Composite oral appliances and methods for manufacture
Oral appliances adapted to for spacing the occlusal surfaces of the teeth of a user are disclosed. The oral appliances have an integral retention band interconnecting a first bite pad and a second bite pad. The first bite pad can include a first spacer and the second bite pad can include a second spacer that are configured to maintain the spacing of the occlusal surfaces of opposing teeth of a user during clenching or upon an impact to the jaw. Methods for the manufacture of composite oral appliances are also disclosed. The methods include forming a composite oral appliance over a model of a user's mouth.
1. An oral appliance comprising:
an oral appliance body including a first bite pad and a second bite pad interconnected by a retention band, the retention band integrally formed with the body;
first and second tooth fitment portions, each forming at least a portion of a channel to receive teeth of a user and the first and second tooth fitment portions configured to position the bite pads relative to an occlusal surface of teeth; and
two or more spacers co-extensive with each bite pad formed from a material having a sufficient hardness to resist substantial deformation when the teeth of a user are clenched while in contact with the two or more spacers;
wherein the two or more spacers in cooperation have a thicker front edge and are tapered to a thinner rear edge or have a thinner front edge and are tapered to a thicker rear edge; and
wherein the two or more spacers cooperate in a substantially vertical plane relative to tooth-contacting bite pad surfaces to form a wedge.
2. The oral appliance of claim 1 , wherein the one or more spacers are formed from a material having a greater hardness than the material of the body.
3. The oral appliance of claim 1 , wherein the retention band extends along the palatal surface of the front teeth only.
4. The oral appliance of claim 1 , wherein the retention band extends along the labial surface of the front teeth only.
5. The oral appliance of claim 1 , wherein each bite pad is co-extensive with a single spacer.
6. The oral appliance of claim 1 , wherein each spacer is configured as a wedge.
7. The oral appliance of claim 1 , wherein the spacers are of high density polyethylene or polypropylene.
8. The oral appliance of claim 1 , wherein the retention band comprises one or more recesses defined in a side of the retention band and shaped to receive an adjacent tooth.
9. The oral appliance of claim 1 , wherein the first and second bite pads are secured to the body.
10. The oral appliance of claim 1 , wherein the first and second bite pads are integral with the body.
11. The oral appliance of claim 1 , wherein each channel extends in the area adjacent to the first bite pad and second bite pad.
12. The oral appliance of claim 1 , wherein each channel extends from the first bite pad and second bite pad and around to at least a portion of the retention band.
13. The oral appliance of claim 1 , wherein the bite pads are configured to space an occlusal surface of one or more premolars and molars when the teeth of a user are clenched and are configured to reduce or alleviate pressure at the temporomandibular joint when the user's teeth are clenched.
14. The oral appliance of claim 1 , wherein the one or more spacers are configured to at least one of guide the mandible into a position that reduces or alleviates pressure at the temporomandibular joint during clenching and to transfer at least a portion of the force from an impact to the jaw to the cranium through the maxilla.