Multifunctional two-jaw orthodontic apparatus prosthesis for treating mesial occlusion cases
FIELD: medical engineering.
SUBSTANCE: device has base, fixing members and bearing members. Fixing and bearing members are fixed on the base. The base has two removable plates top one and bottom one. Artificial chewing teeth are mounted on plates for substituting the failing teeth. The top base plate is provided with occlusion inlays in the 6/6 region, round clammers on the sixth teeth with hooks for flexible tie members, protractors and to two lip pelots which are soldered into the base near the chewing teeth. The protractors are manufactured to enable transformation after anterior cutters promotion in arm-like Calvelis springs for removing diastema. The bottom base plate has two clammers on the sixth teeth and vestibular arch having M-shaped hooks to make engagement with flexible tie-members near temporary canine teeth.
EFFECT: provided optimum growth conditions in temporomandibular joints; eliminated reversed cutter overlapping; improved face shape and structure; eliminated sagittal fissure and diastemas; accelerated permanent teeth growth.
3 cl, 3 dwg
The invention relates to medical equipment, namely to devices used for early removal of teeth to correct malocclusion, and can be used in prosthetic dentistry, mainly children.
There are various orthodontic devices for the treatment of malocclusion. Known, for example, the controller functions Frenkel type III (FP-III), including vestibular arc vernerable of pelota, buccal shields, sphenopalatine clasp, palatal protrusion arch, lingual arch, occlusive wire pads on the 6th teeth (see Khoroshilkina FA, persin PS Orthodontics. Treatment subcluster-facial anomalies modern orthodontic appliances. Clinical and technical stages of their production". Book II. Moscow, 1999, pages 78-84).
A disadvantage of the known regulator functions Frenkel type III is the lack of artificial teeth on the upper and lower jaw, which makes it impossible for the chewing of food in the absence of 10 or more primary teeth, as well as the fact that known apparatus does not resolve diastema in the area of the upper Central incisors and does not create space for the eruption of the second side of the upper incisors in children.
Known multi duchaussoy orthodontic device is a prosthesis for the treatment of distal deep bite, containing the base, locking the e and force elements mounted on the base, which is made of two removable plates - top and bottom that have artificial chewing teeth absent, while the upper base plate is provided with a round clasps on the 6th teeth and soldered to the base M-shaped hooks for elastic rods in the field of chewing teeth and rakoobraznymi springs of Kalvelis to resolve the diastema, and the lower base plate has two clasps on the 6th teeth, two removable lip pelota, set in sleeves with locks, welded to the base, and hooks for elastic rods (patent RF GR №46919, publ. 10.08.2005,, bull. No. 22).
A disadvantage of the known apparatus of the prosthesis is the lack of vestibular arc with M-shaped hooks on the bottom of the base plate and the absence of occlusal pads that prevents the use of known apparatus-a prosthesis for the treatment of malocclusion.
The invention aims to remedy these shortcomings.
The problem is solved multifunctional duclottni orthodontic device is a prosthesis for the treatment of malocclusion, containing the base, the locking and force elements fixed on the basis, where the basis consists of two removable plates - top and bottom that have artificial chewing teeth to replace missing in rnaa base plate provided with occlusal overlays in the field 6/6, all the clasps on the 6th teeth with hooks for elastic rods, soldered to the base two adverse pelotari in the field of chewing teeth, and protractors made with the possibility of their transformation after advancement of the cutters forward in rakoobraznye spring of Kalvelis to resolve the diastema, and the lower base plate has two clasps on the 6th teeth and vestibular arc with M-shaped hooks for elastic rods in the field of temporary teeth. Elastic traction made in the form of rubber rings. The base plate is made with the possibility of drilling holes in them for the growth of new teeth, for example the second side of the upper incisors.
The invention is illustrated in the drawings, where figure 1 shows a General view of the proposed apparatus of the prosthesis, figure 2 - the lower part of the prosthesis, figure 3 - top part.
Multifunctional duchaussoy orthodontic device is a prosthesis for the treatment of anterior deep bite contains a basis consisting of two removable plates - upper 1 and lower 2 (1, 2, 3). The upper plate 1 is installed artificial chewing teeth 3 instead of the missing patient, on the bottom plate 2 is installed artificial chewing teeth 4 instead of missing. The upper base plate 1 is equipped with occlusive plates 11, two adverse pelotari 10, round clasps 5 installed on the 6th of teeth to ochkami 6 for elastic rods 7 in the posterior teeth, and protectorate 8, which are made with the possibility of conversion to rakoobraznye spring of Kalvelis to resolve the diastema. The lower base plate 2 includes two clamp 9 on the 6th teeth welded to the base plate, M-shaped hooks 13 for elastic rods 7, made in the form of rubber rings, and vestibular arc 12.
Thrust 7 connect the top 1 and bottom 2 of the base plate in a uniform design, which also has a therapeutic effect and the upper and lower jaw. The base plates 1 and 2 are made with the possibility of drilling holes in them for the growth of new teeth, for example the second side of the upper incisors. Occlusal pads in region 6's teeth on upper plate divide the bite for the advancement of the upper incisors maialino.
The proposed multifunctional duchaussoy orthodontic device is a prosthesis for the treatment of malocclusion is used in dental practice in the following way. In the absence of the patient with anterior bite of dairy chewing teeth (usually in the absence of not less than 10 teeth) made the top 1 and bottom 2 removable base plate with artificial chewing teeth 3 and 4, clasps, hooks, protectorate (rakoobraznymi springs of Kalvelis) and other elements described above. Then set made removable prot is s with clampers 5 and 9 on the upper and lower jaw and wear elastic thrust 7 on M-shaped hooks 13 on the lower jaw and the hooks 6 on the upper jaw, connecting thereby the base plate 1 and 2 into a single unit-denture. The artificial teeth 3 and 4 provide the patient the ability to chew food, protractor 8 provide extension incisors forward, after which protractor converted to rakoobraznye spring of Kalvelis to resolve the diastema in the field of the first teeth and create space for the eruption of the second teeth. Lip of pelota 10 push back the upper lip, provide extension of the upper jaw maialino, improve aesthetics, facial profile. Occlusal pads on the top plate divide the bite in the field of chewing teeth. After removal of the upper incisors of the inverse overlap occlusal pads are removed.
The proposed unit-denture wearing for 1.5-3 years provides optimal growth in UNC-joints, prevents anterior displacement of the teeth in the mixed dentition in the lower jaw. Wearing proposed unit-denture needs 24 hours a day, shooting for hygienic care, the elastic traction 7 should be changed in a day. Especially effective multifunctional duchaussoy apparatus-a prosthesis for horizontal jaw growth, reverse cutting the ceiling, a sagittal slit more than 1.0 mm, the underdevelopment of the upper jaw, with early and multiple delete temporary (milk) teeth, for normalization miracolosa angle (_132± 10*), in the mixed dentition in children 6-8 years. The base plates 1 and 2 are made with the possibility of drilling holes in them for the eruption of permanent teeth instead of milk. Optionally, the apparatus-the prosthesis is replaced by a new one after 4-6 months.
Example No. 1. Patient M., aged 7 years, 10 months, turned to the clinic with complaints of lifting the lower jaw forward, reverse cutting overlap, the presence of a gap between the upper incisors, the absence of time chewing teeth.
D.S: Anterior bite. Reverse cutting overlap. Sagittal slit 2 mm in the Absence dentition 52, 53, 54, 62, 63, 64, 65, 74, 84, 84 teeth. Diastemas in the field of 11 and 21 - 1,5 mm
The treatment was carried out using the proposed apparatus of the prosthesis. 4 months after beginning its use was eliminated reverse cutting overlap, sagittal slit, began erupting upper lateral incisors, improved aesthetics of the face, the smile.
Example No. 2. Patient S., aged 6 years, 5 months, went to the polyclinic 11.02.2005 year with complaints about the lack of chewing teeth, reverse cutting overlap, the forward lifting of the chin, the presence of a gap between the upper incisors. Inflamed red border of lips.
D.S: Anterior bite. Reverse cutting overlap. Sagittal gap of 1.3 mm in the Absence dentition 52, 53, 54, 55, 62, 64, 65, 74, 75, 84, 85 teeth. Diastemas in the area of the upper cutter is 2 mm. Cheilitis. The shift of the midline on the lower jaw to the right by 2 mm.
The treatment was carried out using the proposed apparatus of the prosthesis. After 6 months of using the device has eliminated the diastema, reverse cutting overlap. Improved aesthetics, disappeared inflamed red border of lips. Cut lateral incisors on the upper jaw. Just using the proposed apparatus of the prosthesis was treated 6 patients.
Achieved positive results.
The invention allows for optimal growth in temporomandibular joints, eliminate backward cutting overlap, to improve the shape and profile of the face, especially in patients aged 6-8 years with anterior dentition. Eliminates the sagittal slit and diastemas in the area of the Central incisors of the upper jaw; accelerates and stimulates the growth of permanent teeth with early removal of the temporary teeth.
1. Multifunctional duchaussoy orthodontic device is a prosthesis for the treatment of malocclusion, containing the base, the locking and force elements fixed on the basis, where the basis consists of two removable plates - top and bottom that have artificial chewing teeth to replace missing, characterized in that the upper base plate provided with occlusal overlays in the field 6/6, round clasps on the 6th teeth with hooks on the I elastic rod and soldered to the base two adverse pelotari in the field of chewing teeth, and protectorate made with the possibility of their transformation after advancement of the cutters forward in rakoobraznye spring of Kalvelis to resolve the diastema, and the lower base plate has two clasps on the 6th teeth and vestibular arc with M-shaped hooks for elastic rods in the field of temporary fangs.
2. The device is a prosthesis according to claim 1, characterized in that the elastic traction made in the form of rubber rings.
3. The device is a prosthesis according to claim 1, characterized in that the base plate is made with the possibility of drilling holes in them for the eruption of permanent teeth, for example the second side of the upper incisors.
FIELD: dentistry.
SUBSTANCE: apparatus can be used for orthopedic treatment of distinctions of (temporo)mandibular joints with habitual dislocations and semiluxations of lower jaw. Apparatus has lower jaw's movement restrictor provided with axis for free rotation; distal and proximal ends of apparatus are fixed to upper and lower jaws. Ends are tightly fixed at support orthodontic rings at 6th upper and lower teeth. Rings are provided with locks. Parts of locks are fixed together by brace. The restrictor has row longitudinal holes at side of lower jaw to adjust width of opening of mouth. Axis is disposed in center of gum of restrictor.
EFFECT: portability; higher hygiene; comfort at use.
3 dwg
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.
2 dwg
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.
3 dwg
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.
3 dwg
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.
2 dwg
FIELD: dentistry.
SUBSTANCE: apparatus can be used for orthopedic treatment of distinctions of (temporo)mandibular joints with habitual dislocations and semiluxations of lower jaw. Apparatus has lower jaw's movement restrictor provided with axis for free rotation; distal and proximal ends of apparatus are fixed to upper and lower jaws. Ends are tightly fixed at support orthodontic rings at 6th upper and lower teeth. Rings are provided with locks. Parts of locks are fixed together by brace. The restrictor has row longitudinal holes at side of lower jaw to adjust width of opening of mouth. Axis is disposed in center of gum of restrictor.
EFFECT: portability; higher hygiene; comfort at use.
3 dwg
FIELD: medical engineering.
SUBSTANCE: device has base, fixing members and bearing members. Fixing and bearing members are fixed on the base. The base has two removable plates top one and bottom one. Artificial chewing teeth are mounted on plates for substituting the failing teeth. The top base plate is provided with occlusion inlays in the 6/6 region, round clammers on the sixth teeth with hooks for flexible tie members, protractors and to two lip pelots which are soldered into the base near the chewing teeth. The protractors are manufactured to enable transformation after anterior cutters promotion in arm-like Calvelis springs for removing diastema. The bottom base plate has two clammers on the sixth teeth and vestibular arch having M-shaped hooks to make engagement with flexible tie-members near temporary canine teeth.
EFFECT: provided optimum growth conditions in temporomandibular joints; eliminated reversed cutter overlapping; improved face shape and structure; eliminated sagittal fissure and diastemas; accelerated permanent teeth growth.
3 cl, 3 dwg
FIELD: medical engineering.
SUBSTANCE: device has mandibular base plate having occlusion lining on lateral teeth. Supporting holding klammers are fixed in distal ends of the base plate. The occlusion lining members are fitted on the lower canine teeth. Recesses are produced on chewing surface of the occlusion lining members shaped as deep maxillary teeth imprints in constructive occlusion.
EFFECT: provided complete jaws disocclusion with mandible being set in.
3 dwg
FIELD: medicine; stomatology.
SUBSTANCE: kappa applied for detection of parodentium and jaw bone tissute state is made of non-radiopaque flexible plastics and contain measuring element inside. Kappa is monolithic two-leaf isolated between dentures within first antagonistic molars, filled with plastics along isolation lengthwise. Measuring element is designed as graduated orthodontic wire and installed within kappa body in first antagonistic molars area. Within anterior teeth group inside of kappa body there is a cavity for attachment or strip rigidly mounted to orthopantomograph. Invention enables to provide accurate detection of bone tissues within first and subsequent X-ray examination (orthopantomogram, panoramic radiograph) with equally fixed position of jaws, increased efficiency of oral therapy.
EFFECT: improved objective diagnostics of facial bone state associated with oral therapy in dynamics under orthopantomogram results by means of simple device.
1 dwg
FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to dentistry and is intended for correction of detected by early diagnostics temporomandibular joint (TMJ) dysfunctions. Anthropometry of face is carried out in order to determine displacement of lower jaw and measure the height of lower third part of face. Displacement of lower jaw is determined in sagittal, transversal and distal directions. In order to determine distal displacement of lower jaw Eshler-Bittner test is applied. To determine lateral displacements occlusography is carried out in habitual occlusion, results are obtained by computer program T-Scan. Orthopantomography is performed and value of joint spaces is determined. If secondary displacements of lower law in sagittal and/or transversal and/or distal directions are determined, joint spaces of various value on orthopantomogram and change of height of lower third part of face are present, dysfunction of TMJ is diagnosed. Lower jaw is installed in neutral state in central occlusion, mouthguard with bite sites for fixation of lower jaw in said position is made. Occlusography is repeated in central occlusion together with mouthguard, difference of initial and blocking contacts is determined and in case if contact is advanced, selective lapping is carried out. Conclusion about elimination of dysfunction is made on the basis of patient's subjective sensations, anthropometric data and holding of lower jaw in position without displacement in sagittal and transversal planes. Final correction of mouthguard is performed in central occlusion under control of OPTG with central position of TMJ head in glenoid fossa, after which mouthguard from silicon is replaced with plastic. Myotherapy is administered and orthodontic treatment and/or dental prosthetics is performed after adaptation in accordance with indications.
EFFECT: method makes it possible to detect and prevent TMJ diseases before development of expressed pathologic joint symptoms due to correction of TMJ dysfunction before clinical symptoms of joint pathology develop.
17 dwg, 3 ex
FIELD: medicine.
SUBSTANCE: invention relates to medical equipment and can be used in dentistry, in particular in orthodontics. Bracket contains case, in whose slots ligature wire is placed. In bracket case placed are light-emitting elements, operating in range of ultraviolet, blue, green, red or infrared irradiation. Irradiation parameters are controlled by microcontroller, which is made in form of microchip.
EFFECT: impact of optic irradiation on the place of bracket fixation on tooth surface ensures effect of superficial bactericidal action, inhibits growth of fungi, leads to conformational rearrangements of protein matrix of enamel and improves its functional properties, enhancing exchange and diffusion processes.
2 dwg
FIELD: medicine.
SUBSTANCE: invention relates to field of medicine, namely to orthodontic dentistry, and is intended for retaining stable result after performed orthodontic treatment. Non-detachable retainers are fixed on upper and lower dentitions after passive fitting. Non-detachable bite sites from composite material, imitating expressed incisive papillae are made on palate surface of incisors 1.1 and 2.1. Retainer on lower dentition is fixed on the segment from 4.4 to 3.4 teeth. Length of retainer on upper dentition depends on initial anomaly of teeth position and method of treatment. In case of initial vestibular position of canines and treatment of deep overbite without extraction of teeth 1.4 and 2.4 retainer is fixed from 1.3 to 2.3 teeth. In case of extraction of teeth 1.4 and 2.4 retainer is continued to 1.5 and 2.5 teeth. In case of absence of vestibular position of canines and treatment of deep overbite without extraction of 1.4 and 2.4 teeth retainer is installed from 1.2 to 2.2 teeth.
EFFECT: method makes it possible to increase retention efficiency due to possibility of simultaneous control of teeth position and occlusion in vertical plane by means of non-detachable retention.
8 dwg, 4 ex
FIELD: medicine.
SUBSTANCE: removable individual replaceable myogymnastic element (RIRME) representing an individually curved orthodontic wire having a many-sided bead is fixed for 2 hours a day and for a period of logopaedic treatment into closed canals of the palatal plate of the removable appliance. A patient moves his/her tongue: touches the bead and displaces it in different directions along the wire trajectory. As the range of motions increases, the RIRME is changed by a new one with the complex trajectory and a smaller bead. The lessons are continued until the tongue functions are recovered completely.
EFFECT: method enables shortening the rehabilitation period that is ensured by orthodontic treatment in a combination with functional correction and use of the myogymnastic element that is complicated in the process of treatment.
1 ex
