MX2008008230A - Intraoral system for reducing the food intake and correcting chewing habits, and method for the use thereof - Google Patents

Abstract

Described is an intraoral system for isolating the contact between molars except in pieces where the system is located. Said system is useful for reducing the food intake as it provokes the user to eat small mouthfuls since the chewing surface is diminished, the aforementioned being advantageous in that the amount and time of chews are increased as the bolus remains a longer period of time in the mouth, thus secreting a higher amount of saliva before the ingest, which promotes a better digestion. The inventive system has different embodiments for allowing a user to find a suitable model depending on the targets to achieve. The system includes, among the main components thereof, an occlusal disruptor including at least one disruptor;at least a retainer which along with other secondary components and diverse configurations is adjusted to the dental pieces, thereby anchoring the mouth system.

Description

INTRAORAL SYSTEM FOR THE REDUCTION OF FOOD INTAKE AND CORRECTION OF MASTICATORY HABITS AND METHOD OF UTILIZATION OBJECT OF THE INVENTION The present invention relates to an intraoral system for the reduction of food intake, correction of masticatory habits, digestive problems and method of use that is directed to the field of health specifically in the assistance to people who have difficulties for the loss or maintenance of its weight.

BACKGROUND OF THE INVENTION Obesity is a chronic disease of multifactorial etiology interacting social, behavioral, psychological, metabolic, cellular and molecular elements, being a serious problem that currently exists worldwide and should be treated comprehensively. Derived from all the research carried out around the world, it is known that at present, the situation is alarming for all nations: 65% of adult individuals have some degree of overweight and 30.5% of adults are obese, which It tells us about the implacable presence of this disease, even in the most scientifically developed countries. In Mexico, the situation is no less alarming, since the World Health Organization reported in May 2008 that our country occupies the second place in overweight and obesity in adults and the first in minors. According to the National School of Health 2000, it is considered as a public health problem, said Survey shows data that reflect that, from an early age, there is a high prevalence, since 29% of adolescents are overweight and obese. On the other hand, in the adult population, women between the ages of 20 and 59 present 36.1% of overweight and 28.1% of obesity; men of the same age group, 40.9% and 18.6% of overweight and obesity respectively, therefore we can consider obesity as the great epidemic of the 21st century. The environmental elements that determine the corporal weight are, essentially, the caloric intake and the level of physical activity, the caloric intake has been modified in the last 30 years; although not enough to explain the whole epidemic, yes in a constant manner and in most of the population. Some of these elements are the following: A) Greater availability of energy. B) Higher number of meals eaten outside the home. C) Greater consumption of soft drinks. D) Increase in the size of the portions.

The second environmental factor that decisively influences the regulation of body weight is the level of physical activity, which may have changed dramatically since the end of the 20th century. Thanks to the great inventions in transportation and telecommunications.

The human body has lost the mobility that gives it agility, dexterity, strength and physical development, replacing it with ample lapses of physical quiet and mental stress. At present, what really worries about this epidemic are the consequences for the individual and society, due to the high economic, physical and even emotional cost that it represents. Some of these consequences are: A) Cardiovascular disease B) Cerebrovascular disease C) Diabetes Mellitus type II D) Cancer E) Osteoporosis F) Impact on quality of life due to discrimination.

Taking into account this serious problem that currently exists worldwide and whose existing solution alternatives carry long-term health risks, such as bariatric surgeries, some drugs that cause addiction and / or important systemic changes such as amphetamines or even medications no amphetamines that should not be used for prolonged periods or self-medicated because they seem harmless such is the case of fibers, which can give very limited results and sometimes severe alterations if the indications are followed correctly, even what could result in an excellent nutrition with personalized diets, we do not obtain completely satisfactory results because of the economy or the slowness of changes in the organism since we live in a society that demands rapidity, effectiveness, functionality and health encompassing in this aspect also the adjuncts that manage obesity, not finding until now any system similar to the one proposed as a coadjuvant to the treatment of weight loss, moderating the food intake and sometimes restricting according to the requirements of each individual. Various existing options have been investigated, and so far no system similar to the one proposed has been found, since within the multidisciplinary treatments the stomatologist has not been included because there is no device in the market according to the needs of both the patient and the professional. the institutions. The proposed system is an adjunct to the treatment of weight loss. Moderating the food intake in quantity. As is well known, the rapidity with which food is ingested, the great bites, the sedentary lifestyle, the psychological and social pressures are some of the many details that must be assessed for the development of a good functional apparatus, which should be simple, economical, easy to handle and highly effective without causing alterations both physical and aesthetic, functional and even psychological. The proposed appliance complies with these standards as it decreases the patient's chewing surface, thus causing the amount of food in each bite to be smaller, causing more chewing, causing an increase in salivation before swallowing, even modifying the oral flora, causing muscle fatigue that increases the time of chewing and resulting in the correct start of digestion. In addition to making the patient aware of the habits he had, he relearns to chew and therefore to eat.

Also for some people it is reason for emotional support in their social life since it is not always possible to carry out a specific diet, but to control the quantities. In the same way we could conclude that it is a harmless device, that does not need previous preparation, because it is intraoral it is aesthetic, it does not hinder the phonetics or modify the activities of the patient's daily life. The present invention consists of a set of adjuncts designed to control the intake of solid foods by aiding weight control treatments. Although alone said attachments give satisfactory results. These mechanisms have different modalities in their designs to cover the different requirements of each person based on a physical-mechanical-dental mechanism and emphasizing its system both in location and in time and space. The present invention relates to a system of attachments that are intended to help people who want to lose weight or prevent the increase of this either for reasons of health or aesthetics. This appliance can be placed in both upper and lower arches, applied in premolars and molars, it is a fixed device since it is placed in the mouth without any cavitary preparation and only removed by the professional. It can be made both individually and prefabricated because it has several designs that allow adjustment to any dental piece. At present there are various devices that allow people to lose weight.

Among these are intraoral, which as the name implies are applied in the oral cavity of the user. An example of these devices is like that of the 1988 patent, Knoderer (US Pat. 4, 727,867) who introduces intraoral attachments that interfere with the chewing of the individual, which inhibits the use of lateral movements of the canines, allowing exclusively those of opening and closing. In 1988, Brown, et al. (U.S. Pat. No. 4, 738, 259) describes a dental attachment that interferes with chewing and chewing movements of the cheeks, therefore also interfering with speech and facial gesturing. Another example of these attachments is that of 1989, Bassler (U.S. Pat. 4,883,072) which describes an elastic used inside the mouth and lips preventing the intake of food without interfering with breathing or speech, being then a device obstructing the diet and without aesthetics. In 1991, Stubbs (US Pat. No.5,052,410) discloses an apparatus that prevents both smoking and difficult feeding, being by its design an unpleasant apparatus for the patient, which covers much of the oral cavity, making it difficult not only intake and smoking but also phonetics and therefore social development, yielding very limited results for what is intended. In 2006, Costigan et al. (Pub. No. U.S.20060185679 AL) details an apparatus that physiologically inhibits appetite because its design encompasses both the hard palate and part of the soft palate; However, one of its main disadvantages is to promote bulimia or treatment failure due to the discomfort it causes even when talking.

All the mentioned patents employ different methods of obstruction as well as of dysfunction or stimulation as it is the case of the last one mentioned, but each implicitly implies a contraindication both physiological and aesthetic, functional and even psychological. The obstructing inventions alter the normal routine of the individual, since they hinder the articulation of words, the facial gesticulation and therefore lead to a social discomfort. The dysfunctional inventions of mastication did not take into account the injuries that can be caused at the level of the head and neck. The inventions of stimulation as published in August 2006 with the publication number: US 2006/0185679 AL have the disadvantage of being removable and mainly cause problems of bulimia or anorexia with all the complications that these diseases entail. As everyone knows, the rapidity with which food is ingested, the large quantities, the sedentary lifestyle and the psychological and social pressures are some of the many details that should be evaluated for the development of a good functional apparatus; that is why in the present invention it takes into account all the aforementioned aspects. One of the main advantages of these devices is that they decrease the occlusal surface of the patient, thus encouraging the amount of food in each bite to be smaller, causing more chewing, more saliva before swallowing and resulting in the correct start. of the digestion of each person. One of the variants of this invention provides the fixation of the arches with fixed attachments to the teeth with the advantage that the connection between arcades maintains mobility without being removable attachments respecting the dimensions of each patient to meet their needs without making iatrogenies, for which there are specifications for use for each device. This invention does not interfere either in phonetics, aesthetics or socialization or in any other aspect of people's daily lives.

BRIEF DESCRIPTION OF THE FIGURES Figure 1 shows a top view of an arch in which a modality of the existing variants of the intraoral system is placed. Figure 2 shows the intraoral system in its emioclusal modality seen laterally. Figure 3 shows the placement of the intraoral system in its emioclusal modality in a perspective view. Figure 4 shows a tooth with a side view showing both connector and retainer of the intraoral system. Figure 5 shows a top view of the occlusal system. Figure 6 shows the upper view of the emioclusal system. Figure 7 shows a side view of the retainer that is used in both the occlusal and emioclusal systems. Figure 8 employs a sample placement of the intraoral system in opposing teeth. Figure 9 shows a perspective of the intraoral system in its bundling mode. In figure 10 we observe a perspective of the intraoral system in a conceivable modality. In figure 11 the intraoral system is outlined in button with a perspective view. Figure 12 schematizes a perspective view of an intraoral system for three teeth with intermaxillary fixation.

In figure 13 we observe in its modality of rolling for two dental pieces with hooks. Figure 14 shows a perspective view of the modality for one or more dental pieces with variation of hooks projected occlusally. Figure 15 shows a perspective view of the intraoral vault system for more than one pieces, with hooks. Figure 16 as well as Figure 15 shows a lateral perspective of the intraoral vault system with hooks arranged in the upper part. Figure 17 shows a lower view of the upper arch of the intraoral system in its palatal vault modality with personalized dental records.

DETAILED DESCRIPTION OF THE INVENTION With reference to figure 1, an upper arch (1) is shown in whose premolars (2) is placed an intraoral system (3) that isolates the contact relations between molars (4) and premolars (5) of the upper arch ( 1) and the molars (6) and premolars (7) of the lower arch (8), except in the premolars (2) and (9) where said system is placed, which according to the invention, works to reduce the intake food because it causes small snacks because the chewing surface is diminished, which has the advantage of increasing the number of chewing and therefore the time of grinding food. By increasing the amount of time the food bolus stays in specific places in the arcades, a greater amount of saliva is produced before the intake, which leads to a better start of digestion. Figure 2 shows the basic modality of the intraoral system. A feature of the invention is the occlusal disruptor (10) that is placed on the cusp slopes of the chosen dental pieces, followed by a malleable connector (11) that crosses the intercuspid grooves or also between marginal ridges, ending with a retainer (12) which can be fixed on the buccal faces of the selected teeth by means of physical pressure according to their shape; however, it is advisable to fix it through a cementation. Said apparatus can be made of any biocompatible material that maintains its form and functionality including for this any metallic, non-metallic, organic, synthetic, ceramic material, and / or its combinations both microstructural and macrostructural and any other material that can be known and used by all those with an understanding of biotechnology or the field of health. In the same way it can be elaborated with the full range of colors used by phototherapy. Figure 3 shows an intraoral system in its basic mode placed on a premolar (3) where the disruptor (10) is placed on the occlusal face (13) of said tooth. This modality is preferably used in overweight patients. It is also used in patients seeking to modify eating and chewing habits. Figure 4 shows the intraoral system in its double connector mode in a premolar tooth (3) presenting the connectors (11), distal retainer (14) and mesial retainer (15), this view allows us to appreciate that the contact is between the slopes (16) where the intraoral system is placed in a suitable place to avoid interferences as much as possible. One of the ways in which this type of interference is avoided is by calibrating the thickness of the connectors (11) and the disruptor (10) by personalizing it to each patient and placing it both in grooves and in slopes and ridges on the chosen teeth. Figure 5 shows an occlusal view of the intraoral system in its double connector mode in a premolar (3) extending to the slopes (16) of the buccal cusp (17). Occlusal contact may occur between the disruptor (10) shown in Figure 5 and its antagonist or antagonist disruptor. With reference to Figure 6 the intraoral attachment is defined as an occlusal contact wall (18) which will disrupt the mastication, connecting by means of a wire or any other biocompatible malleable material to the retainer (12) (Figure 2) function apart from keeping the device fixed, through its retainer (12) is to facilitate its insertion in other components of both the same hemiarcade and its antagonists (5) for the different degrees of precise retention. Alternatively, as shown in Figure 6 the attachment can be placed on premolars (5) (3) and (7) or molars (6) making contact with their opposites to the closure of the jaw avoiding contact with the other teeth. Figure 7 shows a lateral or vestibular view of two premolars, showing the intraoral system in an assemblable modality (19) between different teeth using a horizontal connector (20), which joins two retainers (12). A characteristic of the disruptor (10) (figure 7) is that the thickness can go from 0.2 mm, to what each individual can tolerate without causing yatrogenies that usually do not exceed 1 millimeter in thickness. Figure 8 shows a side view of two opposing upper teeth (21) and lower (22) in both the connectors (12) and a ligature (23) that can be made of any biocompatible material, respecting both the dimension vertical as the resting position of each patient. Figure 9 shows a perspective of the intraoral system in its bundle mode, taking into account that the longer band (24) is made for the vestibular faces of the teeth and forming the occlusal anatomy (25). Figure 10 shows the intraoral system in its interdental modality constituted by a rolling element (32) for a single dental piece, being able to using an element (26) placed on the contour of both the intraoral system and the tooth that reinforces and fits on each of the chosen teeth, since this modality of the intraoral system can be prefabricated. Figure (11) shows a simplified version of the intraoral system because it uses the minimum components, which are the occlusal disruptor (10) made of biocompatible material that distributes and dampens the forces of chewing with uniform thickness previously established to be used in any dental piece without causing alterations, followed by a connector (11) that is made of biocompatible material, malleable and resistant so that it is attached to the tooth; finally a retainer (12) that should remain in the cervical third without touching the gingival margin to avoid causing lesions in mucous membranes, which may favor union with other similar or similar devices that exist in the mouth. In Figure 12 there is shown one embodiment (or variant) of the invention consisting of three complete occlusal disruptors (33) in the upper part and three complete occlusal disruptors in the lower part; 2 retention tabs (34), which cover the dental pieces where they are placed, four intermaximal connectors (27), eight leaflets (28) where the ends of the intermaxillary connectors (27) are placed, which limit both the opening and the the mouth closure and the occlusion. The intermaximal connectors (27) can be either metallic or elastic or any other type of biocompatible material that lends itself to the function of holding the jaws but considering the biomechanical factors such as the vertical dimension or free spaces. Figure 3 shows another type of apparatus for two dental pieces with another variant of connectors (35), whose importance lies in that it holds both maxillary teeth with a minimum number of usable teeth and sufficient retaining force, leaving the intermaxillary connectors (27) to choose depending on the needs of each individual, ranging from missing or missing teeth, allergies, habits, to the operant's ability to intermaxillary fixation. Figure 14 shows a different design of the intraoral system with an infinite possibility of materials and processing techniques that each one requires including also the interdental fixation aids. Taking into account that it must always be made up of at least one total disruptor (33), a connector (35) and an arc-type retainer (36). In this case the retention is given by the own shape of the dental pieces chosen. Figure 15 shows another variant of the intraoral system for the reduction of food intake vault style with a broad disruptor (37) and consequently a large retainer (38) which is characterized by being placed from premolars to molars in continuity, and may have one or more hooks (39) that serve as intermaxillary connectors (39). Figure 16 shows another type of vault that consists of occlusal traces (33) that hinder occlusion when placed in a single arch, either superior or inferior. This type vault type has intermaxillary connectors (40) to provide the option also of intermaxillary fixation with any type of biocompatible material. Another alternative modality of the intraoral system for the reduction of food intake according to the invention is represented in figure 17 as it is a variant of total splinting characterized mainly by covering from the first premolar to the second molar both right and left joined by a palatal vault (29) located at the level of the second premolars and the first molars of the upper arch; for the mandibular part it must have the registers of the occlusal faces (41) of the lower arch in centric relation and both parts may or may not have adaptable material in each niche of the teeth, with retentions (42) to facilitate the possibility of cementation . Depending on the type of material chosen according to the characteristics and needs of each patient. The method of using the intraoral system begins with the choice of the dental pieces where it will be placed. For the selection of the pieces where the intraoral system is placed, the pieces closest to the midline of a single arch are considered. Afterwards, the intraoral system is cemented to the dental pieces, being able to be cemented only in its vestibular portion or also including the occlusal portion, after which the surpluses are removed. It should be apparent from the drawings and the above descriptions that the intraoral system for the reduction of dietary intake and correction of masticatory habits tailored to the invention can be used in the upper teeth or in the lower teeth, with various orientations of teeth , with restored or healthy teeth on fixed or removable prostheses with variants even when there is absence of dental pieces. In all mandibular classifications as long as it serves to prevent both the lower and upper teeth from contacting each other except between the teeth that have the system in place, or in the case of figure 17 that all the teeth make contact with each other by means of the device since the mandibular opening is not allowed and causing the cancellation of solid food intake, which causes a reduction in weight, gradually also making the patient aware of the real quantities that must be ingested to subsist without abusing the food, also showing the time and the correct attention that you should devote to your diet in order to be healthy. Although the invention has been described in detail with reference to currently preferred embodiments, those skilled in the art will appreciate that various modifications can be made without departing from the invention.

Claims (1)

1. CLAIMS Having sufficiently described my invention, I consider as a novelty and therefore claim as my exclusive property, what is contained in the following clauses: 1. An intraoral system that contributes to weight loss and modification of masticatory habits, characterized in that it comprises : at least one occluder disruptor that is placed on the cusp slopes of at least one premolar or molar and that isolates the contact relations between molars and premolars of both the upper and lower arches, except in the premolars or molars where said system is placed and which has a geometry that is a function of the tooth in question. at least one connector that connects the retainer with the disruptor through its ends and sometimes connects to one or more intraoral systems, which adapt to the frontal or anterior part of the molars or premolars where it is placed. of at least one retainer that has a surface adaptable to each of the teeth according to the needs of each individual that allows the fixation of the system to the teeth where it is placed. . An intraoral system according to claim 1, and further characterized in that it comprises an occlusal disruptor adaptable to the shape of the surface of the slopes of the cusps before their total fixation and that has a plurality of designs that are in function of the objectives to reach. 3. An intraoral system according to claim 1, and further characterized in that it comprises at least one retainer for its attachment to the teeth where it is placed. 4. An intraoral system according to claim 1, and further characterized in that the retainer comprises a shape such that it can be fixed to the vestibular part of the dental piece by means of pressure or cements. 5. An intraoral system according to claim 1, and further characterized in that the connector adapts to different dental anatomies and its length varies depending on said anatomy. 6. An intraoral system according to claim 1, characterized in that the disruptor, the connector and the retainer are made of biocompatible materials. 7. An intraoral system according to claim 1, characterized in that the occlusal disruptor can also be used in one or more pieces. 8. An intraoral system according to claim 1, characterized in that the retainer can connect two or more dental pieces of the same arch or between different arches. 9. An intraoral system according to claim 1, characterized in that the occlusal disruptor can take a form such that it covers both the upper part and the sides of one or more dental pieces where it is placed. 10. An intraoral system according to claim 1 and 9, characterized in that the connector can take a form such that it surrounds the occlusal disruptor when it has a shape as described in claim 9. 11. An intraoral system according to claim 1, characterized in that the occlusal disruptor adopts a shape that covers at least two dental pieces. 12. An intraoral system according to claim 1, characterized in that the connector is composed of at least four elements that allow limiting the opening of the arches and therefore limits the amount of food that can be processed. 13. An intraoral system according to claim 1 and 9, characterized in that the connector is placed on the occlusal disruptor and takes the form of the surface of the occlusal disruptor, allowing direct contact between this connector and its antagonist. 14. An intraoral system according to claim 1, characterized in that the occlusal disruptor can comprise a vault with a wide surface that allows to cover two or more dental pieces. 15. An intraoral system according to claim 1 and 14, characterized in that the connector can have a hook shape that allows intermaxillary connection between several teeth. 16. An intraoral system according to claim 1, characterized in that the occlusal disruptor comprises a minimum thickness of approximately 0.2 mm and up to approximately 1 mm. 17. An intraoral system according to claim 1 or 9, characterized in that it can be placed in the upper or lower arch or both.18. In accordance with claim 1 and in the splinting modality of two or more dental pieces, it is characterized by comprising a greater amount of material that project from occlusal towards the other faces of the piece or pieces chosen. A method for utilizing an intraoral adjuvant system in weight loss and modification of masticatory habits characterized in that it comprises the steps of: providing an intraoral system that includes: at least one occluder disruptor that is placed on the cusp slopes of so less a premolar or molar and that isolates the contact relations between molars and premolars of both the upper arch and the lower arch, except in the premolars or molars where said system is placed and which has a geometry that is a function of the piece dental care. at least one connector that joins the retainer with the disruptor through its ends and sometimes connects to two or more intraoral systems, which adapts to the frontal or anterior part of the molars or premolars where it is placed. of at least one retainer that has a surface adaptable to each of the teeth according to the needs of each individual that allows the fixation of the system to the teeth where it is placed. placing the intraoral device in at least one molar or premolar on both sides of at least one of the arches may be superior or inferior to the user in such a way that the occlusal contact is carried out only between the teeth chosen for placement of the intraoral system. 20. The method according to claim 19, characterized in that it also includes a step of placing the occlusal disruptor on the slopes of the cusps of the dental piece so that it adapts to the surface on which it is placed. 21. The method according to claim 19, characterized in that it also includes a step of adapting and placing the retainer to the side walls of the dental piece where it is placed. 22. The method according to claim 19, characterized in that it also includes a step of fixing the connector by means of cementing, bonding or mechanical pressure. 23. The method according to claim 19, characterized in that the disruptor, the retainer and the connector are made of a biocompatible material. 24. The method according to claim 19, characterized in that the occlusal disruptor, the connector and the retainer are configured in such a way so as not to move when they come into contact with each other or with the bolus of food. 25. The method according to claim 19, characterized in that the occlusal disruptor has modalities that embrace from one to several dental pieces at the same time. 26. The method according to claim 19, characterized in that the occlusal disruptor is adaptable to the shape of the surface of the slopes of the cusps before its total fixation.