Oral appliances with major connectors 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 a major connector 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:
a first body configured to be secured over one or more teeth of a user, the first body comprising a composite structure, the composite structure comprising at least an outer layer secured over an inner layer, the first body further defining at least a first bite pad comprising at least a first spacer secured between the outer layer and the inner layer, the first bite pad in a position to contact at least one of a molar and a premolar of a user, an inner surface of the inner layer defining an exterior shape of the teeth of the user, the first spacer defining a spacer outer surface and a spacer channel surface with at least a portion of at least one of the spacer outer surface and the spacer channel surface having a substantially planar configuration and the first spacer formed from a material having a durometer of at least 60D to resist substantial deformation and retaining a substantially planar configuration between at least two cusps of the teeth of the user when the teeth of the user are clenched;
a second body configured to be secured over one or more teeth of a user, the second body comprising a composite structure, the composite structure comprising at least an outer layer secured over an inner layer, the second body further defining at least a second bite pad, the composite structure at the second bite pad comprising at least a second spacer secured between the outer layer and the inner layer, the second bite pad in a position to contact at least one of a molar and a premolar of a user, an inner surface of the inner layer defining an exterior shape of the teeth of the user, the second spacer defining a spacer outer surface and a spacer channel surface with at least a portion of at least one of the spacer outer surface and the spacer channel surface having a substantially planar configuration and the first spacer formed from a material having a durometer of at least 60D to resist substantial deformation and retaining a substantially planar configuration between at least two cusps of the teeth of the user when the teeth of the user are clenched;
a major connector defining a first mounting portion and a second mounting portion, the first mounting portion secured to the first body and the second mounting portion secured to the second body.
2. An oral appliance, as in claim 1 , comprising the major connector extending from a buccal edge of the first body and having a first mesial bend and the major connector extending from a buccal edge of the second body and having a second mesial bend, an arch of the major connector extending between the firs mesial bend and the second mesial bend with the first mesial bend and the second mesial bend configured to position the arch of the major connector adjacent to at least one of the incisors of the user and the gum line adjacent to the incisors of the user.
3. An oral appliance, as in claim 1 , comprising the major connector extending from a mesial edge of the first body and the major connector extending from a buccal edge of the second body, an arch of the major connector extending between the first body and the second body with the arch of the major connector adjacent to at least one of the incisors of the user and the gum line adjacent to the incisors of the user.
4. An oral appliance, as in claim 1 , comprising the first spacer comprising a mesial end having a thickness that is less than a thickness a distal end and the second spacer comprising a mesial end having a thickness that is less than a thickness a distal end.
5. An oral appliance, as in claim 1 , comprising the first spacer comprising a substantially uniform thickness between a mesial end and a distal end of the first spacer, and the second spacer comprising a substantially uniform thickness between a mesial end and a distal end of the second spacer.
6. An oral appliance, as in claim 1 , comprising the first spacer comprising a varied thickness between a mesial end and a distal end, and the second spacer comprising a varied thickness between a mesial end and a distal end.