Apparatus for the treatment of deep bite
(57) Abstract:The invention relates to medicine, namely to orthodontics.com devices. The inventive apparatus for the treatment of deep bite contains a removable base plate 1 with 2 clasps on the first molars, which in the front part contains the springs, made in the form of T-shaped wire loops with 3 bends in the horizontal and vertical planes of elastic material, the bending of which invest removable transparent Kappa 5 for blades undergoing dentoalveolar intrusion. The invention relates to medicine, and more particularly to orthodontic devices, and is intended for treatment of deep bite, mainly due to dentoalveolar lengthening in the region of the incisors.Deep bite is one of the more common dental anomalies in children and adults, which is difficult to fix the known devices.Known apparatus for the treatment of deep bite, containing basic plastic plate on the upper jaw with Nakonechny ground for the introduction of lower incisors and clasps in the posterior teeth.Disadvantages:
the device does not spolia, led to the formation of a deep bite;
the apparatus causes the overload and injury of the lower incisors, especially in children with unformed roots;
the duration of orthodontic treatment (more than two years).There is also known a device for the treatment of deep bite, containing a removable base plate with nakonechnyi sites in the field of dairy molars.Its disadvantage is that the apparatus does not contribute dentoalveolar implementation in the area of the anterior teeth.As a prototype of the selected device for the treatment of deep bite - plate Katz containing base plate on the upper jaw of the inclined plane and toggle clasps in the area of the incisors, which are used for the treatment of distal deep bite.The disadvantages of the prototype:
the device does not provide dentoalveolar implementation in the area of the upper and lower incisors;
causes injury cutters toggle clasps and erasing enamel;
causes of vestibular deviation of the lower incisors on an inclined plane;
the duration of treatment (two years or more).The aim of the invention is to increase the efficiency of treatment of deep bite, dostizeni goal is achieved by the apparatus for the treatment of deep bite, contains a removable base plate with clasps on the first molars, which in the front-tooth region supplied with springs made in the form of T-shaped wire loops with curves in horizontal and vertical planes of elastic material providing dentoalveolar intrusion in the area of the cutters in the bend which invest removable transparent Kappa for cutters. Eliminating direct contact with the enamel of incisors with loops-springs attained such a design of the device, eliminates their injury, and at the same time, the T-shaped spring provides constant pressure on the teeth, covered with Kappa, thereby contributing to the transformation and normalization occlusion and treatment.In Fig. 1 shows a device, a General view of Fig. 2 - the same, lateral view (arrows indicate the direction of dentoalveolar intrusions and direction of activation of the springs), and Fig. 3 is a view from the side of the oral cavity (separate trays for upper and lower teeth).The proposed device for the treatment of deep bite contains a base plate 1 with 2 clasps on the molars, with T-shaped hinges-spring 3 along cutters, putting pressure in the vertical direction, the bends.Operating part of the apparatus are springs on cutters that are coming out of the base plate are one knee spring in the middle of the tooth crown with palatal side, cross cutting edge and climb the height of the cutter, forming over the neck of the tooth T-shaped curve, then down the second knee down on the tooth, repeating the first knee of the wire, then form a bend in the transversal plane and the spring and end in the base plate.The spring apparatus is activated twice a week yourself sick over the top of the T-curve, and when the testimony and oral direction for curves in the transversal plane. The device is worn continuously, except for meal times.The use of this apparatus provides an opportunity dosed dentoalveolar introduction in the anterior upper and/or lower jaw, excludes injury to the teeth and periodontium, abrasion cutters, provides good fixing apparatus, increases the efficiency of treatment of deep bite, reducing its terms.Clinically proven realignment and normalization of occlusion while wearing the apparatus of this construction with reduction of terms of treatment is the area of the incisors in patients with deep bite, due to dentoalveolar lengthening in the region of the incisors, which was affected by the T-shaped springs. On average, four weeks can cause dentoalveolar shortening the height in the area of the incisors 1,5 mmA comparison of the proposed device with the prototype showed the following advantages are presented in the table.In addition, the claimed apparatus eliminates the vestibular deviation of the lower incisors, as the design of the device there is an inclined plane, and does not cause abrasion of the enamel of incisors, due to their isolation Kappa from active-active T-shaped springs.(56) , N. Warawa and other Orthodontics and prosthetics in childhood. M. : Medicine, 1979, S. 53-54. APPARATUS FOR the treatment of DEEP BITE that contains the base plate, the clasps on the abutment teeth and wire the power elements, the ends of which are rigidly fixed to the base plate, characterized in that, to increase the effectiveness of treatment, it is equipped with a removable transparent Kappa to move the teeth, and the power elements are in the form of a vertical T-shaped loops with U-shaped bends in the vertical and horizontal planes, while the mouthguard is placed in the U-shaped bends
SUBSTANCE: method involves opening palatine suture to normal palate shape with slight width hypercorrection of superior dentoalveolar arch. Device having cap covering parietooccipital area, rubber braces, facial arch composed of intraoral arch and two lateral extraoral parts. Intraoral arch ends are fixed on the sixth maxillary teeth. The device is applied for acting with forth directed upwards and backwards towards the crown of head. A force is applied to the sixth maxillary teeth arranged symmetrically relative to the palatine suture. Force of 300 to 400 g is applied to each side of the maxilla for 12-14 h per day to reach occlusion normalization in sagittal and vertical plane.
EFFECT: accelerated treatment course; improved cosmetic results.
8 dwg, 2 tbl
SUBSTANCE: method involves carrying out gingiva retraction, forming L-shaped notches on central incisors medial surface and cutting edges. L-shaped reinforcing members produced in advance in conformance with the notches are arranged in the notches filled with fluid composite. The reinforcing members are set 1-1.5 mm below incisor cutting edges level. Guided polymerization of vestibular, oral and cutting surfaces being over, diastem is eliminated by coating medial surface of incisors layer-by-layer with composite material selected for being applied to frontal teeth group. The central incisors are polished and cutting edge is adjusted to recreate anatomical shape.
EFFECT: enhanced effectiveness of treatment.
FIELD: medical engineering.
SUBSTANCE: device has partial removable palatine plate prosthesis bearing artificial temporary. The palatine plate has an anterior and two lateral segments connected to each other by means of screw in the anterior palatine fornix region allowing autonomous displacement. Cramp iron members are set on the fangs and on the boundary separating the anterior and lateral segments and on the second temporary molars. Shield for moving upper lip aside is placed in the area of dental arch defect along alveolar process with anterior segment. The shield forms slit between shield surface and gingiva. The shield is stretched to contact point of fang to the first permanent molar. Shield edge is made oval and congruent to transit fold contour.
EFFECT: cosmetically full-valued substitution of upper dental arch defect.
FIELD: medical engineering.
SUBSTANCE: device has removable maxillary plastic plate and mandibular one. The plates are separate and joined with flexible tie rod. To provide uniform load distribution, the maxillary plate is manufactured as supporting member. The supporting member has arch in frontal part that is congruently adjacent to vestibular surface of the frontal teeth. The arch is manufactured from wire and rigidly connected to basis. Premolars and molars have cramp iron members on frontal contact surface. The mandibular plate is manufactured as mandibular alveolar part base and internal surface of lower teeth. The plate is fastened to dental row with cramp iron members and has flexible tie rod hooks.
EFFECT: enhanced effectiveness of treatment; no disturbances to speech and chewing; self-standing replacement of flexible tie-rod.
SUBSTANCE: method involves introducing endoscope into maxillary sinus through a bed which depth corresponds or exceeds implant length. Auto-osteogenic tissue as biomaterial is laid on sinus fundus under endoscopic control through remaining beds. The auto-osteogenic tissue contains osteoblasts and chondroblasts in combination with finely granulated porous titanium nickelide having particle size from 1 to 1000 mcm. Implants are set.
EFFECT: enhanced effectiveness of treatment; reduced risk of traumatic complications; improved implant integration conditions.
FIELD: medicine, oral surgery.
SUBSTANCE: one should cut mandibular branch through both cortical plates and spongy substance of the bone, carry out osteotomy of maxillary body at the level of pear-shaped foramens, vomer and pteromaxillary articulation at affected side, conduct additional osteotomy of pteromaxillary articulation at intact maxillary side, apply compression-distraction apparatus at affected maxillary side to fulfill compression and distraction of osseous fragments. The innovation in question enables to conduct operative interference since the age of 5-6 yr and provide individual schedule of distraction.
EFFECT: higher efficiency.
2 dwg, 1 ex
FIELD: medicine, oral surgery.
SUBSTANCE: one should apply compression-distraction apparatuses in area of mandibular angles, perform mental osteotomy, go on osteotomic line along mandibular body up to angles, compress osseous fragments followed by distraction of osteotomized mandibular fragment. The innovation enables to conduct therapy at the age of 5-6 yr.
EFFECT: higher cosmetic result.
2 dwg, 1 ex
SUBSTANCE: method involves carrying out X-ray examination and determining longitudinal axis tilt of retained tooth and computer tomography. Maxillary computer tomography is carried out in three-dimensional Descartes coordinates with central occlusion being preliminarily fixed with individual silicon gumshield. The gumshield has 2-4 mm thick bilateral occlusion surface. Calculated free space value being found greater than thickness (vestibulo-oral size) of the retained tooth, positive prognosis for successful moving out is determined by building geometrical model, carrying out mathematical analysis of received data. The calculated free space value being found equal to retained tooth thickness, prognosis for difficult moving out is produced. The calculated free space value being found less than retained tooth thickness, unfavorable prognosis for moving out is produced.
EFFECT: high accuracy in predicting orthodontic correction results in three-dimensional space.
18 dwg, 1 tbl
SUBSTANCE: method involves making local anesthesia. Angular or trapezoid incision is done. Mucoperiosteal flap is separated. Projecting spongious bone tissue is withdrawn above the tooth crown, between the crown, roots and cortical plate from external and lingual surface with the exception of inferior surface. The tooth is extracted. The bone cavity is filled with Colapola KP sponge and 1-2 Alvostasa sponges. 1-2 apposition catgut sutures are placed. Laser radiation therapy is administered at the second day after the operation once a day for 3 min using Optodan apparatus. The first apparatus channel is used during the first 3 days, and the second one during the following 3 days.
EFFECT: enhanced effectiveness of treatment; accelerated healing process.
FIELD: medical engineering.
SUBSTANCE: device has mandibular base plate having members for separating jaws. The members for separating jaws are fabricated from 1.2 mm thick wire shaped as two parallel arcs. Each end of the first arc is fixed in the base plate between the canine tooth position and the first premolar position. Each end of the second arc is fixed between the first premolar position and the first molar position. Arc tops are joined with the base plate. The base plate has hard palate topography and is manufactured from flexible plastic. Supporting-and-holding cramp iron members are mounted on distal part of the base plate.
EFFECT: complete jaws dysocclusion.