This invention relates the placement of dental restorative material to a tooth undergoing a restoration with the use of dental matrix bands.
The placement of dental restorative material is a difficulty when trying to achieve the correct anatomical shape and function, especially between teeth where the dentist cannot access after the restorative material is placed and hardened. The biggest difficulty is not only getting the correct rounded shape but also making sure there is a good tight “contact” between teeth, so no food is trapped facilitating gum disease, bone loss, decay and patient discomfort.
Traditionally and currently a thin metal band called a dental matrix band is used to form the rounded shape as best it can, however due to the thickness of the metal it can leave a gap between teeth, hence another method as well as the matrix band is required to combat this problem which puts pressure between the teeth to separate the teeth more than the thickness of the metal while placing the filling material, so when the matrix and separating device is removed the net result is ideally a tight contact. Issues with traditional methodology include: (1) several devices are required in the mouth; (2) quite a lot of pressure is required to force the teeth apart which can cause discomfort, pinching of the gum, fracture of weak cusps that the pressure is placed on; (3) the rings used to force the teeth apart can be a danger if not applied properly and carefully as they can shoot off the tooth or applicators presenting a swallowing/inhaling danger; (4) when the rings are placed, they can distort the shape of the metal matrix making a less ideal shape of filling or opening up the base of the matrix and allowing an overhang to be made; (5) a good contact between teeth is still not guaranteed; (6) the method does not work well when making contacts on both sides of the tooth at once since the separating devices push against each other; and (7) unpredictable contact tightness (i.e., too tight or not tight enough) as there are several factors in play such as thickness of the matrix used, the size of the tooth and rigidity of the tooth to separate and the like.
The inventive dental matrix bands disclosed and described herein aims to address and overcome the issues and challenges noted with the traditional methods and devices described above. The object of this invention is to provide a matrix band that does not require special rings to cause separation to get good contacts, which allows a more predictable and more ideal shape of restoration.
A dental matrix band comprises a band having a first and a second end, a top margin and a bottom margin, and an inner and an outer surface, and a first elongated tab extending from the top margin of the band, the first elongated tab having a proximal end at the top margin and extends to a distal end, the first elongated tab comprising a plurality of through holes. The plurality of through holes on the first elongated tab comprise a first hole at the distal end of the tab and at least a first retention hole at the proximal end of the tab. An underside of the first elongated tab includes a bonding surface, wherein the bonding surface comprises ridges, perforations, or a roughened surface. The plurality of through holes on the first elongated tab comprise a first and a second retention hole at the proximal end of the tab.
The first elongated tab comprises a first fold, the first fold dividing the first elongated tab into a first, proximal section and a second, distal section. The first, proximal section comprises at least a first retention hole. The first, proximal section and the second, distal section each comprise at least a first retention hole. The second, distal section comprises a first hole configured to receive a dental tool. The plurality of through holes are selected from the group comprising: retention holes, and a hole configured to receive a dental tool.
In one embodiment, the dental matrix band is a sectional matrix band, and the first elongated tab is at a mid-point on the top margin between the first and second ends of the band. In another embodiment, the dental matrix band is a circumferential band, and the first elongated tab and a second tab are spaced apart along the top margin of the band. In the sectional matrix band embodiment, the first and second tabs are spaced apart along the top margin of the band. The band forms a loop and the first and second tabs are at opposing points on the loop along the top margin of the band. The first and second tabs are adjacent along the top margin of the band. The first and second ends of the band align, and a mid-section of the band forms into a looped band and wherein the first and second elongated tabs are formed on the mid-section of the band at opposing positions on the looped band. The dental matrix band further comprises a third elongated tab adjacent the first elongated tab and a fourth elongated tab adjacent the second elongated tab.
A dental matrix band comprising features of the present invention is described with reference to
The design of the new dental matrix band shown in the appended figures makes greater use of “tab” by: (1) using at least a first extended tab; (2) including a first or a plurality of retention holes for retention when bonding to the adjacent tooth, this could be multiple holes often smaller than the main grip tab hole, (3) and can also include folds to allow easier placement or better adaptation of the dental matrix band to the adjacent tooth, and (4) with the full circumferential matrix, a plurality of tabs may be used to allow bonding to both mesial and distal adjacent teeth and also allow for multiple sizes of teeth.
Turning first to
As shown in
The band 12 in these figures further includes additional through holes 46, 48 at the first and second ends 14, 16. These through holes may function as retention holes or may be configured to receive a dental instrument. As a sectional matrix band, the band 12 exhibits suitable contouring between the first and second ends 14, 16 to be wrapped or formed around the tooth be restored A (
Turning now to
Additionally, the first and second ends 14, 16 of the band 12 are free to be either (1) fixed in position by such methods as placing more light curing material or using a material to wedge it into position, or (2) some dentists will find it better for making excellent seals at the edges of the margin by being able to bend it into position when uncured composite is placed.
At the conclusion of the restoration procedure after the tooth A is restored at the restoration area C, the elongated tab/tabs aid in removal of the dental matrix band 110 through normal means. The result of the restoration procedure is an excellent and consistently reproducible contact since there is no requirement for separation, and the restoration material molds to the actual neighboring tooth.
Turning next to
The band 112 has a top margin 124 and a bottom margin 126 extending the length of the band, a smooth inner surface 128 and an outer surface 130. The bottom margin 126 through the mid-section 118 is contoured to include a first and second flared lip 118a, 118b to assist in tight contact between the matrix band 110 and tooth being restored during a restoration procedure. When the band 112 is formed into the looped band 120, the first and second flared lips 118a, 118b are in opposing positions on the looped band 120 to address opposite sides of the tooth being restored.
A first elongated tab 132, and preferably, at least a first and a second elongated tab 132, 134 extend from the top margin 124 of the band 112 at the mid-section 118. As seen in the appended figures, a plurality of elongated tabs 132, 134, 136, 138 extend from the top margin 124 of the band 112, with elongated tabs 132, 136 and 134, 138 grouped together at opposite ends of the mid-section 118. When the first and second ends 114, 116 are aligned to form the looped band 120, the first and second elongated tabs 132, 134 are positioned on opposing locations of the looped band 120. Likewise, the groupings of elongated tabs 132, 136 and 134, 138 are positioned on opposing locations of the looped band 120. In this arrangement, when in use the inventive dental matrix band 110 is wrapped around a tooth being restored, the elongated tabs extend over the adjacent teeth distal and mesial to the tooth being restored.
Each of the elongated tabs 132, 134, 136, 138 is shown to include a plurality of through holes 140 of different size and orientation. As best shown in
As shown in
Referring to
While the present invention has been described in connection with a specific application, this application is exemplary in nature and is not intended to be limiting on the possible applications of this invention. It will be understood that modifications and variations may be affected without departing from the spirit and scope of the present invention. It will be appreciated that the present disclosure is intended as an exemplification of the invention and is not intended to limit the invention to the specific embodiments illustrated and described. The disclosure is intended to cover, by the appended claims, all such modifications as fall within the scope of the claims.
Number | Date | Country | Kind |
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771634 | Jan 2021 | NZ | national |
Filing Document | Filing Date | Country | Kind |
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PCT/US2022/011195 | 1/4/2022 | WO |