WO2006040380A1 - Mandibular advancement bite ring - Google Patents
Mandibular advancement bite ring Download PDFInfo
- Publication number
- WO2006040380A1 WO2006040380A1 PCT/ES2005/000536 ES2005000536W WO2006040380A1 WO 2006040380 A1 WO2006040380 A1 WO 2006040380A1 ES 2005000536 W ES2005000536 W ES 2005000536W WO 2006040380 A1 WO2006040380 A1 WO 2006040380A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- fork
- mandibular advancement
- patient
- jaw
- laminar body
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/04—Measuring instruments specially adapted for dentistry
- A61C19/05—Measuring instruments specially adapted for dentistry for determining occlusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C9/00—Impression cups, i.e. impression trays; Impression methods
Definitions
- the present invention relates to a teether, usable to record and calculate the mandibular advancement of a patient, usable as a basis for the subsequent fabrication of a prosthesis.
- the object of the invention is to obtain a teether that automatically records the interincisive position when the patient is asked to advance the jaw towards said position, without the need for the patient to perform the movement calculation to reach it.
- the teether that the invention proposes solves in a fully satisfactory manner the aforementioned problem, allowing the patient to find it extraordinarily simple to advance the jaw to the interincisive position necessary for proper registration.
- said teether materializes in a basically rigid, rigid body, which can be made of any appropriate material, such as plastic, polymer, metal, etc., which adopts a basic configuration as a branch fork symmetrical, and that it presents, in correspondence with its midpoint and on both sides, two pairs of preferably pyramidal appendages, which in the closing maneuver of the jaw automatically force the latter to move forward, up to the limit situation in which the upper and lower incisors are perfectly faced.
- An added advantage derives from the rigidity of the constituent material of the teether, specifically from the stiffness of the aforementioned fork, which consists of having solid bases to support the recording material without causing a greater condylar pick-up on one side that in the other one.
- the body or fork constituting the teether itself will be extended in an arm in functions of a handle, to facilitate its manipulation.
- Figure 1 Shows, according to a plan view, a mandibular advancement bite made in accordance with the object of the present invention.
- Figure 2 - Shows a profile of the same teether.
- Figure 3. Shows a perspective view of the teether of the previous figures, on which the registration material is mounted.
- Figure 4.- Shows, finally, a sectional profile of the same teether duly coupled between the upper jaw and the patient's jaw.
- the teether that the invention proposes is constituted by a rigid and laminar body (1), in which a fork (2) is configured formally and dimensionally suitable for dental arches, a fork whose branches lateral (3-3 ') are symmetrical and are intended to receive the registration material (4), as seen especially in Figure 3, said fork presenting the special feature that in the midpoint thereof and in each of the faces of the laminar and flat body that defines it, there are two pairs of protuberances (5), of pyramidal configuration, aligned within each pair in correspondence with the Imaginary axis of the fork (2) and with its next contacting vertices also within each pair, so that when the teether is introduced into the patient's mouth and as clearly appears from the observation of Figure 4, when closing the jaw with the upper protuberances (5) supporting between the two incisors of the upper jaw, automatically occurs, when ascending the jaw, a displacement or advance of the same when supporting its incisors on the
- an arm (6) emerges in handle functions, with a small expansion (7) in its free limb to facilitate its grip.
- the process of using the teether begins with the choice of the most appropriate laminar body (1), that is, with an advance of 3, 4 and 5 mm depending on the anatomical characteristics of the patient, then proceed to the contribution to the lateral branches (3-3 ') of the fork (2) of the recording material, such as soft wax, which is perfectly fixed to said branches (3-3') with the collaboration of holes (8 ) operatively practiced in the latter, then the teether is introduced into the user's mouth, supporting the point of confluence (9) between the two protrusions (5) of its upper face between the incisors of its upper jaw, and finally, at close the patient's mouth, the incisors of his The jaw rests on one of the protuberances (5 ') of the lower face of the fork, the jaw being forced to make an advance movement to be able to completely close the mouth, in which said maxillary incisors move in turn towards the interstitium (9) defined between the two lower protuberances (5 '),
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Biophysics (AREA)
- Engineering & Computer Science (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
Description
MORDEDOR DE AVANCE MANDIBULAR MANDIBULAR ADVANCE BITTER
D E S C R I P C I Ó ND E S C R I P C I Ó N
OBJETO DE LA INVENCIÓNOBJECT OF THE INVENTION
La presente invención se refiere a un mordedor, utilizable para registrar y calcular el avance mandibular de un paciente, utilizable como base para la posterior fabricación de una prótesis.The present invention relates to a teether, usable to record and calculate the mandibular advancement of a patient, usable as a basis for the subsequent fabrication of a prosthesis.
Se trata pues de un dispositivo intraoral utilizable en el ámbito de la odontología, y más concretamente, como acaba de decirse en la fabricación de prótesis.It is therefore an intraoral device usable in the field of dentistry, and more specifically, as just said in the manufacture of prostheses.
El objeto de la invención es conseguir un mordedor que registre automáticamente la posición interincisiva cuando se le pide al paciente que avance la mandíbula hacia dicha posición, sin necesidad de que sea el paciente el que realice el cálculo de movimiento para alcanzarla.The object of the invention is to obtain a teether that automatically records the interincisive position when the patient is asked to advance the jaw towards said position, without the need for the patient to perform the movement calculation to reach it.
ANTECEDENTESDELAINVENCIÓNBACKGROUND OF THE INVENTION
En el campo de la odontología y más especialmente en el de la ortodoncia, existen una serie de aparatos intraorales que se utilizan para posicionar la mandíbula en una posición determinada, con fines terapéuticos. Una serie de aparatos requieren del avance mandibular para conseguir los objetivos del tratamiento. Al paciente se le pide que avance la mandíbula hasta un punto previamente determinado por el facultativo. Esta maniobra requiere de un gran entrenamiento y presenta en ocasiones mucha dificultad a la hora de transmitir al paciente esa posición determinada a partir de la que posteriormente se va a construir la prótesis.In the field of dentistry and more especially in orthodontics, there are a number of intraoral devices that are used to position the jaw in a certain position, for therapeutic purposes. A series of devices require mandibular advancement to achieve treatment goals. The patient is asked to advance the jaw to a point previously determined by the physician. This maneuver requires a great training and sometimes presents a lot of difficulty in transmitting to the patient that determined position from which the prosthesis will be built later.
Para registrar esta posición dental se utilizan varias clases de materiales, tales como ceras, siliconas, godiva, yeso, etc, de manera que al colocar estos materiales en la boca del paciente, generalmente pierde la noción espacial de donde tiene que colocar la mandíbula exactamente, con lo que el registro de la posición mandibular se complica enormemente.To register this dental position, various kinds of materials are used, such as waxes, silicones, godiva, plaster, etc., so that when placing these materials in the patient's mouth, you usually lose the spatial notion of where you have to place the jaw exactly , so that the registration of the mandibular position is greatly complicated.
DESCRIPCIÓN DE LA INVENCIÓNDESCRIPTION OF THE INVENTION
El mordedor que la invención propone resuelve de forma plenamente satisfactoria la problemática anteriormente expuesta, permitiendo que al paciente le resulte extraordinariamente sencillo adelantar la mandíbula hasta la posición interincisiva necesaria para un correcto registro.The teether that the invention proposes solves in a fully satisfactory manner the aforementioned problem, allowing the patient to find it extraordinarily simple to advance the jaw to the interincisive position necessary for proper registration.
Para ello y de forma más concreta dicho mordedor se materializa en un cuerpo básicamente laminar, rígido, que puede estar fabricado en cualquier material apropiado, como por ejemplo plástico, polímero, metal, etc, que adopta una configuración básica a modo de horquilla de ramas simétricas, y que presenta en correspondencia con su punto medio y sobre ambas caras sendas parejas de apéndices preferentemente piramidales, que en la maniobra de cierre de la mandíbula obligan automáticamente a esta última a un movimiento de avance, hasta la situación límite en la que los incisivos superiores e inferiores quedan perfectamente enfrentados. De acuerdo con esta estructuración basta con colocar previamente el material de registro en las ramas laterales de la horquilla, recubriéndolas convenientemente, para que en la maniobra de cierre de la mandíbula por parte del paciente se produzca automáticamente una situación límite de posición interincisiva y esperar a que fragüe el material de registro, para haber obtenido la llave con el avance mandibular realizado.For this, and more specifically, said teether materializes in a basically rigid, rigid body, which can be made of any appropriate material, such as plastic, polymer, metal, etc., which adopts a basic configuration as a branch fork symmetrical, and that it presents, in correspondence with its midpoint and on both sides, two pairs of preferably pyramidal appendages, which in the closing maneuver of the jaw automatically force the latter to move forward, up to the limit situation in which the upper and lower incisors are perfectly faced. According to this structuring, it is enough to place the registration material in the lateral branches of the fork, covering them conveniently, so that in the maneuver of closing of the jaw by the patient an automatic situation of interincisive position limit occurs automatically and wait for to set the registration material, to have obtained the key with the mandibular advance made.
De la rigidez del material constitutivo del mordedor se deriva una ventaja añadida, concretamente de la rigidez de la citada horquilla, consistente en que se dispone de unas bases sólidas donde apoyar el material de registro sin que se produzca un descuelgue condilar mayor en un lado que en el otro.An added advantage derives from the rigidity of the constituent material of the teether, specifically from the stiffness of the aforementioned fork, which consists of having solid bases to support the recording material without causing a greater condylar pick-up on one side that in the other one.
La práctica demuestra que en los avances mandibulares, para que no sean iatrogénicos, no deben exceder los 3-4 mm, por lo que las protuberancias en funciones de guías deberán estar calibradas en avances de 3, 4 y 5 mm, para que puedan ser útiles a todos los pacientes.The practice demonstrates that in mandibular advances, so that they are not iatrogenic, they should not exceed 3-4 mm, so that the protuberances in function of guides must be calibrated in advances of 3, 4 and 5 mm, so that they can be Useful to all patients.
Como complemento de la estructura descrita y como es evidente, el cuerpo u horquilla constitutiva del mordedor propiamente dicho, se prolongará en un brazo en funciones de asidero, para facilitar su manipulación.As a complement to the described structure and as is evident, the body or fork constituting the teether itself, will be extended in an arm in functions of a handle, to facilitate its manipulation.
DESCRIPCIÓN DE LOS DIBUJOSDESCRIPTION OF THE DRAWINGS
Para complementar la descripción que se está realizando y con objeto de ayudar a una mejor comprensión de las características del invento, de acuerdo con un ejemplo preferente de realización práctica del mismo, se acompaña como parte integrante de dicha descripción, un juego de dibujos en donde con carácter ilustrativo y no limitativo, se ha representado lo siguiente:To complement the description that is being made and in order to help a better understanding of the features of the invention, according to a preferred example of practical realization thereof, accompanies as an integral part of said description, a set of drawings where, for illustrative and non-limiting purposes, the following has been represented:
La figura 1.- Muestra, según una vista en planta, un mordedor de avance mandibular realizado de acuerdo con el objeto de la presente invención.Figure 1.- Shows, according to a plan view, a mandibular advancement bite made in accordance with the object of the present invention.
La figura 2 - Muestra un perfil del mismo mordedor.Figure 2 - Shows a profile of the same teether.
La figura 3.- Muestra una vista en perspectiva del mordedor de las figuras anteriores, sobre el que aparece montado el material de registro.Figure 3.- Shows a perspective view of the teether of the previous figures, on which the registration material is mounted.
La figura 4.- Muestra, finalmente, un perfil en sección del mismo mordedor debidamente acoplado entre el maxilar superior y la mandíbula del paciente.Figure 4.- Shows, finally, a sectional profile of the same teether duly coupled between the upper jaw and the patient's jaw.
REALIZACIÓN PREFERENTE DE LA INVENCIÓNPREFERRED EMBODIMENT OF THE INVENTION
A la vista de las figuras reseñadas puede observarse como el mordedor que la invención propone está constituido mediante un cuerpo laminar y rígido (1), en el que se configura una horquilla (2) formal y dimensionalmente adecuada a los arcos dentales, horquilla cuyas ramas laterales (3-3') son simétricas y están destinadas a recibir al material de registro (4), como se observa especialmente en la figura 3, presentando dicha horquilla la especial particularidad de que en el punto medio de la misma y en cada una de las caras del cuerpo laminar y plano que la define, se establecen sendas parejas de protuberancias (5), de configuración piramidal, alineadas dentro de cada pareja en correspondencia con el imaginario eje de la horquilla (2) y con sus vértices próximos contactantes también dentro de cada pareja, de manera que cuando se introduce el mordedor en la boca del paciente y tal como se desprende claramente de la observación de la figura 4, al cerrar la mandíbula con las protuberancias superiores (5) apoyando entre los dos incisivos del maxilar superior, se produce automáticamente, al ascender la mandíbula, un desplazamiento o avance de la misma al apoyar sus incisivos sobre los planos inclinados de las protuberancias inferiores (5'), forzándolos a un posicionamiento final en el que unos y otros incisivos quedan perfectamente enfrentados y en la que, consecuentemente, queda calculado y registrado el avance mandibular del paciente en cuestión, por ejemplo para la fabricación de una prótesis, como anteriormente se ha dicho.In view of the aforementioned figures, it can be seen how the teether that the invention proposes is constituted by a rigid and laminar body (1), in which a fork (2) is configured formally and dimensionally suitable for dental arches, a fork whose branches lateral (3-3 ') are symmetrical and are intended to receive the registration material (4), as seen especially in Figure 3, said fork presenting the special feature that in the midpoint thereof and in each of the faces of the laminar and flat body that defines it, there are two pairs of protuberances (5), of pyramidal configuration, aligned within each pair in correspondence with the Imaginary axis of the fork (2) and with its next contacting vertices also within each pair, so that when the teether is introduced into the patient's mouth and as clearly appears from the observation of Figure 4, when closing the jaw with the upper protuberances (5) supporting between the two incisors of the upper jaw, automatically occurs, when ascending the jaw, a displacement or advance of the same when supporting its incisors on the inclined planes of the lower protuberances (5 '), forcing them to a final positioning in which one and the other incisors are perfectly faced and in which, consequently, the mandibular advancement of the patient in question is calculated and recorded, for example for the manufacture of a prosthesis, as previously stated.
Como complemento de la estructura descrita de la zona frontal del cuerpo laminar (1) y preferentemente en disposición descentrada, como se observa especialmente en la figura I5 emerge un brazo (6) en funciones de asidero, con una pequeña expansión (7) en su extremidad libre para facilitar su agarre.As a complement to the described structure of the frontal area of the laminar body (1) and preferably in an offset arrangement, as can be seen in Figure I 5, an arm (6) emerges in handle functions, with a small expansion (7) in its free limb to facilitate its grip.
De acuerdo con lo anteriormente expuesto el proceso de utilización del mordedor se inicia con la elección del cuerpo laminar (1) más apropiado, es decir con un avance de 3, 4 y 5 mm en función de las características anatómicas del paciente, se procede seguidamente a la aportación a las ramas laterales (3-3') de la horquilla (2) del material de registro, como por ejemplo cera blanda, que queda perfectamente fijada a dichas ramas (3-3') con la colaboración de orificios (8) operativamente practicados en estas últimas, a continuación se introduce el mordedor en la boca del usuario, apoyando el punto de confluencia (9) entre las dos protuberancias (5) de su cara superior entre los incisivos de su maxilar superior, y finalmente, al cerrar el paciente la boca, los incisivos de su mandíbula apoyan sobre una de las protuberancias (5') de la cara inferior de la horquilla, viéndose la mandíbula forzada a efectuar un movimiento de avance para poder cerrar totalmente la boca, en el que dichos incisivos del maxilar se desplazan a su vez hacia el intersticio (9) definido entre las dos protuberancias inferiores (5'), quedando el movimiento de avance de la mandíbula reflejado en el material de registro (4). In accordance with the above, the process of using the teether begins with the choice of the most appropriate laminar body (1), that is, with an advance of 3, 4 and 5 mm depending on the anatomical characteristics of the patient, then proceed to the contribution to the lateral branches (3-3 ') of the fork (2) of the recording material, such as soft wax, which is perfectly fixed to said branches (3-3') with the collaboration of holes (8 ) operatively practiced in the latter, then the teether is introduced into the user's mouth, supporting the point of confluence (9) between the two protrusions (5) of its upper face between the incisors of its upper jaw, and finally, at close the patient's mouth, the incisors of his The jaw rests on one of the protuberances (5 ') of the lower face of the fork, the jaw being forced to make an advance movement to be able to completely close the mouth, in which said maxillary incisors move in turn towards the interstitium (9) defined between the two lower protuberances (5 '), leaving the forward movement of the jaw reflected in the recording material (4).
Claims
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ESU200402271 | 2004-10-06 | ||
| ES200402271U ES1058520Y (en) | 2004-10-06 | 2004-10-06 | MANDIBULAR ADVANCE BITTER. |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO2006040380A1 true WO2006040380A1 (en) | 2006-04-20 |
Family
ID=34043522
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/ES2005/000536 Ceased WO2006040380A1 (en) | 2004-10-06 | 2005-10-06 | Mandibular advancement bite ring |
Country Status (2)
| Country | Link |
|---|---|
| ES (1) | ES1058520Y (en) |
| WO (1) | WO2006040380A1 (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2018162068A1 (en) * | 2017-03-09 | 2018-09-13 | Novoden Tec bvba | Instrument for measuring the position of the lower jaw and method whereby such an instrument is applied and produced |
| JP2020081475A (en) * | 2018-11-27 | 2020-06-04 | 敦 松浦 | Adjustment plate |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4602905A (en) * | 1985-03-26 | 1986-07-29 | Keefe Iii John T O | Dental impression registration device |
| ES1053873U (en) * | 2003-02-06 | 2003-05-16 | Lillo Ivan Rico | Dental device for taking action. (Machine-translation by Google Translate, not legally binding) |
-
2004
- 2004-10-06 ES ES200402271U patent/ES1058520Y/en not_active Expired - Fee Related
-
2005
- 2005-10-06 WO PCT/ES2005/000536 patent/WO2006040380A1/en not_active Ceased
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4602905A (en) * | 1985-03-26 | 1986-07-29 | Keefe Iii John T O | Dental impression registration device |
| ES1053873U (en) * | 2003-02-06 | 2003-05-16 | Lillo Ivan Rico | Dental device for taking action. (Machine-translation by Google Translate, not legally binding) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2018162068A1 (en) * | 2017-03-09 | 2018-09-13 | Novoden Tec bvba | Instrument for measuring the position of the lower jaw and method whereby such an instrument is applied and produced |
| JP2020081475A (en) * | 2018-11-27 | 2020-06-04 | 敦 松浦 | Adjustment plate |
Also Published As
| Publication number | Publication date |
|---|---|
| ES1058520U (en) | 2004-12-16 |
| ES1058520Y (en) | 2005-04-01 |
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