A dental impression is a negative imprint of one's teeth, gingival tissue, or other soft tissue. Typically, it is made of a substance that is semi-solid or liquid, e.g., alginate. This substance is placed in a dental tray, inserted into a patient's mouth, and pressed against the patient's teeth. The substance hardens, and the resulting impression may then be used to create a positive impression of the patient's teeth, gingival tissue, or any soft tissue in the mouth.
The positive impression of the patient's teeth is then used to create a custom tray appliance. A custom tray appliance is made of thin, yet durable material, and it is a negative impression of the patient's teeth. The thin material is placed over the positive impression and placed in a vacuum heater.
Alternatively, the customized tray appliance can be created digitally. In this regard, a digital scan is taken of the patient's teeth, gingival tissue, or other soft tissue. A computing device, accompanied by a 3D printer, creates a customized tray appliance.
Customized mouth appliances have many uses. For example, a subset of custom mouth appliances is teeth bleaching trays. In such an example, dental mouth appliances are made for both the upper and lower teeth and bleaching substances are placed in the dental mouth appliances. The custom mouth appliances are fitted to the patient's teeth such that the bleaching substance contacts the patient's teeth over a prescribed period of time thereby allegedly whitening the patient's teeth.
The present disclosure describes customized mouth appliance devices, systems, and methods for making same. The customized mouth appliances of the present disclosure comprise a dissolvable mouth appliance that may be treated for varying applications.
In one embodiment, the customizable, dissolvable tray appliance is treated with pigments so that the mouth appliance may be worn for entertainment purposes. In another embodiment, the mouth appliance may be made of a dissolvable material that is injected with vitamins, medicine, or other orally delivered substances such that when the mouth appliance dissolves, the substance is delivered to a person's body who is wearing the mouth appliance.
In one embodiment, the mouth appliance is made of one or more layered dissolvable sheets, and in between layers of dissolvable sheets that don't comprise substances are layers of dissolvable sheets that do comprise substance, e.g., vitamins, medicine, or the like. In such an embodiment, the substances may be selectively delivered over a period of time to the wearer of the mouth appliance depending upon the where the layer is in the mouth appliance.
In another embodiment, a mesh may be inserted into the mouth appliance prior to insertion of the mouth appliance into the wearer's mouth. In such an embodiment, the mouth appliance and/or the mesh may be dissolvable, and the mesh may contain a substance for delivery to the wearer, e.g., vitamins, medicine, or the like. Note that the term “mouth appliance” refers to any type of device, including a teeth tray, which may be made for insertion into a person's mouth. Throughout the remainder of this document, the term “teeth tray” or “tray” will refer to as an exemplary mouth appliance for use in accordance with the present disclosure.
Note that in another embodiment, a digital image of the patient's teeth, gingival tissue, or other soft tissue may be captured by a specialized camera that captures images in three dimensions. Once the images are captured, the images may be transmitted to a 3D printer, and a mold of the patient's teeth, gingival tissue, and other soft tissue is created by the 3D printer.
Note that the dental tray 101 may be made of any type of solid, inflexible material known in the art or future-developed. As an example, the dental tray 101 may be made of metal, composite metal, or hard plastic.
Note that the impression material may be, for example, sodium alginate, polyether and silicones, or polyvinyl siloxane. The mold thus captures a negative impression of the patient's teeth, gingival tissues, and other soft tissues.
The impression material 101 hardens, and a negative mold of the person's teeth may then be cast from the hardened impression. In this regard, a hardening material is poured into the impression, and a mold 201 as shown in
Once a mold is made of a patient's teeth, a teeth tray may be made using a device, which is now described with reference to
In this regard, a tray-making device 301 is depicted in
The lower member 303 comprises an aperture 305 that forms a cavity. The cavity is defined by a contiguous side wall 306 and floor 307. As will be described further, the mold and a thermoplastic sheet are inserted in the cavity relative to one another, and the upper member is brought downward to removeably couple to the lower member 303.
Further,
In one embodiment, a thermoplastic sheet 401 is made from TIC Gums TICACEL® HV Powder: Methylcellulose; TIC Gums PreHydrated® Ticaxan® Xanthan Powder: Xanthan Gum; Essential Depot: Propylene Glycol USP-Kosher Food Grade; and distilled water. This is sometimes referred to herein as a base mixtuxture. The base mixture provides the sheet 401 its basic semi-hard, stiffness, and dissolvable qualities. Note that these are merely exemplary materials, and other materials may be used to make the thermoplastic sheet 401 in other embodiments.
With reference to
With reference to
This is the process for making a tray 901 in accordance with an embodiment of the present disclosure. Note that the present disclosure further encompasses the making of trays using other methods in other embodiments. The process described with reference to
In the embodiments described hereinafter, other embodiments of the thermoplastic sheet 401 are contemplated. In the embodiments shown, the sheets 401 are at a minimal made of a dissolvable material, such as, for example, methylcellulose, propylene glycol, and Xanthan gum, which readily dissolve in saliva. This may be, for example, the base mixture. Note that contemplated with these further described embodiments is a manufacturing process as described with respect to
As indicated hereinabove, the substance 1001 injected into the sheet 1000 may be, for example, medication, flavoring, vitamins, fluoride, pigments or a pH stabilizer. The sheet 1000 is then used in the process described hereinabove with reference to
When the patient (not shown) wears or otherwise places the tray 901 over his/her teeth, gingival tissue, or other soft tissue, the tray begins to dissolve. As the tray appliance 901 is dissolving, the substance 1001 is released from the dissolving tray 901 and enters the patient's system through natural bodily fluids (i.e., saliva).
Note that in the case where the sheet 1000 is made of pigments and/or flavoring, a resulting tray appliance 901 may be used for entertainment purposes. For example, the tray appliance 901 may be pigmented with collegiate team colors, e.g., red and white, that can be worn on game day. As the day goes on, the tray 901 dissolves, and the pigments run creating game day entertainment. Notably, the tray appliance 901 may comprise two components, pigment and flavoring, and as the tray appliance dissolves, both components are delivered to the saliva of the person wearing the tray appliance 901.
With reference to
In such an embodiment, the mesh 1201 is inserted in the tray 1200 and the tray 1200 is placed over the patient's teeth or otherwise worn by the patient. Throughout the day, the mesh 1201 releases the substance contained in the mesh 1201, which is transferred from the tray 901, through the pores 1101, to the patient's saliva.
Further,
When made with the layered sheet 1306, the tray appliance 901 has an external layer of dissolvable substance 1330 and an internal dissolvable substance 1340. The tray appliance 901 created with the layered sheet 1306 is placed over the patient's teeth (not shown) or otherwise inserted in the patient's mouth (not shown). The tray appliance may be formed such that the sheet 1309 dissolves first, which exposes the external layer sheet 1311 and dissolvable substance 1340. Thus, the dissolvable substance 1340 is initially released into the patient's saliva (not shown). Sheet 1308 then dissolves as time progresses. As sheet 1308 dissolves, the dissolvable sheet 1310 and substance 1330 dissolve and the substance 1330 is released into the patient's saliva. Thereafter, sheet 1307 dissolves.
In the embodiment depicted and described with reference to
In one embodiment, the sheets 1311 and 1310 may have different dissolve rates. For example, sheet 1311 may dissolve in a 24-hour period, whereas sheet 1310 may dissolve in a 72-hour period. This may likely be necessitated by prescription characteristics of the dissolvable substances 1330, 1340. The varying dissolve rates may be formed by changing the material making up the sheets 1311, 1310, respectively. For example, the thickness of the sheets 1311 and 1310 may be made such that if longer dissolve rates are needed, the sheets 1311 and 1310 are made thicker, and if shorter dissolve rates are needed, the sheets 1310 and 1311 are made thinner. Thus, the width of the sheets 1311 and 1310 can dictate the rate at which substances or components of substances are delivered to saliva of the mouth of a person wearing a tray appliance 901 made from the sheet 1306.
Note that the present disclosure shows a single sheet of methylcellulose, propylene glycol, and Xanthan gum in
In one embodiment of the present disclosure, a single methylcellulose, propylene glycol, and Xanthan sheet may contain two different substances A and B, e.g., two different prescription medications. In such an embodiment, the delivery rate of each substance may be manipulated based on the ratio of the two substances on to the other. For example, prior to gelling the solution as described hereinabove, the two substances are mixed into the solution, the solutions is then boiled, and allowed to gel. Thus, the sheet formed from such a process would contain at least two deliver substances. If substance A is to be delivered at a higher rate than substance B, the density of substance A would be greater than that of substance B in the sheet. As a tray appliance made with such a sheet dissolves in a patient's mouth, due to the higher density of substance A, A would be delivered to the patient's body at a higher rate than that of substance B.
Likewise, the thickness of a sheet may be manipulated to increase or lower delivery rates of substances. For example, a first sheet may contain a particular amount of substance A suspended throughout, and the delivery rate is governed by the amount of substance per volume of a mouth appliance tray. In order to increase the delivery rate, the same amount of A may be suspended in a sheet that is thinner, which would increase the delivery rate, i.e., more A per volume, of a mouth appliance tray made with such a sheet. Whereas if the same amount of A were suspended in a sheet that had a greater thickness, the delivery rate would decrease, i.e., less A per volume, of a mouth appliance tray made with such a sheet.
There are numerous ways in which the thermoplastic sheets shown in
Further, the following process is contemplated for the manufacturing of the exemplary trays shown in
By using the Pyrex graduated cylinder, the process may use 800 mL of distilled water, which is poured into a 1000 mL or larger Pyrex beaker. Once poured in the Pyrex beaker to measure, placing a large magnetic stir rod in the distilled water beaker and began to heat the water gently to 70° C. with constant stirring on a Fisher Scientific-Fisher Stirring Hotplate (heat dial setting is in a range from 8-9).
Next, the process comprises weighing out 24 g of Methylcellulose (HV) and 0.8 g of Xanthan Gum in a weigh boat (not shown) on an analytical balance/scale. The process further comprises removing the weigh boat from the balance and mixing the materials together to make a uniform powder mixture utilizing a metal/glass stirring apparatus.
Further, the process comprises add powder mixture to 80 mL of Propylene Glycol in a separate Pyrex beaker and stir manually, using a metal/glass stirring apparatus, for 2-3 minutes to mix all powders. Note that the solution will become may become viscous and the powders may seem to clump, regardless, the process contemplates continuing mixing to ensure all powder particles have interacted with the Propylene Glycol.
In the process, the next step is checking the distilled water temperature with a thermometer to see if the water is 70° C. Note that if the temperature has failed to reach 70° C., the process comprises increasing the heat dial setting. Once the temperature has reached 70° C., the process comprises adding the PG/powder solution to the distilled water via a metal/glass stirring apparatus and increasing temperature to 90° C. or until solution boils. For later use, the process may comprise recording the time the solutions are combined.
As soon as the solution begins to boil, the process comprises removing the beaker from the heating source using heat resistant gloves and placing the beaker on another Fisher Scientific-Fisher Stirring Hotplate without heat. Further, the process comprises allowing powders to hydrate under constant magnetic bar stirring (stirring dial setting of 6) for approximately 1 hour or until the solution reaches 40° C. For later use, the process may require recording the temperature of solution and time the solution was removed from the heating source
Once the solution has cooled to 40° C., the process comprises pouring the solution directly from the Pyrex beaker in a 16×12×1 inch Wilton baking pan and labeling the pan—listing formulation and date. The process further comprises ensuring gel is evenly distributed in the pan and popping bubbles from the gel using the cake baking technique. Next, the process comprises refrigerating the gel in the pan for 30 minutes at 1° C. Note that the plated solution will appear cloudy/clear-white at 40° C. For later use, the process may require recording the length of time hydrated.
The process further comprises removing the plated solution from refrigeration and allowing the gel to rest on the benchtop overnight uncovered. Note that the gels should rest for 16-18 hours and should appear uniform and clear. For later use, the process further comprises recording the time removed from refrigeration and humidity/temperature of lab space.
The process further comprises utilizing a convection oven to dry gels at 170° C. for approximately 2 hours or until gel is evenly dry on both sides. Note that the gel may form a dry top layer, but may need to be flipped to dry the other side of the gel.
Once dry, the process comprises removing the gel from the oven with heat resistant gloves and allowing it to cool to room temperature. Additionally, the process comprises slowly peeling the film from the baking sheet, placing the film on a cutting board, and cutting film to fit vacuum form heating unit, 125 mm in diameter. In one embodiment, a cutting blade/cookie cutter can be used for the trimming. The process further comprises testing the film on the vacuum form via the following settings: 20 seconds of heating and 45 seconds of vacuuming. Finally, the process comprises removing the film from the model without inverting the film. Note that if the film will not be used immediately, place film in a desiccator until desired time of use.
The functionality of a process is now described in accordance with an embodiment of the present disclosure.
In the first step, water is heated. Simultaneous therewith, a uniform power mixture is made by mixing a cellulose derivative and a gelling agent. Note that any type of cellulose derivative may be used in other embodiments, and a cellulose derivative has the molecular structure of (C6H10O5)n, where n can represent a linear chain of several hundred to many thousands of linked D-glucose units. Further note that any type of gelling agent may be used in other embodiments. Examples of gelling agents include acacia, alginic acid, bentonite, Carbopols®, carbozymethyl cellulose, ethylcellulose, gelatin, hydroxyethyl cellulose, hydroxypropyl cellulose, magnesium aluminum silicate, poloxamers, polyvinyl alcohol, sodium alginate, tragacanth, and xanthan gum.
Next, the uniform mixture is mixed with alcohol to form an alcohol mixture. Any type of alcohol may be used in other embodiment of the present enclosure. An alcohol is an organic compound where a hydroxyl unit (—OH) is bound to a saturated carbon atom. The alcohol mixture is mixed with distilled water to get a solution, and thereafter the solution is boiled.
In one embodiment, the solution is magnetically stirred. Note that in one embodiment while the solution is cooling, the solution can be magnetically stirred with allowing solution to hydrate for about one (1) hour.
Following hydration, the solution is allowed to cool and it forms a gel. The gel is then refrigerated. Note that in on embodiment, the gel is rested for 16-18 hours at which time it appears uniform and clear. After the gel is uniform and clear, the gel is dried. In one embodiment, use of a convection oven may be made, and the gel may be dried at 170° C. for approximately two (2) hours or until gel is evenly dry on both sides. Note that the gel may form a dry top layer, but may be flipped to dry the other side of the gel.
After the gel has dried, the gel is peeled from a backing sheet and cut into sheets like those shown in
Above is described a detailed process for manufacturing sheets in accordance with an embodiment of the present disclosure. Note that sheets contemplated by
Note that in regards to FIG.11 wherein the sheet comprises pore, the pores may be made in the sheet 1100 (
The layered sheet 1300 (
The layered sheet 1306 may be manufactured by manufacturing separately three sheets 1307, 1308 and 1309 (
In another embodiment, the layered sheet 1306 may be manufactured by making the separate sheets 1307, 1310, 1308, 1311, and 1309, wherein 1310 and 1311 are made with one or a plurality of substances. Once the separate sheets are made, the sheets are stacked, melded together (e.g., with hydration or heating). The separate sheets needed to form a mouth appliance tray like that shown in
This patent application claims priority to U.S. Provisional Patent Application Ser. No. 62/190,991 entitled Teeth Tray Systems and Methods and filed on Jul. 10, 2016, which is incorporated herein by reference it its entirety.
Number | Date | Country | |
---|---|---|---|
62190991 | Jul 2015 | US |