Abstract: A system for correcting malocclusions may include a maxillary appliance having tooth receiving cavities shaped to receive teeth of a maxilla and a first elastic coupling at gingival line of the maxillary appliance. The first elastic coupling may be configured for receiving an elastic. The system may also include mandibular appliance having tooth receiving cavities shaped to receive teeth of a mandible. The system may also include a corrective appliance having a first coupling configured to be coupled to the mandibular appliance at a first location on a first side of incisors of a patient and a second coupling configured to be coupled to the mandibular appliance on a second side of the incisors, and having an arm extending from the corrective appliance towards the gingival line of the maxillary appliance and being shaped to receive the elastic.

Abstract: Palatal expander devices with sensors. A palatal expander body may include a palatal region, and a tooth-receiving region configured to receive teeth of a patient's upper arch. One or more sensors may be disposed on or in the palatal region of the palatal expander body. At least one processor may be configured to receive sensor data from the one or more sensors and to determine an expansion state of a patient's palatal region based on the sensor data.

Abstract: Systems for determining patient compliance with an orthodontic treatment or retention plan may include a polymeric shell appliance for receiving the patient's teeth, a sensor module on the polymeric shell appliance having a temperature sensor, a proximity sensor, a power source, and a communication antenna for communicating with an external case, and a processor configured to determine that the polymeric shell is being worn by the patient based on temperature data from the temperature sensor and proximity data from the proximity sensor, by determining that a measured temperature is within a body temperature range and that a measured proximity value is within a threshold proximity to an intraoral target. Methods of manufacturing these dental appliances are also described herein.

Abstract: Methods of orthodontic treatment using localized energy. The methods may include determining that one or more of a patient's teeth are off track from a treatment plan based on one or more discrepancies between a current virtual model and a target virtual model. The current virtual model may be based on image(s) taken of the patient's teeth during a stage of orthodontic treatment. The methods may also include modifying the treatment plan by implementing local energy radiation to a region of the patient's dental arch. The local energy radiation may be configured to accelerate repositioning of the one or more of the patient's teeth and to put the one or more of the patient's teeth on track according to the treatment plan.

Abstract: Methods and systems for designing dental appliances are provided. In some embodiments, a method includes identifying one or more intended outcomes for one or more areas of a dental appliance, where the dental appliance is shaped to receive and engage with a person's dentition in accordance with a treatment plan; identifying one or more acceptability criteria for evaluating compliance with the one or more intended outcomes; obtaining an appliance model for the dental appliance, where the appliance model represents the one or more areas with one or more first physical properties conforming to the one or more acceptability criteria, and where the one or more first physical properties are different than one or more second physical properties outside the one or more areas; providing three-dimensional (3D) printing instructions to generate the dental appliance using the appliance model; and 3D printing the dental appliance using the 3D printing instructions.

Abstract: Systems and methods for monitoring the status of oral appliances using sensors. One or more oral appliances may include one or more sensor receiver and emitter pairs configured to collect sensor data. Each sensor receiver and emitter pair may include a sensor receiver on or in a first portion of the oral appliance(s) and a sensor emitter on a second portion of the oral appliance(s), where each sensor receiver is configured to receive a signal emitted by a corresponding sensor emitter. At least one processor may be configured to determine the status of the oral appliance(s) and determine whether to modify a treatment plan implemented by the oral appliance(s) based on the status. The status may include one or more of: user compliance, condition of the oral appliance(s), and effectiveness of the oral appliance(s).

Abstract: Embedded sensors and onboard or off-board processing in an aligner case can detect aligner material and/or quality. Material detection can be used for counterfeit detection, or to trigger material specific events. Quality detection can include detection of common aligner failures or defects. A case for a dental appliance may include a tray for supporting the dental appliance, a cover coupled to the tray, and at least one sensor to detect a deformation of the dental appliance. A case for a dental appliance may include a tray for housing the dental appliance, a cover coupled to the tray, and at least one sensor configured to detect a change in material of the dental appliance.

Abstract: Aligner systems and methods including a sequence of aligners having energy-delivering elements. For example, first and second aligners of the sequence of aligners may include first and second polymer shells that have shapes for applying respective first and second local forces to first and second regions of a dental arch to move one or more first teeth and one or more second teeth, respectively. The first and second aligners may also include corresponding first and second heating elements that are arranged to heat first and second target regions of the dental arch associated with moving the one or more first teeth and one or more second teeth, respectively. Heat energy from the first and second heating elements may improve an outcome of respective first and second stages of a treatment plan.

Abstract: The present disclosure describes devices, systems, and methods for monitoring use of an oral appliance in an oral cavity using extra-oral sensor(s). One method includes sensing one or more physical properties of an oral appliance using an extra-oral sensor, providing a compliance signal from the extra-oral sensor, the compliance signal including an electronic representation of the one or more physical properties of the oral appliance, identifying one or more patient compliance factors based on the compliance signal, the one or more patient compliance factors providing a basis to identify an extent of compliance of usage of the oral appliance with an orthodontic treatment plan, and providing one or more compliance indicators based on the one or more patient compliance factors, the one or more compliance indicators providing a basis to indicate the extent of compliance.

Abstract: Orthodontic treatment monitoring using intermediate devices. In one example, an orthodontic appliance case includes a near field communication (NFC) circuitry including a first antenna that is configured to receive data transmitted from a sensor module on an orthodontic appliance when the sensor module is within the orthodontic appliance case. The data may include information regarding when the orthodontic appliance was worn in a patient's mouth. The orthodontic appliance case may also include a data store configured to store the data, and a Bluetooth communication circuitry including a second antenna configured to transmit the data to an external computing device when the external computing device is within communication range of the second antenna.

Abstract: Embedded sensors and onboard or off-board processing in an aligner case can detect aligner material and/or quality. Material detection can be used for counterfeit detection, or to trigger material specific events. Quality detection can include detection of common aligner failures or defects. A case for a dental appliance may include a tray for supporting the dental appliance, a cover coupled to the tray, and at least one sensor to detect a deformation of the dental appliance. A case for a dental appliance may include a tray for housing the dental appliance, a cover coupled to the tray, and at least one sensor configured to detect a change in material of the dental appliance.

Abstract: Methods for designing orthodontic appliances are provided. In some embodiments, a method includes receiving a treatment plan for a patient's dentition and generating an aligner model representing an aligner configured to implement a treatment stage of the treatment plan. The aligner model can include a thickness map having a thickness parameter for each location of the aligner model. The method can include adjusting the thickness map by using the aligner model to evaluate an outcome when the aligner is applied to the patient's dentition, and iteratively reducing the value of each thickness parameter of the thickness map based on the evaluation until a resulting thickness is determined for each thickness parameter. The method can also include providing instructions to manufacture the aligner based on the aligner model with the resulting thickness for each thickness parameter of the thickness map.

Abstract: The present disclosure describes devices, systems, and methods for monitoring use of an oral appliance in an oral cavity using extra-oral sensor(s). One method includes sensing one or more physical properties of an oral appliance using an extra-oral sensor, providing a compliance signal from the extra-oral sensor, identifying one or more patient compliance factors based on the compliance signal, the one or more patient compliance factors providing a basis to identify an extent of compliance of usage of the oral appliance with an orthodontic treatment plan, determining the extent of compliance, and outputting the extent of compliance.

Abstract: Methods and systems are provided for generating a treatment plan for arch expansion where a polymeric shell appliance is utilized to generate one or more activation forces that facilitate tooth movement. The polymeric shell appliances may comprise one or more tooth receiving cavities, in which each of the plurality of tooth receiving cavities is shaped and arranged to provide a counter moment of each of the plurality of teeth.

Abstract: Methods and systems are provided for diagnosing and generating a treatment plan for temporomandibular joint dysfunction where a polymeric shell appliance is utilized to generate one or more activation forces that facilitate tooth movement. The polymeric shell appliances may comprise one or more tooth receiving cavities, in which each of the plurality of tooth receiving cavities is shaped and arranged to provide a counter moment of each of the plurality of teeth.

Abstract: Improved systems, methods, and devices for treating sleep apnea are provided herein. In one aspect, an intraoral appliance for treating sleep apnea in a patient comprises an appliance shell comprising a plurality of cavities shaped to receive teeth of a jaw of the patient. The appliance shell can comprise an advancement structure arranged to interact with an opposing jaw of the patient so as to displace the lower jaw anteriorly relative to the upper jaw. The plurality of cavities can comprise cavity geometries shaped to reduce repositioning of one or more received teeth elicited by displacement of the lower jaw anteriorly relative to the upper jaw.

Abstract: A system for correcting class III malocclusions is disclosed. The system may include a maxilla appliance having tooth receiving cavities shaped to receive teeth of the maxilla and a first coupling for receiving an elastic. The system may also include a mandibular appliance having tooth receiving cavities shaped to receive teeth of the mandible. In some embodiments, the system includes a class III corrective appliance having a first mount shaped to engage with the mandibular arch of the patient and having a second coupling shaped to receive the elastic.

Abstract: A system for correcting class III malocclusions is disclosed. The system may include a maxilla appliance having tooth receiving cavities shaped to receive teeth of the maxilla and a first coupling for receiving an elastic. The system may also include a mandibular appliance having tooth receiving cavities shaped to receive teeth of the mandible. In some embodiments, the system includes a class III corrective appliance having a first mount shaped to engage with the mandibular arch of the patient and having a second coupling shaped to receive the elastic.

Abstract: Improved systems, methods, and devices for treating sleep apnea are provided herein. In one aspect, an intraoral appliance for treating sleep apnea in a patient comprises an appliance shell comprising a plurality of cavities shaped to receive teeth of a jaw of the patient. The appliance shell can comprise an advancement structure arranged to interact with an opposing jaw of the patient so as to displace the lower jaw anteriorly relative to the upper jaw. The plurality of cavities can comprise cavity geometries shaped to reduce repositioning of one or more received teeth elicited by displacement of the lower jaw anteriorly relative to the upper jaw.

Abstract: Methods and systems are provided for generating a treatment plan for arch expansion where a polymeric shell appliance is utilized to generate one or more activation forces that facilitate tooth movement. The polymeric shell appliances may comprise one or more tooth receiving cavities, in which each of the plurality of tooth receiving cavities is shaped and arranged to provide a counter moment of each of the plurality of teeth.