Passive Self-Ligation Bracket Assembly
20210330429 · 2021-10-28
Inventors
Cpc classification
International classification
Abstract
A passive self-ligation bracket system for correcting malocclusions and tooth alignment, provides a first passive self-ligation bracket and a second passive self-ligation bracket, each of the first passive self-ligation bracket and the second passive self-ligation bracket having, a bracket body with a facial end portion, an opposing lingual end portion carrying a bracket base pad configured for adherence to a tooth, and a mid-body portion, a movable door engaged with the bracket body at the facial end portion, and means for exerting a predetermined torque on a tooth from the lingual end portion and from the mid-body portion, and the means for exerting the predetermined torque is defined in the mid-body portion, and has a center; and an archwire simultaneously slidably engaged within the means of the first and second passive self-ligation brackets exerts the predetermined torque.
Claims
1. A passive self-ligation bracket for treating malocclusions and tooth alignment that, in cooperation with an archwire, expresses torque upon a tooth from plural locations to provide tooth control in a vertical plane (Y-axis), horizontal plane (X-axis) and Z-axis plane, comprising: a bracket body and a movable door that is slidably engaged with the bracket body at one end portion thereof; a base pad area of the bracket body that is configured for attachment to the tooth, and opposite the movable door, that expresses standard/neutral torque upon the tooth to maintain the bracket body in a position aligned in the vertical plane and in the horizontal plane with adjacent bracket bodies attached to adjacent teeth; a mid-body portion between the base pad area and the movable door; an archwire slot defined in the bracket body, the archwire slot having a base wall, an upper wall and a lower wall, and the archwire slot, in combination with a lingual facing surface of the movable door forms an archwire tube that is defined by plural spaced apart corners that are not right angles, and two vertically adjacent corners of the archwire tube, proximate the base pad area are defined by arcs, and wherein the base wall and lingual facing surface of the movable door are both parallel to one another and to the vertical plane, and the upper and lower walls are spaced apart from one another by a predetermined distance and are parallel to one another and the upper and lower walls are both sloped relative to the horizontal plane, and the slope of the upper and lower walls relative to the horizontal plane expresses either a high torque couple, or a low torque couple upon the tooth when the archwire is engaged within the archwire tube; and the archwire tube has a center and the archwire tube is located in the mid-body portion to provide horizontal and vertical center level slot lineup so as to provide first, second and third order tooth control to the tooth, without pre-bending torque bends into the archwire; and the archwire, when engaged in the archwire tube has only single point contacts with the interior surfaces of the archwire tube.
2. The passive self-ligation bracket of claim 1 and wherein the archwire tube is defined by interior facing surfaces of more than four linear surfaces.
3. The passive self-ligation bracket of claim 1 and further comprising: a gateway wall within the archwire tube, and the gateway wall is parallel with the horizontal plane.
4. The passive self-ligation bracket of claim 3 and wherein the gateway wall is adjacent the movable door.
5. The passive self-ligation bracket of claim 1 and further comprising: a gateway defined in the end portion of the bracket body that carries the movable door and the gateway communicates with the archwire slot, and the gateway has a vertical dimension that is greater than the predetermined dimension of the archwire slot between the upper and lower walls.
6. The passive self-ligation bracket of claim 1 and wherein the base wall of the archwire slot has a mid-wall portion that is linear and is parallel with the vertical plane, and the mid-wall portion is located between the two arcs that form two of the spaced apart corners, and one arc communicates between the mid-wall portion and the upper wall, and the one arc communicates between the mid-wall and the lower wall, and the mid wall has a middle that is horizontally aligned with the center of the archwire slot.
7. The passive self-ligation bracket of claim 1 and wherein the two arced corners of the archwire tube proximate to the base wall have radiuses that can be the same or different from one another.
8. The passive self-ligation bracket of claim 1 and wherein the amount of torque expressed upon the tooth is dependent upon the predetermined distance between the upper wall and the lower wall of the archwire slot; and a thickness dimension of the archwire between a superior facing surface and an inferior facing surface thereof.
9. The passive self-ligation bracket of claim 1 and wherein the amount of torque expressed upon the tooth can be changed by changing the predetermined distance between the upper wall and the lower wall of the archwire slot.
10. The passive self-ligation bracket of claim 1 and wherein the archwire has a superior facing surface and a spaced apart inferior facing surface with a predetermined thickness dimension therebetween, and the amount of torque expressed upon the tooth is dependent upon the predetermined thickness dimension between the superior facing surface and the inferior facing surface of the archwire, in combination with the predetermined distance between the upper and lower walls of the archwire slot.
11. The passive self-ligation bracket of claim 10 and wherein the amount of torque expressed upon the tooth can be changed by changing the predetermined thickness dimension of the archwire.
12. The passive self-ligation bracket of claim 1 and wherein the amount of torque expressed upon the tooth is dependent upon the slope of the upper and lower walls of the archwire tube relative to the horizontal plane.
13. The passive self-ligation bracket of claim 1 and wherein the amount of torque expressed upon the tooth can be changed by changing the slope of the upper and lower walls of the archwire tube relative to the horizontal plane.
14. The passive self-ligation bracket of claim 1 and wherein the archwire within the archwire tube only has single point contacts with interior facing surfaces of the archwire tube.
15. A passive self-ligation bracket system for correcting malocclusions and tooth alignment, comprising: a first passive self-ligation bracket and a second passive self-ligation bracket, each of the first passive self-ligation bracket and the second passive self-ligation bracket having, a lingual end portion carrying a bracket base pad configured for adherence to a tooth, and a mid-body portion between the facial end portion and the lingual end portion, a movable door engaged with the bracket body at the facial end portion, means for exerting a predetermined torque on a tooth from the lingual end portion and from the mid-body portion, and the means for exerting the predetermined torque is defined in the mid-body portion, and has a center; and an archwire slidably engaged within the means of the first passive self-ligation bracket and slidably engaged within the means of the second passive self-ligation bracket for exerting the predetermined torque.
16. The passive self-ligation bracket system of claim 15 and wherein the means exerts a high torque couple.
17. The passive self-ligation bracket system of claim 15 and wherein the means exerts low torque couple.
18. The passive self-ligation bracket system of claim 15 and wherein, the archwire has no torque bends prior to engagement with the means, and the archwire physically contacts each respective means at plural spaced apart single point contacts to exert the predetermined torque.
19. A passive self-ligation orthodontic bracket for releasable attachment to a facial surface of a tooth, and for slidable engagement with an archwire to effect treatment of malocclusions and tooth alignment and for expressing a predetermined torque to a tooth without pre-bending of the archwire, the passive self-ligation orthodontic bracket comprising: a bracket body having, a facial end portion, a lingual end portion, a mid-body portion between the facial end portion and the lingual end portion, a superior facing surface and an inferior facing surface, and the inferior facing surface is spaced apart from and parallel to the superior facing surface, and the bracket body defines an archwire slot that has an upper wall proximate the superior facing surface, and a lower wall proximate the inferior facing surface and the lower wall is parallel to and spaced apart from the upper wall, by a predetermined distance, and the archwire slot further has a base wall that communicates between the upper wall and the lower wall opposite the facial end portion of the bracket body, and the base wall is perpendicular to the both the superior facing surface and perpendicular to the inferior facing surface of the bracket body, and the upper wall and lower wall are not parallel to the superior and inferior facing surfaces, and the archwire slot defines an archwire slot center, and defines a gateway that communicates with the facial end portion of the bracket body, and the archwire slot is sized to receive the archwire therein; a bracket base pad structurally carried at the lingual end portion of the bracket body, the bracket base pad configured for releasable attachment to the facial surface of the tooth; and a facial surface of the facial end portion of the bracket body is configured to slidably carry a movable door, and wherein the movable door has a facial facing surface and a lingual facing surface, and two opposing lateral edges, and the movable door is further slidably movable between an open position relative to the gateway of the archwire slot, and a closed position relative to the gateway of the archwire slot, and wherein, when the moveable door is in the closed position, the lingual facing surface of the moveable door and the archwire slot define an archwire tube that is defined by plural spaced apart corners which are not right angles, and wherein the archwire tube releasably encloses and slidably cooperates with the archwire to apply the predetermined torque to the bracket body at the slot center to effect first, second, and third order movements to the tooth, and wherein the archwire is freely axially movable within the archwire tube and relative to the bracket body, and wherein the lingual facing surface of the moveable door is parallel to the bracket slot base wall; and wherein the upper and lower walls of the archwire tube have a predetermined angular orientation/slope relative to the superior and inferior facing surfaces of the bracket body to direct the predetermined torque to the tooth and effect a resulting movement of the tooth; and wherein the archwire that is carried within the archwire tube is not pre-bent to impart the predetermined torque; and the archwire contacts interior walls of the archwire tube at only a single point contacts.
20. The passive self-ligation orthodontic bracket of claim 19 and further comprising: a gateway wall within the archwire slot and the gateway wall is parallel to the superior facing surface and the inferior facing surface of the bracket body and the gateway wall is located adjacent the movable door.
21. The passive self-ligation orthodontic bracket of claim 19 and wherein the gateway defined in the facial end portion of the bracket body has a vertical height dimension that is greater than the predetermined distance between the upper wall and the lower wall of the archwire slot.
22. The passive self-ligation orthodontic bracket of claim 19 and wherein the archwire tube is defined by more than four linear and inwardly facing surfaces of a periphery of the archwire tube, and corners interconnect the more than four linear and inwardly facing surfaces.
23. The passive self-ligation bracket of claim 1 and wherein the two corners of the archwire tube proximate to the base wall are angular.
Description
BRIEF DESCRIPTIONS OF THE DRAWINGS
[0076] Preferred embodiments of the invention are described, below, with reference to the following accompanying drawings.
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DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0134] This disclosure of the invention is submitted in furtherance of the Constitutional purposes of the U.S. Patent Laws “to promote the progress of science and useful arts”. (Article 1, Section 8).
[0135] The various surfaces/portions of the passive self-ligation (PSL) brackets, and related components, described herein have surfaces/portion designations may change depending upon the position of PSL bracket on the tooth in the maxillary jaw or mandibular jaw. In an effort to provide clarity, the reference frame herein, shall be relative to the patient's tongue. The following terms shall have the following meanings:
[0136] Upper Dental Arch: plurality of teeth within the maxillary jaw.
[0137] Lower Dental Arch: plurality of teeth within the mandibular jaw.
[0138] Occlusal Plane: biting surfaces of the teeth.
[0139] Facial: proximate to the lips/cheeks and opposite the tongue.
[0140] Lingual: proximate to the tongue.
[0141] Superior: vertically upper surface/portion.
[0142] Inferior: vertically lower surface/portion.
[0143] First Order Movement: rotation of the tooth and/or in-out position of the tooth relative to the respective dental arch. (
[0144] Second Order Movement: paralleling the roots of the tooth and/or elevation/depression of the tooth relative to the respective dental arch. (
[0145] Third Order Movement: torque that generates facial/lingual tipping of the tooth. (
[0146] Torque: force applied to the tooth by the bracket assembly to achieve proper facial/lingual angular orientation of the tooth. (
[0147] Horizontal Plane: plane represented by the X axis.
[0148] Vertical Plane: plane represented by the Y-axis.
[0149] Z axis plane: plane representing depth relative to the X-axis and the Y-axis.
[0150] Our Passive Self-Ligation (PSL) bracket assembly generally provides a passive self-ligation orthodontic bracket 10 that provides a high torque (proclining) couple, and a passive self-ligation bracket 11 that provides a low torque (retroclining) couple, each for releasable attachment to a facial surface 201 of a tooth 200, and for slidable engagement with an archwire 18 to effect treatment of malocclusions and tooth alignment and for expressing a predetermined torque to a tooth 200 from plural locations of the bracket 10, 11 without pre-bending of the archwire 18 to provide tooth control in a vertical plane (Y-axis), a horizontal plane (X-axis) and a Z-axis plane.
[0151] As shown in
[0152] Each bracket body 12 defines an archwire slot 19 that extends into the mid body portion 21 of the bracket body 12, and the archwire slot 19 has an upper wall 46 proximate the superior facing surface 22, and a lower wall 47 proximate the inferior facing surface 24. The lower wall 47 is parallel to, and spaced apart from, the upper wall 46 by predetermined distance 49. The archwire slot 19 further has a base wall 43 that communicates between the upper wall 46 and the lower wall 47 opposite the facial end portion 31 of the bracket body 12. The base wall 43 is perpendicular to the both the superior facing surface 22 and the inferior facing surface 24 of the bracket body 12 as well as perpendicular to the horizontal plane 180. Further, as shown in the Figures, the upper wall 46 and lower wall 47 are not parallel to the superior 22 and inferior facing surfaces 24, but rather are angulated/sloped relative thereto at a predetermined angle 50, 51 to provide a high torque couple 10, or a low torque couple 11, respectively. The archwire slot 19 defines an archwire slot center 177 that is in the mid body portion 21. Opposing corners 42, 44 of the base wall 43 which have predetermined radii, and are not right angles, extend between and connect, the base wall 43 to the upper and lower walls 46, 47 respectively.
[0153] The base wall 43 of the archwire slot 19 further has a mid-wall portion 53 that is linear and is parallel with the vertical plane 160. The mid-portion 53 is located between the two spaced apart corners 42, 44 of the base wall 43. One arced corner 44 communicates between a superior end of the mid-wall portion 53 and the upper wall 46, and the one arced corner 42, 44 communicates between an inferior end of the mid-wall 53 and the lower wall 47. The mid wall 53 further has a middle 53A that is vertically aligned with the center 177 of the archwire slot 19. The mid wall 53 is a linear/straight portion of the base wall 43 excluding the corners 42, 44.
[0154] Best shown in
[0155] The two arced corners 42, 44 of the base wall 43 of the archwire slot 19 may have radiuses that are the same, or the radiuses may be different from one another. In one preferred embodiment of the high torque bracket 10, the arced corner 44 proximate the upper wall 46 and the mid wall 53, has a radius larger than a radius of the vertically lower adjacent corner 42. Conversely, in one preferred embodiment of the low torque bracket 11, the arced corner 44 proximate the lower wall 47 and the mid wall 53 has a larger radius. The larger radius of the arced corner 44 provides strength and structural integrity to the respective bracket 10, 11 at a recognized “weak spot”, and provides additional strength when new materials, such as, but not limited to, ceramics, and/or wholly or partially translucent materials such as, but not limited to Transparent Zirconia, are used to form the bracket body 12. Further, the larger radius of corner 44 prevents/minimizes binding and friction in the event a cross-sectionally round shaped arch wire 18 is used in a treatment regime. (Cross-sectionally round archwires are known to “bind” in angled corners). It is however contemplated, that in some circumstances, the corners 42, 44 may be angled and not have a radius. As shown in the drawings, each of the interior facing surfaces 43, 46, 47, 53 of the archwire slot 19 are convexly curved in the interior direction (toward the center 177) to minimize binding and friction.
[0156] The archwire slot 19 further defines a gateway 25 (
[0157] A bracket base pad 32 is structurally carried at the lingual end portion 21 of the bracket body 12. The bracket base pad 32 is configured for releasable attachment to the facial surface 201 of the tooth 200. As shown in
[0158] A movable door 14 is carried at the facial end portion 31 of the bracket body 12 and is operable to open, and to occlude, the gateway 25. The facial facing surface 30 of the facial end portion 31 is structurally configured to operatively engage with, and movably/positionally support, the movable door 14 relative to the gateway 25. The movable door 14 has a facial facing surface 15 and an opposing lingual facing surface 45, and two opposing lateral edges 16. The movable door 14 is further slidably movable between an open position relative to the gateway 25 of the archwire slot 19 (
[0159] The archwire tube 90 releasably encloses and slidably cooperates with the archwire 18 to apply the predetermined torque to the bracket body 12 at the slot center 177 to effect the desired first, second, and third order movements to the tooth 200. The archwire 200 is freely axially movable within the archwire tube 90 relative to the bracket body 10, 11. As shown in the Figures, the lingual facing surface 45 of the moveable door 14 is parallel to the mid wall 53 of the base wall 43 and is spaced apart from the mid wall 53 by predetermined distance 48.
[0160] As can be seen in the Figures, the upper 46 and lower 47 walls of the archwire tube 90 have a predetermined angular orientation/slope 50, 51 (
[0161] A superior tie wing 190 may be carried by the bracket body 12 on the superior facing surface 22 at the facial end portion 31 and vertically above the gateway 25. Similarly, an inferior tie wing 191 may be carried by the bracket body 12 on the inferior facing surface 24 at the facial end portion 31 and vertically below the gateway 25. The superior and inferior tie wings 190, 191 facilitate placement of elastics and/or auxiliaries (not shown) and the like if necessary in the treatment regime. A superior tie wing space 192 is defined between a lingual facing surface of the superior tie wing 190 and the bracket base pad 32, and an inferior tie wing space 193 defined between a lingual facing surface of the inferior tie wing 191 and the bracket base pad 32. The superior tie wing space 192 and the inferior tie wing space 193 are substantially similar in dimension in order to ease application of the elastics and auxiliaries (not shown) and the like. Maintaining similarly dimensioned tie wing spaces 192, 193 with torque applying brackets 10, 11 is another novel aspect of the instant invention.
[0162] As shown in
[0163] The predetermined thickness dimension 18E between the flat superior facing surface 18A and the flat inferior facing surface 18B of the archwire 18, in combination with the angle/slope 50, 51 of the archwire tube 90, and the predetermined distance 49 between the upper and lower walls 46, 47 of the archwire tube 90, determines the direction and amount of torque expressed upon the tooth 200. Further, the amount of torque can be changed by altering one or more of the predetermined thickness dimension 18E; the angle/slope 50, 51 of the archwire slot 19; and/or the predetermined distance 49. As mentioned previously, “overdrive” arch wires 18 are available and are an additional option for a clinician to use during a treatment regime. The gateway 25 allows insertion of such “overdrive” arch wires 18 into the archwire slot 19. It is to be noted, that a variation of 0.001 inch in the thickness dimension 18E of the archwire 18 generates approximately 3° of rotation of the bracket 10, 11. Stated another way, increasing the thickness dimension 18E of the archwire 18 by 0.001 inch adds +3 degrees torque to a high torque bracket 10. Similarly, increasing the thickness dimension 18E of the archwire 18 by 0.001 inch adds −3 degrees torque to a low torque bracket 11.
[0164] Each archwire 18 also has a predetermined diameter (width dimension) between the two diametrically opposed radially curved surfaces 18C. The predetermined diameter is selected to maintain consistent first order and second order control of the teeth 200 when the archwire 18 is within the archwire tube 90 and cooperating with the respective bracket bodies 12. The predetermined thickness dimension 18E of the archwire 18 between the flat superior facing surface 18A and the flat inferior facing surface 18B controls an application of force to the respective bracket bodies 12 to direct third order control to the teeth 200.
[0165] In one preferred embodiment, the archwire 18 is formed of Copper Nickel Titanium (CuNiTi) wire. Copper Nickel Titanium (CuNiTi) is known as a relatively soft material that does not hold bends and tends toward its original configuration/shape. Materials other than CuNiTi and/or Titanium Molybdenum (TiMA) and/or Stainless Steel (SS) that are presently known, and/or discovered in the future, may likewise be used for the archwire 18. Further still, the present state of manufacturing orthodontic brackets 10 is to use Powder Injection Molding (PIM) processes. However, manufacturing process such as, but not limited to, Addititive Manufacturing and/or 3D printing are also contemplated methodologies that may be used to manufacture brackets 10 and archwires 18 and such methodologies and technologies are expressly contemplated herein. Technologies and methodologies that are invented/discovered in the future may likewise be used to manufacture brackets 10 and/or archwires 18.
[0166] The archwire 18 is centered within the archwire tube 90, and the longitudinal center 18D of the archwire 18 is axially aligned with the center 177 of the archwire tube 90. Further, each of the exterior facing surfaces 18A, 18B, 18C of the archwire 18 only contact the adjacent interior surfaces 45, 46, 47, 53 of the archwire tube 90 at single points of contact 122, 123, 124, 125 to minimize friction and binding therebetween. The single point contacts 122, 123, 124, 125 minimize forces being applied to the tooth 200 to effect the desired movement required by the treatment regime, and as noted previously, use of lesser forces upon the teeth 200 has shown long-term improved health benefits.
[0167] The present invention is also a system for using plural passive self-ligation brackets 10, 11 for correcting malocclusions and tooth alignment. The system comprises a first passive self-ligation bracket 10, 11 and a second passive self-ligation bracket 10, 11. One or both of the first and second brackets 10, 11 may be a high torque bracket 10, and/or may be a low torque bracket 11. Each of the first and second passive self-ligation brackets 10, 11 has a bracket body 12 that has a facial surface 30 at a facial end portion 31, a lingual end portion 20 carrying a bracket base pad 32 configured for adherence to a facial surface 201 of a tooth 200, and a mid-portion 21 between the facial end portion 31 and the lingual end portion 20, a superior facing surface 22 that may have a superior tie wing 190, and an inferior surface 24 that may have an inferior tie wing 191, and the inferior surface 24 is spaced apart from, and parallel to, the superior facing surface 22.
[0168] Each bracket body 12 further has a movable door 14 engaged with the bracket body 12 at the facial end portion 31. The movable door 14 is slidably movable relative to the facial end portion 31 to open, and to occlude a gateway 25 communicating with the archwire tube 90 defined in the bracket body 12.
[0169] The archwire tube 90 is a means, and provides a means, for exerting a predetermined torque on the tooth 200 from the lingual end portion 31 of the bracket body 12, and from the mid-portion 21 of the bracket body 12. The means for exerting the predetermined torque defines a center 177, and the means is angulated/sloped 50, 51 relative to the superior and inferior surfaces 22, 24 respectively, of the bracket body 12, and relative to the horizontal plane 180 at a predetermined angle 50, 51 so as to express the predetermined torque.
[0170] The system further includes an archwire 18 that is slidably engaged within the means of the first passive self-ligation bracket 10 and slidably engaged within the means of the second passive self-ligation bracket 11 for exerting the predetermined torque. The archwire 18 has no torque bends prior to engagement with the means, and the archwire 18 physically contacts each respective means at plural spaced apart single point contacts to exert the predetermined torque.
[0171] The means may express a high torque couple upon the tooth 200, or the means may exert a low torque couple upon the tooth 200, or the means may exert a neutral/standard torque on the tooth 200.
[0172] The cross-sectional shape and dimensional size of the archwire 18, and the angular orientation 50, 51 and dimensional size 48, 49 of the means defined in the bracket body 12 provide the first, second and third order tooth control. The means and the archwire 18 are both manufactured to tolerances of approximately 0.0001 inch. Such precise manufacturing has only recently become available in the orthodontic practice, and was not possible only a few years ago.
[0173] The benefits of the present invention are provided by a combination of the thickness dimension 18E of the archwire 18, in combination with the dimensions 48, 49 of the archwire tube 90, and angular orientation/slope 50, 51 of the archwire tube 90, and not by torque bends in the archwire 18.
[0174] As shown in the Figures, the outer peripheral configuration of the low torque bracket 11 is substantially identical to the outer peripheral configuration of the high torque bracket 10 (except for the angulation/slope 50, 51 of the archwire slot 19). The base wall 43, and mid wall 53, remain parallel to vertical plane 160 and parallel to the lingual facing surface 45 of the movable door 14.
[0175] The brackets 10, 11 provide total tooth control with the combined torque outputs from two locations. Standard/neutral torque is applied to the tooth 200 from the bracket base pad area 32. (Torque in base). High, or low, or standard torque is applied to the tooth 200 from the archwire tube 90 in combination with the archwire 18 carried therein. The impact of combining the torque values from these two locations with an archwire 18, for the first time achieves first order, and second order and third order control of the tooth 200 without bending torque bends into the archwire 18.
[0176] Equally contemplated herein as part of the disclosed invention, is a third bracket body 12 with a neutral torque archwire slot 19, that also expresses neutral/standard torque in base-pad area 32. The neutral torque bracket body 12 has an outer peripheral configuration that is substantially identical to the outer peripheral configuration of the high and low torque bracket bodies 10 and 11. The neutral torque bracket (not shown) may be utilized in treatment regimens where a clinician desires to only place a neutral or standard torque bracket upon a given tooth 200 that is already in its proper third order position and only needs first and second order tooth positioning.
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[0192] As can be seen in the Figures, the center 177 of the archwire tube 90 is located at a generally medial position of the mid-body portion 21 of the bracket body 12, and the torque force applied to the bracket body 12 by the archwire 18 within the archwire tube 90 is axially centered at the center 177 of the archwire tube 90.
[0193] The archwire tube 90 has a predetermined height dimension 49 between the upper wall 46 and the lower wall 47, and the archwire 18 has a predetermined thickness dimension 18E between the superior facing surface 18A and the inferior facing surface 18B. The predetermined thickness dimension 18E of the archwire 18 imparts a torque force to the bracket body 12 at the mid-body 21 of the bracket body 12 to direct third order control to the respective tooth 200, while two diametrically opposed lateral surfaces 18C of the archwire 18 maintain first and second order control of the respective tooth 200.
[0194] The art and science of this invention will provide, and will have, a profound positive impact on the quality of patient care and at the same time simplifying clinical mechanics while dramatically decreasing treatment times.
OPERATION
[0195] It is believed the structure of our invention is readily apparent from the detailed description provided above. The operation of the invention is briefly described herein.
[0196] A plurality of passive self-ligation orthodontic brackets 10, 11 is used to treat malocclusions and tooth alignment, and for expressing first, second and third order torque control to teeth 200 to control tooth 200 movement in the horizontal plane 180 (X-axis), the vertical plane 160 (Y-axis) and the Z-axis plane without placing torque bends in the archwire 18.
[0197] A first and a second passive self-ligation orthodontic bracket 10, 11 are provided. Each of the first passive self-ligation orthodontic bracket 10, 11 and the second passive self-ligation orthodontic bracket 10, 11 having a bracket body 12, each bracket body 12 having a facial end portion 31 having a facial facing surface 30, a lingual end portion 20, a mid-body portion 21 between the facial end portion 31 and the lingual end portion 20, a superior facing surface 22 and an inferior facing surface 24 that is parallel to the superior facing surface 22. Each bracket body 12 further defines an archwire slot 19 that extends into the mid body portion 21 of the bracket body 12, and the archwire slot 19 has an upper wall 46 proximate the superior facing surface 22, and a lower wall 47 proximate the inferior facing surface 24, and the lower wall 47 is parallel to the upper wall 46, and spaced apart from the upper wall 46 by a predetermined height dimension 49. A base wall 43 that has a linear mid wall 53 portion, communicates between the upper wall 46 and the lower wall 47 opposite the facial surface 30 of the bracket body 12. The mid wall 53 of the base wall 43 is perpendicular to the both the superior facing surface 22 and the inferior facing surface 24 of the bracket body 12 and is angular relative to the upper wall 46 and the lower wall 47 and relative to the horizontal plane 180. The archwire slot 19 further defines a center 177, and defines a gateway 25 that communicates with the facial surface 30 of the bracket body 12. The archwire slot 19 is sized to receive the archwire 18 therein.
[0198] The first and second bracket bodies 12 each have a bracket base pad 32 structurally carried at the lingual end portion 20 of the bracket body 12. The bracket base pad 32 configured for releasable attachment to the facial surface 201 of a first tooth 200 and to a second tooth 200, and each bracket base pad 32 is oriented, relative to the respective bracket body 12, and relative to the vertical plane 160 that is perpendicular to the superior and inferior surfaces 22, 24 at a predetermined angle to express a predetermined torque force on the respective first tooth 200 and second tooth 200.
[0199] Each bracket body 12 may have a superior tie wing 190 carried by the bracket body 12 on the superior facing surface 22 adjacent the facial surface 30 and vertically above the gateway 25 to the archwire slot 19, and each bracket body may have an inferior tie wing 191 carried by the bracket body 12 on the inferior facing surface 24 adjacent the facial surface 30 and vertically below the gateway 25 to the archwire slot 19.
[0200] The facial end portion 31 of each bracket body 12 is configured to slidably carry a movable door 14. The movable door 14 has a facial surface 15 and an opposing lingual facing surface 45, and two opposing lateral edges 16, and the movable door 14 is slidably movable between an open position relative to the gateway 25 of the archwire slot 19, and a closed position relative to the gateway 25 of the archwire slot 19. When the moveable door 14 is in the closed position relative to the gateway 25 of the archwire slot 19, the lingual facing surface 45 of the moveable door 14 and the archwire slot 19 define an archwire tube 90 having a cross-sectional shape that is defined by more than four linear surfaces, and by plural spaced apart corners 42, 44 none of which are right angles. The archwire tube 90 encloses and cooperates with the archwire 18 to apply predetermined forces to the first bracket body 12 and to the second bracket body 12 to effect first, second, and third order movements to the first tooth 200 and to the second tooth 200, and the archwire 18 is axially movable within each archwire tube 90 relative to the first bracket body 12 and relative to the second bracket body 12, and the lingual facing surface 45 of the moveable door 14 of each bracket body 12 is parallel to the mid wall 53 of the archwire tube 90.
[0201] The archwire tube 90 of each bracket body 12 has a predetermined angular orientation/slope 50, 51 relative to the superior 22 and inferior 24 facing surfaces of the respective bracket body 12 and relative to the horizontal plane 180 to direct a predetermined torque to the tooth 200 so as to effect a resulting movement of the tooth 200.
[0202] The first passive self-ligation orthodontic bracket 10, 11 is affixed to the facial surface 201 of a first tooth 200 by the clinician.
[0203] The clinician thereafter vertically aligns and affixes a second passive self-ligation orthodontic bracket 10, 11 to the facial surface 201 of a second tooth 200 so that the second passive self-ligation orthodontic bracket 10, 11 is vertically aligned with the first passive self-ligation bracket 10, 11 affixed to the first tooth 200.
[0204] An archwire 18 is provided. The archwire 18 has no intentionally formed torque bends therein and has a substantially uniform cross-sectional shape. The substantially uniform cross-sectional shape has a generally planar/flat superior surface 18A, a generally planar/flat inferior surface 18B that is parallel to and spaced apart from the generally planar/flat superior surface 18A by a predetermined thickness dimension 18E, and the archwire 18 has two diametrically opposed lateral surfaces 18C that may be, or may not be, arced, with a predetermined diameter dimension therebetween, and the archwire 18 has a first original configuration that represents a dental arch of a patient.
[0205] The clinician places the archwire 18 within the archwire slot 19 of the first bracket body 12 and places the archwire 18 within the archwire slot 19 of the second bracket body 12, and places the archwire 18 in the archwire slot 19 of each and every other bracket body 12 along the dental arch. Thereafter, the clinician moves the movable door 14 of the first passive self-ligation orthodontic bracket 10, 11 to a closed position, and moves the movable door 14 of the second passive self-ligation orthodontic bracket 10, 11 to the closed position, (and thereafter doing the same for each bracket 12 along the dental arch) so that the archwire 18 is retained in the archwire tubes 90 but is also axially slidably movable within the archwire tubes 90 defined by the bracket bodies 12 so as to effect the treatment of the malocclusion and to effect tooth alignment.
[0206] The process of installing bracket bodies 12 on the teeth 200 of the second to dental arch, and inserting an archwire 18 in the archwire slots 19 thereof is repeated. Thereafter, and if determined appropriate by a clinician to continue the treatment regime, a second archwire 1 is provided. The second archwire 18 has a thickness dimension 18E and a diameter dimension that is different from the first archwire 18. The clinician removes the first archwire 18 from the archwire tubes 90 of the brackets 10, 11 and inserts the second archwire 18 into the archwire slots 19 of the respective bracket bodies 12 and then closes the movable doors 14 thereon to secure the second archwire 18 in the respective archwire tubes 90 to continue the desired treatment regime to completion.
[0207] The description of the embodiments, and operation, of the invention is intended to cover all alternatives, modification, and equivalent arrangements as may be included within the spirit and scope of the invention as defined by the claims. In particular, those skilled in the art will recognize that the components of the embodiments of the invention described herein can be arranged in a multiple of different ways.
[0208] Having describe the structure and operation of our Passive Self-Ligation Bracket Assembly and its use in treating malocclusions and tooth alignment, we request issuance of Utility Letters Patent.