DE102005015376B4 - Lattice arches, perforated and unperforated bow bands that are attached by means of adhesive technique for splinting anterior teeth and producing temporary anterior tooth replacement on existing teeth - Google Patents

Abstract

System of prefabricated mesh arches and / or arch bands, which are attached to the lingual surfaces of existing teeth by means of adhesive technology for splinting anterior teeth and / or the production of temporary anterior teeth, characterized in that the grid arches and / or arch bands of the system - different sizes regarding their inner radii have - an inner radius is selected for use on the patient using standardized arch templates based on dental arch dimensions, - an individual length correction is carried out after a try-on on the dental arch, - the prefabricated mesh arches and / or arch bands are made from materials suitable for the oral cavity, such as metals or plastics.

Description

The invention relates to a system of prefabricated mesh sheets and / or bow bands.

Currently, in dentistry and technology various grids and rail systems, which serve among other things for the stabilization of teeth, practically applied.

As a rule, these are straight grids or types of rails which are produced individually in the mouth of the patient or even via a model production in the dental laboratory individually with a high expenditure of time.

In the DE 198 20 763 C2 a process for the preparation of polyglass, composite or ceromer encased bridge frameworks or prosthesis parts, in which first a fiber material is placed around a model of a prepared tooth, impregnated with a polymerizable plastic, is polymerized and then completely or partially coated with the above materials, proposed.

In the DE 102 45 008 A1 A lingual retainer is presented, which is made of titanium or titanium alloys and has the task, after an orthodontic treatment, the achieved, corrected tooth division permanently and stabilize. These retainers have good flexibility and can be adhesively attached both at each end to a respective tooth and alternatively at each tooth grasped by the bracket.

The disadvantage of these known solutions is, in particular, that in the splinting of anterior teeth or the production of temporary anterior tooth replacement in each case an individual pattern must be designed. The use of, for example, prefabricated semi-finished products is not possible.

Furthermore, the individually very different anterior arches do not always allow a sufficiently secure splint due to a necessary weakening of the splints. In addition, the known methods are technically very complicated and the adjustment process very often leads to unnecessary irritation of the gums in the area of the gingival papillae.

The invention is based on the problem in the splinting of teeth to adapt the existing straight systems to the individual dental arch form of the patient or to produce complex single-tooth replacement in the dental laboratory.

The object is achieved with the features of claim 1.

Advantageous embodiments are mentioned in the subclaims.

For the determination of the sheet size, corresponding paper templates (for single use) and wire bends (sterilizable), produced on the basis of the standardized sheet templates, or the grid mesh sheets (sterilizable) find application.

In this case, the arched bands, the meshes and templates with the inner arch must be stopped perpendicular to the vestibular surfaces in the area of the incisal edges of the anterior teeth.

After fitting to the dental arch, the appropriate size is determined quickly and after individual length correction and possibly adaptation of the arch to the oral surfaces of the anterior teeth can be done immediately adhesive attachment.

• – schnellere Anpassung durch Verwendung von Bogenschablonen,
• – damit idealere Lage der Gitternetzbögen und/oder Bogenbänder an den lingualen Oberflächen der individuell sehr unterschiedlichen Frontzahnbögen
• – dadurch geringere Irritationen des Zahnfleisches im Bereich der Zahnfleischpapillen,
• – keine umfangreichen zusätzlichen Arbeitsschritte wie z. B. Anpassung an die Zahnbogenform erforderlich,
• – damit verbunden keine zusätzliche Schwächung der Gitternetze und/oder Bogenbänder und demzufolge auch stabilere Schienung der Zähne.

Advantages compared to the straight nets or rail systems are the following:

• - faster fitting by using bow templates,
• - So that more ideal location of the mesh panels and / or bow bands on the lingual surfaces of the individually very different anterior arches
• - thereby less irritation of the gums in the area of the gingival papilla,
• - no extensive additional steps such. B. adaptation to the form of the dental arch required,
• - Associated with no additional weakening of the grids and / or bow bands and consequently more stable splinting of the teeth.

• – bei traumatisch oder parodontologisch gelockerten Zähnen,
• – transplantierten, implantierten und replantierten Zähnen,
• – vor und nach chirurgischen Eingriffen
• – Diastema-Schließungen,
• – Kieferorthopädischen Maßnahmen,

ist die Herstellung von temporärem Einzelzahnersatz mit Hilfe

• – der Adhäsivtechnik, der entfernte oder der zu entfernende noch erhaltene Zahn wird auf dem Gitternetzbogen und an den lückenbegrenzenden Zähnen adhäsiv befestigt und verschließt wieder die vorherige Zahnlücke,
• – von, auf den vorgefertigten Gitternetzbögen vestibulär fest zu verankernden (z. B. mit Laser- oder Punktschweißtechnik) Befestigungselementen, die in Form von mehrkantigen Retentionsstiften (Zeichnung 2) zur Fixierung von Prothesenzähnen zum Zahnlückenschluss dienen,
• – von lichthärtenden Bogenbändern, hier können adhäsiv ebenfalls vestibulär Befestigungselemente aus Dentalkeramiken im Form von mehrkantigen Retentionsstiften (Zeichnung 3) zur Aufnahme von Prothesenzähnen, die zusätzlich an den lückenbegrenzenden Zähnen adhäsiv befestigt werden, dienen, möglich.

In addition to the use of prefabricated mesh sheets and bow ties:

• - in case of traumatic or periodontically loosened teeth,
• - transplanted, implanted and replanted teeth,
• - before and after surgical procedures
• - Diastema closures,
• - orthodontic measures,

is the preparation of temporary single tooth replacement with the help

• The adhesive technique, the remainder of the tooth still to be removed, is adhesively attached to the mesh and to the gap-limiting teeth, and again closes the previous tooth gap,
• - from, on the prefabricated grid mesh vestibular firmly anchored (eg., With laser or spot welding technology) fasteners that serve in the form of polygonal retention pins (Figure 2) for the fixation of denture teeth for tooth gap closure,
• - Of light-curing bow bands, here also adhesively vestibular attachment elements made of dental ceramics in the form of polygonal retention pins (drawing 3) for receiving prosthetic teeth, which are additionally adhesively attached to the gap-limiting teeth, serve possible.

embodiment

The mesh sheets and bow bands are ideal for adaptation in various sizes with inner radii of 15 mm to 27.5 mm in 2.5 mm increments each 5 mm wide as 1/3 partial arches and up to the inner radius 37.5 mm also in 2.5 mm intermediate steps and 5 mm wide as 1/4 partial sheet (drawing 1) made of steel or nylon netting or light-curing plastics.

Claims (4)

System of prefabricated lattice arches and / or arched tapes, which are fastened by means of adhesive technique for splinting anterior teeth and / or producing temporary anterior tooth replacement on the lingual surfaces of existing teeth, characterized in that the lattice ligaments and / or arched bands of the system - Have different sizes regarding the inner radii Wherein, for use on the patient, an inner radius is selected on the basis of standardized arch templates according to dental arch dimensions, - after a fitting on the dental arch an individual length correction takes place, - The prefabricated lattice meshes and / or bow bands are made of Mundhöhlenmilieu suitable materials such as metals or plastics. System of prefabricated mesh sheets and / or bow bands according to claim 1, characterized in that fixedly connected fastening elements for fixing single tooth replacement or denture teeth are provided on the prefabricated mesh sheets and / or bow bands and the temporary anterior tooth replacement is to be designed as an adhesive bridge. System of prefabricated bow bands according to one of the preceding claims, characterized in that they are to be provided as perforated or unperforated bow bands. System of prefabricated bow bands according to one of the preceding claims, characterized in that the bow bands of light-curing plastics can be reinforced with flexible meshes.