The present disclosure is directed to an orthodontic system and method for correcting Class II and Class III malocclusions as well as dental asymmetries, wherein a variable length assembly is provided for attaching to both maxillary and mandibular installed archwires.
Prior Art orthodontic correction devices/systems for Class II malocclusions, Class III malocclusions, and/or dental asymmetries can be useful for mixed dentitions (e.g., a mixture of permanent and deciduous dentition). However at least some such correction devices/systems are patient removable orthodontic appliances.
It would be advantageous to have an orthodontic correction system that can be effective for correcting Class II malocclusions, Class III malocclusions, dental asymmetries and/or dental related skeletal anomalies wherein the patient's dentition is permanent or near permanent. In particular, it would be advantageous to have such an orthodontic correction system that can be fitted to a patient's currently fitted orthodontic appliances (e.g., brackets and archwires) which are non-removable by the patient. Moreover, it is desirable to utilize such an orthodontic correction system without having to perform an extraction of a patient's dentition. The advantages recited hereinabove are meet by the orthodontic correction system disclosed hereinbelow.
An orthodontic correction system is disclosed for correcting Class II malocclusions, Class III malocclusions, dental asymmetries and/or dental related skeletal anomalies wherein the patient's dentition is permanent or near permanent. The correction system attaches to a patient's dentition via a novel orthodontic appliance that is affixed to, e.g., pre-installed upper and lower archwires.
Accordingly, the orthodontic correction system disclosed herein is particularly useful for those patients that already have fixed appliances installed, and are currently undergoing orthodontic care. However, the present orthodontic correction system may also be provided as part of a planned orthodontic treatment prior to the start of such treatment in order to help correct the malocclusions and/or create space for impacted teeth. Moreover, the present orthodontic correction system may be particularly useful for patients that are uncooperative or unreliable in utilizing other orthodontic appliances (e.g., patient removable appliances) for correcting Class II, Class III, dental asymmetries and/or dental related skeletal anomalies.
In at some installations and orthodontic treatments with the correction system disclosed herein, maxillary teeth can be moved mesially, while mandibular teeth are moved distally so that a Class I classification of a patient's dentition results as one skilled in the art will understand.
Further description of the advantages, benefits and patentable aspects of the present disclosure will become evident from the description hereinbelow and the accompanying drawings. All novel aspects of the disclosure, whether mentioned explicitly in this Summary section or otherwise (e.g., hereinbelow), are considered subject matter for patent protection either singly or in combination with other aspects of this disclosure. Accordingly, such novel aspects disclosed hereinbelow and/or in the drawings that may be omitted from, or less than fully described in, this Summary section are fully incorporated herein by reference into this Summary. In particular, all claims of the Claims section hereinbelow are fully incorporated herein by reference into this Summary section.
As provided hereinbelow, the term “set screw,” “set screw/shaft” are intended to be broadly interpreted as any mechanism that can secure a first component in a fixed position relative to a second component.
The hinges 22 may be made of an acceptable orthodontic metal alloy (e.g., stainless steel), a ceramic or a plastic as one skilled in the will understand. The archwire slot 34 (and other corresponding embodiments thereof described hereinbelow) may be effective for receiving an archwire 26 having cross sectional dimensions of, e.g., 0.022×0.025 inches, io and/or 0.018×0.025 inches. The alignment assembly 18 includes a piston assembly 54 and two pivot eyelets 58. The piston assembly 54 is attached to each of the maxillary and mandibular archwires 26 via, e.g., a corresponding one of the two pivot eyelets 58 (best shown in
Corrective orthodontic forces are induced on a patient's dentition and/or jaw by fixing the length of the piston assembly 54 in a manner that induces an orthodontic corrective force(s) between the maxillary and mandibular archwires 26. More specifically, for a each installed alignment assembly 18, the length thereof (when its piston 62 is fully retracted within its sleeve 66) induces forces along the corresponding axis 28 when, e.g., the patient has his/her maxillary and mandibular dentition are “closed”, i.e., together (or as together as such maxillary and mandibular dentition can be obtained depending on the configuration and orientation of the installed one or more alignment assemblies 18). In particular, when the patient's dentition is closed, such induced forces are transferred to the attached archwires 26 and then to the patient's teeth for inducing corrective forces on the teeth and/or the patient's maxillary-mandibular relative alignment. Moreover, since the extent with which the piston 62 is able to slide within its sleeve 66 can varied by an orthodontic clinician, these induced forces can be varied in magnitude, and since the archwire alignments 30 can be varied along the archwires 26 (e.g., by the orthodontic clinician), the direction of such induced forces can also be varied. Accordingly, an orthodontic clinician may periodically change the length(s) of the one or more installed piston assemblies 54 as the patient's dentition and/or jaw responds to the force(s) exerted thereon by the piston assemblies 54. More particularly, the correction system 10 may io include a plurality of correction assemblies 14 (e.g., one on each of the right and left sides of the patient's dentition) for exerting desired forces on each of the left and right sides of the patient's face and/or dentition.
For a Class II malocclusion, one of the correction assemblies 14 may be fixed (between maxillary and mandibular archwires 26) on each of the left and right sides of the patient's dentition so that the corresponding induced orthodontic forces, applied to each of the left and right side of the patient's jaw, are substantially the same for urging the patient's lower jaw and/or dentition to develop/move uniformly forward and thereby correct the Class II malocclusion. Alternatively, in the case of an orthodontic asymmetry, there may be one or more of the alignment assemblies 18 used for moving the patient's teeth so that, e.g., the maxillary midline and the mandibular midline are urged to coincide or align with one another. Moreover, for an orthodontic asymmetry, more than one of the alignment assemblies 14 may be used, wherein their respective piston assemblies 54 may be set at different lengths to induce corrective orthodontic forces in substantially different directions. For example, since asymmetric dentition may be accompanied by a Class I malocclusion on one side of the patient's dentition, and a Class II malocclusion on the other side such that the upper and lower midlines do not coincide with each other or with the facial midline, a plurality of the correction assemblies 14 may be used wherein at least two such assemblies induce forces that purposefully differ in magnitudes, and/or their directions along their respective axes 28. In particular, for treating such an asymmetry, one or more correction assemblies 14 may be installed on each side of the patient's dentition, wherein the correction assemblies on one side of the patient's dentition are: (i) longer than those on the other side of the patient's dentition, and (ii) oriented at an angle more traverse to the axes of the patient's teeth.
Additionally, for treating a Class III malocclusion, one of the correction assemblies 14 may be fixed (between maxillary and mandibular archwires 26) on each of the left and right sides of the patient's dentition so that orthodontic forces applied to each of the left and right side of the patient's jaw are substantially the same for inducing the mandibular dentition to move uniformly backward and the upper dentition to move uniformly forward, thereby correcting the Class III malocclusion (see
Note that since the shims 70 have an outer extent traverse to the axis 28 that cannot fit within the piston sleeve 66, and since the one or more shims fit tightly around the shaft 62 and do not readily substantially deform (even under jaw pressure), the shims are prevented from slipping over the eyelet 58 to which the shaft is attached. Accordingly, when the shim(s) 70 are provided on the shaft 62 (e.g., by an orthodontic clinician), the shim(s) remain sandwiched between the piston sleeve 66 and the eyelet 58 formed at the end of the shaft until the orthodontic clinician removes them. Further note that insertion and/or removal of the one or more shims 70 may be readily performed by the orthodontic clinician removing the alignment assembly 18 from the archwires 26 and then disassembling the piston assembly 54. More particularly, upon removal of the alignment assembly 18 from a patient's dentition, a clinician may retract the shaft 62 from the piston sleeve 66, insert the shaft through the center opening of each of the one or more shims 70 of the desired thickness (i.e., along the length of the shaft), and then reinsert the free end of the shaft back into the piston sleeve 66. Accordingly, the shortest length of the resulting alignment assembly 18 is increased by the thickness of the shim(s) inserted on the shaft 62. In some embodiments, a lip 72 (shown in the embodiment of
In one embodiment, alignment assembly 18 may be provided with a single shim 70 on the shaft 62, wherein this shim has a set screw (not shown) threaded within a side of the shim so that the orthodontic clinician can fix the position of the shim along its shaft by tightening this set screw so that the shim is fixedly attached to the shaft 62 and cannot slide along a length of the shaft.
In another embodiment, the length of the piston assembly 54 (and correspondingly the length of the alignment assembly 18) may be modified by a collar 74 (
In one embodiment, instead of, or in addition to, the collar 74 being threaded for operation in varying the length of the alignment assembly 18 as described above, the collar 74 may have a set screw (not shown) threaded therein for tightly contacting the piston shaft 62 thereby securing the collar in position.
In another embodiment, the length of the piston assembly 54 may be modified by threads internal to a rotatable spacer 86 (
An alternative embodiment of the archwire attachment (30a) is shown in
Additionally/alternatively, the archwire attachment 30a may be composed of a material that is bendable when the set screw 94 is threaded through the threaded bore 98, wherein upon tightening the set screw within the bore, the slot 34a crimps onto the archwire 26 thereby fixing the archwire attachment 30a in place along the archwire. Note that alternative techniques for fixing the archwire attachment 30a along an archwire 26 are also within the scope of the present disclosure. For example, an insert (not shown) may be provided in the slot 34a wherein this insert wraps around the three sides of the archwire 26 that face slot sides, and on the archwire's side that faces the set screw 94, an extended portion of the insert covers the entry of the bore 98 into the slot 34a. Thus, when the set screw 94 contacts the extended portion, the set screw 94 forces this extended portion to tightly wrap around at least a part of the side of the archwire 26 that faces the patient's teeth and thereby fix the position of the archwire attachment 30a along the archwire.
A further alternative embodiment of the archwire attachment (30b) is shown in
A further alternative embodiment of the archwire attachment (30c) is shown in
An additional embodiment of the archwire attachment (30d) is shown in
Instead of bending the pin 106 to secure it in the hole 110, the excess length 114 thereof may be threaded (not shown) so that a bolt may be threaded thereon for securing the pin in the hole. Alternatively, the pin 106 may be replaced by wire formed as in
In operation, a clinician may perform the following steps in utilizing the correction system 10.
Step 1.1. Determine the type(s) of orthodontic abnormalities to treat with the correction system 10.
Step 1.2. If the abnormality is a Class II malocclusion, then one of the correction assemblies 14 may be fixed (between maxillary and mandibular archwires 26) on each of the left and right sides of the patient's dentition so that the corresponding induced orthodontic forces, applied to each of the left and right side of the patient's jaw, are substantially the same for urging the patient's lower jaw and/or dentition to develop/move uniformly forward.
Step 1.3. If the abnormality is a Class III malocclusion, then one of the correction assemblies 14 may be fixed (between maxillary and mandibular archwires 26) on each of the left and right sides of the patient's dentition so that orthodontic forces applied to each of the left and right side of the patient's jaw are substantially the same for inducing the mandibular dentition to move uniformly backward and the upper dentition to move uniformly forward.
Step 1.4. If the abnormality is an asymmetry, then a plurality of the correction assemblies 14 may be used wherein at least two such assemblies induce forces that purposefully differ in magnitudes, and/or their directions along their respective axes 28. In particular, for treating such an asymmetry, one or more correction assemblies 14 may be installed on each side of the patient's dentition, wherein the correction assemblies on one side of the patient's dentition are: (i) longer than those on the other side of the patient's dentition, and (ii) oriented at an angle more traverse to the axes of the patient's teeth.
For attaching a correction assembly 14 to a patient's dentition, a clinician may perform the following steps.
Step 2.1. Determine a position for attaching the correction assembly 14 to each of the maxillary archwire 26 and the mandibular archwire 26.
Step 2.2. Position an archwire attachment (30, 30a-30d) of the correction assembly 14 in its position on the maxillary archwire, and secure this archwire attachment with its corresponding screw, rod, or rod shaped wire as described herein.
Step 2.3. Position an archwire attachment (30, 30a-30d) of the correction assembly 14 in its position on the mandibular archwire, and secure this archwire attachment with its corresponding screw, rod, or rod shaped wire as described herein.
Step 2.4. Lengthen or shorten the alignment assembly 18 as needed to provide the desired orthodontic pressures on patient's dentition or jaw adjacent the positions where the archwire attachments of Steps 2.2 and 2.3. In particular, depending on the embodiment of the alignment assembly 18 used, provide shims 70 on the shaft 62 (
Step 2.5. For the archwire attachment of Step 2.2, provide the shaft of the screw/shaft 50 within the eyelet 58 of the correction assembly 14, and then thread this screw/shaft into the threaded bore 46 or 46c of the archwire attachment wherein this eyelet is sandwiched between a side of the archwire attachment and the head 52 of the screw/shaft 50.
Step 2.6. For the archwire attachment of Step 2.3, provide the shaft of the screw/shaft 50 within the eyelet 58 of the correction assembly 14, and then thread this screw/shaft into the threaded bore 46 or 46c of the archwire attachment wherein this eyelet is sandwiched between a side of the archwire attachment and the head 52 of the screw/shaft 50.
Thus, by affixing one or more of the correction assemblies 14 to previously installed archwires 26, as described above, substantially guarantees movement of the patient's teeth and/or jaw alignment. Moreover, the forces induced by an alignment assembly 18 on the orthodontic brackets that secure one of the archwires 26 to the patient's teeth, are:
(i) only indirectly transmitted to such brackets (via the one archwire 26),
(ii) distributed over two or more brackets secured to the one archwire 26 wherein (an embodiment of) the archwire attachment (for the alignment assembly) is attached between these brackets, and
(iii) somewhat cushioned by the flexing of the archwire 26.
Accordingly, due to at least (i) through (iii) above, there is a reduction in unintentional detachment (e.g., debonding) of the orthodontic brackets, and there is a reduction in such brackets slipping or misaligning from their prescribed positions on the patient's teeth. Moreover, since the orthodontic forces induced by one or more installed alignment assemblies are directly applied to the archwires 26, to the upper and lower dentitions, the clinician can have greater control in the treatment of malocclusions and dental asymmetries since, e.g., these conditions, in general, effect the aggregate configuration of a patient's dentition, instead of, e.g., a localized misalignment of one or two teeth.
It is further noted that orthodontic correction system 10 can be used for orthodontic micro-adjustments by changing, e.g., the position of the archwire attachment(s) 30 (or 30a, 30b or 30c) on one or more of the archwires 26. In particular, based upon the fixation position of the archwire attachment(s) on an archwire(s) 26, the clinician can change the amount of the forces applied. Moreover, the orthodontic correction system 10 can control individual tooth movement in some circumstances, e.g., distallization of maxillary second molars. Further, in some installations of one or more of the alignment assemblies 18, the longer the length of such installed assemblies 18, the better the orthodontic control and leverage over the patient's dentition and teeth.
In still other embodiments, an orthodontic system is set forth where the piston assembly attaches to the maxillary archwire attachment via a screw upon which a corresponding one of the eyelet pivots and to which one of the mandibular piston assemblies attaches to a temporary anchorage device (TAD). In one embodiment, the TAD is affixed to bone and a mandibular hinge is thereafter affixed to the TAD. A ball hinge 50, comprised of a spherical head 52, shaft 51 and eyelet 58 is provided such that the eyelet 58 pivotally attaches to the alignment assembly 18. Various embodiments include an orthodontic system that can solely distalize the maxillary dentition (molars) and at the same time create orthopedic mandibular changes due to the employment of a ball hinge/joint pivot.
In certain embodiments, a ball hinge/joint is associated with a temporary anchorage device for pure orthopedic changes when attached to upper and lower jaws. When attached to the mandible and on the maxillary archwire, distallization forces on the maxillary molars is achievable. A temporary anchorage device in a preferred embodiment has a threaded adaptor so as to accept a ball hinge/pivot with a screw-on collar. Thus, the piston assembly 54 is attached to each jaw via a corresponding one of two eyelets 58 (as shown, for example, on
As shown in
With respect to
With respect to
As one of ordinary skill in the art will understand and be guided by through an understanding of the present disclosure, a ball and socket assembly is provided in various embodiments of the present invention to permit freer degrees of movement of anchored ends of the orthodontic system as set forth herein.
The foregoing disclosure has been presented for purposes of illustration and description. Further, the above disclosure is not intended to limit the claimed invention(s) to the form disclosed herein. Consequently, variation and modification commiserate with the above teachings, within the skill and knowledge of the relevant art, are within the scope of the present disclosure. The embodiment described hereinabove is further intended to explain the best mode presently known of practicing the claimed invention(s) and to enable others skilled in the art to utilize the claimed invention as such, or in other embodiments, and with the various modifications required by their particular application or uses of the claimed invention(s).
The present application is a continuation in part application of application Ser. No. 13/240,850, filed on Sep. 22, 2011, which claims the benefit of U.S. Provisional Patent Application Ser. No. 61/385,212, filed Sep. 22, 2010, the disclosure of which is incorporated fully herein by reference.
Number | Date | Country | |
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61385212 | Sep 2010 | US |
Number | Date | Country | |
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Parent | 13240850 | Sep 2011 | US |
Child | 13919545 | US |