![]() Bite.
专利摘要:
The present invention relates to a bite (1) comprising an upper portion (4) intended to be engaged, in conditions of use of the bite, to the upper dental arch of a user, and a lower portion (2) intended to be positioned, in at least one condition of use of the bite, at the lower dental arch of the user. The lower portion (2) comprises an invitation portion (21) configured for and intended to determine a predetermined and controlled forward sliding of the user's jaw with respect to the relative jaw of the user by sliding forward the lower dental arch on the invitation portion (21) and allow at least partial support for the rear surfaces of a plurality of teeth of the lower dental arch of the user. The invitation portion (21) can be movable with respect to the upper portion (4). 公开号:CH712047A2 申请号:CH00071/16 申请日:2016-01-19 公开日:2017-07-31 发明作者:Lucera Gennaro 申请人:Lucera Invest Sagl; IPC主号:
专利说明:
Description [0001] The present invention relates to a bite. The invention can also find application in a device known as "flat bite". The bite is an orthodontic appliance intended to be interposed between the lower and upper dental arches of a user to modify their mutual positioning. [0002] Orthodontic appliances or appliances are known to reduce the damage caused by incorrect positions of the dental arches, or to reduce the effects deriving from other problems such as bruxism or teeth grinding. In general, incorrect positions of the dental arches cause tensions to the muscles of the face, neck and oral cavity (tongue muscles), on which essential processes such as chewing, swallowing and articulation of sounds depend. These muscular tensions are particularly undesirable as they can compromise the aforementioned processes. Furthermore, the muscles of the face, neck and oral cavity also act on the vertebral column and therefore their tension determines stresses from which an incorrect alignment of the vertebral column can result and therefore problems of posture, balance and gait. [0003] In order to re-educate the position of the dental arches, the known bites operate on the relative position of the dental arches. [0004] However, known bites do not guarantee a high efficacy in the re-education of the position of the dental arches and in postural re-education. [0005] Furthermore, the known bites do not allow to precisely control and define the positioning of the jaw of the user. [0006] Furthermore, the known bites do not allow to sufficiently reduce the known problems in terms of muscular tensions, postural imbalances, bruxism, etc. [0007] In this context, the main object of the present invention is to solve one or more of the problems found in the known art. [0008] An object of the present invention is to provide a bite capable of correcting incorrect positions of the user's jaw. [0009] An additional aim of the present invention is to propose a bite able to reduce or eliminate muscular tensions deriving from incorrect positions of the dental arches of the user and the consequent problems. [0010] A further object of the present invention is to provide a bite which allows postural re-education of the user. [0011] These objects and others, which will appear more clearly from the following description, are substantially achieved by a device according to what is expressed in one or more of the appended claims and / or the following aspects, taken alone or in any combination of them or in combination with any of the appended claims and / or in combination with any of the further aspects or characteristics described below. [0012] In one aspect, a bite is provided comprising: - a lower portion intended to be engaged, in conditions of use of the bite, to the lower dental arch of a user, - an upper portion intended to be positioned, in at least a condition of use of the bite, in correspondence with the upper dental arch of the user, - a portion for containing the user's tongue, in particular a portion of arched containment, in use conditions of the bite the language of the user being positioned below the containment portion. [0013] In one aspect, the containing portion comprises one or more through openings designed to place the portion of the oral cavity below the containment portion with the portion of the oral cavity in communication with the bite in conditions of use of the bite. above the containment portion. [0014] In one aspect, the upper portion further comprises a fixed ridge arranged externally and frontally with respect to said reference ridge, and in which the reference ridge is movable and / or slidable with respect to the fixed ridge. In one aspect, the regulator is arranged at a front portion of the bite. [0015] In one aspect, the regulator is arranged at a side portion of the bite. [0016] In one aspect, the regulator comprises at least one threaded adjustment element, in particular a worm screw, in the adjustment configuration, said at least one adjustment element operating on the contrast ridge to adjust its position. [0017] In one aspect, the regulator comprises a fixing element selectively operable respectively to allow movement, and to fix the position, of the feedback ridge. [0018] In one aspect, the fastening element comprises a threaded fixing nut. In one aspect, the regulator comprises two threaded adjustment elements arranged near opposite side portions of the bite. [0019] In one aspect, said at least one adjustment element is housed at least partially inside the fixed ridge. [0020] In one aspect, said at least one adjustment element passes through the fixed ridge. [0021] In one aspect, the regulator and / or the adjustment elements develop at least partially at the upper portion of the bite. [0022] In one aspect, the regulator and / or the adjustment elements develop at least partially at a side portion of the bite. [0023] In one aspect, the lower portion and / or the upper portion of the bite are made of resin or other compatible material certified for use. [0024] In one aspect, the check ridge is at least partially made of metallic material. [0025] In one aspect, the check ridge is covered in resin. [0026] In one aspect, the check ridge includes a metal frame covered in resin. [0027] In one aspect, the containing portion comprises at least one reinforcing element, in particular said reinforcing element being made of metallic material and extending transversely with respect to side portions of the bite. [0028] In one aspect, said at least one reinforcing element is embedded in the containment portion. [0029] In one aspect, the lower portion is at least partially counter-shaped to the lower dental arch of the user. [0030] In one aspect, the lower portion comprises a housing seat intended to house at least partially the lower dental arch of the user. In one aspect, the through holes are positioned at a front portion of the bite, in particular at a central portion of the bite disposed between the upper portion and the lower portion. [0031] In one aspect, the appendix develops from a central portion of the bite placed between the upper portion and the lower portion. [0032] In one aspect, the through holes and / or through channels are arranged near the upper portion of the bite and / or face above the containment portion. [0033] In one aspect, the bite comprises locating elements arranged at the lower portion, said abutment elements being configured to be engaged with the lower dental arch of the user to determine the correct positioning of the lower portion with respect to the dental arch inferior. [0034] In one aspect, the abutment elements are made of metal material for dental use. [0035] In one aspect, a bite is provided comprising: - an upper portion intended to be positioned, in at least one condition of use of the bite, in correspondence with the upper dental arch of a user, - a lower portion destined to be positioned, in at least one condition of use of the bite, at the lower dental arch of the user, the bite further comprising a positioning element of at least one dental arch of the user, the positioning element being configured for, and intended to determine a predetermined and controlled forward sliding of the jaw of the user with respect to the relative jaw of the user by sliding forward of the lower dental arch and allowing at least partial support for a plurality of teeth of said at least one arch dental of the user. In one aspect: - the upper portion is intended to be engaged, in use by the bite, to the upper dental arch of a user, - the lower portion is intended to be positioned, in at least one condition of use of the bite , in correspondence with the lower dental arch of the user, the positioning element comprising an invitation portion arranged at the lower portion, the invitation portion being configured to and intended to determine a predetermined and controlled forward sliding of the mandible of the user with respect to the relative jaw of the user by sliding forward the lower dental arch onto the invitation portion and allowing at least partial support for the posterior surfaces of a plurality of teeth of the user's lower dental arch. [0036] In one aspect, the invitation portion has an inclined surface with respect to a front portion of the bite, the inclined surface developing away from the front portion of the bite. [0037] In one aspect, the invitation portion develops for a width substantially equal to an extension of the lower dental arch of the user. [0038] In one aspect, the lower portion is fixed and / or is made integrally with the upper portion, in particular in which the bite is made in a single piece. [0039] In one aspect, the lower portion is movable with respect to the upper portion to vary the reciprocal position between the lower portion and upper portion and allow a plurality of operating positions of the bite, the invitation portion being integral with the lower portion, a movement of the lower portion determining the movement of the invitation portion in such a way as to modulate the position of the invitation portion with respect to the upper portion and determine, depending on the position assumed by the invitation portion, a determined sliding of the mandible with respect to the jaw of the user. [0040] In one aspect, the bite also comprises means for adjusting the position of the lower portion, said adjustment means being configured to allow the variation of the mutual position between the lower portion and upper portion. [0041] In one aspect, the adjustment means are of the threaded type and comprise a screw for adjusting the mutual position between the lower portion and the upper portion. In one aspect, the bite also comprises position indicators configured to indicate the mutual position between the lower portion and the upper portion, preferably the position indicators being arranged in correspondence with the side portions of the bite. In one aspect, the bite also comprises: - lateral guide portions configured to allow mutual movement between the lower portion and upper portion, the lateral guide portions being arranged on one of the lower portion and the upper portion, - side portions of sliding housed inside the lateral guide portions so as to be able to slide with respect to the lateral guide portions, the lateral guide portions being arranged on the other between the lower portion and the upper portion, the sliding of the side portions causing the sliding relative between upper portion and portion of invitation. [0042] In one aspect, the lateral guide portions and the lateral sliding portions are made of metallic material integrated in the material, preferably plastic, in which the lower portion and the upper portion of the bite are made or in which the guide portions side and side sliding portions are shaped portions made of the same material, preferably plastic, in which the lower portion and the upper portion of the bite are made. [0043] In one aspect, the invitation portion has one or more through holes. [0044] In one aspect, the bite also comprises a deformable or soft portion, having a lower hardness than the lower portion, said deformable portion being applied frontally to the lower portion so as to make the support of the teeth of the lower arch more comfortable on the lower portion. [0045] In one aspect, the deformable or soft portion is engaged to the lower portion in correspondence with one or more through holes of the invitation portion. [0046] In one aspect, the lower portion is intended to be engaged, in use by the bite, to the lower dental arch of a user, - the upper portion is intended to be positioned, in at least one condition. use of the bite, in correspondence with the upper dental arch of the user, the positioning element comprising a reference ridge arranged at the upper portion, said feedback ridge being configured to, and intended to define, an end-of-travel position with respect to an advancement of, and a support for, the front surfaces of a plurality of teeth of the user's upper dental arch, so as to determine a predetermined and controlled sliding forward of the user's jaw with respect to the relative jaw of the user. [0047] In one aspect, the reference ridge is configured to, and intended to define, an end-of-travel position with respect to a feed, and a support for the front surfaces at least of the upper incisors of the user and / or in which the contrast ridge is substantially vertically aligned or retracted and retracted with respect to the lower portion, so as to allow, in conditions of use of the bite, positioning at least of said plurality of teeth and / or of the upper incisors in abutment on the checking ridge and the positioning of the lower dental arch in a substantially vertically aligned or advanced position with respect to the upper dental arch, said positioning determining the sliding forward of the user's jaw. [0048] In one aspect, the reference ridge is fixed and / or made integrally with the upper portion. [0049] In one aspect, the reference ridge is configured to be movable and / or slidable with respect to the lower portion and to position them in a plurality of positions progressively set back and retracted with respect to the lower portion, so as to allow to selectively vary the position of the check ridge to vary, in at least one condition of use of the bite, the predetermined and controlled forward sliding of the jaw of the user with respect to the relative jaw. [0050] In one aspect, the bite comprises at least one regulator of the position of the reference ridge, the regulator being selectively operable to move the reference ridge into a plurality of operating positions progressively retracted with respect to the lower portion and / or operating between a configuration of regulation in which it allows the adjustment of the position of the reference ridge and a fixing configuration in which it does not allow the adjustment of the position of the reference ridge. [0051] In one aspect, the bite comprises lateral guide portions configured to allow sliding of the contrast ridge, - the contrast ridge comprises lateral sliding portions housed inside the lateral guide portions so as to be able to slide with respect to to the lateral guide portions, the sliding of the side portions determining the sliding of the contrast ridge. [0052] In one aspect, the reference ridge is at least partially counter-shaped to the upper dental arch of the user, in particular counterformed at least to the incisors of the upper dental arch. [0053] In one aspect, the bite also comprises a portion for containing the tongue of the user, in particular a portion of arched containment, in use conditions of the bite the language of the user being positioned below the containment portion , preferably in which the containment portion comprises one or more through openings intended to place the portion of the oral cavity below the containment portion with the portion of the oral cavity above the containment portion. [0054] In one aspect, the bite is provided with one or more through holes arranged in correspondence with a front portion of the bite and destined, in conditions of use of the bite, to place the oral cavity of the user in communication with the external environment. [0055] In one aspect, the bite comprises an appendix arranged at a front portion of the bite and intended, in conditions of use of the bite, to be positioned between the lips of the user in a protruding position with respect to the oral cavity for providing a support for the lips, preferably in which the appendix is provided with one or more through channels suitable for communicating, in conditions of use of the bite, the oral cavity of the user with the external environment. [0056] The detailed description of one or more preferred embodiments of the invention, in which: FIGS. 1-2 represent perspective views of the front and rear respectively of a device according to a first embodiment of the present invention: FIGS. 3-4 are front views, respectively frontal and rear view of a bite in accordance with a second embodiment of the present invention: FIGS. 5-6 show front views, respectively frontal and rear view of a bite in accordance with a third embodiment of the present invention; fig. 7-8 show perspective views, respectively frontal and rearward, of a bite in accordance with a fourth embodiment of the present invention; fig. 9-10 represent a bite in accordance with the fourth embodiment in conditions of use; fig. 11 represents a bite in accordance with the second embodiment in conditions of use; fig. 12 represents a detail of the engagement of the reference ridge to the lower portion of the bite in agreement with the third embodiment; fig. 13-14 show frontal and rear view views of a bite respectively in accordance with a fifth embodiment of the present invention; fig. 15 represents a detail of the engagement of the contrast ridge at the lower portion of the bite in accordance with the fifth embodiment; fig. 16 and 17 respectively show frontal and lateral views of a bite in accordance with a sixth embodiment of the present invention, with the lower portion and the upper portion spaced apart; fig. 18 represents a side perspective view from below of the lower portion of the bite in accordance with the sixth embodiment, to which a deformable portion is assembled; fig. 19 represents a side perspective view illustrating the deformable portion and the lower portion of the bite in accordance with the sixth exploded embodiment; fig. 20 represents a side perspective view of a bite in accordance with a seventh embodiment of the invention; fig. 21 represents a bite in accordance with the seventh embodiment in conditions of use; fig. 22 represents a bite in accordance with the sixth embodiment in conditions of use. [0057] With reference to the figures, the number 1 indicates a bite in accordance with the present invention. Under conditions of use, the bite 1 is intended to be engaged within the oral cavity of a user or patient in such a way as to determine a correct relative position between the upper dental arch and the lower dental arch, as will be described in greater detail below. [0058] The bite 1 comprises a lower portion 2, a central portion 3 and an upper portion 4. The bite 1 further comprises a positioning element 7, 21 of at least one dental arch of the user; in the embodiments from the first to the fifth, the positioning element is constituted by an abutment ridge 7, while in the sixth and in the seventh embodiment the positioning element is constituted by an invitation portion 21. [0059] The embodiments from the first to the fifth of a bite in accordance with the present invention are now described. In accordance with these embodiments, the lower portion 2 is at least partially counter-shaped to the lower dental arch of the user and can comprise a housing seat 20 for the lower dental arch (see Fig. 9-11). The central portion 3 develops between the lower portion 2 and the upper portion 4, which can be provided with a plurality of through holes 5 or through channels 6 intended to place the cavity in communication, in conditions of use of the bite 1, oral examination by the user with the external environment to allow air to pass through. [0060] The upper portion 4 comprises a contrast ridge 7 in correspondence with which, in conditions of use of the bite 1, the front surfaces of the teeth of the upper dental arch are destined to abut. The contrast ridge 7 is vertically aligned or retracted with respect to the lower portion 2; this positioning of the contrast ridge 7 allows the upper arch of the user to position himself, in conditions of use of the bite 1, in a position aligned or set back with respect to the lower dental arch. Figure 11 illustrates, for example, a bite 1 whose abutment ridge 7 is substantially aligned with the lower portion 2 and consequently, as illustrated, in use conditions of the bite 1, the upper dental arch of the user is substantially aligned with the lower dental arch. When inserting the bite 1 into the oral cavity, the user positions the lower portion 2 of the bite 1 in correspondence with the lower dental arch; to allow the positioning of the upper dental arch against the crest 7, the jaw of the user slides forward with respect to the maxilla. At this point, the user positions the teeth of the upper dental arch against the check ridge 7 by means of an appropriate relative protrusive movement between the maxilla and mandible. In the conditions of use of the bite 1, at least the incisors of the user are in abutment on the contrast ridge 7. The contrast ridge 7 therefore acts as a limit stop for the teeth of the upper dental arch, consequently allowing the correct positioning of the upper dental arch than the lower dental arch. Advantageously, in order to allow an ergonomic feedback for the upper dental arch of the user, the contrast ridge 7 can be at least partially counter-shaped with respect to a plurality of teeth of the upper dental arch. [0061] As described below with reference to some embodiments of the present invention, the contrast ridge 7 can be fixed or movable with respect to the lower portion 2. [0062] In fig. 1-2 a first embodiment of the bite 1 is shown. The bite 1 in accordance with the first embodiment is made in a single piece in resin and the contrast ridge 7 is fixed with respect to the lower portion 2. [0063] In fig. 3-4 shows a second embodiment of the bite 1. The bite 1 in accordance with the second embodiment comprises an arched containing portion 8 intended, under conditions of use of the bite 1, to contain the language of the user. In other words, in conditions of use of the bite 1, the user's language is positioned below the arched containment portion 8. This positioning prevents the tongue from moving from the normal lowered position to a raised position, as can generally happen when the user is in a supine position (for example in resting conditions) and therefore prevents the tongue from going to occlude Toro-pharynx of the user. Such a displacement of the tongue can cause, as we know, sleep apnea and snoring (or snoring). In light of this, providing a containment portion 8 of the tongue makes it possible to eliminate or reduce sleep apnea and snoring. [0064] The tongue-containing portion 8 may be provided with through openings 9 which, in use by the bite 1, put in communication a lower portion of the user's oral cavity with an upper portion of the oral cavity, allowing for example the passage of saliva. As illustrated in figs. 3 and 4, the bite 1 in accordance with the second embodiment further comprises abutment elements 10 arranged laterally at the lower portion 2 and protruding with respect thereto. Under the use of the bite 1, the restraining elements 10 are in contact with one or more teeth of the lower dental arch of the user to determine their correct positioning with respect to the lower portion 2 and limit undesired movements of the lower dental arch of the 'user. The abutment elements 10 can be made of metallic material. Preferably, the abutment elements 10 are at least partially embedded in the lower portion 2. According to the second embodiment, the contrast ridge 7 is fixed with respect to the lower portion 2; preferably, the lower portion 2, the central portion 3 and the upper portion 4 are made of a single piece of resin. [0065] Fig. 5-6 and fig. 7-8 illustrate respectively a third and a fourth embodiment of the bite 1. The bite 1 in accordance with the third and fourth embodiment comprises the containing portion 8 of the tongue (as in the second embodiment) and a fixed ridge 11 arranged frontally and externally with respect to the contrast ridge 7. In accordance with the third and fourth embodiments, moreover, the contrast ridge 7 is of the movable type with respect to the lower portion 2 and with respect to the fixed ridge 11. In particular, the ridge abutment 7 can slide posteriorly with respect to the fixed ridge 11 so as to operate between a plurality of positions set back with respect to the lower portion 2. The backward positions are defined at a different distance from the fixed ridge 11 and define, in conditions of use of the bite 1, a plurality of possible rearward positioning of the upper dental arch of the user with respect to the inferior dental arch hours. For example, when the contrast ridge 7 is positioned in close proximity or of maximum proximity to the fixed ridge 11, in use conditions of the bite 1 the teeth of the upper dental arch can be aligned vertically with the teeth of the lower dental arch, while progressively moving the contrast ridge 7 to the rear position, the teeth of the upper dental arch assume a position that is increasingly backward with respect to the teeth of the lower dental arch. Different relative positions of the upper and lower dental arches obviously correspond to different relative positions of the jaw of the user with respect to the maxilla. As the distance between the mobile ridge 7 and the fixed ridge 11 increases, the extent of the sliding movement of the jaw of the user with respect to the maxilla increases accordingly. The extent of the protrusive sliding movement of the jaw can be determined and set (by the relative spacing between the fixed ridge 11 and the movable ridge 7) according to the specific needs of the user; these needs can be related to postural re-education and / or re-education of the position of the jaw of the user. [0066] In order to be able to move with respect to the lower portion 2, the contrast ridge 7 comprises lateral sliding portions 12 at least partially housed in correspondence with lateral guide portions 13 of the bite 1 (see Fig. 12). When the contrast ridge 7 is moved, the lateral sliding portions 12 can slide inside the lateral guide portions 13. The sliding of the contrast ridge 7 is managed by a regulator 14, which can operate between a configuration of adjustment in which it allows the adjustment of the position of the contrast ridge 7 by sliding of the side portions 13 and a fixing configuration in which it does not allow the adjustment of the position of the contrast ridge 7. The regulator 14 can for example comprise one or more elements of adjustment 140 threaded (see Fig. 9-10), such as one or more worm screws, configured to manage the position of the checking ridge 7. In other words, the actuation of the regulator 14 acts on the threaded adjustment elements 140, that operate on the control crest 7 to determine their displacement. By managing the positioning of the contrast ridge 7, the regulator 14 allows to adapt the bite 1 to the specific needs of the user. In figs 9 and 10 show two different operative positions of the checking ridge; in particular, in fig. 9 shows a close position of the abutment ridge 7 with respect to the fixed ridge 11, while in fig. 10 shows a position further back than the reference ridge 7 with respect to the fixed ridge 11. Starting from the position of the contrast ridge 7 of fig. 9, the position of fig. 10 can be reached by working on the threaded adjustment elements 140. [0067] The bite 1 in accordance with the third and fourth embodiments further comprises an appendix 15 arranged at a front portion of the bite 1 and provided with a plurality of through channels 6. The through channels 6 are intended to put in communication, in conditions of use of the bite 1, the oral cavity of the user with the external environment to allow the passage of air. In conditions of use of the bite 1, appendix 15 is placed between the user's lips and provides a support for the lips themselves (see fig. 9 and 10). [0068] In the fourth embodiment the contrast ridge 7 is made of metallic material, while in the third embodiment the contrast ridge 7 comprises a metal skeleton 16 covered in resin. According to the third and fourth embodiments, the upper portion 4, the central portion 3 comprising the appendix 15, the lower portion 2 and the containing portion 8 of the tongue can be made in a single piece of resin. [0069] In accordance with the third embodiment, as illustrated in figs. 5 and 6, the bite 1 can also comprise abutment elements 10 (substantially like those of the type provided in the second embodiment) configured to determine the correct positioning of the lower portion 2 with respect to the lower dental arch. [0070] In figs 13 and 14 show a bite 1 in accordance with a fifth embodiment of the present invention. The bite 1 in accordance with the fifth embodiment comprises the containing portion 8 of the tongue and the abutment ridge 7 movable with respect to the lower portion 2. Unlike the third and fourth embodiments, the bite 1 in accordance with the fifth form embodiment does not provide a fixed ridge 11. The contrast ridge 7 is integral with the lateral sliding portions 12, which can slide inside the lateral guide portions 13. The position of the feedback ridge 7 is managed by actuating an element fixing device 17. The fixing element 17 comprises a threaded fixing dowel 18, which is configured to act on the lateral sliding portions 12 and can be operated to inhibit its sliding (thus blocking the displacement of the check ridge 7) or to allow it to slide (allowing the comparison crest to be moved 7). [0071] In an alternative embodiment, a metal or ferrule frame can also be provided, for example constituted by a suitably shaped metal wire, engaged to the lower portion and adapted to define a plurality of anchoring areas to the lower dental arch of a user, in so as to increase the stability and precision of the position of engagement of the bite to the lower arch of the user. A sixth and a seventh embodiment of the bite 1 according to the present invention are now described. According to these embodiments, the upper portion 4 is at least partially counter-shaped to the upper dental arch of the user and can comprise a housing seat 40 for the upper dental arch (see Fig. 20-22). The housing seat 40 is adapted to allow a stable engagement of the teeth of the upper dental arch to the bite 1, so as not to allow, in operative conditions, an unwanted displacement of the bite 1 inside the oral cavity. The lower portion comprises an invitation portion 21 which allows a determined relative positioning between the jaw of the user, which will be described in greater detail below. [0072] The invitation portion 21 extends transversely with respect to a front portion of the bite 1 and has an inclined surface 22 which extends away from the front portion of the bite 1. The development of the invitation portion 21 is clearly shown in Fig. 19. The invitation portion 21 is preferably integral with the lower portion 2. [0073] When inserting the bite 1 into the oral cavity, the user positions the upper portion 4 of the bite 1 in correspondence with the upper dental arch; to position the lower dental arch, the invitation portion 21 guides the lower dental arch making it slide towards the front portion of the bite 1. In this way, the invitation portion 21 allows the sliding of the user's jaw forward with respect to to the jaw. At this point, that is to say at the end of the advancement of the mandible, the teeth of the lower dental arch of the user are positioned frontally with respect to the invitation portion 21 and the posterior surfaces of one or more teeth of the lower dental arch are at least partially in contact with the invitation portion 21. The bite 1 therefore allows an appropriate relative protrusive movement between the jaw and mandible. [0074] In accordance with the sixth embodiment, the lower portion 2 is movable with respect to the upper portion 4. Moving the upper portion 4 and the lower portion 2 with respect to one another, the position of the invitation portion 21 is modulated with respect to the upper portion 4. Furthermore, the extent of the protrusive sliding movement of the jaw can be determined and set (by the relative spacing between the invitation portion 21 and the upper portion 4) according to the specific needs of the user; these needs can be related to postural re-education and / or re-education of the position of the jaw of the user. [0075] To enable reciprocal movement between upper portion 4 and lower portion 2, the upper portion 4 is equipped with lateral guide portions 13, which act as rails inside which sliding side portions 12 of the lower portion can slide. 2. According to a variant (not shown in the figures), the lateral guide portions 13 can be arranged on the lower portion 2 and the lateral sliding portions 12 can be arranged on the upper portion 4. The lateral guide portions 13 and the side sliding portions 12 can be constituted by inserts of metallic material integrated in the material (preferably plastic) in which the lower portion 2 and the upper portion 4 are made. According to a variant, the lateral guide portions 13 and the side portions of sliding 12 can be shaped portions of the same material (preferably plastic) in which they are made the lower portion 2 and the upper portion 4. The joint 1 can furthermore comprise adjustment means 23 configured to allow adjustment of the mutual position between the invitation portion 21 and the upper portion 4.1 adjustment means 23 can be of the threaded type and can comprise an adjustment screw, for example a worm screw, of the position of the invitation portion 21 (see figs. 19 and 22). As illustrated in fig. 22, the adjustment means 23 can be arranged at the central portion 3 of the bite 1 and can be accessed (to make an adjustment) from a front portion of the bite 1.1 adjustment means 23 are further configured to allow the locking of the portion of invitation 21 in a certain position. [0076] The bite 1 can also comprise position indicators 24 configured to indicate the mutual position between the lower portion 2 and the upper portion 4. The position indicators 24 are arranged both on the upper portion 4 and on the lower portion 2 of the bite 1 in correspondence of side portions of the same bite (see figure 16). In practice, even just by displaying the reciprocal position of the position indicators 24 of the lower portion 2 and of the upper portion 4, it is possible to determine the position of the invitation portion 21 with respect to the upper portion 4. According to the seventh embodiment, the portion lower 2 is fixed with respect to the upper portion 4. In other words, in the seventh embodiment the invitation portion 21, which is integral with the lower portion 2, cannot move relative to the upper portion 4. For example, the bite 1 can be made in a single piece, preferably in plastic. The sixth and the seventh embodiments may have additional features in common, which are described below. The invitation portion 21 of the bite 1 can develop for a width substantially equal to the extension of the lower dental arch of the user, in such a way as to simplify the sliding forward of the jaw and allow, under operating conditions of the bite 1, a optimal support of a plurality of teeth of the lower dental arch. In accordance with a variant not shown in the accompanying figures, the invitation portion 21 can develop only for a limited width, substantially equal for example to a central portion 3 of the lower dental arch of the user corresponding at least to the position of the incisors and the canines. [0077] The bite 1 can have a deformable or soft portion 25, which can have a substantially gelatinous consistency. The deformable portion 25 has a lower hardness than the lower portion 4 and is applied frontally to the lower portion 4. The deformable portion 25 provides a comfortable support for the rear surfaces of the teeth of the lower dental arch of the user and can deform to assume a profile corresponding to the shape of the teeth themselves. [0078] The deformable portion 25 is engaged to the lower portion 2 in correspondence with one or more through holes 26 of the invitation portion 21, inside which protuberances 27 of the deformable portion 25 which keep it engaged are developed. to the invitation portion 21. Alternatively, the deformable portion 25 can be engaged to the invitation portion 21 by means of adhesive substances or other mechanical coupling means.
权利要求:
Claims (10) [1] [0079] The deformable portion 25 can have a development in width substantially equal to that of the lower portion or have a smaller width (see Fig. 18). [0080] The bite 1 in accordance with the sixth and the seventh embodiments may also have a containment portion 8 of the user's tongue of the type described above, which may have a plurality of through openings 9. In addition, the bite 1 it can have an appendix 15, of the type described above, arranged at a front portion of the bite 1 and provided with a plurality of through channels 6 (see Figs. 16, 17 and 20-22). [0081] The present invention allows to obtain one or more of the following advantages and to solve one or more of the problems found in the known art. [0082] The present invention provides a bite able to correctly re-educate the position of the jaw of the user. [0083] The present invention provides a bite which allows to reduce muscular tensions deriving from incorrect positions of the dental arches of the user. [0084] The present invention provides a bite able to re-educate the posture of the user allowing the correct positioning of the dental arches. [0085] The present invention also provides a device which is simple, rapid and economical to make. claims 1. Bite (1) comprising: - an upper portion (4) intended to be engaged, in use by the bite, to the upper dental arch of a user, - a lower portion (2) intended to be positioned, in at least one condition of use of the bite, in correspondence with the lower dental arch of the user, the lower portion (2) comprising an invitation portion (21) configured for and intended to determine a predetermined and controlled forward sliding of the mandible of the user with respect to the relative jaw of the user by sliding forward the lower dental arch onto the invitation portion (21) and allowing at least partial support for the rear surfaces of a plurality of teeth of the lower dental arch of the user . [2] 2. Bite (1) according to claim 1, wherein the invitation portion (21) has an inclined surface (22) with respect to a front portion of the bite (1), the inclined surface (22) developing away from the front portion of the bite (1). [3] 3. Bite (1) according to claims 1 or 2, in which the portion of the invitation (21) develops for a width substantially equal to an extension of the lower dental arch of the user. [4] 4. Bite (1) according to any one of the preceding claims, in which the lower portion (2) is fixed and / or is made integrally with the upper portion (4), in particular in which the bite (1) is made of single piece. [5] 5. Bite (1) according to claims 1 or 2 or 3, wherein the lower portion (2) is movable with respect to the upper portion (4) to vary the reciprocal position between the lower portion (2) and the upper portion (4) and allowing a plurality of operating positions of the bite (1), the invitation portion (21) being integral with the lower portion (2), a movement of the lower portion (2) determining the movement of the invitation portion (21) in such a way as to modulating the position of the invitation portion (21) with respect to the upper portion (4) and determining, depending on the position assumed by the invitation portion (21), a determined sliding of the mandible with respect to the jaw of the user. [6] 6. Bite (1) according to the previous claim, further comprising adjustment means (23) of the position of the lower portion (2), said adjustment means being configured to allow the variation of the mutual position between the lower portion (2) and upper portion (4) and / or in which the adjustment means (23) are of the threaded type and comprise a screw for adjusting the mutual position between the lower portion (2) and the upper portion (4). [7] 7. Bite (1) according to claims 5 or 6, further comprising position indicators (24) configured to indicate the mutual position between the lower portion (2) and the upper portion (4), preferably the position indicators (24) being arranged in correspondence with side portions of the bite (1). [8] 8. Bite (1) according to any one of claims 1 to 3 or 5 to 7, further comprising: - lateral guide portions (13) configured to allow reciprocal movement between the lower portion (2) and the upper portion (4) , the lateral guide portions (13) being arranged on one of the lower portion (2) and the upper portion (4), - lateral sliding portions (12) housed inside the lateral guide portions (13) in so as to be able to slide with respect to the lateral guide portions (13), the lateral guide portions (13) being arranged on the other between the lower portion (2) and the upper portion (4), the sliding of the side portions (12 ) determining the relative sliding between the upper portion (4) and the portion of the invitation (21). [9] 9. Bite (1) according to the previous claim, wherein the lateral guide portions (13) and the lateral sliding portions (12) are made of metallic material integrated in the material, preferably plastic, in which the lower portion ( 2) and the upper portion (4) of the bite (1) or in which the lateral guide portions (13) and the lateral sliding portions (12) are shaped portions made in the same material, preferably plastic, in which the lower portion (2) and upper portion (4) of the bite (1). [10] 10. Bite (1) according to any one of the previous claims, further comprising a deformable portion (25) or springs, having a lower hardness than the lower portion (2), said deformable portion (25) being applied frontally to the lower portion (2) so as to make the support of the lower arch teeth more comfortable on the lower portion (2) and / or in which the deformable portion (25) or springs is engaged to the lower portion (2) in correspondence of one or more through holes. (26) of the invitation portion (21).
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同族专利:
公开号 | 公开日 US20190021820A1|2019-01-24| EP3405137A1|2018-11-28| CH712047B1|2019-07-31| WO2017125799A1|2017-07-27|
引用文献:
公开号 | 申请日 | 公开日 | 申请人 | 专利标题 US4901737A|1987-04-13|1990-02-20|Toone Kent J|Method and therapeutic apparatus for reducing snoring| CA2088935A1|1992-11-16|1994-05-17|Thomas E. Meade|Apparatus and methods for reduction of snoring| DE202005006171U1|2005-04-15|2005-09-15|Dr. Hinz Labor, Fachlaboratorium Fuer Kieferorthopaedie Gmbh & Co. Kg|Intraoral anti-snoring device, comprising vertical element for keeping upper jaw behind lower jaw| JP5319421B2|2009-06-26|2013-10-16|学校法人久留米大学|Airway securing device and adjusting device used therefor| KR101463021B1|2013-12-10|2014-11-18|최현진|Oral appliance|WO2019116304A1|2017-12-14|2019-06-20|Giuseppe Valenti|A device for the correction of dental malocclusion|
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申请号 | 申请日 | 专利标题 CH00071/16A|CH712047B1|2016-01-19|2016-01-19|Bite.|CH00071/16A| CH712047B1|2016-01-19|2016-01-19|Bite.| PCT/IB2016/054902| WO2017125799A1|2016-01-19|2016-08-16|Occlusal splint| EP16778109.5A| EP3405137A1|2016-01-19|2016-08-16|Occlusal splint| US16/067,040| US20190021820A1|2016-01-19|2016-08-16|Occlusal splint| 相关专利
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