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 Oral appliance for tongue thrust correction

Details
Inventors: Tepper, Harry W.;
Assignee:
Primary Examiner: Hafer; Robert A.
Assistant Examiner: Brown; Michael
Attorney, Agent or Firm: Spensley Horn Jubas & Lubitz

An oral appliance for tongue thrust correction includes a pair of thin wire filament loops pivotally coupled together for limited pivotal movement about an axis. One loop forms a palatal portion and the other loop forms a lingual portion which includes a bridge for spanning the dorsum of the tongue. A spring urges the bridge away from the palatal portion and against the dorsum whereby contact with the dorsum encourages the tongue to a position through the palate and lingual portions and to properly seat on the rugae for maintaining proper proprioceptive sense. The bridge includes means for dispensing a stimulant for increasing the swallowing frequency. The corrective habit established by use of the appliance inhibits snoring and brings about improvement in malocclusion, TMJ and related disorders. An embodiment of the appliance includes a pair of thin flexible filaments which couple the palatal and lingual portions together. The filaments are located on each side of the palatal portion between the anterior and posterior ends thereof and provide both pivotal and translational movement of the lingual portion with respect to the palatal portion. Alternatively the oral appliance includes a single wire filament loop and a bridge coupled to the posterior portion of the loop. The bridge includes a receptacle for receiving a stimulant which is maintained between the palate and the receptacle when the appliance is installed. The wire filament may be severed midway its length and encased in a non-toxic sleeve.

DETAILED DESCRIPTION The present invention solves the above-mentioned problems by providing an oral appliance having a palatal portion having proximal and distal ends; the palatal portion formed of thin wire filament disposed along a lingual gingival surface of the upper teeth; the proximal end being adjacent the anterior teeth and the distal end being adjacent the posterior teeth; a lingual portion comprising a thin wire.
filament having first and second ends, the lingual portion being pivotally mounted at its first end to the proximal end of the palatal portion for movement about a pivot axis; bridge means supported at the second end substantially spanning the palate for bearing against the dorsum of the tongue; and resilient band means connected laterally across the distal end of the palatal portion for urging the lingual portion away from the palatal portion and the bridge means against the dorsum of the tongue.
Preferably the bridge means of the appliance comprises a thin arched band whose arch substantially conforms to the contour of the dorsum of the tongue.
Preferably the resilient band means biases the bridge means against the dorsum of the tongue sufficiently to cause the anterior part of the tongue to contact the rugae for proper proprioceptive feel.
Preferably the appliance includes absorption means for absorbing and then dispensing liquid stimulant.
In one embodiment of the invention the palatal and lingual portions are linked together by means of thin flexible filaments protruding from respective sides of the palatal portion.
The filaments are fixedly secured in the lingual portion while being capable of limited translational movement in the palatal portion.
Accordingly, due to the flexibility of the filaments and their movement with respect to the palatal portion, the lingual portion is capable of both pivotal movement about a pivot axis as well as limited translational movement with respect to the palatal portion.
The appliance is comfortable, inexpensive, non-invasive and removable, and when installed, effectively inhibits the onset of snoring and the various degrees of sleep apnea



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