270 results about "Oral appliance" patented technology

An orthodontic trainer 1 for assisting the correction of the misalignment of teeth is disclosed. The trainer 1 comprises a base member 2 made of nylon having a generally U-shaped form corresponding to the outline of the jaw of a user and a teeth engaging member 5 that encases the base member 2. The base member 2 has an open frame structure with curved inner and outer elongate frame members 12, 10 interconnected at spaced intervals by transverse frame members 15. The trainer 1 includes a outer teeth repositioning formation in the form of an outer flange is positioned on the outer elongate frame member 10. The trainer 1 also includes an inner teeth repositioning formation on the inner elongate frame member 12. The continuous teething engaging member 5 that is made of silicone rubber or PVC comprises a web 40 and inner and outer flanges 44, 45 projecting up and down from both upper and lower faces of the web 40. These flanges 44, 45 and the web 40 define upper and lower channels within which the upper and lower teeth of the user can be received. The trainer 1 also includes teeth positioning formations on the teeth engaging member 5 projecting into the upper and lower channels for encouraging the correct positioning of the teeth of a user.

An oral appliance for treating sleep apnea and bruxism is formed of a maxillary tray and a mandibular tray. The maxillary tray carries a maxillary bite pad projecting downwardly toward an opposed mandibular occlusal surface. The mandibular tray carries a mandibular bite pad projecting upwardly toward an opposed maxillary occlusal surface. The maxillary bite pad is posterior to the mandibular bite pad such that upon sufficient relative posterior movement of the mandibular tray, the maxillary bite pad engages the mandibular bite pad and limits posterior movement of the mandibular tray. At least one surface, chosen from the anterior face of the maxillary bite pad and the posterior face of the mandibular bite pad, defines a guide plane disposed at an upward and forward slant. The maxillary bite pad and the mandibular bite pad are engageable at the guide plane for advancing the mandibular tray along the guide plane upon vertical closure between the trays. A smooth pad is disposed over the occlusal surface of at least one of the trays, guarding the occlusal surface from engagement with the opposed bite pad.

An oral appliance for treating sleep apnea and bruxism is formed of a maxillary tray and a mandibular tray. The maxillary tray carries a maxillary bite pad projecting downwardly toward an opposed mandibular occlusal surface. The mandibular tray carries a mandibular bite pad projecting upwardly toward an opposed maxillary occlusal surface. The maxillary bite pad is posterior to the mandibular bite pad such that upon sufficient relative posterior movement of the mandibular tray, the maxillary bite pad engages the mandibular bite pad and limits posterior movement of the mandibular tray. At least one surface, chosen from the anterior face of the maxillary bite pad and the posterior face of the mandibular bite pad, defines a guide plane disposed at an upward and forward slant. The maxillary bite pad and the mandibular bite pad are engageable at the guide plane for advancing the mandibular tray along the guide plane upon vertical closure between the trays. A smooth pad is disposed over the occlusal surface of at least one of the trays, guarding the occlusal surface from engagement with the opposed bite pad.

Methods and devices are provided that are effective to remove an obstruction in a human airway and / or maintain an open airway. The methods and devices are particularly useful for patients suffering from snoring and / or OSA, and / or preventing upper airway obstructions in patients undergoing anesthesia. In one embodiment, the device includes a mouthpiece that is adapted to form a substantially sealed cavity within a human mouth, and a hollow elongate member having a first end that is coupled to the mouthpiece and that is in communication with the substantially sealed cavity, and a second end that is adapted to be coupled to a negative pressure generator. In use, a negative pressure generator can be attached to the hollow elongate member to create a negative pressure in a human mouth in response to an obstructed airway, thereby removing the obstruction. In particular, this device is effective to counteract the collapse of a patient's soft tissues of the upper airway to reopen the airway. The mouthpiece can also be used in combination with a nasal mask. In another embodiment, the oral appliance above also comprises a nasal mask, wherein the nasal mask provides a means of ventilation support, including but not limited to total mechanical ventilation, positive-end expiratory pressure, or continuous positive airway pressure. In use, such a device can provide complete patient ventilation and maintain an open upper airway.

The invention is a removal plastic oral appliance which includes sensors for detecting the position of a patients tongue and mandible. Pressure sensors in the appliance itself detect tongue contact and pressure against the palate or the lower teeth against the upper teeth. The sensors are connected electronically to an electronic processor which interprets the information against one or more contra-indicated tongue or jaw positions or activities, and selects an appropriate response from a pre-selected range of responses. The electronic processor sends a signal to a stimulus electrode to cause the patient to stop the contra indicated tongue position, jaw position, or activity.

An oral appliance compliance monitoring system and method comprises an oral appliance suitable for wearing in a patient's oral cavity during sleeping periods, the oral appliance having one or more sensors measuring a variety of conditions such as oxygen saturation levels in the oral cavity mucosa. The data generated by the sensor is continuously transmitted to a local scanner which is in communication with a central computer. The computer interprets the data to determine if the patent is wearing the oral appliance in compliance with a prescribed treatment regimen for breathing-related sleep disorders. Remotely located computers are authorized to receive the streamed data to enable remote monitoring of compliance in real time by a plurality of patients with treatment regimens.

A digitally-based method is described for the design and production of customized removable dental appliances. The plastic component of custom appliances is designed using software, and milled directly over a plaster model of the dentition. A patient's upper, lower, and bite-registered arches are digitized, registered to a bite or centric occlusion position, and articulated in software using either an average geometry or the geometry of a specific articulator. Appliance design is performed by defining the desired plastic surfaces and margins as dictated by the relative movement and positions of the arches as functionally required for a specific appliance. Standard CAM software is used to read the design file and command a multiaxis machine center to mill the plastic while directly on a plaster model.

Methods and apparatus for treating tinnitus are described where an oral appliance having an electronic and / or transducer assembly for generating sounds via a vibrating transducer element is coupled to a tooth or teeth. Generally, the transducer may generate one or more frequencies of sound via the actuatable transducer positioned against at least one tooth such that the sound is transmitted via vibratory conductance to an inner ear of the patient, whereby the sound completely or at least partially masks or provides sound therapy for habituation of the tinnitus perceived by the patient. The one or more generated frequencies may be correlated to measured tinnitus frequencies or they may be preset.

A dental oral appliance to reduce or eliminate snoring or obstructive sleep apnea and to open the airway for a sleeping patient. The appliance covers the inside (lingual) of the upper or lower teeth and has an open palate. Retention for the appliance is provided by an occlusal coverge of the upper or lower teeth. A raised incisor ramp that extends from the incisal tip of the incisors toward the lingual, or posterior ramps, separate the posterior teeth to open the airway. A transpalatal bar, which extends from the inside (lingual) of the right molars to the inside of the left molars, inhibits the upward and backward movement of the tongue. An anterior tongue restrainer which is attached to the transpalatal bar at one end and the front of the appliance at the other end, aids in inhibiting and restraining the upward and backward movement of the tongue.

A system and method for monitoring of and managing compliance with treatment for obstructive sleep apnea using oral appliance therapy comprises a sensor module installed in an oral appliance, a data communications facility for communicating with the oral appliance, a control module, and a central database for storing data. Data stored on the sensor module is transferred to the data communications facility for local storage. The control module validates the locally stored temperature data and uploads the validated data into the central database. Temperature data stored in the central database may be viewed remotely via a secure computer network connection in graphical form by authorized users using role-based access controls. Authorized users may include the patient, the patient's provider, system administrators, and stake holders including insurance carriers providing medical coverage for OAT.

Method and apparatus for fabricating an oral appliance are described for correcting malocclusions on a dentition of a subject. A three-dimensional representation of the dentition may be captured and a free-form structure having a lattice structure which matches at least part of a surface of the dentition is generated. The lattice structure defines a plurality of open spaces such that the free-form structure is at least partially transparent. The lattice structure may then be manufactured by impregnating or covering a coating into or upon the lattice structure such that the oral appliance is formed.

Methods and apparatus for treating tinnitus are described where an oral appliance having an electronic and / or transducer assembly for generating sounds via a vibrating transducer element is coupled to a tooth or teeth. Generally, the transducer may generate one or more frequencies of sound via the actuatable transducer positioned against at least one tooth such that the sound is transmitted via vibratory conductance to an inner ear of the patient, whereby the sound completely or at least partially masks or provides sound therapy for habituation of the tinnitus perceived by the patient. The one or more generated frequencies may be correlated to measured tinnitus frequencies or they may be preset.

The present invention provides methods for acquiring and utilizing time-based 3d jaw motion images (4d datasets) to enhance the computer-aided design (CAD) of dental devices, which may include dental restorations, oral prostheses, and oral appliances. These 4d datasets may be used directly to provide a jaw motion model suitable for enhanced CAD or, they may be used to derive mathematical expressions that are then used to drive a motion simulation. The methods of the invention are based on acquiring time-based 3d images (a 4d sequence) of the upper and lower teeth, with each 3d frame in the time sequence capturing some upper and lower arch anatomy (the oral anatomy). Each image in the 4d sequence may therefore contain an accurate record of the relationship between the upper and lower arch in three dimensions.

A custom, sized and fitted, integrated oral appliance is provided to treat breathing obstruction and restriction in the upper airway during sleep. Several novel features are integrated in a single device, which includes mandible repositioning to open the airway, and tongue restraint to prevent airway blockage. This device is comprised of a built-in air conduit to bypass nasal restriction and airway occlusion. In operation, the appliance is positioned in the oral cavity to firmly grip the upper and lower dentition using customized unshaped trays. Appliance positioning advances the mandible to an adjustable predetermined position and simultaneously restrains the tongue using flexible bristles attached to a spring-loaded, tongue-restraint-ac (TRAC) component. A hollow air conduit, built into the TRAC, spans the area between the users' lips and soft palate. It facilitates the flow of self-heated, moisturized air directly to (and from) the oropharynx to bypass airway obstructions and / or nasal restrictions.

Various methods and apparatus for processing audio signals are disclosed herein. The assembly may be attached, adhered, or otherwise embedded into or upon a removable oral appliance to form a hearing aid assembly. Such an oral appliance may be a custom-made device which can enhance and / or optimize received audio signals for vibrational conduction to the user. Received audio signals may be processed to cancel acoustic echo such that undesired sounds received by one or more intra-buccal and / or extra-buccal microphones are eliminated or mitigated. Additionally, a multiband actuation system may be used where two or more transducers each deliver sounds within certain frequencies. Also, the assembly may also utilize the sensation of directionality via the conducted vibrations to emulate directional perception of audio signals received by the user. Another feature may include the ability to vibrationally conduct ancillary audio signals to the user along with primary audio signals.

Tinnitus masking systems for treating tinnitus are described where a device is coupled to a surface of a bone or to a tooth or several teeth. Such a device may comprise an oral appliance having an electronic and / or transducer assembly for generating sounds via a vibrating transducer element. Generally, the transducer may generate one or more frequencies of sound via the actuatable transducer to transmit a modified audio signal via vibratory conductance to an inner ear of the patient to mask tinnitus during a peak of the audio signal and to allow the user to perceive the tinnitus during a trough of the audio signal. The audio signal is also modified to account for any hearing loss of the patient as well as a bone conductance profile measured from the patient.

In certain embodiments, an apparatus for treating a breathing condition includes a body, a threaded member, a hook, and a receiver. The body comprises a front stop, a rear stop, and a guide extending between the stops. The threaded member couples between the stops and rotates relative to the body. The hook couples to the guide, comprises a threaded passage and an arm that engages a lower arch, and travels in a forward direction along the guide to adjust the position of the lower arch. The receiver couples to the lower arch and comprises a shelf that engages the arm of the hook. The apparatus may include an extender coupled to the receiver and providing a shelf that is more rearward than the shelf of the receiver. The apparatus may include a post that couples the apparatus to another device. In certain embodiments, a removable receiver, which may be one of a plurality of removable receivers with different dimensions, is removably positioned within a recess in a posterior surface of a lower arch and is engaged by a connector of an upper arch to define the relative positions of the arches.

The invention is a removable plastic oral appliance which includes sensors for detecting the position of a patient's tongue and mandible. Pressure sensors in the appliance itself detect tongue contact and pressure against the palate or the lower teeth against the upper teeth. The sensors are connected electronically to an electronic processor which interprets the information against one or more contra-indicated tongue or jaw positions or activities, and selects an appropriate response from a pre-selected range of responses. The electronic processor sends a signal to a stimulus electrode to cause the patient to stop the contraindicated tongue position, jaw position, or activity.

An oral appliance assembly is described. The assembly includes an oral appliance component having an upper teeth tray and a lower teeth tray. The assembly further includes a module releasably connected to the oral appliance. The module includes at least one sensor that is positioned outside of the mouth and underneath the nares of a subject's nose when the oral appliance component is positioned in the subject's mouth. A method of measuring user compliance of an oral appliance is also described. The method includes positioning an oral appliance in the mouth of a subject, measuring at least one parameter of airflow from the subject's nose or mouth, and determining compliance based on the at least one measured parameter. A method of measuring effectiveness of an oral appliance is also described. The method includes positioning an oral appliance in the mouth of a subject, measuring at least one parameter of airflow from the subject's nose or mouth, and determining effectiveness based on the at least one measured parameter.

In one embodiment, an oral appliance includes a first arch adapted to receive at least some of a user's teeth and a second arch adapted to receive at least some of the user's teeth. The first arch includes an anterior substantially planar region, a right posterior substantially planar region, and a left posterior substantially planar region. The second arch includes an anterior bearing point, a right posterior bearing point, and a left posterior bearing point. Each bearing point of the second arch contacts a corresponding substantially planar region of the first arch when the user bites down with the oral appliance inserted in the user's mouth and the user's temporomandibular joint in its proper natural position. In a more particular embodiment, the oral appliance may be used to help maintain stability of one or more aspects of the user's masticatory system, including at least helping to maintain proper positioning of the user's temporomandibular joint.

An oral appliance having upper and lower channel elements attached, respectively, to upper and lower bite blocks. The two channel elements are oriented at a right angle with respect to each other. One of the channel elements carries a removable insert having an array of adjustment holes. A removable coupling member has a support rod with an anchor piece and anchor pin at one of its ends. The anchor piece is received by the channel element carrying the insert, while the anchor pin is received by one of the insert's adjustment holes. A base at the other end of the support rod is received by the other channel element, so that the coupling member may releasably connect the two channel elements together.

A sports guard for placing in a mouth of a user is disclosed. The guard includes generally a base member having a generally U-shaped form corresponding to the outline of a jaw of a user defining an upper channel within which an upper row of teeth of a user can be received. The guard also discloses a teeth engaging element associated with the channel which is made of a material able to be user conformed or user moulded to the mouth of the user. The guard also includes shock absorption means associated with the base member for absorbing impact shock. The shock absorption means comprises open channels in the base member that function much like air springs. Further the base member advantageously comprises polyethylene mixed with up to 10% of EVA. The addition of EVA gives the guard more flexibility. The teeth engaging element is made of EVA.

Comprising a base member made of nylon having a generally U-shaped form corresponding to the outline of the jaw of a user and a teeth engaging member that encases the base member. The base member has an open frame structure with curved inner and outer elongate frame members interconnected at spaced intervals by transverse frame members. The continuous teeth engaging member that is made of silicone rubber or PVC comprises a web and inner and outer flanges projecting up and down from both An orthodontic trainer for assisting the correction of the misalignment of teeth upper and lower faces of the web. These flanges and the web define upper and lower channels within which the upper and lower teeth of the user can be received.

Systems and methods are disclosed for fabricating a dental or oral appliance utilizing support structures. A three dimensional representation of the dentition of a patient may be captured and reconfigured for correcting one or more malocclusions. The oral appliance may be printed upon an inner structure which supports the oral appliance during fabrication. The inner structure may be subsequently removed once the oral appliance is completed.

An oral appliance (20) includes first and second mouthpiece elements (22,32) each equipped with adjustable ribs (30,40) on an anterior portion (24) and ramp surfaces (28,38) on each of its posterior arms (26). The ribs (22,32) slope upwardly, front to back at a steeper angle than the ramp surfaces. Preferably, the ribs (22,32) and the ramps (28,38) surfaces have maximum height which define a ratio in the range of between 2 and 2½ to mimic the differential in mouth opening between incisors and molars. The appliance has a plurality of laterally extending protrusions (42,44,46) that are engaged by elastic bands (48) to exert a force which simultaneously pulls the wear's mandible forward and biases the lower mouthpiece toward the upper mouthpiece. Adjustable ribs extend laterally to permit relative movement of the two mouthpiece elements to eliminate the buildup of tension in the wearer's jaw.

An oral appliance includes a reinforcing member or splint embedded within a polymer shell. The reinforcing member or splint includes an anterior portion embedded within an anterior wall of the polymeric shell, a posterior portion embedded within a posterior wall of the polymeric shell, and a transverse portion embedded within a transverse plate of the polymeric shell. The reinforcing member or splint is operative for preventing movement of the user's dentition over time when wearing the oral appliance.

The invention describes a modular inset / insert that may be selectively placed in a user prescribed location in a dental device, the purpose of which is to deliver a beneficial agent in a site specific manner. Insert designs for use with an oral appliance are disclosed. One embodiment insert in particular may include an infrastructure portion, a carrier element, and a beneficial agent. The infrastructure portion may further include a ring and mesh. Preferably, the insert is designed to be received and retained within an inset in the oral appliance. A method of manufacturing an oral appliance capable of receiving a modular inset / insert is also disclosed. Among other steps, the fabrication process includes utilizing a coping and analog for forming at least one inset in the oral appliance during molding.

An oral appliance is provided for the treatment of snoring and obstructive sleep apnea. The oral appliance includes an upper tray adaptable to conform to a user's maxillary dentition and a plurality of lower trays, each of the lower trays adaptable to conform to the user's mandibular dentition. At least some of the lower trays are structured to engage the upper tray, each of the lower trays are structured to impart a different fixed amount of mandibular advancement.