Apparatus and method for reducing bruxism and occlusal forces

• US 10,639,187 B2
• Filed: 04/20/2017
• Issued: 05/05/2020
• Est. Priority Date: 04/20/2016
• Status: Active Grant

• Current Assignee: Vivos Therapeutics, Inc.
• Original Assignee: Advanced Facialdontics, LLC
• Inventors: Simonetti, Scott A.
• Primary Examiner(s): Patel, Tarla R
• Application Number:
  US15/492,643
• Publication Number:
  US 20170304108A1
• Time in Patent Office: 1,111 Days
• 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
• CPC Class Codes: A61C 7/10 Devices having means to apply outwardly directed force, e.g. expanders
• CPC Class Codes: A61F 2005/563 Anti-bruxisme
• CPC Class Codes: A61F 5/566 Intra-oral devices

Abstract

An orthotic device for redefining an occlusal plane includes a left portion, a right portion including an upper surface, a bite block coupled to either the left portion or the right portion, and a lingual portion coupled to the left portion and the right portion. The orthotic device is configured to engage teeth located along a left portion and a right portion of a mandible. The bite block is disposed along the upper surface of either the left portion or the right portion and extends upward relative to an upper surface of the left or right portion.

Claims

1. An oral orthotic device comprising:

a left portion including an upper surface;

a right portion including an upper surface;

the upper surface of the left portion and the upper surface of the right portion defining a plane positioned to extend above an irregular surface defined by teeth of a patient,

a bite block to extending from the upper surface of one of the left portion or the right portion a distance above the plane such that the bite block is disposed on the oral orthotic device exclusively on either the left portion or the right portion; and

a lingual portion coupled to the left portion and to the right portion wherein the lingual portion includes a lingual arch defined by a mandible between a left first bicuspid and a right first bicuspid of a user of the orthotic device, the lingual arch enclosing a helically configured wire therein to support the lingual arch between the left first bicuspid and the right first bicuspid of the user of the orthotic device.

2. The orthotic device of claim 1, wherein the bite block includes an upper portion that extends upward between two and seven millimeters from the plane positioned to extend above the irregular surface defined by teeth of a patient.

3. The orthotic device of claim 1, wherein the helically configured wire is a first wire and the lingual arch further comprises a helically configured second wire braided about the first wire.

4. The orthotic device of claim 1, wherein the left portion defines a left arc and the right portion defines a right arc, wherein the left arc is configured to contour to teeth located along a left portion of a mandible, and the right arc is configured to contour to teeth located along a right portion of the mandible.

5. The orthotic device of claim 4, wherein the left arc and right arc are dimensioned to contour teeth located in a mouth of a patient.

6. The orthotic device of claim 1, wherein the upper surface of the left portion and the upper surface of the right portion defining a plane positioned to extend above an irregular surface defined by teeth of a patient extend at least above the region of the mandible of a patient devoted to supporting a first molar, a second bicuspid and a portion of a first bicuspid of a patient.

7. The orthotic device of claim 6,

wherein the bite block is disposed only along the upper surface of the left portion and extends at least above the region of the mandible of a patient devoted to supporting a first molar, a second bicuspid and a portion of a first bicuspid of a patient or

wherein the bite block is disposed only along the upper surface of the right portion and extends at least above the region of the mandible of a patient devoted to supporting a first molar, a second bicuspid and a portion of a first bicuspid of a patient.

8. A method of utilizing an orthotic device, the method comprising:

providing an orthotic device to a patient, the orthotic device having a left portion, a right portion, a lingual portion, and a bite block configured and disposed exclusively on one of the left portion or the right portion to extend over a subset of teeth of a patient along the mandibular bone of the patient;

positioning the orthotic device in a mouth of the patient; and

applying pressure to the orthotic device to cause the left portion and the right portion to engage teeth located along a mandible of the patient such that the bite block causes reduction of force wherein the lingual portion includes a lingual arch defined by a mandible between a left first bicuspid and a right first bicuspid of a user of the orthotic device, the lingual arch enclosing a helically configured wire therein to support the lingual arch between the left first bicuspid and the right first bicuspid of the user of the orthotic device received by the subset of teeth along the mandibular bone.

9. The method of claim 8, further comprising:

removing the orthotic device from the mouth of the patient; and

augmenting or decreasing a height of the bite block,

wherein the height of the bite block is adjusted in response to visual inspection of the orthotic when located in the mouth of the patient.

10. The method of claim 8, wherein the reduction of force received by the subset of teeth along the mandibular bone includes the bite block preventing teeth along the mandible of the patient from contacting the teeth of the patient located along the maxilla of the patient.

11. The method of claim 10, wherein the bite block preventing teeth along the mandible of the patient from contacting the teeth of the patient located along the maxilla of the patient includes the bite block reducing force received by the teeth of the patient located along the maxilla of the patient.

12. The method of claim 11, wherein the bite block reducing force received by the teeth of the patient located along the maxilla of the patient is effected by a reduction in contact points between the teeth of the patient located along the mandible of the patient and the teeth of the patient located along the maxilla of the patient due to the presence of the bite block.

13. The method of claim 8, wherein the reduction of force received by the subset of teeth along the mandibular bone includes the bite block reducing force applied to the mandibular condyles of the patient.

14. The method of claim 13, wherein the bite block reducing force applied to the mandibular condyles of the patient includes the articular discs of the patient associated with the mandibular condyles of the patient receiving reduced forces thereby enabling decompression of the articular discs of the patient.