic treatment for orthodontics; And
    상기 앵커 몸체에 구비되며, 상기 치열에 교정력을 제공하는 견인부재의 연결이 가능한 걸이부를 포함하여 구성되는 치열교정용 구개 고정원으로서:As the orthodontic palatal fixed source provided on the anchor body, comprising a hook portion that can be connected to the traction member for providing orthodontic force to the orthodontic:
    상기 앵커 몸체는;The anchor body is;
    상기 치열교정치료시에 식립못에 의해 상기 구개에 고정 가능한 베이스부재,Base member that can be fixed to the palate by the implantation nail during the orthodontic treatment,
    상기 베이스 부재에 형성되는 적어도 하나의 제1체결공, 그리고At least one first fastening hole formed in the base member, and
    상기 제1체결공의 중심을 전후방향으로 지나는 가상선의 좌측과 우측 중 어느 일측에 위치하도록, 상기 베이스부재에 형성되는 적어도 하나의 제2체결공을 포함하는 치열교정용 구개 고정원.Orthodontic orthodontic palatal fixing member comprising at least one second fastening hole formed in the base member so as to be located on any one of the left side and the right side of the virtual line passing through the center of the first fastening hole.
  2. 제1항에 있어서,The method of claim 1,
    상기 제1체결공의 중심을 전후방향으로 지나는 가상선에서 상기 제2체결공의 중심까지의 좌우방향 거리는 1.0mm 내지 4.0mm인 것을 특징으로 하는 치열교정용 구개 고정원.Orthodontic palatal fixation source, characterized in that the left and right distance from the virtual line passing through the center of the first fastening hole in the front and rear direction from 1.0mm to 4.0mm.
  3. 제2항에 있어서,The method of claim 2,
    상기 제1체결공의 중심을 전후방향으로 지나는 가상선에서 상기 제2체결공의 중심까지의 좌우방향 거리는 1.4mm 내지 3.5mm인 것을 특징으로 하는 치열교정용 구개 고정원.Orthodontic palatal fixing source, characterized in that the left and right distance from the imaginary line passing through the center of the first fastening hole in the front-rear direction to the center of the second fastening hole is 1.4mm to 3.5mm.
  4. 제1항에 있어서,The method of claim 1,
    상기 적어도 하나의 제1체결공과 상기 적어도 하나의 제2체결공들은, 상호 어긋나게 상기 베이스부재에 형성되는 것을 특징으로 하는 치열교정용 구개 고정원. The at least one first fastening hole and the at least one second fastening hole, orthodontic palatal fixing member, characterized in that formed on the base member to be offset from each other.
  5. 제1항 내지 제4항 중 어느 한 항에 있어서,The method according to any one of claims 1 to 4,
    상기 제1체결공은, 상기 베이스부재에 전후방향으로 복수개 형성되고; 상기 제2체결공은 상기 베이스부재에 전후방향으로 복수개 형성되며, 상기 제1체결공들의 중심들을 지나는 가상선에서 좌측 또는 우측방향으로 이격된 위치에 상기 제2체결공들의 중심들이 배치되는 것을 특징으로 하는 치열교정용 구개 고정원.The first fastening hole is formed in the base member in a plurality of front and rear directions; The second fastening hole is formed in a plurality in the front and rear direction in the base member, the center of the second fastening holes are arranged in a position spaced apart in the left or right direction from the imaginary line passing through the center of the first fastening holes Orthodontic palatal fixed source.
  6. 제5항에 있어서,The method of claim 5,
    상기 제1체결공들과 상기 제2체결공들은 하나씩 교대로 어긋나게 상기 베이스부재에 지그재그로 형성되는 것을 특징으로 하는 치열교정용 구개 고정원.The first fastening holes and the second fastening holes are orthodontic palatal fixed source, characterized in that formed in a zigzag on the base member alternately one by one.
PCT/KR2012/000554 2011-01-21 2012-01-20 Palatal anchor for orthodontic treatment WO2012099439A2 (en)

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KR20-2011-0000605 2011-01-21
KR2020110000605U KR200460660Y1 (en) 2011-01-21 2011-01-21 Palatal anchor for orthodontic treatment

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KR20190100973A (en) * 2017-01-19 2019-08-29 Yasuhiro Itsuki Base member used for orthodontic implant device
CN110267619A (en) * 2017-01-19 2019-09-20 齐宫康宽 Substructure member for dental orthotic implanted device
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WO2018135567A1 (en) * 2017-01-19 2018-07-26 康寛 斉宮 Base member for orthodontic implant device
RU187152U1 (en) * 2018-02-26 2019-02-21 Федеральное государственное бюджетное образовательное учреждение высшего образования "Саратовский государственный медицинский университет им. В.И. Разумовского" Министерства здравоохранения Российской Федерации Skeletal palatine support device
WO2021256148A1 (en) * 2020-06-19 2021-12-23 康寛 斉宮 Orthodontic device and orthodontic pliers
KR20220025214A (en) * 2020-06-19 2022-03-03 야수히로 이츠키 Orthodontic appliances and orthodontic pliers
KR102383539B1 (en) 2020-06-19 2022-04-08 야수히로 이츠키 Orthodontic appliances and orthodontic pliers
RU2775942C1 (en) * 2020-06-19 2022-07-12 Ясухиро ИЦУКИ Orthodontic displacement device
US11452580B2 (en) 2020-06-19 2022-09-27 Yasuhiro Itsuki Orthodontic appliance and pliers for orthodontics
AU2021291481B2 (en) * 2020-06-19 2022-02-17 Yasuhiro Itsuki Orthodontic appliance and pliers for orthodontics
RU224253U1 (en) * 2023-11-22 2024-03-19 Ирина Юрьевна Щукина Orthodontic device for distalization of molars and movement of impacted teeth

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