Set of at least two tooth-and-jaw position adaptation apparatuses and a method for producing the same

Abstract

The present invention relates to a set of tooth-and-jaw position adaptation apparatuses for the step-by-step, precise and controlled correction of tooth and / or jaw misalignments. For this purpose, each adaptation apparatus comprises an upper component for the upper jaw and a lower component for the lower jaw, which are non-detachably connected to one another. The apparatus has individual chambers for fixing selected teeth or groups of teeth and specifically arranged free spaces in the form of mechanical recesses, which allow a biomechanically assisted movement of the teeth from a misalignment into the correct position. The forces exerted on the teeth can be adjusted in all three spatial dimensions in terms of strength, direction and duration of action, thus ensuring controlled and precise control of the tooth movements. Each movement is possible in a targeted manner and at the same time without loss of anchoring, including occlusion adjustment, i.e. bite adjustment, at the same time, i.e. without so-called side effects..

Description

[0001] A set consisting of at least two tooth and jaw alignment adjustment appliances and a method for their manufacture

[0002] The present invention relates to a set of at least two tooth and jaw alignment adjustment devices and a method for manufacturing this set.

[0003] The treatment of misaligned teeth and jaws with orthodontic appliances is an established procedure. Typically, sets of several appliances are used sequentially to achieve gradual tooth and / or jaw movements. Examples include aligner systems, where transparent, custom-fitted trays correct tooth position. These systems are based on computer simulations of tooth movements and use progressively adapted appliances to move the teeth into the desired position.

[0004] Orthodontic treatment of misaligned teeth and jaws has gradually evolved through various technologies and appliances.

[0005] A significant development in orthodontic appliances is the tooth positioner, an elastic device used after the completion of active orthodontic treatment to stabilize teeth in their desired final position and to make minor fine adjustments. The tooth positioner typically covers both the upper and lower jaw and works primarily through the elastic recoil of the material, exerting even pressure on the entire dental arch.

[0006] A significant disadvantage of the classic tooth positioner is that targeted manipulation of individual teeth or groups of teeth is not possible. The uniform pressure limits precise control, making it unsuitable for minor corrections and the treatment of more complex malocclusions. Furthermore, it lacks the ability to selectively utilize mechanical clearances to support natural biomechanical forces and better accommodate physiological tooth movements.

[0007] German patent DE 69522314 T2 describes a removable orthodontic final treatment appliance that combines a tooth positioner and a retainer. An elastic body with tooth impressions ensures ideal occlusion, while a control wire and optional acrylic plates improve control and stability. Interproximal, interdental, or approximal retainers engage in gingival incisions to optimize retention.

[0008] Kailuweit & Uhlemann | Patent Attorneys The device is available individually or prefabricated, offers high wearing comfort and reduces adjustment effort. It represents an effective solution for treatment following fixed appliances.

[0009] US Patent 4,330,273 A describes an orthodontic appliance and a method for the precise alignment of teeth to achieve ideal occlusion. The appliance is constructed from an orthodontic setup that defines the desired final position of the teeth. It includes occlusal bases and utilizes elastic elements such as rubber bands to apply targeted vertical forces to the teeth. Unlike conventional tooth positioners, the appliance allows for continuous control of root movement and precise vertical tooth guidance. The elastic forces are generated by connections between fixed attachments to the teeth and the appliance, enabling easy handling and flexible use throughout the course of treatment.

[0010] US Patent 5,975,893 A describes an orthodontic system and procedure for incremental tooth movement using a series of individually fitted aligners. These flexible polymer shells reposition the teeth in small increments from an initial position through several intermediate positions to the desired final position. Each aligner effects a movement of less than 2 mm, preferably less than 1 mm. The procedure involves creating digital data of an initial tooth arrangement, which is then transformed into a final tooth position using computer-aided image processing. Based on this data, a series of aligners is manufactured, which the patient wears sequentially to move the teeth incrementally.

[0011] US Patent 10,299,894 B2 describes an orthodontic system and procedure for the gradual correction of the bite using aligner-based dental aligners that incorporate specific bite correction structures. These structures, which are part of the aligners, are designed according to the respective treatment stages to precisely adjust the teeth and the bite relationship. The correction is achieved through digital modeling of the patient's jaws, with bite correction structures being placed at specific positions in the virtual model phase. These structures make it possible to correct malocclusions such as a deep bite. The bite correction structures are made of the same material as the aligner and are manufactured simultaneously with it, allowing for a precise and comfortable fit to the dental anatomy.

[0012] Kailuweit & Uhlemann | Patent Attorneys US patent 102,998 94 B2 describes a method of tooth alignment using specially designed bite-adapting structures, which are individually manufactured for each phase of treatment. These structures are attached directly to aligner shells worn during orthodontic treatment. The bite-adapting structures ensure that controlled forces are applied to the teeth to enable precise adjustment of tooth position and the vertical relationship between the upper and lower jaw. These bite-adapting structures also make it possible to create a so-called "disocclusion," which prevents contact between the teeth and thus allows for controlled tooth movement.

[0013] US Patent 645 0807 B1 describes a computer-aided system for gradual tooth correction using custom-made aligners. A digital 3D model of the jaw system simulates tooth movements and jaw contacts to determine the ideal tooth position. Optimizations are made based on indices such as the periodontal score and geometric criteria. The aligners exert targeted forces to precisely reposition teeth, minimizing the risk of relapse. The system offers an efficient, comfortable, and less invasive alternative to traditional braces.

[0014] The object of the present invention is to provide a set of tooth and jaw position adjustment appliances that enables a gradual, precise and controlled correction of tooth and / or jaw misalignments, wherein the devices can exert targeted forces on the teeth in strength, direction and duration to ensure a biomechanically supported movement of the teeth into a correct position.

[0015] According to the invention, the problem is solved by a set of at least two tooth and jaw alignment adjustment appliances according to the independent claims. Advantageous embodiments of the invention are specified in the dependent claims.

[0016] The invention relates to a set of at least two tooth and jaw position adjustment appliances for the gradual correction of tooth and / or jaw misalignments and / or joint misalignments, wherein each tooth and jaw position adjustment appliance comprises: an upper component for the dental region of the maxilla and a lower component for the region of the mandible, wherein the lower and the upper components are permanently connected to each other, characterized in that each tooth and jaw position adjustment appliance encloses selected teeth or groups of teeth in individual chambers in order to fix their position in the respective jaw and provides specifically arranged free spaces in the form of mechanical

[0017] Kailuweit & Uhlemann | Patent Attorneys features recesses that enable biomechanically supported movement of the teeth from a malposition to the correct position, whereby the forces exerted on the teeth by the tooth and jaw position adjustment appliance are adjustable in strength, direction and duration in all three spatial dimensions to ensure controlled and precise control of tooth movements.

[0018] In the following, the term apparatus is used to represent dental and jaw position adjustment appliances for the gradual correction of dental and / or jaw misalignments and / or joint misalignments, wherein the dental and jaw position adjustment appliance has an upper component for the dental area of ​​the upper jaw and a lower component for the area of ​​the lower jaw, and wherein the lower and upper components are inseparably connected to each other, as used in the set according to the invention.

[0019] The upper component of the apparatus according to the invention is designed to encompass the entire dental arch of the upper jaw and the lower component according to the invention encompasses the entire dental arch of the lower jaw.

[0020] The upper component of the appliance extends along the entire dental arch of the upper jaw, starting with the last molars on one side and ending with the last molars on the opposite side. This ensures complete coverage of the incisors, canines, premolars, and molars of the upper jaw.

[0021] The lower component of the appliance extends along the entire dental arch of the mandible, starting with the first molars on one side and continuing to the first molars on the opposite side. This ensures complete coverage of the incisors, premolars, and molars of the mandible. The terms "both components" and "upper and lower components" refer to the set of at least two orthodontic appliances used for the gradual correction of dental and / or jaw misalignments and / or temporomandibular joint dysfunction.

[0022] Both components form a nearly uniform, flat contact surface that covers the anterior incisors and canines as well as the premolars and molars. This flat design ensures an even distribution of pressure along the respective area.

[0023] Kailuweit & Uhlemann | Patent Attorneys of the entire dental arch, thereby distributing the load evenly across all teeth to be moved and preventing local overloads.

[0024] The edge of both components lies just below the gum line to avoid gum irritation and ensure a secure fit.

[0025] In preferred embodiments, the edge is slightly rounded and advantageously designed to be wide enough to capture vertically separated teeth and to increase wearing comfort and prevent injuries or pressure points in the area of ​​the gums.

[0026] In one design, both components incorporate elements for guiding jaw movements, strategically positioned on the sides or front of the mouth. These elements promote physiologically correct mandibular movement and minimize malocclusion.

[0027] The overall thickness of each component describes the vertical dimension of the device from the top surface, which is in contact with the tooth surfaces, to the bottom surface, which faces outwards. The overall thickness ranges from 2 mm to 4 mm and depends on the specific requirements of the treatment and the individual needs of the patient.

[0028] The thickness of each component is dimensioned to provide sufficient stability to reliably absorb forces such as those exerted by the tongue and lips, as well as those generated by teeth grinding.

[0029] Furthermore, the chosen thickness ensures a high level of wearing comfort, so that the device is not perceived as bothersome during daily use or at night.

[0030] Complete coverage of the entire dental arch also ensures effective treatment of the entire row of teeth without causing localized over- or under-loading.

[0031] In another embodiment, both components are equipped with specifically arranged contact surfaces that harmonize the contact with the teeth of the respective jaw.

[0032] Kailuweit & Uhlemann | Patent Attorneys These contact surfaces can be modified to increase or decrease dimensions of tooth movement.

[0033] The upper and lower components are designed so that all teeth, from the incisors to the molars, receive an almost uniform, flat outer covering.

[0034] In certain embodiments, the surface contact distribution ensures that all teeth are subjected to an even load.

[0035] According to the invention, the upper and lower components can be provided with targeted mechanical recesses to offer certain teeth more space for movement or to minimize specific pressure points.

[0036] These mechanical recesses are designed to specifically contribute to the control of the desired tooth movements and to support the intended biomechanical effect of the orthodontic appliances. Furthermore, the mechanical recesses are designed to precisely control the desired tooth movement and to optimally promote the biomechanical effect of the appliance.

[0037] Precise control is made possible by forces and spaces that are adjustable in all three spatial dimensions, namely in the mesial-distal, buccal-lingual and apical-coronal directions, and also allow rotations around the mesio-distal, bucco-lingual and apical axes.

[0038] The duration of the forces is defined such that the exerted force gradually decreases over the duration of wear: the longer the device is worn, the lower the force acting on the teeth becomes. The magnitude of the force vector is a function of the duration of wear.

[0039] In certain embodiments, the mechanical recesses are designed to selectively release groups of teeth, enabling controlled movements necessary for correcting malocclusions. The teeth are grouped according to the orthodontic treatment goal to ensure an even distribution of forces while preventing unwanted movements.

[0040] In the context of the invention, "inseparably connected" means that the upper and lower components of the tooth and jaw alignment appliance are permanently and firmly connected.

[0041] Kailuweit & Uhlemann | Patent Attorneys are connected in a way that cannot be loosened or separated under normal conditions or by the user. The connection can be achieved, for example, by a special fusing, bonding, or pressing of the components, creating a structural unit that ensures the function and stability of the device. Separation of the two components is only possible through destruction or significant mechanical force, which serves to prevent unwanted loosening or unintentional manipulation of the apparatus during use.

[0042] For the purposes of the invention, the term "selected teeth" refers to those teeth or groups of teeth that are specifically targeted by the mechanical recesses within the orthodontic appliance. These mechanical recesses are arranged to provide certain teeth with more freedom to enable controlled movements necessary for correcting the malocclusions. The selection of these teeth is based on the patient's specific orthodontic requirements. The mechanical recesses serve to selectively promote the desired tooth movement by creating space for movement while simultaneously keeping the remaining teeth securely fixed to prevent unwanted movement.

[0043] For the purposes of the invention, the term "tooth groups" refers to specific groups of adjacent teeth that are jointly considered by the mechanical recesses of the tooth and jaw position adjustment appliance in order to enable targeted movement control. Examples of such tooth groups are:

[0044] Incisors: The central and lateral incisors, located in the front of the dental arch, are often treated together to optimize the aesthetic alignment and function of the dentition. This can contribute to restoring chewing function, correcting a deep bite, or closing an open bite.

[0045] Canines: For creating precise canine guidance or for supporting other tooth movements.

[0046] Premolars: The first and second premolars are often treated as a group because they play a crucial role in the transition zone between the incisors and molars. They can be used, for example, to correct isolated overbites or crossbites, to correct non-occlusions, or to accelerate treatment through segmental movements (also applicable to molars and premolars). The bite adjustment of the maxilla and the

[0047] Kailuweit & Uhlemann | Patent Attorneys Movement of the lower jaw is thus possible simultaneously with all other tooth movements of the individual jaw.

[0048] Molars: The large back teeth (molars) that can be treated as a group to improve chewing function and harmonize occlusion.

[0049] For the purposes of the invention, the term “individual chamber” refers to a specially shaped area within the tooth and jaw alignment adjustment appliance, which is specifically designed to completely enclose and fix a selected tooth or a defined group of teeth.

[0050] These chambers are designed to precisely adapt to the contours of the individual teeth, thereby limiting or selectively controlling their movement. Each chamber is individually tailored to the affected tooth or group of teeth, ensuring stable fixation during treatment and thus guaranteeing precise control of the movements of the remaining teeth.

[0051] The individual chambers ensure that certain teeth remain stabilized. This allows for effective correction of tooth position without unwanted movement of the surrounding teeth.

[0052] For the purposes of the invention, the term "enclosure" or "enclosure" refers to the complete surrounding and fixing of a selected tooth or group of teeth by a specially shaped chamber within the tooth and jaw alignment appliance. This enclosure ensures that the respective tooth is securely held in its position, thus preventing unwanted movements and promoting targeted, controlled movements. The enclosure therefore provides precise mechanical stabilization of the tooth during treatment.

[0053] In the context of the invention, "fixing the jaw" means that the dental and jaw alignment appliance stabilizes the dental area of ​​the upper or lower jaw so that the movements of the embedded teeth can be precisely controlled. This jaw fixation ensures that the teeth are held in a specific, defined position in order to optimally direct the biomechanical forces toward the malpositions to be corrected. This fixation prevents unwanted tooth movement, thereby creating the basis for precise tooth movement and largely minimizing potential side effects.

[0054] Kailuweit & Uhlemann | Patent Attorneys For the purposes of this invention, the term "deliberately arranged free spaces in the form of mechanical recesses" refers to areas within the tooth and jaw alignment appliance that are intentionally open or recessed to create a desired range of motion for specific teeth or groups of teeth. These free spaces are positioned to allow biomechanically supported movement of the teeth into a correct position while stabilizing other teeth. The mechanical recesses ensure a targeted reduction of contact or pressure on selected teeth, thereby supporting precise control of tooth movement during treatment.

[0055] For the purposes of the invention, "biomechanically supported tooth movement" refers to tooth movement that is promoted by the application of controlled mechanical forces, taking into account the natural biological responses of teeth and surrounding tissue. This movement occurs in accordance with the biological properties of the natural periodontal structures, such as bone, ligaments, and gums, in order to enable gentle, targeted, and efficient correction of tooth position. The biomechanical support aims to dose the forces in such a way that the body's biological adaptation processes are optimally utilized without causing damage to the periodontal structures or surrounding tissue.

[0056] For the purposes of the invention, the term "forces exerted" refers to the mechanical forces transmitted to the teeth by the dental and jaw alignment appliance to initiate a targeted movement or to maintain a specific tooth position. These forces are generated by the structure and design of the appliance and act in various directions. The strength, direction, and duration of the forces exerted are precisely calibrated to support the natural movement of the teeth within the jawbone in a controlled manner, thus enabling a gentle and precise correction of the malposition.

[0057] For the purposes of the invention, the term "controlled and precise control" refers to the ability to direct the movements of the teeth exactly and in a targeted manner, so that the desired tooth repositioning can be carried out with high accuracy. This means that the forces acting on the teeth are precisely dosed and adjusted with regard to strength, direction, and duration in order to enable the intended correction of the tooth position. The control is achieved in such a way that unwanted movements of the teeth are excluded and only the desired movement is carried out in the intended direction and intensity.

[0058] Kailuweit & Uhlemann | Patent Attorneys. Controlled and precise management thus ensures targeted, effective, and gentle treatment.

[0059] For the purposes of the invention, the term "malposition" refers to an unnatural or undesirable position of a tooth or group of teeth in the dental arch. This deviation from the ideal tooth position can cause functional or aesthetic problems, which are intended to be corrected by the tooth and jaw position adjustment appliance according to the invention.

[0060] For the purposes of this invention, "correct position" refers to the ideal or desired position of a tooth or group of teeth in the dental arch, in which harmonious function of the dentition is ensured. The correct position is characterized by an optimal alignment of the teeth to one another, which takes into account both functional aspects, such as an even distribution of chewing forces, and aesthetic considerations.

[0061] For the purposes of this invention, the term "ideal tooth position" refers to the position of a tooth in the dental arch that is optimal from both a functional and aesthetic perspective. This position enables harmonious occlusion between the upper and lower jaws, ensuring an even distribution of force during chewing and biting. At the same time, the ideal tooth position meets natural aesthetic requirements, resulting in straight teeth and an attractive appearance. Furthermore, an ideal tooth position helps prevent excessive stress on the periodontal ligament and the temporomandibular joints, thus ensuring long-term stability of the entire dentition.

[0062] For the purposes of the invention, the terms "strength, direction, and duration" refer to the essential parameters of the forces exerted on the teeth by the tooth and jaw alignment appliance. Strength describes the intensity of the force acting vectorially on the tooth. It must be selected to enable effective tooth movement without damaging the tooth or surrounding tissue. Direction defines the precise force vector required to move the tooth into the desired position. This includes movements along the tooth axis, lateral displacements, rotations, and tipping movements.

[0063] The duration of action describes the length of time the force acts on the tooth and thus influences the speed and effectiveness of tooth movement. During the course of treatment, the force can be continuously reduced to make the tooth correction particularly gentle.

[0064] Kailuweit & Uhlemann | Patent Attorneys The applied forces are individually and precisely adjustable in three spatial dimensions. This includes movements along the dental arch from the midline (mesial) towards the posterior teeth (distal) or vice versa, movements transverse to the dental arch from the cheek (buccal) to the tongue (lingual) or vice versa, and vertical movements from the tooth root (apical) to the tooth crown (coronal) or vice versa. Furthermore, the appliance allows for tooth tipping, in which the inclination of a tooth around a defined axis is selectively altered to bring it into an ideal position.

[0065] The term "tooth movement" encompasses all types of tooth repositioning or alignment that can be performed during orthodontic treatment. This includes translation, the movement of teeth in the mesial-distal, buccal-lingual, or apical-coronal direction. Another movement is rotation, in which the tooth is turned around its own axis, for example, along a mesio-distal, buccolingual, or apical axis. Tipping, in which the tooth is tilted around an axis running through the tooth root, is also a possible movement. These tipping movements can occur in both the mesial-distal and buccal-lingual directions. Intrusion and extrusion, which adjust the tooth's vertical position, are also part of the range of movements.

[0066] In addition, there is bodily movement, in which the entire tooth—including the root and crown—is moved parallel to itself without altering its axis. This type of movement ensures a smooth repositioning of the tooth. Uprighting, also known as correcting tilted teeth, allows the axis of a tooth to be corrected so that it is perpendicular to the plane of the dental arch. Additional movements include distalization, in which the tooth is moved toward the back teeth, and mesialization, in which the movement occurs toward the front teeth. Lingual and buccal movements allow the tooth to be positioned toward the tongue or cheek, respectively, to align it correctly within the dental arch.

[0067] The described tooth movements allow for complete control of tooth position in three-dimensional space. Depending on the type of malocclusion and the desired treatment goal, these movements can be applied individually or in combination to achieve optimal correction of tooth and jaw position.

[0068] For the purposes of this invention, the term "ensure" means to guarantee that a certain function or effect is reliably fulfilled. This refers in particular to,

[0069] Kailuweit & Uhlemann | Patent Attorneys that the device or method is designed in such a way that the desired effect - such as the precise control of tooth movement or the stabilization of certain teeth - is achieved permanently and reliably under the intended operating conditions.

[0070] The advantage is that the precise alignment of all involved structures improves oral health in the long term and prevents recurrent misalignment.

[0071] In preferred embodiments, the set of at least two tooth and jaw position adjustment appliances is designed such that each tooth and jaw position adjustment appliance enables simultaneous movement of the teeth by translation and / or angulation and / or rotation in order to minimize the application time, wherein the direction and extent of movement are predominantly determined by the body's own forces and are controlled only by a subtherapeutic pressure force of the tooth and jaw position adjustment appliance.

[0072] The advantage is that the simultaneous movement of the teeth through translation, rotation and angulation results in more efficient tooth correction, which significantly reduces the overall duration of the application.

[0073] Another advantage is that the direction and extent of movement are predominantly determined by the body's own forces, making the treatment particularly gentle and biocompatible, and therefore virtually painless.

[0074] Furthermore, it is still advantageous that the control of tooth movement is achieved by a subtherapeutic pressure force, which minimizes the risk of overloading or damage to the tooth and surrounding tissue.

[0075] In the given context, "subtherapeutic" refers to a pressure force that is below the intensity typically required for a full or maximum therapeutic effect.

[0076] Furthermore, the use of subtherapeutic pressure forces increases the wearing comfort of the device and improves patient acceptance.

[0077] Kailuweit & Uhlemann | Patent Attorneys An additional advantage is that the apparatus offers greater flexibility in treatment through the simultaneous control of different types of movement and can be individually adapted to the specific requirements of the patient.

[0078] In preferred embodiments, the set of at least two tooth and jaw alignment appliances is characterized in that, in each tooth and jaw alignment appliance, the upper and / or lower component is shaped in such a way that the forces exerted on the teeth by the tongue and / or lips are deflected by the upper and / or lower component in order not to further influence the tooth correction.

[0079] The advantage is that the shape of the upper and / or lower component of the appliance directs the forces exerted by the tongue and lips away from the teeth, thus preventing unwanted external influences from affecting the tooth correction.

[0080] Another advantage is that preventing these forces allows for more precise and efficient tooth movement, as the forces generated internally by the appliance can act undisturbed.

[0081] Another advantage is that the targeted design of the components reduces the risk of the tongue or lips unintentionally changing the planned direction of movement of the teeth.

[0082] Another advantage is that diverting the forces from the tongue and lips increases the comfort of wearing the appliance, as unwanted pressure or friction on the teeth is avoided.

[0083] In one embodiment, the apparatus also features damping elements such as silicone cushions or gel pads that absorb the forces generated by the tongue, lips or chewing in order to control the tooth correction in a targeted manner.

[0084] In other embodiments, the apparatus has air chambers which control the forces on the teeth by changing the pressure in order to gently control the movements.

[0085] In some versions, the device also features a variable tongue rest equipped with soft and / or textured elements that guide the tongue into an optimal position. This could, for example, help improve nasal breathing by keeping the tongue away from the pharynx.

[0086] In further developments, the apparatus is equipped with specially shaped air and saliva channels that facilitate airflow through the oral cavity, improve breathing and compensate for negative pressure in the oral cavity, especially in cases of impaired nasal breathing.

[0087] Kailuweit & Uhlemann | Patent Attorneys In preferred embodiments, the device comprises a set of at least two tooth and jaw position adjustment appliances, each tooth and jaw position adjustment appliance being designed to utilize tongue and / or lip forces and / or chewing forces to support tooth movement in order to further promote tooth correction.

[0088] The advantage is that by utilizing tongue, lip and chewing forces, the natural biomechanical forces of the oral cavity are incorporated into the tooth correction, thus supporting the treatment in a natural way.

[0089] Another advantage is that integrating these forces increases the effectiveness of the apparatus, since tooth movement is promoted not only by external mechanical influences but also by the body's own forces.

[0090] Another advantage is that the support provided by tongue, lip and chewing forces reduces the need for more intensive or longer application of apparatus-generated forces, making the treatment gentler.

[0091] Another advantage is that the use of tongue, lip, and chewing forces creates a harmonious interaction between the appliance and the natural movement patterns in the oral cavity, which improves wearing comfort and patient acceptance. In one embodiment, the appliance is designed to specifically direct chewing forces to support targeted tooth movements while simultaneously ensuring even loading of the teeth.

[0092] An additional advantage is that the use of tongue, lip and chewing forces promotes physiological tooth correction, which is based on the patient's natural movement patterns, thus increasing the biological compatibility of the treatment.

[0093] In some embodiments, the device features special, ergonomically shaped tongue rests or barriers that gently guide the tongue away from critical areas or into a desired position. This can be achieved, for example, by smooth or softly padded elevations in the palate area that prevent the tongue from pressing against the teeth and instead guide it into a neutral position. Alternatively or additionally, grooves and / or guide rails could be integrated to guide the tongue in a specific direction, such as along the palate, to promote correct oral posture.

[0094] Kailuweit & Uhlemann | Patent Attorneys In embodiments, the apparatus is designed in such a way that it exerts targeted forces on the tongue by means of tongue springs (tongue trainers, tongue pressure springs) or pads, without impairing the primary tooth correction.

[0095] In some embodiments, the apparatus is designed to create slight resistance against unphysiological tongue movements, thereby training the tongue muscles to stabilize in the correct position.

[0096] Additionally or alternatively, the device features uncomfortable zones that cause discomfort for the tongue if it slips into an incorrect position, while the ideal position is designed to be perceived as comfortable. This intuitively guides the tongue into the desired posture.

[0097] In embodiments, the device comprises a set of at least two tooth and jaw position adjustment devices, each tooth and jaw position adjustment device being designed to record the wearing time.

[0098] The advantage is that by recording the wearing time, the actual use of the device can be monitored, allowing the practitioner to individually adapt the treatment and ensure that the desired goals are achieved within the intended timeframe.

[0099] Another advantage is that the documentation of their progress motivates patients to wear the device more consistently.

[0100] Another advantage is that recording the wearing time provides both the practitioner and the patient with objective data, which improves communication and understanding of treatment progress.

[0101] Another advantage is that deviations can be detected early if the wearing time is insufficient, allowing the practitioner to intervene, for example by providing information or adjusting the device.

[0102] Another advantage is that the collected data can be transferred to digital patient records or apps to track the progress of treatment and strengthen cooperation between patient and practitioner.

[0103] Kailuweit & Uhlemann | Patent Attorneys Another advantage is that the wearing time allows for individual adjustment of the therapy, for example by modifying the treatment time or the device itself. An additional benefit is that recording the wearing time serves as quality control by making the functionality of the device verifiable and allowing potential technical or mechanical problems to be identified early on.

[0104] Furthermore, it is advantageous that the data makes the patient aware of the effects of their behavior, thereby strengthening their personal responsibility for their treatment.

[0105] In embodiments, the device comprises a set of at least two tooth and jaw alignment adjustment devices, each tooth and jaw alignment adjustment device being characterized in that the tooth and jaw alignment adjustment device is designed in such a way that a microprocessor unit and / or sensors can be integrated to track the progress of tooth correction.

[0106] The advantage is that the integration of a microprocessor unit and / or sensors allows for precise monitoring of the progress of tooth correction, providing the practitioner with objective data about the treatment process at all times.

[0107] Another advantage is that the sensors can detect even the smallest changes in tooth position, which allows for a more precise adaptation of the therapy to the individual progress of the patient.

[0108] Another advantage is that the digital recording of progress allows possible deviations from the planned treatment to be detected and corrected early, thereby increasing the efficiency of the therapy.

[0109] Another advantage is that data on the progress of tooth correction can be made available, which improves communication between practitioner and patient and also allows for a transparent presentation of the treatment success.

[0110] Furthermore, the integration of sensors and a microprocessor unit makes it possible to digitally synchronize progress with an app, allowing the patient to track their own treatment progress.

[0111] Kailuweit & Uhlemann | Patent Attorneys An additional advantage is that the digital traceability of the orthodontic treatment eliminates the need for additional external control systems, thus increasing patient comfort.

[0112] Finally, it is advantageous that the technology is modular in design, so that it can be flexibly adapted or expanded depending on the treatment goal without affecting the primary function of the apparatus.

[0113] In embodiments, the device comprises a set of at least two tooth and jaw position adjustment devices, each tooth and jaw position adjustment device being characterized in that the microprocessor unit and / or sensors are removable and thus enable it to be used in other tooth and jaw position adjustment devices.

[0114] The advantage is that the removable microprocessor unit and / or sensors allow these components to be reused in other dental and jaw alignment appliances, thus saving costs for additional devices.

[0115] Another advantage is that the removable components can be flexibly exchanged between different devices, allowing for efficient use and quick adaptation to changing treatment needs.

[0116] Another advantage is that the reusability of the microprocessor unit and / or sensors increases the sustainability of the device by reducing material consumption.

[0117] Another advantage is that the removable sensors or microprocessors can be seamlessly used in another set, offering greater flexibility for the practitioner.

[0118] Another advantage is that the removable components facilitate the individualization of treatment, as specific sensors or processors can be used in devices with different requirements.

[0119] In one embodiment, load indicators are integrated into the upper component to visually or electronically detect the pressure generated by teeth grinding or other movements. These indicators can be in the form of embedded sensors.

[0120] Kailuweit & Uhlemann | Patent Attorneys In preferred embodiments, each tooth and jaw alignment adjustment appliance of the set is designed to align the temporomandibular joints and / or the teeth and / or the occlusion.

[0121] The advantage is that by aligning the jaw joints, a physiological and harmonious jaw movement is enabled, which can reduce discomfort such as jaw joint pain or muscle tension.

[0122] Another advantage is that the targeted alignment of the teeth ensures optimal tooth position, which improves aesthetics and supports the functionality of the dentition, such as chewing or speaking.

[0123] Another advantage is that adjusting the occlusion ensures even contact between the upper and lower teeth, preventing malocclusion and resulting damage to the teeth and periodontal tissues.

[0124] Another advantage is that the combined alignment of the temporomandibular joints, teeth, and occlusion optimizes the interaction of the various structures in the oral cavity, thus ensuring long-term stability of the results. The appliance allows for the overwriting of old movement patterns and trains muscular balance within the corrected jaw relationship, thereby creating the foundation for natural and lasting stability.

[0125] Another advantage is that the precise alignment of the occlusion can minimize functional problems such as teeth grinding or jaw misalignments.

[0126] Another advantage is that the adjustment of the jaw joints and teeth can be individually tailored to the patient, thus enabling personalized treatment. An additional benefit is that the comprehensive alignment of various structures by the device can reduce the need for additional orthodontic appliances, thereby lowering treatment effort and costs.

[0127] Another aspect of the invention comprises the method for manufacturing a set of dental and jaw alignment appliances for the gradual correction of dental and / or jaw misalignments and / or joint misalignments, wherein each dental and jaw alignment appliance comprises: an upper component for the dental area of ​​the upper jaw

[0128] Kailuweit & Uhlemann | Patent Attorneys and a lower component for the dental region of the mandible, wherein the lower and upper components are inseparably connected to each other, characterized in that each tooth and jaw position adjustment appliance encloses selected teeth or groups of teeth in individual chambers to fix their position in the respective jaw and has specifically arranged free spaces in the form of mechanical recesses that enable biomechanically supported movement of the teeth from a malposition to the correct position, and the forces exerted on the teeth are adjustable in strength, direction and duration in all three spatial dimensions to ensure controlled and precise control of the tooth movements; comprising the following steps: a) analysis of an image of the dentition to determine the defined current state of the dentition with malpositions;b) Determining a desired target configuration of the teeth, jaw, and occlusion based on the previous analysis; c) Determining the necessary tooth and / or jaw movement to achieve the target configuration, whereby tooth movement is feasible in all three spatial dimensions; d) Determining the number of tooth and jaw adjustment appliances required for the stepwise execution of the tooth movements to achieve the desired target configuration; e) Fabricating the tooth and jaw adjustment appliances necessary for the tooth movements.

[0129] According to one embodiment of the invention, the method for manufacturing a set of tooth and jaw position adjustment appliances is characterized in that the positions of the individual teeth are determined by measurement in step a).

[0130] One advantage is that the data obtained through measurement can be used in digital treatment plans or 3D models to enable an exact simulation of tooth movements and thus plan the treatment in advance.

[0131] Another advantage is that the precise recording of tooth positions allows the use of modern additive manufacturing techniques to produce the appliances.

[0132] Another advantage is that the measurement can be repeated to document the progress of the treatment and, if necessary, to make adjustments to the treatment plan.

[0133] Kailuweit & Uhlemann | Patent Attorneys Another advantage is that the precise measurement creates the basis for effective communication between practitioner and patient, by making the treatment needs and planned measures transparent.

[0134] According to one embodiment of the invention, the method for manufacturing a set of tooth and jaw position adjustment appliances is characterized in that the positions of the individual teeth are determined in step a) by taking an impression of the dentition.

[0135] The advantage is that the impression provides a direct and physical template that serves as the basis for the planning and manufacture of the apparatus, thus ensuring high accuracy and reproducibility.

[0136] Another advantage is that the impression reliably captures even complex tooth positions or hard-to-reach areas of the dentition, thus enabling a complete analysis of the tooth positions.

[0137] Another advantage is that the impression can be easily combined with digital technologies by scanning the impression and converting it into a digital model that can be used for precise planning and manufacturing.

[0138] A further advantage is that the impression-taking method is well-established in dental practice, enabling simple and cost-effective implementation into existing processes. According to one embodiment of the invention, the method for manufacturing a set of tooth and jaw alignment appliances is characterized in that the required tooth movements in step c) are determined using a computer program to simulate the desired final state, wherein the computer program is designed to enable a precise prediction of the tooth alignment, taking individual patient data into account.

[0139] The high accuracy achieved through the use of a specially designed computer program is advantageous. This enables a precise simulation of the desired final state and a reliable prediction of tooth adjustment. Consideration of individual patient data allows for personalized planning and contributes to optimal coordination of tooth and jaw position adjustment. Furthermore, the

[0140] Kailuweit & Uhlemann | Patent Attorneys computer-aided approach reduces planning effort and minimizes potential errors, which increases both efficiency and treatment quality.

[0141] According to one embodiment of the invention, the method for manufacturing a set of tooth and jaw position adjustment appliances is characterized in that the target configuration of the tooth position is plastically worked out, wherein this step is placed between the process steps b) and c) and is numbered b1).

[0142] The advantage here is that the plastic rendering of the target configuration of the tooth position creates a precise and tangible basis for further planning.

[0143] The set according to the invention contains a tooth and jaw alignment adjustment appliance for each application phase, which are designed to enable the gradual correction of the malpositions. In embodiments of the invention, the set according to the invention contains up to five tooth and jaw alignment adjustment appliances, usually two or three, and in more severe cases, four or five.

[0144] Accordingly, in the procedure for manufacturing a set of dental and jaw alignment appliances, step d) usually defines two or three, and in more severe cases four or five, application phases for carrying out the tooth movements. Accordingly, in step e), two to five, usually two or three, and in more severe cases four or five, dental and jaw alignment appliances are manufactured.

[0145] The advantage is that, compared to conventional methods, which often require significantly more stages and appliances, this method only needs up to five orthodontic appliances. This reduces material costs and speeds up the entire process. The appliances work more efficiently and allow for faster completion of the treatment phases. At the same time, the smaller number of appliances ensures gentler treatment, which increases patient comfort and shortens treatment time.

[0146] According to one embodiment of the invention, the method for producing a set of dental and jaw alignment appliances is characterized in that the elaboration in step e) is carried out by plastic modeling, which consists of plaster, plastic, wax, resin, clay, silicone, polyurethane, cement or composite materials.

[0147] According to one embodiment of the invention, the method for manufacturing a set of tooth and jaw alignment appliances is characterized in that, for controlling

[0148] Kailuweit & Uhlemann | Patent attorneys for tooth movements: Specifically, free spaces and / or pressure passages are created which are designed to support the natural movement of the teeth.

[0149] In accordance with the invention, pressure passages are areas within the tooth and jaw alignment appliances where targeted mechanical pressure is applied to specific parts of the teeth. These pressure zones are designed and positioned to promote the natural movement of the teeth by applying targeted forces that support the desired tooth movements. Pressure passages act as control mechanisms to precisely influence the direction and intensity of tooth movement, while simultaneously ensuring gentle adjustment and taking into account the biological characteristics of the dental apparatus.

[0150] One advantage is that by strategically creating spaces and / or pressure points, the natural movement of the teeth is optimally supported. This method allows for precise control of tooth movements, thereby reducing the use of external forces and ensuring gentler treatment. Integrating the natural movement patterns of the teeth also increases the efficiency and effectiveness of the adjustment, as the treatment can be individually tailored to the patient's specific needs. This shortens the treatment duration and increases patient comfort. Using this approach, targeted tooth movements in increments of 2-4 mm or more can be achieved in a single step.

[0151] According to one embodiment of the invention, the method for manufacturing a set of tooth and jaw alignment appliances is characterized in that the respective tooth and jaw alignment appliance is manufactured in step e) by an additive process selected from stereolithography (SLA), selective laser sintering (SLS) or digital light processing (DLP).

[0152] These technologies enable high precision and attention to detail in manufacturing, which is particularly crucial for complex and customized geometries.

[0153] Furthermore, additive manufacturing processes are extremely flexible and can be quickly adapted to different requirements, thus reducing production time.

[0154] The material-efficient operation of additive manufacturing processes reduces waste and costs.

[0155] Kailuweit & Uhlemann | Patent Attorneys SLA and DLP are particularly well-suited for the production of dental and jaw alignment appliances due to their precision and material selection. SLS may also be an option depending on the application, especially when strength is a primary concern.

[0156] According to one embodiment of the invention, the method for manufacturing a set of tooth and jaw alignment appliances is characterized in that the tooth and jaw alignment appliance is manufactured in step e) from a material consisting of silicone, plastic, polyurethane, epoxy resin, thermoplastic elastomers, rubber, polycarbonate, polyetheretherketone, polyethylene terephthalate, polymethyl methacrylate, acrylic resin or composite materials, for example made of wood or cellulose.

[0157] According to one embodiment of the invention, the method for manufacturing a set of dental and jaw alignment appliances is characterized in that the dental and jaw alignment appliance is manufactured in step e) in a hybrid construction, wherein the hybrid components consist of materials such as silicone, plastic, polyurethane, epoxy resin, thermoplastic elastomers, rubber, polycarbonate, polyetheretherketone, polyethylene terephthalate, polymethyl methacrylate, acrylic resin or composite materials, for example made of wood or cellulose.

[0158] The use of materials such as silicone or thermoplastic elastomers offers high flexibility and patient comfort, while plastics such as polyetheretherketone (PEEK) or polycarbonate offer high stability and durability.

[0159] Epoxy resin and acrylic resin, for example, enable precise manufacturing and ensure a high-quality surface finish. Furthermore, biocompatible materials such as polyurethane can be used to increase compatibility.

[0160] The hybrid design allows for the combination of different material properties within a single device, thereby optimizing both stability and comfort. Furthermore, it increases the flexibility of the manufacturing process and enables the cost-effective fulfillment of diverse application requirements.

[0161] In another embodiment, the apparatus also features an antibacterial coating to minimize the risk of infection.

[0162] Kailuweit & Uhlemann | Patent Attorneys In one embodiment, the device is made of virtually invisible, transparent materials to ensure aesthetic adaptation during treatment. Suitable materials for this purpose include thermoplastic polymers such as polyethylene terephthalate (PET), polyethylene terephthalate glycol (PETG), polycarbonate (PC), or polyurethane (PU). These materials not only offer high transparency but are also characterized by their stability, elasticity, and biocompatibility.

[0163] In one embodiment, its structure is multi-layered and it has specific dimensions to ensure an optimal fit and functionality.

[0164] In another embodiment, the inner layer adapts precisely to the individual tooth surfaces during thermoplastic adaptation, thereby achieving a uniform pressure distribution along the entire dental arch.

[0165] In another embodiment, hybrid materials are used specifically to control tooth movements, with these materials having specific mechanical and physical properties that enable precise and controlled adjustment of tooth movements.

[0166] By selectively choosing materials such as thermoplastic elastomers, polyetheretherketone or silicone, different requirements, such as elasticity, biocompatibility and wear resistance, can be met in a dental and jaw alignment appliance.

[0167] According to one embodiment of the invention, the method for manufacturing a set of tooth and jaw alignment appliances is characterized in that the tooth and jaw alignment appliance is manufactured in step e) by means of forming using a shaping negative contour, wherein the negative mold is manufactured in step b1).

[0168] Form drawing enables efficient and cost-effective production, as this process allows for the rapid manufacture of equipment with consistent quality.

[0169] The invention “Set of at least two tooth and jaw alignment adjustment appliances and a method for manufacturing this set” offers a multitude of advantages for patients of all ages, from the age of three to old age. Through the use of

[0170] Kailuweit & Uhlemann | Patent Attorneys: With at least two coordinated appliances, the set enables targeted control of tooth and jaw growth both during the natural tooth eruption process and beyond. This is a non-extraction therapy that requires no tooth extractions and supports the physiological correction of tooth position and temporomandibular joints. Simultaneously, the system contributes to improved posture and the treatment of skeletal misalignments.

[0171] A key advantage of the invention lies in its versatile effect: The appliances in the set not only promote the functional alignment of the dentition but also have a positive impact on speech, swallowing patterns, and bruxism (teeth grinding). Furthermore, the method improves breathing and sleep, thus achieving a holistic therapeutic effect. Compared to conventional orthodontic methods, the set ensures excellent oral hygiene throughout the entire treatment period, as no brackets, attachments, or other fixed appliances are required. However, the invention can also be used in combination with brackets or other appliances, for example, in cases of severe malocclusion. In addition to sequential use, parallel (simultaneous) use is also possible. In one embodiment of the invention, recesses for brackets or other appliances are incorporated into the appliances of the set for this purpose.

[0172] By applying physiological forces, tooth and jaw correction is painless, while simultaneously training the orofacial muscles. Another key feature of the patented set is its high efficiency: Instead of many individual aligners, the system comprises only two to four coordinated jaw-alignment appliances (Bionator stages), which not only reduces treatment time but also represents an environmentally friendly solution. Furthermore, the entire fitting process is optimized by an innovative manufacturing method that requires only a single scan, thus eliminating the need for multiple impressions and significantly increasing patient comfort.

[0173] The set is designed to be reproducible at any time in case of loss or damage, thus increasing treatment safety. Furthermore, it allows for a straightforward resumption of therapy without setbacks. In addition to correcting misaligned teeth, the system can also be used for opening or closing gaps and for pre-prosthetic measures. Simultaneously, it offers the possibility of temporomandibular joint (TMJ) therapy, making it a comprehensive "all-in-one" device.

[0174] Thanks to individually adjustable wearing times, the treatment can be flexibly designed: A daily wearing time of, for example, 17 to 22 hours allows for rapid correction, while a shorter wearing time of, for example, 14 hours allows for a slower but equally effective correction.

[0175] Kailuweit & Uhlemann | Patent Attorneys. Adaptation is guaranteed. Compared to fixed appliances or aligners, the system offers significant cost advantages, especially when industrially manufactured. Furthermore, fixed retainers for the upper and lower jaw can be used concurrently with treatment. Long-term stabilization can be ensured by wearing the final stage at night if a fixed retainer is not desired.

[0176] Through the physiological adaptation of the entire musculature, the set offers a high degree of stability in the achieved results. Its universal applicability allows it to be used by orthodontists, dentists, oral and maxillofacial surgeons, and other specialists. Furthermore, the method can also be used therapeutically in complex cases such as craniomandibular dysfunction (CMD), skeletal findings without traumatic or identifiable cause, periodontal malocclusion, or conditions potentially associated with chronic pain or herniated discs.

[0177] For the realization of the invention, it is also advantageous to combine the aforementioned inventive configurations, embodiments and features of the claims.

[0178] The invention offers the advantage of enabling targeted and simultaneous movement of all teeth without loss of anchorage, including simultaneous occlusion (i.e., bite adjustment), thus without so-called side effects.

[0179] Examples of implementation

[0180] The invention will now be explained in more detail using an exemplary embodiment.

[0181] The exemplary embodiment relates to a set of at least two tooth and jaw alignment adjustment appliances according to the invention and is intended to describe the invention without limiting it. The invention is explained in more detail with reference to the drawings. These show:

[0182] Fig. 1 - a jaw position adjustment appliance for the gradual correction of dental and / or jaw misalignments and / or joint misalignments (craniomandibular dysfunctions),

[0183] Fig. 2 - a dentition with misaligned teeth / malocclusion (initial state),

[0184] Fig. 3 - the desired target dentition as an ideal setup model (final model with desired target occlusion),

[0185] Kailuweit & Uhlemann | Patent Attorneys Fig. 4 shows the function of the jaw position adjustment appliances for the gradual correction of misaligned teeth, jaw anomalies and / or joint misalignments, as well as the force representation and the associated tooth movement.

[0186] Fig. 5 - the fabrication of a set of jaw adjustment appliances for the sequential treatment of dental malocclusions, jaw anomalies and / or joint malpositions in sectional view based on the setup model,

[0187] Fig. 6 - the biomechanical mode of action of the appliances in the oral space, including the forces acting upon them and their effects on teeth and jaw structures.

[0188] Fig. 7 shows the setup model with more blockout for the fabrication of apparatus stage I in a top view.

[0189] Fig. 8 shows the setup model with less blockout for the fabrication of the Stage II apparatus in a top view.

[0190] Fig. 1 shows a tooth and jaw position adjustment appliance 1, which serves for the gradual correction of tooth misalignments. The appliance consists of an upper component 2 for the upper jaw and a lower component 3 for the lower jaw. Its precisely fitting shape encloses the dental arches and thus enables controlled and targeted influence on the tooth position.

[0191] The unique feature is the shaped chambers 4, which serve to enclose individual teeth or groups of teeth. These chambers are designed to enable targeted tooth movements by applying gentle but constant pressure to the affected teeth. Additionally, the appliance has mechanical recesses 5 that create strategically placed spaces. These recesses are crucial for the precise control of tooth movement by providing specific teeth with room for the desired shift or by relieving pressure on specific areas.

[0192] The appliance is part of a set of several sequential appliances that are exchanged depending on the progress of the treatment. This sequential approach allows for the gradual correction of misaligned teeth, jaw anomalies, or even craniomandibular dysfunctions with minimal discomfort for the patient.

[0193] Kailuweit & Uhlemann | Patent Attorneys. Fig. 2 shows a schematic top view of a human dentition. Both the upper and lower jaws are shown in detail. The tooth misalignments 7 indicate a malocclusion, meaning that the teeth are not in an optimal position in the dental arch or have an incorrect occlusion with the opposing teeth of the lower jaw. Such a malocclusion can take various forms, for example, tipping of the teeth inwards or outwards, misalignment in the vertical or horizontal direction, insufficient occlusion with the corresponding opposing teeth in the lower jaw, or rotation of the teeth around their own axis.

[0194] Fig. 3 shows the desired target dentition as an ideal setup model. In this representation, the teeth are arranged in an optimal position within the dental arch, ensuring correct occlusion with the opposing teeth of the mandible.

[0195] The ideal setup model serves as a reference for precise orthodontic treatment, correcting misaligned teeth to achieve a functional and aesthetically pleasing tooth position. This includes harmonious alignment of the teeth in terms of their axis, maintaining consistent interdental spaces, and optimal occlusion, where the upper and lower teeth are in a physiologically favorable relationship to each other. Such an ideal arrangement prevents functional problems, such as incorrect loading of the teeth and temporomandibular joints.

[0196] Figure 4 shows a set of two orthodontic appliances for the gradual correction of misaligned teeth, jaw anomalies, and / or temporomandibular joints. These two appliances enable controlled and targeted tooth movement to achieve a physiologically and functionally optimal position of the teeth, jaw, and temporomandibular joints. Tooth movement occurs in small, defined steps, utilizing biological adaptation processes in the periodontal ligament.

[0197] Step a) shows the first stage of a set of tooth and jaw position adjustment appliances 1, as well as the desired tooth movement 8. In the upper jaw, a purely linear movement takes place, while in the lower jaw a combined movement occurs.

[0198] In step b), the teeth have already moved so far that the second stage of the set of tooth and jaw position adjustment appliances 1.2 can be used.

[0199] Kailuweit & Uhlemann | Patent Attorneys In step c), after the application of both appliances, the teeth are in approximately the desired final position. It is worth emphasizing that the teeth in the upper and lower jaw can move simultaneously, thus achieving an efficient and synchronized correction of the tooth and jaw position.

[0200] In step d), the teeth are in their final position (=stage III, i.e., without blocking). Here, even the slightest movements can be made and the achieved result stabilized.

[0201] For minor misalignments, often only two levels are necessary: ​​Level II (less blocking) and Level III (no blocking). Level I (more blocking) can therefore be omitted in minor misalignments.

[0202] Fig. 5 shows a sectional view of the fabrication of three successive stages of a set of tooth and jaw alignment appliances: the first stage 1.1, the second stage 1.2, and the third stage 1.3. Each stage differs in the areas where block-out material is specifically provided to create mechanical recesses for defined clearances 5. In stage I, a relatively wide area is provided for the block-out material to support the initial adaptation process – see also the top view in Fig. 7. In stage II, this area is reduced to allow for more precise control of tooth movement – ​​see also the top view in Fig. 8. Finally, in stage III, no block-out material is used, as the teeth in this stage can reach their desired final position even without block-out.

[0203] Figure 6 illustrates the biomechanical function of the appliances in the oral cavity, including the forces acting upon them and their effects on teeth and jaw structures. The figure illustrates the progressive correction of tooth and jaw position using the multi-stage tooth and jaw position adjustment appliance set 1. The successive adjustment of the mechanical recesses enables targeted tooth movement, resulting in precise and controlled positional correction during the course of treatment.

[0204] The schematic diagram shows a multi-stage system for correcting dental and jaw misalignments using a dental and jaw positioning appliance. The system comprises three successive stages that allow for a gradual adjustment of the dental and jaw position.

[0205] The appliances (1.1 - 1.3) consist of an upper component for the upper jaw 2 and a lower component for the lower jaw 3, which are connected by a permanent connection 6

[0206] Kailuweit & Uhlemann | Patent Attorneys are interconnected. Within the appliance are individual chambers 4 that enclose selected teeth or groups of teeth. Mechanical recesses are specifically arranged to create defined spaces, allowing malocclusions to be detected and influenced by targeted appliance forces 9. Additionally, chewing forces 10 act on the system, triggering a biomechanical response for tooth correction.

[0207] In the second stage, 1.2, the tooth position has already changed. The mechanical recesses have been reduced, allowing the appliance forces 9 to achieve more precise tooth movement. The continuing chewing forces 10 and appliance forces 9 result in a continuous correction of the tooth and jaw position.

[0208] In the third stage, 1.3, the teeth have largely reached their desired final position. Mechanical recesses are no longer necessary in this phase, as the desired final position of the teeth is being achieved. The appliance forces 9 stabilize the final position of the teeth to ensure the long-term functionality of the dentition.

[0209] Fig. 7 shows the setup model with more blockout for the fabrication of apparatus stage I in a top view.

[0210] Fig. 8 shows the setup model with less blockout for the fabrication of the Stage II apparatus in a top view.

[0211] Kailuweit & Uhlemann | Patent Attorneys Reference Mark

[0212] 1 Tooth and jaw alignment adjustment appliance as part of a set

[0213] 1.1 First stage of a set of dental and jaw alignment appliances

[0214] 1.2 Second stage of a set of dental and jaw alignment appliances

[0215] 1.3 Third stage of a set of dental and jaw alignment appliances

[0216] 2 Upper component of a jaw position adjustment appliance for the dental area of ​​the upper jaw

[0217] 3 Lower component of a jaw position adjustment appliance for the dental area of ​​the lower jaw

[0218] 4 individual chambers for enclosing selected teeth or groups of teeth

[0219] 5 Mechanical cutouts for specifically arranged free spaces

[0220] 6. Indissoluble connection between upper component and lower component

[0221] 7. Malocclusion

[0222] 8 Tooth forces or tooth movements

[0223] 9 Apparatus forces

[0224] 10 Buying Forces

[0225] Kailuweit & Uhlemann | Patent attorneys

Claims

Patent claims 1. A method for manufacturing a set of dental and jaw position adjustment appliances for the gradual correction of dental and / or jaw misalignments and / or joint misalignments, wherein each dental and jaw position adjustment appliance comprises: an upper component for the dental region of the maxilla and a lower component for the dental region of the mandible, wherein the lower and upper components are permanently connected to each other, characterized in that each dental and jaw position adjustment appliance is configured to enclose selected teeth or groups of teeth in individual chambers in order to fix their position in the respective jaw and has specifically arranged free spaces in the form of mechanical recesses that enable biomechanically supported movement of the teeth from a malposition to the correct position, and the forces exerted on the teeth are of a specific magnitude.The direction and duration of action are adjustable in all three spatial dimensions to ensure controlled and precise guidance of tooth movements; comprising the following steps: a) Analysis of an image of the dentition to determine the defined current state of the dentition with malpositions; b) Determination of a desired target configuration of the teeth, jaw, and occlusion based on the previous analysis; c) Determination of the required tooth and / or jaw movement to achieve the target configuration, whereby tooth movement is feasible in all three spatial dimensions; d) Determination of the number of tooth and jaw adjustment appliances required for the stepwise execution of the tooth movements to achieve the desired target configuration; e) Fabrication of the tooth and jaw adjustment appliances necessary for the tooth movements.

2. Method according to claim 1, characterized in that the positions of the individual teeth in step a) are determined by measurement.

3. Method according to claim 1 or 2, characterized in that the positions of the individual teeth in step a) are determined by taking an impression of the dentition. Kailuweit & Uhlemann | Patent attorneys 4. Method according to one of claims 1 to 3, characterized in that the required tooth movements in step c) are determined by means of a computer program for simulating the desired final state, wherein the computer program is designed to enable a precise prediction of the tooth adaptation taking into account individual patient data.

5. Method according to one of claims 1 to 4, characterized in that the target configuration of the tooth position is plastically worked out, wherein this step is placed between the method steps b) and c) and is numbered b1).

6. Method according to one of claims 1 to 5, characterized in that in step d) two to five required application phases are determined and accordingly in step e) two to five tooth and jaw position adjustment devices are manufactured for stepwise correction.

7. Method according to one of claims 1 to 6, characterized in that the elaboration in step e) is carried out by plastic modeling consisting of plaster, plastic, wax, resin, clay, silicone, polyurethane or cement.

8. Method for manufacturing according to any one of claims 1 to 7, wherein each tooth and jaw position adjustment appliance is characterized in that, for controlling tooth movements, specific free spaces and / or pressure passages are created which are designed to support the natural movement of the teeth.

9. Method for manufacturing according to any one of claims 1 to 8, wherein each tooth and jaw alignment adjustment device is characterized in that the tooth and jaw alignment adjustment device is manufactured in step e) by an additive process selected from stereolithography (SLA), selective laser sintering (SLS) or digital light processing (DLP).

10. Method according to any one of claims 1 to 9, wherein each tooth and jaw alignment adjustment appliance is characterized in that the tooth and jaw alignment adjustment appliance is manufactured in step e) from a material consisting of silicone, plastic, polyurethane, epoxy resin, thermoplastic elastomers, Kailuweit & Uhlemann | Patent attorneys It consists of rubber, polycarbonate, polyetheretherketone, polyethylene terephthalate or acrylic resin.

11. Method according to any one of claims 1 to 10, wherein each tooth and jaw alignment adjustment appliance in step e) is manufactured in a hybrid construction, wherein the hybrid components consist of materials such as silicone, plastic, polyurethane, epoxy resin, thermoplastic elastomers, rubber, polycarbonate, polyetheretherketone, polyethylene terephthalate or acrylic resin.

12. Method according to any one of claims 1 to 11, wherein each tooth and jaw position adjustment device is produced in step e) by forming using a forming negative contour, wherein the negative mold is produced in step b1).

13. Set of at least two dental and jaw position adjustment appliances for the gradual correction of dental and / or jaw misalignments and / or joint misalignments, wherein each dental and jaw position adjustment appliance comprises: an upper component for the dental region of the maxilla and a lower component for the dental region of the mandible, wherein the lower and upper components are permanently connected to each other, characterized in that each dental and jaw position adjustment appliance is designed to enclose selected teeth or groups of teeth in individual chambers in order to fix their position in the respective jaw and has specifically arranged free spaces in the form of mechanical recesses that enable biomechanically supported movement of the teeth from a malposition to the correct position, wherein the forces exerted on the teeth by the dental and jaw position adjustment appliance are of a magnitude,The direction and duration of action are adjustable in all three spatial dimensions to ensure controlled and precise control of tooth movements.

14. Set of at least two tooth and jaw position adjustment appliances according to claim 13, wherein each tooth and jaw position adjustment appliance is designed to enable simultaneous movement of the teeth by translation and / or angulation and / or rotation in order to minimize the application time, wherein the direction and extent of movement are predominantly determined by the body's own Kailuweit & Uhlemann | Patent attorneys Forces are determined and are controlled solely by a subtherapeutic pressure force of the tooth and jaw position adjustment appliance.

15. Set of at least two tooth and jaw alignment appliances according to claim 13 or 14, wherein each tooth and jaw alignment appliance is characterized in that the upper and / or lower component is shaped in such a way as to deflect the forces exerted on the teeth by the tongue and / or lips in order not to further influence the tooth correction.

16. Set of at least two tooth and jaw position adjustment appliances according to one of claims 13 to 15, wherein each tooth and jaw position adjustment appliance is designed such that the tongue and / or lip forces and / or chewing forces are used for tooth movement to further support tooth correction.

17. Set of at least two tooth and jaw alignment devices according to one of claims 13 to 16, wherein each tooth and jaw alignment device is configured to record the wearing time.

18. Set of at least two tooth and jaw alignment adjustment devices according to one of claims 13 to 17, wherein each tooth and jaw alignment adjustment device is characterized in that the tooth and jaw alignment adjustment device is designed in such a way that a microprocessor unit and / or sensors can be integrated to track the progress of tooth correction.

19. Set of at least two tooth and jaw alignment devices according to one of claims 13 to 18, wherein each tooth and jaw alignment device is characterized in that the microprocessor unit and / or sensors are removable and thus enable it to be used in other tooth and jaw alignment devices.

20. Set of at least two tooth and jaw alignment devices according to any one of claims 13 to 19, wherein each tooth and jaw alignment device is designed to align the temporomandibular joints and / or the teeth and / or the occlusion. Kailuweit & Uhlemann | Patent attorneys

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