WO2016154679A1 - Dispositif orthodontique - Google Patents

Dispositif orthodontique Download PDF

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Publication number
WO2016154679A1
WO2016154679A1 PCT/AU2016/050244 AU2016050244W WO2016154679A1 WO 2016154679 A1 WO2016154679 A1 WO 2016154679A1 AU 2016050244 W AU2016050244 W AU 2016050244W WO 2016154679 A1 WO2016154679 A1 WO 2016154679A1
Authority
WO
WIPO (PCT)
Prior art keywords
dental member
mouthpiece
dentition
dental
driving
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
Application number
PCT/AU2016/050244
Other languages
English (en)
Inventor
Thomas Lo
Michael Hall
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Kiel Corp Pty Ltd
Original Assignee
Kiel Corp Pty Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from AU2015901173A external-priority patent/AU2015901173A0/en
Application filed by Kiel Corp Pty Ltd filed Critical Kiel Corp Pty Ltd
Priority to AU2016240406A priority Critical patent/AU2016240406B2/en
Publication of WO2016154679A1 publication Critical patent/WO2016154679A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08—Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/008—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions using vibrating means

Definitions

  • This invention relates to an orthodontic device for applying a therapeutic vibratory force to the dentition of a patient.
  • ition is understood herein to mean a single tooth or a plurality of teeth, whether disposed on the lower or upper dental arch of a patient.
  • the term includes by way of example front teeth, back teeth, upper teeth, lower teeth, all teeth simultaneously and any combinations thereof.
  • peripheralodontium is understood herein to refer to the tissues that surround and support the teeth holding them in position in the upper jaw (maxilla) and the lower jaw (mandible).
  • Orthodontic treatments have been used both for cosmetic treatments and therapeutic treatments.
  • orthodontics can improve the visual appearance and alignment of teeth and in medical procedures orthodontic treatments can correct growth anomalies and assist reconstructive procedures after surgery and accidents.
  • the amount of force applied to the dentition during orthodontic treatment is adjusted at regular intervals to provide continuous, appropriate and accurate application of pressure. Without these adjustments, the diminishing or inappropriate pressure application can delay or halt treatment.
  • increasing the pressure on teeth during orthodontic movement should increase the rate of tooth movement. However, this is not the case in orthodontics. Excessive pressure can lead to a temporary restriction or elimination of blood supply to the bone surrounding the teeth to be moved. Some cells (preosteoclasts) responsible for the bone remodelling process are recruited from the blood vessels. A diminished blood supply at this time reduces the cells available for this action and can reduce the rate of orthodontic movement.
  • the invention provides an orthodontic device, the device comprising: a dental member adapted to contact dentition and to vibrate while contacting the dentition for accelerating bone growth; and a converter that is adapted to convert energy from an energy source into vibratory motion of the dental member.
  • vibrate as used herein is understood to include movement that may be described as oscillating movement.
  • osteogenesis osteogenesis
  • bone remodelling osteogenesis
  • bone turnover osteogenesis
  • the orthodontic device is configured to reduce the pain associated with orthodontic treatment by applying vibratory massage to the dentition. Furthermore, the application of vibratory forces to the dentition decreases the duration of orthodontic treatment time by increasing the rate of bone turnover.
  • the vibrational forces applied to the dentition are transmitted to the periodontium. This force stimulates blood flow and therefore blood supply around the dentoalveolus of the upper and lower jaw.
  • the vibrational forces also increase the expression of RANKL cytokine which is responsible for the activation and survival of osteoclasts (a cell that plays a main role in bone remodelling).
  • the increase in the number of osteoclast can also therefore increase the rate of bone remodelling of the
  • the vibratory force applied to the dentition is preferably light to moderate force.
  • the terms light to moderate force is comparative terminology and each person using the device will have a personal view on what is mean by the term.
  • the term does not mean force that is severe, rough or violent in manner such that application of the vibratory force can adversely affect the dentition, surrounding periodontium or orthodontic appliances.
  • tooth enamel is one of the strongest natural substances in the body (having an ultimate tensile strength (UTS) of around 83 GPa; and a Mohrs hardness value of 5), it can be chipped and cracked by contact with hard objects, especially in high load concentrations.
  • the application of vibratory force to the periodontium via the dentition also provides a relief from the pain caused from orthodontic treatment i.e. relief from the constantly applied pressure to the dentition of a patient.
  • brackets/attachments When using traditional braces, a series of fixed brackets/attachments are adhered to the dentition, which are then interconnected by a guide wire.
  • the brackets/attachments are located on the dentition at predetermined locations such that the forces applied to each individual tooth will produce a movement of the tooth in a predetermined direction to translate, tip, torque or rotate each tooth or a combination of translation, tip, torque or rotation.
  • these movements may cause the edge of the bracket to dig into or bind to the wire, slowing the progression of treatment.
  • the application of gentle vibratory forces to the teeth at regular intervals can reduce the possibility of binding, thereby assisting in achieving full and expedient expression of intended orthodontic goals.
  • some orthodontic treatments use sequential aligners or active removable appliance(s), one or multiple of such appliances can be used on the individual arches.
  • the retainer applies force at predetermined locations to the dentition to move teeth into desired positions.
  • Aligners/appliances that can be removed by the patient allow more freedom during eating and drinking.
  • Removable aligners/appliances further allow a patient to maintain a traditional oral hygiene routine, as brushing and flossing is not hampered by traditional fixed appliances. However, as the patient can remove the
  • aligners/appliances sometimes retainers are not fully seated on reinsertion.
  • Correct seating of the aligner/appliance provides advantages in maintaining the correct forces on the dentition, thereby maximising efficacy and keeping the orthodontic treatment result aligned to the forecast treatment plan. As such, the problems associated with incorrect placement of the aligner/appliance are reduced by use of the orthodontic device herein described.
  • the vibrations of the orthodontic device provide pain relief during orthodontic treatment in a number of different ways. Vibrations provide a cyclic loading i.e. a repeated application and removal of force to the dentition.
  • the loading and unloading cycle provides a form of anaesthesia to the treated area, in this case the site at which the load is applied to the dentition.
  • the frequencies for effective pain relief will vary from one patient to another. However, pain relief will be experienced with vibrations in the range of 1 Herz (Hz) to 150Hz, more particularly in the range of 60Hz to 120Hz.
  • the vibrations also provide pain relief due to a sensory overload applied to a local area.
  • This treatment area is bombarded with the sensation from the vibrations, providing pain relief through activation of alternative nerve stimulation providing a 'blocking' or soothing effect and reducing the perception of painful nerve stimuli. This occurs in a similar manner to massage, thermal treatments or transcutaneous nerve stimulation through the Gate Control Theory of pain relief.
  • the vibrations stimulate blood flow to the periodontium experiencing the pressure, which reduces ischemia in the bone, tissue and support structures of the teeth while the teeth are moving. Ischemia is caused by a compromised blood supply and glucose supply such that cellular metabolism cannot be maintained leading to death of tissue or localised ischemia.
  • the device offers a low cost, drug free, pain management solution that can be driven by connection to a powered or electric toothbrush or other power device in the comfort of a patient's home.
  • the convertor may comprise: a driving member adapted to be coupled to the energy source; and a driven member coupled to the dental member, wherein the driving member is movable relative to the driven member such that the driven member is urged towards or pushed away from the driving member, thereby introducing a vibratory motion into the dental member.
  • the driving member and the driven member may be magnets.
  • a bearing or series of driven and driving magnets are used to convert a vibrating action into rotational movement.
  • the rotational movement drives
  • the purpose of the convertor is to reduce and/or minimise any feedback or pressure placed on the energy source ie. the motor of the electric toothbrush. This protects the motor of the electric toothbrush from being over worked or burning out.
  • the reduced load on the energy source reduces deterioration in battery life of the electric toothbrush when powering an orthodontic device according to the invention.
  • the driving magnet and the driven magnet may be oriented in magnetic opposition to one another.
  • the driven magnet may comprise a first and a second portion coupled to opposing sides of the dental member.
  • the driving magnet may be adapted to be coupled to the energy source via a drive shaft.
  • a plurality of driving magnets may be coupled to the energy source, the plurality of driving magnets are disposed about the drive shaft.
  • the plurality of driving magnets may be disposed about the drive shaft in arrays, such that the driven magnet coupled to the dental member is disposable between, above or below the arrays of driving magnets.
  • the plurality of driving magnets in each array may be magnetically oriented such that each subsequent driving magnet may be in opposing magnetic orientation to an adjacent driving magnet.
  • the drive shaft may comprise a first portion and a second portion, the first and second portions being detachably coupled to one another.
  • the first portion of the drive shaft may be permanently coupled to the device and the second portion of the drive shaft is adapted to be coupled to the power source.
  • the driving magnet When the device is in use, the driving magnet may be driven around the drive shaft in a rotating or reciprocating motion.
  • reciprocating includes a rotating or oscillatory motion that varies in frequency, displacement or direction, for example a rotation through less than 360 degrees which may be driven in opposing directions, back and forth about an equilibrium position.
  • the device may further comprise a guide arranged so that, in use, the driven magnet translates coaxially with the drive shaft along the guide.
  • the dental member may vibrate in a direction transverse to the drive shaft.
  • the dental member may vibrate at a frequency between 0.1 to 150 Hz.
  • the dental member may vibrate at a frequency between 1 to 90 Hz.
  • a patient places the dental member in contact with the dentition.
  • the dental member is compressed thereby increasing the transmission of vibrations from the dental member to the dentition of the patient and into the
  • the device is intended to be used for a prescribed period on a daily basis while orthodontic treatment is ongoing.
  • the dental member may comprise a mouthpiece and a connector, the mouthpiece being configured for intraoral location and the connector being coupled to the driving magnets to engage with the convertor.
  • the mouthpiece may comprise a resilient planar member.
  • the mouthpiece may have a first surface for contact with upper dentition of a patient, and a second surface for contact with lower dentition of the patient,
  • the mouthpiece may provide active engagement and guidance to the dentition.
  • the mouthpiece may act as a passive guide through the intention of guided eruption.
  • the mouthpiece may have soft protruding members to assist in the maintenance of oral hygiene or facilitate gingival massage.
  • the first and second surfaces may be contoured to cooperate with the dentition of a predetermined patient.
  • the dental member and the convertor may be selectively coupled together to correspond to the dentition of a predetermined patient.
  • the dental member and the convertor may be removably coupled together.
  • the dental member may be integrally formed with the mouthpiece.
  • the dental member may be configured to detach from the mouthpiece under a predetermined load.
  • the dental member may further comprise an actuator to separate the
  • the actuator may comprise a first cam surface configured to cooperate with a second cam surface of the mouthpiece.
  • the actuator may be movably engaged with the dental member, such that relative movement between the actuator and the dental member drives the first cam surface of the actuator against the second cam surface of the mouthpiece, thereby separating the mouthpiece from the dental member.
  • the device may further comprise a support upon which the dental member is supported.
  • the energy source may be an electric toothbrush.
  • the device transmits vibrations to the periodontium via the teeth. Where all of a patient's teeth are undergoing therapeutic treatment, it is beneficial that the
  • the mouthpiece is moulded to a shape where as many upper and lower teeth are in contact with the mouthpiece as possible. This facilitates an even application of force to the periodontium and accordingly, an even level of treatment. However, this may be contrasted with treatment or rectification of a bone growth defect where the treatment focused around a localised area of the patient's dentition.
  • an orthodontist or dental professional can modify the mouthpiece or dental member of the device to provide an increased vibratory transmission in the localised area to correspond to a patient's treatment needs.
  • the dental member can be selected from a range of different sizes that correspond to the sizes of the patient's dental arches.
  • the dental member is bespoke and manufactured from a dental mould to correspond to the dentition of a specific patient.
  • the dental member is made from a thermo-softening material which can be warmed, moulded and cooled to allow tailoring of the mouthpiece to the shape of the dental arch of a patient.
  • an orthodontic device comprising: a dental member adapted to contact dentition and to vibrate while contacting the dentition for accelerating bone growth; an energy source to provide energy for operating the device; and a converter that is adapted to convert energy from the energy source into vibratory motion of the dental member.
  • an orthodontic device for use with an electronic toothbrush, the device comprising: a dental member adapted to contact dentition and to vibrate while contacting the dentition for accelerating bone turnover; and a convertor that is adapted to convert energy from an energy source into vibrating motion of the dental member, wherein the convertor is adapted to be removably coupled to the electronic toothbrush, with the toothbrush providing the energy source for operating the device.
  • the orthodontic device is configured for use with an electric toothbrush, such that when the cleaning head of the toothbrush is removed, an orthodontic device according to some embodiments of the invention can be attached thereto.
  • the workings of the electric toothbrush do not require any modification, and the functionality of the toothbrush is not altered by using the device therewith.
  • Orthodontic treatment is generally carried out over a one to two year period, and as such patients are reluctant to spend on products that will become redundant in a short period of time.
  • an electric toothbrush has a much longer product lifespan and is used daily, regardless of orthodontic treatment. Accordingly, it is more cost effective for a patient to purchase the orthodontic device as an attachment for use with a new or existing toothbrush: when the treatment is concluded, the device can be discarded without loss of utility of the toothbrush.
  • an orthodontic kit comprising: a device as described above; and a secondary dental member.
  • the secondary dental member may comprise a mouthpiece of unequal size to a mouthpiece of the dental member of the device.
  • the energy source of the device may be an electronic toothbrush.
  • Figure 1 is a perspective view of an orthodontic device according to one embodiment of the invention.
  • Figure 2 is a top perspective view of the device of Figure 1 with a cap of the device removed to illustrate an internal component layout around a dental member;
  • Figure 3 is a partially exploded perspective view of a convertor, and the dental member of Figure 1 outside of the device illustrating a support beneath the dental member;
  • Figure 4 is an exploded perspective view of the components of the convertor from Figure 3, illustrating a plurality of magnetic arrays
  • Figure 5 is a perspective view of the internal components of the convertor of Figure 1 , fully assembled to the dental member;
  • Figure 6 is a top perspective view of Figure 2, illustrating the alignment of the convertor and an internal bearing around a drive shaft;
  • Figure 7 is a schematic view of an array of magnets configured to provide a vibratory input to the dental member.
  • Figure 8 is a sectional view of a separable dental member, illustrating the disposition of a mouthpiece within a dental member
  • Figure 9 is a sectional view of the separable dental member of Figure 8, illustrating the separation of the dental member from the mouthpiece;
  • Figure 10 is a perspective view of a load limiting dental member
  • Figure 1 1 is an enlarged sectional view of a frangible connection between a load limiting dental member and an associated mouthpiece
  • Figure 12 is a side view of the load limiting dental member of Figure 10;
  • Figure 13 is a schematic diagram of a software sequence for a power source of the device
  • Figure 14 is a perspective view of further embodiment of an orthodontic device according to the invention.
  • Figure 15 is a top view of the orthodontic device of Figure 14;
  • Figure 16 is a perspective view of selected components of the device of Figure 14, to illustrate the internal components thereof;
  • Figure 17 is a side view of the device of Figure 16 illustrating an attachment between a converter and a dental member of the device.
  • Whist the device 1 is described herein in relation to use with an electric or electronic toothbrush, which provides an energy (i.e. power) source for the device, it is understood that other power sources or devices having a power source can be coupled to the device 1 to provide the required power source, for example an electric flossing device or the like.
  • energy i.e. power
  • other power sources or devices having a power source can be coupled to the device 1 to provide the required power source, for example an electric flossing device or the like.
  • the invention provides an orthodontic device 1 , the device 1 comprising: a dental member 10 adapted to contact dentition and to vibrate while contacting the dentition for accelerating bone growth; an energy source to provide energy for operating the device 1 ; and a converter 6 that is adapted to convert energy from the energy source into vibratory motion of the dental member 10.
  • the device 1 includes a body 3 in which the converter 6 is housed and a cap 5 that can be removed to provide access to the converter 6 within the body 3.
  • the body 3 is disposed at a first end 7 of a neck 8.
  • the neck 8 is an elongate member having a substantially cylindrical form. Neck 8 tapers as it extends towards the first end 7.
  • the neck 8 is configured to mount to a drive shaft of an electric toothbrush (not show in the Figures).
  • the neck 8 is further configured to house the drive shaft of the electric toothbrush therein.
  • the drive shaft of the toothbrush will be covered, at least partially, by the neck 8 to keep a patient's fingers away from any moving mechanisms of, or associated with, the device 1.
  • the body 3 and neck 8 can be formed from separate components; however, they are preferably moulded integrally to reduce gaps therebetween and other openings in the device 1 that could allow moisture to contact the converter 6.
  • the body 3 and neck 8 are intended for use with water.
  • the body 3 and neck 8 can be provided with drainage hole to provide from water egress and facilitate drying of the internals of the device 1.
  • the body 3 and neck 8 are integrally moulded from a tough resilient plastic material such as nylon.
  • a tough resilient plastic material such as nylon.
  • plastic materials such as polypropylene, ABS, or PLA to name a few, will also be suitable.
  • a softer rubber such as a styrene-based thermoplastic elastomer can be used to over-mould sections of the device 1 around the cap 5 and neck 8 to provide additional grip when attaching the device 1 to a power source or removing the cap 5 from the body 3. Over-moulding the device 1 can also be used in a decorative manner to make the device 1 more user friendly and endearing to children and adolescents.
  • the neck 8 is shaped to be elongate and narrow to keep the weight of the device 1 to a comfortable level to be held by a patient when the device 1 is in use.
  • a cap 5 At a first end of the body 3, farthest from the neck 8, there is provided a cap 5.
  • the cap 5 is configured to snap-fit onto the body 3 and seals an aperture 4 in the body 3.
  • the aperture 4 provides access to the convertor 6 and other internal components of the device 1.
  • the aperture 4 further allows the dental member 10 to be removed from the device 1 and replaced.
  • the device 1 is used for a period of about 5 minutes for two to three sessions each day.
  • the dental member 10 is subject to deterioration and will need to be changed over long periods of orthodontic treatment.
  • the movement of the dentition that occurs during orthodontic treatment can leave the dental member 10 incorrectly aligned to the patient's dentition.
  • the patient can remove the entire convertor 6, as illustrated in Figures 3 and 4, providing clear access to the dental member 10 such that the dental member 10 can be removed and replaced with a new dental member 10 for continued use of the device 1.
  • the dental member 10 comprises a mouthpiece 11 , a bridge 14 and a connector 16.
  • the patient will only see part of the dental member 10, as illustrated in Figure 2. This is because the connector 16 is obscured by the convertor 6, to which it is coupled.
  • the mouthpiece 11 is configured as a wishbone in a semi U-shaped form.
  • the mouthpiece 1 1 can be configured to match the bite of the patient i.e. the shape and width of a patient's dental arches.
  • a range of different mouthpieces 1 1 are configured to have different lengths, widths, thicknesses and shapes to best fit the patient's bite i.e. a connection surface between the patient's lower and upper jaw where the upper and lower teeth come together for cutting and biting.
  • the mouthpiece 1 1 is preferably configured to provide contact with as much of a patient's dentition as possible, simultaneously, to give a more even transmission of vibrations into the periodontium.
  • the mouthpiece 11 is made from a resilient material for example silicone or other suitable elastomer.
  • the mouthpiece 11 is made from a non-toxic material that is suitable for intraoral location.
  • the patient places the mouthpiece 1 1 between the upper and lower dentition and bites down on the mouthpiece 11.
  • the resilience in the material of the mouthpiece 11 under the pressure of the patient's jaws, provides an even contact surface and even vibrational transmission medium into the dentition of the patient.
  • the mouthpiece 11 can be manufactured separately from the remainder of the dental member 10. In this manner, the mouthpiece 11 can be removed from the dental member 10, without the need to open the device 1 and expose the convertor 6.
  • Restricting a user's access to the internal components of the device 1 can provide safety benefits, particularly for young users.
  • the mouthpiece 11 can be moulded to correspond to the bite of a patient and the orthodontist can take impressions of the patient's dentition prior to manufacturing and supplying the mouthpiece 1 1.
  • the material selected for the mouthpiece 1 1 is a heat sensitive plastic, allowing the patient to heat the mouthpiece 1 1 in hot water before hand-moulding or biting the softened mouthpiece 11. These actions will adjust the mouthpiece 1 1 or leave an impression on the mouthpiece 1 1 corresponding to the patient's dentition.
  • the softened mouthpiece 11 When the softened mouthpiece 11 has reached the desired configuration, it is plunged into cold water to set the shape or impression into the mouthpiece 11. This bespoke forming of the mouthpiece 11 provides a tailored and more even vibration transmission from the mouthpiece 1 1 to the patient's dentition.
  • the dental member 10 can be made from multiple layers of material.
  • the outer layer of the mouthpiece 11 is made from a soft silicon layer that the patient can bite into and an inner layer of the mouthpiece is made from a harder thermoform plastic.
  • the dental member 10 can be sufficiently internally hard to effectively transmit vibrations along its length, wherein the outer layer of the mouthpiece 1 1 can be soft or thermo-softening to allow for customisation.
  • an inner layer of the dental member 10 can be over-moulded with a thermoplastic outer layer. In this manner the dental member 10 can be integrally formed with a thermoplastic outer layer.
  • the range of dental members 10 are configured to have the same shape and size of connector 16 for mechanically interacting with the converter 6.
  • the mouthpiece 1 1 can be supplied in a range of different sizes that can be moulded, cut and otherwise customised by the orthodontist to customise the device 1 for the patient.
  • the dental members 10 can provide texturized surfaces such as protrusions or ridges to adjust the contact between the dental member 10 and the dentition of a user. It further contemplated that the dental member 10 can be attached to a solid or rigid mouthpiece 1 1 for transmitting vibrations to the user's dentition.
  • the connector 16 is disposed on the dental member 10 at an opposing end to the mouthpiece 11 , illustrated in Figure 4.
  • the connector 16 is C-shaped and configured to cooperate with the convertor 6 to transmit vibrations into the mouthpiece 1 1. The cooperation between the connector 16 and the convertor 6 will be described in more detail in relation to the workings of the convertor 6.
  • the dental member 10 further comprises a bridge 14, which connects the mouthpiece 1 1 to the connector 16, illustrated in Figure 2.
  • the components of the dental member 10: mouthpiece 1 1 , bridge 14 and connector 16, are integrally formed.
  • the bridge 14 is housed within the body 3 of the device 1 and spans between the connector 16 and the mouthpiece 1 1.
  • the bridge 14 is positioned and supported by a support member 12 and a pair of guide members 18.
  • the guide member 18 support the dental member 10 in a lateral direction across the body 3, while the support 12 supports the dental member 10 in a vertical direction within the body 3 and also in a fore-aft direction of the device 1.
  • the support member 12 is seated within the body 3 in proximity to the stiffener 9.
  • the support 12 is made from a hard material such as a plastic and both supports the weight of the dental member 10 and the fore-aft placement of the dental member 10 as it protrudes from the body 3 of the device 1.
  • the support 12 is illustrated in Figure 3.
  • the support 12 surrounds a secondary opening 2 of the body 3, through which the dental member 10 exits the body 3.
  • the support 12 has a first portion 13a that is substantially rectangular and a lower portion 13b that extends down into the body 3 (see Figure 5).
  • the first portion 13a has a recess 15 therein, which is configured to receive the bridge 14.
  • Around a perimeter of the recess 15 are a pair of shoulders 15a, which correspond to a pair of indents 14a in the bridge 14 (see Figure 4).
  • the lower portion 13b of the support 12 is shaped to correspond with an under side profile 19 of the bridge 14.
  • the support 12 guides the patient when fitting the bridge 14 around the aperture 2 and also improves vibration transmissions along the bridge 14.
  • the support 12 aids in reducing the vibration losses to maximise the vibrations transmitted to the mouthpiece 11.
  • the first portion 13a of the support 12 further comprises a pair of ears 32 which locate the support 12 within the body 3.
  • the lower portion 13b of the support 12 positions the support 12 against the body 3 and controls the level at which the dental member 10 sits relative to the body 3. This governs the height at which the dental member 10 protrudes from aperture 2 of the device 1.
  • the ears 32 locate the support 12 in the fore-aft direction and locate support 12 against the inside of the body 3.
  • the support 12 is restricted from moving forward in the fore-aft direction by the ears 32 and restricted from moving backwards in the fore-aft direction by the indents 14a in the bridge 14.
  • the guides 18 are illustrated in Figures 2, 3 and 4 as a pair of cylindrical pillars.
  • the cylindrical form is efficient for internal packaging space within the body 3;
  • the guides 18 could be formed from a variety of different shapes.
  • the outer surfaces of the guides 18 are preferably smooth and free of edges or protrusions that could snag dental member 10 thereby reducing the lifespan of the dental member 10.
  • the guides 18 extend from the body 3 of the device 1 and are positioned on either side of the bridge 14, in contact with the bridge 14.
  • the guides 18 assist the patient in correctly inserting the dental member 10.
  • the guides 18 further reduce unwanted movement of the bridge 14 within the body 3 of the device 1. Similar to the support 12, the guides 18 assist in minimising vibrational losses along the bridge 14 within the body 3 of the device 1.
  • the convertor 6 is illustrated in Figures 4 to 6.
  • Figure 4 illustrates the convertor 6 within the device 1 in an exploded view to increase clarity;
  • Figure 5 illustrates the convertor 6 assembled with the body 3 removed; and
  • Figure 6 illustrates the convertor 6 packaged within the body 3 of the device 1.
  • the convertor 6 is driven by a drive shaft or motor attachment 34 that is configured to attach to and be driven by the drive shaft of an electric toothbrush. While the drive shaft of some electric toothbrushes rotate others reciprocate, and do not provide a fully rotating output.
  • the device 1 is configured to be used with both a rotating output and/or a reciprocating output.
  • Figure 6 illustrates the dental member 10 is place within the device 1 , with the cap 5 removed.
  • a top portion 22 of a central spindle 20 is placed upon the motor attachment 34.
  • an upper driving magnet 26 Displaced within the top portion 22 is an upper driving magnet 26, which is rotated as the central spindle 20 rotates, whether this motion comprises full rotations about the attachment 34 or a reciprocating motion, back and forth in a circular arc, about the attachment 34.
  • the spindle 20 can be formed from a hard plastic or other rigid material.
  • the spindle 20 can be formed from a soft rubberised plastic.
  • Figure 4 illustrates a central portion 23 and a bottom portion 24 of the spindle 20.
  • the bottom portion 24 of the spindle 20 can be free of driving magnets, wherein the upper driving magnet 26 induces the vibrational motion of the dental member 10.
  • the bottom portion 24 is provide with a single magnet 27.
  • the bottom portion 24 of the spindle 20 is provided with a plurality of driving magnets 27 disposed therein.
  • the upper driving magnet 26 and the lower driving magnets 27 rotate simultaneously about the attachment 34, that is to say that the upper 26 and lower 27 driving magnets are rotated about the attachment 34 in a fixed relationship to one another.
  • the C-shaped connector 16 comprises a pair of arms 17 that curve around the central portion 23 of the spindle 20, in a symmetrical manner.
  • the C-shaped connector 16 further comprises a driven magnet disposed therein.
  • the driven magnet comprises two portions, a left driven magnet 28 and a right driven magnet 29, disposed at opposing ends of the arms 17, illustrated in Figure 4.
  • the C-shaped connector 16 is positioned between the top portion 22 and lower portion 24 of the spindle 20 with one arm 17 located on each of the opposing sides of the attachment 34.
  • the top portion 22 and lower portion 24 of the spindle 20 are joined by a central portion 23, about which a bearing 36 is located.
  • the bearing 36 is coaxially aligned to the attachment 34 and provides a cylindrical outer surface 37 upon which the left driven magnet 28 and right driven magnet 29 are placed in contact. Through the bearing 36, the rotational movement of the attachment 34 drives the spindle 20 thereabout.
  • the top portion 22 of the spindle 20 can be removed from the remainder of the spindle 20 by sliding the two components in opposing directions from one another.
  • the bearing 36 is placed within the spindle 20 in contact with the internal splines 21 thereof, and a keying feature, illustrated in Figures 4 and 5 as a pair of notches 20a on the top of the spindle 22 are aligned with the central spindle 23. Once aligned, the top of the spindle 22 is slid into place on the central spindle 23, trapping the bearing 36 between the top spindle 22 and bottom spindle 24.
  • the driven magnets 28, 29 are urged back and forth across the surface 37 of the bearing 36.
  • the bearing 36 provides a guide for the movement of the driven magnets 28, 29.
  • the bearing 36 also provides a hard surface upon which the driven magnets 28, 29 travel, the surface 37 being configured to sustain the everyday wear and tear that will be experienced through the recommended usage of the device 1.
  • the vibratory motion induced into the mouthpiece 11 is transverse to the plane of the mouthpiece 11 i.e. the vibrations are in a direction substantially aligned with an axis running between the driving magnets 26, 27 of the convertor 6.
  • Figure 7 illustrates a linear schematic layout of the relative magnetic orientations between the driving magnets 26, 27 and the driven magnet 28.
  • the upper driving magnet 26 will attract and repel the driven magnet 28 as it passes the magnet 28 on its rotary path about attachment 34 (the rotary path is linearly represented from left to right across Figure 7).
  • the north end of the driving magnet 26 passes the north face of the driven magnet 28, magnet 28 is repelled and thereby forced along the bearing surface 37 in a direction away from the driving magnet 26.
  • the driving magnet 27 can be a single magnet but is shown in Figure 7 to comprise a series of driving magnets 27 which are disposed in alternating magnetic orientations.
  • Figure 7 illustrates the driven magnet 28 in a position closest to the driving magnet 27 and farthest from the driving magnet 26.
  • Figure 7 further illustrates a dotted line image of driving magnet 26' and driven magnet 28' is an opposing position, where the driven magnet 28' is closest to the driving magnet 26' and farthest from the driving magnets 27.
  • the extreme positions of the driven magnet 28, 28' define a sinusoidal trajectory 40 along which both of the driving magnets 28, 29 will travel, when the device 1 is in use.
  • the sinusoidal trajectory 40 defines the frequency of the vibratory input into the dental member 10 and thereby into the mouthpiece 1 1.
  • the orientation, number of lower driving magnets, and strength of the driving and driven magnets can be varied to produce a desired force and frequency vibration response in the mouthpiece 1 1.
  • the magnets 26-29 are configured to produce a vibratory response in the mouthpiece 1 1 of between 1 and 150Hz. In another embodiment, the vibrations are configured to be between 1 and 90 Hz.
  • the device 1 can further comprise a timer that is activated and driven by the power source.
  • the timer is set to bleep or otherwise alert the user after a predetermined use period of the device 1 : this is preferably between 3 and 5 minutes. In this manner children and adolescents are alerted to the end of a prescribed usage session and encouraged to use the device 1 until they hear the alert.
  • the dental member 10 is designed to have a lifespan or approximately 3-months, although different materials could be employed to increase the performance life of the dental member 10. If used in accordance with the instructions of an orthodontist or dental professional the mouthpiece 11 will continually wear but will still appear functional; however, as the dental member 10 deteriorates the effects of the convertor 6 and transmission of the vibrations will start to change, altering the frequency and hence the efficacy of the device 1.
  • the device 1 is configured for a usage of at least 2 sessions of 3 minutes per day, although it is preferable to use the device 1 for 3 sessions of about 5 minutes each day. These session times are intended to provide a general level of pain relief and accelerated bone turnover. However, it should be noted that the device 1 can be used at the patient's discretion and whenever the patient is feeling discomfort from the orthodontic treatment.
  • the patient can attach the device 1 to the drive shaft of their existing electric toothbrush after brushing. Accordingly, there is no requirement for the toothbrush to be customised to receive or power the orthodontic device 1. After the patient has finished using the device 1 , the device can be removed from the toothbrush and a cleaning or flossing head replaced on the brush.
  • the mouthpiece 1 1 is placed in the patient's mouth between the upper and lower dentition. Once in place, the patient gently bites down onto the mouthpiece 1 1 placing as many teeth from both the upper and lower arches in contact with the mouthpiece 11 as possible.
  • the patient activates the toothbrush and the gentle vibrations will begin to transmit through the dental member 10.
  • the device 1 works by transmitting vibrations to the periodontium via the teeth, the patient should try to maintain contact with the vibrating mouthpiece 11 for the whole duration of each session. A session of 5 minutes duration is recommended.
  • a new dental member 10 should be fitted to the device 1. This will account for wear and tear of the mouthpiece 1 1 and movement of the dentition during treatment.
  • the mouthpiece can include indicator dye strips, to indicate the amount of use of the device. These indicator strips will also alert a user to the need to replace the mouthpiece as the colour of the strip will fade through use of the device.
  • the resilient mouthpiece 1 1 can be rinsed with cold water for cleaning, or removed from the device 1 for soaking in cleaning solution. Where a bespoke mouthpiece 11 has been made for a patient, hot water should be avoided for cleaning the mouthpiece 1 1 as this can lose the customised shape and affect the fitment and efficacy of the mouthpiece 1 1.
  • Bespoke mouthpieces can be formed using 3D printing techniques or stereo lithography, where the patient's dentition is scanned to produce a 3D model of the dentition. The 3D model is then used to create a mouthpiece that contours and fits cooperatively with the patient's dentition.
  • the dental member 10 can be configured to provide a flexible or resilient portion to the bridge 14.
  • the resilient portion is contemplated to provide a load limiter for the device. In the event that a patient is applying excessive pressure onto the device, the resilient portion of the bridge 14 can deform to reduce the load transmitted therethrough. The resilient portion of the bridge 14 can, in this manner, provide protection for the dentition of the patient, and also protect the convertor 6 of the device from being overloaded.
  • a separable dental member 10 and mouthpiece 1 1 illustrated in Figures 8 and 9.
  • the dental member 10 is provided with an opening for receiving and retaining the detachable mouthpiece 11 therein.
  • the section of the mouthpiece 1 1 received in the recess has a sloped surface 47 for interacting with an actuator.
  • the actuator illustrated as a release button 41 in Figure 8, initiates separation of the dental member 10 from the mouthpiece 1 1.
  • the button 41 is disposed within the dental member 10 and is in contact with both the dental member 10 and the sloped surface 47 of the mouthpiece 1 1.
  • a first end 44 of the button 41 is moderately rounded and configured for contact with a finger of a user, to actuate the button 41.
  • a second projecting end 43 of the button 41 is imbedded within the dental member 10.
  • the two ends of the button are connected by a shaft 45, having a sloping recess 46 therein. As the button 41 is depressed, illustrated in Figure 9, the projecting end 43 is forced against a lower projection 48 of the dental member 10 which deforms the dental member 10.
  • the deformation of the dental member 10 allows the shaft 45 of the button 41 to move within the dental member 10. This resulting movement pushes the recess 46 of shaft 45 against the sloped surface 47 of the mouthpiece 1 1 , acting like a cam, this forces the mouthpiece 11 away from the button 41 and thereby away from the dental member 10. Once the mouthpiece 1 1 is separated from the dental member 10, the user can remove and replace the mouthpiece 11.
  • frangible portions 42 are tuned to break under excess pressure applied to the mouthpiece 1 1. When the frangible portions 42 shear, load from the mouthpiece 10 can no longer be transmitted into the device 1 or to the convertor 6 or motor attachment 34. This safety features prevents over loading of both the dentition of the user and the motor driving the device.
  • Figure 10 illustrates a dental member 10 having a removable mouthpiece 1 1.
  • the mouthpiece 11 is configured to be integrally formed with the dental member 10 and to shear-off from the bridge 14 of the dental member 10 under excess load.
  • the load applied by the dentition to the mouthpiece 1 1 is transmitted to the convertor 6. If this load is sustained the convertor 6 must work against this load to continue to transmit vibrations into the mouthpiece 1 1.
  • the frangible connection 42 between the dental member 10 and the mouthpiece 1 1 , breaks. Disconnecting the mouthpiece 1 1 from the dental member 10 thus prohibits load from the user's dentition being transmitted back into the device 1 and the convertor 6.
  • the bridge 14 of the dental member 10 is formed in a C-shape having two extending jaws 49 that transition into the mouthpiece 1 1 via the frangible section 42.
  • An end of the mouthpiece is configured to have a T-shape 50.
  • the dental member 10 is formed such that the T-shaped end 50 is disposed between the two jaws 49 of the bridge 14. When the frangible connection 42 breaks, the T-shaped end 50 is retained between the jaws 49 of the bridge 14 to prevent the mouthpiece 11 from fully detaching from the dental member 10 but still preventing load transfer between the mouthpiece 11 and dental member 10.
  • Figure 1 1 is an enlarged view of the frangible section 42 between the dental member 10 and the mouthpiece 11.
  • Figure 12 illustrates an alternative embodiment of a similar frangible section 42.
  • the strength of the frangible portion 42 will be limited by the choice of material from which to manufacture the dental member 10. However, the thickness of the frangible portion 42 (and more specifically the cross-sectional area of the frangible portion 42) can be varied to tune the breaking load to a predetermined level.
  • the device 1 can be provided as a kit containing individual dental members 10 for use with the device 1.
  • These dental members can be of a customisable form, or a variety of sizes, e.g. small, medium and large, to provide the patient with varying levels of customisation.
  • the dental member 10 can further be manufactured in decorative plastics e.g. colours or other decorative finishes that encourage younger patients to encourage regular use of the device 1 and to conform to their treatment plan.
  • the device 1 can be sold as a package comprising the orthodontic device 1 with an electric toothbrush handle or alternative power source included.
  • the device 1 can be powered by a software/hardware driven motor.
  • the motor of the electric toothbrush is coupled to the dental member, and the motor is configured to run in different modes, creating the necessary oscillatory pulses for the device 1.
  • the toothbrush can be programmed with an orthodontic mode in which a series of predetermined treatment cycles can be installed.
  • a patient treatment regime may ideally comprise a 2 minute session at 60-100Hz followed by a 2 minute session at 1-30 Hz: this cycle is programmed into a mode of the motor, which a patient can select when using the toothbrush.
  • Figure 13 illustrates a process for such an embodiment.
  • an orthodontic professional will assist the patient in selecting the appropriate dental member 10 and mouthpiece 11.
  • a customisable mouthpiece 1 1 is supplied a patient is enabled to customise the mouthpiece 11 at home with the use of hot water, as described herein.
  • This embodiment contains similar features to that of orthodontic device 1 as described herein, however, the individual assemblies of this embodiment are grouped together to simplify the assembly process. Furthermore, a body 203 and neck 208, and dental member 210 and bridge 214 are adapted to be manufactured through moulding processes, such as injection moulding.
  • the device 210 comprises a body 203 which houses the converter mechanism 206 therein.
  • a cap 205 is provided to allow the body 203 to be opened and closed for access to the converter 206 and to engage and disengage the mouthpiece 210.
  • the dental member 210 comprises a mouthpiece 211 , abridge 214 and a connector 216.
  • the connector 216 allows the dental member 210 to be disconnected from the device 201 and changed or replaced as desired.
  • the mouthpiece 211 is made from a non-deformable material eg. plastic.
  • the mouthpiece 211 is U-Shaped in plan view to approximate to the shape of a user's dentition.
  • the cross-section of the mouthpiece 21 1 is an H-Shape providing an upper and lower U-Shaped recess for receiving an insert 21 1a.
  • the insert 21 1 can be provided solely for the upper dentition, solely for the lower dentition or for the upper and lower dentition simultaneously.
  • the upper and lower inserts 21 1a can further comprises a plurality of surface protrusions 21 1 b for providing adhesion between the inserts 21 1a and a biting edge of the user's dentition.
  • the surface protrusions 211 b are illustrated as a regular dispersion of raised dimples. Alternative shapes and configurations can also be applied to the upper and lower inserts 211a to assist in guiding and positioning the user's teeth in relation to the device 201 to maintain a desired orientation of the device 201 during use.
  • the inserts 21 1 b can be formed from a soft rubber, thermoplastic or thermo- softening material to allow an orthodontist of dental technician to reshape or form the inserts 21 1 b to align with the teeth of a user. As described above this could be done by heating the inserts 211 b moulding them and then allowing them to cool and harden. Alternatively, the material of the inserts 21 1 b can be moulded an then set by heat treatment or chemical treatments to set and hold the desired form.
  • the bridge 214 is integrally formed with the mouthpiece
  • the mouthpiece 21 1 is manufactured separately from the bride 214 and connector 206 to allow the mouthpieces 21 1 to be shipped separately to orthodontists and dentists for matching, sizing and clipping to the bridge and connector components of the dental member 210.
  • the connector 216 is formed with a predominantly C-shaped end to receive a converter 206 therein. Furthermore, as illustrated in Figure 16 the connector 216 can provide a seat to received and retain the cap 205. A secondary mounting for the cap 205 is provided on the bridge 214 such that the cap 205 and the bridge 214 seal the converter 206 within the body 203 and the dental member 210 protrudes outwardly therefrom.
  • the bridge 214 can comprise a frangible portion as described in reference to Figure 10 and 12 of device 1. This frangible portion is not fully visible in Figure 17 with the cap 205 and dental member 210 in place. However, the bridge 214 is contemplated to perform in the same manner as bridge 14 of the dental member 10, having two extending jaws 49 that transition into the mouthpiece via the frangible section 42 of Figures 10 and 12.
  • Figure 16 and 17 illustrated the dental member 210 attached to the converter 206, Figure 16 without the cap 205 and Figure 17 with the cap 205. Underneath the bridge 214 of the device 201 in Figure 17, a frangible support member 212 is disposed to support the weight of the dental member 210 when in use. In some embodiments the support 212 has no frangible section.
  • Figures 16 and 17 illustrate the dental member 210 without the body 203, positioned for use with the converter 206.
  • a central spindle 220 extends through the converter 206 movably engaged with a motor attachment 234.
  • the converter 206 is driven by a drive shaft or motor attachment 234 that is configured to attach to and be driven by the drive shaft of an electric toothbrush.
  • the driven magnets are coupled to the dental member 210 where a sinusoidal trajectory defines the frequency of a vibratory input into the dental member 210 and thereby into the mouthpiece 21 1.
  • the orientation, number of driving magnets, and strength of the driven and driving magnets can be varied to produce a preselected force and frequency vibration response in the mouthpiece 211.
  • Integrating the components of the converter 206 and motor attachment 234 further provides advantages in that the opportunity to lose, drop or incorrectly position components within the device 201 when removing or replacing the dental member 210 are greatly reduced.

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

La présente invention concerne un dispositif orthodontique, le dispositif comprenant : un élément dentaire conçu pour venir en contact avec la dentition et pour vibrer tout en étant en contact avec la dentition pour accélérer la croissance osseuse ; et un convertisseur qui est conçu pour convertir l'énergie provenant d'une source d'énergie en un mouvement vibratoire de l'élément dentaire.
PCT/AU2016/050244 2015-03-31 2016-03-31 Dispositif orthodontique Ceased WO2016154679A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2016240406A AU2016240406B2 (en) 2015-03-31 2016-03-31 An orthodontic device

Applications Claiming Priority (2)

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AU2015901173A AU2015901173A0 (en) 2015-03-31 Dental Device
AU2015901173 2015-03-31

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WO2018064782A1 (fr) * 2016-10-07 2018-04-12 Coobx Ag Gouttière constituée d'un composite stratifié
AU2017224236B2 (en) * 2016-02-26 2022-05-12 Advanced Orthodontics And Education Association, Llc Method and device for dental vibration
WO2023076896A1 (fr) * 2021-10-29 2023-05-04 PerioTech, LLC Dispositifs et procédés de traitement de tissus buccaux
US11864972B2 (en) 2022-02-24 2024-01-09 PerioTech, LLC Light-based aligner seating apparatus and methods

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AU2017224236B2 (en) * 2016-02-26 2022-05-12 Advanced Orthodontics And Education Association, Llc Method and device for dental vibration
WO2018064782A1 (fr) * 2016-10-07 2018-04-12 Coobx Ag Gouttière constituée d'un composite stratifié
CH713017A1 (de) * 2016-10-07 2018-04-13 Coobx Ag Dentalschiene bestehend aus einem Lagenverbund.
WO2023076896A1 (fr) * 2021-10-29 2023-05-04 PerioTech, LLC Dispositifs et procédés de traitement de tissus buccaux
US11864972B2 (en) 2022-02-24 2024-01-09 PerioTech, LLC Light-based aligner seating apparatus and methods

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AU2016240406A1 (en) 2017-09-21
AU2016240406B2 (en) 2020-11-19

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