Method and system for enhanced orthodontic treatment planning

• US 7,361,018 B2
• Filed: 09/23/2006
• Issued: 04/22/2008
• Est. Priority Date: 05/02/2003
• Status: Expired due to Term

• Current Assignee: Orametrix Incorporated
• Original Assignee: Orametrix Incorporated
• Inventors: Imgrund, Hans, Sporbert, Peer, Strauss, Claudia
• Primary Examiner(s): Bumgarner; Melba N.
• Assistant Examiner(s): WERNER, JONATHAN S
• Application Number:
  US11/525,453
• Publication Number:
  US 20070072144A1
• Time in Patent Office: 577 Days
• Field of Search: 433/24, 433/213, 433/215, 433/229, 700/98
• US Class Current: 433/24
• CPC Class Codes: A61C 7/00 Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
• CPC Class Codes: A61C 7/002 Orthodontic computer assisted systems
• CPC Class Codes: A61C 9/004 Means or methods for taking digitized impressions
• CPC Class Codes: A61C 9/0046 Data acquisition means or methods

Abstract

A method and system are disclosed for quickly arriving at a pre-set-up for the orthodontic treatment of a patient based up on the user specified parameters; and thereafter enabling the user in interactively arriving at a final, desired treatment set-up for the patient. Several sub-operations are disclosed for arriving at the orthodontic pre-set-up. These sub-operations can be arranged in a specific sequence for realizing the orthodontic treatment pre-set-up for a patient. According to another aspect of the invention, a global reference system is disclosed that enables consistent treatment planning. The global reference system prevents unintended tooth displacements caused as side effects to the desired tooth displacements.

Claims

1. A method for quickly arriving at a virtual pre-set-up of the orthodontic treatment plan for a patient, comprising the steps of:

a. obtaining a three-dimensional virtual model of the dentition of a patient;

wherein said virtual model of the dentition comprises the upper jaw and upper teeth, the lower jaw and lower teeth, and virtual tooth roots for said upper teeth and said lower teeth;

b. obtaining tooth-features derived from said upper teeth and said lower teeth;

wherein said tooth-features comprise cusp tips, incisal edges, marginal ridges, central groove lines, buccal grooves, contact points;

c. determining upper occlusal surface corresponding to said upper jaw;

d. determining lower occlusal surface corresponding to said lower jaw;

e. determining a horizontal plane from said upper occlusal surface and said lower occlusal surface;

wherein said horizontal plane is calculated as a balance between said upper occlusal surface and said lower occlusal surface;

f. selecting either said upper jaw or said lower jaw as a reference jaw, and labeling the remaining jaw as a dependent jaw;

g. deriving a global reference system from said virtual model of the dentition and said horizontal plane;

wherein said global reference system comprises x, y and z axes;

wherein said x-axis is the sagittal axis, said y-axis is the transversal axis, and said z-axis is the vertical axis;

wherein said x axis and said y axis are contained in said horizontal plane;

wherein said x axis and said z axis are contained in a median plane;

wherein said median plane runs through the incisive contact point of central teeth of said reference jaw, and wherein said median plane is located equal distances from molar teeth to the sagittal axis form right half of said reference jaw and left half of said reference jaw;

h. labeling said reference jaw a treatment pre-set-up jaw;

i. determining virtual tooth root resistance centers for said visual tooth roots of the teeth of said treatment pre-set-up jaw;

j. finding an Alveolar Reference Curve using the sub-steps comprising;

(1) projecting said virtual tooth root resistance centers onto said horizontal plane, thereby producing the projected centers;

(2) fitting a planar convex curve to said projected centers whereby the sum of squares of the two-dimensional distances between the projected centers and the convex curve is minimized while maintaining the convexity of the convex curve; and

(3) labeling the convex curve the Alveolar Reference Curve;

k. determining controlled tipping filter from said Alveolar Reference Curve;

wherein said controlled tipping filter is a record of said two-dimensional distances between said projected centers and said Alveolar Reference Curve;

l. creating the arch form spline for said treatment pre-set-up jaw by connecting with a smooth planar curve projections of buccal cusp tips of molar teeth and lateral edges of anterior teeth into said occlusal plane of said treatment pre-set-up jaw;

m. performing alignment of the teeth of said treatment pre-set-up jaw while restricting the tooth movement along said x, y and z axes of said global reference system; and

controlling the virtual tooth-root center movement with said controlled tipping filter;

wherein said alignment is done with respect to said occlusal surface and with respect to said arch form spline of said treatment pre-set-up jaw;

n. labeling said dependent jaw said treatment pre-set-up jaw;

o. repeating steps i through m; and

p. stopping when the alignment of said upper jaw and said lower jaw is completed.

3. The method of claim 1, wherein said three-dimensional virtual model of the dentition of a patient is in a malocclusion stage.

4. The method of claim 1, wherein said three-dimensional virtual model of the dentition of a patient is in a mid-treatment stage.

5. The method of claim 1, wherein said upper occlusal surface minimizes the sum of squares of the vertical distances between said upper occlusal surface and the marginal ridges of the molars, and said upper occlusal surface and the incisal edges of the centrals.

6. The method of claim 1, wherein said lower occlusal surface minimizes the sum of squares of the vertical distances between said lower occlusal surface and the cusp tips, and said lower occlusal surface and the lateral edges of the anteriors.

7. The method of claim 1, wherein said virtual tooth root resistance centers are approximated from the length of the transition line between the dentine and the jaw bone determined from said virtual model of the dentition.

8. The method of claim 1, after step m, further comprising the steps of:

A. aligning again on said arch form spline in order to correct interferences with the vertical alignment;

B. making the mesiodistal shift of the lateral segments in order to keep the sagittal position of the first molars; and

C. adjusting interproximal gaps in the front by the equal distribution of all created gaps on the individual interproximal space between the teeth on the left and the right half of the jaw.

2. A system for quickly arriving at a virtual pre-set-up of the orthodontic treatment plan for a patient, comprising:

A. a computing device; and

B. a memory unit operably connected to said computing device;

wherein said memory stores virtual 3D dentition model of a patient, a global reference system, and the user specified parameters; and

wherein said memory stores treatment planning instructions for performing the tasks comprising;

a. obtaining a three-dimensional virtual model of the dentition of a patient;

wherein said virtual model of the dentition comprises the upper jaw and upper teeth, the lower jaw and lower teeth, and virtual tooth roots for said upper teeth and said lower teeth;

b. obtaining tooth-features derived from said upper teeth and said lower teeth;

wherein said tooth-features comprise cusp tips, incisal edges, marginal ridges, central groove lines, buccal grooves, contact points;

c. determining upper occlusal surface corresponding to said upper jaw;

d. determining lower occlusal surface corresponding to said lower jaw;

e. determining a horizontal plane from said upper occlusal surface and said lower occlusal surface;

wherein said horizontal plane is calculated as a balance between said upper occlusal surface and said lower occlusal surface;

f. selecting either said upper jaw or said lower jaw as a reference jaw, and labeling the remaining jaw as a dependent jaw;

g. deriving a global reference system from said virtual model of the dentition and said horizontal plane;

wherein said global reference system comprises x, y and z axes;

wherein said x-axis is the sagittal axis, said y-axis is the transversal axis, and said z-axis is the vertical axis;

wherein said x axis and said y axis are contained in said horizontal plane;

wherein said x axis and said z axis are contained in a median plane;

wherein said median plane runs through the incisive contact point of central teeth of said reference jaw, and wherein said median plane is located equal distances from molar teeth to the sagittal axis form right half of said reference law and left half of said reference jaw;

h. labeling said reference jaw a treatment pre-set-up law;

i. determining virtual tooth root resistance centers for said virtual tooth roots of the teeth of said treatment pre-set-up jaw;

j. finding an Alveolar Reference Curve using the sub-steps comprising;

(1) projecting said virtual tooth root resistance centers onto said horizontal plane, thereby producing the projected centers;

(2) fitting a planar convex curve to said projected centers whereby the sum of squares of the two-dimensional distances between the projected centers and the convex curve is minimized while maintaining the convexity of the convex curve; and

(3) labeling the convex curve the Alveolar Reference Curve;

k. determining controlled tipping filter from said Alveolar Reference Curve;

wherein said controlled tipping filter is a record of said two-dimensional distances between said projected centers and said Alveolar Reference Curve;

l. creating the arch form spline for said treatment pre-set-up jaw by connecting with a smooth planar curve projections of buccal cuso tips of molar teeth and lateral edges of anterior teeth into said occlusal plane of said treatment pre-set-up jaw;

m. performing alignment of the teeth of said treatment pre-set-up law while restricting the tooth movement alone said x, y and z axes of said global reference system; and

controlling the virtual tooth-root center movement with said controlled tipping filter;

wherein said alignment is done with respect to said occlusal surface and with respect to said arch form spline of said treatment pre-set-up law;

n. labeling said dependent jaw said treatment pre-set-up jaw;

o. repeating steps i through m; and

p. stopping when the alignment of said upper jaw and said lower jaw is completed.

9. The system of claim 2, wherein said three-dimensional virtual model of the dentition of a patient is in a malocclusion stage.

10. The system of claim 2, wherein said three-dimensional virtual model of the dentition of a patient is in a mid-treatment stage.

11. The system of claim 2, wherein said upper occlusal surface minimizes the sum of squares of the vertical distances between said upper occlusal surface and the marginal ridges of the molars, and said upper occlusal surface and the incisal edges of the centrals.

12. The system of claim 2, wherein said lower occlusal surface minimizes the sum of squares of the vertical distances between said lower occlusal surface and the cusp tips, and said lower occlusal surface and the lateral edges of the anteriors.

13. The system of claim 2, wherein said virtual tooth root resistance centers are approximated from the length of the transition line between the dentine and the jaw bone determined from said virtual model of the dentition.

14. The system of claim 2, further comprising the instructions for:

A. aligning again on said arch form spline in order to correct interferences with the vertical alignment;

B. making the mesiodistal shift of the lateral segments in order to keep the sagittal position of the first molars; and

C. adjusting interproximal gaps in the front by the equal distribution of all created gaps on the individual interproximal space between the teeth on the left and the right half of the jaw.