CN105662615B - A kind of orthodontic bracket indirect bonding Precise Position System and application process - Google Patents

A kind of orthodontic bracket indirect bonding Precise Position System and application process Download PDF

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Publication number
CN105662615B
CN105662615B CN201610145271.5A CN201610145271A CN105662615B CN 105662615 B CN105662615 B CN 105662615B CN 201610145271 A CN201610145271 A CN 201610145271A CN 105662615 B CN105662615 B CN 105662615B
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China
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bracket
arch bar
pallet
local
positioning
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CN105662615A (en
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赵计林
陈杨熙
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/12Brackets; Arch wires; Combinations thereof; Accessories therefor
    • A61C7/14Brackets; Fixing brackets to teeth
    • A61C7/16Brackets; Fixing brackets to teeth specially adapted to be cemented to teeth

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

A kind of orthodontic bracket indirect bonding Precise Position System and application process, including local positioning pallet (1), right backteeth transfer arch bar (2), left back tooth transfer arch bar (3) and labial teeth transfer arch bar (7), the local positioning pallet (1) positions local pallet (10) including the symmetrically arranged first one side and the second one side positions local pallet (11), and dismountable spring spindle (12) is provided between the local pallet (10) of the first one side positioning and the second unilateral local pallet (11) of positioning.The bracket placement of the present invention is more accurate;The bonding process time shortens;Patient feels more comfortable, and bracket bonding is simple, quick above clinical intraoral tooth.In addition, the indirect bonding of the present invention has more healthy ergonomics, the control to tooth three-dimensional direction is easy to implement, preferably realizes that face type improves, obtains excellent rectification effect.

Description

A kind of orthodontic bracket indirect bonding Precise Position System and application process
Technical field
The present invention relates to dental orthodontic field, specifically a kind of orthodontic bracket indirect bonding Precise Position System and use should The orthodontic bracket indirect bonding accurate positioning method of system.
Background technology
Orthodontic brackets indirect bonding, it is exactly the Ran Houtong first by orthodontic bracket and its accessory adhering on working model Certain transfer device is crossed, bracket and its annex that these bondings are completed shift the technology being adhered on facing from model.With The development of orthodontic materials and the progress of orthodontic technology, indirect bonding technology is received by numerous clinicians.
The step of currently used indirect bonding is:
1) operating room operates:Tooth is cleaned, modulus, fills mould.Corresponding reference line is drawn in teeth model and places bracket.Profit Bracket is fixed with different bonding agents, makes transfer tray;Model is soaked into 0.5-1h in water, removes transfer tray;2) it is clinical Operation:Clean facing;Every wet acid etching tooth;Rinse drying;Place transfer tray, bonding;Transfer tray is removed, is removed unnecessary viscous Connect agent;It is put into initial arch wire.
With the digitlization of orthodontic technology, increasing computer theory and technology are participated in the orthodontic of correction Come.Such as the OrthoCAD and Emodel systems in the U.S..Except also there is basic mould as a kind of storage form, these systems Type measurement, auxiliary diagnosis and the function such as it is predicted to rectifying effect.
Meanwhile these systems have also developed new function, such as SureSmile systems are come by using scanner in oral cavity The image of denture is obtained, these images are then changed into three-dimensional digital system, can be real after relative complex program The positioning of existing bracket, the making of personalized indirect bonding pallet and original bowed shape design.OrthoCAD companies then develop a set of Special equipment, clinician is instructed to obtain optimal position in bracket bonding by specific device
However, digitlization orthodontic technology is primarily present in theory both at home and abroad at present, corresponding software and hardware can not follow up comprehensively, specially Though industry personage carries out operation adjustment, clinically teeth arrangement is uneven, each common direction in place of bracket bonding shortage, therefore by Step bonding is time-consuming longer.There are problems in corrective therapy, doctor, which clinically operates, faces many difficulties, it is difficult to meets vast trouble The actual demand of person.
Therefore, need that a kind of cost is relatively low badly, and the Indirect Bonding Method of simple possible and supporting system.
The content of the invention
In order to solve the problems, such as that prior art is present, it is accurately positioned the invention provides a kind of orthodontic bracket indirect bonding and is System and the orthodontic bracket indirect bonding accurate positioning method using the system.
The technical solution adopted in the present invention is:
A kind of orthodontic bracket indirect bonding Precise Position System, including local positioning pallet, right backteeth transfer arch bar, a left side Backteeth shifts arch bar and labial teeth transfer arch bar, and it is local that the local positioning pallet includes the symmetrically arranged first unilateral positioning Pallet and the second unilateral local pallet of positioning, pacify between the local pallet of the first one side positioning and the second one side position local pallet Equipped with dismountable spring spindle, right backteeth transfer arch bar is by being connected plug with the right backteeth that it is connected as a single entity with setting Socket plugged and fixed is connected in the first unilateral right backteeth positioned on local pallet;Left back tooth shifts arch bar by being linked as with it The left back tooth connection plug of one is connected socket plugged and fixed with the left back tooth being arranged on the second unilateral local pallet of positioning; Labial teeth shifts arch bar and shifts arch bar or left back with being arranged on right backteeth by being connected plug with the labial teeth that it is connected as a single entity Labial teeth connection socket plugged and fixed on tooth transfer arch bar.
First one side, which positions to be respectively equipped with local pallet and the second unilateral local pallet of positioning, is available for spring spindle The slot structure of the indent of installation, row constraint is entered to the both ends of spring spindle.
Present invention additionally comprises bracket chuck, described bracket chuck one end is provided with the elastic divarication of U-shaped or Y shape shape, bracket folder The head other end be chuck fix bar, and the right backteeth of the chuck fix bar of bracket chuck successively with correspondence position shifts arch bar, a left side Backteeth shifts arch bar and labial teeth transfer arch bar bonding is firm.
Present invention also offers a kind of orthodontic bracket indirect bonding accurate positioning method, comprise the following steps:
Step 1:Make indirect binding tooth plaster cast;
Step 2:Bracket positions with plaster cast:
A) fixed local positioning pallet:Local positioning pallet is put into the tongue palate side of tooth plaster cast, local positioning support Disk positions local pallet and the second unilateral local pallet of positioning including the symmetrically arranged first one side, is positioned in the first one side local Silicon rubber is coated in the side that pallet and the second unilateral local pallet of positioning contact with plaster cast, in the first unilateral local support of positioning Dismountable spring spindle is installed between disk and the second unilateral local pallet of positioning, under the elastic force effect of spring spindle so that First one side positions local pallet and the second unilateral local pallet of positioning is against molar locations respectively, and tooth is formed on silicon rubber Print;
B) fixation of bracket and transfer arch bar:Bracket is placed in the elastic divarication of bracket chuck, utilizes rubber ring bullet Property pinions bracket chuck, so that bracket is connected in bracket chuck;The bracket for being connected with bracket chuck is passed through into chuck fix bar It is Nian Jie firmly with the right backteeth transfer arch bar, left back tooth transfer arch bar and labial teeth transfer arch bar of correspondence position successively, and So that bracket standing back is on corresponding tooth;
C) connection of arch bar and plug:Right backteeth is shifted into arch bar by being connected with the right backteeth that it is connected as a single entity Plug is connected socket plugged and fixed with the right backteeth being arranged on the first unilateral local pallet of positioning;Left back tooth is shifted into arch Bar is connected by being connected plug with the left back tooth that it is connected as a single entity and being arranged on the second unilateral left back tooth positioned on local pallet Combination hub plugged and fixed;Labial teeth is shifted into arch bar by being connected plug with the labial teeth that it is connected as a single entity and being arranged on right backteeth Shift the labial teeth connection socket plugged and fixed on arch bar or left back tooth transfer arch bar.
Step 3:The separation of bracket and plaster cast:
A) right backteeth is connected into plug, left back tooth connects plug and plug is connected with labial teeth respectively from the connection of right backteeth Socket, left back tooth connection socket are connected with labial teeth and removed respectively on socket, obtain being bonded with the right backteeth of bracket chuck and bracket Shift arch bar, left back tooth transfer arch bar, labial teeth transfer arch bar;The other end of bracket chuck carries the bracket clipped.
B) spring spindle is removed, by the first unilateral local pallet and the second unilateral local pallet of positioning of positioning from plaster mold Peeled off in type, the silicon rubber for being printed on teeth mark is retained in the local pallet of the first one side positioning and the second unilateral local pallet of positioning On;
Step 4:The intraoral transfer of bracket:
A) in intraoral fixed placement local positioning pallet:Local positioning pallet is put into intraoral corresponding plaster cast position Tongue palate side;
B) in intraoral fixed local positioning pallet:First it is unilateral position local pallet and second it is unilateral position local pallet it Between dismountable spring spindle is installed, under the elastic force effect of spring spindle so that first unilateral positions local pallet and second The one side local pallet of positioning is against molar locations respectively so that the first one side positions local pallet and the second unilateral positioning part is held in the palm The silicon rubber and actual teeth patch that teeth mark is printed on disk coincide;C) the intraoral fixation of arch bar:On bracket and tooth bonding plane Coat light-curing adhesive or chemical bonding agent;Then right backteeth is shifted into arch bar by the right backteeth being connected as a single entity with it to connect Patch head rod and be connected socket plugged and fixed with the right backteeth being arranged on the first unilateral local pallet of positioning;Left back tooth is shifted and bent Shape bar is by being connected plug with the left back tooth that it is connected as a single entity and being arranged on the second unilateral left back tooth positioned on local pallet Connect socket plugged and fixed;After labial teeth is shifted into arch bar by being connected plug with the labial teeth that it is connected as a single entity and being arranged on the right side Tooth shifts the labial teeth connection socket plugged and fixed on arch bar or left back tooth transfer arch bar;And cause right backteeth transfer arch Bar, left back tooth transfer arch bar and labial teeth transfer arch bar are located at right backteeth, left back tooth, the outer fix of labial teeth respectively, and So that the bracket on bracket chuck corresponds with actual teeth be bonded respectively;
Step 5:The intraoral illumination curing of bracket:
Unnecessary bonding agent around intraoral tooth buccal labial surface bracket is removed, by light-solidified lamp be irradiated solidification or By chemical bonding agent spontaneous curing, complete pinpoint bracket bonding and fix.
Step 6:The removal of orthodontic bracket indirect bonding Precise Position System.
Right backteeth transfer arch bar, left back tooth transfer arch bar and the labial teeth transfer arch bar by dentistry self curing plastic or Light-cured resin forms, and is fixed in corresponding tooth plaster cast outer fix.Due to scribbling dentistry stone above correspondence position Cream release agent, taken out beneficial to transfer.Bracket is fixed by bracket chuck to be corresponded on gypsum tooth buccal labial surface position, excludes to utilize Bonding agent is adhered on plaster cast, is transferred to beneficial to bracket on intraoral tooth.
The specific method of step 6 is:Disconnect rubber ring so that bracket chuck and the bracket point being bonded on tooth From right backteeth being connected into plug, left back tooth connects plug and connect with labial teeth plug respectively from right backteeth connection socket, a left side Backteeth connection socket connects with labial teeth to be removed respectively on socket, obtains being bonded with the right backteeth transfer arch bar of bracket chuck, a left side Backteeth shifts arch bar and labial teeth transfer arch bar;Spring spindle is removed, the first one side is positioned into local pallet and the second list Side positions local pallet from intraoral taking-up, completes the indirect bonding of bracket.
It is additionally provided between the step a) and step b) of step 2:The fixation of bracket and transfer arch bar:Bracket is placed in support In the elastic divarication of groove chuck, bracket chuck is pinioned using rubber ring elasticity, so that bracket is connected in bracket chuck;Will connection The bracket for having bracket chuck shifts arch bar with the right backteeth of correspondence position successively by chuck fix bar, left back tooth shifts arch Bar and labial teeth transfer arch bar bonding are firm, and cause bracket standing back on corresponding tooth.
It is additionally provided between the step a) and step b) of step 2:The positioning of bracket and tooth plaster cast:In tooth gypsum Made a mark on model, determine the actual bonding location of bracket.
In the fixation of the step b) brackets and transfer arch bar of step 2:Bracket is placed in the elastic divarication of bracket chuck, Bracket chuck is pinioned using rubber ring elasticity, so that bracket is connected in bracket chuck;The bracket for being connected with bracket chuck is led to Cross right backteeth transfer arch bar, left back tooth transfer arch bar and labial teeth transfer arch bar of the chuck fix bar successively with correspondence position Bonding is firm, and causes bracket standing back on actual bonding location.
Beneficial effects of the present invention:
For be directly bonded, orthodontic bracket indirect bonding Precise Position System of the invention and using the system The superiority of orthodontic bracket indirect bonding accurate positioning method is embodied in:Bracket placement is more accurate;The bonding process time shortens; Patient feels more comfortable, and bracket bonding is simple, quick above clinical intraoral tooth.In addition, the indirect bonding of the present invention has More healthy ergonomics, is easy to implement the control to tooth three-dimensional direction, preferably realizes that face type improves, obtains excellent Rectification effect.
The bracket of the present invention positions on model, the method in transfer port, different with all Indirect Bonding Methods at present, no Need bracket being bonded in advance on plaster cast tooth, greatly save the operating time, reduce the error of bracket bonding, improve overall Positioning precision.
The one side at its both ends will be positioned local pallet and be promoted to both sides by the spring spindle of local positioning pallet, so that Backteeth of the local pallet completely with gypsum tooth mould must be positioned to be close to, and the silicon rubber on local pallet is subject to gypsum tooth mould Extruding, so as to print off the stamp of backteeth, after the short time, silicon rubber will solidify, and show the stamp of backteeth.And by local positioning When pallet is placed into the oral cavity of patient, the stamp on local positioning pallet will be bonded completely with the backteeth of human body, guarantee office The accuracy of portion's location tray integral position, and then ensure that each bracket is affixed with tooth.
Arch width bar is divided into 3 sections by the present invention:Right backteeth transfer arch bar, left back tooth transfer arch bar and labial teeth transfer Arch bar, each section of Arch width bar is put into oral cavity successively respectively respectively, and corresponding with tooth respectively, realized between bracket Bonding is connect to be accurately positioned.Dental arch is divided into three sections of bonding brackets simultaneously, accelerates adhering speed, substantially increases bonding efficiency.
Brief description of the drawings
Fig. 1 is the planar structure schematic diagram of the orthodontic bracket indirect bonding Precise Position System of the present invention;
Fig. 2 is the side structure schematic diagram of the orthodontic bracket indirect bonding Precise Position System of the present invention;
Fig. 3 is one of dimensional structure diagram of orthodontic bracket indirect bonding Precise Position System of the present invention;
The two of the dimensional structure diagram of Fig. 4 orthodontic bracket indirect bonding Precise Position System of the invention;
Fig. 5 is the structural representation of the bracket chuck of the present invention.
Wherein:1st, local positioning pallet;2nd, right backteeth transfer arch bar;3rd, left back tooth transfer arch bar;4th, bracket;5th, hold in the palm Groove chuck;50th, elastic divarication;51st, chuck fix bar;6th, rubber ring;7th, labial teeth transfer arch bar;9th, plaster cast;10th, first One side positions local pallet;11st, the second unilateral local pallet of positioning;12nd, spring spindle;13rd, right backteeth connection socket;130th, it is right Backteeth connects plug;140th, left back tooth connection plug;15th, labial teeth connection socket;150th, labial teeth connection plug.
Embodiment
The present invention will be further described below in conjunction with the accompanying drawings.
Referring to Fig. 1-Fig. 5, a kind of orthodontic bracket indirect bonding Precise Position System, including local positioning pallet 1, right backteeth Shifting arch bar 2, left back tooth transfer arch bar 3 and labial teeth transfer arch bar 7, the local positioning pallet 1 includes being symmetrical arranged First it is unilateral position that local pallet 10 and second is unilateral to position local pallet 11, unilateral position local pallet 10 and the first Dismountable spring spindle 12 is installed between the two unilateral local pallets 11 of positioning, right backteeth shifts arch bar 2 by connecting with it The right backteeth connection plug 130 being integrated is connected socket 13 with the right backteeth being arranged on the first unilateral local pallet 10 of positioning Plugged and fixed;Left back tooth transfer arch bar 3 is single by being connected plug 140 with the left back tooth that it is connected as a single entity and being arranged on second Side positions the left back tooth connection plugged and fixed of socket 14 on local pallet 11;Labial teeth shifts arch bar 7 by being connected as a single entity with it Labial teeth connection plug 150 and the labial teeth that is arranged on right backteeth transfer arch bar 2 or left back tooth transfer arch bar 3 be connected it is slotting 15 plugged and fixeds of seat.
It is respectively equipped with the described first unilateral unilateral local pallet 11 of positioning of the local pallet 10 and second of positioning and is available for spring The both ends of spring spindle 12 can be entered row constraint by the slot structure for the indent that push rod 12 is installed.
Described one end of bracket chuck 5 is provided with the elastic divarication 50 of U-shaped or Y shape shape, and the other end of bracket chuck 5 is fixed for chuck Bar 51, the chuck fix bar 51 of bracket chuck 5 shift arch bar 2, left back tooth transfer arch with the right backteeth of correspondence position successively Bar 3 and labial teeth transfer arch bar 7 are bonded firmly.
A kind of orthodontic bracket indirect bonding accurate positioning method using orthodontic bracket indirect bonding Precise Position System, bag Include following steps:
Step 1:Make indirect binding tooth plaster cast;
Step 2:Bracket positions with plaster cast:
A) fixed local positioning pallet 1:Local positioning pallet 1 is put into the tongue palate side of tooth plaster cast 9, local positioning Pallet 1 includes the symmetrically arranged first unilateral unilateral local pallet 11 of positioning of the local pallet 10 and second of positioning, unilateral first Position the side that the unilateral local pallet 11 of positioning of local pallet 10 and second contacts with plaster cast and coat silicon rubber, it is single first Dismountable spring spindle 12 is installed in side between positioning the unilateral local pallet 11 of positioning of local pallet 10 and second, in spring spindle Under 12 elastic force effect so that the first unilateral unilateral local pallet 11 of positioning of the local pallet 10 and second of positioning is against respectively grinds one's teeth in sleep Position, and teeth mark is formed on silicon rubber;
B) positioning of bracket 4 and tooth plaster cast 9:Made a mark by doctor on tooth plaster cast 9, determine bracket 4 actual bonding location;
C) fixation of bracket 4 and transfer arch bar:Bracket 4 is placed in the elastic divarication 50 of bracket chuck 5, utilizes rubber Enclose 6 elasticity and pinion bracket chuck 5, so that bracket 4 is connected in bracket chuck 5;The bracket 4 for being connected with bracket chuck 5 is passed through Chuck fix bar 51 shifts arch with right backteeth transfer arch bar 2, left back tooth transfer arch bar 3 and the labial teeth of correspondence position successively Bar 7 is bonded firmly, and causes the standing back of bracket 4 on the bonding location determined by doctor;Bracket chuck 5 per se with U The elastic divarication 50 of shape or Y shape shape, the elastic divarication 50 possesses certain elasticity, and rubber ring 6 can reduce elastic clip Opening causes elastic divarication 50 clips must clamp bracket 4 admittedly.
D) connection of arch bar and plug:Right backteeth is shifted into arch bar 2 by the right backteeth being connected as a single entity with it to connect Patch head rod 130 and be connected the plugged and fixed of socket 13 with the right backteeth being arranged on the first unilateral local pallet 10 of positioning;Will be left back Tooth shifts arch bar 3 by being connected plug 140 with the left back tooth that it is connected as a single entity and being arranged on the second unilateral local support of positioning The left back tooth connection plugged and fixed of socket 14 on disk 11;Labial teeth is shifted into arch bar 7 by being connected with the labial teeth that it is connected as a single entity Plug 150 is connected the grafting of socket 15 with the labial teeth being arranged on right backteeth transfer arch bar 2 or left back tooth transfer arch bar 3 and consolidated It is fixed.
Step 3:The separation of bracket 4 and plaster cast 9:
A) right backteeth is connected into plug 130, left back tooth connect plug 140 connect with labial teeth plug 150 respectively from Right backteeth connection socket 13, left back tooth connection socket 14 are connected with labial teeth and removed respectively on socket 15, obtain being bonded with bracket folder First 5 and bracket right backteeth transfer arch bar 2, left back tooth transfer arch bar 3, labial teeth transfer arch bar 7;Bracket chuck 5 it is another One end carries the bracket clipped.
B) remove spring spindle 12, by first it is unilateral position local pallet 10 and second it is unilateral position local pallet 11 from Peeled off on plaster cast 9, the silicon rubber for being printed on teeth mark is retained in the first unilateral positioning of the unilateral local pallet 10 and second of positioning On local pallet 11;
Step 4:The intraoral transfer of bracket 4:
A) in intraoral fixed placement local positioning pallet 1:Local positioning pallet 1 is put into intraoral corresponding plaster cast 9 The tongue palate side put;
B) in intraoral fixed local positioning pallet 1:The first local support of the unilateral positioning of the unilateral local pallet 10 and second of positioning Dismountable spring spindle 12 is installed, under the elastic force effect of spring spindle 12 between disk 11 so that the first unilateral positioning is local Pallet 10 and second is unilateral to be positioned local pallet 11 and is against molar locations respectively so that first unilateral positions local pallet 10 and the The silicon rubber of teeth mark is printed on the two unilateral local pallets 11 of positioning and actual teeth patch is coincide;
C) the intraoral fixation of arch bar:Light-curing adhesive or chemical bonding agent are coated on bracket 4 and tooth bonding plane; Then it is unilateral by being connected plug 130 with the right backteeth that it is connected as a single entity and being arranged on first right backteeth to be shifted into arch bar 2 Position the right backteeth connection plugged and fixed of socket 13 on local pallet 10;Left back tooth is shifted into arch bar 3 by being linked as one with it The left back tooth connection plug 140 of body is connected the grafting of socket 14 with the left back tooth being arranged on the second unilateral local pallet 11 of positioning It is fixed;Labial teeth is shifted into arch bar 7 by being connected plug 150 with the labial teeth that it is connected as a single entity and being arranged on right backteeth transfer to bend The labial teeth connection plugged and fixed of socket 15 on shape bar 2 or left back tooth transfer arch bar 3;And cause right backteeth transfer arch bar 2, a left side Backteeth shifts arch bar 3 and labial teeth transfer arch bar 7 respectively positioned at right backteeth, left back tooth, the outer fix of labial teeth, and causes Bracket 4 on bracket chuck 5 corresponds with actual teeth respectively to be bonded;
Step 5:The intraoral illumination curing of bracket 4:
Unnecessary bonding agent around intraoral tooth buccal labial surface bracket is removed, by light-solidified lamp be irradiated solidification or By chemical bonding agent spontaneous curing, complete pinpoint bracket 4 and be adhesively fixed.
Step 6:The removal of orthodontic bracket indirect bonding Precise Position System:Disconnect rubber ring 6 so that bracket chuck 5 with The bracket 4 being bonded on tooth separates, and right backteeth is connected into plug 130, left back tooth connects plug 140 and labial teeth connects Head rod 150 is patched to connect with labial teeth and remove respectively on socket 15 from right backteeth connection socket 13, left back tooth connection socket 14 respectively, Obtain being bonded with the right backteeth transfer arch bar 2, left back tooth transfer arch bar 3 and labial teeth transfer arch bar 7 of bracket chuck 5;Take Lower spring push rod 12, it is complete by the first unilateral unilateral local pallet 11 of positioning of local pallet 10 and second that positions from intraoral taking-up Into the indirect bonding of bracket.
Right backteeth transfer arch bar 2, left back tooth transfer arch bar 3 and the labial teeth transfer arch bar 7 are moulded by dentistry self-solidifying Material or light-cured resin composition, are fixed in corresponding tooth plaster cast outer fix.Due to scribbling tooth above correspondence position Section's Separation of gypsum agent, taken out beneficial to transfer.Bracket is fixed by bracket chuck 5 to be corresponded on gypsum tooth buccal labial surface position, row Except being adhered to using bonding agent on plaster cast, it is transferred to beneficial to bracket on intraoral tooth.

Claims (9)

  1. A kind of 1. orthodontic bracket indirect bonding Precise Position System, it is characterized in that being shifted including local positioning pallet (1), right backteeth Arch bar (2), left back tooth transfer arch bar (3) and labial teeth transfer arch bar (7), the local positioning pallet (1) include symmetrical The local pallet (10) of the first one side positioning set and the second one side position local pallet (11), are held in the palm in the first unilateral part that positions Dismountable spring spindle (12) is installed between disk (10) and the second unilateral local pallet (11) of positioning, right backteeth shifts arch Bar (2) is by being connected plug (130) with the right backteeth that it is connected as a single entity and being arranged on the first unilateral local pallet (10) of positioning On right backteeth connection socket (13) plugged and fixed;Left back tooth transfer arch bar (3) is connected by the left back tooth being connected as a single entity with it Patch head rod (140) and be connected socket (14) plugged and fixed with the left back tooth being arranged on the second unilateral local pallet (11) of positioning; Labial teeth transfer arch bar (7) shifts arch by being connected plug (150) with the labial teeth that it is connected as a single entity and being arranged on right backteeth Labial teeth connection socket (15) plugged and fixed on bar (2) or left back tooth transfer arch bar (3).
  2. 2. orthodontic bracket indirect bonding Precise Position System according to claim 1, it is characterized in that described first is unilateral fixed The indent for being available for spring spindle (12) to install is respectively equipped with the local pallet (10) in position and the second unilateral local pallet (11) of positioning Slot structure, row constraint is entered to the both ends of spring spindle (12).
  3. 3. orthodontic bracket indirect bonding Precise Position System according to claim 1, it is characterized in that also including bracket chuck (5), described bracket chuck (5) one end is provided with the elastic divarication (50) of U-shaped or Y shape shape, and bracket chuck (5) other end is consolidated for chuck Fixed pole (51), the chuck fix bar (51) of bracket chuck (5) the right backteeth transfer arch bar (2) with correspondence position, left back successively Tooth transfer arch bar (3) and labial teeth transfer arch bar (7) bonding are firm.
  4. A kind of 4. correction support of orthodontic bracket indirect bonding Precise Position System using as described in any one of claims 1 to 3 Groove indirect bonding accurate positioning method, it is characterized in that comprising the following steps:
    Step 1:Make indirect binding tooth plaster cast;
    Step 2:Bracket positions with plaster cast:
    A) fixed local positioning pallet (1):Local positioning pallet (1) is put into the tongue palate side of tooth plaster cast (9), it is local fixed Position pallet (1) includes the local pallet (10) of the symmetrically arranged first one side positioning and the second one side positions local pallet (11), First one side positions the side that local pallet (10) and the second unilateral local pallet (11) of positioning contact with plaster cast and coats silicon Rubber, dismountable spring is installed between local pallet (10) and the second unilateral local pallet (11) of positioning in the first unilateral position Push rod (12), under the elastic force effect of spring spindle (12) so that the first one side positions local pallet (10) and the second one side is fixed The local pallet (11) in position is against molar locations respectively, and teeth mark is formed on silicon rubber;
    B) connection of arch bar and plug:By right backteeth transfer arch bar (2) by being connected with the right backteeth that it is connected as a single entity Plug (130) is connected socket (13) plugged and fixed with the right backteeth being arranged on the first unilateral local pallet (10) of positioning;Will Left back tooth transfer arch bar (3) is unilateral fixed by being connected plug (140) with the left back tooth that it is connected as a single entity and being arranged on second Left back tooth connection socket (14) plugged and fixed on the local pallet (11) in position;By labial teeth transfer arch bar (7) by being linked as with it The labial teeth connection plug (150) of one is with being arranged on right backteeth transfer arch bar (2) or left back tooth transfer arch bar (3) Labial teeth connects socket (15) plugged and fixed;
    Step 3:The separation of bracket (4) and plaster cast (9):
    A) right backteeth is connected into plug (130), left back tooth connects plug (140) and plug (150) is connected with labial teeth respectively Connect with labial teeth and removed respectively on socket (15) from right backteeth connection socket (13), left back tooth connection socket (14), be bonded There is the right backteeth of bracket chuck (5) and bracket to shift arch bar (2), left back tooth transfer arch bar (3), labial teeth transfer arch bar (7);The other end of bracket chuck (5) carries the bracket clipped;
    B) spring spindle (12) is removed, the first one side is positioned into local pallet (10) and the second unilateral local pallet (11) of positioning Peeled off from plaster cast (9), the silicon rubber for being printed on teeth mark is retained in the local pallet (10) of the first one side positioning and the second list Side is positioned on local pallet (11);
    Step 4:The intraoral transfer of bracket (4):
    A) in intraoral fixed placement local positioning pallet (1):Local positioning pallet (1) is put into intraoral corresponding plaster cast (9) The tongue palate side of position;
    B) in intraoral fixed local positioning pallet (1):First one side positions local pallet (10) and the second unilateral positioning part is held in the palm Dismountable spring spindle (12) is installed, under the elastic force effect of spring spindle (12) between disk (11) so that first is unilateral fixed The local pallet (10) in position and the second unilateral local pallet (11) of positioning are against molar locations respectively so that the first unilateral positioning is local The silicon rubber that teeth mark is printed on pallet (10) and the second unilateral local pallet (11) of positioning is bonded with actual teeth;
    C) the intraoral fixation of arch bar:Photocuring or chemical adhesive are coated on the bracket base of bracket (4) and tooth bonding plane Agent;Then right backteeth is shifted into arch bar (2) by be connected plug (130) with the right backteeth that it is connected as a single entity with being arranged on the One unilateral right backteeth connection socket (13) plugged and fixed positioned on local pallet (10);Left back tooth transfer arch bar (3) is logical Cross be connected with the left back tooth that it is connected as a single entity plug (140) be arranged on second it is unilateral position it is left back on local pallet (11) Tooth connects socket (14) plugged and fixed;By labial teeth transfer arch bar (7) by being connected plug with the labial teeth that it is connected as a single entity (150) it is connected socket (15) grafting with the labial teeth being arranged on right backteeth transfer arch bar (2) or left back tooth transfer arch bar (3) It is fixed;And right backteeth transfer arch bar (2), left back tooth transfer arch bar (3) and labial teeth transfer arch bar (7) are located at respectively Right backteeth, left back tooth, the outer fix of labial teeth, and cause bracket chuck (5) on bracket (4) respectively with actual teeth one by one Corresponding fitting;
    Step 5:The intraoral illumination curing of bracket (4):
    Bonding agent unnecessary around intraoral tooth buccal labial surface bracket is removed, solidification is irradiated by light-solidified lamp or passed through Chemical bonding agent spontaneous curing, complete pinpoint bracket (4) and be adhesively fixed;
    Step 6:The removal of orthodontic bracket indirect bonding Precise Position System.
  5. 5. orthodontic bracket indirect bonding accurate positioning method according to claim 4, it is characterized in that the right backteeth transfer Arch bar (2), left back tooth transfer arch bar (3) and labial teeth transfer arch bar (7) are by dentistry self curing plastic or light-cured resin group Into, be fixed on corresponding in tooth plaster cast outer fix, due to scribbling dental plaster release agent above correspondence position, be beneficial to Transfer is taken out;Bracket corresponds on gypsum tooth buccal labial surface position by bracket chuck (5) is fixed, excludes to be bonded using bonding agent In on plaster cast, it is transferred to beneficial to bracket on intraoral tooth.
  6. 6. orthodontic bracket indirect bonding accurate positioning method according to claim 4, it is characterized in that the step 6 is specific Method is:Disconnect rubber ring (6) so that bracket chuck (5) separates with the bracket (4) being bonded on tooth, by right backteeth Connection plug (130), left back tooth connection plug (140) connect plug (150) with labial teeth and inserted respectively from the connection of right backteeth Seat (13), left back tooth connection socket (14) are connected with labial teeth and removed respectively on socket (15), obtain being bonded with bracket chuck (5) Right backteeth transfer arch bar (2), left back tooth transfer arch bar (3) and labial teeth transfer arch bar (7);Spring spindle (12) is removed, By first it is unilateral position local pallet (10) and second it is unilateral position local pallet (11) from intraoral taking-up, complete between bracket Connect bonding.
  7. 7. orthodontic bracket indirect bonding accurate positioning method according to claim 4, it is characterized in that in the step of the step 2 It is rapid a) to also have bracket (4) between step b) with shifting the fixing step of arch bar:Bracket (4) is placed in bracket chuck (5) In elastic divarication (50), bracket chuck (5) is pinioned using rubber ring (6) elasticity, so that bracket (4) is connected to bracket chuck (5) It is interior;The bracket (4) that bracket chuck (5) will be connected with shifts bow by right backteeth of the chuck fix bar (51) successively with correspondence position Shape bar (2), left back tooth transfer arch bar (3) and labial teeth transfer arch bar (7) bonding are firm, and cause bracket (4) standing back In on corresponding tooth.
  8. 8. orthodontic bracket indirect bonding accurate positioning method according to claim 7, it is characterized in that in the step of the step 2 It is rapid a) and bracket (4) and arch bar fixation step between be additionally provided with:The positioning of bracket (4) and tooth plaster cast (9): Tooth plaster cast makes a mark on (9), determines the actual bonding location of bracket (4).
  9. 9. orthodontic bracket indirect bonding accurate positioning method according to claim 8, it is characterized in that the bracket (4) is with turning The step of fixation for moving arch bar is:Bracket (4) is placed in the elastic divarication (50) of bracket chuck (5), utilized rubber ring (6) Elasticity pinions bracket chuck (5), so that bracket (4) is connected in bracket chuck (5);The bracket of bracket chuck (5) will be connected with (4) arch bar (2) is shifted with the right backteeth of correspondence position by chuck fix bar (51) successively, left back tooth shifts arch bar (3) It is firm with labial teeth transfer arch bar (7) bonding, and cause bracket (4) standing back on actual bonding location.
CN201610145271.5A 2016-03-14 2016-03-14 A kind of orthodontic bracket indirect bonding Precise Position System and application process Expired - Fee Related CN105662615B (en)

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