The present invention relates to an orthodontic appliance for use in the treatment of dental malocclusion.
The newest and the most effective method of orthodontic treatment, the main purpose of which is to treat dental malocclusion, is the technique of firmly fixing a bracket to each tooth and inserting and fixing a wire into these brackets to correct malalignment of the teeth by the elastic force of the wire. The ribbon arch technique, edgewise technique, Begg technique and the universal technique are known similar procedures, but the main disadvantage of these conventional methods is that the bracket and wire are visible clearly from the outside of the mouth when the mouth is opened, because the brackets are bonded or welded to the outer surfaces of the teeth, that is, their labial or buccal sides. This detracts from the facial beauty of the patient, and accordingly, imposes a considerable psychological burden on the patient. In order to overcome this disadvantage, installation of the brackets on the insides of the teeth is a possibility, but the conventional appliance for installation on the outsides of the teeth is not suitale for installation on the insides of the teeth. It is not only extremely difficult to bond the brackets to the inside surfaces of the teeth, but also insertion of a wire into the grooves of brackets of 3 mm in size from the gingival side, fixation by the ligature wire, and insertion, fixation and cutting of lock pins into brackets are extremely difficult or impossible.
The primary purpose of the present invention is to facilitate orthodontic treatment which is carried out from the lingual or palatal said, to allow insertion, fixation and exchange of wire to be satisfactorily carried out, and to ensure that the wire is firmly fixed. A cap is installed on the bracket so that the cap can be removed easily. In order to achieve the purpose of the invention, the orthodontic wire is fixed by the bracket and the cap. Installation and removal of the wire are easier than in the conventional procedure, so that the manual dental procedure is even easier than the procedure from the lingual side. The psychological burden on patients receiving the orthodontic treatment can be reduced since the cap covers such mechanical parts.
The other purpose of orthodontic the invention is to reduce the number of parts so that the price may be also reduced.
Other purposes and advantages of the present invention will be clarified by the following explanation of the attached Figures.
Brief Description of the Drawing
FIG. 1 is a perspective view of an example the orthodontic appliance of the present invention as shown in the first embodiment of the invention.
FIGS. 2, 3, 4 and 5 are side views described in the second, third, fourth and fifth embodiments, respectively.
FIG. 6(a) and FIG. 6(b) show the side and front views, respectively, of the sixth embodiment.
FIG. 7 is a perspective view of the cap as described in the seventh embodiment.
FIG. 8 is a perspective view detailing the parts of the eighth embodiment .
FIGS. 9, 10, 11, 12, 13, and 14 are side views of the 9th, 10th, 11th, 12th, 13th, and 14th embodiments, respectively.
FIGS. 15 and 16 are perspective views of the cap as described in the 15th and 16th embodiments, respectively.
FIGS. 17, 18, 19, 20, 21, and 22 are side views of the 17th, 18th, 19th, 20th, 21st, and 22nd embodiments.
FIG. 23 is a perspective view of the 23rd embodiment.
Embodiments of the present invention will be explained with reference to the figures.
FIG. 1 shows a fixing plate (1) having a size of 4-5 mm square and which is attachable to the inside surface of a tooth, namely, the lingual or palatal side, with the aid of a bonding agent. Therefore, the shape of the plate should be slightly curved along the curved line of the dental surface. A bracket (2), having a size of 3-4 mm square, is attached to a side of the fixing plate (1). An orthodontic arch wire (3) is fixed to the bracket (2) by means of a cap (4). The brackets (2) and caps (4) are classified into several fundamental types as described later. The specific embodiments will now be described with reference to the figures.
In the first embodiment, the bracket (2) is somewhat H-shaped in the side view, and the bottom (5) of the bracket is fixed to the fixing plate (1). The upper part of the bracket (6) contacts the wire (3), and the tips at both ends of the upper part (6) serve as hooks (7). The center notch (8) between the hooks (7) is provided for the purpose of preventing sliding of the cap (4). The cap (4) is made of elastic metallic material. On the upper part of the cap (4), a wire holding slot or groove (9) is formed in order to hold the wire 3. The upper and lower ends of the cap (4) are bent to form pairs of C-shaped elastic connection parts (10) which are releasably engageable with the hooks (7). The central portions between the pairs of elastic connection parts (10) have flanges bent inwardly to form tongues (11), and on at least one side of the upper and lower sides of the cap (4), the elastic connection parts (10) are bent in an S-shape to form an unlocking device (12). Sliding prevention unit (13) is composed of the center notch (8) and central tongue (11) of the cap (4) for prevention of horizontal sliding of the cap (4).
The thus-constructed bracket (2) is bonded to the lingual or palatal side of the teeth. Then, the U-shaped orthodontic arch wire (3) is pressed in the caps (4) by pressing it against the upper part (6) of the bracket (2), and then the cap (4) is connected and fixed to the bracket (2) by affixing the elastic connecting parts (10) to the hooks (7). Sliding of the cap (4) is prevented when the central tongue (11) locks the center notch (8). When the wire (3) is removed or exchanged, unlocking device (12) is engaged with the aid of a pin, braced against the bracket (2) and the bottom (5) of the bracket to obtain leverage, and the cap (4) is then removed from the bracket (2).
Other embodiments of the wire holding groove (9), bracket (2), cap (4), means for fixing the cap (4), unlocking device (12) and sliding prevention device (13) will be described.
The wire holding groove (9) in the first embodiment shown in FIG. 1 is part of the cap (4). In contrast FIG. 2 shows a wire fixing groove 9 in the planar part of the upper part (6) of the bracket (2). FIG. 3 shows a wire fixing groove (9) provided in the upper side of the bracket (2), and FIG. 4 shows that a wire fixing groove (9) provided made at the corner of the upper side part of the bracket (2). FIG. 3 and FIG. 4 show the wire fixing groove made so that the wire (3) can be inserted from the occlusal plane (indicated by the arrow) easily and conveniently.
In FIG. 1, bracket (2) and cap (4) are connected by the hooks (7), and cuff piece of elastic connection parts (10). In contrast, FIG. 13 and FIG. 14 show arrangements with grooved brackets (2) having undercut recesses (7A), and wherein the elastic connection parts (10A) are installed in the recesses (7A). FIG. 10 and FIG. 11 show cap-retaining tips (7B) directed inwardly so as to hook the bent elastic connection parts (10B) and straight elastic connection parts (10C), respectively.
FIG. 9 shows cap-retaining tips (7C) positioned horizontally engaging channel-shaped elastic connection parts (10E). FIG. 12 shows cap-retaining tips with bulbous ends (7D) engaged with mating rounded elastic connection parts (10F).
FIG. 1 shows the first example of the sliding prevention device (13), consisting of the groove at the center (8), and central tongue (11) of the cap (4). FIG. 5 shows an embodiment wherein ligature wire (13A) comprises the sliding prevention device. FIG. 6 (a) and (b) show central protrusions (8A) on the bracket (2) and a central groove (11A) on the cap (4) that comprise the sliding prevention device (13B). FIG. 7 shows side tongues (11B) at the ends of the cap (4) as the sliding prevention device (13C).
The unlocking device (12), in FIG. 1, comprises the S-shaped extension of the cap (4). FIG. 2 shows an unlocking device in which a groove (12A) is provided on the cap (4), opened allowing the cap to be pried off by inserting a pin. FIG. 3 shows a screw (12B) screwed in to lift up the cap (4) to remove it from the bracket.
The shape of bracket (2) is rectangular in the above examples, but it may be rounded or elliptical as shown by (2A) in FIG. 8. The cap (4A) should be round or elliptical corresponding to the bracket, and elastic connection part (10D) has narrow grooves (14). The cap (4A) is installed by pushing it over the surface (7C) from both sides, and when the cap is to be removed, the center of the cap (4A) is simply pushed down. The wire groove (9) may be provided on the bracket (2A) or on the cap (4A).
FIG. 15 and FIG. 16 show a U-shaped protrusion (15) for handling and strengthening the cap (4). Such a feature is particularly convenient for a cap (4) having no wire groove (9) as shown in FIG. 16.
FIG. 17, FIG. 18, FIG. 19, FIG. 20, FIG. 21 and FIG. 22 show a tube (16) on the cap (4) for holding the extra oral anchorage appliance. The tube (16) is cylindrical, a curved wire, round in cross section, is inserted therein to push the teeth. As shown in FIG. 17, FIG. 18 and FIG. 19, the tube (16) may be fixed separately on the cap (4), or as shown in FIG. 20, FIG. 21 and FIG. 22 the tube (16) may be formed from a curved section of the cap (4).
FIG. 18, FIG. 19, FIG. 21 and FIG. 22 show installation of two orthodontic wire grooves (9) with 2 wires (3). As shown in FIG. 18, the wire grooves (9) may be separately formed with other material, or as shown in FIG. 21 and FIG. 22, grooves (9) may be formed and bent from the cap (4). Orthodontic procedures with 2 wires (3) may be accomplished with the appliance excluding the cyrindrical tube (16) shown in FIG. 19, FIG. 21 and FIG. 22 except for the last square set of teeth.
FIG. 23 shows a protrusion (17) fixed to the cap (4) for securing orthodontic elastics or the like. The protrusion may be tapered, L-shaped, or reversed T-shaped. The protrusion (17) may be made as a part of the cap (4) by forming it therefrom.