Abstract: This disclosure provides low-viscosity resins for producing polymers with properties suitable for use in various mechanical appliances, such as orthodontic appliances (e.g., aligners). The low-viscosity resins may be photo-curable and can be used with direct fabrication methods and equipment. In various embodiments, the polymeric materials produced from the low-viscosity resins described herein have high toughness while remaining resistant to stress relaxation. Low-viscosity, photo-curable resins described herein have reduced hydrogen bonding in comparison to traditional materials (e.g., materials having high urethane content) used in orthodontic appliances.

Abstract: A comparative orthodontic treatment planning tool that can provide multiple treatment plan options based on a single initial tooth data set. A user can use the treatment planning tool to select a treatment plan based on factors, including cost, treatment duration, treatment complexity, and material or feature selection. Tooth arrangements at different treatment stages can be compared. In some cases, a tooth arrangement at one treatment stage can be superimposed over a tooth arrangement at a different treatment stage or over a tooth arrangement from a different treatment plan.

Abstract: Laser cutting systems and methods are described herein. One or more systems include a laser, an optical component, a fixture for holding a support with a part positioned on the support, and a controller. The controller is configured to identify a cut path for trimming excess material from a dental appliance, determine adjustment instructions for adjusting a focal length of the laser to cut along the cut path, and trim the excess material from the dental appliance along the cut path with the laser. The focal length is adjusted by adjusting at least one of: the laser, the optical component, and the fixture, and while moving the fixture at a constant speed relative to the laser to avoid increasing a brittleness of a polymer material of the dental appliance along the cut path.

Abstract: This disclosure provides polymeric materials comprising weak crosslinking covalent bonds and/or weak crosslinking units comprising a weak covalent bond. Weak covalent bonds can be used in place of hydrogen bonds present in traditional polymeric materials (e.g., polyurethanes). Advantageously, the toughness can be controlled by varying the strength of weak covalent bonds and/or by varying the number of weak covalent crosslinks. Crosslinked materials applying the weak covalent crosslinking bonds can be used to create tough materials able to resist stress relaxation. Further, the present disclosure provides polymer chains and polymeric materials comprising inchain loops (also referred to herein as rings). The inchain loops comprise weak bonds and/or weak bridges comprising at least one weak bond.

Abstract: In embodiments, a system for scanning an intraoral cavity comprises an intraoral scanner to generate intraoral scan data of the intraoral cavity and viewfinder images of the intraoral cavity, a display, and a processing unit operatively connected to the intraoral scanner and to the display. The processing unit is to: receive the intraoral scan data and the viewfinder images from the intraoral scanner; generate a three-dimensional (3D) digital model of the intraoral cavity using the intraoral scan data; output the 3D digital model to the display; output the viewfinder images to the display; determine which portions of the intraoral cavity have been scanned; determine a current field of view of the intraoral scanner; determine a visual indicator that provides guidance for positioning and orienting the field of view of the intraoral scanner; and output the visual indicator to the display.

Abstract: A medical image might be generated for a patient image using a convolutional neural network trained on prior patient pre-procedure and post-procedure 2D images. A method might generate 3D models from pre-procedure 2D images and from post-procedure 2 images, and train the convolutional neural network with training images being the 3D models, to generate at least one 3D model of the present patient from the 2D image of the present patient, apply the 3D model of the present patient to the convolutional neural network in an inference stage, and apply patient-specific parameters derived from the proposed surgical procedure as a second input to the convolutional neural network in the inference stage to generate an inferred post-surgery 3D model of the present patient given the patient-specific parameters.

Abstract: An intraoral scanning device comprises housing comprising a head configured for insertion into a patient oral cavity, the head comprising a sloped surface and an aperture for transmission of optical signals, a transparent element positioned within the aperture, wherein the transparent element is at an acute angle with respect to the sloped surface, and a defogging unit comprising a heating unit. The intraoral scanning device further comprises a protective sleeve configured to cover at least a part of the head when the protective sleeve is coupled to the housing. The protective sleeve comprises an additional aperture that aligns with the aperture and an additional transparent element in the additional aperture.

Abstract: The present disclosure relates to ornamental indicia carrier and method of producing the same. In some embodiments, the ornamental indicia carrier comprises an ultraviolet light (“UV”) cured ink printed on a thin flexible film and combined with an adhesive layer. The ornamental indicia carrier is capable of enduring the conditions inside the mouth for an extended period of time and can be used in conjunction with a dental appliance.

Abstract: Systems, methods, devices and apparatus for mandibular advancement or retraction via bone anchoring devices are described herein. In various aspects, an apparatus for treating a patient via mandibular advancement or retraction comprises a plurality of anchoring devices positioned in the patient's intraoral cavity. Each of the plurality of anchoring devices can be positioned in bone of the patient's upper jaw or bone of the patient's lower jaw. One or more connecting structures can be removably coupled to and extend between the plurality of anchoring devices in order to displace the lower jaw anteriorly or posteriorly relative to the upper jaw.

Abstract: A dual aligner assembly including a plurality of aligners, including a first aligner and a second aligner. The first aligner has a first shape corresponding to a set of target tooth positions and applies an orthodontic force against a set of target teeth. The first orthodontic force generates movement of the set of target teeth to the set of target tooth positions. The second aligner has a second shape corresponding to a combination of current tooth positions of the set of target teeth, the set of target tooth positions, and a thickness of the first aligner. The second aligner partially encloses the first aligner and provides an anchor for at least a portion of the first aligner. Via the anchor, a combination of the first aligner and the second aligner provides an orthodontic force that prevents the set of target teeth from moving to unwanted tooth positions during orthodontic treatment.

Abstract: A series of a palatal expanders increasing width can be used to gradually expand a patient's palate. Each palatal expander may have a palatal region flanked by teeth regions. The palatal region can have a plurality of anchor-receiving features (e.g., anchor interfaces) that allow the palatal expander to be attached to temporary anchorage device anchors that have been implanted into the patient's maxilla.

Abstract: An apparatus for intraoral scanning comprises an elongate handheld wand comprising a probe at a distal end, one or more light projectors, and two or more cameras. Each light projector comprises at least one light source configured to generate light and a pattern generating optical element configured to generate a pattern of light when the light is transmitted through the pattern generating optical element. Each camera comprises a camera sensor and one or more lenses and is configured to capture a plurality of images that depict at least a portion of the projected pattern of light on an intraoral surface, wherein each camera is configured to focus at an object focal plane that is located between about 1 mm and about 30 mm from a lens of the one or more lenses that is farthest from the camera sensor.

Abstract: Systems, methods, devices, and apparatus for positioning a patient's mandible in response to sleep apnea status are provided herein. In one aspect, a system for monitoring and treating sleep apnea in a patient comprises one or more sensors configured to monitor the patient for symptoms associated with sleep apnea; an intraoral appliance worn by the patient, one or more processors, and memory comprising instructions executable by the one or more processors to cause the one or more processors to: receive a set of sensor data from the one or more sensors, detect, using a machine learning algorithm, onset of a sleep apnea event based on the set of sensor data, and transmit a control signal to the intraoral appliance to cause the intraoral appliance to displace a lower jaw of the patient from a first position to a second position in order to treat the sleep apnea event.

Abstract: Described herein are methods and apparatuses to obtain an image, or a set of images, of a patient's teeth from one or more predetermined viewing angles. These methods and apparatuses may include the use an overlay comprising an outline of teeth for each predetermined viewing angle. The overlay may be used for automatically capturing, focusing and/or illuminating the teeth. Also described herein are methods and apparatuses for using a series of images of the patient's teeth including a set of predetermined views to determine if a patient is a candidate for an orthopedic procedure.

Abstract: Methods for obtaining an adjusted 3D model of patient's teeth based on a 2D image of the patient's teeth. In some examples, the method includes: obtaining a 3D digital model based on a scan of the patient's teeth; obtaining a 2D image based on a camera picture; iteratively comparing a distance between corresponding points on one or more teeth of the 3D digital model and of the 2D image, and generating an adjusted 3D model in which the one or more teeth of the 3D digital model are moved to reduce said distance, wherein iteratively comparing and generating comprises iterating until one or more deviations between the teeth of the 3D digital model and the 2D image are below a threshold.

Abstract: The present disclosure provides computing device implemented methods, computing device readable media, and systems for motion compensation in a three dimensional scan. Motion compensation can include receiving three-dimensional (3D) scans of a dentition, estimating a motion trajectory from one scan to another, and calculating a corrected scan by compensating for the motion trajectory. Estimating the motion trajectory can include one or more of: registering a scan to another scan and determining whether an amount of movement between the scans is within a registration threshold; determining an optical flow based on local motion between consecutive two-dimensional (2D) images taken during the scan, estimating and improving a motion trajectory of a point in the scan using the optical flow; and estimating an amount of motion of a 3D scanner during the scan as a rigid body transformation based on input from a position tracking device.

Abstract: An intraoral scanning system for scanning an intraoral dental structure of a patient in a dental procedure may include an intraoral scanner and one or more processors coupled to the intraoral scanner and programmed with instructions that when executed by the one or more processors cause the intraoral scanning system to build a 3D model of the intraoral dental structure of the patient based on scan data acquired via the intraoral scanner and output feedback on a display. The feedback may include highlighting a portion of the 3D model that includes scan data that includes a finish line of the intraoral dental structure, wherein the scan indicates that the finish line is not suitable for receiving a prosthetic.

Abstract: Methods for fabricating orthodontic appliances are described herein. In some embodiments, a method includes fabricating a shell including a plurality of cavities shaped to receive teeth, fabricating a discontinuity in the shell, and fabricating an elastic member positioned to interact with the discontinuity. At least one of the shell, the discontinuity, or the elastic member can be fabricated using a direct fabrication technique.

Abstract: Methods for designing orthodontic appliances for repositioning a patient's teeth are provided. In some embodiments, a method includes determining a movement path to move one or more teeth from an initial arrangement to a target arrangement, determining a force system to produce movement of the one or more teeth along the movement path, and determining an appliance geometry for an orthodontic appliance configured to produce the force system. The orthodontic appliance can include an outer shell comprising a plurality of teeth-receiving cavities and an inner structure positioned on an inner surface of the outer shell. The inner structure can have an elastic modulus different than an elastic modulus of the outer shell. The method can also include generating instructions for directly fabricating the orthodontic appliance using a layer-by-layer additive manufacturing technique.

Abstract: The present invention provides protective repositioning appliances, accommodating mouth guards, and covering guards that protect an orthodontic patient against impact-induced injuries, as well as related systems and methods. A protective appliance can include teeth receiving cavities shaped to receive and reposition a patient's teeth and can include an occlusal portion having an impact-absorbing compliance. An accommodating mouth guard can include teeth receiving cavities shaped to accommodate a patient's teeth from a first arrangement to a second arrangement and can include an occlusal portion having an impact-absorbing compliance. A covering guard can include a guard segment that covers at least a portion of an appliance. The combination of a guard segment and an appliance can provide an occlusal compliance that absorbs impacts.