Orthodontic appliances to correct harmful habits in children
(57) Abstract:The invention relates to medicine and can be used in dentistry. The purpose of the invention is to improve usability, the ability to simultaneously resolve anomalies of the dentition. The inventive apparatus consists of two orthodontic crowns 1 fixed on the teeth. The crowns are attached arc: 2 vestibular and lingual 3. Vestibular arc 2 is attached to the crowns with the possibility of compression with bending 4 at the ends. To the middle part of the lingual arc 3 is rigidly soldered flat metal tube 5. The tube 5 by compressing entered active element 6, which is a vertical loop, made of orthodontic wire. Curved ends 7 of the active element is withdrawn to the outside of the tube 5. The technical result of the removal of the active element, for example, during the food. 2 Il. The invention relates to medicine, namely to the dentist, and can be used in the practice of orthodontics to correct bad habits in children and treatment of anomalies of the dentition.Known apparatus for the removal of harmful habits (sucking fingers, tongue, lips, nipples, dysfunction of the tongue during speech and glotony the rotary in orthodontics. M. 1982, S. 368).Cons: the device is easily removed, so young children are not always regularly wear such devices often take them off, especially at night, when there is a need in the sucking of the fingers, nipples, etc.The closest analogue of the proposed device is an orthodontic apparatus R. H. of Tigranyan to correct bad habits in children.with. N 1743599, class. And 61 With 7/00). The apparatus consists of two crowns for the teeth on which are fixed two vestibular and two lingual beams, which are disconnected in the middle part. The ends of these beams freely slide inside the bushings located in the middle of the beams. To the horizontal beams and bushings rigidly attached vertical arcuate beams.Disadvantages: creates discomfort during eating because there is rigidly attached a vertical arcuate beams; the inability to carry out the activation device for the treatment of protrusion of the dentition, which occurs in children when the presence of harmful habits; violated the aesthetic appearance of the patient due to protruding into the oral cavity of the vertical beams.The invention is directed to solution of the problem: improving the usability of the apparatus due to the possibility of the second dentition.This problem is solved due to the design of the device that contains the following essential features: two crowns on the teeth, vestibular and lingual arcs attached to them, and the active element. Vestibular arc attached to the crowns with the possibility of compression to the lingual arch rigidly attached metal tube, which is fixed removable active element. The element is designed as a vertical loops of the orthodontic wire.In Fig. 1 shows an orthodontic device, top view; Fig. 2 front view.Orthodontic apparatus consists of two orthodontic crowns 1 fixed on the teeth. The crowns 1 fixed arc: 2 vestibular and lingual 3. Vestibular arc 2 is attached to the crowns 1 with compression. For this purpose, the ends made the bends 4. To the middle part of the lingual arc 3 is rigidly soldered flat metal tube 5. The tube 5 with compression entered active element 6, which is a vertical loop, made of orthodontic wire. Curved ends 7 of the active element 6 is withdrawn to the outside of the tube 5. The active element 6 can be freely removed from the tube 5 through compression.The device operates as follows.On his second visit, spend the fit of crowns 1 and charge the full cast crowns on the teeth with the upper or lower jaw.On their third visit, correction and delivery of orthodontic apparatus to the patient. The device is fixed in the mouth on the teeth using orthodontic crowns 1. Before that, you must remove the active element 6.The teeth, which will be locked crown, lined with cotton swabs. Thoroughly dry the teeth and orthodontic crown. Crowns are fixed with phosphate cement for 10 minutes. Then remove the cotton swabs and the remains phosphate cement from the oral cavity of the patient. Using compression enter the active element 6 in a metal tube 5. The process of fixing the active element educate parents, they recommend that it be taken out during a meal. The patient see 1 every two weeks.Regularly using compression curved ends 7 of the vestibular arc 2 conduct of its activation to the correct position of the teeth in the dental arch. After installation of the anterior teeth in the correct position activation of the vestibular arc 2 does not hold and use for fastening result is of the tongue during speech or swallowing between the tooth rows, sucking fingers, nipples and other).After completion of the treatment apparatus is removed from the device for removing crowns.Positive effect: in contrast to other devices when using the proposed device appears comfort during meals due to the removal of the active element; the device enables to resolve the anomaly of the dentition (usually the protrusion front part of the jaws caused by harmful habits) through activation of the vestibular arc; improving the aesthetic appearance of the patient, because the design of the device there are no vertical beams covering the vestibular surface of the teeth; children, especially younger children, are deprived of the opportunity to remove the device when falling asleep or during sleep. Removable active element can be used as an inclined plane in the treatment of distal occlusion, placing it in front, or the transverse anomalies, locking it in the lateral parts of the jaw (right or left). Orthodontic appliances to correct harmful habits in children, consisting of two orthodontic crowns on teeth, attached to the vestibular and lingual arches, and the active element, characterized tataliska tube, in which is fixed with the possibility of removal of the active element made in the form of vertical loops of the orthodontic wire.
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.