Orthodontic retention vocalista kappa

 

(57) Abstract:

The invention relates to medicine, namely to prosthetic dentistry. Kappa provides the basis of elastic material, which has a wire frame of the orthodontic wire. The frame is made in the form of a single element having the shape of two arcs. The first arc corresponds to the dentition of the lower jaw from the lingual side. The second arc corresponds to the dentition of the upper jaw with the vestibular side. The frame is made in the form of means for moving the teeth and/or relative displacement of the jaws. The base has a mounting surface for positioning the teeth in occlusal contact and made of a porous polymer. The result extends and improves functional efficiency of orthodontic treatment and reduced side effects in the application of the orthodontic apparatus of elastic plastic. 2 C.p. f-crystals, 2 Il.

The invention relates to medicine, namely to prosthodontics.

It is known device described in the book: Orthodontic apparatus. - Kiev. : Izd-vo "Health", 1968. C. 116-119., auth. Napadow M. A., in which a orthodontic apparatus from elastic plastic, Otello, from which it is made.

The disadvantage of this construction is that when using it to solve the problem of movement and retention of teeth in one jaw, i.e., it is odnoklassnik apparatus (similar).

It is known device described in the article "application of the apparatus of elastic plastics for the treatment of distal occlusion" // the Prevention and treatment of dentofacial anomalies and deformations. Abstracts of the national conference on orthodontics. Ufa, 1989.- S. 33-34. auth. Golubev, N. A., which describes an orthodontic positioner apparatus used to move teeth into the correct position into force of the elastic material from which it is made, characterized in that in order to extend the functionality of positioners proposed to manufacture the apparatus in the form of elastic duchaussoy mouthguard, applying preformed and duplicate models, fixed in a constructive occlusion, which makes the positioner in the premaxillary apparatus combined action.

The disadvantage of this design is that the apparatus is made entirely of elastic plastic, which requires the creation of the design enough balakali voltage. The fulfillment of these conditions makes the phone bulky, causing the patient discomfort, extending the treatment time. Due to the fact that the teeth of the patient are dividing, and interarch space is occupied by the plastic may occur intrusion of teeth in contact with it, thus promoting the wrong fissure-ugarkovic contacts. The use of this construction in the retention period of treatment taking into account the above-mentioned disadvantages can lead in some cases to relapses (analog).

The closest technical solution is the device described in the article "Retainer OSAMU and its application" // Quitessence. International dental journal, 5/6. 1998. Moscow. The authors Osamu Yoshii, Manfred Pohl, Dr. Med. Dent. offer retainer, which refers to splinting devices, completely covers the teeth and covers part of the mucous membrane of the gums, characterized in that it consists of two outer layers (rigid-flexible) and internal (soft) plastics, pressed in the form of the dentition.

The disadvantage of this device is the presence in the base of the apparatus on the occlusal surface of the plastic, the straddle bite, which can lead to changes in the fissures of the problem of creating a depot of drug substances, necessary in some cases in the active and the retention period of treatment (prototype).

Technical result:

Expanding and improving the functional efficiency of orthodontic treatment and elimination of side effects in the application of the orthodontic apparatus of elastic plastic. The technical result is achieved due to the fact that orthodontic retention vocalista Kappa that contains the basis of elastic material, characterized in that the base has a wire frame of the orthodontic wire and is made in the form of a single element having the shape of two arcs, the first of which corresponds to the dentition of the lower jaw from the lingual side, and the second corresponds to the dentition of the upper jaw with vestibular side, and the frame is made in the form of means for moving the teeth and/or relative displacement of the jaws and the base has a mounting surface for positioning the teeth in occlusal contact and made of a porous polymer. In private cases, a complete basis mouthguard fitted with drug or drugs, and drug or medications applied to the base in the form of a coating.

Kappa gives a good lechebnoi, this reduces the retention period, decreases the duration of orthodontic treatment.

Touching the teeth only in the field of their equatoral, the frame securely locks the unit and separate the teeth, and elastic plastic, performing interdental spaces, in addition to therapeutic effects on the teeth, keeping them out of the rotation, at the same time captures the apparatus without interfering with its imposing due to elastic deformation of the base material.

The frame is thicker than the base of the mouthguard, fixing it is provided by elastic plastic, performing interdental spaces. Reinforcement duchaussoy Kappa increases its strength, allows you to reduce the thickness of the base of the elastic plastic, which makes the device more comfortable for the patient during use. The increased elastic, especially relaxation properties mouthguard due to the reinforcement of the basis allows you to extend the capabilities of the device in the movement of teeth and build the correct form of dentition.

No plastic in interarch space allows you to optimize fissure-papulose contacts the teeth of the antagonists, which is one of the mandatory criteria for assessing polojitelnogo depot medicinal substances with the goal of medical intervention on the oral mucosa, tissues of the teeth and bone structure of the alveolar process.

The figure 1 shows a General view of the mouthguard. The figure 2 shows the location of the frame on the tooth rows of the upper and lower jaws.

The device consists of a frame 1, are in the thick base, and the base is made of a porous elastic plastic.

Specific example

Manufacturer retention duchaussoy Invisalign consists of a series of clinical and laboratory stages:

1. The reference and working models of hardened plaster for anatomical prints;

2. Biometric analysis of diagnostic models with drawing the necessary clinical assessment in the form of a markup model;

3. Preliminary working model for duplication is carried out on models, recorded in the articulator, and consists of several stages:

- Reformirovanie model at the expense of cutting out individual and groups of teeth below their clinical journals with capture of the alveolar process and alveolar part of 3-4 mm with subsequent installation and fixation of the wax in the new position. This aligns the alignment, approaching the form of powellites on the top and the parabola which is 130oC;

- created multiple fissure-papulose contacts between antagonisme teeth, contact approximal surfaces of adjacent teeth;

4. Duplication of models consists of taking alginate impressions with preformed models and casting working models of hardened gypsum;

5. Received so on. models bent the frame of the orthodontic wire with a diameter of 0.8 mm and is fixed on the vestibular surface area equatoral teeth model of the upper jaw and the tongue on the bottom;

6. Modeling wax design mouthguard is carried out in the articulator with dense tooth rows, i.e., without isolation, to the wax from getting on the occlusal surface of the teeth. Border basis duchaussoy reinforced retention mouthguard with vestibular surface pass through the transition fold in the vestibule of the mouth of the upper and lower jaws. With oral surface, densely covering the lingual and palatal surfaces of the teeth, the basis descends on the inner slope of the alveolar part of the mandible and the Palatine slope of the alveolar crest to the first pair of transverse Palatine folds on the upper jaw;

7. Replacement wax design mouthguards on the elastic plastic, obrant asked to close the teeth until you feel them full of fissure-papulose contact.

therapeutic effect is achieved when closed tooth rows of the upper and lower jaws. Applies Kappa mostly at night. To ensure fissure-ugarkovic contacts (in cases where the patient is sleeping with his mouth open), it is recommended to use a chin sling.

Used vocalista reinforced retention Kappa of the elastic porous plastic material at the final stage of active orthodontic treatment to correct the position of individual teeth and the shape of dentition, perform the necessary conditions for transition to the period of strengthening of positive result of treatment and medical interventions in the retention period on the proposed methodology.

1. Orthodontic retention vocalista Kappa that contains the basis of elastic material, characterized in that the base has a wire frame of the orthodontic wire and is made in the form of a single element having the shape of two arcs, the first of which corresponds to the dentition of the lower jaw from the lingual side, and the second corresponds to the dentition of the upper jaw with vestibular side, and the frame is made in the form of means for moving the teeth and/or uzaktaki and made of a porous polymer.

2. Kappa under item 1, characterized in that the basis of the supplied drug or drugs.

3. Kappa under item 2, characterized in that the drug or drugs applied to the base in the form of a coating.

 

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