Abstract: A method and apparatus are disclosed enabling an orthodontist or a user to create an unified three dimensional virtual craniofacial and dentition model of actual, as-is static and functional anatomy of a patient, from data representing facial bone structure; upper jaw and lower jaw; facial soft tissue; teeth including crowns and roots; information of the position of the roots relative to each other; and relative to the facial bone structure of the patient; obtained by scanning as-is anatomy of craniofacial and dentition structures of the patient with a volume scanning device; and data representing three dimensional virtual models of the patient's upper and lower gingiva, obtained from scanning the patient's upper and lower gingiva either (a) with a volume scanning device, or (a) with a surface scanning device. Such craniofacial and dentition models of the patient can be used in optimally planning treatment of a patient.

Abstract: A method and workstation are described for designing compensation in an orthodontic archwire in order to offset the bracket-slot-to-wire play and realize the disered displacement in a tooth from an initial position to the target position. Bracket-slot-to-wire play can reduce the effectiveness of an archwire in bringing the teeth of an orthodontic patient from malocclusion to desired target. Bracket-slot-to-wire play is the difference in volume between the size of a bracket slot, which is larger than the size of the archwire, and the size of the sliding segment of an archwire inserted in the bracket slot. Customized archwires comprise alternating sliding segments interconnected by segments with bends and/or twists in three-dimensional space. The sliding segments are placed in the bracket slots and exert forces on the brackets created by the segments with bends and/or twists for moving the teeth towards the target positions.

Abstract: A method and apparatus are disclosed enabling an orthodontist or a user to create an unified three dimensional virtual craniofacial and dentition model of actual, as-is static and functional anatomy of a patient, from data representing facial bone structure; upper jaw and lower jaw; facial soft tissue; teeth including crowns and roots; information of the position of the roots relative to each other; and relative to the facial bone structure of the patient; obtained by scanning as-is anatomy of craniofacial and dentition structures of the patient with a volume scanning device; and data representing three dimensional virtual models of the patient's upper and lower gingiva, obtained from scanning the patient's upper and lower gingiva either (a) with a volume scanning device, or (a) with a surface scanning device. Such craniofacial and dentition models of the patient can be used in optimally planning treatment of a patient.

Abstract: A method and apparatus are disclosed enabling an orthodontist or a user to create an integrated three dimensional digital model of dentition and surrounding anatomy of an orthodontic patient from a three-dimensional digital model obtained using a scanner with a three-dimensional digital model obtained using a Cone Beam Computed Tomography (CBCT) or Magnetic Resonance Tomography (MRT) imaging devices. The digital data obtained from scanning as well as from CBCT imaging are downloaded into a computer workstation, and registered together in order to create a comprehensive 3-D model of the patient's teeth with roots, bones and soft tissues. The invention provides substantial improvement over the traditional two dimensional imaging modalities such as x-rays, photographs, cephalometric tracing for diagnosis and treatment planning.

Abstract: In a preferred embodiment of the invention, tooth attachment placement (TAP) device or for assisting a user in placing one or more appliances or attachments on one or more teeth is disclosed. The TAP device comprises single tooth jigs connected through splines. The geometry of the device is automatically designed in the treatment planning unified workstation, thereby generating a digital STL file. Then the device is created from a non-flexible biocompatible material by a 3D printer in accordance with the digital STL file. Appliance, for example, may be a bracket or a bracket shim; and the attachment may be an aligner attachment or a pad. Different embodiments of the TAP device are disclosed. Methods for verifying the accuracy of the placements of the brackets on the teeth using the TAP device are disclosed.

Abstract: A method and apparatus are disclosed enabling an orthodontist or a user to create an unified three dimensional virtual craniofacial and dentition model of actual, as-is static and functional anatomy of a patient, from data representing facial bone structure; upper jaw and lower jaw; facial soft tissue; teeth including crowns and roots; information of the position of the roots relative to each other; and relative to the facial bone structure of the patient; obtained by scanning as-is anatomy of craniofacial and dentition structures of the patient with a volume scanning device; and data representing three dimensional virtual models of the patient's upper and lower gingiva, obtained from scanning the patient's upper and lower gingiva either (a) with a volume scanning device, or (a) with a surface scanning device. Such craniofacial and dentition models of the patient can be used in optimally planning treatment of a patient.

Abstract: A method and apparatus are disclosed enabling an orthodontist or a user to create an unified three dimensional virtual craniofacial and dentition model of actual, as-is static and functional anatomy of a patient, from data representing facial bone structure; upper jaw and lower jaw; facial soft tissue; teeth including crowns and roots; information of the position of the roots relative to each other; and relative to the facial bone structure of the patient; obtained by scanning as-is anatomy of craniofacial and dentition structures of the patient with a volume scanning device; and data representing three dimensional virtual models of the patient's upper and lower gingiva, obtained from scanning the patient's upper and lower gingiva either (a) with a volume scanning device, or (a) with a surface scanning device. Such craniofacial and dentition models of the patient can be used in optimally planning treatment of a patient.

Abstract: The present invention discloses an orthodontic appliance for positioning teeth and its application in orthodontic treatment planning using a work station. 3D teeth models are created from scanning data. These teeth models display a patient's teeth in initial or mal-occlusion. Then an orthodontic treatment planning is performed and the teeth are positioned in a desired position. 3D model of teeth in mal-occlusion is super imposed on the 3D model of the teeth in the desired position. Gingiva obtained from the scanning data is also superimposed on the combination of the 3D mal-occlusion model and the 3D desired position model. The resulting 3D model is used to create a 3D composite physical dentition model using a 3D printing device or a 3D printer. Dimples of the desired shape and position are then placed on the composite physical model. The teeth positioning appliance is then created by molding plastic on the composite physical model.

Abstract: The present invention discloses orthodontic treatment planning which enables designing the desired smile line with the help of a computer workstation. A new lip trace feature enables cutting out the portion of a photograph corresponding to the area inside the lips. The 3D model of the teeth is then completely visible when overlaid with the facial photograph. One can use this feature to superimpose the patient photo over the 3-D model of the teeth to see how much intrusion or extrusion is needed to design the smile line. Three dimensional model of dentition obtained by scanning of teeth along with the patient's two dimensional facial photograph is used to design the desired smile line for the patient by means of software instructions in the workstation.

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 present invention discloses orthodontic treatment planning using virtual articulator with the help of a computer workstation. A virtual articulator can be activated from the workstation. The virtual articulator displays opening/closing movements, and left/right excursive movements. One can also adjust the angle of the articular eminence to more accurately display the patient's chewing motion. Treatment planning simulation using virtual articulator can detect collision of teeth and lead to a treatment plan that can avoid such collisions. Composite three dimensional models of dentition obtained by scanning of teeth and through CBCT are used in identifying the articulator; which is then used in virtual simulation by means of software instructions in the workstation.

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: 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: Method and workstation automatically designing an arch-wire including compensations for auxiliary appliances or biological constraints exerting unknown forces to achieve a pre-planned treatment goal are disclosed. The adjusted customized arch-wire is designed after an initial customized arch-wire has been used to treat a patient and is at or near equilibrium. The initial custom arch-wire is first designed by producing a 3D computer-based, geometrical model of a patient's dentition, locating brackets on the digital tooth model, moving the digital tooth models to planned final positions and orientations, and then calculating a wire which fits in the slots of the brackets while the teeth are in their planned final positions and exerts no forces on the brackets. After a period of time the teeth will move under the force of the wire and will eventually move into positions such that the forces from all appliances and biological systems are in equilibrium.

Abstract: A method and workstation for evaluation of an orthodontic treatment plan for 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 by which the user can create a proposed treatment plan (proposed position of the teeth at the end of treatment) in three dimensions. The workstation also provides tools for evaluation of the proposed treatment plan.

Abstract: An integrated system is described in which digital image data of a patient, obtained from a variety of image sources, including CT scanner, X-Ray, 2D or 3D scanners and color photographs, are combined into a common coordinate system to create a virtual three-dimensional patient model. Software tools are provided for manipulating the virtual patient model to simulation changes in position or orientation of craniofacial structures (e.g., jaw or teeth) and simulate their affect on the appearance of the patient. The simulation (which may be pure simulations or may be so-called “morphing” type simulations) enables a comprehensive approach to planning treatment for the patient. In one embodiment, the treatment may encompass orthodontic treatment. Similarly, surgical treatment plans can be created. Data is extracted from the virtual patient model or simulations thereof for purposes of manufacture of customized therapeutic devices for any component of the craniofacial structures, e.g., orthodontic appliances.

Abstract: A method and apparatus are disclosed enabling an orthodontist or a user to create an unified three dimensional virtual craniofacial and dentition model of actual, as-is static and functional anatomy of a patient, from data representing facial bone structure; upper jaw and lower jaw; facial soft tissue; teeth including crowns and roots; information of the position of the roots relative to each other; and relative to the facial bone structure of the patient; obtained by scanning as-is anatomy of craniofacial and dentition structures of the patient with a volume scanning device; and data representing three dimensional virtual models of the patient's upper and lower gingiva, obtained from scanning the patient's upper and lower gingiva either (a) with a volume scanning device, or (a) with a surface scanning device. Such craniofacial and dentition models of the patient can be used in optimally planning treatment of a patient.

Abstract: A method and apparatus are disclosed enabling an orthodontist or a user to create an integrated three dimensional digital model of dentition and surrounding anatomy of an orthodontic patient from a three-dimensional digital model obtained using a scanner with a three-dimensional digital model obtained using a Cone Beam Computed Tomography (CBCT) or Magnetic Resonance Tomography (MRT) imaging devices. The digital data obtained from scanning as well as from CBCT imaging are downloaded into a computer workstation, and registered together in order to create a comprehensive 3-D model of the patient's teeth with roots, bones and soft tissues.

Abstract: A method and workstation are described for designing compensation in an orthodontic archwire in order to offset the bracket-slot-to-wire play and realize the disered displacement in a tooth from an initial position to the target position. Bracket-slot-to-wire play can reduce the effectiveness of an archwire in bringing the teeth of an orthodontic patient from malocclusion to desired target. Bracket-slot-to-wire play is the difference in volume between the size of a bracket slot, which is larger than the size of the archwire, and the size of the sliding segment of an archwire inserted in the bracket slot. Customized archwires comprise alternating sliding segments interconnected by segments with bends and/or twists in three-dimensional space. The sliding segments are placed in the bracket slots and exert forces on the brackets created by the segments with bends and/or twists for moving the teeth towards the target positions.

Abstract: Method and workstation automatically designing an arch-wire including compensations for auxiliary appliances or biological constraints exerting unknown forces to achieve a pre-planned treatment goal are disclosed. The adjusted customized arch-wire is designed after an initial customized arch-wire has been used to treat a patient and is at or near equilibrium. The initial custom arch-wire is first designed by producing a 3D computer-based, geometrical model of a patient's dentition, locating brackets on the digital tooth model, moving the digital tooth models to planned final positions and orientations, and then calculating a wire which fits in the slots of the brackets while the teeth are in their planned final positions and exerts no forces on the brackets. After a period of time the teeth will move under the force of the wire and will eventually move into positions such that the forces from all appliances and biological systems are in equilibrium.