The present application claims the benefit of Taiwanese patent application No. 106134281 filed on Oct. 4, 2017, the contents of which are hereby incorporated by reference.
The invention relates to a removable denture.
The wear of conventional full-mouth removable dentures on an upper jaw or a lower jaw mainly relies on adhesion force which is created by saliva between the artificial full-mouth removable denture and oral mucosa, and friction force which is created between material of the removable denture and oral mucosa. However, when people are chewing, the dentures on the upper jaw tend to fall off, and the dentures on the lower jaw are easily dislocated and moved. In order to generate a negative pressure effect similar to a suction cup, some vendors will provide a removable denture comprising a concave circular space formed corresponding to a middle portion of a palatine bone of the upper jaw. However, since the gas venting structure for decompression is not provided in the removable denture no vacuum-negative pressure is generated on such a removable denture, and the desired effect of suction-cup like negative pressure is thus theoretically impossible to be found. Other vendors provide a removable denture comprising a gas exhausting device in the aforementioned concave circle space. However, the gas exhausting device stimulates oral mucosa to grow up in the concave circle space and finally block the whole concave circle space. In addition, when the mouth is chewing, the movable mucosa often pulls the immovable mucous to cause undulation of the unmovable mucous, which is particularly easy to occur at lingual frenum side of the lower jaw. Since the base of the artificial removable denture cannot undulate with the oral mucosa while using such conventional full-mouth removable denture, a gap is often formed between the edge of the removable denture and the oral mucosa, and the suction effect is thus destroyed by air entered into the gap, which is called “destroy of edge adaptation”. This problem has not been solved for a long time. In order to improve the height of edge, the “functional special impression” is used by dentist. Even if to do so, the area of the full-mouth removable denture base is reduced, and thereby the stability, retention and supporting performance are reduced. Besides, in the case that patient is under severe residual distraction, the height of edge can no longer be increased since his lingual frenum is too close to the top of the alveolar crest. Therefore, the special impression cannot solve the problem.
Another conventional full-mouth removable denture is made of flexible material (commonly known as a flexible bed). This flexible material is mainly used in some edentulous areas as a “partial removable denture”. With softness generated by using thinner materials, the flexible material can be embedded in the inverted area of the natural tooth served as a hook arm and is able to stabilize the denture in some of the edentulous areas. However, if the flexible material is applied to a full-mouth removable denture, the full-mouth movable denture demands a base made by a thicker material with a larger thickness. As a result, the flexibility of the full-mouth movable denture made by the thicker material will be greatly reduced or even disappeared. The adhesion of the denture on the upper jaw or the lower jaw has the same effect as the full-mouth movable denture made of a hard material, which does not theoretically cause a negative pressure effect, and the edge adaptation is easily destroyed.
Taiwanese Patent No. M411916 discloses a full-mouth removable denture including an outer layer structure and an inner layer structure. The outer layer structure and the inner layer structure can be integrated, detachable or assembled. When the full-mouth removable denture is inserted into an oral cavity, an elastic pad of the inner layer structure is embedded to a base of the outer layer structure so that the inner layer structure and the outer layer structure is attached and unable to detach as an integrated structure. Such a full-mouth removable denture is similar with commercialized variable hard-bed dentures or soft-bed dentures comprising a soft elastic material disposed thereon. Even though capable of increasing support effect to prevent oral mucosa from stinging or hurt by the hard base, however the flexibility of such commercialized denture is greatly decreased since the soft inner layer structure and the hard outer layer structure are mutually attached. When the mouth is chewing, oral muscle and oral mucosa move together and a gap may appear between the elastic pad of the inner layer structure and the oral mucosa and thus destroy the edge adaptation. Air may enter into the gap and the adhesion of the denture is thus decreased. The problem of “destroy of edge adaptation” still exists and is not solved. In addition, the dentures may be moved to left or right due to lateral movement of oral cavity when the mouth is chewing, and a non-working side of the denture may lift up while a working side of the denture lows down due to biting force. Such defect is also occurred while using the removable denture disclosed in Taiwanese Patent No. M411916.
Taiwanese patent No. M400837 discloses a pad device for a denture which is suitably mounted into the oral cavity after a full-mouth denture is worn. However, while mounting such a pad, it will affect the occlusal height that was already regulated by a dentist, and the denture must be regulated again. The denture base must be highly fitted with the oral mucosa. The fitting can be accomplished by dental impression. However, according to Taiwanese Patent No. M400837, a pad comprising a cloth or like disposed on residual ridge is disclosed and taught. Since such a material of cloth is easy to have wrinkle to allow air entering into the denture, the edge adaptation is destroyed before chewing and no adhesion of the denture is occurred. In addition, as no embedded element is disposed on the denture base and the pad, the pad is easy to have winkles and difficult to be fitted with the denture base.
Taiwanese patent publication No. 200901942 discloses a full-mouth removable denture comprising a suction cup element disposed on a base of the full-month removable denture. However, the suction cup element may injure the oral cavity, for example, oral mucosa is stimulated to grow up. The oral mucosa grows up to fill a negative pressure space corresponding to the suction cup and thus disable the suction cup for adhesion of the denture. Theoretically, the full-month removable denture is stably positioned in an oral cavity by positioning effect, stabilizing effect and supporting effect. Although the suction cup may increase the positioning effect, most of base is unable to fit with the oral cavity caused by the existence of the suction cup. Since the fit area between the denture base and the oral cavity is decreased, the stabilizing effect and the supporting effect are thus reduced.
An object of the present invention is to provide a removable denture having excellent performance in adhesion to oral mucosa, maintaining edge adaptation, increasing adhesion effect on the oral mucosa in condition of chewing, and preventing form dropping out of the removable denture.
Another object of the present invention is to provide a removable denture capable of creating a negative pressure and increasing adhesion of the removable denture on the oral mucosa without causing deformation of oral mucosa.
The invention provides a removable denture adapted for wearing on an oral cavity of a human body. The removable denture in accordance with an exemplary embodiment of the present invention includes a denture body and a supporting base. The denture body comprises an alveolus-mounted base and at least one denture tooth fixed to the alveolus-mounted base, wherein the alveolus-mounted base comprises a mucosa-faced surface and an occlusion surface opposite to the mucosa-faced surface. The supporting base comprises a first contact surface and a second contact surface opposite to the first contact surface. A central region and a periphery region surrounding the central region are defined on each of the first contact surface and the second contact surface along an occlusion direction, and flexibility of the periphery region is greater than flexibility of the central region. The central region of the first contact surface is joined to a central region of the mucosa-faced surface, the periphery region of the first contact surface is detachably attached to a periphery region of the mucosa-faced surface, and the second contact surface is adapted to attach to mucosa on an edentulous alveolus and on palatine bones in an oral cavity.
The removable denture is attached to mucosa in an oral cavity through the supporting base. The periphery region of the supporting base has higher flexibility for tightly attaching and fitting to oral mucosa when the removable denture is worn by a user, so as to maintain the removable denture being positioned on the oral mucosa and prevent the removable denture from falling off.
A detailed description is given in the following embodiments with reference to the accompanying drawings.
The invention can be more fully understood by reading the subsequent detailed description and examples with references made to the accompanying drawings, wherein:
The following description is of the best-contemplated mode of carrying out the invention. This description is made for the purpose of illustrating the general principles of the invention and should not be taken in a limiting sense. The scope of the invention is best determined by reference to the appended claims.
Referring to
The upper jaw denture body 10 includes a mucosa-faced surface 11, a groove 12, a notch 13 and denture teeth 14. In addition, the upper jaw denture body 10 further includes an alveolus-mounted base 15 which is formed by artificially modeling. The mucosa-faced surface 11 is formed on an inner side of the alveolus-mounted base 15. When the removable denture is manufacturing, the first supporting base 20 is formed firstly. A first contact surface 21 of the first supporting base 20 is used to form a working mold through dental impression technique. Afterwards, the upper jaw denture body 10 is formed by the working mold so that an inner surface of the upper jaw denture body 10 may serve as a negative mold mating the first contact surface 21 of the first supporting base 20. A portion of the negative mold corresponding to a first supporting base flexible cover 241 and a notch 242 can be further ground or cut about 0.5 mm to facilitate air flow. Thus, the mucosa-faced surface 11 is formed. The mucosa-faced surface 11 is further processed to have a rough edge 111 having a width of about 2 mm to 10 mm so that an edge of a flexible pad 24 of the first supporting base 20 on the first contact surface 21 side is maintained in a condition that is ready to be detached from the rough edge 111 of the mucosa-faced surface 11 of the upper jaw denture body 10 at any time, when the oral cavity is in a chewing condition, and another edge of the flexible pad 24 on the second contact surface 22 side is attached to the mucosa on the residual ridge of the alveolus and moved along with the mucosa to prevent air from entering into a gap that is formed between the removable denture and the mucosa. Similarly, the mucosa-faced surface 31 is further processed to have a rough edge 311 having a width of about 2 mm to 10 mm so that an edge of a flexible pad 44 of the second supporting base 40 on the first contact surface 41 side is maintained in a condition that is ready to be detached from the rough edge 311 of the mucosa-faced surface 31 of the lower jaw denture body 30 at any time, when the oral cavity is in a chewing condition and another edge of the flexible pad 44 on the second contact surface 42 side is attached to the mucosa on the residual ridge of the alveolus and moved along with the mucosa to prevent air from entering into a gap that is formed between the removable denture and the mucosa. The groove 12 is formed on the mucosa-faced surface 11. The notch 13 is formed on the alveolus-mounted base 15 and extends from the mucosa-faced surface 11 to the other side of the alveolus-mounted base 15. The denture tooth 14 is fixed to the alveolus-mounted base 15. The removable denture is worn in the oral cavity for a patent to chew, speak or other oral exercise. Except the aforementioned structure, the upper jaw denture body 10 has an appearance and a shape similar to a conventional full-mouth removable denture, but the portion corresponding to palatine bone has a horseshoe shape for holding the first supporting base 20.
Referring to
The first supporting base 20 includes a first contact surface 21 and a second contact surface 22 opposite to the first contact surface 21. The first contact surface 21 and the second contact surface 22 are arranged along an occlusion direction y and located on an outer side and an inner side of the first supporting base 20. The second contact surface 22 is adapted to attach to mucosa on residual ridge of alveolus and palatine bones such as mucosa on upper jaw. The first contact surface 21 is detachably attached to the upper jaw denture body 10. As shown in
The central base 23 includes one or more connectors 231 and one or more detaching buttons 232. In this embodiment, the central base 23 is made of a non-metal material (such as a silicon gel, resin or rubber having higher hardness). In another embodiment, the central base 23 is made of metal with flexibility often used in dental technique (such as titanium alloy, cobalt chromium alloy and the like) which is able to support the flexible pad 24. Referring to
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After the removable denture has been worn into the patient's oral cavity, the upper jaw denture body 10 and the first supporting base 20 are pressed when the patient is chewing. If air or saliva enters between the second contact surface 22 and the mucosa, the air or saliva can be purged to a space between the upper jaw denture body 10 and the first supporting base 20 through the venting passages 234, and then purged out of the upper jaw denture body 10 through the venting hole 161, whereby the negative pressure status is maintained between the second contact surface 22 and the mucosa, and the first supporting base 20 is stably attached to the mucosa without sliding or even falling off. Since the mucosa-faced surface 11 has a rough edge 111, the periphery of the mucosa-faced surface 11 is ready to be detached from the periphery of the flexible pad 24 at any time, but the periphery of the flexible pad 24 is maintained to be tightly attached to the mucosa. When the patient is chewing, the periphery of the flexible pad 24 moves along with the movable mucosa but air is prevented from entering the first supporting base 20 and the mucosa, which contributes the adhesion of the first supporting base 20 to the mucosa.
Referring to
Since the one-way venting valve structure generates the highly negative pressure effects, when the patient intends to remove the denture, the upper jaw denture body 10 and the lower jaw denture body 30 are easily removed from the first supporting base 20 and the second supporting base 40 through the detaching buttons 232 and 432 respectively. However, the first supporting base 20 and the second supporting base 40 are still tightly attached to mucosa on the upper jaw and the lower jaw due to the negative pressure effects. To avoid injuring the patient, the venting passages 243 and 443 are designed to have one or two venting passages 243 and 443 extending from tongue side to cheek side, but the central base 23 and 43 extends not yet to cheek side. The patient merely needs to rub the portion of the flexible pads 24 and 44 where the venting passages 243 and 443 extending from tongue side to cheek side is formed so that air is allowed to enter the venting passages 243 and 443 and thus reduce the negative pressure effects, whereby the first supporting base 20 and the second supporting base 40 can be easily removed.
Referring to
The removable denture of the present invention provides a greater flexibility of the periphery region of the supporting base, which enables the supporting base to move along with the mucosa and attach the mucosa when the patient is chewing. This contributes to the high gas tightness between the supporting base and the mucosa and improves the positioning stability of the removable denture in the oral cavity.
Since the supporting base includes the central base and the flexible pad, and the central region has a lower flexibility (more rigid) than the periphery region, the central base or the more rigid central region maintains and supports the whole structure of the supporting base so as to prevent the flexible pad or the more flexible periphery region from folding or wrinkling which may reduce the gas tightness between the supporting base and the mucosa. This contributes to the high gas tightness between the supporting base and the mucosa and improves the positioning stability of the removable denture in the oral cavity.
The venting passages are distributed in the second contact surface of the supporting base to provide the negative pressure effect for all portions of the second contact surface without causing deformation of the mucosa. Since the venting passage is narrow and shallow, the venting passages are pressed to tightly attach to the mucosa, which prevents the growing of the mucosa due to the negative pressure effect. In a normal condition, the growing of the mucosa is controlled in a very small area and is almost non-visible.
While the invention has been described by way of example and in terms of preferred embodiment, it is to be understood that the invention is not limited thereto. To the contrary, it is intended to cover various modifications and similar arrangements (as would be apparent to those skilled in the art). Therefore, the scope of the appended claims should be accorded the broadest interpretation so as to encompass all such modifications and similar arrangements.
Number | Date | Country | Kind |
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106134281 | Oct 2017 | TW | national |