Abstract: Methods and systems for producing orthodontic appliances are provided herein utilizing iterative modeling techniques to increase the efficiency and efficacy of said appliances. Further disclosed herein are the orthodontic appliances fabricated from such methods.

Abstract: Embodiments relate to an aligner breakage solution that tests damage to an aligner using machine learning. A method includes of training a machine learning model to predict damage to an orthodontic aligner includes gathering a training dataset comprising digital designs for a plurality of orthodontic aligners, wherein each digital design is associated with a respective orthodontic aligner of the plurality of orthodontic aligners, and wherein each digital design comprises metadata indicating whether the associated respective orthodontic aligner was damaged during manufacturing of the associated respective orthodontic aligner. The method further includes training the machine learning model using the training dataset, wherein the machine learning model is trained to process data from a digital design for an orthodontic aligner and to output a probability that the orthodontic aligner associated with the digital design will be damaged during manufacturing of the orthodontic aligner.

Abstract: A series of appliances including a first appliance and a second appliance. The first appliance can be configured to receive at least one tooth of a first jaw and have a first number of bite adjustment structures extending from the lingual surface of the first appliance. The first number of bite adjustment structures can have a first shape and location specific to a first stage of the treatment plan. The second appliance can be configured to receive at least one tooth of the second jaw, have a second number of bite adjustment structures extending from the second appliance and be designed to make contact with the first number of bite adjustment structures.

Abstract: Embodiments relate to an aligner breakage solution that tests damage to an aligner using machine learning. A method includes processing data from a digital design for an orthodontic aligner by a trained machine learning model and outputting, by the trained machine learning model, a probability that the orthodontic aligner associated with the digital design will be damaged during manufacturing of the orthodontic aligner. The method further includes making a comparison of the probability that the orthodontic aligner associated with the digital design will be damaged during manufacturing of the orthodontic aligner to a probability threshold and determining whether the orthodontic aligner is a high risk orthodontic aligner based on a result of the comparison. Responsive to determining that the orthodontic aligner is a high risk orthodontic aligner, the method includes performing at least one of a) a corrective action or b) selecting a manufacturing flow for high risk orthodontic aligners.

Abstract: Embodiments relate to an aligner breakage solution that tests probability of aligner breakage at weak points. A method includes gathering a digital model representing an aligner for a dental arch of a patient, receiving material property information for a material to be used to manufacture the aligner, and analyzing one or more regions of the aligner. Analyzing a region of the aligner comprises simulating application of a load around the region, determining at least one of a stress, a strain or a strain energy density at the region, evaluating a strength of the aligner at the region, and determining whether the region satisfies a damage criterion based on the strength of the aligner at the region.

Abstract: A series of appliances including a first appliance and a second appliance. The first appliance can be configured to receive at least one tooth of a first jaw and have a first number of bite adjustment structures extending from the lingual surface of the first appliance. The first number of bite adjustment structures can have a first shape and location specific to a first stage of the treatment plan. The second appliance can be configured to receive at least one tooth of the second jaw, have a second number of bite adjustment structures extending from the second appliance and be designed to make contact with the first number of bite adjustment structures.

Abstract: Dental retainer devices are provided. The dental retainer devices can be customized based on patient specific dental anatomy and dental treatment plans. Methods of making the dental retainer devices are also provided. The methods can included additive manufacturing. Methods are also provided for customization of a dental retainer device based on the patient specific anatomy. The methods for customization can include providing a dentist with different options for anterior teeth coverage, posterior teeth coverage, and palatal configurations for the dental retainer devices.

Abstract: Embodiments relate to an aligner breakage solution that tests progressive damage to an aligner. A method includes gathering a digital model representing an aligner for a dental arch of a patient, and simulating progressive damage to the aligner. Simulating progressive damage for a region of the aligner comprises simulating, using at least the digital model, a sequence of loads on the aligner, determining an amount of damage to the region of the aligner for each load, and after each simulation of a load on the aligner, updating the digital model based on the amount of damage to the region of the aligner. The method further includes determining whether a damage criterion is satisfied for at least one region of the aligner and determining whether to implement one or more corrective actions for the aligner.

Abstract: A first appliance and a second appliance comprise engagement surfaces that provide mandibular relocation forces and forces to limit lateral movement of the jaw, such as opposing inclined surfaces on opposite sides of the mouth. In some embodiments, engagement surfaces between oral appliances comprise a curvature difference, which allows engagement at differing angles and positions.

Abstract: A series of appliances including a first shell and a second shell can be designed to incrementally implement a treatment plan. The first and second shells can have cavities designed to receive teeth of a jaw. A first number of bite adjustment structures can be formed of a same material as the first shell, extending therefrom and designed to interface with teeth of a second jaw. The first number of bite adjustment structures can have a first shape and location specific to a first stage of the treatment plan. A second number of bite adjustment structures can be formed of a same material as the second shell, extending therefrom and designed to interface with teeth of the second jaw. The second number of bite adjustment structures can have a second shape and location, different than the first shape and location, specific to a second stage of the treatment plan.

Abstract: Computer-implemented methods and systems for designing oral appliances. These methods and systems may include receiving patient data and a treatment plan (including a proposed one or more dental appliances), and determining, using the patient data and the treatment plan, an improved appliance design for treating the patient. These methods and systems may include evaluating the appliance design based on simulation and finalizing the appliance design based on the evaluation.

Abstract: Embodiments relate to an aligner breakage solution. A method includes obtaining a digital design of a polymeric aligner for a dental arch of a patient. The polymeric aligner is shaped to apply forces to teeth of the dental arch. The method also includes performing an analysis on the digital design of the polymeric aligner using at least one of a) a trained machine learning model, b) a numerical simulation, c) a geometry evaluator or d) a rules engine. The method may also include determining, based on the analysis, whether the digital design of the polymeric aligner includes probable points of damage, wherein for a probable point of damage there is a threshold probability that breakage, deformation, or warpage will occur. The method may also include, responsive to determining that the digital design of the polymeric aligner comprises probable points of damage, performing corrective actions based on the probable points of damage.

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 series of appliances including a first shell and a second shell can be designed to incrementally implement a treatment plan. The first and second shells can have cavities designed to receive teeth of a jaw. A first number of bite adjustment structures can be formed of a same material as the first shell, extending therefrom and designed to interface with teeth of a second jaw. The first number of bite adjustment structures can have a first shape and location specific to a first stage of the treatment plan. A second number of bite adjustment structures can be formed of a same material as the second shell, extending therefrom and designed to interface with teeth of the second jaw. The second number of bite adjustment structures can have a second shape and location, different than the first shape and location, specific to a second stage of the treatment plan.

Abstract: A series of appliances including a first shell and a second shell can be designed to incrementally implement a treatment plan. The first and second shells can have cavities designed to receive teeth of a jaw. A first number of bite adjustment structures can be formed of a same material as the first shell, extending therefrom and designed to interface with teeth of a second jaw. The first number of bite adjustment structures can have a first shape and location specific to a first stage of the treatment plan. A second number of bite adjustment structures can be formed of a same material as the second shell, extending therefrom and designed to interface with teeth of the second jaw. The second number of bite adjustment structures can have a second shape and location, different than the first shape and location, specific to a second stage of the treatment plan.

Abstract: The present disclosure provides method, computing device readable medium, and devices for dental appliances with repositioning jaw elements. An example of a removable dental appliance includes a shell having a number of tooth apertures configured to receive and reposition a number of teeth of a patient along one jaw of a patient, a repositioning jaw element that extends from a buccal or lingual surface of the shell, the element having a first outer surface oriented to face the tongue of the patient surface and a second outer surface oriented to face the cheek of the patient, and a reinforcement member formed along at least one of the first and second outer surfaces to provide reinforcement of the repositioning jaw element.

Abstract: A dental appliance includes an interior shape that substantially conforms to a dental arch of a patient, a hollow portion forming a cavity, and an object bonded to the dental appliance and inserted into the cavity. The object provides structural strength to the dental appliance at a location of the hollow portion and does not interfere with a fit of the dental appliance onto the dental arch of the patient.

Abstract: A series of appliances including a first shell and a second shell can be designed to incrementally implement a treatment plan. The first and second shells can have cavities designed to receive teeth of a jaw. A first number of bite adjustment structures can be formed of a same material as the first shell and extend from the first cavities and be designed to interface with teeth of a second jaw. The first number of bite adjustment structures can have a first shape and location. A second number of bite adjustment structures can be formed of a same material as the second shell and extend from the second cavities and be designed to interface with teeth of the second jaw. The second number of bite adjustment structures can have a second shape and location, different than the first shape and location.

Abstract: The present disclosure provides method, computing device readable medium, and devices for dental appliances with repositioning jaw elements. An example of a removable dental appliance includes a shell having a number of tooth apertures configured to receive and reposition a number of teeth of a patient along one jaw of a patient, a repositioning jaw element that extends from a buccal or lingual surface of the shell, the element having a first outer surface oriented to face the tongue of the patient surface and a second outer surface oriented to face the cheek of the patient, and a reinforcement member formed along at least one of the first and second outer surfaces to provide reinforcement of the repositioning jaw element.

Abstract: A plastic shell such as an orthodontic aligner has an interior shape that substantially conforms to a current or future dental arch of a patient. The plastic shell includes a hollow feature comprising a cavity. The plastic shell additionally includes an object inserted into the cavity, wherein the object provides structural strength to the plastic shell at a location of the hollow feature and does not interfere with a fit of the plastic shell onto the dental arch of the patient.