System and method for positioning teeth

• US 9,220,579 B2
• Filed: 10/26/2011
• Issued: 12/29/2015
• 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): Rodriguez, Cris L
• Assistant Examiner(s): NELSON, MATTHEW M
• Application Number:
  US13/281,997
• Publication Number:
  US 20120225400A1
• Time in Patent Office: 1,525 Days
• Field of Search: 433/6, 433/24, 433/213, 700/95, 700/97, 700/98
• US Class Current: 1/1
• 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 method of generating shell appliances configured to resiliently reposition a patient'"'"'s teeth, the method comprising:

receiving a first digital data set representing a first arrangement of the patient'"'"'s teeth;

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

generating a plurality of intermediate digital data sets representing different 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 first arrangement toward the final arrangement; and

after generating the plurality of intermediate digital data sets, generating a plurality of shell appliances based on the plurality of intermediate digital data sets, the plurality of shell appliances each having cavities shaped to receive and resiliently reposition teeth along respective movement paths for the teeth between the first arrangement and the final arrangement.

2. The method of claim 1, comprising:

receiving 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;

generating 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 on the positions of corresponding teeth in the final position digital data set;

generating 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

generating 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.

3. The method of claim 2, 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 indicative of contacts between the upper and lower teeth; and

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

4. The method of claim 3, wherein said placing a tooth in a mid-treatment final position is based on a measure of undesirability of the contacts.

5. The method of claim 4, wherein said generating a mid-treatment final position digital data set comprises optimizing the position of the tooth to minimize the measure of undesirability.

6. The method of claim 1, wherein at least two of the shell appliances have different cavity geometries.

7. The method of claim 1, wherein the first arrangement represents an intermediate arrangement of the patient'"'"'s teeth between an initial measured arrangement and the final arrangement.

8. The method of claim 7, wherein said generating a plurality of shell appliances comprises controlling a fabrication machine to fabricate a patient removable appliance for each of at least two of the intermediate arrangements.

9. The method of claim 1, wherein said generating a final position digital data set comprises:

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

10. The method of claim 9, wherein said generating a final position digital data set comprises determining an arch form based on the patient'"'"'s teeth.

11. The method of claim 9, wherein the ideal model is customized based on the patient'"'"'s teeth.

12. The method of claim 9, wherein said patient has a masticatory system and said generating 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.

13. The method of claim 12, wherein said generating 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 indicative of contacts between the upper and lower teeth; and

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

14. The method of claim 13, wherein said placing step is based on a measure of undesirability of the contacts.

15. The method of claim 14, wherein said generating a final position digital data set comprises optimizing the position of the tooth to minimize the measure of undesirability.

16. The method of claim 15, wherein the measure of undesirability is a function of one or more of Peer Assessment Rating (PAR) metrics, distance-based metrics, or shape-based metrics.

17. A method of generating shell appliances configured to resiliently reposition a patient'"'"'s teeth, the method comprising:

receiving a first digital data set representing a first arrangement of the patient'"'"'s teeth;

segmenting the first digital data set into a plurality of manipulable tooth components;

generating a plurality of intermediate digital data sets based on the plurality of manipulable tooth components, the plurality of intermediate digital data sets representing different 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 first arrangement toward a final arrangement; and

generating a plurality of shell appliances based on the plurality of intermediate digital data sets after generating the plurality of intermediate digital data sets, the plurality of shell appliances each having cavities shaped to receive and resiliently reposition teeth along respective movement paths for the teeth between the first arrangement and the final arrangement.

18. The method of claim 17, wherein the first arrangement represents an intermediate arrangement of the patient'"'"'s teeth between an initial measured arrangement and the final arrangement.

19. The method of claim 17, further comprising repositioning one or more of the plurality of manipulable tooth components to improve an occlusion between upper and lower teeth of the patient.

20. The method of claim 17, further comprising:

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 indicative of contacts between the upper and lower teeth; and

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

21. The method of claim 20, wherein said placing step is based on a measure of undesirability of the contacts.

22. The method of claim 21, further comprising optimizing the position of the tooth to minimize the measure of undesirability.

23. The method of claim 22, wherein the measure of undesirability is a function of one or more of Peer Assessment Rating (PAR) metrics, distance-based metrics, or shape-based metrics.

24. The method of claim 17, wherein said generating a plurality of shell appliances comprises controlling a fabrication machine to fabricate a patient removable appliance for each of at least two of the intermediate arrangements.

25. A method of generating shell appliances configured to resiliently reposition a patient'"'"'s teeth, the method comprising:

receiving a first digital data set representing a first arrangement of the patient'"'"'s teeth;

manipulating a plurality of segmented tooth components based on the first digital data set so as to 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 first arrangement toward a final arrangement; and

after generating the plurality of intermediate digital data sets, generating a plurality of shell appliances based on the plurality of intermediate digital data sets, the plurality of shell appliances each having cavities shaped to receive and resiliently reposition teeth along respective movement paths for the teeth between the first arrangement and the final arrangement.

26. The method of claim 25, wherein the first arrangement represents an intermediate arrangement of the patient'"'"'s teeth between an initial measured arrangement and the final arrangement.

27. The method of claim 25, further comprising repositioning one or more of the plurality of segmented tooth components to improve an occlusion between upper and lower teeth of the patient.

28. The method of claim 25, further comprising:

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 indicative of contacts between the upper and lower teeth; and

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

29. The method of claim 28, wherein said placing step is based on a measure of undesirability of the contacts.

30. The method of claim 29, further comprising optimizing the position of the tooth to minimize the measure of undesirability.

31. The method of claim 30, wherein the measure of undesirability is a function of one or more of Peer Assessment Rating (PAR) metrics, distance-based metrics, or shape-based metrics.

32. The method of claim 25, wherein said generating a plurality of shell appliances comprises controlling a fabrication machine to fabricate a patient removable appliance for each of at least two of the intermediate arrangements.