U.S. patent number 3,721,005 [Application Number 05/176,500] was granted by the patent office on 1973-03-20 for orthodontic bracket.
Invention is credited to Howard Cohen.
United States Patent |
3,721,005 |
Cohen |
March 20, 1973 |
ORTHODONTIC BRACKET
Abstract
A selectively adjustable orthodontic bracket for use in both
torqueing and uprighting of malpositioned teeth. The bracket
permits coupling a conventional orthodontic arch wire to the tooth
band positioned about a malpositioned tooth so as to permit
selective rotation of the arch wire either about its axis or
transversely thereto with respect to the tooth to thereby insure
the transmission of desired forces between the arch wire and the
tooth. The bracket is formed with a slotted arch wire engaging
plate, the arch wire being engaged within the slot of said arch
wire engaging plate. A universal joint is formed on the side of the
arch wire engaging plate remote from the slot for securement to the
tooth engaging band, the universal joint being selectively fixable
in any position to which set so that the arch wire engaging plate
may be rotated about an axis parallel or transverse to that of the
arch wire, to permit selective provision of either torqueing or
uprighting forces to the tooth.
Inventors: |
Cohen; Howard (Brooklyn,
NY) |
Family
ID: |
22644595 |
Appl.
No.: |
05/176,500 |
Filed: |
August 31, 1971 |
Current U.S.
Class: |
433/16 |
Current CPC
Class: |
A61C
7/14 (20130101) |
Current International
Class: |
A61C
7/00 (20060101); A61C 7/12 (20060101); A61c
005/08 () |
Field of
Search: |
;32/14A |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Peshock; Robert
Claims
What is claimed is:
1. An orthodontic bracket comprising:
a base member fixedly securable with respect to a tooth, the
position of which is to be corrected;
an arch wire engaging plate coupled to said base member;
a pivot coupling between said arch wire engaging plate and said
base member permitting selective pivoting of said plate about an
axis parallel to the arch wire; and
means for locking the plate against pivoting after it is set in a
desired angle whereby desired lines of torqueing force may be
established between the arch wire and tooth to correct buccal or
lingual displacement of the tooth.
2. An orthodontic bracket as in claim 1 in which said pivot
coupling comprises:
means supporting said arch wire engaging plate for rotation with
respect to said base member about an axis perpendicular to the arch
wire and extending into the dental arch in addition to permitting
rotation about an axis parallel to the arch wire, whereby both
torqueing and uprighting forces may be provided.
3. An orthodontic bracket as in claim 1 in which said pivot
coupling comprises a pivot support member extending perpendicularly
between the plane of said arch wire engaging plate and said base
member fixed to the tooth, said support member having a point
providing an axis about which said arch wire engaging support may
be pivoted.
4. An orthodontic bracket as in claim 3 in which said pivot support
member comprises a pair of spaced ears upstanding from said base
member; a pivot pin connection between said ears and said arch wire
engaging plate along an axis parallel to the arch wire; and said
means for locking the plate comprise a lock pin extending into a
locking aperture in said ears eccentric of said pivot pin.
5. An orthodontic bracket as in claim 4 in which said ears are
positioned on a gimbal ring rotatably mounted on said base member
about an axis perpendicular to said base member.
6. An orthodontic bracket as in claim 5 in which said gimbal ring
is provided with means for selectively fixing same in a selected
position after it has been rotated with respect to said base
member.
7. An orthodontic bracket as in claim 6 in which said gimbal ring
is mounted on a base ring, said gimbal ring and said locking ring
each having a locking aperture subject to alignment as said gimbal
ring is rotated; and a locking pin insertable into said apertures
to fix said gimbal ring against rotation with respect to said base
ring.
8. An orthodontic bracket as in claim 1 in which said pivot
coupling comprises: a socket; a member rotatably secured in said
socket and pivotable about two axes at 90.degree. with respect to
each other; and said means for locking the plate against pivoting
comprise means effecting fixing engagement between said socket and
member rotatably received therein to lock said member in a desired
orientation in said socket.
9. An orthodontic bracket as in claim 1 in which said pivot
coupling comprises:
a hollow split spherical socket member secured to said base member;
and
a ball secured to said arch wire engaging plate; and seated in said
socket; and said locking means comprise a selectively adjustable
screw extending between said socket member parts to bring same
together against said ball.
10. A method of applying torqueing forces to a buccally or
lingually displaced tooth comprising the steps of:
securing an arch wire in position in the mouth of a patient to
extend over the tooth, the orientation of which is to be
corrected;
securing a base member to the tooth;
securing a bracket to the arch wire;
pivoting the racket to the base member about an axis parallel to
the arch wire;
adjusting the bracket to a desired torqueing angle; and
fixing the bracket in the adjusted position.
Description
BACKGROUND OF THE INVENTIOn
This invention relates to the art of orthodontic appliances, and
more particularly to an improved bracket for use in both torqueing
and uprighting of malpositioned teeth. Thus a single bracket serves
for uprighting to correct mesiodistal displacement of the teeth
(i.e., displacement of the teeth between the mid and end points of
the dental arch); as well as for torqueing to correct buccal or
lingual tooth displacement (i.e., displacement of the tooth out of
or into the mouth).
In effecting repositioning of teeth by presently evolved
orthodontic techniques, bands are positioned about the teeth of the
patient, and the bands are provided with a bracket having a
horizontally extending rectangular in cross-section slot for
receiving and fixedly engaging a rectangular in cross-section arch
wire which extends across one or more teeth to be corrected. The
arch wire is anchored at its ends by inserting these ends into
sockets secured to the bands at the lateral extremities of the
teeth over which the arch wire extends.
Torqueing of a tooth to correct an undesired forward or inward tilt
of the tooth is accomplished by twisting the arch wire about its
axis, before anchoring its ends. The torque imparted to the wire
which tends to return to its non-twisted position is transferred to
the tooth via the bracket and band so as to "torque" the tooth. The
degree of twisting of the wire is not subject to desired careful
adjustment, since the amount of twist which is put into the wire
before it is positioned in the socket often changes between the
time of twisting and the time of insertion of the wire into the
anchoring socket and bracket slot.
In correcting a lateral misorientation of a tooth in which the
malpositioned tooth tilts to one side or the other, techniques have
been evolved utilizing a bracket along with means for twisting the
bracket about a horizontal axis perpendicular to the axis of the
arch wire. The conventionally employed twisting means are rubber
bands or wires connected to the bracket to "upright" same. The use
of these auxiliary members such as rubber bands or wires presents
problems, in that the wires or bands tend to stretch and require
manipulation in a relatively constricted area, thus preventing the
desired precise positioning to produce the necessary uprighting
forces.
Attempts have been made in the prior art to minimize these problems
of precise adjustment. Thus in Pearlman U.S. Pat. No. 3,423,833, an
uprighting bracket is provided which is rotatable about an axis
perpendicular to the tooth axis and may be set in a rotated
position so that the arch wire will provide desired uprighting
force to the tooth. This selectively adjustable rotation of the
bracket after positioning of the arch wire though facilitating
uprighting minimizes only a part of the problem, and still requires
a twisting of the arch wire to produce torqueing to correct buccal
or lingual malpositionings.
BRIEF DESCRIPTION OF THE INVENTION
It is with the above considerations in mind that the present
improved combination uprighting and torqueing bracket has been
evolved, providing for the maintenance of a selectively fixable
connection between an arch wire and a tooth band, with the twisting
of the arch wire in both an axial and transverse direction being
effected after the arch wire is in position to permit both
uprighting and torqueing to be provided by a single bracket without
requiring the use of auxiliary anchoring members, or preliminary
arch wire twisting.
It is accordingly among the primary objects of this invention to
provide an improved orthodontic bracket suitable for use in
providing both uprighting and torqueing displacement to a
tooth.
A further object of the invention is to provide an orthodontic
bracket which may be adjusted in the mouth of a patient to obtain
desired accuracy of positioning.
Another object of the invention is to provide a combined torqueing
and uprighting orthodontic bracket which may be set merely by
adjustment of the bracket to provide both torqueing and uprighting
forces to a tooth.
It is also an object of the invention to provide an orthodontic
bracket which can be used for torqueing without requiring any
pre-twisting of the arch wire, before positioning of the arch wire
in the mouth of a patient.
A further object of the invention is to provide an orthodontic
bracket which may be used for uprighting without requiring the use
of auxiliary rubber bands, wires, or springs to maintain the
bracket in desired orientation.
Another object is to provide an orthodontic bracket for connecting
an arch wire to a tooth which is simple of installation, requiring
minimal manipulation, and subject to rapid and simple
adjustment.
These and other objects of the invention which will become
hereafter apparent are achieved by forming an orthodontic bracket
with an arch wire engaging plate having means for securely gripping
and engaging an arch wire. The rear face of the arch wire engaging
plate is coupled to the tooth to be oriented by a universal joint
which permits selective adjustment of the bracket to provide
desired torqueing and/or uprighting forces to be transmitted
between the arch wire and the tooth.
A feature of the invention resides in the fact that the universal
joint between the arch wire engaging plate and the tooth can be
selectively set in any selected orientation while in the mouth of
the wearer.
Another feature of the invention resides in the fact that different
brackets or auxiliary rubber bands, wires, or springs do not have
to be employed to provide both uprighting and torqueing, and both
torqueing and uprighting are provided by a relatively simple
adjustment of the universal joint.
BRIEF DESCRIPTION OF DRAWINGS
The specific details of the invention, and their mode of
functioning will be described in clear, concise, and exact terms in
conjunction with the accompanying drawings wherein:
FIG. 1 is an enlarged perspective exploded view of one embodiment
of the bracket illustrating the details of one form of universal
joint for coupling the arch wire engaging plate to the tooth;
FIG. 2 is an enlarged perspective front elevational view of the
bracket shown in FIG. 1 applied to a tooth;
FIG. 3 is a cross-sectional view on a vertical plane through the
bracket on line 3--3 of FIG. 2;
FIG. 4 is a cross-sectional view through the bracket on line 4--4
of FIG. 2 showing a section transverse to that of FIG. 3;
FIG. 5 is an enlarged perspective view of another embodiment of the
bracket illustrating a ball and socket type of universal joint
connecting the arch wire engaging plate to the tooth;
FIG. 6 is an enlarged front elevational perspective view of the
bracket of FIG. 5 applied to a tooth;
FIG. 7 is a cross-sectional view on a vertical plane through the
bracket of FIG. 5 on line 7--7 of FIG. 6; and
FIG. 8 is a cross-sectional view through the bracket of FIG. 5 on
line 8--8 of FIG. 6.
DESCRIPTION OF PREFERRED EMBODIMENTS OF INVENTION
Referring now more particularly to the drawings, like numerals in
the various figures of the drawing will be employed to designate
like parts.
In the embodiment of the invention illustratively shown in FIGS.
1-4 the bracket 10 is formed with a base plate 12 adapted for fixed
securement with respect to a tooth T (see FIG. 2) the orientation
of which is to be corrected. Fixedly secured to the base plate 12
is a perforated base ring 14, having a plurality of spaced
peripheral perforations 16.
A gimbal ring 20 is arranged over base ring 14. Gimbal ring 20 is
of an internal diameter slightly larger than that of the external
diameter of base ring 14 so as to provide at least a push fit
between gimbal ring 20 and base ring 14 when gimbal ring 20 is
nested over base ring 14, and preferably a slip fit. The gimbal
ring 20 is provided with one or more perforations 22 about its
periphery and a ring lock pin 24 is provided of a dimension to
extend through base ring aperture 16 into gimbal ring aperture 22
to lock the rings 14 and 20 against relative rotation with respect
to each other. As illustrated, it is preferred that lock pin 24
have an offset end 25 to facilitate manipulation. The lock pin
should preferably have a diameter such as to provide a push fit in
the ring apertures. Pivot ears 26 and 27 are provided on
diametrically opposed ends of gimbal ring 20 as best seen in FIGS.
1 and 4, having a plurality of spaced ear apertures 28 arranged in
an arc on the ear and surrounding a pivot pin opening 30 on each
ear.
An arch wire engaging plate 33 is formed with a slot 35 to receive
and engage an arch wire. The slot 35 is illustratively shown as
rectangular in cross-section to engage the conventional rectangular
in cross-section arch wire. It will however be understood by those
skilled in the art that a variety of other slot configurations and
techniques may be employed for securing the plate 33 to an arch
wire within the scope of the invention. Flanges 37 and 38 are
formed on the arch wire engaging plate 33 extending from the plate
on the side opposite the arch wire receiving slot and spaced apart
a distance to straddle the gimbal ring ears 26 and 27. The flanges
37 and 38 are provided with a pivot pin opening 40 aligned with
pivot pin opening 30 in ears 26 and 27, so that the plate 33 may be
pivoted on gimbal ears 26 and 27 by means of pivot pin 41. A
locking pin aperture 43 is provided in each of flanges 37 and 38
spaced from the pivot pin opening 40 a distance equal to the
distance of apertures 28 from pivot pin opening 30 in the ears 26
and 27, so that the plate lock pin 45 may be inserted through the
flange locking pin aperture 43 into ear apertures 28 to fix the
angle of inclination of the plate 33 with respect to gimbal ring
20. Though a single locking pin aperture 43 may be employed in
flanges 37 and 38, it is preferred to provide a plurality of such
apertures arranged in an arc of a radius like that of the arc of
apertures 28 in ears 26 and 27 to facilitate adjustment of the
plate angle.
In the embodiment of the invention illustrated in FIGS. 5-8, a ball
and socket universal joint is substituted for the gimbal ring joint
of the FIGS. 1-4 embodiment.
The bracket 50 is formed with a base plate 52 to which is secured a
split hollow ball shaped socket 54. Socket 54 is formed of
resilient sheet material, and depending on the fabrication
techniques employed may be stamped from a stainless steel or alloy
of the type used for orthodontic appliances and welded or otherwise
affixed to the base plate 52, or it may be upset from the base
plate itself by conventionally employed sheet forming techniques.
The socket 54 is formed in two halves with ears 56 extending
adjacent each other from the socket halves. The ears 56 are formed
with an aperture 58, and at least one of the apertures 58 is
threaded to engage machine screw 59 after it has passed through the
aperture 58 in the other ear to thus bring the socket halves toward
each other.
The resilient nature of socket 54 permits the socket halves to be
spread to receive ball 62 which is dimensioned to be slightly
larger than the internal diameter of the socket so that the ball
though fitting in the socket will be securely engaged by the socket
walls when screw 59 is tightened. A stud 65 extends from the ball
62 through the slot 68 between the socket halves. The stud is of a
dimension such that there is clearance between the edges of the
socket and the stud sufficient to permit the ball to rolate
laterally as viewed in FIG. 5, as well as vertically in the slot
providing desired universal movement.
Arch wire engaging plate 73 is rigidly coupled to the stud 65.
Plate 73 like plate 33 is formed with an arch wire engaging slot
75.
OPERATION
In use both embodiments of the orthodontic bracket are applied by
conventional orthodontic techniques between the conventionally
employed arch wire and the tooth. Thus, the base plate 12 of the
FIGS. 1-4 embodiment, or the base plate 52 of the FIGS. 5-8
embodiment are secured either directly to the tooth, or preferably
utilizing more conventional orthodontic techniques to the
conventionally employed tooth band B (see FIGS. 2 and 6).
Securement of the base plate places the arch wire engaging plates
in position to receive the arch wire.
In the FIGS. 1-4 embodiment after the bracket and arch wire are
positioned in the mouth of the patient, adjustment of the bracket
to provide desired lines of force transmission between the arch
wire and the tooth is accomplished by adjusting the angle of the
arch wire engaging plate with respect to the base plate. Thus
uprighting forces to correct mesiodistal displacement of the tooth
are provided by removing gimbal ring adjusting pin 24 from
engagement in the base ring apertures 16, and turning the gimbal
ring 22 about the axis of generation of the ring to tilt the plate
33, as viewed in FIG. 2, to the right or left. After a desired
lateral tilt is attained, the adjusting pin 24 is moved to seat in
a base ring aperture 16 locking the gimbal 20 in a position such
that the forces transmitted from the arch wire to the tooth will
provide desired uprighting.
Desired forces to produce torqueing to correct buccal-lingual
displacement are obtained by tilting the arch wire engaging plate
33 about pivot pins 41 as viewed in FIGS. 1 and 3. In order to
effect pivoting, lock pin 45 is withdrawn from ear aperture 28
permitting plate 33 to be rotated about pivot pin 41 to a desired
orientation, at which time the lock pin 45 is moved into the ear
aperture 28 to lock the plate in its selected position with respect
to the tooth T to insure the transmission of desired torqueing
forces from the arch wire to the tooth.
In using the bracket of the FIGS. 5-8 embodiment of the invention,
adjustment of the position of the arch wire engaging plate 73 to a
desired angle with respect to the tooth to provide the transmission
of desired uprighting or torqueing forces between the arch wire and
the tooth is accomplished by loosening machine screw 59 to permit
separation of the halves of socket 54. Upon separation of the
halves of socket 54, ball 62 may be pivoted about the longitudinal
axis of stud 65 to tilt plate 73, as viewed in FIGS. 5 and 6 to
provide a desired uprighting angle. Tilting of the plate 73 to
slide stud 65 in slot 68 is also possible to provide a desired
torqueing angle. After the plate 73 is set, the machine screw is
tightened in the threaded aperture in socket ear 56 to draw the
halves of socket 73 together to engage the ball 62 and lock the
arch wire engaging plate in desired position.
It will of course be understood by those skilled in the art that
the above described orthodontic brackets may be fabricated of
conventionally employed materials such as stainless steel,
nichrome, acrylics, other plastics or metal alloys or the like
non-toxic substances used in orthodontic appliances.
The above disclosure has been given by way of illustration and
elucidation and not by way of limitation and it is desired to
protect all embodiments of the inventive concept within the scope
of the appended claims.
* * * * *