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1. (WO2018064772) ENSEMBLE D'ORTHÈSES D'AVANCÉE MANDIBULAIRE AYANT UNE AVANCÉE RÉGLABLE, KIT POUR UNE AVANCÉE MANDIBULAIRE ET PROCÉDÉ DE RÉGLAGE DE L'AVANCÉE MANDIBULAIRE UTILISANT CE DERNIER
Note: Texte fondé sur des processus automatiques de reconnaissance optique de caractères. Seule la version PDF a une valeur juridique

CLAIMS:

1 . A set of mandibular advancement splints comprising:

a maxillary splint having a maxillary body with an inner portion adapted to fit a maxillary dental arch of a mouth of a patient and an opposed outer portion having an outer wall surface, the maxillary splint having a maxillary abutment assembly; and

a mandibular splint having a mandibular body with an inner portion adapted to fit a mandibular dental arch of the mouth of the patient and an opposed outer portion having an outer wall surface, the mandibular splint having a mandibular abutment assembly;

wherein at least one of the maxillary abutment assembly and the mandibular abutment assembly comprises an advancement adjustment structure comprising at least one adjustment spacer removably securable to the corresponding one of the maxillary splint and the mandibular splint, the at least one adjustment spacer having a spacing length defining the mandibular advancement provided by the set of mandibular advancement splints.

2. The set of mandibular advancement splints of claim 1 , wherein the advancement adjustment structure further comprises at least one support bracket projecting from the outer wall surface of the outer portion of the corresponding one of the maxillary splint and the mandibular splint, with each one of the at least one adjustment spacer being removably securable to a corresponding one of the at least one support bracket.

3. The set of mandibular advancement splints of claim 2, wherein each one of the corresponding at least one adjustment spacer and at least one support bracket of the advancement adjustment structure further comprises a complementary male-female connecting assembly for removably securing each one of the at least one adjustment spacer to the corresponding one of the at least one support bracket.

4. The set of mandibular advancement splints of claim 3, wherein each one of the at least one support bracket includes a receiving cavity defined therein and protuberances extending into the receiving cavity to define a narrow section thereof and wherein each one of the corresponding at least one adjustment spacer comprises a protrusion having a distal end and being insertable into the receiving cavity of a corresponding support bracket, the protrusion including two flexible branches spaced apart from one another and each having a stop member defined at the distal end.

5. The set of mandibular advancement splints of claim 4, wherein the connecting assembly further comprises a locking member engageable with the protrusion of a corresponding adjustment spacer to lock the adjustment spacer in the support bracket, the locking member including a locking pin insertable between the two flexible branches of the protrusion of the corresponding adjustment spacer and locking tabs engageable with the support bracket.

6. The set of mandibular advancement splints of any one of claims 1 to 5, wherein the advancement adjustment structure comprises two adjustment spacers removably securable on opposed sides of the corresponding one of the maxillary splint and the mandibular splint.

7. The set of mandibular advancement splints of claim 6, wherein the maxillary abutment assembly comprises the advancement adjustment structure and wherein the mandibular abutment assembly comprises two projections extending upwardly from the outer wall surface, on opposed sides of the mandibular body of the mandibular splint.

8. The set of mandibular advancement splints of claim 7, wherein the maxillary abutment assembly comprises lateral support sections, the lateral support sections each being a section of the outer wall surface of the maxillary splint positioned and configured to abut at least partially with an inner surface of a corresponding adjustment spacer and provide lateral support thereto.

9. The set of mandibular advancement splints of claim 8, wherein the outer wall surface of the maxillary splint and the outer wall surface of the mandibular splint each comprise a contact section, the two adjustment spacers and two projections each comprising an abutment surface configured to abut with the abutment surface of a corresponding one of the adjustment spacers and the projections and wherein the maxillary splint and the mandibular splint are configurable in a contact configuration where the contact sections thereof are abutted one against the other along a contact plane, the abutment surface of the two adjustment spacers and two projections at least extending above the contact plane.

10. The set of mandibular advancement splints of claim 9, wherein the abutment surface of the adjustment spacers and the abutment surface of the projections have complementary inward inclination.

1 1 . The set of mandibular advancement splints of claim 9 or 10, wherein the abutment surface of the adjustment spacers has a thickness, the thickness of the abutment surface of the adjustment spacers being adapted to the spacing length thereof.

12. The set of mandibular advancement splints of any one of claims 1 to 1 1 , wherein the at least one adjustment spacer of the advancement adjustment structure is replaceable by at least one adjustment spacer having a different spacing length to vary the mandibular advancement provided by the set of mandibular advancement splints.

13. A set of removable adjustment spacers removably connectable to a corresponding one of a maxillary splint and a mandibular splint of a set of mandibular advancement splints, each removable adjustment spacer of the set of removable adjustment spacers comprising a body having a spacing length defining the mandibular advancement provided by the set of mandibular advancement splints and a connecting assembly for removably securing the removable adjustment spacer to the corresponding one of the maxillary splint and the mandibular splint.

14. The set of removable adjustment spacers of claim 13, wherein the corresponding one of the maxillary splint and the mandibular splint comprises at least one support bracket projecting from an outer wall surface of an outer portion of the corresponding one of the maxillary splint and the mandibular splint, the connecting assembly of each one of the adjustment spacers being configured to removably secure the adjustment spacer to a corresponding one of the at least one support bracket.

15. The set of removable adjustment spacers of claim 14, wherein the connecting assembly comprises one of a male member and a female member for removably securing each one of the at least one adjustment spacer to the corresponding one of the at least one support bracket in a male-female configuration.

16. The set of removable adjustment spacers of claim 15, wherein each one of the at least one support bracket includes a receiving cavity defined therein and protuberances extending into the receiving cavity to define a narrow section thereof and wherein each removable adjustment spacer of the set of removable adjustment spacers comprises a protrusion having a distal end and being insertable into the receiving cavity of a corresponding support bracket, the protrusion including two flexible branches spaced apart from one another and each having a stop member defined at the distal end.

17. The set of removable adjustment spacers of claim 16, wherein the connecting assembly further comprises a locking member engageable with the protrusion of a corresponding adjustment spacer, to lock the adjustment spacer in the support bracket, the locking member comprising a locking pin insertable between the two flexible branches of the protrusion of the corresponding adjustment spacer and locking tabs engageable with the support bracket.

18. The set of removable adjustment spacers of any one of claims 13 to 17, wherein each removable adjustment spacer of the set of removable adjustment spacers has an abutment surface having a thickness, the thickness of the abutment surface of each removable adjustment spacer of the set of removable adjustment spacers being adapted to the spacing length thereof.

19. A mandibular advancement kit comprising:

a set of mandibular advancement splints comprising a maxillary splint having a maxillary body with an inner portion adapted to fit a maxillary dental arch of a mouth of a patient and a mandibular splint having a mandibular body with an inner portion adapted to fit a mandibular dental arch of the mouth of the patient; and

a kit of adjustment spacers comprising at least two sets of adjustment spacers removably connectable to at least one of the maxillary splint and mandibular splint of the set of mandibular advancement splints, each set of adjustment spacers including at least one removable adjustment spacer, each having the same specific spacing length, with the spacing length of the at least one removable adjustment spacer being different for each set of adjustment spacers of the kit of adjustment spacers.

20. The mandibular advancement kit of claim 19, wherein the at least one removable adjustment spacer of each set of adjustment spacers of the kit of

adjustment spacers comprises a connecting assembly for removably securing the adjustment spacers to the corresponding one of the maxillary splint and the mandibular splint and wherein the corresponding one of the maxillary splint and the mandibular splint of the set of mandibular advancement splints comprises at least one support bracket projecting from an outer wall surface of an outer portion thereof, the connecting assembly of each one of the adjustment spacers being configured to removably secure the adjustment spacers to a corresponding one of the at least one support bracket.

21 . The mandibular advancement kit of claim 20, wherein the connecting assembly comprises one of a male member and a female member for removably securing each one of the at least one adjustment spacer to the corresponding one of the at least one support bracket in a male-female configuration.

22. The mandibular advancement kit of claim 21 , wherein each one of the at least one support bracket includes a receiving cavity defined therein and protuberances extending into the receiving cavity to define a narrow section thereof and wherein each adjustment spacer of each set of adjustment spacers comprises a protrusions having a distal end and being insertable into the receiving cavity of a corresponding support bracket, the protrusion including two flexible branches spaced apart from one another and each having a stop member defined at the distal end.

23. The mandibular advancement kit of claim 22, wherein the connecting assembly further comprises a locking member engageable with the protrusion of a corresponding adjustment spacer to lock the adjustment spacer in the support bracket, the locking member including a locking pin insertable between the two flexible branches of the protrusion of the corresponding adjustment spacer and locking tabs engageable with the support bracket.

24. The mandibular advancement kit of any one of claims 19 to 23, wherein the corresponding one of the maxillary splint and the mandibular splint to which the at least two sets of adjustment spacers are removably connectable comprises lateral support sections, the lateral support sections each being positioned and configured to abut at least partially with an inner surface of a corresponding adjustment spacer to provide lateral support thereto.

25. The mandibular advancement kit of any one of claims 19 to 24, wherein the adjustment spacers of each set of adjustment spacers have an abutment surface having a thickness, the thickness of the abutment surface of the adjustment spacers of each set of adjustment spacers being adapted to the spacing length thereof, with the thickness of the abutment surface of the adjustment spacers having a longer spacing length being greater than the thickness of the abutment surface of the adjustment spacers having a shorter spacing length.

26. The mandibular advancement kit of any one of claims 19 to 25, wherein each set of adjustment spacers includes two adjustment spacers removably securable on opposed sides of the corresponding one of the maxillary splint and the mandibular splint.

27. The mandibular advancement kit of claim 26, wherein the adjustment spacers of each set of adjustment spacers are connectable to the maxillary splint and wherein the mandibular abutment assembly comprises two projections extending upwardly from the mandibular body, on opposed sides thereof.

28. A method for adjusting a mandibular advancement produced by a set of mandibular advancement splints including a mandibular advancement splint and a maxillary advancement splint, the method comprising:

producing an initial mandibular advancement through engagement of a removable adjustment spacer of an initial spacing length to at least one of the mandibular splint and the maxillary splint;

determining if the mandibular advancement is appropriate for a specific patient; and

if the mandibular advancement is not appropriate for the specific patient, disengaging a previously secured adjustment spacer from the at least one of the mandibular splint and the maxillary splint and successively securing adjustment spacers of different spacing lengths to the at least one of the mandibular splint and the maxillary splint until the mandibular advancement is appropriate.

29. The method of claim 28, wherein the step of successively securing adjustment spacers of different spacing lengths to the at least one of the mandibular splint and the maxillary splint until the mandibular advancement is appropriate includes, if the initial mandibular advancement is insufficient, successively securing adjustment spacers of greater lengths.

30. The method of claim 29, comprising the step of reverting to an adjustment spacer of a smaller length if the successive securing of adjustment spacers of greater lengths leads to a mandibular advancement that is too great.

31 . The method of claim 30, wherein the step of successively securing adjustment spacers of different spacing lengths to the at least one of the mandibular splint and the maxillary splint until the mandibular advancement is appropriate includes, if the initial mandibular advancement is too great, successively securing adjustment spacers of smaller lengths.

32. The method of claim 31 , comprising the step of reverting to an adjustment spacer of a greater length if the successive securing of adjustment spacers of smaller lengths leads to a mandibular advancement that is too small.