287 results about "Mandibular body" patented technology

A computer implemented method of creating a dental model for use in dental articulation includes providing a first set of digital data corresponding to an upper arch image of at least a portion of an upper dental arch of a patient, providing a second set of digital data corresponding to a lower arch image of at least a portion of a lower dental arch of the patient, and providing hinge axis data representative of the spatial orientation of at least one of the upper and lower dental arches relative to a condylar axis of the patient. A reference hinge axis is created relative to the upper and lower arch images based on the hinge axis data. Further, the method may include bite alignment data for use in aligning the lower and upper arch images. Yet further, the method may include providing data associated with condyle geometry of the patient, so as to provide limitations on the movement of at least the lower arch image when the arch images are displayed. Further, a wobbling technique may be used to determine an occlusal position of the lower and upper dental arches. Various computer implemented methods of dental articulation are also described. For example, such dental articulation methods may include moving at least one of the upper and lower arch images to simulate relative movement of one of the upper and lower dental arches of the patient, may include displaying another image with the upper and lower dental arches of the dental articulation model, and / or may include playing back recorded motion of a patient's mandible using the dental articulation model.

A computer implemented method of creating a dental model for use in dental articulation includes providing a first set of digital data corresponding to an upper arch image of at least a portion of an upper dental arch of a patient, providing a second set of digital data corresponding to a lower arch image of at least a portion of a lower dental arch of the patient, and providing hinge axis data representative of the spatial orientation of at least one of the upper and lower dental arches relative to a condylar axis of the patient. A reference hinge axis is created relative to the upper and lower arch images based on the hinge axis data. Further, the method may include bite alignment data for use in aligning the lower and upper arch images. Yet further, the method may include providing data associated with condyle geometry of the patient, so as to provide limitations on the movement of at least the lower arch image when the arch images are displayed. Further, a wobbling technique may be used to determine an occlusal position of the lower and upper dental arches. Various computer implemented methods of dental articulation are also described. For example, such dental articulation methods may include moving at least one of the upper and lower arch images to simulate relative movement of one of the upper and lower dental arches of the patient, may include displaying another image with the upper and lower dental arches of the dental articulation model, and / or may include playing back recorded motion of a patient's mandible using the dental articulation model.

A patient interface system having a patient interface and chin support system for supporting the patient interface on the patient and for supplying a flow of gas from a patient circuit to the patient interface. In one embodiment, the chin support is formed from flexible hollow chambered support and extends from either side of the patient interface curving downwardly in front of the patient's cheeks, around the outside of the patient's mouth, to a position beneath the patient's mandible. In another embodiment, the chin support is coupled to a conduit that is coupled to the patient interface. The chin support includes at least a portion that is disposed under the patient's mandible.

Methods and devices are disclosed for manipulating the tongue. An implant is positioned within at least a portion of the tongue and may be secured to other surrounding structures such as the mandible and / or hyoid bone. In general, the implant is manipulated to displace at least a portion of the posterior tongue in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue. Methods and devices for adjusting a glossopexy system are also disclosed. Adjusting a distance between two body-engaging structures can be performed without disengaging a tether from either of the body-engaging structures in some embodiments.

Intrabuccal device includes two shells (2, 3) made of thermoformed plastic material, the first of which respectively covers the superior arch, and the second of which covers the inferior arch of the oral cavity. This device is provided with (rings and arms) (4a, 4b, 13a, 13b) that act on the said shells (2, 3) and can generate a mandibular propulsion force oriented in the direction of the mandibular propulsion and in the posteroanterior sense, so as to keep a shift of the mandible to the front of the maxilla, while allowing lateral movements.

An expansible ear canal insert for treating TMJ disorders and headaches which acts directly on the TMJ and associated ligament and muscle structures to reduce stress and loads placed on the articulator disc located between the temporal bone and the mandible, as well as supportive muscles and ligaments near the TMJ. The insert is adapted to expand by application of body heat. In the expanded condition, the insert provides support to the TMJ and associated ligament and muscle structures.

A method is provided for surgically treating obstructive sleep apnea syndrome. In a first embodiment of the invention, a procedure is provided which includes the step of splitting the hyoid bone to open the pharyngeal space anteriorly, posteriorly and laterally, using the mandible as support for both anterior and lateral advancement and expansion, thereby relieving the effects of OSAS. In another embodiment of the invention, a modified version of the first embodiment is provided in which the hyoid is suspended but not split. In this embodiment, the pharyngeal space is increased anteriorly and posteriorly, but to a lesser degree laterally. Splitting the hyoid and distracting it is believed effective as it provides increased pharyngeal space.

A device used in conjunction with fixation hardware to provide a two-stage process to address the competing needs of immobilization and re-establishment of normal stress-strain trajectories in grafted bone. A method of determining a patient-specific stress / strain pattern that utilizes a model based on 3D CT data of the relevant structures and cross-sectional data of the three major chewing muscles. The forces on each of the chewing muscles are determined based on the model using predetermined bite forces such that a stiffness of cortical bone in the patient's mandible is determined. Based on the stiffness data, suitable implantation hardware can be designed for the patient by adjusting external topological and internal porous geometries that reduce the stiffness of biocompatible metals to thereby restore normal bite forces of the patient.

Methods and devices are disclosed for manipulating the tongue. An implant is positioned within at least a portion of the tongue and may be secured to other surrounding structures such as the mandible and / or hyoid bone. In general, the implant is manipulated to displace at least a portion of the posterior tongue in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue. Methods and devices for tensioning a glossopexy system are also disclosed. A tether can include a tether protection element configured to prevent overextension of the tether.

The present invention provides a device and method for facilitating the placement of dental implants by use of an implant placement locator and a sequentially sized drill orientation tube series. The implant placement locator disclosed herein comprises a visible radiolucent moldable grid, a set of radiopaque markers located at known intervals within the moldable grid, and a plastic sheeting encasing the visible radiolucent moldable grid and the radiopaque markers. The method of the present invention comprises obtaining a radiograph of a patient's mouth with the implant placement locator overlaying the patient's dental ridge and then transferring reference points as indicated by the location of the radiopaque markers relative to existing teeth and other oral structures to a dental stone model. In a preferred embodiment, drill bits are directed in the desired trajectory into the patient's available lower or upper jaw bone by use of drill orientation tubes in combination with the implant placement locator. A sequentially sized set of spacers is provided having sequentially sized inside diameters to direct varying diameter drills. Drill guide parallelism is thus provided by the invention.

Methods and devices are disclosed for manipulating the tongue. An implant is positioned within at least a portion of the tongue and may be secured to other surrounding structures such as the mandible and / or hyoid bone. In general, the implant is manipulated to displace at least a portion of the posterior tongue in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue. Methods and devices for engaging the tongue are also disclosed. One embodiment of a tongue remodeling system includes an elongate implant configured to be positioned within a selected region of the tongue and a tether configured to suspend the tongue. The tether can be configured to be looped around the elongate implant and connected to another structure.

An upper tray for receiving the maxillary teeth and a lower tray for receiving the mandibular teeth. Upper bite pads carried by the upper tray and lower bite pads carried by the lower tray. The lower bite pads located anterior to the upper bite pads so that the lower bite pads are free to engage the maxillary occlusal surface of the upper tray, and the upper bite pads are free to engage the mandibular occlusal surface of the lower tray to maintain the occlusal surfaces of the trays in a predetermined spaced relationship. The upper and lower bite pads are arranged to abut each other for advancing the mandible and preventing posterior movement of the mandible while allowing limited vertical and lateral movement. The bite pads are releasably carried by the trays for interchanging different sizes of pads to customize the appliance to the needs of the user's mouth.

A removable magnetic dental appliance is provided. The magnetic dental appliance can be used in the treatment of various conditions, including but not limited to, snoring, sleep apnea, some forms of temporomandibular joint pain or inflammation, myofascial pain or bruxism. The appliance comprises an upper arch attachment member and a lower arch attachment member, each for removably engaging at least a portion of the dentition. A magnetic component is positioned anteriorly on one of the upper arch attachment member or the lower arch attachment member and a magnet-attracted element is provided on the other arch attachment member for magnetic engagement with the magnetic component when the upper and lower arch attachment members are substantially vertically aligned. The appliance uses magnetic force to selectively position the mandible while still permitting movement of the mandible relative to the maxilla for improved comfort. A use of the magnetic dental appliance and a kit comprising the magnetic dental appliance are also provided

Methods and devices for the treatment of airway obstruction, sleep apnea and snoring are disclosed. In some embodiments, a glossal suspension system includes a tissue tensioner that includes a suture loop made of one or more sutures configured to suspend the tongue with at least one portion configured to extend laterally through the tongue, and a securement mechanism configured to be attached to a patient's mandible that includes one more adjustment assemblies for engaging the one or more sutures and adjusting tension on the suture loop. Various tethers and anchors that can be used with the glossal suspension system are also disclosed.

The present invention provides a system for treating a mammalian patient having obstructive sleep disordered breathing, e.g., sleep apnea. The system has a set of appliances including a first appliance being adapted to displace a mandible of the patient by a first predetermined geometry relative to a maxilla of the patient. The set also includes at least a second appliance adapted to displace the mandible of the patient by a second predetermined geometry relative to the maxilla of the patient. In a specific embodiment, the first predetermined geometry is substantially different from the second predetermined geometry. Preferably, either one of the first appliance or at least the second appliance is worn by the patient based upon a predetermined treatment plan that includes one or more provisions for wearing at least the first and the second appliances.

Methods and devices are disclosed for remodeling the tongue. One or more spaces or cavities are formed in the tongue using, for example, surgical or RF ablative techniques. The cavities can be closed or collapsed by inserting a tethered soft tissue anchor into the tongue and attaching the tethered portion of the soft tissue anchor to a bony structure such as the mandible or hyoid bone in order to exert a collapsing force on the one or more spaces or cavities. The insertion pathway of the tethered soft tissue anchor may pass adjacent to or even through one or more cavities. Also disclosed herein is a tongue remodeling system that includes means for creating a space in the tongue, and a tissue anchor configured to close the space. The tissue anchor may be tethered or expandable.

A cervical collar comprising an inner and an outer region, a spinal support region, an occipital support region and a neck support region, said spinal support region including upper edges, lower edges, and side edges, a fastening strap affixed to said upper edge of spinal support region, a bridge member connecting occipital support region with spinal support region, said bridge member adapted to fold with a hinging means, said occipital support region including an upper edge, lower edges, a side edge, and anchoring strap affixed to said side edge, said neck support region including an upper edge, a side edge, and a sternum edge, said upper edge affixed with cooperating hooks, a dual adjustment system located on neck support region including tabs, female members, locking teeth, windows and bars, said tab affixed with said pawl, said pawl to engageably fit said locking teeth, said inner region comprising foam adhesively affixed to plastic, said inner region including a mandible support on neck support region, said mandible support adaptable to fold inwardly and outwardly by a hinging means.

A removable magnetic dental appliance is provided. The magnetic dental appliance can be used in the treatment of various conditions, including but not limited to, snoring, sleep apnea, some forms of temporomandibular joint pain or inflammation, myofascial pain or bruxism. The appliance includes an upper arch attachment member and a lower arch attachment member, each for removably engaging at least a portion of the dentition. A magnetic component is positioned anteriorly on one of the upper arch attachment member or the lower arch attachment member and a non-magnet magnet-attracted element is provided on the other arch attachment member for magnetic engagement with the magnetic component when the upper and lower arch attachment members are substantially vertically aligned. The appliance uses magnetic force to selectively position the mandible while still permitting movement of the mandible relative to the maxilla for improved comfort.

A cervical brace and therapy device for use to rehabilitate an injured neck of a person is described having a base support structure shaped to fit about the neck and rest on the shoulders of the person; a support ring assembly attachable to the base support structure in a horizontal position below the mandible of the person, the support ring assembly having an anterior section and a posterior section; a rotational member attached to the support ring assembly in a manner to rotate about the support ring assembly; and an occipital-mandible support member shaped to accommodate the mandible and the occipital portions of the head of the person, the occipital-mandible support member being attachable to the rotational member in a manner to permit the occipital-mandible support member a predetermined range of rotation.

This application relates to a dental apparatus for the initial and subsequent guidance of drills, hypodermic needles, or drug delivery devices into the cortical plate of human mandibular and maxillary bones. The invention comprises a thin platform with one or a plurality of angled or straight preformed perforations serving as entrance ports. Each port is optimally heralded by a radio-opaque marker to enable a view of the tooth root prior to drilling for a superior selection of a nerve deadening site and a whisker tubule visually displaying the drill's angle. The platform can be positioned on either the inner or outer side of the cortical plate, and is optimized for use with a dedicated indexing bite apparatus, a dedicated rubber dam style clamp, or by attachment to a RINN positioner or the like.

A method for making a template for a dental implant osteotomy in an edentulous space of a patient's mandible or maxilla, and components relating thereto The method includes the steps of forming a dental cast of the patient's mandible or maxilla, drilling a hole into the dental cast wherein the location and orientation of the hole correspond to a desired location and orientation of the dental implant osteotomy, inserting a guide post into the hole, magnetically attaching a sleeve having a longitudinal gap to the guide post, applying a molding material to a portion of the dental cast and to a portion of an outer surface of the sleeve, allowing the molding material to cure, and removing the cured template including the sleeve embedded therein from the dental cast, whereby using the template in the patient's mouth provides a guide means for drilling the osteotomy.

A tooth brushing system adapted to simultaneously clean a set of maxilla teeth or a set of mandible teeth. The system comprises a vibration inducer, a controller for the vibration inducer, a power source and a handle adapted to enclose the vibration inducer, the controller for the vibration inducer and the power source. The system further comprises a plurality of brushes adapted to simultaneously contact the set of maxilla teeth or the set of mandible teeth, a vibration isolation plate integral with the handle and a vibration transfer plate connected to the vibration inducer and the plurality of brushes and releasably connected to the vibration isolation plate, wherein the handle is adapted to be effectively held within a hand of a user and the vibration isolation plate is adapted to isolate vibration from the set of maxilla teeth or the set of mandible teeth not contacted by the plurality of brushes.

The present invention provides methods for moving a tooth to a desired position within a patient's mouth using orthodontics including perforating tissue in the oral cavity sufficient to induce an inflammatory response. The perforations may be made in any area of the maxilla or mandible, and any number of perforations may be made that are preferably 0.5 to 1.5 mm diameter, and preferably 1 to 3 mm deep. The invention also provides a device that may be used in conjunction with slow-speed rotary instruments or with manual drivers for providing the perforations. The device has a drill that makes the perforations and a stop that prevents the drill from penetrating the jaw bone beyond a predetermined depth. The invention also provides a kit that supplies the professional with the necessary components in a sealed container to carry out the osteoperforations. The kit may include hand held and rotatory perforating devices, anesthetic, and a soft tissue punch.

A bone distractor having four bone plate attachment members for affixation to the posterior and anterior maxilla and / or zygomatic buttress and to the posterior and anterior mandible, the attachment members mounted onto a pair of parallel rods, one rod being a threaded drive rod and the other being a releasable guide rod, whereby rotation of the drive rod causes dimensional separation of the anterior attachment members from the posterior attachment members. The guide rod can be quickly removed such the superior attachment members joined to the maxilla and / or zygomatic buttress are physically separated from the inferior attachment members joined to the mandible such that the jaw can be opened.

Embodiments of methods and mandibular protruders and positioning devices, comprising, for example: an upper mounting bracket having an upper dental appliance; a lower mounting bracket having a lower dental appliance; and a rail system configured to couple the upper mounting bracket to the lower mounting bracket. Some embodiments comprise a drive motor and / or an initial position adjustment mechanism.

A pharyngeal airway adjuster, or mandible positioning device, has a maxillary dentition engagement component and a mandibular dentition engagement component, each on opposite sides of a plane extending therebetween. An adjustable connection couples the maxillary dentition engagement component with the mandibular dentition engagement component. The adjustable connection has a first adjustment screw having a longitudinal axis parallel to the plane and a second adjustment screw having a longitudinal axis perpendicular to the plane. The first and second adjustable screws are independently adjustable and structured to effect horizontal and vertical displacement, respectively, of the maxillary dentition engagement component relative to the mandibular dentition engagement component. The pharyngeal airway adjuster has a number of indicators adapted to indicate the amount of forwardly and rearwardly displacement effected by the first adjustment screw and / or the amount of upwardly and downwardly displacement effected by the second adjustment screw.

A custom mouthguard has a resilient U-shaped body with an anterior wall and a posterior wall. A post dam on the posterior wall forms a seal with palatal tissue to increase retention of the mouthguard in a wearer's mouth. The increased retention allows a wearer to speak and open mouth breath while wearing the mouthguarrd. The mouth guard also has an indexed region that serves to mutually stabilize maxillary teeth, mandibular teeth, mandible and TMJ components. Mouthguard methods and processes are also disclosed.

A mandibular advancer assembly comprising an advancer (e.g., a spring advancer, such as a Herbst appliance) having an upper end and a lower end, and a lower implant secured to the lower end of the advancer and adapted to be secured to the mandible of the patient. Preferably, the lower implant comprises a bone-engaging member (e.g., a bone screw) and a securing member for coupling the lower end of the advancer to the bone-engaging member. For example, the bone-engaging member can include a threaded orifice, and the securing member can include a threaded element engaged with the threaded orifice. If desired, the advancer assembly can further include an upper implant secured to the upper end of the advancer and adapted to be secured to the maxilla of the patient.

An apparatus for osteosynthesis of a mandible. An elongated plate has a plurality of apertures. A cover has a lateral wall, a top wall, and a medial wall defining a channel. A portion of the mandible is resected to leave a bony gap. The elongated plate is received within the channel of the cover, and the cover is received within the bony gap to alleviate growth of soft tissue against the elongated plate. Screw fasteners received through the apertures of the elongated plate secure the plate to the mandible.

An intra-oral appliance in the form of a tongue-airway functional appliance which restores / encourages training of the tongue, which encourages patients to breathe through the nose, and which can serve as a diagnostic aid or test device to access a patient's problems. The appliance includes a body of plastic material having an arcuate-shaped portion along which is defined a recess for receiving teeth of a dental arch of a patient, preferably the upper arch. The appliance further includes a curved platform or extension from the body running from the area of the lingual gingival margin of all teeth inferiorly (toward the mandible) forming a “U” or cup-shaped portion or sling which passes under the tongue laterally and anterior to posterior. In another embodiment, nubs or projections are provided on the walls of the teeth-receiving recess for enhancing retention of the appliance.