Methods and oral orthotic systems for use in connection with sleep-disordered breathing

摘要

A method of forming oral orthotic systems (100) to position and/or stabilize a mandible of a patient includes providing an upper dental member (20) adapted to be placed in connection with upper dentition of the patient, providing a lower dental member (30) adapted to be placed in connection with lower dentition of the patient and providing a plurality of posterior mounting structures (40). Each of the posterior mounting structure is adapted to be attached to one of the upper dental member or the lower dental member at a posterior, buccal position thereon. Each of the posterior mounting structures includes an extending member (42) which includes a plurality of positions (44) at which one of a plurality of connectors (50) is attachable to the extending member. Force may be applied to the mandible of the patient via at least one of a plurality of different mechanisms via attachment of a component of the mechanism (120) to at least one of the posterior mounting structures. The upper dental member and the lower dental member are formed, independently, from at least one polymeric material.

主权项

1. A method of forming oral orthotic systems to position a mandible of a patient, comprising:
providing an upper dental member adapted to be placed in connection with upper dentition of the patient; providing a lower dental member adapted to be placed in connection with lower dentition of the patient; providing a plurality of posterior mounting structures, each of the posterior mounting structures being adapted to be attached to one of the upper dental member or the lower dental member at a posterior, buccal position thereon, each of the posterior mounting structures comprising an extending member, the extending member comprising a plurality of positions at which one of a plurality of connectors is removably attachable to the extending member; and providing a plurality of different mechanisms comprising a first mechanism including at least an elastomeric member, a second mechanism including a rod assembly, and a third mechanism including an extending link comprising a first arced end and a second arced end and connecting members connecting the first arced end and the second arced end, wherein at least one of the plurality of different mechanisms is adapted to push the mandible of the patient forward and at least one of the plurality of different mechanisms is adapted to pull the mandible forward; wherein force can be applied to the mandible of the patient via a selected one of the plurality of different mechanisms via attachment of a component of the selected one of the plurality of different mechanisms to at least one of the posterior mounting structures via at least one of the plurality of connectors, and wherein the plurality of positions at which one of the plurality of connectors is removably attached to the extending member are positioned along a length of the extending member.