System and method for positioning teeth

• US 8,858,227 B2
• Filed: 09/14/2012
• Issued: 10/14/2014
• Est. Priority Date: 10/08/1998
• Status: Expired due to Fees

• Current Assignee: Align Technology Incorporated
• Original Assignee: Align Technology Incorporated
• Inventors: Chishti, Muhammad, Beers, Andrew
• Primary Examiner(s): Singh, Sunil K
• Assistant Examiner(s): NELSON, MATTHEW M
• Application Number:
  US13/620,253
• Publication Number:
  US 20130085721A1
• Time in Patent Office: 760 Days
• Field of Search: 433/6, 433/24, 433/213, 700/95, 700/97, 700/98
• US Class Current: 433/24
• CPC Class Codes: A61C 11/00 Dental articulators, i.e. for simulating movement of the temporo-mandibular joints; Articulation forms or mouldings
• CPC Class Codes: A61C 19/045 for recording mandibular movement, e.g. face bows
• CPC Class Codes: A61C 7/002 Orthodontic computer assisted systems
• CPC Class Codes: A61C 7/08 Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch arch-shaped medicament applicators for teeth or gums A61C19/063; mouthguards for protecting the teeth of sportsmen A63B71/085

Abstract

Methods and apparatus fit a set of upper and lower teeth in a masticatory system by generating a computer representation of the masticatory system and computing an occlusion based on interactions in the computer representation of the masticatory system.

Claims

1. A system for planning an orthodontic treatment of a patient'"'"'s teeth, the system comprising:

at least one processor;

a display device coupled to the at least one processor; and

a data storage device coupled to at least one processor, the data storage device storing program instructions that when executed causes the at least one processor to;

receive an initial position digital data set representing an arrangement of the patient'"'"'s teeth;

generate a final position digital data set representing the patient'"'"'s teeth in a desired or prescribed arrangement; and

generate a plurality of intermediate digital data sets representing intermediate arrangements of the patient'"'"'s teeth, wherein at least some of the intermediate tooth arrangements represent different orthodontic treatment stages as the patient'"'"'s teeth are moved from the initial arrangement toward the final arrangement.

2. The system of claim 1, wherein the initial position digital data set represents an intermediate arrangement of the patient'"'"'s teeth.

3. The system of claim 1, further comprising a scanner coupled to the at least one processor for providing data used to generate the initial position digital data set.

4. The system of claim 1, further comprising a fabrication machine coupled to the at least one processor, wherein execution of the program instructions causes the at least one processor to control the fabrication machine to fabricate a patient removable appliance for each of at least two of the intermediate arrangements, each patient removable appliance having teeth-receiving cavities, the cavities of appliances for the at least two intermediate arrangements having different geometries shaped to receive and resiliently reposition teeth from one arrangement to a successive arrangement.

5. The system of claim 1, wherein said step to generate a final position digital data set comprises:

generating an ideal model of a set of teeth; and

arranging representations of the patient'"'"'s teeth based on the ideal model.

6. The system of claim 5, wherein said generating an ideal model of a set of teeth comprises selecting one or more arch forms.

7. The system of claim 5, wherein said arranging representations of the patient'"'"'s teeth based on the ideal model comprises positioning representations of the patient'"'"'s teeth based on a correspondence of features to the ideal model set of teeth.

8. The system of claim 7, wherein said features are based on at least one of cusps, fossae, ridges, distance-based metrics, and shape-based metrics.

9. The system of claim 8, wherein said patient has a masticatory system and said step to generate a final position digital data set comprises repositioning one or more of representations of teeth to improve an occlusion between upper and lower teeth of the patient.

10. The system of claim 9, wherein said step to generate a final position digital data set comprises:

generating a computer representation of a masticatory system of the patient that includes upper and lower teeth;

using the computer representation of the masticatory system to simulate motion of the masticatory system to generate contact data between the upper and lower teeth; and

placing a tooth in a final position based on the contact data.

11. The system of claim 10, wherein said placing step is based on a measure of undesirability of the contacts.

12. The system of claim 11, wherein said step to generate a final position digital data set comprises optimizing the position of the tooth to minimize the measure of undesirability.

13. The system of claim 12, wherein the measure of undesirability is a function of one or more of Peer Assessment Rating (PAR) metrics, distance-based metrics, and shape-based metrics.

14. The system of claim 5, wherein said patient has a masticatory system and said step to generate a final position digital data set comprises repositioning one or more of representations of teeth to improve an occlusion between upper and lower teeth of the patient.

15. The system of claim 14, wherein said step to generate a final position digital data set comprises:

generating a computer representation of a masticatory system of the patient that includes upper and lower teeth;

using the computer representation of the masticatory system to simulate motion of the masticatory system to generate contact data between the upper and lower teeth; and

placing a tooth in a final position based on the contact data.

16. The system of claim 15, wherein said placing step is based on a measure of undesirability of the contacts.

17. The system of claim 16, wherein said step to generate a final position digital data set comprises optimizing the position of the tooth to minimize the measure of undesirability.

18. The system of claim 17, wherein the measure of undesirability is a function of one or more of Peer Assessment Rating (PAR) metrics, distance-based metrics, and shape-based metrics.

19. The system of claim 2, wherein execution of the program instructions causes the at least one processor to:

receive an mid-treatment position digital data set representing a mid-treatment arrangement of the patient'"'"'s teeth, the mid-treatment position digital data set defining mid-treatment shapes for the patient'"'"'s teeth;

generate a mid-treatment approximate final position digital data set by modifying the mid-treatment position digital data set to reposition representations of the patient'"'"'s teeth based the positions of corresponding teeth in the final position digital data set;

generate a mid-treatment final position digital data set representing a mid-treatment final arrangement of the patient'"'"'s teeth by modifying the mid-treatment approximate final position digital data set based on an analysis of contact between upper and lower teeth having the mid-treatment shapes so as to improve an occlusion; and

generate a plurality of mid-treatment intermediate digital data sets representing mid-treatment intermediate arrangements of the patient'"'"'s teeth, wherein at least some of the mid-treatment intermediate tooth arrangements represent different orthodontic treatment stages as the patient'"'"'s teeth are moved from the mid-treatment arrangement toward the mid-treatment final arrangement.

20. The system of claim 19, wherein said analysis of contact comprises:

generating a mid-treatment computer representation of a masticatory system of the patient that includes upper and lower teeth as defined by the mid-treatment approximate final position data set;

using the mid-treatment computer representation of the masticatory system to simulate motion of the masticatory system to generate contact data between the upper and lower teeth; and

placing a tooth in a mid-treatment final position based on the contact data.

21. The system of claim 20, wherein said placing a tooth in a mid-treatment final position is based on a measure of undesirability of the contacts.