ANTI-SNORING DEVICE
20230131956 · 2023-04-27
Inventors
Cpc classification
A61N2/06
HUMAN NECESSITIES
International classification
Abstract
The present invention is in the field of medical technology and relates to devices for preventing or alleviating snoring and apnea problems insofar as they can be attributed to what is known as snoring at the base of the tongue. In order to provide that they are easier and more comfortable to use and more effective than, for example, classic protrusion splints, but also do not cause the risk of a gag reflex, a connection system between the tongue and teeth is proposed that causes a retentive grab on the surface of the tongue by means of a rough surface facing the tongue, in particular by many small tips, which is characterized in that it contains a slide-on element for sliding onto several teeth on the left and right side of the upper jaw or the lower jaw, and comprises at least a respective one hook in its right- and left-sided molar areas or in its canine tooth areas, each for generating a form-fitting connection between the slide-on element and an undercut location on the respective row of teeth, with one such device being used in the upper jaw and one in the lower jaw, and permanent magnets located on the outside in housings (70) attract each other and hold the tongue firmly in place. Ridges (100) arranged equidistantly on the housings (70) allow a freely selectable, comfortable protrusion of the lower jaw.
Claims
1-11. (canceled)
12. A device for alleviating snoring and apnea problems, with a connection system which connects the tongue to the teeth so that the tongue body is reduced or prevented from sliding into the pharyngeal area, the connection system including a bite splint which is shaped or can be shaped in such a way that it is suitable for being pushed onto one or more teeth in the lower jaw, and contains a further bite splint which is shaped or can be shaped in such a way that it is suitable for being pushed on to one or more teeth in the upper jaw, wherein the bite splints each have a surface facing towards the tongue, which is shaped in such a way that in contact with the surface of the tongue they cause the tongue to be slip-resistant, the bite splints in their molar areas or in their canine areas, respectively, a) contain a permanent magnet or a magnetically attractable counterpart which is connected to the bite splint or can be connected to it by means of a positive connection, and b) contain at least one hook each for producing a positive connection between the bite splint and an undercut location on the row of teeth.
13. The device according to claim 1, wherein the hooks can hook with their tip into a passage serving as an undercut location between the gums and a more or less closed joint between two teeth in the right and left molar area.
14. The device according to claim 1, wherein the hooks are designed to be slightly flexible, and the hooks being under an appropriately set pretension on both sides with two opposite tips pointing towards each other can penetrate the same tooth gap when the bite splint is pushed onto the row of teeth.
15. The device according to claim 2, wherein the hooks are only present on the outer cheeks of the bite splints in the molar area, and the bite splints in the incisor area are made without an inner cheek or only with a very short inner cheek, the bite splints being able to be bent somewhat flexibly up and down, so that they can be bent up slightly for insertion and the hooks can be easily slipped over the row of molars.
16. The device according to claim 1, wherein the hooks are formed integrally with the bite splint.
17. A device for alleviating snoring and apnea problems, with a connection system which connects the tongue to the teeth so that the tongue body is reduced or prevented from sliding into the pharyngeal area, the connection system including a bite splint which is shaped or can be shaped in such a way that it is suitable for being pushed onto one or more teeth in the lower jaw, and contains a further bite splint which is shaped or can be shaped in such a way that it is suitable for being pushed on to one or more teeth in the upper jaw, wherein the bite splints each have a surface facing towards the tongue, which is shaped in such a way that in contact with the surface of the tongue they cause the tongue to be slip-resistant, the bite splints in their molar areas or in their canine areas, respectively, a) contain a permanent magnet or a magnetically attractable counterpart which is connected to the bite splint or can be connected to it by means of a positive connection, and b) consist of a flexible material so that they can be pushed over the row of teeth and can exert a certain clamping force on the row of teeth that is greater than the magnetic attraction force between the permanent magnet and the counterpart.
18. The device according to claim 1, wherein the bite splints have a recess with an insertion opening for the permanent magnets.
19. A device for alleviating snoring and apnea problems, with a connection system which connects the tongue to the teeth so that the tongue body is reduced or prevented from sliding into the pharyngeal area, the connection system including a bite splint which is shaped or can be shaped in such a way that it is suitable for being pushed onto one or more teeth in the lower jaw, and contains a further bite splint which is shaped or can be shaped in such a way that it is suitable for being pushed on to one or more teeth in the upper jaw, wherein the bite splints each have a surface facing towards the tongue, which is shaped in such a way that in contact with the surface of the tongue they cause the tongue to be slip-resistant, the bite splints in their molar areas or in their canine areas, respectively, a) contain a snap closure for snapping into one another, and b) consist of a flexible material so that they can be pushed over the row of teeth and can exert a certain clamping force on the row of teeth that is greater than the magnetic attraction force between the permanent magnet and the counterpart.
20. A device for alleviating snoring and apnea problems, with a connection system which connects the tongue to the teeth so that the tongue body is reduced or prevented from sliding into the pharyngeal area, the connection system including a bite splint which is shaped or can be shaped in such a way that it is suitable for being pushed onto one or more teeth in the lower jaw, and contains a further bite splint which is shaped or can be shaped in such a way that it is suitable for being pushed on to one or more teeth in the upper jaw, wherein the bite splints each have a surface facing towards the tongue, which is shaped in such a way that in contact with the surface of the tongue they cause the tongue to be slip-resistant, the bite splints in their molar areas or in their canine areas, respectively, a) contain a snap closure for snapping into one another, and b) contain at least one hook each for producing a positive connection between the bite splint and an undercut location on the row of teeth.
Description
DRAWINGS
[0047] Embodiments of the invention are shown in the drawings and explained in more detail in the following description.
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DESCRIPTION OF THE EXEMPLARY EMBODIMENTS
[0061] In the figures, the same reference symbols denote the same components or components with the same function.
[0062]
[0063]
[0064] The connecting body 10 according to the exemplary embodiment consists of a flexible, hard plastic, in the example made of the plastic PA12, which is suitable for 3D printing processes and is biocompatible. It is designed with sufficient space for the teeth of the upper and lower jaw, so that no individual adjustment to the personal dentition is necessary. According to the invention, the above-mentioned tips 64 are already worked into the material by the manufacturer. The tips 64 are present in an appropriate number and areal density on the surface of the rail facing the tongue, in the example 13 pieces on an approximately cuboid support element of approximately 4 cm in length, 8 mm in width and 1.4 mm in thickness. The basic shape of the tips is preferably conical or pyramidal or cylindrical. The height in the example is about 3 mm. The opening angle at the tip is about 15°. Depending on the hardness of the material used and the number of tips per unit area, the free height of the tips 64 above the surface of the support element should be adjusted so that the tongue does not cause any pain under slight pressure, but the tongue is still prevented from slipping away. The tips 64 are therefore not needle-sharp, but flattened to avoid pain or injury, but with a relatively edgy end to effectively prevent the tongue from slipping off.
[0065] According to the exemplary embodiment, a permanent magnet is now preferably provided on both end sections of the support element 60 in a cuboid, hollow housing 70 with a wall thickness of approximately 0.7 mm. After the device has been inserted into the mouth, the housing 70 sits laterally outside the row of teeth in the direction of the cheek in the molar area. Corresponding to an average shape of the outer contour of a row of teeth in human teeth, it is arranged slightly obliquely and approximately adapted to the outer contour of the row of teeth. It is formed in one piece with the support element 60 and the hook 90, described below, for anchoring the device in the row of teeth.
[0066] The permanent magnet or its magnetically attractable counterpart is 20 mm long, 5 mm wide and 1 mm thick and can be placed in the housing 70 after 3D printing or casting the device as shown in
[0067] The housings 70 have an internal height of 2.6 mm, so that, if necessary, two magnetically active cuboids can be arranged one above the other instead of just one, in order to be able to strengthen the magnetic force if necessary.
[0068] To use the device, a cuboid permanent magnet is first placed in each of the two housings 70 of the device for the upper jaw shown in FIG. The permanent magnet is made of an alloy containing neodymium. To insert it, it is held at an angle and pushed through the slot between the two locking bars.
[0069] In the device according to
[0070] In use of the device, it is preferred that the facing surfaces 80 of the four housings 70 touch in pairs, as shown in
[0071] In normal use, the magnets and their counterparts will remain lodged in the housings and will not fall out through the face facing the lips, even if the spacing of the closure webs 72 should be slightly excessive due to acceptable manufacturing tolerances, as there is always a certain attraction between the magnetically effective cuboids, which means that they always align themselves parallel to each other. Due to this parallelism, they are additionally prevented from leaving the housing by the obliquely sloping closure webs 72. However, a magnetically active cuboid that has gotten out of its housing through grossly improper use will not get into the throat because it is automatically drawn in the mouth of the sleeping person to one of the other cuboids that attract it. The risk of choking during sleep is therefore negligible.
[0072] Hooks 90 are attached with their shank 92 to the side of the housing 70 opposite the contact surface 80. The shank 92 has a relatively large contact area with the housing and is stably attached to the housing during manufacture by injection molding or 3D printing. The shank 92 ends conically in a curved piece 94, which curves about 90° inwards towards the row of teeth. The curved piece 94 then transitions into a straight tip, which has a length of about 5 mm and has a slightly conical shape, which tapers further and further to a slightly rounded tip of about 0.5 mm. This allows the tip to be inserted in most people into the common interdental spaces between two molars. As a result, the connecting body is anchored to the upper jaw or lower jaw and can counteract the weight of the tongue, which slips away downwards during a relaxed sleep, with a sufficiently large counterforce, so that the tongue can be reliably held in the front of the mouth in its status pressed between the two supporting elements by the many small points present there. The hook is preferably made in one piece with the support element for the anti-slip means by injection molding or 3D printing and is flexible to a certain extent.
[0073] Advantageously, due to their construction principle, the connecting bodies according to the invention do not require any individual adjustment by the dentist, but can be used at least by most adults without individual adjustment.
[0074]
[0075]
[0076] Referring to
[0077] The tip of the tongue is located further forward in the direction of the incisors or, depending on the individual bite, can also be pushed between the incisors in order to move the tongue body as a whole further away from the throat. An intense snorer can therefore stretch the tongue as far forward as possible and squeeze it in that position.
[0078] The partially squeezed tongue 30 shown hatched in
[0079] A positive side effect is that the teeth no longer touch, even if the person makes chewing movements during sleep and tends to grind their teeth and bruxism. Therefore, the device according to the invention is also suitable for people suffering from bruxism.
[0080] As can also be derived from
[0081] The support element 60 for the anti-slip tips 64, together with the two housings 70 and the two hooks 90, preferably forms a stable, one-piece workpiece.
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[0083]
[0084] With common reference to
[0085] A particularly simple and cost-saving embodiment results from the fact that the two devices for the upper and lower jaw are produced in exactly the same way using the same set of molds or the same 3D print data. The hooks can then be anchored in the lower jaw area, which in most people has a slightly smaller dental arch than in the upper jaw, for example between the 2nd and 3rd molars, and in the upper jaw between the first and second molars. As a result, a certain protrusion of the lower jaw is usually automatically achieved when the mouth is closed, which additionally reduces snoring.
[0086] If a person has a slightly smaller denture than average, they he can usually still use the connecting bodies because they preferably only have one hook per quadrant of the jaw. Then, to get a tight fit, the person with the smaller arch can hook the appliances further back in the jaw.
[0087] Another great advantage compared to the classic protrusion splints is that the connecting body for the lower jaw can be gradually shifted by a few millimeters relative to the connecting body on the upper jaw while wearing it, depending on need and depending on the occurrence of jaw pain, without it must be completely taken out of the mouth. This results in an individual adjustment option that is not available with many other classic protrusion splints.
[0088]
[0089] The magnetically active parts 66 are connected to the bite splint by being glued to the surface of the splint with an adhesive or a suitable dental cement. In a variation, the magnetically active parts 66 can be connected to the bite splint by means of a form-fitting connection, in that they can be inserted through an opening into a cavity with a format that matches the magnetically active parts, which is located parallel to the bite plane, so to speak, on the occlusal surface, and forms a kind of “Bag”—see also the description of
[0090] The anti-slip surface with the tips 64 connects integrally with it to the inner cheek 72 as in the example of
[0091] A matching push-on element can be produced analogously for the upper jaw. The bite splints can be applied in such a way that the upper jaw splint is inserted first and then the lower jaw splint, or vice versa. The rails can also be removed again.
[0092] This results in a comfortably portable device that prevents the lower jaw from moving towards the pharynx, while the tongue is again independently pulled away from the pharynx with the same device. In order to further increase user comfort, the inner cheek in the incisor area can also be omitted entirely.
[0093] Another great advantage compared to the classic protrusion splints is that the lower jaw splint can be gradually shifted a few millimeters against the upper jaw splint while wearing it, depending on need and depending on the occurrence of jaw pain, without the splint having to be completely removed from the mouth. This results in an individual adjustment option that is not available with many other classic protrusion splints.
[0094]
[0095]
[0096] With common reference to
[0097] In order to achieve that both bite splints do not require an individual adjustment by the dentist for sitting firmly on the rows of teeth in the molar area, two opposite, slightly flexible hooks 90 are provided to create a positive connection between the bite splint and an undercut location 82 on the row of teeth. Such undercut locations are often found in the molar region of humans at the bottom of the gap between two molars or at the bottom of the gap between the canine and the molar. The flexurally elastic hooks 90 have two opposing tips 84 at their ends, which point toward one another. They are under a certain pretension, so that the tips 84 penetrate into the tooth gap from both sides when the bite splint is pushed onto the row of teeth from above. When the bite splint is correctly placed and pushed onto the row of teeth of the molars, the flexible hooks 90 each yield somewhat, as a result of which the tips 84 initially diverge. This allows the splint to be pressed further onto the row of teeth, with the tips 84 of the hooks sliding on the edge of the gap between two teeth 74, 75 in the direction of the gums 76 until they snap into the “hole” of the undercut location 82 at the bottom of the tooth gap, because they are under an appropriately set preload. This gives the bite splint a sufficiently tight fit on its row of teeth in order to withstand the magnetic attraction force of the corresponding magnetically active parts 66, 70 and to transmit the magnetic force to the upper and lower jaw.
[0098] The opposing hooks 90 can be produced in one piece with the bite splint by means of molding or 3D printing and are preferably placed on the bite splint in such a way that they can snap into the tooth gap between the second and third molars. In one variant, they are placed so that they can snap between the first and second molars.
[0099] The permanent magnets 66 and their counterparts 70 are bonded to the respective bite splint by a biocompatible adhesive or dental cement. Alternatively, they can be attached to the respective bite splint in a form-fitting connection by pushing them into a pocket 86 before use, as explained above in
[0100] The universally fitting bite splints according to the exemplary embodiment in
[0101] In a preferred variant of the exemplary embodiment of the universally fitting bite splint, the hooks 90 are only present on the outer cheek in the molar area and the bite splint is produced in the incisor area without an inner cheek or only with a very short inner cheek, in such a way that it can be bent somewhat flexibly up and down. As a result, when inserting them, it can be bent open slightly with two hands gripped between the thumb and forefinger, as a result of which the hooks 90 can be easily slipped over the row of molars on the left and right. When released, the bite splint is pretensioned and the hooks 90 catch in the undercut location 82. To release the bite splint, the steps are carried out in reverse order. Alternatively, the user can slide a stick of dental floss between the row of teeth and the splint and pry the hook 90 out of the undercut location.
[0102] With well thought-out dimensioning of the universally fitting bite splint, one and the same bite splint of a certain size “small”, “medium” or “large” fits for the lower jaw and for the upper jaw. This has the advantages of even lower production costs and increased convenience of use because the user cannot mix up the splints.
[0103] The recess referred to as a “pocket” in the various variants of the bite splint according to the invention can also have a slit, preferably a longitudinal slit in the direction of the insertion opening for the magnetically active parts, through which a thin rod, such as a dental floss stick, can be inserted and the magnets 66 or its counterpart 70 can be pushed out of the pocket again. The slit can also be deliberately widened in order to reduce the magnetic force as little as possible through the material of the bite splint.
[0104] In a further exemplary embodiment, a protrusion splint is disclosed according to the previous description of
[0105]
[0106] The connection system again contains a slide-on element for sliding onto and hooking into the row of teeth on both sides, which also serves as a support element 60 for the tips 64, as described above. When used in the upper jaw as shown, it extends from the left to the right row of teeth in the same half of the jaw, for example from the left molar row across to the right molar row in the upper jaw. It can be anchored there with the aforementioned hooks 90 in an undercut location on the right and left coming from the outside in the respective molar area, as described above. The gently formed peaks 64, which determine the roughness of the surface, are now arranged on the opposite flat side of the support element 60 compared to
[0107] The gentle tips 64 are directed slightly toward the incisors to create a slight “barb action” against the surface of the tongue to further inhibit slippage of the tongue toward the throat. In this way, a particularly advantageous non-slip surface is formed.
[0108] For use in the upper jaw, the user hooks the device with the hooks 90 on the right and left into suitable tooth gaps in the molar area of the upper jaw. If he has a narrow jaw, he hooks the device further back because the dental arch is wider there. If he has a very wide jaw, he hooks it in further forward. Unsymmetric hooking also works. The non-slip surface thus stretches from left to right in the molar area of the upper jaw and is directed upwards. Then the user pushes his tongue into the narrow, free space between the palate of the upper jaw and the non-slip surface. The underside of the tongue comes into contact with the tips 64 on the non-slip surface. Since the tongue is normally thinner at the tip and thicker toward the back, the further it is pushed forward, the tongue lies more and more tightly between the palate surface and the non-slip surface when pushed forward. The palate and the non-slip surface exert increasing pressure on the tongue. For this purpose, the hooks 90 form the abutment lying in their respective undercut location of the row of teeth.
[0109] At some point when pushing forward, a “fixing point” is reached at which the tongue no longer slips back on its own due to the then sufficient pressure of the non-slip surface of the support element 60 when the user relaxes and lies on his back, as it is during sleep the case. Since the cross-sectional area of the tongue and its course from the tip of the tongue backwards is individually different for each person, and this also applies to the curvature of the upper jaw palate, this “fixing point” is also individual.
[0110] For this reason, the support element 60 is not made too deep, so that there is a free space between its front edge and the incisors, through which the tip of the tongue can push if it is necessary, for example for users with a narrow and thin, rather elongated tongue. The tongue can then be pushed further and further forward and, if necessary, rolls down again on the inner flanks of the incisors. In this way, a long, thin tongue can be held far back and frees the throat for snoring-free breathing.
[0111] In this basic version of the connection system according to the invention, the push-on element does not require permanent magnets on the sides and also no second push-on element if the user accepts that his lower jaw will fall back slightly when sleeping on his back.
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[0115] According to
[0116] Although the present invention has been described above on the basis of preferred exemplary embodiments, it is not limited thereto but can be modified in many different ways.
[0117] In a particularly pronounced embodiment for users where the tooth pattern is not average because teeth are missing or the mentioned undercut locations are not available or are unusable for other reasons, the connection to the jaw is not made by a hook, but by the fact that an individual fitted bite splint adapter is integrated into the connecting body. The adapter is preferably made by a dentist from an adhesive material by means of a dental impression in such a way that it is worked closely to the teeth of the tooth area and extends just beyond the equator of the teeth in the tooth area concerned. Thus, a sufficient counterforce for holding the tongue is created by the adhesive force then existing between the adapter and the tooth area. The adapter does not necessarily have to extend over the entire dental arch, but can, for example, only include one or two or three teeth. Connector bodies can also be made that have a combination of hooks and adhesive fittings to create the counter force as needed. The fitting can then be glued to a standard connector body using a suitable adhesive, and the hook can remain or can be previously separated from the standard body.
[0118] If snap closures or connecting elements that snap into one another are used instead of the magnetically active connecting elements, the snap closures or the detents should be made in such a way that they can be opened again without any problems using the strength of the jaw muscles.
[0119] Finally, the features of the subclaims can essentially be freely combined with one another and not through the order presented in the claims, provided they are independent of one another.