# US 11,992,381 B2 · Orthodontic planning systems

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- Number: US 11,992,381 B2
- Document ID: US11992381B2
- Status: Granted
- Kind: B2
- Application number: 16/735,983
- Filed: 2020-01-07
- Published: 2020-05-14
- Granted: 2024-05-28
- Earliest claimed: 2015-10-07
- Assignees: uLab Systems, Inc.
- Applicants: uLab Systems, Inc.
- Inventors: Huafeng Wen
- Web page: https://patentgrep.com/patent/US11992381B2

## CPC

- A61C 7/002: {Orthodontic computer assisted systems}
- A61C 7/08: Mouthpiece-type retainers {or positioners, e.g. for both the lower and upper arch (arch-shaped medicament applicators for teeth or gums A61C19/063; mouthguards for protecting the teeth of sportsmen A63B71/085)}
- G16H 30/20: for handling medical images, e.g. DICOM, HL7 or PACS
- G16H 50/50: for simulation or modelling of medical disorders
- A61C: DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE (non-driven toothbrushes A46B; {tongue scrapers A61B17/24;} preparations for dentistry A61K6/00; preparations for cleaning the teeth or mouth A61K8/00, A61Q11/00)
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA

## Abstract

Systems and methods are disclosed for treating teeth to correct for malocclusions. This may be accomplished in one variation by receiving a scanned dental model of a subject's dentition, determining a treatment plan having a plurality of incremental movements for repositioning one or more teeth of the subject's dentition, and fabricating one or more aligners correlating to a first subset of the plurality of incremental movements.

## Claims

### Claim 1

A method for developing a treatment plan via a processor for correcting one or more malocclusions in a subject, comprising:
receiving a scanned dental model of a subject's dentition;
determining a treatment plan having a plurality of incremental movements for repositioning one or more teeth of the subject's dentition, wherein one or more three-dimensional spheres of influence each having a predefined diameter is assigned to a model of each of the one or more teeth to define a safety envelope and to set a proximity distance between each tooth model as the tooth models move along a tooth movement path;
displaying the tooth movement path of each tooth model; and
fabricating one or more aligners correlating to a first subset of the plurality of incremental movements.

### Claim 2 (depends on 1)

The method of claim 1 further comprising reassessing the subject's dentition after a predetermined period of time to monitor the repositioning of the one or more teeth.

### Claim 3 (depends on 1)

The method of claim 1 further comprising fabricating one or more additional aligners correlating to a second subset of the plurality of incremental movements.

### Claim 4 (depends on 1)

The method of claim 1 further comprising treating the one or more teeth via a non-aligner corrective measure.

### Claim 5 (depends on 1)

The method of claim 1 wherein receiving a scanned dental model comprises receiving a digital image of the subject's dentition.

### Claim 6 (depends on 1)

The method of claim 1 wherein determining a treatment plan further comprises:
applying a label to one or more teeth within the dental model;
simulating a rolling ball process along an exterior of the one or more teeth and gums within the dental model;
determining a boundary between each of the one or more teeth and gums based on a path or trajectory of the rolling ball process;
assigning a hard or soft region to each of the one or more teeth and gums within the dental model; and
moving a position of the one or more teeth within the dental model to correct for malocclusions in developing a treatment plan.

### Claim 7 (depends on 6)

The method of claim 6 wherein simulating a rolling ball process comprises detecting for changes in a path of the rolling ball.

### Claim 8 (depends on 6)

The method of claim 6 wherein determining a boundary comprises determining a boundary between adjacent teeth based on a projected trajectory of the rolling ball between the teeth.

### Claim 9 (depends on 1)

The method of claim 1 wherein determining a treatment plan further comprises:
determining a movement for a plurality of digital tooth models in the dental model for correcting the malocclusions via a tooth movement manager module;
assigning the spheres of influence on each of the tooth models via a collision manager module;
monitoring an actual state of each tooth of the subject;
comparing the actual state of each tooth against an expected state of each tooth model via a tooth manager module; and
adjusting the movement of one or more teeth based on a comparison of the actual state and the expected state if a deviation is detected.

### Claim 10 (depends on 9)

The method of claim 9 wherein determining a movement comprises independently executing a tooth movement plan for each of the tooth models.

### Claim 11 (depends on 9)

The method of claim 9 wherein assigning a sphere of influence further comprises monitoring for a collision between tooth models.

### Claim 12 (depends on 11)

The method of claim 11 further comprising communicating a collision warning to an adjacent tooth model such that one or more of the tooth models alter their movement to avoid the collision.

### Claim 13 (depends on 1)

The method of claim 1 wherein fabricating one or more aligners further comprises:
fabricating a support structure which corresponds to an outer surface of the dentition;
forming one or more oral appliances upon an exterior surface of the support structure such that an interior of the one or more oral appliances conform to the dentition; and
removing the support structure from the interior of the one or more oral appliances.

### Claim 14 (depends on 13)

The method of claim 13 wherein forming one or more oral appliances comprises forming one or more dental attachments upon the oral appliances.

### Claim 15 (depends on 1)

The method of claim 1 wherein fabricating one or more aligners further comprises:
calculating a rule-based cutting loop path on the model for determining a path for trimming a mold replicating the patient's dentition;
applying a drape wall from the cutting loop on the model to reduce a complexity of the model;
determining a position of a cutting instrument relative to the mold for trimming the mold;
generating a computer numerical control code based on the drape wall and position of the cutting instrument; and
fabricating the mold based on the generated computer numerical control code.

### Claim 16 (depends on 15)

The method of claim 15 wherein calculating a rule-based cutting loop path comprises identifying a first location and a second location opposite to the first location on the model at corresponding interface regions and extending a trim line between the first location and second location.

### Claim 17 (depends on 16)

The method of claim 16 wherein applying a drape wall comprises identifying the trim line and replacing a volume below the trim line with a base region.

### Claim 18 (depends on 15)

The method of claim 15 wherein applying a drape wall comprises limiting a height of the drape wall to avoid stretching an oral appliance formed upon the mold.

### Claim 19 (depends on 15)

The method of claim 15 wherein fabricating the mold comprises securing the mold to a platform.

### Claim 20 (depends on 1)

The method of claim 1 further comprising generating one or more manufacturing files based on the treatment plan.

### Claim 21 (depends on 20)

The method of claim 20 further comprising transmitting the one or more manufacturing files to a location remote from the subject.

### Claim 22 (depends on 1)

The method of claim 1 wherein displaying the tooth movement path further comprises receiving an input from the subject with respect to the treatment plan.
