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A mandibular manipulator instrument used as a standalone tool or with associated mouthpiece that includes two interlocking laterally sliding frames which interlock to create a movable upper and a lower incisor pull driven by a pair of pinion shafts and shaped for receiving a patient's central inciso

A mandibular manipulator instrument used as a standalone tool or with associated mouthpiece that includes two interlocking laterally sliding frames which interlock to create a movable upper and a lower incisor pull driven by a pair of pinion shafts and shaped for receiving a patient's central incisor teeth. A screw thread is used to provide a precise lateral motion for the sagittal measurement. The mouthpiece is constructed of resilient rubber. The mandibular manipulator may be positioned and held in a resilient flexible mouthpiece by the two pinions protruding through acoustically tight apertures respective to each pinion's position. The manipulator can be used for other application in an embodiment without the mouthpiece and/or in combination with a bite registration shape that is part of the manipulator frame.

대표청구항 ▼

1. A mandibular manipulator for manipulating a patient's mandible in a precise way, the mandibular manipulator comprising: a connecting frame comprising at least one piece with apertures and slots therein to allow a first sliding incisor pull, a second sliding incisor pull, a first rotational member

1. A mandibular manipulator for manipulating a patient's mandible in a precise way, the mandibular manipulator comprising: a connecting frame comprising at least one piece with apertures and slots therein to allow a first sliding incisor pull, a second sliding incisor pull, a first rotational member associated with the first sliding incisor pull, and a second rotational member associated with the second sliding incisor pull, which first and second sliding incisor pulls move independently of one another with respect to said connecting frame,wherein each rotational member has a slip resistant surface adapted for grabbing;wherein each of said sliding incisor pulls comprises an associatable sliding member for interaction with said connecting frame at a slot and a cradle member associated with said sliding incisor pulls shaped to engage the patient's teeth and/or gums for manipulation of the mandible, and further wherein each said rotational member is associated with the connecting frame at an aperture, and comprises a member or portion in physical contact with the associated sliding incisor pull at an interface therewith so as to change rotational motion of the rotational member to linear motion of the sliding incisor pulls and thus adjust each said respective sliding incisor pull with respect to the connecting frame and the patient's mandible and thus manipulate the mandible in a longitudinal and vertical manner with respect to the patient's mouth; andhorizontal and vertical gradation indicators, associated with said connecting frame, for measuring relative movement of the sliding incisor pulls with respect to the connecting frame caused by rotating said first and second rotational members and utilizing said mandibular manipulator. 2. A mandibular manipulator for manipulating a patient's mouth in a precise way, the mandibular manipulator comprising: a connecting frame comprising at least one piece with apertures and slots therein, a first sliding incisor pull, a second sliding incisor pull, a first rotational member associated with the first sliding incisor pull, and a second rotational member associated with the second sliding incisor pull, which first and second sliding incisor pulls move independently of one another with respect to the connecting frame, so as to manipulate the patient's mandible in a precise way;wherein each of the sliding incisor pulls comprises an associatable sliding member for interaction with the connecting frame at a slot and a cradle member associated with the sliding incisor pulls shaped to engage the patient's teeth and/or gums for manipulation of the mandible, and further wherein each rotational member is associated with the connecting frame at an aperture, and comprises a member or portion in physical contact with the associated sliding incisor pull at an interface therewith so as to change rotational motion of the rotational member to linear motion of the respective sliding incisor pull and thus adjust the respective sliding incisor pull with respect to the connecting frame and the patient's mandible and thus manipulate the mandible in a longitudinal and vertical manner with respect to the patient's mouth;horizontal and vertical gradation indicators, associated with the connecting frame, for measuring relative movement of the sliding incisor pulls with respect to the connecting frame caused by rotating the first and second rotational members and utilizing the mandibular manipulator; anda mouthpiece having a cylindrical end thereon that provides an air passageway for the patient and a closing cap at the air passageway that can form an acoustic seal, said mouthpiece having apertures therethrough, through which the first and second rotational members extend therefrom in an acoustically sealed manner around the rotational members. 3. The mandibular manipulator of claim 1, further comprising a third rotational member for sagittal movement of the mandible. 4. The mandibular manipulator of claim 3, further having sagittal gradation indicators for measuring sagittal movement of the mandible caused by manipulating the third rotational member of the mandibular manipulator. 5. The mandibular manipulator of claim 4, wherein the horizontal, vertical, and sagittal gradation indicators are not applied to said first rotational member, second rotational member, or third rotational member. 6. The mandibular manipulator of claim 1, wherein each rotational member has a flange adapted to engage a stationary protruding surface and create a soft detent of the rotation. 7. A mandibular manipulator for manipulating a patient's mandible in a precise way, the mandibular manipulator comprising: a connecting frame comprising at least one piece with apertures and slots therein, a first sliding incisor pull, a second sliding incisor pull, a first rotational member associated with the first sliding incisor pull, and a second rotational member associated with the second sliding incisor pull wherein at least one rotational member is associated with the connecting frame by use of a resilient circular ring, which first and second sliding incisor pulls move independently of one another with respect to the connecting frame, so as to manipulate the patient's mandible in a precise way;wherein each of the sliding incisor pulls comprises an associatable sliding member for interaction with the connecting frame at a slot and a cradle member associated with the sliding incisor pulls shaped to engage the patient's teeth and/or gums for manipulation of the mandible, and further wherein each rotational member is associated with the connecting frame at an aperture, and comprises a member or portion in physical contact with the associated sliding incisor pull at an interface therewith so as to change rotational motion of the rotational member to linear motion of the respective sliding incisor pull and thus adjust the respective sliding incisor pull with respect to the connecting frame and the patient's mandible and thus manipulate the mandible in a longitudinal and vertical manner with respect to the patient's mouth; andhorizontal and vertical gradation indicators, associated with the connecting frame, for measuring relative movement of the sliding incisor pulls with respect to the connecting frame caused by rotating the first and second rotational members and utilizing the mandibular manipulator. 8. The mandibular manipulator of claim 7, wherein the resilient circular ring creates an axial bias of the rotational member. 9. The mandibular manipulator of claim 1, wherein at least one rotational member is threaded for association with a corresponding threaded receptacle in the connecting frame. 10. The mandibular manipulator of claim 1, wherein at least one of the sliding members has arched plates physically associated therewith, said arched plates having apertures therethrough for receiving bite registration material. 11. A mandibular manipulator for manipulating a patient's mandible in a precise way, the mandibular manipulator comprising: a connecting frame comprising at least one piece with apertures and slots therein, a first sliding incisor pull, a second sliding incisor pull, a first rotational member associated with the first sliding incisor pull, and a second rotational member associated with the second sliding incisor pull, which first and second sliding incisor pulls move independently of one another with respect to the connecting frame, so as to manipulate the patient's mandible in a precise way;wherein each of the sliding incisor pulls comprises an associatable sliding member for interaction with the connecting frame at a slot and a cradle member associated with the sliding incisor pulls shaped to engage the patient's teeth and/or gums for manipulation of the mandible, wherein at least one of the sliding members has a member or portion for depressing the patient's tongue, and further wherein each rotational member is associated with the connecting frame at an aperture, and comprises a member or portion in physical contact with the associated sliding incisor pull at an interface therewith so as to change rotational motion of the rotational member to linear motion of the respective sliding incisor pull and thus adjust the respective sliding incisor pull with respect to the connecting frame and the patient's mandible and thus manipulate the mandible in a longitudinal and vertical manner with respect to the patient's mouth; andhorizontal and vertical gradation indicators, associated with the connecting frame, for measuring relative movement of the sliding incisor pulls with respect to the connecting frame caused by rotating the first and second rotational members and utilizing the mandibular manipulator. 12. The mandibular manipulator of claim 2, wherein at least one rotational member is motorized. 13. The mandibular manipulator of claim 12, wherein the at least one rotational member that is motorized is controlled by computer software. 14. A mandibular manipulator for manipulating a patient's mandible in a precise way, the mandibular manipulator comprising: a connecting frame comprising at least one piece with apertures and slots therein, a first sliding incisor pull, a second sliding incisor pull, a first rotational member associated with the first sliding incisor pull, and a second rotational member associated with the second sliding incisor pull, which first and second sliding incisor pulls move independently of one another with respect to the connecting frame, so as to manipulate the patient's mandible in a precise way;wherein each of the sliding incisor pulls comprises an associatable sliding member for interaction with the connecting frame at a slot and a cradle member associated with the sliding incisor pulls shaped to engage the patient's teeth and/or gums for manipulation of the mandible, and further wherein each rotational member is associated with the connecting frame at an aperture, and comprises a member or portion in physical contact with the associated sliding incisor pull at an interface therewith so as to change rotational motion of the rotational member to linear motion of the respective sliding incisor pull and thus adjust the respective sliding incisor pull with respect to the connecting frame and the patient's mandible and thus manipulate the mandible in a longitudinal and vertical manner with respect to the patient's mouth;horizontal and vertical gradation indicators, associated with the connecting frame, for measuring relative movement of the sliding incisor pulls with respect to the connecting frame caused by rotating the first and second rotational members and utilizing the mandibular manipulator; andwherein each sliding incisor pull is adapted to have a self-capturing element to prevent the sliding incisor pulls from unintentionally disassembling from the mandibular manipulator. 15. A mandibular manipulator comprising: a connecting frame comprising at least one piece with apertures and slots therein, a first sliding incisor pull, a second sliding incisor pull, a first rotational member associated with the first sliding incisor pull, and a second rotational member associated with the second sliding incisor pull, which first and second sliding incisor pulls move independently of one another with respect to the connecting frame;wherein each of the sliding incisor pulls comprises an associatable sliding member for interaction with the connecting frame at a slot and a cradle member associated with the sliding incisor pulls shaped to engage a patient's teeth and/or gums for manipulation of the mandible, and further wherein each rotational member is associated with the connecting frame at an aperture, and comprises a member or portion in physical contact with the associated sliding incisor pull at an interface therewith so as to change rotational motion of the rotational member to linear motion of the respective sliding incisor pull and thus adjust the respective sliding incisor pull with respect to the connecting frame and the patient's mandible and thus manipulate the mandible in a longitudinal and vertical manner with respect to the patient's mouth;horizontal and vertical gradation indicators, associated with the connecting frame, for measuring relative movement of the sliding incisor pulls with respect to the connecting frame caused by rotating the first and second rotational members and utilizing the mandibular manipulator; andan acoustic oral pharyngometer associated with the mandibular manipulator.