Patent Application
20060185169
1. The Field of the Invention
The present invention relates to the manufacture of endodontic instruments. More particularly, the invention relates to a cold forming process for manufacturing endodontic files.
2. The Relevant Technology
When a root canal of a living tooth becomes infected or abscessed, discomfort and, in many cases, severe pain can result. In the early days of dentistry the only solution was to pull the tooth. More recently, however, dental practitioners have learned to successfully remove the pulp material forming the nerve of the tooth that has become infected and, after careful preparation of the canal that contained the nerve material, refill the canal with an inert filling material, such as gutta percha, permitting a patient to retain the tooth.
To achieve a successful root canal restoration, the dental practitioner must carefully and, as completely as possible, remove the infected pulp material of the tooth to prevent continued or future infection of surrounding tissues. The removal process typically includes shaping the root canal so that it can be effectively and successfully filled and sealed with an inert material. Filling and sealing minimizes the possibility of further infection occurring within the cleaned and shaped root canal.
Cleaning and shaping the root canal in preparation of sealing and filling the root canal is achieved by the use of metal files. The metal files have cutting surfaces for removing tissue in the root canal. The cutting surfaces are typically formed by helical flutes formed in the file. One or more helical cutting surfaces may be provided, which may be axially spaced as desired.
Some existing endodontic instruments and manufacturing methods are described in U.S. Pat. No. 4,934,934, U.S. Pat. No. 5,653,590, and U.S. Pat. No. 5,762,541.
Since root canals are seldom straight, often having bends and twists, at least some endodontic files are advantageously flexible. Currently preferred materials of construction include stainless steel, and more recently, nickel-titanium (Ni—Ti) alloys. Such materials, especially Ni—Ti alloys, exhibit good flexibility, resilience and strength, and are not likely to fail during use. Flexibility and strength are important to avoid file breakage during the cleaning process.
Current methods of manufacturing metal endodontic files require time intensive and costly methods. For example, stainless steel endodontic files are typically machined to form a cutting edge and then twisted to make a flute along the file's axis.
Another existing method of manufacturing existing endodontic files uses a grinding technique to form a cutting edge. In the grinding operation, a metallic (typically a titanium alloy) rod is advanced past a rotating grinding wheel at a relatively slow feed rate. The depth of cut may be varied along the length of the rod to produce a tapered endodontic file having a helical flute. Such a method is disclosed in U.S. Pat. No. 5,762,541.
While current manufacturing methods are capable of producing endodontic files in a variety of different shapes and sizes using a variety of different metals, there is still a great need to reduce the costs of manufacturing endodontic files. Forming an endodontic file from raw materials is currently a significant expense in the endodontic manufacturing process. One problem with current processes is the time it takes to form each piece. For example, forming a cutting edge by grinding a metal wire can take more than a minute for each piece and the grinding machine can cost hundreds of thousand of dollars.
Another problem with endodontic manufacturing processes is they fail to reduce or sometimes cause stress fractures or weaknesses in the metal of the file. Even minor imperfections in the metal of an endodontic file can be problematic. Endodontic files are very thin, thus small imperfections can cause the file to break during use. A broken file in a root canal is very difficult to remove and can cause damage to the root canal.
Therefore, what is needed is a manufacturing process that can reduce the cost of manufacturing endodontic files while maintaining or improving the strength of the endodontic file.
The present invention provides improved methods for manufacturing endodontic instruments such as endodontic files. The methods of the present invention use one or more types of cold forming techniques to form a cutting edge or a partially formed cutting edge in a piece of deformable material.
In an exemplary embodiment, the invention involves the steps of (a) providing a blank comprising a deformable material; (b) providing at least one die comprising a negative impression that corresponds to at least a partially formed cutting edge of an endodontic instrument; and (c) cold forming the blank using the at least one die and sufficient force to form at least a partially formed cutting edge in the blank.
Cold forming can be performed using any suitable technique. Examples of suitable techniques include cold rolling, flat rolling, radial forming, and cold drawing.
The cold forming die can be used to form any number of cutting edges and to form a cutting edge with any desired shape. In one embodiment, cold forming the blank with one or more dies produces a blank having a polygonal cross section. The apexes of the polygonal cross section yield at least partially formed cutting edges.
The shape of the negative impression can determine how sharp the cutting edge is following the cold forming process. In one embodiment, the cutting edge is formed to shape during cold forming such that the cutting edge is ready for use without further processing. In an alternative embodiment, the cutting edge is partially formed and further processing is needed before the final cutting edge is formed. For example, the cutting edge may need to be sharpened using a process such as chemical milling. Whether sharpening is required can depend on the precision of the cold forming process, the size of the cutting edge on the instrument and the sharpness required for a particular use of the instrument.
Additional manufacturing steps that can be included in various embodiments of the present invention include cutting, grinding, machining, chemical milling, electrochemical milling, laser micromachining, grit blasting and combinations of these. These additional processing techniques can be used in various embodiments of the invention to further sharpen the partially formed cutting edge, dull the tip of the endodontic instrument, and/or provide a taper along the endodontic instrument.
The present invention provides many advantages for manufacturing endodontic instruments over the methods of the prior art. Because the cutting edge is at least partially formed by the cold-forming process, the cutting edge is very inexpensive to form. The cold forming process of the present invention can form the cutting edge in seconds. Many existing systems require minutes to form the cutting edge. Furthermore, the machinery used to perform cold forming is relatively inexpensive as compared to the cost of machinery for existing methods of manufacturing endodontic instruments.
Another significant advantage of using a cold forming step in the manufacture of endodontic instruments is the improvement in the properties of the material. The methods of the present invention are able to produce an endodontic instrument that is superior to existing endodontic instruments because the cold forming step hardens the material and/or removes imperfections such as micro cracks and fissures. The improved endodontic instruments of the present invention are less likely to fatigue and break off inside a root canal because of these improved material properties. Because working within the root canal of a person can be very difficult, avoiding broken endodontic instruments by using endodontic instruments manufactured according to the disclosed methods can be very beneficial for dental practitioners and their clients.
These and other benefits, advantages and features of the present invention will become more fully apparent from the following description and appended claims.
To further clarify the above and other advantages and features of the present invention, a more particular description of the invention will be rendered by reference to specific embodiments thereof which are illustrated in the appended drawings. It is appreciated that these drawings depict only typical embodiments of the invention and are therefore not to be considered limiting of its scope. The invention will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:
A detailed description of the endodontic instruments and manufacturing methods of the present invention will now be provided, with specific reference to figures illustrating preferred embodiments of the invention. It will be appreciated that like structures will be provided with like reference designations. To provide context for interpreting the scope of the invention, certain terms used throughout the application will now be defined.
As used herein, the terms endodontic “instrument” and endodontic “instruments” refer to endodontic files and other instruments used in a root canal or other endodontic procedure.
As used herein, the terms “polygon” and “polygonal” refer to a shape that is closed and bounded by straight or curved sides. Non-limiting examples include a triangle, a square, a rectangle, a pentagon, a spherical triangle, or any other of various regular or irregular shapes.
As used herein, the terms “chemical milling,” “stripping” and “etching” refer to a procedure whereby a material is worked or shaped by exposure to a chemical bath. While exposed to the chemical bath, the shaping occurs as layers of metal are “stripped” or “etched” off because of the chemical action of the bath.
I. Exemplary Endodontic Instruments
Referring to
The cutting portion 18 is preferably tapered between the proximal end 14 and the distal end 16, with decreasing diameter or width toward the distal end 16. The taper can be continuous or incremental (i.e., stair-stepped). The taper can be any amount desired, but is preferably between about 0.02 mm/mm and about 0.06 mm/mm. The specific taper of any instrument depends on the intended use and dental practitioner preference. For example, a taper of 0.0225 mm/mm may be preferred when preparing a root canal that is to receive a gutta percha cone having a taper of about 0.02 mm/mm.
The cutting portion 18 may have a length of about 2 mm up to the full length of the rod 12, which may be as much as about 30 mm or more. In the illustrated embodiment, the cutting portion 18 has a length sufficient to extend substantially the full depth of a tooth root canal as illustrated in
The cutting portion 18 of the instrument illustrated in
Several non-limiting examples of suitable polygonal cross-sections are illustrated in
In an exemplary embodiment, the apices or edges 22a-22g of the various cross sections form helical cutting edges. In one embodiment, the helix is formed simultaneously with the formation of the cutting edge or the partially formed cutting edge. In an alternative embodiment twisting of the intermediate is used to form helical edges.
As described below, the endodontic instruments of the present invention are at least partially formed by performing a cold forming step. In an exemplary embodiment, during the cold forming step, the endodontic instrument is cold worked. This cold working improves the material properties of the endodontic file by removing some or all of the micro cracks and fissures (i.e., by reducing the number of dislocations in the crystal lattice of the metal in the blank). Since all larger cracks begin with micro cracks or fissures, the endodontic instruments of the present invention are less susceptible to cracking and breaking.
II. Method of Manufacture
Exemplary methods of manufacturing endodontic instruments according to the present invention include forming at least a partially formed cutting edge in a piece of material using a cold forming technique. The steps of an exemplary embodiment include (a) providing a blank comprising a deformable material; (b) providing at least one die comprising a negative impression that corresponds to at least a partially formed cutting edge of an endodontic instrument; and (c) cold forming the blank using the at least one die and sufficient force to form at least a partially formed cutting edge in the blank.
In addition to forming at least a partially formed cutting edge, the methods of the present invention also include making various modifications to the cold-formed endodontic instrument. Exemplary modifications include forming a taper, making the tip of the endodontic instrument more blunt, and/or shaping the cutting edge to form a helix, such as by twisting the endodontic instrument.
A. Providing a Blank
In an exemplary embodiment, the blank used in the methods of the present invention is a metallic thread or wire. The metallic thread or wire can be selected to have a diameter that is close to the desired final diameter of the endodontic instrument.
With regard to wire thickness, endodontic instruments are sized in accordance with established standards, which range from a thickness at the distal end 16 of 1.4 mm (size 140) to a thickness at the distal end 16 of 0.06 mm (size 06). Selecting a diameter that is close to, or identical to the diameter of the final product, reduces the amount of flow that the material will have to undergo in the cold forming process and/or reduces the amount of material that will have to be removed in a subsequent modification step.
A manufacturer typically has the ability to modify the blank before and after cold forming. Thus, a blank can have any desired feature such as a taper or a partially formed cutting edge prior to cold forming. In other words, the blank need only be “blank” as to the feature that is formed during the cold forming process.
The blank used in the methods of the present invention can be made from any material that is sufficiently deformable that it can be cold formed. Preferred materials for forming the endodontic instruments of the present invention include stainless steels and titanium based alloys, such as nickel titanium. Stainless steel alloys are preferred for their relative inexpensive cost, good performance, and biological inertness. Titanium based alloys are typically preferred for their strength and flexibility.
Examples of suitable titanium based alloys include nickel titanium, nickel—titanium—chromium alloy, a nickel—titanium—copper alloy, a nickel—titanium—niobium alloy, or any other super-elastic metallic material. Although any suitable material can be used to make the endodontic instruments of the present invention, titanium-based alloys are preferred because they are strong yet flexible and resilient. In one preferred embodiment, a nickel titanium alloy preferably has a titanium content in a range of about 20% to about 80%, more preferably in a range of about 30% to about 70%, and most preferably in a range of about 40% to about 60%. In one embodiment, the balance of the alloy may comprise nickel and small amounts of other ingredients which do not adversely affect the suitability of the material for use as an endodontic instrument.
Another exemplary titanium-based alloy includes metal atoms selected from group IV and V transition metals and oxygen. Examples of such alloys include alloys having formulas of 1Ti-12Ta-9Nb-3V-6Zr-1O and 1Ti-23Nb-0.7Ta-2Zr-1O (mole percent). Additional details regarding these alloys are described in co-pending U.S. Provisional Application No. 60/586,738, entitled “Dental Abrading Instruments Made From Super-Elastic Alloys,” and filed Jul. 9, 2004, which is incorporated herein by reference.
Other materials suitable for cold forming can be used in the methods of the present invention. Those skilled in the art of cold forming are familiar with the different types of materials and techniques that can be used in a cold forming process. Those skilled in the art are readily accustomed to determining whether a particular metal will work in a particular system.
B. Providing at Least One Die
The methods of the present invention utilize one or more dies to stamp, mold, or otherwise form a desired shape into the blank. The dies have a negative impression that corresponds to a finished cutting edge or partially formed cutting edge of an endodontic instrument. The cutting edges illustrated in
The negative impression can be completely formed in a single die or alternatively, the negative image can be spread across more than one die such that the use of the plurality of dies creates the proper corresponding cutting edge. The negative impression is also formed by accounting for the movement of the dies relative to the blank during the cold forming process. One advantage of using multiple dies is that the forces generated in the cold forming process can be spread across more than one die, thus reducing localized forces.
The negative impression can be formed into the die by grinding or etching the die or using other known techniques. Those skilled in the art of cold forming are familiar with forming negative impressions that correspond to desired features to be formed in a cold forming process.
C. Cold Forming
The method of the present invention includes using at least one cold forming technique to form a finished cutting edge or a partially formed cutting edge. Various cold forming techniques can be used to form a cutting edge in the blank. Suitable cold forming techniques include roll forming, radial forming, flat rolling, cold drawing, and similar techniques.
In an exemplary embodiment, blank 32a is a piece of metallic wire or thread. Various techniques can be used to feed blank 32a into roll dies 34a and 34b. For example, blank 32a can be a wire that is continuously fed into rollers 34a and 34b by the threading force of the rollers. Alternatively, blank 32a can be rolled and removed. In addition, blank 32a can be cut to the correct length before, during, or after cold forming.
In another embodiment of the invention, a blank is cold formed by flat rolling.
Dies 44a and 44b are used to form an at least partially formed cutting edge in blank 32b by using a flat rolling apparatus, which presses dies 44a and 44b together to engage blank 32b as indicated by arrow 47a. Dies 42a and 42b are also caused to slide relative to one another as indicated by arrows 47b and 47c. As dies 44a and 44b slide relative to one another, blank 32b is rolled and the negative impression on the surfaces of dies 44a and 44b form an at least partially formed cutting edge. In another embodiment, dies 44a and 44b are configured to form a taper in the blank in addition to forming the cutting edge.
In yet another embodiment of the present invention, a radial forming process is used to form an endodontic instrument.
In another embodiment, a cold drawing process is used to form a cutting edge or a partially formed cutting edge in a blank.
In some embodiments of the present invention, two or more cold forming steps are performed to provide the desired feature or features. In an exemplary embodiment, in a first cold forming step a taper or partially formed taper is formed into a blank. In a subsequent step, a cutting edge or a partially formed cutting edge is formed into the blank. However, in an alternative embodiment, the taper and cutting edge can be formed in a single cold forming process. Those skilled in the art will be able (based on the present disclosure) to recognize the number and types of cold forming techniques that can be performed on a particular material.
Additional cold forming techniques can be used to form an at least partially formed cutting edge and/or other feature of an endodontic instrument according to the present invention. For example, other forms of rolling using non-symmetrical wheels or more than two wheels can be used. In addition, techniques such as extrusion and swagging can be used to form a cutting edge or a partially formed cutting edge.
The methods of forming an endodontic instrument using cold forming according to the present invention make it possible to form an endodontic instrument with almost any desired cross section. The endodontic instruments can have any desired taper and can have non-uniform features. Thus using the cold forming techniques of the present invention, the shape of the endodontic instrument can be selected to provide beneficial properties such as flexibility, in addition to desired cutting properties.
In some embodiments of the present invention, cold forming does not produce a finished product. For example, in some embodiments, cold forming does not produce a cutting edge that is sufficiently sharp or tapered. Whether a dental instrument is sufficiently sharp can depend on the preferences of the dental practitioner or the application that the instrument will be used in. Thus, in some embodiments of the present invention, additional steps or modifications, which are discussed below, may be needed. In these cases, the cold forming process produces an intermediate instrument. Nevertheless, even where cold forming only produces an intermediate instrument, the cold forming step or steps of the present invention can have many cost saving advantages by eliminating costly manufacturing processes, reducing the use of a costly manufacturing process, or by providing the opportunity to use an entirely new and cheaper process.
D. Additional Modifications to Intermediate Instruments
Additional steps can be performed to further modify the cold-formed blank to provide additional or enhanced features. For example, manufacturing the endodontic instruments can include forming a taper, sharpening the cutting edge, dulling the tip, forming a helical cutting edge, providing a grip or similar features.
Various processes can be used to sharpen the cutting edge and/or form a taper In an exemplary embodiment, a chemical milling process is used to sharpen the partially formed cutting edge, thereby producing a finished cutting edge.
To chemically mill cutting edge 58 along portion 60, the intermediate endodontic instruments are submerged in chemical milling composition 62. In an exemplary embodiment, chemical milling composition includes an acid, water, and a wetting agent. Suitable acids include hydrofluoric acid and nitric acid. One currently preferred composition includes about 10% hydrofluoric acid, about 20% nitric acid, about 0.8% Dapco 6001, a wetting agent, and the balance water (% by volume).
In another embodiment, electrodes are connected to the chemical milling apparatus and the endodontic instruments such that a current passes through the chemical milling composition and the endodontic instrument. The current passing through the composition can heat the composition to increase the rate of the chemical milling reaction and/or to remove material from the surface of the intermediate endodontic file by electrolysis. For purposes of this invention, the use of chemical milling and electrolysis is referred to as electrochemical milling.
Chemically milling a partially formed cutting, edge sharpens the edge because the chemical milling process removes an even layer of material from the surface. As material is evenly removed, the width of the cutting edge become progressively thinner, thus sharpening the cutting edge.
In an another embodiment, intermediate instruments can also be tapered using a chemical milling process. The cutting portion 60 of each intermediate instrument is tapered by progressively inserting or withdrawing cutting portion 60 from chemical milling composition 62. The portions of the endodontic instrument that remain in chemical milling composition 62 for a longer period have more material removed. By withdrawing the endodontic instrument out of the chemical milling composition at a slow continuous rate, an even taper is formed.
In the case of instruments that are further processed by grinding or machining, chemical milling can be used to remove micro fissures or cracks caused by grinding that can easily propagate during use, causing fracture of the file in a person's root canal. Chemical milling can remove such cracks, yielding a superior contiguous surface and a file that is more resistant to breakage during use.
Additional aspects of chemical milling endodontic instruments is described in co-pending U.S. application Ser. No. 10/436,938, entitled “Methods of Manufacturing Endodontic Instruments,” filed May 13, 2003, and co-pending U.S. application Ser. No. 10/991,178, entitled “Methods for Manufacturing Endodontic Instruments,” filed Nov. 17, 2004, both of which are incorporated herein by reference.
Methods of manufacturing the endodontic instruments of the present invention can include the use of other known techniques such as cutting, grinding, machining, laser micromachining, grit blasting and combinations of these. A more detailed description of an exemplary machining or grinding process is set forth in U.S. Pat. No. 5,762,541, which is incorporated by reference with respect to machining or include the cold forming processes as disclosed herein. These techniques can be used to sharpen the cutting edge, create a taper, or otherwise modify the endodontic instrument. For example, some endodontic instruments are formed to have a somewhat dulled or blunt tip such that the tip of the endodontic instrument does not pierce through the walls of the root canal or cause ledging. Dulling the tip can be economically accomplished using a grinder.
In some exemplary embodiments, cold forming produces an intermediate instrument that requires torsioning or twisting to form a helical cutting edge. Torsioning is typically accomplished by holding one end of the cutting portion stationary while twisting the opposite end. Torsioning an intermediate instrument can cause the apices of polygonally-shaped instrument to be twisted to form helical cutting surfaces along the cutting portion. Endodontic instruments typically have a helical cutting edge. Helical cutting edges are advantageous because they can cut or remove tissue as a practitioner turns the instrument in the root canal or moves the instrument up and down within the root canal.
The endodontic instruments and methods of manufacturing endodontic instruments, according to the present invention, provide many advantages over the instruments and methods of the prior art. Forming the cutting edge or partially forming the cutting edge using the cold-forming processes described herein greatly reduces the time and expense for manufacturing endodontic instruments. In addition, cold-forming the endodontic instruments improves the material properties of the instruments thereby reducing the likelihood of breakage during an endodontic procedure.
The present invention may be embodied in other specific forms without departing from its spirit or essential characteristics. The described embodiments are to be considered in all respects only as illustrative and not restrictive. The scope of the invention is, therefore, indicated by the appended claims rather than by the foregoing description. All changes which come within the meaning and range of equivalency of the claims are to be embraced within their scope.
