U.S. patent application number 09/740195 was filed with the patent office on 2001-06-28 for orthodontic supporting structure.
This patent application is currently assigned to SANKIN KOGYO KABUSHIKI KAISHA. Invention is credited to Kanomi, Ryuzo, Nakagawa, Katsuyuki, Shin, Yoshiharu.
Application Number | 20010005575 09/740195 |
Document ID | / |
Family ID | 26582671 |
Filed Date | 2001-06-28 |
United States Patent
Application |
20010005575 |
Kind Code |
A1 |
Kanomi, Ryuzo ; et
al. |
June 28, 2001 |
Orthodontic supporting structure
Abstract
An orthodontic supporting structure of the present invention
comprises an implant unit (21) which is implanted in a jaw bone and
a connecting unit (22) which includes an arm part (14) having a
fastening portion (15). The implant unit (21) has a narrow part
(18) in its upper portion (17). The connecting unit (22) further
includes an engaging part (26) having an opening (16a) at one end.
The engaging part (26) can fit on the narrow part (18) of the
implant unit (21). The connecting unit (22) can be attached to the
implant unit (21) in a simple way by just sliding the engaging part
(26) along the narrow part (18) and then crimping far ends (26b) of
the engaging part (26).
Inventors: |
Kanomi, Ryuzo; (Himeji-shi,
JP) ; Nakagawa, Katsuyuki; (Otawara-shi, JP) ;
Shin, Yoshiharu; (Tokyo-to, JP) |
Correspondence
Address: |
Jordan and Hamburg
122 East 42nd Street
New York
NY
10168
US
|
Assignee: |
SANKIN KOGYO KABUSHIKI
KAISHA
|
Family ID: |
26582671 |
Appl. No.: |
09/740195 |
Filed: |
December 18, 2000 |
Current U.S.
Class: |
433/18 ;
433/173 |
Current CPC
Class: |
A61C 7/00 20130101; A61C
8/0096 20130101; A61C 8/0018 20130101 |
Class at
Publication: |
433/18 ;
433/173 |
International
Class: |
A61C 003/00; A61C
008/00 |
Foreign Application Data
Date |
Code |
Application Number |
Dec 28, 1999 |
JP |
11-375204 (PAT) |
Claims
1. An orthodontic supporting structure comprising: an implant unit
which is implanted in a desired site in a jaw bone; and a
connecting unit attachable to an upper portion of the implant unit,
the connecting unit including: an arm part having a fastening
portion which extends in an oral cavity; and an engaging part
having an opening at one end which is formed to allow the
connecting unit to detachably fit on the implant unit in a
direction intersecting a longitudinal axis of the implant unit.
2. An orthodontic supporting structure according to claim 1,
wherein the implant unit has a narrow part in the upper portion,
and the engaging part of the connecting unit has a U-shaped inner
surface structure which can fit on the narrow part of the implant
unit.
3. An orthodontic supporting structure according to claim 1,
wherein a locking mechanism is provided at a point of contact
between the implant unit and the connecting unit to prevent the
connecting unit from turning about the implant unit.
4. An orthodontic supporting structure according to claim 3,
wherein the arm part of the connecting unit and the engaging part
thereof, which is shorter than the arm part, are joined by an
intermediate part to together form a continuous J-shaped structure,
at least one portion of the inner surface of the intermediate part
having a flat area, a head of the implant unit provided just above
the narrow part of the implant unit has a polygonal cross section
or a generally circular or elliptical cross section with its side
cut to form a flat surface, and the locking mechanism is formed of
the flat area on the inner surface of the intermediate part of the
connecting unit and the flat surface of the head of the implant
unit, and wherein the flat area on the inner surface of the
intermediate part comes in contact with the flat surface of the
head when the connecting unit is mated with the implant unit.
5. An orthodontic supporting structure according to claim 3,
wherein the narrow part of the implant unit has a polygonal cross
section, an elliptical cross section or a generally circular cross
section with its side cut to form a flat surface, the engaging part
of the connecting unit has a polygonal inner surface structure, an
elliptical inner surface structure or a generally circular inner
surface structure with its side cut to form a flat surface such
that the engaging part can fit on the narrow part, and the locking
mechanism is formed of the cross-sectional shape of the narrow part
and the inner surface structure of the engaging part.
6. An orthodontic supporting structure according to claim 2,
wherein at least the engaging part of the connecting unit is made
of a plastically deformable material and the engaging part is fixed
to the narrow part of the implant unit by crimping the engaging
part.
7. An orthodontic supporting structure according to claim 1,
wherein at least the engaging part of the connecting unit is made
of a plastically deformable material and the width of the opening
in the engaging part is smaller than the maximum thickness of a
part of the implant unit where the engaging part is fitted.
8. An orthodontic supporting structure according to claim 1,
wherein the arm is made of a plastically deformable material.
9. An orthodontic supporting structure according to claim 1,
wherein the direction intersecting the longitudinal axis of the
implant unit is a direction generally perpendicular to the
longitudinal axis of the implant unit.
10. An orthodontic supporting structure according to claim 2,
wherein a head of the implant unit just above the narrow part
tapers off toward the longitudinal axis of the implant unit.
Description
BACKGROUND OF THE INVENTION
[0001] 1. Field of the Invention
[0002] The present invention relates to supports for correcting
abnormal dentition which can serve as supporting points for
relocating or moving an improperly positioned tooth in orthodontic
treatment.
[0003] 2. Description of the Related Art
[0004] Orthodontic treatment for correcting irregularities in teeth
arrangement, such as crowded teeth, reversed occlusion or
inclination of front teeth to the labial side, is getting
popular.
[0005] One of the most popular methods of orthodontic treatment
includes the steps of fixing brackets to surfaces of individual
teeth with an adhesive, for instance, passing an arch wire through
the brackets, and relatively moving the individual teeth by
applying external forces (which may be hereinafter referred to as
correcting forces in this Specification), such as pushing, pulling
or twisting forces, to the teeth by use of a restoring force caused
by the elasticity of the arch wire, so that the teeth would be
adjusted to take proper positions and directions to achieve as a
whole a correct dentition. This method may be hereinafter referred
to as relative movement orthodontic treatment.
[0006] In such relative movement orthodontic treatment, molars,
especially the first molars, which are large and difficult to move,
are used as sources of anchorage in most cases. It is, however, too
much to say that the molars do not move at all. In fact, the molars
which have been located at correct positions could be displaced in
certain cases as a result of orthodontic treatment. On the
contrary, there are cases where it is desired to positively move a
molar. In such cases, the orthodontic treatment involves
complicated movements and techniques for correcting the arrangement
of the teeth which would require an extended period of time,
imposing a heavy burden on a patient.
[0007] Another method of relative movement orthodontic treatment is
to use extraoral anchorage in which the head of a patient is used
as a source of anchorage, for instance. An extraoral anchorage
orthodontic appliance, however, imposes considerable mental pain
and stress on the patient because wearing the extraoral anchorage
appliance greatly affects his or her daily life.
[0008] In addition, the aforementioned method of relative movement
orthodontic treatment is not suited for correcting the position of
a single tooth.
[0009] To overcome the foregoing problems, U.S. Pat. No. 5,921,774
(Japanese Unexamined Patent Publication No. 10-99347) proposes
orthodontic treatment using an orthodontic supporting
structure.
[0010] This orthodontic supporting structure comprises an implant
portion (implant unit) to be implanted in a desired site in a jaw
bone and an exposed portion (connecting unit) which can be attached
to a head of the implant portion. The implant portion measures 2 mm
at the maximum in the diameter of its horizontal cross section and
the exposed portion includes an arm having a hook (fastening part)
which would extend into the oral cavity.
[0011] With the support implanted in the jaw bone, one end of a
resin chain or a metallic coil spring or the like is connected to
the fastening part of the support and the other end is connected to
a bracket or a lingual button, for instance, which is fixed to a
tooth in order to apply a correcting force, such as a pushing or
pulling force, to the tooth.
[0012] Since the arm of the orthodontic supporting structure allows
the fastening part serving as a supporting point for the correcting
force to be located away from the implant site in the jaw bone, it
is possible to situate the fastening part at a position most
preferable for applying the correcting force even when the support
is implanted where it does not interfere with nerves or tooth
roots.
[0013] The orthodontic supporting structure of the aforementioned
Publication is suited for correcting the position of a single tooth
because it can apply the correcting force directly to each
individual tooth. Furthermore, this orthodontic supporting
structure makes it possible to exert the correcting force from a
supporting point most suited to the tooth to be corrected without
adversely affecting correctly positioned teeth. Thus, the support
can correct the improperly positioned tooth without the need for
complicated orthodontic treatment and reduce the time period
required for the treatment.
SUMMARY OF THE INVENTION
[0014] An orthodontic supporting structure of the present invention
comprises an implant unit which is implanted in a desired site in a
jaw bone and a connecting unit attachable to an upper portion of
the implant unit, the connecting unit including an arm part having
a fastening portion which extends in an oral cavity and an engaging
part having an opening at one end which is formed to allow the
connecting unit to detachably fit on the implant unit in a
direction intersecting a longitudinal axis of the implant unit.
[0015] These and other objects, features and advantages of the
present invention will become more apparent upon a reading of the
following detailed description along with the accompanying
drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
[0016] FIG. 1A is a perspective view of a connecting unit of an
orthodontic supporting structure according to a first embodiment of
the invention;
[0017] FIG. 1B is a perspective view of an implant unit of the
support according to the first embodiment;
[0018] FIGS. 2A and 2B are diagrams illustrating how the connecting
unit of the first embodiment is fitted to the implant unit;
[0019] FIG. 3A is a perspective view showing a connecting unit of
an orthodontic supporting structure according to a second
embodiment of the invention;
[0020] FIG. 3B is a perspective view of an implant unit of the
support according to the second embodiment;
[0021] FIG. 4 is a front view illustrating how the connecting unit
of the second embodiment is fitted to the implant unit;
[0022] FIG. 5A is a top view of an orthodontic supporting structure
according to a third embodiment of the invention;
[0023] FIG. 5B is a side view of the orthodontic supporting
structure according to the third embodiment;
[0024] FIG. 6A is a top view of a connecting unit of an orthodontic
supporting structure according to a fourth embodiment of the
invention;
[0025] FIG. 6B is a top view of an implant unit according to the
fourth embodiment;
[0026] FIG. 6C is a side view of the implant unit according to the
fourth embodiment;
[0027] FIG. 7A is a top view of a connecting unit of an orthodontic
supporting structure according to a fifth embodiment of the
invention;
[0028] FIG. 7B is a top view of an implant unit according to the
fifth embodiment;
[0029] FIG. 7C is a side view of the implant unit according to the
fifth embodiment;
[0030] FIG. 8A is a top view of an orthodontic supporting structure
according to a sixth embodiment of the invention;
[0031] FIG. 8B is a cross-sectional view of the orthodontic
supporting structure according to the sixth embodiment taken along
line 8B-8B of FIG. 8A;
[0032] FIG. 9 is a top view of a connecting unit of an orthodontic
supporting structure according to a seventh embodiment of the
invention;
[0033] FIG. 10 is a top view of a connecting unit of an orthodontic
supporting structure according to an eighth embodiment of the
invention;
[0034] FIG. 11 is a diagram illustrating a first example of
treatment using an orthodontic supporting structure of the
invention;
[0035] FIG. 12 is a diagram illustrating a second example of
treatment using an orthodontic supporting structure of the
invention;
[0036] FIG. 13 is a diagram illustrating a third example of
treatment using an orthodontic supporting structure of the
invention;
[0037] FIG. 14 is a diagram illustrating a fourth example of
treatment using two orthodontic supporting structures of the
invention;
[0038] FIG. 15 is a diagram illustrating a fifth example of
treatment using an orthodontic supporting structure of the
invention; and
[0039] FIG. 16 is a horizontal cross section of a head of an
implant unit of an orthodontic supporting structure according to
another embodiment of the invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0040] Orthodontic treatment is performed in an oral cavity which
provides only a limited treatment space and requires the use of
such treatment appliances as an extremely small orthodontic
supporting structure (whose implant unit measures 1.2 mm in the
diameter of the horizontal cross section, for instance). Therefore,
the treatment is difficult to perform and requires an orthodontist
to have a high level of treatment skill. For this reason, there has
been the need for easier-to-use treatment appliances.
[0041] Accordingly, it is an object of the invention to provide
orthodontic supporting structures which allow easier handling and
operation.
[0042] An orthodontic supporting structure of the invention
comprises an implant unit which is implanted in a desired site in a
jaw bone and a connecting unit attachable to an upper portion of
the implant unit, the connecting unit including an arm which
extends in an oral cavity and has a fastening part and an engaging
part having an opening at one end which is formed to allow the
connecting unit to detachably fit on the implant unit in a
direction intersecting a longitudinal axis of the implant unit.
[0043] If the orthodontic supporting structure is of a type in
which the implant unit and the connecting unit are fixed by a
screw, the screw is necessarily an extremely small one which is
considerably difficult to handle in the narrow space of the oral
cavity. If a handle of a screwdriver used for turning the screw is
to be directed toward a cheek, for example, it would be even more
difficult to turn the screw.
[0044] In contrast, the connecting unit can be easily attached to
the implant unit by just sliding the connecting unit in a
horizontal direction toward the upper portion of the implant unit
in the present invention. This is because the orthodontic
supporting structure of the invention is constructed such that the
connecting unit can fit on the implant unit in the direction
intersecting the longitudinal axis of the implant unit as stated
above.
[0045] In this invention, the aforementioned horizontal direction
(or the direction intersecting the longitudinal axis of the implant
unit) is preferably a direction generally perpendicular to the
longitudinal axis of the implant unit.
[0046] This is because the implant unit is usually implanted
generally at right angles to a gingival surface, the direction
generally perpendicular to the longitudinal axis of the implant
unit is almost parallel to the gingival surface, and therefore, it
is possible to avoid interference with the cheek or lips if the
connecting unit is slid almost parallel to the gingival
surface.
[0047] Preferably, the orthodontic supporting structure of the
invention should be constructed such that the implant unit has a
narrow part in the upper portion and the engaging part of the
connecting unit has a U-shaped inner surface structure which can
fit on the narrow part of the implant unit.
[0048] In this construction, the narrow part of the implant unit
fits into the opening in the U-shaped inner surface structure of
the engaging part when the connecting unit and the implant unit are
mated. In addition, this construction prohibits the connecting unit
from coming off upward from the implant unit because a head of the
implant unit is thicker than the narrow part. Here, it is to be
noted that the direction in which the implant unit is implanted may
be regarded as a downward direction and its opposite direction may
be regarded as an upward direction in the present
specification.
[0049] In another preferred form of the invention, a locking
mechanism is provided at a point of contact between the implant
unit and the connecting unit to prevent the connecting unit from
turning about the implant unit.
[0050] When the connecting unit is mated with the implant unit, the
extending direction of the arm is fixed as the locking mechanism
prevents the connecting unit from turning about the implant unit.
It is therefore possible to maintain the fastening part at a
desired position.
[0051] In still another preferred form of the invention, the arm of
the connecting unit and the engaging part thereof which is shorter
than the arm are joined by an intermediate part to together form a
continuous J-shaped structure, the intermediate part having a flat
area at least in part of its inner surface, a head of the implant
unit just above the narrow part has a polygonal cross section or a
generally circular or elliptical cross section with its side cut to
form a flat surface, and the flat area on the inner surface of the
intermediate part comes in contact with the flat surface of the
head when the connecting unit is mated with the implant unit. The
aforementioned locking mechanism is formed of the flat area on the
inner surface of the intermediate part of the connecting unit and
the flat surface of the head of the implant unit.
[0052] In this construction, the connecting unit is prohibited from
turning about the implant unit when the former is mated with the
latter, because the flat area on the inner surface of the
intermediate part of the connecting unit comes in contact with the
flat surface of the head (any one side of the head if it has a
polygonal shape).
[0053] In yet another preferred form of the invention, the narrow
part of the implant unit has a polygonal cross section, an
elliptical cross section or a generally circular cross section with
its side cut to form a flat surface, and the engaging part of the
connecting unit has a polygonal inner surface structure, an
elliptical inner surface structure or a generally circular inner
surface structure with its side cut to form a flat surface such
that the engaging part can fit on the narrow part. In other words,
both the narrow part and the engaging part have a polygonal surface
structure, an elliptical surface structure or a generally circular
surface structure with its side cut to form a flat surface, and the
engaging part can fit on the narrow part in this preferred form of
the invention. The aforementioned locking mechanism is formed of
the cross-sectional shape of the narrow part and the inner surface
structure of the engaging part. The engaging part having such an
inner surface structure of course has the opening at one end.
[0054] In this construction, the connecting unit is firmly fixed to
the implant unit and is prohibited from turning in a reliable
fashion as the narrow part of the implant unit properly fits into
the engaging part.
[0055] Preferably, at least the engaging part of the connecting
unit is made of a plastically deformable material and the engaging
part is fixed to the narrow part of the implant unit by crimping
the engaging part. A typical example of such plastically deformable
material is metal, such as stainless steel, titanium, a titanium
alloy or an alloy of cobalt and titanium.
[0056] The connecting unit can be firmly fixed to the implant unit
by crimping the engaging part as stated above.
[0057] If the engaging part is not crimped, the connecting unit may
come off the implant unit when a force is applied to the connecting
unit in a direction opposite to the direction in which the
connecting unit is slid when fitting it to the implant unit. If the
engaging part is crimped as stated above, the connecting unit would
not come off even when such a force is applied thereto. Even if the
engaging part is not crimped, however, the connecting unit would
not come off if the force is applied in a direction within about
90.degree. on either side (180.degree. sector area as a whole) of
the direction in which the connecting unit is slid when fitting it
to the implant unit.
[0058] If the engaging part is not crimped as stated above, the
connecting unit can be easily removed from the implant unit. This
would make it easier to replace a wire or the like attached to the
fastening part or to alter the direction of traction exerted on a
tooth midway during orthodontic treatment.
[0059] In another preferred form of the invention, at least the
engaging part of the connecting unit is made of a plastically
deformable material and the width of the opening in the engaging
part is smaller than the maximum thickness of a part of the implant
unit where the engaging part is fitted.
[0060] If the opening in the engaging part is slightly smaller than
the part of the implant unit (e.g., the aforementioned narrow part)
where the engaging part is fitted, the edge of the opening in the
engaging part will come in contact with the part of the implant
unit and produce resistance when the connecting unit is slid in the
horizontal direction. If the connecting unit is forcibly pushed
further in the same direction, the plastically deformable engaging
part will easily deform, allowing the connecting unit to slide into
position. The engaging part restores its original shape at this
point and mates the implant unit and the connecting unit. In this
construction, the engaging part would not come off easily even when
a force is exerted on the connecting unit in a direction opposite
to the direction in which the connecting unit was slid.
[0061] As a correcting force exerted on a tooth is usually 100 to
300 g (980 to 2940 mN), and is 1 kg at the maximum, the engaging
part should preferably be made of a material capable of just
withstanding such correcting forces exerted in the direction
opposite to the direction in which the connecting unit was slid. A
typical example of such plastically deformable material is metal,
such as stainless steel, titanium, a titanium alloy or an alloy of
cobalt and titanium.
[0062] If it is desired to remove the connecting unit from the
implant unit, the connecting unit should be pulled in the direction
opposite to the direction in which the connecting unit was slid.
The pulling force will cause the engaging part to deform, allowing
the implant unit to slip off from the engaging part. The pulling
force should be just as large as to cause the engaging part to
deform overwhelming the aforementioned correcting force.
[0063] In the orthodontic supporting structure of this preferred
form the connecting unit can be easily attached to and removed from
the implant unit. This would make it easier to replace a wire or
the like attached to the fastening part or to alter the direction
of traction exerted on a tooth midway during orthodontic treatment
by once removing the fastening part.
[0064] In another preferred form of the invention, a projection is
formed in an inner surface of the engaging part of the connecting
unit and a recess which can fit on the projection is formed on the
implant unit. In this construction, the projection on the engaging
part fits into the recess in the narrow part when the connecting
unit and the implant unit are mated. As a result, the connecting
unit and the implant unit are fixed more securely and, therefore,
the connecting unit will not come off easily from the implant
unit.
[0065] In a further preferred form of the invention, the arm of the
connecting unit is made of a plastically deformable material.
[0066] Since the arm can be bent in a desired angular or curved
shape in this preferred form, it is possible to adjust the bend of
the arm to locate the fastening part at a desired position even
after the connecting unit has been firmly attached to the implant
unit. According to the invention, the orthodontic supporting
structure may be constructed such that the arm can be bent in
either the horizontal direction or vertical direction (parallel to
the longitudinal axis of the implant unit).
[0067] As a correcting force exerted on a tooth is 1 kg at the
maximum as stated earlier, the engaging part should preferably be
made of a material capable of just withstanding such correcting
forces after its plastic deformation.
[0068] Furthermore, it is preferable that an embedded portion of
the implant unit be not larger than 2 mm in diameter and that the
embedded portion of the implant unit be externally threaded.
FIRST EMBODIMENT
[0069] FIGS. 1A and 1B illustrate an orthodontic supporting
structure 10 according to a first embodiment of the invention, in
which FIG. 1A is a perspective view showing a connecting unit 12 of
the support 10 and FIG. 1B is a perspective view showing an implant
unit 11 of the support 10. FIGS. 2A and 2B are diagrams
illustrating how the connecting unit 12 is fitted to the implant
unit 11, in which FIG. 2A is a perspective view showing a situation
where the connecting unit 12 is just being fitted to the implant
unit 11 and FIG. 2B is a perspective view showing a situation where
their assembly has been completed.
[0070] The implant unit 11 includes an upper portion 17 which is
exposed to the oral cavity and an embedded portion 13 which is
embedded in a jaw bone, wherein a narrow part 18 is formed in the
upper portion 17. A head 19 of the upper portion 17 just above the
narrow part 18 is shaped into a regular octagon in top view.
[0071] The connecting unit 12 includes an arm 14 which extends into
the oral cavity with a ring-shaped fastening part 15 provided at a
far end of the arm 14. The connecting unit 12 further includes an
engaging part 16 having a U-shaped inner surface structure of which
size is appropriate to fit on the narrow part 18 of the upper
portion 17. The arm 14 and the engaging part 16 joined by an
intermediate part 92 having a flat inner surface together form a
continuous J-shaped structure. The connecting unit 12 is made of a
plastically deformable material, such as stainless steel, titanium,
a titanium alloy or an alloy of cobalt and titanium.
[0072] To attach the connecting unit 12 to the implant unit 11, an
opening 16a in the engaging part 16 is aligned with the narrow part
18 of the implant unit 11 and the connecting unit 12 is pushed in
the direction of arrow A shown in FIG. 2A until one of side
surfaces of the head 19 of the implant unit 11 comes into contact
with the flat inner surface of the intermediate part 92. Far ends
16b of the engaging part 16 are then crimped as shown in FIG. 2B to
complete assembly of the implant unit 11 and the connecting unit
12.
[0073] Since the flat inner surface of the intermediate part 92 and
one flat side surface of the head 19 are in close contact as stated
above, the connecting unit 12 is prohibited from turning about the
implant unit 11. Furthermore, since the far ends 16b of the
engaging part 16 are crimped as stated above, the connecting unit
12 would not easily come off even when a force is applied to the
connecting unit 12 in a direction opposite to the direction of the
arrow A. Moreover, the connecting unit 12 is prevented from coming
off upward because it is held in position by the head 19 which is
thicker than, or horizontally extends beyond, the narrow part
18.
[0074] The orthodontic supporting structure 10 can be assembled by
simple operation, just involving the steps of sliding the
connecting unit 12 in a horizontal direction shown by the arrow A
and then crimping (or mechanically bending) the far ends 16b of the
engaging part 16 to fix the connecting unit 12 to the implant unit
11 as stated above. This assembly operation can be easily carried
out even in a limited space like the oral cavity, so that the
orthodontic supporting structure 10 of this embodiment provides
ease of handling. Yet the connecting unit 12 can be firmly fixed to
the implant unit 11.
[0075] An operational procedure for performing orthodontic
treatment using the orthodontic supporting structure 10 is as
follows. First, an orthodontist implants the implant unit 11 in a
desired site in a jaw bone and waits until the embedded portion 13
of the implant unit 11 is firmly set in the jaw bone. Then, the
connecting unit 12 is fitted and fixed to the implant unit 11 by
the method described above. When fitting the connecting unit 12 to
the implant unit 11, the extending direction of the arm 14 can be
changed in steps of 45.degree. about the center of the implant
site, because the head 19 of the implant unit 11 has a regular
octagonal cross section.
[0076] Subsequently, one end of a rubber ring, a resin chain or a
metallic coil spring or the like is hooked to the fastening part 15
and the other end is connected to a bracket or a lingual button,
for instance, which is fixed to a tooth as in the conventional
fashion to thereby apply a correcting force to the tooth.
[0077] If it is desired to alter the direction of traction exerted
on the tooth during the treatment, it would be necessary to undo
the crimped far ends 16b of the engaging part 16, detach the
connecting unit 12 from the implant unit 11 and attach the former
to the latter again in a proper position. According to the present
embodiment, it is possible to adjust the direction of traction by
repositioning the connecting unit 12 leaving the implant unit 11 as
it is. This method of orthodontic treatment is preferable in that
it allows adjustment of the orthodontic supporting structure 10
without causing surgical damage to the jaw bone, whenever such
adjustment is needed.
SECOND EMBODIMENT
[0078] FIGS. 3A-3B and 4 illustrate an orthodontic supporting
structure 20 according to a second embodiment of the invention, in
which FIG. 3A is a perspective view showing a connecting unit 22 of
the support 20, FIG. 3B is a perspective view showing an implant
unit 21 of the support 20, and FIG. 4 is a front view showing how
the connecting unit 22 is fitted to the implant unit 21.
[0079] In this embodiment, a narrow part 28 of the implant unit 21
is shaped into a regular hexagon in top view as is a head 29 of an
upper portion 17 of the implant unit 21.
[0080] An engaging part 26 of the connecting unit 22 has an opening
16a at one end. This opening 16a has a generally hexagonal inner
surface structure having four sides and opening at one end, so that
the inner shape of the opening 16a is appropriate to fit on the
narrow part 28 of the implant unit 21. The connecting unit 22 has a
pair of side flaps 24 extending downward from two opposite sides of
a top plate part 23 which goes into contact with the head 29 of the
implant unit 21, so that inner surfaces of the side flaps 24 come
in contact with side surfaces of the head 29 when the connecting
unit 22 is fitted to the implant unit 21. An arm 14 and the
engaging part 26 of the connecting unit 22 joined by an
intermediate part 25 together form a continuous J-shaped structure.
The connecting unit 22 is made of a plastically deformable
material, such as stainless steel or titanium. In FIGS. 3A, 3B and
4, elements identical or equivalent to those shown in FIGS. 1A-1B
and 2 are designated by the same reference numerals and a
description of such elements is omitted.
[0081] To assemble the orthodontic supporting structure 20, the
opening 16a in the engaging part 26 of the connecting unit 22 is
aligned with the narrow part 28 of the implant unit 21 and the
connecting unit 22 is pushed until its engaging part 26 fits on the
narrow part 28. At this point, the two side flaps 24 of the
connecting unit 22 fit over two side surfaces of the head 29. Since
the narrow part 28 has a regular hexagonal cross section like the
head 29 and the engaging part 26 of the connecting unit 22 is
constructed into a corresponding shape in this embodiment, the
extending direction of the arm 14 can be adjusted in steps of
60.degree. when fitting the connecting unit 22 to the implant unit
21. Far ends 26b of the engaging part 26 are then crimped to
complete assembly as shown in FIG. 4.
[0082] Since the engaging part 26 fits on the narrow part 28 of the
implant unit 21 and the side flaps 24 fit over the head 29 as
described above, the connecting unit 22 is prohibited from turning
about implant unit 21. Furthermore, since the far ends 26b of the
engaging part 26 are crimped as stated above, the connecting unit
22 would not easily come off the implant unit 21. Moreover, the
connecting unit 22 is prevented from coming off upward because it
is held in position by the head 29 which is thicker than, or
horizontally extends beyond the narrow part 28, so that the
connecting unit 22 is firmly fixed to the implant unit 21.
THIRD EMBODIMENT
[0083] FIGS. 5A-5B are diagrams showing an orthodontic supporting
structure 30 according to a third embodiment of the invention, in
which FIG. 5A is a top view and FIG. 5B is a side view. In FIGS.
5A-5B, elements identical or equivalent to those shown in FIGS.
1A-1B and 2 are designated by the same reference numerals and a
description of such elements is omitted.
[0084] In this embodiment, an embedded portion 33 of an implant
unit 31 is externally threaded. A middle part of a head 39 of the
implant unit 31 has a hexagonal cross section in top view with
upper and lower parts of the head 39 tapering off from the middle
part as illustrated. A narrow part 38 of the implant unit 31 has a
circular cross section in top view. An engaging part 16 of a
connecting unit 12 has an opening 16a at one end and this opening
16a has a semicircular inner surface structure which fits over the
narrow part 38 of the implant unit 31.
[0085] The orthodontic supporting structure 30 of the third
embodiment allows an orthodontist to easily implant the implant
unit 31 by screwing it into a jaw bone. Since the middle part of
the head 39 has a hexagonal cross section, a wrench may be used
when implanting the implant unit 31, further facilitating
implanting operation.
[0086] Furthermore, since the head 39 of the implant unit 31 is
tapered downward, the engaging part 16 of the connecting unit 12
can be smoothly fitted onto the narrow part 38 of the implant unit
31.
[0087] Since an intermediate part 92 of the connecting unit 12 and
one flat side surface of the head 39 come in close contact with
each other in this embodiment as in the first embodiment, the
connecting unit 12 is prohibited from turning about the implant
unit 31.
[0088] Although far ends 16b of the engaging part 16 are not
crimped in FIGS. 5A-5B, the far ends 16b may be crimped to fix the
connecting unit 12 to the implant unit 31 more firmly.
[0089] Furthermore, this embodiment makes it easier to pass a resin
chain, for instance, through a hole in a fastening part 15 of an
arm 14 because the hole is countersunk as depicted in FIG. 5B.
FOURTH EMBODIMENT
[0090] FIGS. 6A-6C are diagrams showing an orthodontic supporting
structure 40 according to a fourth embodiment of the invention, in
which FIG. 6A is a top view of a connecting unit 42 of the support
40, FIG. 6B is a top view of an implant unit 31 of the support 40,
and FIG. 6C is a side view of the implant unit 31. In FIGS. 6A-6C,
elements identical or equivalent to those shown in FIGS. 1A-1B, 2
and 5A-5B are designated by the same reference numerals and a
description of such elements is omitted.
[0091] In this embodiment, the implant unit 31 has a narrow part 38
having a circular cross section in top view as well as a head 39
having a hexagonal cross section in top view. An engaging part 46
and an arm 14 of the connecting unit 42 joined by an intermediate
part 92 together form a continuous J-shaped structure. The
intermediate part 92 has a flat inner surface which comes in
contact with one side surface of the head 39.
[0092] The engaging part 46 forms a C-shaped circular arc which
fits on the narrow part 38 of the implant unit 31. The width B of a
constricted part of an opening 46a in the engaging part 46 is made
smaller than the diameter C of the narrow part 38. The constricted
part of the opening 46a is formed by projections 46c from both
sides of the engaging part 46. Two far ends 46b of the engaging
part 46 extending beyond the constricted part fan out as depicted
in FIG. 6A.
[0093] The connecting unit 42 is made of a plastically deformable
material, such as stainless steel, titanium or a titanium
alloy.
[0094] To attach the connecting unit 42 to the implant unit 31, the
engaging part 46 of the connecting unit 42 is aligned with the
narrow part 38 of the implant unit 31 and the connecting unit 42 is
slid in the direction of arrow A. Since the far ends 46b of the
engaging part 46 fan out as stated above, the narrow part 38 is
smoothly guided into the engaging part 46 until the narrow part 38
comes in contact with the projections 46c. If the connecting unit
42 is forcibly pushed further in the direction of arrow A, the
engaging part 46 deforms, or spreads outward, allowing the narrow
part 38 to pass between the projections 46c and completely fit in
the engaging part 46. Since the engaging part 46 restores its
original shape at this point, the narrow part 38 of the implant
unit 31 is prohibited from coming off the engaging part 46.
[0095] Furthermore, since one side surface of the head 39 is held
in close contact with the inner surface of the intermediate part 92
as in the foregoing embodiments, the connecting unit 42 is
prohibited from turning about the implant unit 31.
[0096] The connecting unit 42 is firmly fixed to the implant unit
31 in this fashion.
FIFTH EMBODIMENT
[0097] FIGS. 7A-7C are diagrams showing an orthodontic supporting
structure 50 according to a fifth embodiment of the invention, in
which FIG. 7A is a top view of a connecting unit 52 of the support
50, FIG. 7B is a top view of an implant unit 51 of the support 50,
and FIG. 7C is a side view of the implant unit 51. In FIGS. 7A-7C,
elements identical or equivalent to those shown in FIGS. 1A-1B, 2,
5A-5B and 6A-6C are designated by the same reference numerals and a
description of such elements is omitted.
[0098] In this embodiment, a narrow part 58 of the implant unit 51
has a hexagonal cross section in top view while a head 59 of the
implant unit 51 has a circular cross section in top view. As shown
in FIG. 7B, a cross-shaped recess 59a (intersecting slots) is
formed in a top surface of the head 59.
[0099] An engaging part 56 of the connecting unit 52 has an opening
56a at one end. This opening 56a has a generally hexagonal inner
surface structure having four sides and opening at one end, so that
the inner shape of the opening 56a is appropriate to fit on the
narrow part 58 of the implant unit 51.
[0100] To attach the connecting unit 52 to the implant unit 51, the
connecting unit 52 is slid in a horizontal direction so that the
narrow part 58 of the implant unit 51 slips into the opening 56a in
the engaging part 56 as in the foregoing embodiments. After fitting
the engaging part 56 to the narrow part 58 of the implant unit 51
in this way, far ends 56b of the engaging part 56 are crimped to
fix the connecting unit 52 in position.
[0101] Furthermore, since there is formed the cross-shaped recess
59a in the top surface of the head 59 in this embodiment, an
orthodontist may implant the implant unit 51 in a jaw bone by
screwing it with a screwdriver, for example.
SIXTH EMBODIMENT
[0102] FIGS. 8A-8B are diagrams showing an orthodontic supporting
structure 60 according to a sixth embodiment of the invention, in
which FIG. 8A is a top view and FIG. 8B is a cross-sectional view
taken along line 8B-8B of FIG. 8A. In FIGS. 8A-8B, elements
identical or equivalent to those shown in FIGS. 1A-1B, 2, 5A-5B and
7A-7C are designated by the same reference numerals and a
description of such elements is omitted.
[0103] A connecting unit 62 of the support 60 of this embodiment
has two arms 63, 64 each having a ring-shaped fastening part 15 at
a far end.
[0104] A narrow part 58 of an implant unit 61 has a hexagonal cross
section in top view while an engaging part 56 of the connecting
unit 62 has a generally hexagonal inner surface structure opening
at one end so that the engaging part 56 can fit on the narrow part
58 as in the fifth embodiment described above.
[0105] To attach the connecting unit 62 to the implant unit 61, the
engaging part 56 is fitted on the narrow part 58 and far ends 56b
of the engaging part 56 are crimped to fix the connecting unit 62
in position as in the foregoing embodiments.
[0106] This embodiment makes it possible to provide two supporting
points (fastening parts 15) for moving improperly positioned teeth
with the single support 60. The two arms 63, 64 of the support 60
need not necessarily be arranged in a straight line (180.degree.)
as shown in FIG. 8A but may be arranged in various ways.
SEVENTH EMBODIMENT
[0107] FIG. 9 is a top view of a connecting unit 72 of an
orthodontic supporting structure 70 according to a seventh
embodiment of the invention.
[0108] The connecting unit 72 of this embodiment has four arms 73,
74, 75, 76 each having a ring-shaped fastening part 15 at a far
end. According to the invention, the connecting unit may have three
or more arms like this.
[0109] With the orthodontic supporting structure having multiple
fastening parts as in the sixth and seventh embodiments, it is
possible to apply correcting forces to teeth from a plurality of
supporting points (fastening parts 15) by implanting the single
support.
EIGHTH EMBODIMENT
[0110] FIG. 10 is a top view of a connecting unit 82 of an
orthodontic supporting structure 80 according to an eighth
embodiment of the invention.
[0111] The connecting unit 82 of this embodiment has a hooklike
fastening part 85 formed at a far end of an arm. The fastening part
may be hook-shaped as in the present embodiment or may be shaped
like a button formed by swelling, or enlarging, the far end of the
arm.
EXAMPLES OF ORTHODONTIC TREATMENT
[0112] Practical examples of orthodontic treatment which can be
performed using the orthodontic supporting structures of the
invention are now described.
First Example of Treatment
[0113] FIG. 11 is a diagram illustrating a first example of
treatment according to the invention, in which the orthodontic
supporting structure 30 is implanted in a jaw bone 90 which is
covered with gingival mucosa 91. In FIG. 11, elements identical or
equivalent to those shown in FIGS. 1A-1B, 2 and 5A-5B are
designated by the same reference numerals and a description of such
elements is omitted.
[0114] After implanting the implant unit 31 in the jaw bone 90, the
connecting unit 12 is fixed to the implant unit 31 in the
previously described manner such that the fastening part 15 is
located at a desired position. Then, an orthodontist attaches one
end of a wire 93 to the fastening part 15 and the other end to a
bracket, for instance, which is fixed to a tooth. As a result, a
correcting force is applied to the tooth from a proper
direction.
[0115] According to the invention, the orthodontic supporting
structure 30 is located such that its top portion is exposed to the
oral cavity and a joint between the implant unit 31 and the
connecting unit 12 is situated apart above the gingival mucosa 91
when the support 30 is implanted in the jaw bone 90. It is
therefore possible to clean the joint by tooth-brushing, for
instance, and maintain good cleanliness.
[0116] Furthermore, it is possible to remove the support 30 from
the jaw bone 90 in an easy and quick manner upon completion of
orthodontic treatment since the top portion of the implant unit 31
is exposed to the oral cavity. This can be done by holding the top
portion of the implant unit 31 with pliers, for instance, and
extracting the implant unit 31. If the top portion of the implant
unit 31 exposed to the oral cavity is shaped into a regular
hexagon, the implant unit 31 may be removed by turning it with a
wrench to undo the externally threaded embedded portion 33 of the
implant unit 31. The support 30 can be removed easily and quickly
in this case as well.
[0117] Preferably, a curved surface 37 below the narrow part 18 of
the implant unit 31 should be polished to form a mirror surface.
This is because the mirror surface provides good affinity and
adhesion to a mucous tissue of the gingival mucosa 91 through which
the curved surface 37 passes.
[0118] If the connecting unit 12 breaks or the need arises to alter
the supporting point (location of the fastening part 15) during the
treatment, the connecting unit 12 can be replaced with new one.
Moreover, the wire 93 or a lingual chain may be directly attached
to the implant unit 31 if it is so desired.
Second Example of Treatment
[0119] FIG. 12 is a diagram illustrating a second example of
treatment according to the invention, in which the orthodontic
supporting structure 30 is implanted in a jaw bone 90. In FIG. 12,
elements identical or equivalent to those shown in FIGS. 1A-1B, 2,
5A-5B and 11 are designated by the same reference numerals and a
description of such elements is omitted.
[0120] While the arm 14 of the connecting unit 12 extends
horizontally in a straight line in the example of FIG. 11, the arm
14 may be bent in an angular or curved shape as shown in FIG. 12.
Such bending of the arm 14 is possible if it is made of plastically
deformable material.
[0121] If a wire 93 or the like attached to the arm 14 or to the
fastening part 15 goes in contact with gingival mucosa 91 and
causes discomfort or inflammation, or if it is desired to slightly
adjust the position of the fastening part 15 (supporting point), it
may be set apart from the gingival mucosa 91 or otherwise
repositioned by adjusting the bend of the arm 14. In a case where
the arm should be bent only in a vertical plane (parallel to the
longitudinal axis of the implant unit) and the direction of
correcting force lies on a line connecting the tooth to be
corrected and the implant unit, the arm need not fixedly extend in
a particular horizontal direction. In this case, the embedded
portion of the connecting unit and the narrow part of the implant
unit may have a circular cross section.
Third Example of Treatment
[0122] FIG. 13 is a diagram illustrating a more practical example
of orthodontic treatment which is performed for lowering a canine
96.
[0123] The implant unit 31 of the orthodontic supporting structure
30 is implanted in a jaw bone 90 in such a way that the implant
unit 31 would not interfere with the root or nerves of the canine
96. Subsequently, the connecting unit 12 is fixed to the implant
unit 31 while holding the fastening part 15 at a position where a
supporting point is to be located. Then, one end of a rubber chain
94 is attached to the fastening part 15 of the connecting unit 12
and the other end of the rubber chain 94 is fitted to a bracket 95
which is fixed to the canine 96, such that a downward pulling force
is applied to the canine 96.
Fourth and Fifth Examples of Treatment
[0124] FIG. 14 is a diagram illustrating a fourth example of
treatment according to the invention, in which two pairs of teeth
99 in the upper jaw are corrected using two orthodontic supporting
structures. In this example, the orthodontic supporting structures
as described in the sixth embodiment (FIGS. 8A-8B) each having two
arms 63, 64 are used.
[0125] FIG. 15 is a diagram illustrating a fifth example of
treatment according to the invention, in which two pairs of teeth
99 in the upper jaw are corrected using a single orthodontic
supporting structure. In this example, the orthodontic supporting
structure as described in the seventh embodiment (FIG. 9) having
four arms 73-76 is used.
[0126] In FIG. 15, leaf springs 98 are fitted to the fastening
parts 15 of the individual arms 73-76 of the orthodontic supporting
structure implanted in the upper jaw and far ends of the individual
leaf springs 98 are attached to lingual buttons 97 which are fixed
to the teeth 99. Correcting forces are applied to the multiple
teeth 99 in this way to correct their positions.
[0127] While the orthodontic supporting structures of the invention
have been described referring to the specific examples illustrated
in the accompanying drawings, the invention is not limited to those
examples. It will be apparent to those skilled in the art that the
various changes and modifications are possible in practical
applications without departing from the spirit and scope of the
invention and all such changes and modifications are included
within the technical features of the invention.
[0128] As an example, the invention may be modified such that a
projection is formed in an inner surface of the engaging part of
the connecting unit and a recess which can fit on the projection is
formed on the narrow part of the implant unit. In this variation,
the connecting unit and the implant unit are fixed more securely as
the projection on the engaging part fits into the recess in the
narrow part.
[0129] Furthermore, although the projections 46c on the engaging
part 46 of the fourth embodiment swell in the form of a gentle
hill, the projections 46c may be formed into a hooklike shape
curving more acutely inward. Such hook-shaped projections would
produce greater resistance to a force exerted on the connecting
unit in a direction opposite to the direction of arrow A shown in
FIG. 6A, so that the engaging part would not come off easily from
the implant unit.
[0130] FIG. 16 is a horizontal cross section of a head of an
implant unit of an orthodontic supporting structure according to
another embodiment of the invention. In this embodiment, an
intermediate part 92 of a connecting unit has a flat inner surface
like the one shown in FIG. 1A and the head of the implant unit has
a generally circular cross section with its side cut to form a flat
surface as shown in FIG. 16. When the connecting unit is fitted to
the implant unit, the flat surface of the implant unit comes in
close contact with the flat inner surface of the intermediate part
92 so that the connecting unit is prohibited from turning about the
implant unit.
[0131] As thus far described, the orthodontic supporting structures
of the present invention are easy to handle and the connecting unit
can be attached to the implant unit in a simple yet reliable
fashion even in the oral cavity which provides a limited treatment
space. Accordingly, the orthodontic supporting structures of the
invention relieve the orthodontist of excess work load in carrying
out orthodontic treatment.
* * * * *