The present invention relates to dental polishing and bleaching at home and at a dental clinic. The invention includes a handpiece with a battery-powered driver, a rubber cup, a dual-agent mixing set, and a user-specific-formed gum cover consisting of thermoplastic material to avoid the possible irritation from the bleaching agent. The handpiece output axis is at an obtuse angle to the input axis. The invention polishes and at the same time bleaches tooth surfaces and removes the interproximal plaque between teeth if an interdental brush is employed at the output end of the cup.
Splatter of agents from the action of the rubber cup causes discomfort in mouth as well as reduced effectiveness. The quick loss of agents in the cup from the splatter further cause process delay because time is spent on repeated manual replenishing of agent to the cup. The present invention transfers a continuous rotational input into a back-and-forth swinging output through a single-rod-swinging mechanism, which manifests as either a tilt-rod-driving mechanism or alternately a bent-rod-driving mechanism.
For longer bleaching shelf life and more effective bleaching action, the present invention includes a dual agent mixing set that mixes a low pH bleaching agent, which is dominated by hydrogen peroxide, with a high pH polishing agent, which is dominated by pelelith powder, at the time of use. By applying the mixed dual-agent paste on tooth surfaces, the swinging movement of the rubber cup polishes and bleaches the tooth surface simultaneously.
For a soft tissue protection, the user-specific-formed thermoplastic gum cover holds the mouth open at an optimal pose and covers the gingiva and lips. It achieves tooth surface bleaching with no irritation. During operation the heat from the movement of the rubber cup, plus the heat produced from the LED light on the handpiece which is directed to user's teeth improves the effectiveness of bleaching.
Conventionally, tooth polishing and tooth bleaching are done as two separate procedures in dental treatment. This sequential polishing and bleaching are time-consuming, so that a method of combining the two procedures simultaneously is desirable. Hence the background analysis can be separated into two sections: a mechanical polishing design and a chemical bleaching design.
A. Mechanical Polishing Design
A conventional prophylaxis dental piece such as a prophylaxis angle is used to remove plaque and to polish the dentin surface of a tooth. A prophy cup is secured to the prophylaxis angle and is rotated by a driving torque from a dental tool, such as a low-speed dental driver. A typical drive mechanism is a gear connection between a driving rotor gear and a driven rotor gear at a right angle. The continuous rotation is thereby transferred from the driving dental tool to the same continuous rotation of the prophy cup at a right angle.
This gear connection as a prophylaxis method has several drawbacks. First, the gear structure of the disposable driving or driven rotors is costly to manufacture. Secondly, the tiny plastic gears are quickly worn out, so it is not suitable for long-period operation such as bleaching purpose. Thirdly, the gear contact produces heat with large operating noise and vibration. Fourthly, the gear connection between rotors usually only transfers continuous rotation which splatters the paste excessively during operation. Fifthly, the gearing engagement between driving and driven rotors is not suitable for an obtuse angle connection which makes users feel more comfortable because it allows the user to maintain a neutral wrist position.
Products with non-gear connection or obtuse connection have been on the market; however, they are usually so complicated the product cost and size are hard to reduce.
Previous patents have been published which describe improvements in the gear mechanism or non-gear methods to achieve operation at a right angle or at angles larger than 90 degrees, such as U.S. Pat. 2010/0035205, 2009/0035719, 2006/0127844, 2005/0214712, U.S. Pat. Nos. 9,017,073, 8,814,566, 8,353,700, 7,762,813, 7,255,559, 6,916,176, 6,247,931, 6,168,433, 5,902,107, 5,749,728, 5,571,012, 5,531,599, 5,503,555, 5,433,605, 5,423,679, 5,374,189, 5,328,369, 5,074,788, 4,681,540, 4,460,337 and 4,382,790. However, in the present market, the products from those patents exhibit cost disadvantage or noise problems.
U.S. Pat. No. 7,153,133 discloses a non-gear transmission assembly which uses multiple linkage shafts to connect a driving shaft and a head mount, both with multiple mounting holes. Each linkage shaft rotates and slides in the corresponding mounting holes in the driving shaft and the head mount. It overcomes the gear-transfer weakness, but the small mounting holes on the driving shaft and head mount make assembling time-consuming. The arm required to produce the required torque also limits the device size miniaturization. Furthermore, the multiple linkage rotational connection, which is similar to gear connection, can produce only continuous rotational output.
U.S. Pat. Nos. 6,964,076 and 5,822,821 disclose a gear transmission assembly which converts rotational movement from the motor output member, through a straight cam slot, into a rotational reciprocating movement to achieve an oscillatory output with a small swing angle. However since the cam slot in those patents is straight, the time the cam slot swings to one direction is longer than the time the cam slot swings back to the other direction so that the output of the rotational reciprocating movement is not even. In other words, the reciprocation of the tooth brush will go faster in one direction than in the other direction. Moreover, the complicated gear-transfer mechanism in those patents limits the cam slot size for use in a compact dental handpiece space. Therefore, in a small design the driving torque will not be large enough for teeth polishing that uses high viscosity paste.
U.S. Pat Nos. 3,967,380, 4,341,519, 4,371,341 and 4,460,341 disclose the non-gear right-angle reciprocating transmission by a connection of a guide rolling rod, which is eccentrically located on the end of a rotatable driving shaft, and a longitudinal guide bore on the cylindrical surface of a reciprocable driven rotor. The contact inter-engaging surface of the driven rotor could be straight or concave cylindrical. The rotatable driving shaft provides a radial torque of the return stroke to the longitudinal bore which accepts a loose and slidable insertion of the rolling rod, coupling the continuous rotation of the driving shaft to the reciprocating swing of the driven rotor to achieve an oscillating output.
Based on the above non-gear right-angle reciprocating transmission by rolling rod and longitudinal bore, U.S. Pat. Nos. 6,247,931 and 5,931,672 developed a similar but different non-gear right-angle transmission by using an inter-engaging cam connection instead of the rod-bore connection. The camming surfaces are shaped with alternating hills and valleys to ensure a continuous contact during operation, however the complicated cam curve shape results in production cost weakness plus a big repulsive backward force. Also with that cam connection, similar to the gear connections, it is hard to achieve an obtuse connection between the driving and driven rotors. Furthermore, based on the camming surfaces in U.S. Pat. Nos. 6,247,931 and 5,931,672, 10,092,382 developed an altered inter-engaging conical surface cam structure to achieve an oscillation angle greater than 90 degrees, with a non-orthogonal output. However, the complicated cam curve shape still results in high production cost.
U.S. Pat. No. 9,398,938 discloses a non-gear transmission assembly which uses a longitudinal cavity suitable for coaxially containing a driving shaft, and a transversal cavity, arranged with an axis incident with the axis of the longitudinal cavity, to transform a rotary movement of a driving shaft into oscillating movement of a driven holder. The complicated cam-transfer mechanism and the small driving shaft diameter limit the size of the driven holder so that the driving torque will not be large enough against the high viscosity of the paste.
U.S. Pat. No. 2012/0258418 removes the complicate gear connection and solves the uneven reciprocation problem in U.S. Pat. Nos. 6,964,076 and 5,822,821, but the curved cam slot still faces the manufacturing cost and size limitation.
B. Chemical Bleaching Design
Color changing of teeth results from either extrinsic or intrinsic staining. Extrinsic staining can be removed by mechanical method of tooth surface cleaning such as polishing treatment. Intrinsic staining occurs when staining compounds penetrate the enamel and even the dentin, so that instead of mechanical methods, chemical cleaning is amenable.
One conventional tooth intrinsic bleaching method is to place peroxide, either hydrogen peroxide or carbamide peroxide, upon a patient's teeth, such as described by U.S. Pat. No. 5,171,564. The oxidation-reduction reaction of peroxide bleaches the enamel of the teeth. However, hydrogen peroxide is a liquid that is difficult to stay on teeth surfaces, and moreover the high percentage hydrogen peroxide is harmful to teeth gingiva and lips. Carbamide is a gel compound that contains hydrogen peroxide at a ratio of 1:3, which is usually placed in a dental tray, applying to the patient's teeth for a length of time ranging from hours to overnight. While the aqueous hydrogen peroxide breaks down and releases most of its bleaching power within 30-60 minutes, the gel carbamide peroxide slowly releases about 50% of its whitening power in the first two hours.
The hydrogen peroxide on the patient's teeth is not effective if the enamel rods of the teeth are closed. One method of facilitating the opening the enamel rods during bleaching is acid etching. When an acid of sufficient concentration is applied to the teeth, the chemical action of the acid serves to open the enamel rods of the teeth. However, this method is potentially harmful to the gingiva and is also time consuming. Another method involves the use of a pre-mixed carbamide and dental abrasive agent mixture to apply to the teeth and is then burnished onto the teeth. The dental abrasive agent in the prophy paste serves to abrade the tooth surfaces, accomplishing three objectives: (a) opening the enamel rods to facilitate their uptake of the peroxide; (b) removing stains from the tooth enamel through a mechanical scrubbing action; and (c) polishing the tooth enamel through a mechanical buffing action. To decrease tooth sensitivity during bleaching, fluoride can be included in the dental abrasive agent. However, a disadvantage of this method is that it delivers weakened carbamide to the teeth, resulting in less effective whitening. In addition, most readily and economically available carbamides are unstable, losing much of their oxygen (thus being reduced) when exposed to air and when mixed with other ingredients such as prophy paste for an extended period. Therefore, the effectiveness of pre-mixed peroxide as a tooth whitener is limited.
To overcome these drawbacks, previous patents have been published. Those patents either use pre-mixed compounds such as U.S. Pat. 2005/0050658, U.S. Pat Nos. 7,601,002, 6,555,020, 6,294,155, 6,174,516, 5,928,628, and 5,858,332, or provide an instant mixing method during usage such as U.S. Pat. 2001/0046477, U.S. Pat. Nos. 9,782,338, 7,530,808, 6,908,607, 6,681,957, 6,536,628, 6,176,396 and 5,766,574, which use a dispenser for mixing the prophy paste with the bleaching agent. U.S. Pat. 2008/0311057 provides an instant mixing method during usage, but only suitable for low-viscosity bleaching purpose without high-viscosity polishing function. U.S. Pat. Nos. 7,331,784 and 9, 636,198 use light irradiation or heat generator to warm up tooth surfaces for accelerating whitening process, but they are complicated with high manufacturing cost. U.S. Pat. No. 7,094,393 maintains the bleaching compounds with a pH range of 6.0 to 10.0 in presence of a calcium chelating agent to achieve the bleaching time of less than one hour. U.S. Pat. No. 7,060,256 uses two-component gel of increased peroxide content, but needs a dental bleaching tray to apply on the teeth. U.S. Pat. No. 4,401,616 uses a thermoplastic sheet material to make custom dental impression trays for individual users.
There are fourteen major aspects of this invention that address the drawbacks of current technology.
The first aspect of the invention is a handpiece that uses a non-gear, single-rod-swinging mechanism, which is instantiated as either tilt-rod-driving mechanism or bent-rod-driving mechanism, to convert a continuous rotation of driving shaft to a back-and-forth swinging output of a driven rotor. The driven rotor then connects to a disposable, dual-functional rubber cup filled with the mixed polishing and bleaching agents to apply to the tooth surface. By comparison with the continuous rotation, the back-and-forth swinging output reduces agent paste splatter and limits frictional heat during operation. The reduction of the splatter and consequently slow loss of agent from the movement of the rubber cup eliminates the discomfort in the mouth and renders the operating more efficient because the practitioner saves time that are otherwise spent on replenishing agent to the rubber cup. In addition, the non-gear transferring mechanism ensures a longer operation life compared to the geared mechanisms.
The second aspect of the invention is that the rotating axes of the driving shaft and the driven rotor are engaged at an obtuse angle so that the operation can be done more ergonomically by having a neutral wrist holding position.
The third aspect of the invention is that, in the instance of tilt-rod-driving mechanism, a tilted off-axis rod at the output end of the tilt-rod-driving shaft acts inside a vertical slot in the tilt-rod-driven rotor to transfer the continuous rotation of the driving shaft to the back-and-forth swinging of the driven rotor. This is achieved by the vertical slot being parallel to the axis of the tilt-rod-driven rotor, and the concave shape of the driving shaft output end matching the shape of the tilt-rod-driven rotor. This tilt-rod/vertical-slot connection results a much longer operating life than the geared connections that are common in the present prophy angle market.
The fourth aspect of the invention is that the tilt-rod-driving shaft is axially positioned by a clawed retainer, such as a metal external tooth lock washer, to restrict the tilt-rod-driving shaft axially from backing out during operation. During assembling, the clawed retainer is pressed forward into along the inner wall of the angle housing. Because the out diameter of the retainer is slightly greater than the inner diameter of the angle housing, during operation the claws of the retainer are pushed to grab the inner wall of the angle housing.
The fifth aspect of the invention is that, in the instance of bent-rod-driving mechanism, a bent driving rod connects the bent-rod-driving shaft to the bent-rod-driven rotor, to transfer the continuous rotation of the driving shaft to the back-and-forth swinging of the bent-rod-driven rotor. The bent driving rod has the same obtuse angle as the angle between the driving shaft and the driven rotor. This transfer mechanism is designed with the radius of the bent-rod-driven rotor being bigger than the radius of the bent-rod-driving shaft, and with the swing angle equal to arcsine of the ratio of the radius of the bent-rod-driving shaft to the radius of the bent-rod-driven rotor.
The sixth aspect of the invention is the mounting slots and the matching bent driving rod for easy assembling in the bent-rod-driving mechanism. Both the bent-rod-driving shaft and the bent-rod-driven rotor have a cylindrically shaped mounting slot on each of their surfaces, in parallel to its rotational axis. Because the diameter of slot profile is slightly bigger than the diameter of the bent driving rod, the bent driving rod can easily snap on into the mounting slots during assembling. This avoids the timing consuming hole-insertion in some previous patents. After assembling, the bent driving rod and the driven rod can simultaneously rotate and slide axially inside the mounting slots. Moreover, since the depth of the mounting slots is smaller than the diameter of the bent driving rod, the exposed part of the bent driving rod and the driven rod from the mounting slot opening acts as a bearing contact to reduce the rotational friction between the rotors and the inner cylindrical surfaces of the angle housing during operation.
The seventh aspect of the invention the mortise-and-tenon joint that connects the rubber cup to the driven rotor. The driven rotor output end is the tenon; the rubber up input end is the mortise. The tenon has a vertical slit at the bottom center of square, making it slightly thinner when squeezed. Moreover the tenon has a pair of external ridges, which is parallel to the vertical slit, for retaining the square mortise part of the rubber cup during operation.
The eighth aspect of the invention is that in both the tilt-rod-driving mechanism and the bent-rod-driving mechanism, the swinging of the driven rotor has a pause when the swinging direction changes. It is achieved by having the width of the driven slot slightly bigger than the diameter of the driving rod. This design reduces the impulse on the driven rotor, as well as vibration.
The ninth aspect of the invention is that the transferring of the continuous rotation to the back-and-forth swinging movement operates identically regardless of the clockwise or counterclockwise rotational direction of the driving shaft. This is due to the symmetrical structure of the vertical slot or the mounting slot of the driven rotor.
The tenth aspect of the invention is the dual functions of the rubber cup. The back and forth movement of the cup polishes and bleaches tooth surfaces, at the same time creates heat to help open the enamel rods of the teeth for speeding up of the bleaching action. The rubber cup has a second function of removing the interproximal plaque between teeth when an interdental brush is installed on the cup and swings back and forth in the gap between the teeth.
The eleventh aspect of the invention is a dual-agent mixing set that includes a dual-agent bowl with a polishing agent pre-installed, and a syringe with a bleaching agent pre-installed for long-term storage. By applying the mixing adaptor powered by the handpiece, the bleaching agent is mixed with the polishing agent. The bleaching agent is dominated by the hydrogen peroxide with low pH stabilizers whereas the polishing agent is dominated by pelelith powder with high pH accelerators. With the proper volumetric proportion of the two agents, the resultant pH value of the mixed agents is optimal for bleaching efficiency.
The twelfth aspect of the invention is a pre-shaped thermoplastic gum cover that fits the profile of the individual user's teeth and mouth to cover the gingiva and lips and also to keep the mouth open properly. It protects the user's soft tissue from contacting the bleaching agent during operation. The material is polycaprolactone (PCI.). The cover is user specific as the specificity is formed by a reshaping process in hot water.
The thirteenth aspect of the invention is that the swinging angle with the rubber cup in the handpiece is usable alone as a prophylaxis angle to mate to a standard powered driver at a dental clinic, to provide back-and-forth swinging movement on teeth surfaces through the single-rod-swinging mechanism.
The fourteenth aspect of the invention is a light emitting diode (LED) bulb mounted on the handpiece housing, so that the emitted light is focused directly onto the area around the rubber cup during operation for providing illumination as well as heating up the bleaching material to speed up the bleaching action.
Other details and features of the invention will be pointed out hereinafter.
The invention will be further described in conjunction with the attached drawings:
At the output end of the shaft 212 there is a tilted off-axis rod 217 on the concave-shaped front 2121. The tilted off-axis rod 217 forms an acute angle p with the axis of the tilt-rod-driving shaft 212. The shaft tail 216 at the input end of the shaft 212 is inserted into the central chuck 2100 and accepts the rotational driving force from the matching adaptor 21 (refer to
When the tilt-rod-driving shaft 212 and the tilt-rod-driven rotor 213 are assembled together, the tilted off-axis rod 217 of the shaft 212 moves in the vertical slot 218 of the rotor 213 to transfer the continuous rotation of the shaft 212 into the back-and-forth swinging movement of the rotor 213. An alignment dimple 2137 at the top-center of the domed trunk 2136 matches the positioning protrusion 241 on the inner wall of the tilt-rod-driving angle housing 24 to maintain axial position of the tilt-rod-driven rotor 213. Together with the axial positioning flange 2133, the only allowed degree of freedom of the tilt-rod-driven rotor 213 is rotation about its axis.
As shown in
The bent-rod-driving shaft 212A has a positioning collar 215A. It sits in the circular groove 244 next to the positioning step 243 in the bent-rod-driving angle housing 24A. The circular groove 244 constrains the shaft's movement to only one degree of freedom—rotation about its axis. The shaft tail 216 at the input end inserts into the central chuck 2100 (refer to
The bent-rod-driven rotor 213A has a positioning shaft 2134 that extends into a positioning dimple 241A on the inner wall of the bent-rod-driving angle housing 24A. The driven rotor 213A has a positioning flange 2133A at its mid-section that contacts a positioning step 245 on the inner wall of the bend of the bent-rod-driving angle housing 24A. Together with the axial positioning shaft 2134, the only allowed degree of freedom of the rotor is rotation about its axis.
The output end of the bent-rod-driven rotor 213A is the same as that of the tilt-rod-driven rotor 213 which is described in
Both the driving shaft mounting slot 2125 and the driven rotor mounting slot 2135 have the shape of a partial cylinder; therefore, each of their transverse cross-sectional views has a major arc with an arc measure of about 190° . The two straight segments of the bent driving rod 214 will rotate and slide freely inside the two mounting slots. Moreover the diameter of the bent driving rod 214 is slightly bigger than the depths of mounting slots 2125 and 2135. Therefore the bent driving rod 214 acts as a bearing mechanism between the bent-rod-driving shaft 212A (or the bent-rod-driven rotor 213A) and the inner surfaces of the bent-rod-driving angle housing 24A. Hence friction is reduced during operation.
Because the radius r of the bent-rod-driving shaft 212A is smaller than the radius R of the bent-rod-driven rotor 213A, the bent-rod-driven rotor 213A always swings a smaller angle b than the rotational angle a by the bent-rod-driving shaft 212A. A revolution of the bent-rod-driven rotor 213A forces the bent-rod-driving shaft 212A to swing back and forth around its rotational axis. The swing angle b is related to the two radii by the equation: sin (b)=r/R. Therefore, the swing angle b can be varied by the relation of r to R. In other words, the swing angle of the bent-rod-driven rotor 213A can be adjusted by the diametrical ratio of the bent-rod-driving shaft 212A over the bent-rod-driven rotor 213A.
To mix the dual agents, the plastic cover sheet 513 is removed from the dual-agent bowl 50; the syringe output stopper 64 is removed from the syringe body 61; the bleaching agent 63 is pressed out from the syringe 60 by the plunger piston 62 to added onto the polishing agent 53; the blending pins 414 at the output end of the mixing adaptor 40 are inserted into the bowl body 511; and the input-shaft 411 is inserted into the central chuck 2100 on the matching adaptor 21. The blending pins 414 rotate and mix the two agents thoroughly, resulting in the pH value of the mixture being properly titrated. The mixed paste is ready for immediate application to the teeth.
As in
When the pre-shaped thermo-plastic gum cover as shown in
The objectives of the invention are achieved by the design as shown above. Although specific examples of the present invention and its application are set forth herein, they are not intended to be exhaustive or limiting of the invention. These illustrations and explanations are intended to acquaint others skilled in the art with the invention, its principles, and its practical applications, so that others skilled in the art may adapt and apply the invention in its numerous forms, as may best suit the requirements of a particular use.
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