This application is a National Stage completion of PCT/CH2012/000057 filed Mar. 13, 2012 , which claims priority to Swiss patent application ser. no. 465/11 filed Mar. 18, 2011.
The present invention concerns an endodontic instrument for drilling root canals, particularly a flexible drilling instrument, the instrument having a longitudinal rotational axis and comprising a portion called the working portion, terminating in a tip at one extremity and at the other extremity in a securing end fitting that can be attached to a mandrel driven by an electric motor, the working portion comprising at least one spiral flute defining at least one ridge comprising an edge with a peak and two sides, exterior and interior, respectively, located on either side of the edge, the edge peak being situated on a circle whose center is located on the instrument's longitudinal axis of rotation.
Cleaning and shaping root canals for receiving filling substance is accomplished using drilling instruments which have a conical active portion called the working portion that comprises several cutting edges arranged in a spiral along the working portion.
An example of this type of dental instrument is illustrated by International Publication No. WO 2007/016278 A1 which describes a generally conical endodontic instrument comprising several spiral flutes with variable spaces between the spirals according to the sectors of the active portion. These instruments, called endodontic files, are designed for manual or mechanized use. When the endodontic files are driven by an electric motor they rotate at a slow speed (for example between 150 and 600 rotations per minute) and progress through the canal opening in such a way that their active area can cut or scrape the walls of the root canal. Areas that were reduced in length at the beginning of the intervention extend farther and farther as the files advance through the canals. The drive torque that must be applied to the files in order to overcome the increasing force of friction and to make the files turn at the desired speed as they advance increases more and more. Progression through the canal further increases the risk of the file becoming blocked or tighten. When this occurs the torque applied to the file increases strongly and there is a risk of the file breaking. File breakage inside the root canal is an outcome the dentist dreads, since the broken point is generally irretrievable.
The endodontic instrument which is the object of Publication No. EP 1 752 109 comprises several, specifically three, spiral flutes defining the concave surfaces whose extremities are located on a circumscribed circle. These extremities constitute the peaks of the instrument's working angles and at least one side of these angles is constituted by the concave flute surfaces. It happens that these angles are all negative or neutral so as to form scraping angles, but never cutting angles, since only positive angles are capable of performing cutting operations. In order to be positive, the tangents to the sides of the angles must be situated on the same side of the radius of the circumscribed circle that corresponds to the peak of the angle. Therefore, this instrument cannot be used as an instrument that cuts sufficiently to form a root canal.
Furthermore, the instruments currently available on the market for implementing the new technique of using mechanically driven files are derived directly from traditional spiral shaped instruments for manual use. This spiral formation is often the source of the tightening and blocking phenomenon that can cause instrument breakage.
Another problem that may occur is that the instrument, instead of following the original shape of the root canal within the sharply curved areas, may have a tendency to carve out its own path or deform the original canal walls when the flute edges are too sharp. One solution consists of blunting the cutting edges of the instrument to a greater or lesser extent in order to prevent them from cutting the material and boring a path that does not correspond to the natural shape of the canal. This can be accomplished by forming an enlarged flat radial area on an endodontic instrument in which there is a large separation between the flute edges. This geometry allows the edges to be blunted, but it has the drawback of increasing working friction and heating the instrument, running the risk of breakage. In addition, enlarging the flat radial area makes the instrument more rigid, resulting in diminished flexibility and an increased risk of uncontrolled deviation within the curved areas of the root canals.
Finally, the walls of a root canal require different treatments along the length of the canal so that the dental surgeon must adapt the instruments according to the desired result. Current instruments do not allow variable treatment sequences to take place throughout the length of the root canal, but require the use of a series of instruments that vary in shape from one instrument to the next.
The present invention proposes to improve the disadvantages described above and to furnish a means for ensuring effective root canal preparation by placing at the practitioner's disposal an instrument that is sharp enough in the desired areas to form the appropriate root canal, yet blunt enough in the desired areas to avoid cutting the material and comply with the original shape, and flexible enough to follow the sharply curved areas in the canal.
This goal is attained by the instrument of the invention as described below and characterized in that at different levels along the length of the working portion, the cutting angle at the peak of the at least one flute, defined as being the angle formed by the tangents to the peak on the sides of the at least one ridge with the radius of the circle formed by the peak, varies in width in at least one predetermined area on the working portion and is either negative when the tangent to the exterior side of the ridge is located on the side opposite the tangent to the interior side opposite the ridge relative to the radius of the circle, or nil when the tangent to the exterior side of the ridge coincides with the radius of the circle, or positive when the tangent to the exterior side of the ridge is located on the same side as the tangent to the interior side opposite the ridge relative to the radius of the circle, to define along the ridge of the at least one flute either a scraping area or a cutting area, that are either more or less active.
According to a particularly advantageous embodiment in which the instrument comprises three flutes defining three ridges each comprising an edge having a peak and two sides, interior and exterior, respectively, located on either side of the edge at different levels along the length of the working portion, the cutting angles on the respective peaks defined by the tangents to the peaks of the interior sides of the ridges with the respective radii of the circle corresponding to the peaks, can vary in size independently of one another on at least one predetermined zone of the working portion; and are either negative when the tangents to the interior sides of the ridges are located on the side opposite the tangents to the exterior sides opposite the ridges relative to the radii of the circle, or nil when the tangents to the interior sides of the ridges coincide with the radii of the circle, or positive when the tangents to the interior sides of the ridges are located on the same side as the tangents to the exterior sides opposite the ridges relative to the radii of the circle, to define along the edges of the same ridge either a scraping area or a cutting area, that are either more or less active.
According to a preferred form of embodiment, the endodontic instrument comprises at least one zone in which the cutting angle at the respective peak increases progressively from the tip towards the instrument support fitting.
According to another preferred embodiment, the endodontic instrument comprises at least one zone wherein the cutting angle at the respective peak decreases progressively from the tip towards the instrument support fitting.
The endodontic instrument may advantageously comprise several zones distributed along the working portion in which the relief angle at a peak, which is the angle formed by the tangent to the peak on the side of the corresponding ridge with the tangent to this same peak on the circle, the drill bit angle formed by the tangent with the tangent to the side of the same ridge, and the cutting angle are different from one zone to another.
The endodontic instrument may comprise on its working portion at least one zone called the cutting zone.
The endodontic instrument may comprise on its working portion at least one zone called the scraping zone.
The endodontic instrument may comprise on its working portion at least one zone called the neutral zone.
According to other embodiments, the instrument may comprise two or four flutes which define two or four ridges, each comprising an edge supporting a peak, and two sides respectively located on either side of the edge.
The present invention and its principal advantages will be more readily apparent from the description of different embodiments, with reference to the attached drawings, in which:
Angle αA, called the relief angle at peak A, is defined as being the angle formed by tangent AX in A to exterior side 10b of ridge 20, the edge 24 of which supports this peak A, with tangent AS at A, to circumscribed circle E. Similarly, relief angle αB on peak B can be defined as being the angle formed by tangent BX at B to exterior side 10c of ridge 20, the edge 25 of which supports this summit B, with tangent BS at B to circumscribed circle E; and relief angle αC on peak C as being the angle formed by tangent CX at C to exterior side 10a of ridge 20, edge 26 of which supports the peak C, with tangent CS at peak C to circumscribed circle E.
An angle βA at peak A or angle XAY are called the drill bit angle, the angle formed by a second tangent AX at A to exterior side 10b of ridge 20, edge 24 of which supports peak A, with a first tangent AY at A to interior side 10a on the same ridge, edge 24 of which supports peak A. Similarly, the angle formed by tangent BX at B to exterior side 10c of ridge 20, edge 25 of which supports peak B, with tangent BY at B on interior side 10b of the same ridge, edge 25 of which supports peak B will be called angle βB or angle XBY; and the angle formed by tangent CX at C on exterior side 10a of ridge 20, edge 26 of which supports peak C, with tangent CY at C to interior side 10c of the same ridge 20, interior edge 26 of which supports peak C, is called angle βC or angle XCY.
The angle formed by tangent AY at peak A on interior side 10a of ridge 20, edge 24 of which supports peak A, with radius AO of circumscribed circle E corresponding to peak A is called cutting angle A at A. Similarly, cutting angle B at B is the angle formed by tangent BY at peak B on interior side 10b of ridge 20, edge 25 of which supports peak B with radius BO corresponding to peak B, and cutting angle C at C is the angle formed by tangent CY at peak C on interior side 10c of ridge 20, edge 26 of which supports peak C, with radius CO corresponding to peak C.
A cutting angle is called positive when the tangent to the interior attack side of the ridge 20 concerned is located on the same side as the tangent to the exterior side opposite the ridge relative to the corresponding radius. In the case of angles A, B, C, or YAO, YBO, YCO, respective tangents AY, BY and CY are effectively situated on the same side as tangents AX, BX and CX relative to respective radii AO, BO and CO. The cutting angles called positive and the instrument has an essentially cutting characteristic in the area concerned.
Angle αA, called the relief angle at peak A, is defined as being the angle formed by tangent AX at A to exterior side 10b of ridge 20, the edge of which supports the summit A, with tangent AS at A, to circumscribed circle E. Similarly, relief angle αB at peak B may be defined as being the angle formed by tangent BX at B to exterior side 10c of ridge 20, the edge of which supports peak B, with tangent BS at B to circumscribed circle E; and angle relief angle αC at peak C as being the angle formed by tangent CX at C to exterior side 10a of ridge 20, the edge of which supports peak C, with tangent CS at peak C to circumscribed circle E.
Angle βA or angle XAY, the angle formed by tangent AX at A to exterior side 10b of ridge 20, the edge of which supports peak A with tangent AY at A to interior side 10a of the same ridge 20, the edge of which supports peak A, is called the drill bit angle at peak A. Similarly, the angle formed by tangent BX at B to exterior side 10c of ridge 20, the edge of which supports peak B, with tangent B, with tangent BY at B to interior side 10b of the same ridge, the edge of which supports peak B will be called angle βB or angle XBY; and the angle formed by tangent CX at C to exterior side 10a of ridge 20, the edge of which supports peak C, with tangent CY at C to interior side 10c of the same ridge 20, the edge of which supports peak C, will be called angle βC or angle XCY
The angle formed by tangent AY at the peak of interior side 10a of ridge 20, the edge of which supports peak A, with radius AO corresponding to peak A is called cutting angle A at A. Similarly, the angle formed by tangent BY at peak B to interior side 10b of ridge 20, the edge of which supports peak B, with radius BO corresponding to peak B is called cutting angle B at B; the angle formed by tangent CY at peak C to interior side 10c of ridge 20, the edge of which supports peak C with radius CO corresponding to peak C is called cutting angle C at C.
In this case cutting angle A which defines the orientation of the ridge corresponding to peak A is nil. The edge of the ridge is called neutral. Tangent AY coincides with radius AO.
The area of the instrument represented in
The drill bit angle, the relief angle and the cutting angle have the same definitions as previously. In this case cutting angle A which defines the orientation of the edge corresponding to peak A is negative. The interior tangent to the surface called the attack surface of the ridge 20 concerned is located on the side opposite the tangent to the surface opposite the ridge 20 concerned relative to the corresponding radius AO.
The area of the instrument represented in
The drill bit angle, the relief angle and the cutting angle have the same definitions as before. In this case, cutting angle A which defines the orientation of the edge corresponding to peak A is positive. Tangent AX to the surface called the attack surface on the ridge 20 concerned is situated on the same side as tangent AY to opposing surface 10bde of the ridge 20 concerned relative to corresponding radius AO. In light of the orientation of the attack surface relative to the direction of rotation R, the area of the instrument shown in transverse cross-section is an instrument for scraping.
With reference to
In this embodiment cross-sectional views 5A through 5E taken along the cross-sections respectively designated by 5A-5A; 5B-5B; 5C-5C; 5D-5D and 5E-5E, as well as the enlarged view in
It should be noted that drill bit angle β, relief angle α and cutting angle may vary along the entire length of working portion 11. In the present case, the instrument is particularly sharp in the area near tip 13 and the profile of cutting edge 24 becomes progressively more blunt along the length of instrument 10.
In the following description, identical elements bear the same reference numerals. Instrument 10 shown in
In this embodiment the transverse cross-sectional views 6A through 6E taken along the cross-sections respectively designated by 6A-6A; 6B-6B; 6C-6C; 6D-6D and 6E-6E, as well as the enlarged view in
As in the preceding example, note that drill bit angle β, relief angle α and cutting angle may vary along the entire length of working portion 11. In the present case, the instrument is a scraper in the area near tip 13 and the profile of cutting edge 24 becomes progressively finer along the length of instrument 10 until it becomes a cutting edge in the vicinity of securing end fitting 12 where the instrument functions as a cutter.
Instrument 10 shown in
Instrument 10 shown in
On instrument 10 shown in
These variations offer the practitioner the opportunity of adapting the different instruments to the treatment sequences being performed, and during a sequence, to the geometry of the patient's root canal.
The present invention is not limited to the preferred embodiments described, but may undergo different modifications or variations obvious to a person skilled in the art. In particular, on the same instrument, the geometry of the edges may be modulated by passing from a scraping and/or smoothing function to a cutting function, then returning to a scraping function, or conversely, along the entire length of the working portion.
Furthermore, the instrument may comprise a larger number of flutes, specifically spiral flutes. This number is limited only by the transverse dimensions of the instrument.
Number | Date | Country | Kind |
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465/11 | Mar 2011 | CH | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/CH2012/000057 | 3/13/2012 | WO | 00 | 9/17/2013 |
Publishing Document | Publishing Date | Country | Kind |
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WO2012/126128 | 9/27/2012 | WO | A |
Number | Name | Date | Kind |
---|---|---|---|
20040219484 | Scianamblo | Nov 2004 | A1 |
20120021376 | Iwamoto et al. | Jan 2012 | A1 |
20120208146 | Mordeniz | Aug 2012 | A1 |
Number | Date | Country |
---|---|---|
WO 2012114052 | Aug 2012 | AE |
1 752 109 | Feb 2007 | EP |
339904 | Jun 1904 | FR |
WO 2010098385 | Sep 2010 | JP |
2007016278 | Feb 2007 | WO |
2011042662 | Apr 2011 | WO |
WO 2011042662 | Apr 2011 | WO |
WO2011042662 | Apr 2011 | WO |
Entry |
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International Search Report Corresponding to PCT/CH2012/000057 mailed Sep. 27, 2012. |
Number | Date | Country | |
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20140004480 A1 | Jan 2014 | US |