Bracket
11730570 · 2023-08-22
Assignee
Inventors
Cpc classification
A61C7/141
HUMAN NECESSITIES
International classification
Abstract
The invention relates to a bracket for correcting the position of a tooth, comprising a bracket base of a bracket body, which bracket base can be fastened to a tooth, and which bracket body has a slot, extending in the mesiodistal direction, and also a fourth slot portion that narrows by a predetermined amount (α) in a predetermined region, so as preferably to form a snug fit for an inserted archwire, wherein the fourth slot portion is designed running in the longitudinal direction substantially parallel to the bracket base.
Claims
1. A system comprising a bracket and an archwire for correcting the position of a tooth, the bracket comprising: a bracket body having a bracket base, the bracket base defining a surface configured to be fastened to a tooth, the bracket body having a slot extending in a mesiodistal direction and a slot portion that narrows by a predetermined amount (α) in a predetermined region, the slot portion being configured to form a snug fit with the archwire, wherein the slot portion extends in a longitudinal direction substantially parallel to the surface of the bracket base and substantially perpendicular to the mesiodistal direction, wherein, a narrowest point of the slot portion has a slot width that is smaller than a diameter of the archwire, wherein the slot extending in the mesiodistal direction has a first slot portion configured to receive insertion of the archwire, wherein the first slot portion is adjoined by a second slot portion which extends substantially perpendicular thereto and which adjoins a third slot portion in a direction towards the bracket base and substantially perpendicular to the mesiodistal and longitudinal directions, wherein the third slot portion extends substantially parallel to the first slot portion, and the third slot portion is adjoined by the fourth slot portion which is oriented substantially parallel to the second slot portion and perpendicular to the third slot portion, and wherein the first and the third slot portions each extend substantially in the direction towards the bracket base, and the second and the fourth slot portions each extend substantially parallel to the surface of the bracket base.
2. The system as claimed in claim 1, wherein the slot portion is a fourth slot portion, wherein the slot extending in the mesiodistal direction has a first slot portion configured to receive insertion of the archwire, wherein the first slot portion is adjoined by a second slot portion which extends substantially perpendicular thereto and which adjoins a third slot portion in a direction towards the bracket base and substantially perpendicular to the mesiodistal and longitudinal directions, and wherein the third slot portion extends substantially parallel to the first slot portion, and the third slot portion is adjoined by the fourth slot portion which is oriented substantially parallel to the second slot portion and perpendicular to the third slot portion.
3. The system as claimed in claim 2, wherein the fourth slot portion is longer than at least one of: the first slot portion, the second slot portion, and the third slot portion.
4. The system as claimed in claim 2, wherein the first slot portion has a widening therein that is configured to receive insertion of the archwire.
5. The system as claimed in claim 2, wherein the fourth slot portion has a base which lies below a base of the third slot portion.
6. The system as claimed in claim 2, wherein the fourth slot portion has an end which lies opposite a base of the fourth slot portion and which lies above an upper side of the first slot portion.
7. The system as claimed in claim 2, wherein the bracket has a bottom surrounded by a circumferential edge which has an aperture at a certain location thereof configured to serve as an outlet channel for adhesive.
8. The system as claimed in claim 1, wherein the bracket has a circumferential notch.
9. The system as claimed in claim 1, wherein the bracket base is narrower than a cervical extent of the bracket, and the bracket body has a recess extending in the mesiodistal direction at a top or bottom of the bracket body at the bracket base.
10. The system as claimed in claim 1, wherein the bracket is composed of a first part and a second part which are joined together and between which a predetermined breaking point is formed.
11. The system as claimed in claim 1, wherein a bracket upper side has a longitudinal cross section or a transverse cross section that substantially defines a circular shape.
12. The system as claimed in claim 1, wherein the bracket base has an underside that is curved substantially in a transverse direction and which is configured to follow a contour of a natural tooth curvature.
13. The system as claimed in claim 1, wherein the bracket has a constriction which either extends approximately parallel to the a surface of bracket base or extends at a transverse angle thereto.
14. The system as claimed in claim 1, wherein a vestibular surface of the bracket has a tortoise shell shape that is free of sharp edges, the vestibular surface defining a substantially convex surface in a longitudinal direction and also in a transverse direction, the vestibular surface being configured to reduce irritation of a mucous membrane of a patient, and wherein the bracket is composed of a single part and has no mechanically movable parts.
15. The system as claimed in claim 14, wherein an upper side of the bracket has no sharp edges and defines rounded curves which have a radius in the range of r 0.1 mm to r 10 mm.
16. A method of correcting the position of a tooth with the system as claimed in claim 1, the method comprising affixing the bracket onto a tooth, and inserting the archwire into the slot portion.
17. A bracket for correcting the position of a tooth, comprising: a bracket body having a bracket base, the bracket base defining a surface configured to be fastened to a tooth, the bracket body having a slot extending in a mesiodistal direction and a fourth slot portion that narrows by a predetermined amount (α) in a predetermined region, the fourth slot portion being configured to form a snug fit with an inserted archwire, wherein the fourth slot portion extends in a longitudinal direction substantially parallel to the surface of the bracket base and substantially perpendicular to the mesiodistal direction, wherein the slot extending in the mesiodistal direction has a first slot portion configured to receive insertion of the archwire, wherein the first slot portion is adjoined by a second slot portion which extends substantially perpendicular thereto and which adjoins a third slot portion in a direction towards the bracket base and substantially perpendicular to the mesiodistal and longitudinal directions, wherein the third slot portion extends substantially parallel to the first slot portion, and the third slot portion is adjoined by the fourth slot portion which is oriented substantially parallel to the second slot portion and perpendicular to the third slot portion, and wherein the first and the third slot portions each extend substantially in the direction towards the bracket base, and the second and the fourth slot portions each extend substantially parallel to the surface of the bracket base.
18. A system comprising a set of brackets each as claimed in claim 17, wherein each of the set of brackets has a different size.
19. A system comprising a bracket and an archwire for correcting the position of a tooth, the bracket comprising: a bracket body having a bracket base, the bracket base defining a surface configured to be fastened to a tooth, the bracket body having a slot extending in a mesiodistal direction and a slot portion that has two opposite slot walls, wherein the two opposite slot walls extend at an angle of 2° to 8° relative to one another, wherein the slot portion is configured to form a snug fit with the archwire, wherein, a narrowest point of the slot portion has a slot width that is smaller than a diameter of the archwire, wherein the slot extending in the mesiodistal direction has a first slot portion configured to receive insertion of the archwire, wherein the first slot portion is adjoined by a second slot portion which extends substantially perpendicular thereto and which adjoins a third slot portion in a direction towards the bracket base and substantially perpendicular to the mesiodistal and longitudinal directions, wherein the third slot portion extends substantially parallel to the first slot portion, and the third slot portion is adjoined by the fourth slot portion which is oriented substantially parallel to the second slot portion and perpendicular to the third slot portion, and wherein the first and the third slot portions each extend substantially in the direction towards the bracket base, and the second and the fourth slot portions each extend substantially parallel to the surface of the bracket base.
20. The system as claimed in claim 19, wherein at least one of the two opposite slot walls of the slot portion has at least one web-like protrusion extending in a longitudinal direction of the fourth slot portion, the at least one web-like protrusion being configured to receive the archwire resting thereon.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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(22) The invention is shown in the following drawings by way of example.
DETAILED DESCRIPTION
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(25) For the brackets shown in
(26) The advantage of the brackets according to the invention lies not only in the quicker than hitherto fastening of the wire (arch and the above-described arch exchange) for forming dental arches and in the ideal case not only permits a more rapid change of position of the teeth. In addition, the invention permits that the force for the tooth movement is effected not only through the elasticity of the arch material but also through the anchoring at defined abutment teeth. Finally, in the brackets according to the invention, it is possible to entirely omit movable bracket parts, which leads to structural simplification of the bracket body and also avoids fracturing or failure of movable parts.
(27) The outward circumferential groove (or grooves) of the bracket according to the invention permits, on the one hand, that an arch is guided around the bracket there, for the vertical development of one or more adjacent teeth, and is then connected to the adjacent brackets by means of the arch, and, on the other hand, it also permits the anchoring of the bracket, e.g. by means of elastic chains or steel ligatures, etc.
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(30) It will be seen in
(31) At its four “round corners”, the bracket 1 has notches 2 oriented toward the center M of the bracket. These notches are not absolutely necessary, but, if present, they are particularly suitable for the suspension of rubber chains, intermaxillary elastics, etc.
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(33) It will be seen particularly clearly from
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(35) It will be clearly seen in
(36) It will be seen in
(37) The bracket upper side or curvature 3 lies opposite the bracket bottom 8.
(38) In the example shown, it can be very clearly seen that the bracket bottom 8 has a much smaller surface area than the bracket upper side.
(39) Thus, for example, in
(40) Laterally on the bracket bottom, grooves or notches 9 are formed which are arranged parallel to the aperture 6 and which are directed away from the bracket bottom into the bracket interior. These grooves 9 are in particular suitable for receiving steel ligatures, rubber rings or the like. At the same time, the grooves 9 are not absolutely essential, but they are advantageous if a force is also intended to be exerted on the tooth via a steel ligature or elastic chain or rubber ring or the like.
(41) It can also be clearly seen that the outer bracket edge 10 does not reach as far as the plane 11 of the bracket bottom 8.
(42) It is thereby possible for the treating physician, orthodontist or the like to place an archwire on this part of a bracket too, if this is necessary.
(43) The notches/grooves 9 shown in
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(45) It will be clearly seen that the constriction 5 extends around the whole bracket, and the notches 2 at the upper side of the bracket can also be seen.
(46) It will also be seen in
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(48) Here, the bracket core (hatched area) of the bracket 1 can be clearly seen, likewise the non-centrally arranged aperture 6 with its opening 7.
(49) Of course, the aperture 6 with its opening 7 can also be arranged centrally and, furthermore, can have a position inside the bracket different than that shown in
(50)
(51) The aperture 6 is so large that a corresponding archwire (arch) can be guided/threaded through it.
(52) It is not absolutely necessary that the opening 7 widens outward over the arch of the aperture 4, but, if this is the case, this sometimes makes it easier, on the one hand, to thread the archwire for passage through the bracket and, on the other hand, it also means that the arch material can be guided not only in a single virtually linear continuation of the channel 12 of the aperture 6 but can also leave the latter at another angle, if this is wanted by the treating physician.
(53) Of course, it is also possible that the widened opening 7 is also arranged on the opposite side of the aperture 6 of the bracket 1 and, therefore, the bracket can if necessary also have two widened openings.
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(55) In the further
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(57) Once again,
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(59) In the illustration according to
(60) The bracket shown in
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(63) It will be seen in
(64) It can be clearly seen in
(65) The first slot portion 14 is adjoined by a second slot portion 15, which extends substantially perpendicularly with respect to the first slot portion 14.
(66) The second slot portion 15 is adjoined by a third slot portion 16, which is oriented in the direction of the bracket bottom 8 and thus substantially perpendicular to the second slot portion 15 and thus also substantially parallel to the first slot portion 14.
(67) Finally, a fourth slot portion 17 is formed, which extends substantially parallel to the second slot portion 15 and thus is also oriented substantially perpendicular to the third slot portion 16.
(68) An archwire inserted into the bracket thus passes via the first slot portion 14 to the slot portion 15, then to the slot portion 16 and then finally into the slot portion 17, where it is clamped between the opposite walls 18a, 18b of the slot portion 17.
(69) As can be clearly seen in the illustration, the opposite walls 18a and 18b of the slot portion 17 are not arranged parallel to each other, but instead provided with a slightly tapering angle α, such that the wall spacing between 18a and 18b of the slot portion 17 and the distance of its lower base 19 from its end 20 decreases (continuously). In the example shown, α is about 4-5°; an angle in the range of about 2°-8° is advantageous.
(70) The widths (wall spacings) of the slot portions 14, 15 and 16 are always at least as great as the average dimension of the slot portion 17.
(71) The place where the archwire is clamped in the slot portion 17 depends largely on its diameter, its material and its cross-sectional profile.
(72) The larger the diameter, the more likely the archwire cannot be inserted and clamped as far as the end 20 of the fourth slot portion 17.
(73) By virtue of the fact that the opposite walls 18a, 18b of the fourth slot portion 17 come only slightly further and further closer over the length as far as the end 20 of the last portion, an archwire can be clamped in the fourth slot portion 17 extremely precisely and reliably.
(74) If, in a patient in whom the bracket shown in
(75) First tests (not published) have shown that the bracket illustrated in
(76) As can also be seen in
(77) This serves, on the one hand, to make the introduction of the bracket easier, but on the other hand it also means that, in contrast to previously known brackets from the prior art, no less/sharp edges form on the bracket, of the kind that can irritate the soft parts, in particular on the inner lip.
(78) The widened opening 23 of the first slot portion 14 is not absolutely necessary, but it is particularly advantageous if irritation of the skin or the soft parts (inner lip) is to be avoided.
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(81) As is shown and described, the fourth slot portion 17 is longer than the second slot portion 15.
(82) It is particularly advantageous if the fourth slot portion 17 narrows at a certain region of its portion and has, at its narrowest point, a slot width which is preferably less than that of the diameter of the archwire.
(83) It is also particularly advantageous if the first slot portion 14 has a widening opening 23, in order to facilitate the insertion of the archwire and to reduce irritation of the soft parts.
(84) The bracket base 8 is preferably meshed (waffle-like) and, by the design of the particularly shaped crimped edge (this may also be a beveled edge with about 15 degrees and a cut edge) and the at the “outlets”, i.e. the grooves 9, excess plastic that escapes easily when bonding the bracket to the tooth can be removed at the top or bottom in the region of the edges.
(85) The arch material can be hitherto known arch material, preferably of the order of size of 0.12 inches to 0.25 inches.
(86) The arch materials used are preferably round, but they may also be rectangular, oval, trapezoid or square in cross section.
(87) With the bracket according to the invention, a very significant reduction of friction is achieved.
(88) The conically tapering slot of the slot channel 17 and also the surface of the arch material contribute to the reduction in friction, and on this surface preferably a multiplicity of small “micro-hemispheres” are formed, as a result of which only a punctiform bearing surface is obtained, by means of which the reduction in friction is achieved.
(89) When the arch material rests in the conically tapering slot, the arch material does not rest directly on the wall of the slot channel, but rather on a plurality of “micro-hemispheres”, e.g. on three to ten of the elevations formed by the “micro-hemispheres”. Instead of the micro-hemispheres, web-like elevations 25 running alongside one another in the longitudinal direction of the fourth slot channel can also be formed in the latter (this is explained in
(90) Overall, are the in the slot channel 17 more than ten raised support points, which preferably hemispherical or several, e.g. webs 25 formed.
(91) These raised support points or webs 25, which are for example made in one piece with the bracket, have, in addition to the stated friction reduction, also the advantage that the arch material can better position itself between the hemispherical elevations (under certain circumstances also clamp), such that the seat of the arch material in the fourth slot portion 17, which leads upward, can be improved.
(92) The raised support points formed in the fourth slot portion 17 have at the base a diameter of, for example, up to 100 μm, are substantially circular at the base and have a height of 25 μm.
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(97) In general, it should first be noted that the bracket according to the invention according to
(98) Various perspectives of the bracket according to the invention can be seen in
(99) For the technical understanding of these figures, reference is made to all of the following figures which, in different views, show one and the same embodiment in the various views, sectional views and perspectives. These views are also largely self-explanatory to persons skilled in the art.
(100) Insofar as a dimension is indicated in the figures, this is to be understood merely as an example and is by no means restrictive.
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(103) In
(104) On the slot wall 18a, as can be clearly seen in
(105) It is then easier for the practitioner either to withdraw the entire arch from the fourth slot portion and/or on the other hand to detach the entire bracket from the tooth on which the bracket is affixed.
(106) The underside of the bracket is shown in
(107) If the adhesive material is applied to the bracket bottom 8 and in some cases too much material is applied, then, as can be clearly seen in
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(109) As can be seen in
(110) As can be seen in
(111) On the other hand, however, the arch itself can also be inserted into the setting 5, 26 surrounding the bracket so as to place a twisting (torsional) force on the tooth center, for example in order to move the tooth into its desired vestibular/oral/vertical direction or to hold it there.
(112) As can be seen particularly clearly in
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(114) The further figures, i.e.
(115) The “roundness” of the bracket surface can also be seen particularly clearly in
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(117) Such a bracket is attached in particular to the teeth which serve as a fixing point, be it, for example, a molar or, for example, a canine.
(118) As can be clearly seen in
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(120) As can be seen, the meshed structure consists essentially of rectilinear elevations and/or depressions which are formed at right angles or at 45° to one another and which thus form a very rough and enlarged surface and thus form a maximum contact surface area for the adhesive used.
(121) Instead of the meshed base according to
(122) On the one hand, the advantage of the mushroom base can be related to production, while on the other hand such a mushroom base also has the advantage that it offers the applied adhesive an even larger surface area for attachment to the base of the bracket.
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(124) The shape is elliptic (convex) in the longitudinal direction and moreover arched like a tortoise shell in the sagittal and apical occlusal direction, in order to reduce irritation of the mucosa (or inner lip) or tongue. On the vestibular aspect there is a distally open wing-like cutout 33, which serves for suspension of elastic rubber chains and/or intermaxillary elastics, steel ligatures, lace backs, etc.
(125) A furrow-shaped constriction 5 extends on the vestibular aspect in an annular shape to the bracket base and likewise serves for suspension of elastic chains and/or intermaxillary elastics or blocks.
(126) As can be seen in
(127) The bracket base is designed as has already been explained in the preceding figures (in particular
(128)
(129) The anterior tooth bracket shows a flatter bracket base (corresponding surface shape of an anterior tooth in the lower jaw region) corresponding to the small radius of the anterior teeth in the mesiodistal direction.
(130) Again, a recess 31 is provided for excess adhesive material, and the meshed base provides more hold on account of the increased surface area.
(131) The beveled, ramp-like formation 34 of the incisal portion of the bracket is advantageous in order to permit extensive jaw closure in the case of a maxillary front that is too steep and thereby to successively project the steep or retruded maxillary front simultaneously with jaw closure.
(132) The bevel sloping down to the “pit” 17 (fourth slot portion) has the function of the first slot portion 14, serving in the initial part of the slot portion to hold the arch in the part of the snug fit in the bracket during “arch movement”, and also in certain cases in the fourth slot portion 17 itself.
(133) In the example shown in
(134) The circumferential grooves 5, which are also formed as the constriction or notch, are intended to receive intermaxillary elastics, blocks, alastics, elastic chains, etc.
(135) The illustrated notch 32 is a predetermined breaking point.
(136) The shape of the apical half is in turn like a tortoise shell (outwardly curved with gentle transitions in the edge regions), which can also be designated as a convexity, in order to reduce irritation of the mucosa.
(137) Shafts/web 25 mounted on both sides of the snug fit serve to reduce friction.
(138) The pit apical to the snug fit (in the lower jaw) and occlusally (in the upper jaw) serves to receive the arch, insofar as the latter, for reasons relating to the tooth position, cannot be located in the slot channel 17 within the bracket system.
(139)
(140) The circumferential groove 5 and also the apical indent 35 are designed for intermaxillary elastics, blocks, alastics, elastic chains, etc.
(141) The shafts/webs 25 in the tunnel 36 serve to reduce friction.
(142) The vestibular surface is in turn like a tortoise shell, i.e. substantially convex, in order to reduce irritation of the mucous membrane.
(143) The bracket base is designed, as in the illustrations already shown, with an adhesive outlet channel 31 for excess material.
(144)
(145) The slot guide has a first slot portion 14, a second slot portion 15, a third slot portion 16, and a fourth slot portion 17 (already described with reference to
(146) The circumferential grooves/constrictions 5, 26 are provided to receive intermaxillary elastics, blocks, alastics, elastic chains, etc.
(147) The notch 32 serves as a predetermined breaking point in the event that the bracket is to be removed from the tooth. Then, when the two parts shown in
(148) The indent 35 located in the apical part serves for the suspension of chains, elastics or for the arch passage.
(149) The webs (can also be referred to as shafts) 25 in the fourth slot portion (snug fit) serve to reduce friction.
(150) Again, it can also be clearly seen from
(151) As already shown inter alia in
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(153) Here too, it can once again be clearly seen that the vestibular surface is like a tortoise shell, i.e. substantially convex in the longitudinal direction and in the transverse direction, in order to reduce irritation of the mucous membrane.
(154) The radii illustrated in the figures on the top of the bracket or on the side represent an example and may well serve as a “best mode design”.
(155) However, it should be pointed out in general that deviations from the radii are readily possible, without departing from the scope of protection of the invention.
(156) The radii indicated are therefore only given by way of example, in particular in order to describe the described tortoise shell structure of the vestibular surface of the bracket and the gently rounded curves thereof. As stated, by avoiding sharp edges of the vestibular surface of the bracket according to the invention, this is done to reduce or to completely avoid irritation of the tongue or of the inner aspect of the lip and thus the mucosa.
(157) The invention includes not only a single bracket, but also a set of brackets, e.g. a set consisting of molar bracket, premolar bracket, anterior tooth bracket for lower and upper jaw, and canine tooth bracket.
(158) The invention further includes not only a single such set, but also a set of brackets having different bracket sizes, such that the single bracket is also correspondingly adapted to the tooth size. It goes without saying that, for example, a large bracket does not fit a small tooth, but the respective bracket size must also be adapted to the tooth size.
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LIST OF REFERENCE SIGNS
(161) 1 bracket 2 notches 3 curvature 4 zenith 5 constriction 6 aperture 7 opening 8 bracket bottom (bracket base) 9 notches/grooves 12 channel 13 slot 14 first slot portion 15 second slot portion 16 third slot portion 17 fourth slot portion 18 slot wall 18a/18b opposite walls of the slot 18 19 lower base of the slot portion 17 20 end of the slot portion 17 21 bottom plane 22 wall plane 23 widened opening of the first slot portion 14 24 bracket body 25 web in the fourth slot channel 26 circumferential constriction/notch 27 drawn-down bracket edge 28 recess for supporting an arch above the constriction 26 29 mesh structure of the bracket underside (facing toward the tooth) 30 curved underside (approximating to the natural tooth curvature) 31 outlet channel for adhesive 32 predetermined breaking point 33 wing-like cutout 34 beveled ramp 35 apical indent 36 tunnel 37 notches 38 webs 39 opening 40 pit 41 edge 42 notches