Orthodontic bracket for use on deciduous teeth
View Patent ↗The present invention relates to an orthodontic bracket specifically designed for use with the deciduous teeth and method for its use. The bracket is unique in providing a debonding tab which reduces the potential for damage to the tooth due to the application of excessive force during the debonding process. The small size of the bracket allows it to fit available crown space on the deciduous teeth. Further the bracket is modified in shape to minimize mechanical forces applied to the deciduous teeth when engaged with an archwire. The bracket base is shaped to conform to the morphology of the deciduous tooth crown surface thereby providing an optimal adhesive interface with the deciduous tooth. The deciduous bracket provides adequate adhesion to avoid unwanted detachment of the bracket which often occurs when the use of permanent brackets is attempted on the deciduous teeth.
1. A method of correcting tooth misalignment in mixed dentition, the method comprising:
attaching a deciduous bracket to a buccal crown surface of a deciduous tooth as a component of a dental appliance, which is also comprised of orthodontic brackets attached to one or more permanent teeth, wherein the attached deciduous bracket comprises:
a base attached to the buccal crown surface of the deciduous tooth;
a body comprising a first buccal surface facing away from the buccal crown surface of the deciduous tooth and one or more tie wings for the attachment of an archwire; and
a debonding tab extending horizontally away from the first buccal surface of the body with the base attached to the buccal crown surface of the deciduous tooth and extending in an occlusalgingival direction along a mesial side of the body, wherein the debonding tab comprises a lingual surface facing and spaced in a buccolingual direction from the buccal crown surface of the deciduous tooth with the base attached to the buccal crown surface of the deciduous tooth, and wherein the debonding tab defines a recess between the buccal crown surface of the deciduous tooth and the lingual surface accessible by a debonding tool;
employing a series of arch wires used for leveling and alignment of the permanent teeth while using the deciduous tooth as an anchor; and
removing the deciduous bracket from the deciduous tooth using the debonding tool by inserting the debonding tool between the lingual surface of the debonding tab and the buccal crown surface of the deciduous tooth and applying simultaneous force against the lingual surface of the debonding tab and the buccal crown surface of the deciduous tooth with the debonding tool from only the mesial side of the body in order to remove the deciduous bracket from the deciduous tooth.
2. The method of claim 1 , wherein an occlusalgingival dimension of the base is in the range of 2 mm to 3 mm.
3. The method of claim 2 , wherein a mesiodistal dimension of the base is in the range of 3 mm to 5 mm.
4. The method of claim 3 , wherein the base defines one or more semispherical indentations configured for bonding to a cusp of the deciduous tooth; wherein each indentation comprises a mesiodistal radius of curvature of 3-4.5 mm and an occlusalgingival radius of curvature measuring 4.5-6.5 mm.
5. The method of claim 4 , wherein the deciduous tooth is an upper or lower first deciduous molar tooth or lower first deciduous molar tooth, and wherein a mesiodistal radius of curvature of the base is in the range of 3-11 mm.
6. The method of claim 4 , wherein the deciduous tooth is a lower second deciduous molar tooth, and wherein a mesiodistal radius of curvature of the base is in the range of 8-11 mm.