Abstract: Systems and methods of developing and tracking delivery and patient progression through an orthodontic treatment plan. One method includes identifying deviations from an orthodontic treatment plan, including receiving a digital representation of an actual arrangement of a patient's teeth after an orthodontic treatment plan has begun for the patient and prior to completion of the orthodontic treatment plan. The method further includes comparing the actual arrangement to a pre-determined planned arrangement to determine if the actual arrangement substantially deviates from the planned arrangement, the comparing including matching teeth from a previously segmented model to a surface of an unsegmented representation of the actual arrangement; and calculating one or more positional differences between the actual and planned arrangements of at least some of the corresponding teeth.

Abstract: A computer is used to create a plan for repositioning an orthodontic patient's teeth. The computer receives an initial digital data set representing the patient's teeth at their initial positions and a final digital data set representing the teeth at their final positions. The computer then uses the data sets to generate treatment paths along which the teeth will move from the initial positions to the final positions.

Abstract: A dental device includes a mouthpiece configured to sit against occlusal surfaces of a patient's teeth and a motor connected to the mouthpiece. The motor is configured to vibrate the mouthpiece at a frequency between 60 and 120 Hz and an acceleration between 0.03 G and 0.06 G such that the mouthpiece places an axial vibratory force on the occlusal surfaces.

Abstract: A system and method for evaluating dental treatment utilizes virtual models created from scanned plaster casts. Patient's teeth are directly scanned with a three dimensional scanner or plaster casts of the patient teeth following treatment are scanned for evaluation. A planned configuration based on a plaster cast prior to treatment is created and the desired position and the two models are compared so that the actual position of the teeth may be compared to the desired position after treatment. Superimposition of the virtual models provides accurate and precise measurement of variances between the two virtual models. Difficulties due to superimposing the models, which are of the entire arch and evaluations based on individual teeth are overcome by applying an iterative closest point algorithm to correct the position and provide a truer measurement for evaluation.

Abstract: An adapter device for extension of miniplates used in orthodontic treatments, which provides for the extension of the plate for the most anterior or posterior and superior or inferior positions, and also the fixation of orthodontic accessories, which can be used for various skeletal anchorage systems available on the market, pliers for the attachment of the device, and a method for extension and attachment of miniplates by use of the adapter devices of the present invention.

Abstract: Provided herein is a force system for repositioning teeth and the methods of making and using the system.

Abstract: Templates are disclosed that permit an orthodontist to accurately place appliances such as bracket shims or brackets on a tooth or teeth at a desired position. The templates can be used for accurately locating the position of other dental or orthodontic procedures, such as varnishing, tooth etching and root canals. The templates are made from a flexible sheet of material adapted to be adhered directly to the surface of the tooth or teeth. The sheet of material is formed with the outline of the tooth or teeth or in the shape of the tooth to allow the template to be posited in a proper, reference position. The sheet of material is also formed with one or more marks indicating the location of the bracket on the tooth, for example one mark indicting the bracket base location and other marks indicating the orientation of the base and bracket slot.

Abstract: Systems and methods for analyzing dynamic occlusion during replicated excursions of virtual three-dimensional representations of a dental patient's occlusal complex are provided.

Abstract: Various methods and systems for designing a restored smile are provided. One method includes receiving scan data of a patient's teeth, developing a digital model of the patient's teeth via a computing device, where the model represents the patient's teeth based upon the scan data, creating a dental treatment plan to restore one or more teeth from an initial condition to a successive condition, and wherein a final condition of the one or more is based on the one or more teeth having at least one planned additional restorative tooth structure provided therewith.

Abstract: An orthodontic maxillary palatal expander device in accord with at least some aspects of the present concepts includes a mid-palatal bar having a first set of connection points configured to permit securement of the mid-palatal bar to the palate and a second set of connection points extending along at least a portion of a length of the mid-palatal bar, the first set of connection points comprising through holes in the mid-palatal bar. A screw assembly includes a left side member, a right side member, at least one arm connector formed in at least one of the left side member or right side member, at least one mid-palatal bar connector configured to releasably connect to the second set of connection points of the mid-palatal bar, and a screw mechanism adapted to, upon activation of the screw mechanism, cause outward lateral movement of the left side member and right side member.

Abstract: A tooth positioner is combined with a vibrational source, thus speeding orthodontic remodeling.

Abstract: An orthodontic appliance 1 for promoting development of a dental arch form in a patient who has an underdeveloped dental arch form is disclosed. The appliance 1 includes an arch-shaped base member 2 that is made of a resiliently flexible material, and a teeth engaging member 5 that encloses at least part of the base member 2. The teeth engaging member 5 defines upper and/or lower dental arch receiving channels 46, 47 and is made of a resiliently flexible material that is softer than the base member and is deformable. The appliance 1 has a resting form in which the resilient materials of the base member 2 and the teeth engaging member 5 are in their resting condition. The appliance 1 can be flexed or deformed out of the resting form to fit the underdeveloped dental arch form into the dental arch receiving channel 46, 47.

Abstract: An orthodontic fixture system includes a tap, a screw, a tool, and fixation wire. In a method of orthodontic fixation, a user manipulates the tool to drive the tap and screw. The tap is configured to first make a threaded hole in only a proximal wall of an alveolus bone. The screw is configured for firm insertion in the proximal wall of the alveolus bone through the hole made with the tap and to abut an inner surface of the distal wall of the alveolus bone in a non-damaging manner. The screw and fixation wire include cooperating structures to enable a user to readily apply both tension and torsional forces via mutual engagement of the screw and fixation wire and thus to one or more orthodontic elements attachable to patient teeth.

Abstract: A method for orthodontic treatment includes defining a plurality of incremental tooth adjustment stages. Each tooth adjustment stage includes an incremental change in an alignment of at least one tooth. For one of the stages, the method includes sequentially utilizing a plurality of orthodontic appliances, each appliance having identical tooth geometries configured to the stage.

Abstract: An orthodontic aligner tray includes a plurality of tooth-shaped cavities configured to adjust alignment or position of at least one tooth in the mouth of a patient. An apparatus to retain the orthodontic aligner tray to teeth of the patient includes the aligner tray including the plurality of tooth-shaped cavities, a retention feature securing the aligner tray to the teeth of the patient, and an adhering agent connecting the aligner tray and the retention feature. The retention feature includes a single contiguous retention feature aligned to a space between two adjacent teeth and spanning from a lingual gingival margin to a labial gingival margin.

Abstract: An on-line system for manufacturing a dental mold is provided. In one embodiment, An on-line system for manufacturing a dental mold may comprise a user terminal configured to receive graphic data of a damaged tooth, a tooth adjacent to the damaged tooth and a tooth occluded with the damaged tooth, which are obtained by a 3D scanner, and to generate graphic data of a restoration tooth based on the received graphic data; a dental mold data management server configured to receive the graphic data of the restoration tooth from the user terminal; and one or more dental mold manufacturing apparatuses configured to receive the graphic data of the restoration tooth from the dental mold data management server and to manufacture the dental mold corresponding to the graphic data of the restoration tooth.

Abstract: Embodiments include dental appliances, dental appliance systems, and methods of making and using such appliances. In one embodiment, a dental appliance includes a shell having a number of cavities to receive one or more teeth, each cavity having an inner surface. Fewer than all cavities are scaled-up in size by a first selected percentage over one or more dimensions of a corresponding tooth surface to provide a uniform space between the cavity inner surface and the corresponding tooth surface.

Abstract: An orthodontic retainer system including retainer modules that are applied to adjacent teeth in a patient's mouth. The retainer modules may be provided in the form of mutually attracted members, such as magnets, that are temporary coupled on opposites sides of a delivery member for positioning and bonding to an adjacent pair of teeth. In one exemplary embodiment, the retainer modules have rounded and/or chamfered edges and sloped and curved lingual surfaces, and may include a magnet that is received and sealed within an enclosure or cover that has the same shape or profile as the magnet and is made of a wear-resistant biocompatible material.

Abstract: A system automatically adjusts an orthodontic bracket to a desired occlusal height on a tooth within a 3D environment. The system allows a practitioner to specify a desired occlusal height at which to place the bracket on the tooth. The practitioner may choose the desired occlusal height from a standardized set of occlusal heights or may create a customized occlusal height to meet a patient's particular needs. Based on the desired occlusal height, the system automatically adjusts the placement of the orthodontic bracket to the desired occlusal height on the tooth within the 3D environment. The system then generates a visual representation the resulting bracket placement within the 3D environment.

Abstract: Various features are provided for a custom orthodontic appliance manufacturing or designing system. These include features for inputting of data of patient anatomy and practitioner decisions, features for interactively or automatically manipulating data to arrive at appliance characteristics, and features for affecting design or manufacture of the appliance.

Abstract: An orthodontic appliance including a shell aligner having a portion accommodating movement of a patient's bracketed teeth between a first position and the second position as elicited by force from an orthodontic braces appliance worn by the patient, related systems and methods.

Abstract: An orthodontic bracket system used on the anterior lower teeth includes a plurality of alternating high-low brackets which is made up of a subplurality of high brackets and low brackets. The plurality of alternating high-low brackets are fixed to the anterior teeth, namely the subplurality of high brackets is fixed to alternately successive anterior teeth and the low brackets are fixed to other ones of alternately successive anterior teeth. A first orthodontic wire is coupled or attached to the subplurality of high brackets. A second orthodontic wire is coupled or attached to the subplurality of low brackets. The first and second orthodontic wires are selectively bent between selected brackets to which the first and second orthodontic wires are coupled, so that length of the first and second wire between each bracket to which it is coupled is increased, leaving space between brackets for bends formed in the wire.

Abstract: A bite plate allowing for contact with occlusal and facial and/or lingual maxillary and mandibular teeth is coupled to an extraoral housing containing a rechargeable battery coupled to a vibrator coupled to a processor coupled to data and charging port or ports. The housing is at least water resistant, and a hatch allows access to the data and charging port or ports only. The device is fitted with a very smooth and quiet vibrator, with minimal variance on operating specifications.

Abstract: An appliance for orthodontic hardware in the form of a cap sized to fit over a bracket and arch wire braces system. The cap includes a hollowed, mound shaped body with a bottom edge defining an opening on one side of the body. The cap also includes multiple tabs extending from the edge and partially over the opening. The bottom edge also defines two channels aligned opposite each other and extending from the bottom edge. With this arrangement, the cap can be positioned over a bracket with the tabs engaging the bracket and retaining the cap thereto while the channels defined in the body prevent the cap from engaging the arch wire.

Abstract: Methods are provided for regulating tooth movement and for maintaining or improving tissue health using heavy forces. Such methods comprise allowing a heavy force to be exerted on one or more teeth of a patient in need thereof; and administering an effective amount of light to the maxillary or mandibular alveolar bone of the patient, wherein the light is administered before, during, or after the heavy force is exerted. The light can have a wavelength in the range of about 585 nm to about 665 nm, or about 815 nm to about 895 nm. An apparatus useful for providing light therapy is also provided.

Abstract: An orthodontic bracket includes a bracket portion including a receiving slot extending across at least a portion of the bracket portion and configured to receive an arch wire. The bracket includes a metal mesh bonded to the ceramic bracket portion on a side of the ceramic bracket portion opposite the receiving slot. Another orthodontic bracket includes a metal core coated with a tooth-colored coating. Methods of attaching and aligning the brackets are provided as well as a tool for aligning the brackets. Inserts are also described for reinforcing the brackets and/or increasing a surface area for enhancing bonding strength.

Abstract: The invention relates to a customised jig for an orthodontic appliance, to an assembly formed by the jig, a base and a bracket, and to the associated design methods. The customised jig is used to install a bracket-bearing base on a tooth, said base forming part of an orthodontic appliance. The invention is characterised in that: the jig is a cap that covers the tooth, covering the free edge thereof and at least portions of the front and rear surfaces of same; and the shape of the jig is such that it matches that of the base in at least one portion of at least one of the edges thereof. The invention also relates to an assembly formed by a customised base bearing a bracket and a customised jig of the type mentioned above, and to methods for designing one such jig.

Abstract: Disclosed herein are a method and apparatus for determining the location of an orthodontic fastener. In the method, a first location on a tooth and a second location on alveolar bone are set on a patient's medical image. Thereafter, a first rectilinear line including two points, that is, the set first and second locations, is generated. Thereafter, bone density values at the locations of the alveolar bone on the generated first rectilinear line are computed using the medical image. Finally, the location of the alveolar bone at which a first fastener is inserted is determined based on the computed bone density values.

Abstract: An oral device for use in radiotherapy of the head and neck includes a base member and a bite member or “mouthpiece,” which is selectively positionable relative to the base member. The device provides immobilization of the tongue for accurate reproducible administration of radiation therapy. The device fits within the oral cavity of a patient and is maintained in position by a bite member that fits over the maxillary teeth of the patient. The position of the bite member relative to the base member may be adjustable to accommodate differences in mouth cavities and bite profiles. For example, the base member may include a platform or series of members configured to be removably coupled to the bite member in multiple different positions.

Abstract: A computer is used to create a plan for repositioning an orthodontic patient's teeth. The computer receives an initial digital data set representing the patient's teeth at their initial positions and a final digital data set representing the teeth at their final positions. The computer then uses the data sets to generate treatment paths along which the teeth will move from the initial positions to the final positions.

Abstract: A dental template to position an object on a patient's tooth includes digitizing the patient's tooth; adding virtual objects to predetermined locations on the digitized tooth; and fabricating the dental template to locate the object on the patient's tooth. The template can be used for etching or for positioning brackets on teeth.

Abstract: A single pair of pliers for bending orthodontic arch wires in all quadrants of a patient's mouth. Includes first and second actuating members, each including a handle portion for grasping in the hand, and a head portion that projects at an angle. The actuating members are pivotally joined so that the head portions can be moved toward and away from each other into respective closed and open positions. A first occlusal jaw on head portion of the first actuating member has an internally angled channel profile and a second occlusal jaw on the head portion of the second actuating member also has an internally angled channel profile facing the other internal channel. A gingival jaw member having upper and lower externally angled corners is adapted to mate with the internally angled profiles of the upper and lower occlusal jaws, respectively, when the head portions are in the closed position.

Abstract: An orthodontic bracket is disclosed having three archwire retention channels in the mesial-distal directions, a central channel and two side channels. The two side channels each include a pair of spaced apart inverted archwire retaining regions having a recess that opens generally towards the bracket base. Each such recess is for grasping or holding an archwire therein. Each of the side channels has an archwire retaining ridge extending gingivally-occlusally along the adjacent side of the bracket base between the two retaining regions of the channel. For each channel, its retaining ridge exerts a force on a portion of an archwire facing away from the archwire portion residing in the recesses of the retaining regions of the channel. The force on the archwire is directed toward the interiors of the recesses of the retaining regions for assisting in seating the archwire in the recesses.

Abstract: An orthodontic appliance and system are provided for adjusting the relative positions of mandibular and maxillary arches. The orthodontic appliance includes a telescoping assembly comprising a plurality of telescoping members, and at least a first end member supportably retaining at least a portion of a spring member. The end member is adapted to slidably receive an end of a first telescoping member for selectively interconnection and disconnection therebetween. When interconnected, the spring member extends into an open end of the first telescoping member and is operative to apply spring-force to a second telescoping member. A plurality of interchangeable end members may be provided for use with the telescoping assembly, wherein the different end members have different spring-force delivery attributes. The orthodontic appliance may be installed utilizing an attachment device selectively interconnectable to and disconnectable from orthodontic archwires.

Abstract: A digital data set representing a pre-scanned tooth geometry, including generic crown data, is merged with data representing a scanned patient tooth crown image, which lacks sufficient data to completely represent a complete tooth crown.

Abstract: An activatable dental appliance. A concave trough conforms to a plurality of teeth when placed over the plurality of teeth. A first force applying region is configured to apply a first force to at least one tooth of the plurality of teeth for repositioning the tooth. A second force applying region is configured to be selectively activated, wherein when selectively activated the second force applying region applies a force to at least one tooth of the plurality of teeth.

Abstract: A method and workstation for orthodontic treatment planning of a patient. The workstation is based on a computing platform having a graphical user interface, a processor and a computer storage medium containing digitized records pertaining to a patient including image data (3D image data and/or 2D image data). The workstation further includes a set of software instructions providing graphical user interface tools which the user marks a midline and an aesthetic occlusal plane in a two- or three-dimensional virtual model of the patient, marks an occlusal plane in the virtual model; selects a reference tooth in the virtual model; aligns virtual teeth in the virtual model in a proposed arrangement to treat the patient; manages space between the virtual teeth in the proposed arrangement; and repeats one or more of these steps in an iterative fashion to make any further adjustments in the proposed arrangement.

Abstract: The invention relates to a method for reversibly securing an attachment part to a base part by means of a connecting means which rigidly connects these parts to each other. For this purpose, an adhesive separating material is disposed between the base part and the attachment part, said material losing its adhesive effect reversibly or irreversibly under the effect of electromagnetic radiation.

Abstract: A method and workstation for orthodontic treatment planning of a patient. The workstation is based on a computing platform having a graphical user interface, a processor and a computer storage medium containing digitized records pertaining to a patient including image data (3D image data and/or 2D image data). The workstation further includes a set of software instructions providing graphical user interface tools which the user marks a midline and an aesthetic occlusal plane in a two- or three-dimensional virtual model of the patient, marks an occlusal plane in the virtual model; selects a reference tooth in the virtual model; aligns virtual teeth in the virtual model in a proposed arrangement to treat the patient; manages space between the virtual teeth in the proposed arrangement; and repeats one or more of these steps in an iterative fashion to make any further adjustments in the proposed arrangement.

Abstract: An apparatus for applying an orthodontic force to a tooth of a patient in combination with an orthodontic appliance and a temporary anchor device (TAD) for coupling to bony oral tissue of the patient. The device includes a wire having a proximal end and a distal end, an adjustable stop coupled to the wire at a selectable position between the proximal and distal ends, and a spring. The proximal end of the wire is configured to be coupled to the TAD and the distal end of the wire is configured to be coupled to the orthodontic appliance disposed on the tooth of the patient. The spring is disposed between the orthodontic appliance and the adjustable stop in order to apply the orthodontic force to the tooth. The proximal end of the wire comprises a hook shape which is configured to be coupled to the TAD.

Abstract: An odontological device to guide occlusion of an individual. The device contains a U-shaped arch with concaves on the side of both the lower jaw and the upper jaw. The bottom surfaces of the concaves form an isthmus separating the concaves from one another. The isthmus includes blanks for individual teeth and uniform, continuous hollows for at least two teeth. The lower jaw side of the device has a lower wing constricting a tongue at least sideways.

Abstract: An orthodontic bracket having an opening for receiving a wire, but without a base to create a lever arm when the bracket is oriented in free space at a customized angle relative to a tooth surface. The bracket can be embedded into or encapsulated by an adhesive that is bonded to the tooth. A clip is provided for holding the bracket in position and occluding the opening while the adhesive is applied. And indirect methods of attaching the brackets to teeth are provided wherein the brackets can be attached to the lingual side of the teeth in a low-profile arrangement. A first method includes the step of positioning the brackets on a physical model of the teeth by using a positioning machine. A second method includes the step of positioning virtual brackets on a virtual model of the teeth using software, then generating a physical transfer try using rapid prototyping.

Abstract: A method for forming a tooth positioner for repositioning at least one tooth of a patient includes providing a dental arch cast of a patient, separating at least one tooth from the dental arch cast, fixing a pin in a stump part of the at least one separated tooth, and in any non-separated teeth, reconstructing the dental arch cast of the patient by aligning the separated teeth to correspond to the alignment in the patient's mouth and holding the pins in a material that may be softened by heat, heating an area to soften an area, applying force to the pin fixed in the at least one tooth to be repositioned to move it in a desired direction to obtain a realigned arch, and forming a tooth positioner corresponding to the realigned arch. The tooth positioner is used by having the patient wear it for a period of time.

Abstract: Presented herein are methods and devices for designing dental components, such as physical models of a patient's anatomy, crowns and bridges. An operator of a prosthetic designing system can receive information, such as from a scanner, which provides information on the topology of the patient's dentition. The operator can use this information to design a custom prosthetic to fit the patient. Part of the designing process involves using a finish line defined for a preparation as a segmentation line for a physical die corresponding to the preparation, and using a path of draw line as an insertion axis line for a dental prosthetic.

Abstract: An orthodontic bracket which can be selectively active or passive, and can be active or passive on one tooth and can be independently active or passive on adjacent or any other tooth. The bracket includes a body having a groove for receiving an archwire, a slide for moving from an open position to a closed position to thereby capture the archwire, and a spring slidably engageable in the slide in either a passive or an active position. When in the active position the spring bears on the archwire. A method of using this orthodontic bracket comprises mounting the body to a patient's tooth with the slide in the open position, inserting an archwire into the groove in the body and closing the slide to secure the archwire in the groove. The spring can be in the passive or in the active position.

Abstract: Anchor apparatus for a flexible and resilient clear orthodontic appliance constructed to be removably fitted over the teeth of a user by friction in a predetermined position. One or more first anchor devices are secured to the bone in the mouth of the user in a position to be adjacent to the orthodontic appliance when fitted over the teeth. The orthodontic appliance is constructed to removably engage the first anchor device or devices when the orthodontic appliance is fitted on the teeth in the predetermined position to removably secure the orthodontic device in the predetermined position. The orthodontic appliance may comprise one or more second anchor devices mounted thereon for removable engagement with the first anchor devices. The first and second anchor devices comprise female recessed portions or male heads that are complementary in shape to facilitate the removable engagement thereof.

Abstract: The present invention discloses a method for manufacturing a positioning tray and a bracket with a positioning hook for manufacturing the positioning tray. The method for manufacturing the positioning tray comprises the following steps: acquiring an original dental impression and an ideal dental impression; transforming the ideal dental impression to a three-dimensional digital model and drawing each bracket body; drawing a positioning hook on the bracket body; making a wax pattern of a bracket with the positioning hook by using a wax pattern machine; casting, with the wax pattern as a mould core, a blank of the bracket with the positioning hook which then receives surface treatment; after the surface treatment, assembling the bracket with the positioning hook to the original dental impression and performing film lamination to obtain a positioning tray, and finally removing the positioning hook to obtain the bracket matching the positioning tray.

Abstract: A removable orthodontic appliance of discrete plastic sleeves, each being receivable over a corresponding tooth of a patient. Lingual clips are fastened to the corresponding tooth and which are engageable with corresponding structure of the sleeves for removably retaining each of said plastic sleeves to the corresponding tooth of the patient. Buccal brackets are fixably carried on a side of each of the sleeves positionally corresponding to a buccal surface of the corresponding tooth to which each of the sleeves is receivable. An arch wire is ligated to each of the buccal brackets to extend therebetween. The system can be conveniently removed for cleaning and adjustment.

Abstract: A method for applying orthodontic forces to one or more teeth using a single model of the tooth or teeth which are to be moved. The model chosen is the final corrected configuration for the patient as determined by their oral health care provider and comprises the final position and orientation of the tooth or teeth to be achieved after a successful treatment regimen. A series of aligners are made which each comprise the corrected configuration. Each successive aligner in the series is comprised of a selectively stiffer material than the previous aligner in order to move the tooth or teeth into the final desired position. As the patient's treatment progresses, the patient receives the next successive aligner which is incrementally more rigid or stiff than the previous aligner, thus effectuating the movement of the tooth or teeth to their desired final position and orientation.

Abstract: A method for fabrication of an orthodontic device having tooth-fitting cavities, such as an aligner, using layer-by-layer printing of a single or multiple polymeric materials. The cavities of the appliance or an appliance mold are defined by the boundaries of the multiple layers, encapsulating up to fourteen teeth of a patient, and shaped to apply a load to at least one tooth that is sufficient to cause movement of the tooth, and remodeling of the adjacent bone. In the case where the cavities form an appliance mold, the mold is used to form a positive model and an appliance is formed thereon. A series of such appliances may be used to treat malocclusion of teeth, each appliance used in series to incrementally move one or more teeth from initial positions toward a desired final position. The appliance may be fabricated with a variety of disclosed materials, and may include auxiliary features for interaction with other orthodontic elements.