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.



 

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17 dwg, 3 ex

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1 ex

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