Orthodontic brackets consist generally of a base portion and a bracket body. The base portion is bonded to a patient's tooth while the bracket body supports an archwire. During treatment, the archwire transmits forces to the tooth causing it to realign, thus correcting various conditions of malocclusion. In order for forces to be coupled effectively to the tooth, the base portion of the bracket must adhere to the tooth and resist slippage and twisting on the tooth surface itself.
The base portions of brackets are secured to the teeth with an adhesive. In conventional brackets the base, which is the underside of the bracket, has a matrix of bond pads that form an attaching surface. These are small rectangular pads as shown in the prior art drawing of
A pad is most resistant to forces applied nearly parallel to the contact area between adjacent side walls and, hence, the channels holding the bonding adhesive. In conventional brackets, this is in the mesial-distal and gingival-occlusal directions. The channels formed by a regular array of bond pads are most resistant to forces directed at the channels, along their longest axes, because that is where most of the adhesive is concentrated. Twisting and shear forces, however, do not come from these directions all the time. They may impinge at acute or obtuse angles to the mesial-distal or occlusal-gingival axes. Some forces acting on the bracket may be directed at right angles to the rectangular sides of the bracket, but in addition, forces from random directions may be applied to the bracket by the simple acts of eating and chewing. In addition, food that bears against archwires in the act of eating may have a tendency to cause the bracket to twist about a lingual-labial axis due to the rotational lever action of a wire between brackets.
A base of an orthodontic bracket includes a matrix of bond pads that form channels to hold adhesive. The adhesive sets in the channels and forms a bond with the tooth. These channels are oriented at different angles to a long tooth axis to better resist shear or twisting forces impinging from random directions. The channels may be oriented at a mix of acute and obtuse angles to the long tooth axis and may form symmetrical patterns on both sides of the axis.
The foregoing and other objectives, features, and advantages of the invention will be more readily understood upon consideration of the following detailed description of the invention taken in conjunction with the accompanying drawings.
The bond pads on the underside of an orthodontic bracket base create channels that may be filled with the adhesive, which secures the base to the tooth. The bond pad configuration therefore determines the contact area of the adhesive with the tooth and this in turn defines the pattern of resistance to force vectors at the tooth/bracket interface.
In one aspect of the invention, an orthodontic appliance has a base adapted to be applied to the surface of a human tooth, the base having a contact surface that comprises a plurality of spaced apart bond pads. The bond pads have side walls oriented at acute angles with respect to an imaginary line called a center long tooth axis, which bisects the base and extends in a gingival-occlusal direction. A first plurality of bond pads have side walls oriented at a first acute angle with respect to the long tooth axis and a second plurality of bond pads are on the other side of the axis and are oriented at a second acute angle. Preferably, the second acute angle is substantially orthogonal with respect to said first acute angle and are thus at the same angle to the long tooth axis on either side.
In a broader sense the base has a bond pad surface comprising a plurality of bond pads having lingual end surfaces, the bond pads having side walls so as to form channels in the base to be filled with adhesive where at least some channels extend at angles to the long tooth axis that are neither parallel nor perpendicular thereto. The channels may be grouped so that all of them on one side of the long tooth axis form the same angle with the axis and a mirror image group of channels may exist on the other side of the axis. In addition a third group of channels may be formed from bond pad side walls extending at an obtuse angle, that is, one shifted 90 degrees with respect to the first two groups.
A bracket 10 includes a body portion 12, which has pairs of tie wings 14, 16 that extend in occlusal and gingival directions, respectively. An archwire slot 18 is located between the pairs of tie wings 14 and 16 and receives an archwire (not shown) for generating restorative forces that correct conditions of malocclusion.
The bracket body 12 has a base portion 20. Formed in the base portion 20 is a bonding surface 21, which comprises a plurality of bond pads. The bond pads have differing shapes and orientations as shown best in
The different shapes of the bond pads and their placement provides for a pattern of channels on the underside of the bracket which, when filled with adhesive material resist forces that could potentially dislodge the bracket 10 from the tooth. The bond pads are preferably placed in a pattern that is symmetrical with a central axis line, identified as long tooth axis 11 on the drawing of
In preferred embodiments (see
Referring to
A third grouping of bond pads 28 may have side walls 28a that are oriented at obtuse angles with respect to the long tooth axis 11. The obtuse angle is approximately 135 degrees, in actuality a 45-degree angle shifted counterclockwise by 90 degrees. The bond pads in the third group are shaped like chevrons and triangles bisected by and substantially symmetrical with the long tooth axis 11 having side walls 28a that form channels 29 on both sides of the axis. These channels will be at 90-degree angles to the channels 25, 27 formed by the side walls of the bond pads in groups 24 and 26. It will be appreciated that there are equal numbers bond pad side walls forming both obtuse angles to the long tooth axis and acute angles to the long tooth axis 11 on either side of the axis. Preferably, the patterns of bond pads on either side of the long tooth axis 11 are mirror images of each other in order to achieve symmetry and thus a balance of resistive force with respect to the axis 11.
There is a fourth group of bond pads 30, which have side walls 30a that are parallel to the long tooth axis 11. Some of these bond pads have side walls oriented at acute or obtuse angles and are thus generally triangular in shape. Bond pad 32 is exemplary.
The bond pads may have varied shapes including rectangle, parallelogram, triangle, trapezoid, rhombus, or variations of these shapes. The exact shape of each bond pad is dictated by space considerations and the need for certain types of side wall angles to maintain balance and symmetry on either side of the long tooth axis. Some bond pads have curved side walls such as the bond pads at the corners of base 12. However, the number and type of shapes employed, the pattern of bond pads provides a plurality of side walls oriented at differing angles so as to provide channels to be filled with adhesive that will be normal to force vectors impinging on the brackets from different directions. Thus, some degree of strength is provided to resist shear forces or twisting forces that may come from any direction.
The bond pad surface 21 that is formed of the ends of the individual bond pads is curved in two dimensions as shown best in
The bond pads have various lengths depending upon where on the underside of the base they are located. In general, bond pads located near the center of the base are longer in the labial-lingual direction than those located near the edges, which are shorter. The bond pads are separated by spaces, which form a maze of channels. Adhesive is typically applied to the bottom of the base 12 and it flows into these spaces, filling them. The longer bond pads thus provide deeper spaces between pads that may be filled with more adhesive, which in turn makes for a stronger bond at or near the center of the bracket's bond surface 21.
A profile of the underside of the bracket is shown in
The embodiments of
The terms and expressions that have been employed in the foregoing specification are used therein as terms of description and not of limitation, and there is no intention in the use of such terms and expressions of excluding equivalents of the features shown and described or portions thereof, it being recognized that the scope of the invention is defined and limited only by the claims which follow.
This application is related to and claims priority from U.S. Provisional Application Ser. No. 61/768,327 filed Feb. 22, 2013.
Filing Document | Filing Date | Country | Kind |
---|---|---|---|
PCT/US13/71145 | 11/21/2013 | WO | 00 |
Number | Date | Country | |
---|---|---|---|
61768327 | Feb 2013 | US |