Methods, Devices, Systems and Kits for Isolating Teeth

Information

  • Patent Application
  • 20070231773
  • Publication Number
    20070231773
  • Date Filed
    March 29, 2007
    17 years ago
  • Date Published
    October 04, 2007
    16 years ago
Abstract
The invention describes methods, devices, kits and systems for isolating one or more teeth. The devices include a topology conformable device that can be constrained into a shape that can be delivered into an oral cavity and unconstrained to allow the device to isolate a target tooth and initiate a working field.
Description

BRIEF DESCRIPTION OF THE DRAWINGS

The novel features of the invention are set forth with particularity in the appended claims. A better understanding of the features and advantages of the present invention will be obtained by reference to the following detailed description that sets forth illustrative embodiments, in which the principles of the invention are utilized, and the accompanying drawings of which:



FIG. 1A depicts an anterior view of an oral cavity with the mouth open and the teeth exposed illustrating the structures of the oral cavity; FIG. 1B is an illustration of a human body with the anatomical planes of the body identified;



FIG. 2 illustrates an embodiment of a dental device as positioned in the mouth of a patient; FIG. 2A illustrates the dental device as positioned in the mouth of a patient; FIG. 2B is an anterior view of the device as position in the mouth of a patient, zooming in on the device itself; FIG. 2C is depicts the dental device as positioned in the mouth of a patient viewed from an anterior 45 degree angle; FIG. 2D depicts the dental device positioned over a caudad portion of the mouth; FIG. 2E illustrates a sagittal plane side view of the dental device positioned in the mouth of a patient lying in a supine position, as viewed from the patient's right side; FIG. 2F is a cephalad facing view of a patient's mouth with the dental device in position; FIG. 2G is caudad facing view of a patient's mouth with the dental device in position; FIG. 2H is a top view of the dental device; FIG. 2I is an illustration of a cross section of FIG. 2H along the line B-B as shown, as viewed from the midline toward the left side of the device; FIG. 2J is an illustration of the cross section through a sagittal plane of FIG. 2I together with anatomy;



FIG. 3 illustrates a solid barrier dental device; FIG. 3A is a perspective view of the posterior or distal end of the dental device from the top and at a 45 degree angle; FIG. 3B illustrates the dental device from the back or distal portion; FIG. 3C illustrates the dental device from the left; FIG. 3D illustrates the dental device from a top view; FIG. 3E illustrates a cross section of the device shown in FIG. 3D along the line B-B; FIG. 3F illustrates an anterior view of the dental device positioned within the oral cavity of a patient;



FIG. 4 illustrates a structural frame design of a dental device with cutout areas; FIG. 4A is a perspective view of the posterior or distal end of the device viewed from the top and at a 45 degree angle; FIG. 4B illustrates the dental device from the bottom; FIG. 4C illustrates the structural frame design from the distal end; FIG. 4D illustrates the structural frame design from the left side of the device;



FIG. 5 illustrates a dental device having spring frame compliance; FIG. 5A illustrates the spring frame capable of single arch isolation of either the top (upper or caudad section) or bottom (lower or cephalad section) of the oral cavity; FIG. 5B illustrates a spring frame dental device capable of left half or right half, upper and lower arch isolation; FIG. 5C illustrates an upper surface view of top and bottom portions of an unassembled spring frame; FIG. 5D illustrates a top view of a flattened dental device; FIG. 5E illustrates a frontal view at a 45 degree angle of the dental device positioned within the oral cavity of a patient;



FIG. 6 illustrates a flat isolation device with suction and frame; FIG. 6A is a top view of the flattened device with suction tubes and a structural frame; FIG. 6B is a front view of the assembled device with suction tubes and a structural frame; FIG. 6C is a frontal view at a 45 degree angle of the device with suction tubes and structural frame as positioned within the oral cavity of a patient;



FIG. 7 illustrates a frontal view of a dental device positioned within the oral cavity of a patient isolating half of the oral cavity; FIG. 7A illustrates the dental device positioned in the oral cavity of a patient isolating the left or right side of the oral cavity of a patient; FIG. 7B is a frontal view of a dental device positioned in the oral cavity of a patient isolating the top or bottom half of the oral cavity of a patient;



FIG. 8 illustrates an accordion style dental device adapted and configured to achieve greater lip retraction with the device extruding out of the mouth; FIG. 8A is a perspective view of the posterior end of the dental device with a solid state barrier as viewed from the top and at a 45 degree angle; FIG. 8B illustrates a top view of the dental device; FIG. 8C illustrates an the back of an accordion style dental device; FIG. 8D is the right side of a cross section of FIG. 8D along the line A-A; FIG. 8E is a side view of an accordion style device;



FIG. 9 illustrates a dental device with a foam border and a saliva evacuation/suction tube attachment adapted and configured to perform suction through an open cell foam; FIG. 9A is a perspective view of the posterior end of a dental device with a foam border and a suction tube attachment as viewed from the top and at a 45 degree angle; FIG. 9B illustrates a top view of the dental device; FIG. 9C illustrates a back end of the dental device; FIG. 9D illustrates a cross section of FIG. 9C along line A-A; FIG. 9E illustrates the dental device with a foam border and a suction tube attachment;



FIG. 10 illustrates a dental device with a sub-lingual and low buccal saliva ejection/suction; FIG. 10A is a perspective view of the dental device with sub-lingual and buccal suction as viewed from the top and at a 45 degree angle; FIG. 10B is a top view of a dental device; FIG. 10C is a back end view of the dental device; FIG. 10D is a cross section view of FIG. 10C along line A-A; FIG. 10E is the dental device from the right side;



FIG. 11 illustrates a dental device with suction tube for saliva evacuation positioned at the back end of the device; FIG. 11A is a perspective view of the dental device; FIG. 11B is a top view of the dental device; FIG. 11C is view of the dental device from the back end having a compliant flexible area between an upper component and a lower component; FIG. 11D is a cross-sectional illustration of the device of FIG. 11C along line A-A; FIG. 11E is a view of the dental device from the right side;



FIG. 12 illustrates a dental device integrating a light source; FIG. 12A is a perspective view of the dental device viewed from the top and at a 45 degree angle; FIG. 12B is a bottom view of the dental device; FIG. 12C is a back end view of the dental device; FIG. 12D is a cross sectional view of the device of FIG. 12C along the line A-A through a sagittal plane from a midline toward a patient's left; 12D is a left side of a dental device integrating a light source;



FIG. 13 illustrates a full seal suction tube component for a dental device; FIG. 13A is a perspective view of the back end of a full seal suction tube component for the dental device as viewed from the top and at a 45 degree angle from the left; FIG. 13B is a top view of a full seal suction tube component of the dental device; FIG. 13C is a perspective view of the back end of a full seal suction tube component of the dental device from the top and at a 45 degree angle from the right; FIG. 13D is the dental device viewed from the back; FIG. 13E is a cross sectional view of the device of FIG. 13D along line A-A; FIG. 13F is an illustration of the left side of a full seal suction tube component of a dental device;



FIG. 14 illustrates a dental device with no center aperture or tongue deflector; FIG. 14A is a perspective view of a dental device as viewed from the top and at a 45 degree angle; FIG. 14B is an illustration of a back end of the dental device of FIG. 12A; FIG. 12c is a side view of the dental device;



FIG. 15 illustrates a dental device having a flexible frame with a seal; FIG. 15A is a perspective view of a dental device as viewed from the top and at a 45 degree angle; FIG. 15B is an illustration of a back end of the dental device of FIG. 15A; FIG. 15C is a side view of the dental device; FIG. 15D is a top view of the dental device;



FIG. 16 illustrates a dental device positioned in the oral cavity of a patient showing the interface between the device and the oral cavity; FIG. 16A is a top down view of a dental device as positioned over the lower half of an oral cavity. FIG. 16B is an enlarged view of a seal configuration for use in the dental devices of the invention; FIGS. 16C-16H are illustrations of various embodiments of a various seal configurations suitable for use with the dental devices of the invention; FIG. 16c illustrates a wiper-blade type seal; FIG. 16d illustrates a cylindrical seal formed of a suitable material such as foam, elastic, putty, or hydrophillic material; FIG. 16e illustrates a solid thin seal adapted and configured to isolate one or more teeth only; FIG. 16f illustrates a wiper-type seal with a suction component incorporated therein; FIG. 16g illustrates an apparatus adapted and configured to provide a suction feature internally positioned relative to the seal; FIG. 16h illustrates a device using a slow recovery foam seal border;



FIG. 17 illustrates an insertion process for positioning a dental device within the oral cavity of a patient; FIG. 17A is an illustration of one embodiment of a dental device as ready to be inserted; FIG. 17B shows a first step for positioning the dental device consisting of reducing the profile of the device; FIG. 17C shows a second step for positioning the dental device in which the device is beginning to be inserted into the oral cavity; FIG. 17D shows a example of a third step in positioning the dental device along the alveolar processes; FIG. 17E shows a example of the device as positioned in the oral cavity of a patient completed within 10 seconds;



FIG. 18 is an example of a system or kit according to the invention; and



FIG. 19 is an example of the manufacturing steps for preparing a device according to the invention.


Claims
  • 1. A tooth isolation device comprising a topology conformable device that can be constrained into a shape that can be delivered into an oral cavity and unconstrained to allow the device to isolate a target tooth and initiate a dry working field.
  • 2. The device of claim 1 wherein the device is adapted and configured to isolate a working field from gingival tissue.
  • 3. The device of claim 1 wherein the device is adapted and configured to isolate a working field from fluid.
  • 4. The device of claim 1 wherein the device forms a customizable seal within the oral cavity.
  • 5. The device of claim 1 further comprising: a first flexible interior structure adapted and configured to engage an interior surface of an alveolar arch within the oral cavity; anda first flexible exterior structure, connected to the interior structure, adapted and configured to engage an exterior surface of the alveolar arch.
  • 6. The device of claim 5 further comprising: a second flexible interior structure adapted and configured to engage an interior surface of a second alveolar arch within the oral cavity; anda first flexible exterior structure, connected to the interior structure, adapted and configured to engage an exterior surface of the second alveolar arch.
  • 7. The device of claim 1 further comprising a tongue deflector.
  • 8. The device of claim 1 further comprising a lumen within at least one of the interior structure or the exterior one or more fluid apertures along the length of the lumen communicating the lumen with an interior of the oral cavity.
  • 9. The device of claim 8 further comprising an external suction attachment port operably connected to the lumen.
  • 10. The device of claim 8 wherein the fluid apertures comprise one or more of ventral apertures, sub-lingual apertures and bucal apertures.
  • 11. The device of claim 1 further comprising a foam border.
  • 12. The device of claim 6 further comprising a compliant flexible connector adapted to connect the first flexible exterior structure to the second flexible exterior structure.
  • 13. The device of claim 6 further comprising a spacer positioned between the first flexible exterior structure to the second flexible exterior structure.
  • 14. The device of claim 1 further comprising a light source.
  • 15. The device of claim 1 further comprising lateral apertures in the external structure.
  • 16. The device of claim 1 further adapted to fit the oral cavity to deflect one or more tissues away from the alveolar arch of the oral cavity.
  • 17. The device of claim 1 whereby the dental device is engaged in the oral cavity in under 2 minutes.
  • 18. The device of claim 1 wherein the dental device is adapted and configured to initiate a working field in an oral cavity in under 2 minutes.
  • 19. The device of claim 1 further comprising a lubricant dispenser.
  • 20. The device of claim 1 further comprising an inflatable membrane adapted and configured to isolate one or more target sections of teeth and gums.
  • 21. The device of claim 20 further adapted to provide a fluid filled inflatable membrane.
  • 22. The device of claim 1 further comprising a seal adapted and configured to isolate a target area of an alveolar arch to create a saliva barrier within the oral cavity.
  • 23. The device of claim 1 further comprising a structural frame within a flexible biocompatible material.
  • 24. The device of claim 23 wherein the structural frame is positioned within a flexible sleeve.
  • 25. The device of claim 24 wherein the flexible sleeve is a disposable flexible sleeve.
  • 26. The device of claim 1 further comprising a dispenser adapted and configured to administer a topical anesthetic.
  • 27. The device of claim 1 further comprising a posterior aperture adapted and configured to permit breathing when the device is deployed.
  • 28. A tooth isolation device for use in a mammal comprising a first flexible interior structure adapted and configured to engage an interior surface of an alveolar arch within the oral cavity; anda first flexible exterior structure, connected to the interior structure, adapted and configured to engage an exterior surface of the alveolar arch,
  • 29. The device of claim 28 further comprising: a second flexible interior structure adapted and configured to engage an interior surface of a second alveolar arch within the oral cavity; anda second flexible exterior structure, connected to the interior structure, adapted and configured to engage an exterior surface of the second alveolar arch.
  • 30. The device of claim 28 further comprising a tongue deflector.
  • 31. The device of claim 28 further comprising a lumen within at least one of the interior structure or the exterior structure and one or more fluid apertures along the length of the lumen communicating the lumen with an interior of the oral cavity.
  • 32. The device of claim 28 further comprising a light source.
  • 33. The device of claim 28 further adapted to fit the oral cavity to deflect one or more tissues away from the alveolar arch of the oral cavity.
  • 34. The device of claim 28 further comprising a seal adapted and configured to isolate a target area of an alveolar arch to create a saliva barrier within the oral cavity.
  • 35. The device of claim 28 further comprising a structural frame within a flexible biocompatible material.
  • 36. A tooth isolation device for use in a mammal comprising: a first flexible interior structure adapted and configured to engage an interior surface of an upper alveolar arch within the oral cavity;a first flexible exterior structure, connected to the interior structure, adapted and configured to engage an exterior surface of the upper alveolar arch,a second flexible interior structure adapted and configured to engage an interior surface of a lower alveolar arch within the oral cavity;a second flexible exterior structure, connected to the interior structure, adapted and configured to engage an exterior surface of the lower alveolar arch,
  • 37. The device of claim 36 further comprising a tongue deflector.
  • 38. The device of claim 36 further comprising a lumen within at least one of the interior structure or the exterior structure and one or more fluid apertures along the length of the lumen communicating the lumen with an interior of the oral cavity.
  • 39. The device of claim 36 further comprising an external suction attachment port operably connected to the lumen.
  • 40. The device of claim 36 further comprising a light source.
  • 41. The device of claim 36 further adapted to fit the oral cavity to deflect one or more tissues away from the alveolar arch of the oral cavity.
  • 42. The device of claim 36 whereby the dental device is engaged in the oral cavity in under 2 minutes.
  • 43. A tooth isolation device comprising a device that is configured to be deliverable into a patient's oral cavity and configured to deflect tissue away from one or more alveolar arches in the oral cavity while allowing fluid from one or more glands in the oral cavity to flow away from the alveolar arches and teeth.
  • 44. The device of claim 43 further comprising: a first flexible interior structure adapted and configured to engage an interior surface of an upper alveolar arch within the oral cavity; anda first flexible exterior structure, connected to the interior structure, adapted and configured to engage an exterior surface of the upper alveolar arch.
  • 45. The device of claim 44 further comprising: a second flexible interior structure adapted and configured to engage an interior surface of a lower alveolar arch within the oral cavity; anda first flexible exterior structure, connected to the interior structure, adapted and configured to engage an exterior surface of the lower alveolar arch.
  • 46. An integrally formed tooth isolation dental device for use in an oral cavity of a mammal comprising: a first flexible interior structure adapted and configured to engage an interior surface of an alveolar arch within the oral cavity, further comprising a first interior seal, along at least a portion of a first edge thereof, adapted and configured to draw fluid from the interior surface of the alveolar arch during deployment; anda first flexible exterior structure, connected to the interior structure at a posterior end, adapted and configured to engage an exterior surface of the alveolar arch, further comprising a first exterior seal, along at least a portion of a first edge thereof, adapted and configured to draw fluid from the exterior surface of the alveolar arch during deployment, and a curved trough at an opposing edge to the first edge adapted and configured to deflect tissue away from the alveolar arch,the tooth isolation device being dimensioned to fit over one or more of an upper alveolar arch, a lower alveolar arch, an upper quadrant of the alveolar arch, and a lower quadrant of the alveolar arch.
  • 47. The device of claim 46 further comprising: a second flexible interior structure adapted and configured to engage an second interior alveolar arch surface within the oral cavity, further comprising a second interior seal, along at least a portion of a leading edge thereof, adapted and configured to draw fluid from the second interior alveolar arch of the oral cavity during deployment; anda second flexible exterior structure, connected to the second interior structure at a posterior end, adapted and configured to engage a second exterior alveolar arch of the oral cavity, further comprising a second exterior seal, along at least a portion of a leading edge thereof, adapted and configured to draw fluid from the second exterior alveolar arch of the oral cavity during deployment, and a curved trough at a trailing external edge adapted and configured to deflect tissue away from the alveolar archthe connected first flexible interior structure and first flexible exterior structure further adapted and configured to connect to the second flexible interior structure and the second flexible exterior structure.
  • 48. The device of claim 47 further comprising a compliant flexible connector adapted to connect the first flexible exterior structure to the second flexible exterior structure.
  • 49. The device of claim 46 further comprising a light source.
  • 50. A dental device for use in an oral cavity of a mammal comprising: a first flexible caudad interior wall adapted and configured to engage an interior caudad arch of the tooth within an oral cavity of a mammal, further comprising an interior caudad seal along at least a portion thereof adapted and configured to draw fluid from the interior arch of the oral cavity during deployment;a first flexible caudad exterior wall, connected to the interior wall, adapted and configured to engage an exterior caudad arch of an oral cavity of a mammal, further comprising an exterior caudad seal along at least a portion thereof adapted and configured to draw fluid from the exterior arch of the oral cavity during deployment;a first flexible cephalad interior wall adapted and configured to engage an interior cephalad arch of the tooth within an oral cavity of a mammal, further comprising an interior cephalad seal along at least a portion thereof adapted and configured to draw fluid from the interior arch of the oral cavity during deployment;a first flexible cephalad exterior wall, connected to the interior wall, adapted and configured to engage an exterior cephalad arch of an oral cavity of a mammal, further comprising an exterior cephalad seal along at least a portion thereof adapted and configured to draw fluid from the exterior arch of the oral cavity during deployment.
  • 51. The device of claim 50 further comprising a light source.
  • 52. A tooth isolation device comprising a device that is configured to be deliverable into a patient's oral cavity comprising a light delivery apparatus incorporated therein adapted and configured to deliver light to a target portion of the oral cavity.
  • 53. The device of claim 52 further comprising: a first flexible interior structure adapted and configured to engage an interior surface of an upper alveolar arch within the oral cavity; anda first flexible exterior structure, connected to the interior structure, adapted and configured to engage an exterior surface of the upper alveolar arch.
  • 54. The device of claim 53 further comprising: a second flexible interior structure adapted and configured to engage an interior surface of a lower alveolar arch within the oral cavity; anda first flexible exterior structure, connected to the interior structure, adapted and configured to engage an exterior surface of the lower alveolar arch.
  • 55. The device of claim 53 further comprising a light source.
  • 56. The device of claim 53 whereby the dental device is engaged in the oral cavity in under 2 minutes.
  • 57. A method of achieving a working field in an oral cavity comprising the steps of: inserting a dental device adapted and configured to draw fluid from an alveolar process and gingiva when engaged in the oral cavity;drawing the dental device over the alveolar process;seating the device in the oral cavity; andisolating the working field from fluid from during the procedure.
  • 58. The method of claim 57 wherein the step of inserting the dental device is performed in under 2 minutes.
  • 59. A method of achieving a working field in an oral cavity comprising the steps of: inserting a dental device adapted and configured to draw fluid from the oral cavity during use;drawing the dental device over the alveolar process;isolating the working field from fluid; andapplying suction to the dental device to withdraw fluid from the oral cavity through ejection apertures situated within the device.
  • 60. A method of illuminating an oral cavity during a dental procedure comprising the steps of: inserting a dental device adapted and configured to isolate a target region of an alveolar process and gingiva;drawing the dental device over the alveolar process to expose the target region of the alveolar process and gingiva;isolating the working field from fluid; andactivating a light in the dental device.
  • 61. The method of claim 60 wherein the step of inserting the dental device is performed in under 2 minutes.
  • 62. A method of initiating a working field comprising the steps of: inserting a dental device adapted and configured to isolate a target region of an alveolar process and gingiva in under 2 minutes.
  • 63. A kit for achieving a working field in an oral cavity comprising: a dental device adapted and configured to draw fluid from an alveolar process and gingiva after engaging the oral cavity; anda kit of a secondary dental procedure where a working field in the oral cavity is desirable.
  • 64. The kit of claim 63 further comprising a whitening or bleaching kit.
Provisional Applications (1)
Number Date Country
60788556 Mar 2006 US