WO2003051280A2 - Intraoral discluder device and method for preventing migraine and tension headaches and temporomandibular disorders - Google Patents

Intraoral discluder device and method for preventing migraine and tension headaches and temporomandibular disorders Download PDF

Info

Publication number
WO2003051280A2
WO2003051280A2 PCT/US2002/030806 US0230806W WO03051280A2 WO 2003051280 A2 WO2003051280 A2 WO 2003051280A2 US 0230806 W US0230806 W US 0230806W WO 03051280 A2 WO03051280 A2 WO 03051280A2
Authority
WO
WIPO (PCT)
Prior art keywords
trough
protrusion
incisor
intraoral discluder
intraoral
Prior art date
Application number
PCT/US2002/030806
Other languages
French (fr)
Other versions
WO2003051280A3 (en
Inventor
James P. Boyd, Sr.
Original Assignee
Boyd James P Sr
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Boyd James P Sr filed Critical Boyd James P Sr
Priority to MXPA04005758A priority Critical patent/MXPA04005758A/en
Priority to BR0215133-2A priority patent/BR0215133A/en
Priority to AU2002327075A priority patent/AU2002327075B2/en
Publication of WO2003051280A2 publication Critical patent/WO2003051280A2/en
Publication of WO2003051280A3 publication Critical patent/WO2003051280A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/56—Devices for preventing snoring
    • A61F5/566—Intra-oral devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/36—Devices acting between upper and lower teeth
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/56—Devices for preventing snoring
    • A61F2005/563—Anti-bruxisme

Definitions

  • the present invention relates generally to intraoral devices and, more particularly, to an intraoral discluder device for use in relieving tension headaches, common migraine headaches, and temporomandibular disorders.
  • Tension and muscle contraction headaches affect many people every day. The headaches are often recurring and, without effective treatment, can become very painful, restricting an individual's ability to think clearly and function effectively.
  • the discomfort associated with tension and muscle contraction headaches is usually due to pain from strained and fatigued muscles of the head.
  • the majority of the muscles of the human head are not sufficiently strong to elicit the type of pain and discomfort associated with tension and muscle contraction headaches. That is not the case with the temporalis muscle, however, which is located on the side of the skull and extends from just behind the eye to just behind the ear, and which is an extremely powerful muscle that functions to close or elevate the jaw.
  • a small semi-custom intraoral discluder device that can be used with various teeth and jaw orientations and that can be placed on either the upper teeth or the lower teeth, to prevent contact of opposing upper and lower teeth.
  • the semi-custom intraoral discluder device inhibits inappropriate isometric contraction of the temporalis muscle, thereby preventing tension and common migraine headaches and other temporomandibular disorders.
  • the intraoral discluder device of the invention includes a prefabricated trough, having a front wall and a rear wall. Extending a substantially distance anteriorly and posteriorly from the trough is a protrusion, typically dome shaped, that extends such that as the lower jaw is elevated, the edge of the opposing incisor or incisors comes into contact with the contact surface of the protrusion prior to the opposing upper and lower teeth coming into contact.
  • the contact surface of the protrusion prevents the upper and lower teeth from contacting each other, regardless of the protrusive, retrusive, or excursive position of the mandible or the teeth or any mandibular movement and suppresses isometric contraction of the temporalis muscle.
  • the protrusion can be further modified by the practitioner or wearer to accommodate for any unusual or extreme mandibular movements or teeth orientations.
  • the trough can be filled with an adaptable material that conforms to the shape of the incisors and assists in retaining the trough on the upper or lower incisors.
  • means can be provided for enhancing retention of the adaptable material within the trough.
  • Such retaining means can take the form of one or more cutouts formed in a wall of the trough, a mechanical undercut in a wall of the trough, an adhesive, and/or natural attraction of the adaptable material to the trough.
  • the protrusion preferably has a length in the anterior/posterior direction in the range of about 8 mm to about 12 mm. Further, the protrusion preferably projects anteriorly from the front wall by at least about 3 mm.
  • FIG. 1 is a schematic side elevation view of the human skull with a preferred embodiment of a semi-custom intraoral discluder of the invention positioned over the maxillary teeth.
  • FIG. 2 is a perspective view of the intraoral discluder of FIG. 1.
  • FIG. 3 is a front elevational view of the intraoral discluder of FIG. 2, in place over the maxillary teeth, opposing the mandibular incisors.
  • FIG. 4 is a front elevational view of the intraoral discluder of FIG. 2, in place over the mandibular teeth, opposing the maxillary incisors.
  • FIG. 5 is a side sectional view of the intraoral discluder of FIG. 2, in place over a maxillary incisor with an adaptable material conforming to the shape of the maxillary incisor, opposing a mandibular incisor, with the mandibular incisor shown in both a protrusive and a retrusive position.
  • FIG. 6 is a side sectional view of the intraoral discluder of FIG. 2, in place over a mandibular incisor with an adaptable material cor-fo ⁇ ning to the shape of the mandibular incisor, opposing a maxillary incisor, with the mandible in a retruded position.
  • FIG. 7 is a side sectional view of the intraoral discluder of FIG. 2, similar to the view of FIG. 6, but with the mandible in a protruded position.
  • FIG. 8 is a perspective view of an alternative embodiment of a semi-custom intraoral discluder in accordance with the invention, including a trough filled with an adaptive material, a protrusion, and one extending tab placed on the protrusion and another extending tab aligned for placement on the first extending tab.
  • FIG. 9 is a perspective view of another alternative embodiment of a semi- custom intraoral discluder in accordance with the invention, this embodiment differing from the discluder embodiment of FIG. 2 in that the front wall of its trough includes cutouts for enhancing retention of the adaptable material.
  • FIGS. 1 and 2 there is shown a semi-custom intraoral discluder 2 in accordance with the invention, which functions to prevent tension and common migraine headaches and temporomandibular disorders.
  • a schematic representation of a human skull 4 is shown, wherein the temporalis muscle 6 extends from the skull to its attachment 8 on the mandible 10. A contraction of the temporalis muscle causes the jaw to close.
  • the discluder prevents the upper teeth 12 and the lower teeth 14 from contacting each other and thereby inhibits inappropriate contraction of the temporalis muscle.
  • the discluder 2 includes a trough 22 with a labial wall 20 and a protrusion 18 with an anterior contact surface 16 extending from the labial wall of the trough.
  • the discluder may be made of any biocompatible material that will hold its form, including, e.g., polymers, enamels, rubbers, silicone resins, and any other materials that would be known to be used by those skilled in the art.
  • the protrusion and the trough may be made of different biocompatible materials selected from these same examples.
  • FIG. 3 shows the intraoral discluder 2 in place over the maxillary incisors 24, with the contact surface 16 of the protrusion 18 contacting the opposing mandibular incisors 26 when the mandible 10 elevates.
  • the contact surface is positioned a sufficient distance away from the trough 22 to prevent the opposing upper teeth 12 and lower teeth 14 from contacting each other. Typically, this distance is on the order of several millimeters.
  • the trough 22 of the intraoral discluder 2 is defined by a front wall 28 and a rear wall 30.
  • An adaptive material 32 can optionally be disposed within the trough, for coriforming engagement with the maxillary incisors 24.
  • This adaptive material may be made of any type of material that conforms and retains its shape, including, e.g., silicone resins, polymers, enamels, rubbers, and any other material that would be known to be used by those skilled in the art. This material aids in providing a comfortable and durable engagement between the discluder and the incisors.
  • the protrusion 18 projects both anteriorly and posteriorly from the trough 22.
  • the protrusion has a length in the anterior/posterior direction in the range of about 8 mm to about 12 mm. It projects anteriorly from the front wall 28 of the trough by at least about 3 mm.
  • the intraoral discluder 2 can be placed over the mandibular incisors 26, with the contact surface 16 of the protrusion 18 contacting the opposing maxillary incisors 24 when the mandible 10 elevates. As in the case when the discluder is placed over the maxillary incisors, this prevents the opposing upper and lower teeth 12, 14 from contacting each other.
  • FIGS. 6 and 7 show the discluder 2 positioned on the mandibular incisors, with its trough 22 being held in place by the adaptive material 32 around the mandibular incisor 26.
  • the opposing maxillary incisor 24 contacts an anterior portion of the contact surface 16 of the protrusion 18 when the mandible is in a retrusive position.
  • the opposing maxillary incisor contacts a posterior portion of the contact surface when the mandible is in a protrusive position.
  • FIG. 8 An alternative embodiment of a semi-custom intraoral discluder 2' in accordance with the invention is depicted in FIG. 8. It includes a trough 22 and a protrusion 18 projecting both anteriorly and posteriorly from the trough.
  • An adaptive material 32 is disposed within the trough, and two extending tabs 36, 38 are included for placement on the protrusion, to increase the distance of the contacting surface 16 from the trough.
  • the extending tab 36 is shown secured to the protrusion, and the extending tab 38 is shown in alignment with the tab 36.
  • the wearer or practitioner can selectively adhere one or more of these extension tabs to the occluding face of the protrusion to increase the distance between the contact surface and the trough.
  • the extension tabs may be made of any suitable biocompatible material, including, e.g., silicone resins, polymers, enamels, rubbers, and any other material known to those skilled in the art.
  • the extension tabs may be adhered to the entire protrusion, as shown, or to only a portion of the protrusion.
  • the extension tabs may be adhered by any suitable method, including, e.g., adhesives, cutouts, prefabricated snap-in-place pieces, natural attraction, adhesion, or other any other suitable method known to those skilled in the art.
  • FIG. 9 Another alternative embodiment of a semi-custom intraoral discluder 2" in accordance with the invention is depicted in FIG. 9.
  • This discluder includes a trough 22 and a protrusion 18 projecting both anteriorly and posteriorly from the trough, and an adaptive material 32 is disposed within the trough.
  • This discluder further includes three circular cutouts 40 in the trough's front wall 28, for enhancing the retention of the adaptive material within the trough.
  • Other structures for enhancing retention of the adaptive material could include mechanical undercuts, adhesives, and/or natural attraction of the adaptable material to the trough.
  • the semi- custom intraoral discluder 2 of the invention may be used on either the upper teeth 12 or lower teeth 14 and with various teeth and jaw orientations, to prevent the upper teeth and lower teeth from contacting each other and causing inappropriate isometric contractions of the temporalis muscle 6.
  • the intraoral semi-custom discluder of the invention prevents tension and common migraine headaches and temporomandibular disorders that result from inappropriate isometric contraction of the temporalis muscle.

Abstract

A semi-custom intraoral discluder device for preventing chronic tension and common migraine headaches and temporomandibular disorders that are caused or perpetuated by chronic activity of the temporalis muscles. The discluder (2), includes a trough (22), contoured to encompass at least one maxillary or mandibular incisor, from which extends a protrusion (18), typically of a dome shape. The trough (22), can be retained on the teeth by and adaptable material (32), which can flow around the teeth and then maintain its shape. The adaptation of the retentive material can be performed by the end user, health care provider, or anyone trained in the art. Once in place in the wear's mouth, one or two opposing incisor teeth will be come into contact with the protrusion (18), prior to the upper and lower posterior and/or canine teeth coming into contact, regardless of the position of the mandible, thereby reducing the intensity of the activity of the temporalis muscles.

Description

INTRAORAL DISCLUDER DEVICE AND METHOD FOR PREVENTING MIGRAINE AND TENSION HEADACHES AND TEMPOROMANDIBULAR
DISORDERS
BACKGROUND OF THE INVENTION
The present invention relates generally to intraoral devices and, more particularly, to an intraoral discluder device for use in relieving tension headaches, common migraine headaches, and temporomandibular disorders.
Tension and muscle contraction headaches affect many people every day. The headaches are often recurring and, without effective treatment, can become very painful, restricting an individual's ability to think clearly and function effectively. The discomfort associated with tension and muscle contraction headaches is usually due to pain from strained and fatigued muscles of the head. The majority of the muscles of the human head are not sufficiently strong to elicit the type of pain and discomfort associated with tension and muscle contraction headaches. That is not the case with the temporalis muscle, however, which is located on the side of the skull and extends from just behind the eye to just behind the ear, and which is an extremely powerful muscle that functions to close or elevate the jaw.
Under normal circumstances, the temporalis muscle should not exert a large static force by contracting isometrically, except possibly during normal chewing. Inappropriate isometric contraction of temporalis muscle is commonly known as "clenching" and clinically known as myofascial dysfunction. Unfortunately, myofacial dysfunction is particularly difficult to detect or diagnose because the act of clenching is a relatively motionless act that is commonly done while a person is concentrating on another topic, or while sleeping. As the muscular contraction condition of "clenching" continues, the muscle becomes fatigued and susceptible to spasm and cramping. The pain from spasming and cramping temporalis fibers is severe and is usually diagnosed as a common migraine. Individuals suffering from headaches, who seek the assistance of a physician, are usually treated with muscle relaxants, analgesics, and physical therapy for the muscle fatigue. However, medications and therapy require continual treatment and treat only the symptoms of the underlying problem and not the problem itself.
Persons suffering from headaches, who seek the assistance of a dentist, commonly will be diagnosed with a temporomandibular disorder and treated with an intraoral "jaw positioning" appliance. Unfortunately, the intraoral appliances provided by dentists usually are not entirely effective, because they only approximate the relative positions of the upper and lower teeth with respect to each other, allowing clenching to continue with minimal mandibular movement. Further, these intraoral appliances ordinarily cannot be used with patients who have malocclusions, protrusions or retrusions of the mandible, or other irregular teeth or mandibular orientations. Typically, the intraoral appliance must also be fabricated by a dentist at a prohibitive cost to a majority of individuals who suffer from tension and common migraine headaches. Lastly, most intraoral jaw positioning appliances and other types of semi-custom intraoral discluders can only be used on the upper teeth. However, in some circumstances, use of the device on the upper teeth is impossible due to malocclusions and irregular orientation of the teeth.
It should be apparent from the foregoing discussion, that there is need for a more effective semi-custom intraoral device that can be used with various teeth and jaw orientations and that can be placed on either the upper teeth or the lower teeth to prevent contact of the upper and lower teeth in all mandibular movements. By preventing contact of the upper and lower teeth, the semi-custom intraoral discluder would be able to inhibit inappropriate isometric contraction of the temporalis muscle and thereby prevent tension and common migraine headaches and other temporomandibular disorders. The present invention satisfies this need.
SUMMARY OF THE INVENTION
The above-noted problems, and others, are overcome in accordance with this invention by a small semi-custom intraoral discluder device that can be used with various teeth and jaw orientations and that can be placed on either the upper teeth or the lower teeth, to prevent contact of opposing upper and lower teeth. By preventing contact of the upper and lower teeth, the semi-custom intraoral discluder device inhibits inappropriate isometric contraction of the temporalis muscle, thereby preventing tension and common migraine headaches and other temporomandibular disorders.
The intraoral discluder device of the invention includes a prefabricated trough, having a front wall and a rear wall. Extending a substantially distance anteriorly and posteriorly from the trough is a protrusion, typically dome shaped, that extends such that as the lower jaw is elevated, the edge of the opposing incisor or incisors comes into contact with the contact surface of the protrusion prior to the opposing upper and lower teeth coming into contact. The contact surface of the protrusion prevents the upper and lower teeth from contacting each other, regardless of the protrusive, retrusive, or excursive position of the mandible or the teeth or any mandibular movement and suppresses isometric contraction of the temporalis muscle. The protrusion can be further modified by the practitioner or wearer to accommodate for any unusual or extreme mandibular movements or teeth orientations.
If necessary, the trough can be filled with an adaptable material that conforms to the shape of the incisors and assists in retaining the trough on the upper or lower incisors. In addition, means can be provided for enhancing retention of the adaptable material within the trough. Such retaining means can take the form of one or more cutouts formed in a wall of the trough, a mechanical undercut in a wall of the trough, an adhesive, and/or natural attraction of the adaptable material to the trough.
In other, more detailed features of the invention, the protrusion preferably has a length in the anterior/posterior direction in the range of about 8 mm to about 12 mm. Further, the protrusion preferably projects anteriorly from the front wall by at least about 3 mm.
Other features, and advantages of the present invention should become apparent from the following description of the preferred embodiments, taken in conjunction with the accompanying drawings, which illustrate, by way of example, the principles of the invention.
BRIEF DESCRIPTION OF THE DRAWINGS
Embodiments of the present invention will now be described, by way of example only, with reference to the following drawings in which:
FIG. 1 is a schematic side elevation view of the human skull with a preferred embodiment of a semi-custom intraoral discluder of the invention positioned over the maxillary teeth.
FIG. 2 is a perspective view of the intraoral discluder of FIG. 1.
FIG. 3 is a front elevational view of the intraoral discluder of FIG. 2, in place over the maxillary teeth, opposing the mandibular incisors.
FIG. 4 is a front elevational view of the intraoral discluder of FIG. 2, in place over the mandibular teeth, opposing the maxillary incisors. FIG. 5 is a side sectional view of the intraoral discluder of FIG. 2, in place over a maxillary incisor with an adaptable material conforming to the shape of the maxillary incisor, opposing a mandibular incisor, with the mandibular incisor shown in both a protrusive and a retrusive position.
FIG. 6 is a side sectional view of the intraoral discluder of FIG. 2, in place over a mandibular incisor with an adaptable material cor-foπning to the shape of the mandibular incisor, opposing a maxillary incisor, with the mandible in a retruded position.
FIG. 7 is a side sectional view of the intraoral discluder of FIG. 2, similar to the view of FIG. 6, but with the mandible in a protruded position.
FIG. 8 is a perspective view of an alternative embodiment of a semi-custom intraoral discluder in accordance with the invention, including a trough filled with an adaptive material, a protrusion, and one extending tab placed on the protrusion and another extending tab aligned for placement on the first extending tab.
FIG. 9 is a perspective view of another alternative embodiment of a semi- custom intraoral discluder in accordance with the invention, this embodiment differing from the discluder embodiment of FIG. 2 in that the front wall of its trough includes cutouts for enhancing retention of the adaptable material.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
With reference now to the exemplary drawings, and particularly to FIGS. 1 and 2, there is shown a semi-custom intraoral discluder 2 in accordance with the invention, which functions to prevent tension and common migraine headaches and temporomandibular disorders. With particular reference to FIG. 1, a schematic representation of a human skull 4 is shown, wherein the temporalis muscle 6 extends from the skull to its attachment 8 on the mandible 10. A contraction of the temporalis muscle causes the jaw to close. The discluder prevents the upper teeth 12 and the lower teeth 14 from contacting each other and thereby inhibits inappropriate contraction of the temporalis muscle.
The discluder 2 includes a trough 22 with a labial wall 20 and a protrusion 18 with an anterior contact surface 16 extending from the labial wall of the trough. The discluder may be made of any biocompatible material that will hold its form, including, e.g., polymers, enamels, rubbers, silicone resins, and any other materials that would be known to be used by those skilled in the art. In an alternative embodiment, the protrusion and the trough may be made of different biocompatible materials selected from these same examples.
FIG. 3 shows the intraoral discluder 2 in place over the maxillary incisors 24, with the contact surface 16 of the protrusion 18 contacting the opposing mandibular incisors 26 when the mandible 10 elevates. The contact surface is positioned a sufficient distance away from the trough 22 to prevent the opposing upper teeth 12 and lower teeth 14 from contacting each other. Typically, this distance is on the order of several millimeters.
With reference now to FIG. 5, the trough 22 of the intraoral discluder 2 is defined by a front wall 28 and a rear wall 30. An adaptive material 32 can optionally be disposed within the trough, for coriforming engagement with the maxillary incisors 24. This adaptive material may be made of any type of material that conforms and retains its shape, including, e.g., silicone resins, polymers, enamels, rubbers, and any other material that would be known to be used by those skilled in the art. This material aids in providing a comfortable and durable engagement between the discluder and the incisors. In one feature of the invention, the protrusion 18 projects both anteriorly and posteriorly from the trough 22. This ensures that the opposing mandibular incisors 26 will contact the contact surface 16 of the protrusion 18 regardless of whether the mandible is in a protrusive position or a retrusive position. These two positions are depicted in FIG. 5, with the mandibular incisor being identified by the reference numeral 26 when it is in a protrusive position and by the reference numeral 26' when it is in a retrusive position. Preferably, the protrusion has a length in the anterior/posterior direction in the range of about 8 mm to about 12 mm. It projects anteriorly from the front wall 28 of the trough by at least about 3 mm.
Alternatively, as shown in FIG. 4, the intraoral discluder 2 can be placed over the mandibular incisors 26, with the contact surface 16 of the protrusion 18 contacting the opposing maxillary incisors 24 when the mandible 10 elevates. As in the case when the discluder is placed over the maxillary incisors, this prevents the opposing upper and lower teeth 12, 14 from contacting each other.
FIGS. 6 and 7 show the discluder 2 positioned on the mandibular incisors, with its trough 22 being held in place by the adaptive material 32 around the mandibular incisor 26. In FIG. 6, the opposing maxillary incisor 24 contacts an anterior portion of the contact surface 16 of the protrusion 18 when the mandible is in a retrusive position. In FIG. 7, on the other hand, the opposing maxillary incisor contacts a posterior portion of the contact surface when the mandible is in a protrusive position.
An alternative embodiment of a semi-custom intraoral discluder 2' in accordance with the invention is depicted in FIG. 8. It includes a trough 22 and a protrusion 18 projecting both anteriorly and posteriorly from the trough. An adaptive material 32 is disposed within the trough, and two extending tabs 36, 38 are included for placement on the protrusion, to increase the distance of the contacting surface 16 from the trough. The extending tab 36 is shown secured to the protrusion, and the extending tab 38 is shown in alignment with the tab 36. These tabs are selectively used if the wearer's mouth is configured such that the upper teeth 12 and the lower teeth 14 contact each other before the opposing incisors 24 or 26 contact the protrusion. The wearer or practitioner can selectively adhere one or more of these extension tabs to the occluding face of the protrusion to increase the distance between the contact surface and the trough. The extension tabs may be made of any suitable biocompatible material, including, e.g., silicone resins, polymers, enamels, rubbers, and any other material known to those skilled in the art. The extension tabs may be adhered to the entire protrusion, as shown, or to only a portion of the protrusion. The extension tabs may be adhered by any suitable method, including, e.g., adhesives, cutouts, prefabricated snap-in-place pieces, natural attraction, adhesion, or other any other suitable method known to those skilled in the art.
Another alternative embodiment of a semi-custom intraoral discluder 2" in accordance with the invention is depicted in FIG. 9. This discluder includes a trough 22 and a protrusion 18 projecting both anteriorly and posteriorly from the trough, and an adaptive material 32 is disposed within the trough. This discluder further includes three circular cutouts 40 in the trough's front wall 28, for enhancing the retention of the adaptive material within the trough. Other structures for enhancing retention of the adaptive material could include mechanical undercuts, adhesives, and/or natural attraction of the adaptable material to the trough.
It should be evident from the drawings and the discussion above that the semi- custom intraoral discluder 2 of the invention may be used on either the upper teeth 12 or lower teeth 14 and with various teeth and jaw orientations, to prevent the upper teeth and lower teeth from contacting each other and causing inappropriate isometric contractions of the temporalis muscle 6. The intraoral semi-custom discluder of the invention prevents tension and common migraine headaches and temporomandibular disorders that result from inappropriate isometric contraction of the temporalis muscle. Although the invention has been described in detail with reference to the presently preferred embodiments, those of ordinary skill in the art will appreciate that various modifications can be made without departing from the invention. Accordingly, the invention is defined only by the following claims.

Claims

I claim:
1. A semi-custom intraoral discluder device comprising: a prefabricated trough having a front wall and a rear wall sized and configured to accommodate at least one upper or lower incisor, wherein the front wall disposed is adjacent to the front of the incisor when the trough is in the wearer's mouth; and a protrusion attached to the trough and having a contact surface that projects a substantial distance anteriorly from the front wall of the trough and posteriorly from the rear wall of the trough when the trough is in the wearer's mouth, wherein the contact surface is spaced a predetermined distance from the trough such that the protrusion is configured to prevent contact between opposing upper and lower teeth, whether the mandible is in a protrusive position or a retrusive position.
2. The intraoral discluder device according to claim 1, and further comprising a quantity of adaptable material disposed within the trough and adapted to conform to the shape of the incisor, to assist in retaining the device in the wearer's mouth.
3. The intraoral discluder device according to claim 2, and further comprising means for retaining the adaptable material within the trough.
4. The intraoral discluder device according to claim 3, wherein the means for retaining includes one or more cutouts formed in a wall of the trough.
5. The intraoral discluder device according to claim 2, wherein the means for retaining is selected from the group consisting of a mechanical undercut in a wall of the trough, an adhesive, and natural attraction of the adaptable material to the trough.
6. The intraoral discluder device according to claim 1, wherein the trough and the protrusion both are fabricated from a biocompatible material.
7. The intraoral discluder device according to claim 1, wherein the protrusion comprises a plurality of tabs that increase the distance from the contact surface to the trough.
8. The intraoral discluder device according to claim 1, wherein the protrusion is configured not to move when contacted by at least one opposing incisor.
9. The intraoral discluder device according to claim 1, wherein the protrusion has a length in the anterior/posterior direction in the range of about 8 mm to about 12 mm.
10. The intraoral discluder device according to claim 9, wherein the protrusion projects anteriorly from the front wall by at least about 3 mm.
11. A method for using a semi-custom intraoral discluder device, comprising the steps of: providing a semi-custom intraoral discluder device that includes a trough having a front wall and a rear wall sized and configured to accommodate at least one upper or lower incisor, wherein the front wall is disposed adjacent to the front of the incisor and the rear wall is disposed adjacent to the rear of the incisor when the trough is in the wearer's mouth, and a protrusion attached to the trough and having a contact surface that extends a substantial distance anteriorly from the front wall of the trough and a substantial distance posteriorly from the rear wall of the trough when the trough is in the wearer's mouth, wherein the contact surface is spaced a predetermined distance from the trough such that the protrusion is configured to prevent contact between opposing upper and lower teeth; and placing the intraoral discluder device on at least one of the wearer's upper or lower incisors so that the protrusion will contact at least one opposing incisor tooth prior to contact between upper and lower teeth, whether the mandible is in a protrusive position or a retrusive position.
12. The method according to claim 11, and further including a step of placing a quantity of adaptable material into the trough, such material conforming to the shape of the at least one upper or lower incisor, thereby assisting in retaining the device in the wearer's mouth.
13. The method according to claim 12, wherein the semi-custom intraoral discluder device provided in the step of providing further includes means for retaining the adaptable material within the trough.
14. The intraoral discluder device according to claim 13, wherein the means for retaining is selected from the group consisting of one or more cutouts formed in a wall of the trough, a mechanical undercut in a wall of the trough, an adhesive, and natural attraction of the adaptable material to the trough.
15. The method according to claim 11, wherein the trough and protrusion are fabricated from a biocompatible material.
16. The method according to claim 11, and further including a step of securing at least one prefabricated tab to the protrusion, to increase the distance from the contact surface to the trough.
17. The method according to claim 11, wherein the protrusion is configured not to move when contacted by at least one opposing incisor.
18. The method according to claim 11, wherein the protrusion has a length in the anterior/posterior direction in the range of about 8 mm to about 12 mm.
19. The method according to claim 11, wherein the protrusion projects anteriorly from the front wall by at least about 3 mm.
20. A semi-custom intraoral discluder device comprising: a prefabricated trough having a front wall and a rear wall sized and configured to accommodate at least one upper or lower incisor, wherein the front wall disposed is adjacent to the front of the incisor when the trough is in the wearer's mouth; a quantity of adaptable material disposed within the trough and adapted to conform to the shape of the incisor, to assist in retaining the device in the wearer's mouth; means for retaining the adaptable material within the trough; and a protrusion attached to the trough and having a contact surface that projects a substantial distance anteriorly from the front wall of the trough and posteriorly from the rear wall of the trough when the trough is in the wearer's mouth; wherein the trough, the adaptable material, and the protrusion all are formed of a biocompatible material; wherein the protrusion has a length in the anterior/posterior direction in the range of about 8 mm to about 12 mm, and wherein the protrusion projects anteriorly from the front wall of the trough by at least about 3 mm, and wherein the contact surface is spaced a predetermined distance from the trough, such that the protrusion is configured to prevent contact between opposing upper and lower teeth, whether the mandible is in a protrusive position or a retrusive position.
PCT/US2002/030806 2001-12-14 2002-09-27 Intraoral discluder device and method for preventing migraine and tension headaches and temporomandibular disorders WO2003051280A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
MXPA04005758A MXPA04005758A (en) 2001-12-14 2002-09-27 Intraoral discluder device and method for preventing migraine and tension headaches and temporomandibular disorders.
BR0215133-2A BR0215133A (en) 2001-12-14 2002-09-27 Intraoral myo-relaxing plaque and method for its use
AU2002327075A AU2002327075B2 (en) 2001-12-14 2002-09-27 Intraoral discluder device and method for preventing migraine and tension headaches and temporomandibular disorders

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US10/022,178 2001-12-14
US10/022,178 US20030116164A1 (en) 2001-12-14 2001-12-14 Intraoral discluder device and method for preventing migraine, tension headache, and temporomandibular disorders
US10/033,693 US6666212B2 (en) 2001-12-14 2001-12-27 Intraoral discluder device and method for preventing migraine and tension headaches and temporomandibular disorders
US10/033,693 2001-12-27

Publications (2)

Publication Number Publication Date
WO2003051280A2 true WO2003051280A2 (en) 2003-06-26
WO2003051280A3 WO2003051280A3 (en) 2009-06-11

Family

ID=26695625

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/030806 WO2003051280A2 (en) 2001-12-14 2002-09-27 Intraoral discluder device and method for preventing migraine and tension headaches and temporomandibular disorders

Country Status (6)

Country Link
US (3) US20030116164A1 (en)
AU (1) AU2002327075B2 (en)
BR (1) BR0215133A (en)
MX (1) MXPA04005758A (en)
PL (1) PL210708B1 (en)
WO (1) WO2003051280A2 (en)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7234467B2 (en) 2003-07-25 2007-06-26 Myohealth Ip Pty Ltd Occlusal splint
EP1983922A2 (en) * 2006-01-25 2008-10-29 Joseph J. Pelerin Mouth guard
US7654267B2 (en) * 2004-06-29 2010-02-02 Nti-Tss, Inc. Intraoral discluder and method for relieving migraine and tension headaches and temporomandibular disorders
US8186356B2 (en) 2006-01-25 2012-05-29 Dr. Joseph Pelerin Mouth guard
EP2572686A1 (en) 2011-09-23 2013-03-27 2G Medical GmbH Pre-fabricated teeth protection rail
EP2651329A1 (en) * 2010-12-15 2013-10-23 Randmark Dental Products, LLC Intra-oral device and method of relieving head, neck, facial, joint and tooth pain

Families Citing this family (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7559328B2 (en) * 2002-07-11 2009-07-14 Eubank Jimmy B Oral appliance for maintaining stability of one or more aspects of a user's masticatory system
AU2004260549B2 (en) * 2003-07-25 2009-07-30 Myohealth Pty Ltd Improved occlusal splint
US7214064B1 (en) * 2004-01-29 2007-05-08 Tracy Hall Implement for speech therapy
US20050282114A1 (en) * 2004-06-22 2005-12-22 Haje Emad E Tooth separator/muscle relaxer
US20070023055A1 (en) * 2005-07-30 2007-02-01 Roth Steven E Dental appliance to prevent the negative effects of bruxism
US20070079833A1 (en) * 2005-10-07 2007-04-12 Lamberg Steven B Intraoral mandibular advancement device for treatment of sleep disorders, including snoring, obstructive sleep apnea, and gastroesophageal reflux disease and method for delivering the same
US7730891B2 (en) * 2005-10-07 2010-06-08 Lamberg Steven B Intraoral mandibular advancement device for treatment of sleep disorders
US20080021437A1 (en) * 2006-04-27 2008-01-24 Boyd James P Enhancement of the efficacy of a clenching reduction device by augmenting with botulinum toxin type A
JP4284690B2 (en) * 2006-05-18 2009-06-24 優 深山 Mandibular lateral movement assist device
US20090004629A1 (en) * 2007-06-26 2009-01-01 Laurence Fishman Aesthetic dental arch laminates and adhesive
US8656926B2 (en) * 2008-02-13 2014-02-25 Marc Doctors Intra-oral device and method of relieving head, neck, facial, joint and tooth pain
US8082923B2 (en) * 2008-02-13 2011-12-27 Randmark Dental Products, LLC Intra-oral device
WO2010039888A2 (en) * 2008-09-30 2010-04-08 Elsa Wittbold Method of direct fabrication of intraoral devices
WO2011100355A1 (en) 2010-02-09 2011-08-18 Boyd James P Multipurpose therapeutic mouthpiece assembly
US20110201970A1 (en) * 2010-02-18 2011-08-18 Boyd Sr James P Method and apparatus for diagnosing temporomandibular disorders
US8752554B2 (en) * 2010-06-01 2014-06-17 David L. Spainhower Mouth guards for treating of temporomandibular disorder and associated methods
US10610403B2 (en) 2011-08-12 2020-04-07 John C. Kline Dental appliance
US8826913B2 (en) 2011-08-12 2014-09-09 John C. Kline Dental appliance
US20140238414A1 (en) 2013-02-22 2014-08-28 Kelly Lucas AGP night guard - for a bruxism patient with or without a severe malocclusion
US9730768B2 (en) 2013-02-22 2017-08-15 Kelly Lucas CAD-CAM AGP splint—a method of automatically producing or reproducing a customized AGP (anterior guidance package) equipped splint for a patient with/without a severe malocclusion via one time dentist visit
US9526590B2 (en) 2013-02-22 2016-12-27 Kelly Lucas AGP night guard—for a bruxism patient with or without a severe malocclusion
CN105377201B (en) 2013-07-01 2017-12-26 R·约瑟夫·马格内斯 For treating the dental instrument of bruxism
US9655692B2 (en) 2013-11-19 2017-05-23 Kelly Wade Lucas Pre-fabricated anterior guidance package kit for patients having bruxism/clenching habit with or without various malocclusions-II
US10299894B2 (en) 2014-02-21 2019-05-28 Align Technology, Inc. Treatment plan specific bite adjustment structures
US10610404B2 (en) 2015-06-24 2020-04-07 Kelly Lucas Systems and methods for producing anterior guidance package (AGP) equipped splint
US10500083B1 (en) * 2016-04-19 2019-12-10 James Palmer Boyd Method of using an intraoral discluder to enhance migraine prevention and treatment of temporomandibular disorders
CA3122991C (en) 2018-12-11 2022-10-11 Gary B. Wiele An assembly for treatment providing non-invasive controlled positioning and movement of a patient's jaw
CN114206592A (en) 2019-05-31 2022-03-18 R·约瑟夫·马格内斯 Dental appliance for treating bruxism and sleep apnea
USD1017044S1 (en) * 2022-06-30 2024-03-05 Adewale Olukayode Sodade Anti-bruxism device

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3705585A (en) * 1971-07-15 1972-12-12 Dennis W Saffro Preformed surgical sponge

Family Cites Families (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2649397A (en) 1950-05-31 1953-08-18 Shell Dev Fungicidal compositions and method of fungus control comprising hydrocarbyl-substituted pyrimidines
US2808898A (en) 1952-05-27 1957-10-08 Lewyt Corp Filter bag structure for vacuum cleaners
US2694397A (en) 1952-09-15 1954-11-16 Frederick W Herms Mouth prop
US3513838A (en) 1967-10-11 1970-05-26 John W Foderick Teeth protector
US3478429A (en) 1968-05-21 1969-11-18 Douglas J Shilliday Standardized orthodontic tooth-positioning and retaining device
US3708858A (en) * 1971-01-15 1973-01-09 J Sasaki Method for preparation of a filter medium
US4211008A (en) 1978-10-20 1980-07-08 Lerman Martin D Oral device
US4413979A (en) * 1979-04-19 1983-11-08 Black Knight Investments Limited Preform for molding custom dental impression trays
US4468196A (en) 1982-05-24 1984-08-28 Keller Duane C Method of and apparatus for orthopedic and/or orthodontic treatment
US4559013A (en) 1983-05-23 1985-12-17 Amstutz A Keith Orthodontic shield, orthotic device and musician embouchure aid and method of producing and using same
US4798534A (en) 1984-08-03 1989-01-17 Great Lakes Orthodontic Laboratories Inc. Method of making a dental appliance
US4624640A (en) 1984-11-06 1986-11-25 Tesini David A Wafer for a dental impression for identification purposes
DE3770239D1 (en) 1986-10-15 1991-06-27 Sunstar Inc MOUTHPIECE AND METHOD FOR PRODUCING THIS.
US5092346A (en) 1987-10-13 1992-03-03 Hays & Meade, Inc. Dental orthosis for alleviation of snoring
US4773853A (en) 1987-11-09 1988-09-27 Leon Kussick Oral orthopedic appliance
US4892478A (en) 1988-03-21 1990-01-09 Dentsply Research & Development Corp. Method of preparing dental appliances
US5406963A (en) * 1989-03-27 1995-04-18 Adell; Loren S. Mouthguard
US4915630A (en) 1989-05-15 1990-04-10 Honig Gordon C Dental splint
US5031611A (en) 1989-07-17 1991-07-16 Moles Randall C Customized scuba-diving mouthpiece and method of manufacture
US4997182A (en) 1989-10-12 1991-03-05 Leon Kussick Tongue thrust corrective device
US5033480A (en) 1990-03-23 1991-07-23 Wiley Christopher W Short self adhesive denture guard
US5067896A (en) 1991-04-24 1991-11-26 Marcel Korn Orthodontic appliance
US5085584A (en) 1991-07-01 1992-02-04 Boyd James P Intraoral discluder device and method
US5624257A (en) 1991-10-31 1997-04-29 Farrell; Christopher J. Oral appliance
US5277203A (en) 1992-08-31 1994-01-11 Mb Hays, Inc. Bite plate
US5502087A (en) 1993-06-23 1996-03-26 Dentsply Research & Development Corp. Dental composition, prosthesis, and method for making dental prosthesis
US5503552A (en) 1993-11-18 1996-04-02 Diesso; Michael Dental impression method and composition
US5513656A (en) 1995-03-27 1996-05-07 Boyd, Sr.; James P. Intraoral semi-custom discluder device
US5885073A (en) 1995-06-09 1999-03-23 Kussick Orthodontic Systems, Llc Orthopedic incline appliance and method
US5779470A (en) 1996-06-07 1998-07-14 Kussick Orthodontic Systems, Llc Tongue thrust oral habit retrainer
US5795150A (en) 1997-03-03 1998-08-18 Boyd; James P. Intraoral semi-custom discluder device and method
US6231337B1 (en) 2000-01-24 2001-05-15 James P. Boyd Dental mouthpiece and method of making same
EP1501458B1 (en) * 2002-05-01 2007-08-08 Keith W. Thornton Device for improving a user's breathing

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3705585A (en) * 1971-07-15 1972-12-12 Dennis W Saffro Preformed surgical sponge

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7234467B2 (en) 2003-07-25 2007-06-26 Myohealth Ip Pty Ltd Occlusal splint
US7556044B2 (en) 2003-07-25 2009-07-07 Myohealth Ip Pty Ltd Occlusal splint
US7654267B2 (en) * 2004-06-29 2010-02-02 Nti-Tss, Inc. Intraoral discluder and method for relieving migraine and tension headaches and temporomandibular disorders
EP1983922A2 (en) * 2006-01-25 2008-10-29 Joseph J. Pelerin Mouth guard
EP1983922A4 (en) * 2006-01-25 2010-09-15 Joseph J Pelerin Mouth guard
US8186356B2 (en) 2006-01-25 2012-05-29 Dr. Joseph Pelerin Mouth guard
EP2651329A1 (en) * 2010-12-15 2013-10-23 Randmark Dental Products, LLC Intra-oral device and method of relieving head, neck, facial, joint and tooth pain
EP2651329A4 (en) * 2010-12-15 2014-06-11 Randmark Dental Products Llc Intra-oral device and method of relieving head, neck, facial, joint and tooth pain
EP2572686A1 (en) 2011-09-23 2013-03-27 2G Medical GmbH Pre-fabricated teeth protection rail

Also Published As

Publication number Publication date
AU2002327075B2 (en) 2006-10-12
PL375510A1 (en) 2005-11-28
USRE43459E1 (en) 2012-06-12
PL210708B1 (en) 2012-02-29
US20030121523A1 (en) 2003-07-03
WO2003051280A3 (en) 2009-06-11
AU2002327075A1 (en) 2003-06-30
MXPA04005758A (en) 2004-11-29
BR0215133A (en) 2005-07-19
US6666212B2 (en) 2003-12-23
US20030116164A1 (en) 2003-06-26

Similar Documents

Publication Publication Date Title
USRE43459E1 (en) Intraoral discluder device and method for preventing migraine and tension headaches and temporomandibular disorders
CA2497655C (en) Intraoral discluder and method for relieving migraine and tension headaches and temporomandibular disorders
EP0967930B1 (en) Intraoral semi-custom discluder device
US5795150A (en) Intraoral semi-custom discluder device and method
US5085584A (en) Intraoral discluder device and method
AU617694B2 (en) Silencer
CA1221254A (en) Craniomandibular appliance
US7234467B2 (en) Occlusal splint
US20110195376A1 (en) Multipurpose therapeutic mouthpiece assembly
US20060110698A1 (en) Dental orthotic devices and methods for management of impaired oral functions and resultant indications
EP1511440B1 (en) Reducing facial ageing and appliance therefor
US20060078840A1 (en) Dental orthotic for management of impaired oral functions
JPH02500335A (en) splint for patient's lower jaw
EP2262446A1 (en) Ear insert for relief of tmj discomfort
US20080021437A1 (en) Enhancement of the efficacy of a clenching reduction device by augmenting with botulinum toxin type A
US5092768A (en) Wire lip bumper
WO2009081401A2 (en) Device and method for restraining food intake
US20110201970A1 (en) Method and apparatus for diagnosing temporomandibular disorders
US20140373852A1 (en) Dental appliance
WO2003051244A1 (en) Oral appliance
US5368477A (en) Composite neuromuscular oral device
US20190336321A1 (en) Intraoral device
CA2208624A1 (en) A custom, intra-oral, muscle-contraction reduction apparatus
RU2213537C1 (en) Stomatological treating stand
AU2004260549B2 (en) Improved occlusal splint

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): AU BR MX PL

DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
WWE Wipo information: entry into national phase

Ref document number: PA/a/2004/005758

Country of ref document: MX

Ref document number: 375510

Country of ref document: PL

WWE Wipo information: entry into national phase

Ref document number: 2002327075

Country of ref document: AU