U.S. patent application number 10/807515 was filed with the patent office on 2004-10-28 for apparatus and method for the processing of solid materials, including hard tissues.
Invention is credited to Altshuler, Gregory B..
Application Number | 20040214132 10/807515 |
Document ID | / |
Family ID | 31978918 |
Filed Date | 2004-10-28 |
United States Patent
Application |
20040214132 |
Kind Code |
A1 |
Altshuler, Gregory B. |
October 28, 2004 |
Apparatus and method for the processing of solid materials,
including hard tissues
Abstract
A method and apparatus are provided for processing solid
materials in general, and of dental material in particular, which
involves applying radiation from a laser or other suitable pulsed
radiation source to process and to preferably ablate the material
in a region of processing thereof. Particles of ablation are
generated by the radiation from the area of processing and/or other
source(s) which are directed to the area of processing to further
process the material. Particles adhering to a tip through which the
radiation is applied, to a reflector or other surfaces adjacent the
region of processing at the end of each radiation pulse may be
ablated and accelerated back to the region of processing by the
next pulse. Ablation particles may also be obtained from the
ablation of the tip, from a strip of material through which
radiation passes before reaching the region of processing or from
other sources. Mechanism may also be provided for cooling the
surface of the material in the region of processing between
radiation pulses and/or during such pulses and/or for facilitating
removal of particles in the area between the chip and the region of
processing between radiation pulses.
Inventors: |
Altshuler, Gregory B.;
(Wilmington, MA) |
Correspondence
Address: |
HOUSTON ELISEEVA
4 MILITIA DRIVE, SUITE 4
LEXINGTON
MA
02421
US
|
Family ID: |
31978918 |
Appl. No.: |
10/807515 |
Filed: |
March 22, 2004 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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10807515 |
Mar 22, 2004 |
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09549406 |
Apr 14, 2000 |
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6709269 |
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Current U.S.
Class: |
433/29 |
Current CPC
Class: |
A61C 1/0046 20130101;
A61B 2018/00005 20130101 |
Class at
Publication: |
433/029 |
International
Class: |
A61C 003/00 |
Foreign Application Data
Date |
Code |
Application Number |
Apr 16, 1999 |
RU |
99108112 |
Claims
What is claimed is:
1. A device for processing a solid material including: a source of
pulsed radiation; and a system for delivering radiation from said
source through a tip to a region of processing, said tip including
an end for delivering radiation to at least one particle source,
said radiation accelerating particles from said particle source,
which particles are at least one of accelerated to and reflected to
a region of processing on a surface of said solid material to
influence the processing thereof.
Description
FIELD OF THE INVENTION
[0001] The invention concerns methods and apparatus for the
processing of solid materials, including hard tissues, metals,
ceramics, crystals, glass, certain plastics, etc. and uses thereof
in dentistry, surgery, orthopedics and other material processing
applications.
BACKGROUND OF THE INVENTION
[0002] Laser radiation is widely used for the processing of hard
materials: drilling, cutting, modification of properties and other
operations. The mechanism for destruction of hard materials under
the influence of laser radiation involves the absorption of laser
energy, which results in heating, melting and evaporation of the
materials. Other mechanisms involve absorption of radiation by
strongly absorptive materials (chromophores), their heating and the
breaking of the material because of pressure around the absorptive
materials. The process of laser destruction of materials under the
influence of short pulses (generally pulses shorter than the
thermal relaxation time of the target) is sometimes called laser
ablation. In order to reach the maximum efficiency of material
removal, the wavelength of the laser radiation is selected to be
within the range of maximum absorption for the absorptive material.
Depending on the properties of the material, the optimum parameters
of laser radiation are selected. These parameters include the
wavelength, the pulse duration, the diameter of laser beam spot,
and the energy or power. Laser destruction of hard materials has a
lot of advantages; however, in many cases it is slower than
drilling or other mechanical methods of processing.
[0003] Russian certificate of invention USSR N 1593669, published
Sep. 23, 1990, discusses the removal of hard tooth tissues by
radiation with 2.94 .mu.m wavelength (Er:YAG laser), with pulse
duration of 100-500 .mu.s and with energy of 0.5-1 J. U.S. Pat. No.
5,257,935 issued Oct. 2, 1993 proposes a laser with a wavelength
within the range 1.5-3.5 .mu.m, in particular 2.94 .mu.m, for the
same objective. The radiation in this device is delivered from the
laser to the processing zone using an optical fiber connected to a
tip in contact with a tooth surface. The disadvantage of this
method and apparatus is that the speed of material removal is
slower than for high-speed drills. Its use therefore results in an
increase in procedure duration. However, the laser procedure is in
most cases painless and does not require anesthesia. The laser
processing is also less traumatic.
[0004] In the apparatus and method disclosed in the U.S. Pat. No.
5,409,376, issued Apr. 25, 1995, mechanical drilling is combined
with laser drilling in order to increase the speed of processing.
However, this increases the price of both the treatment process and
the drilling apparatus. Further, when used for the processing of
dental tissues, it results in the loss of the main advantages of
laser processing--absence of pain and low danger of trauma.
[0005] A major disadvantage of the techniques discussed above is
insufficient utilization of the laser energy. This is due to the
fact that a significant part of the laser pulse energy absorbed by
the processed material is transformed to mechanical energy of
particles leaving the zone of processing, this energy being
uselessly spent in heating the environment. Similar issues can
arise when a laser is used to ablate solid materials other than
dental tissue.
SUMMARY OF THE INVENTION
[0006] In accordance with the above, this invention, in accordance
with a first aspect thereof, provides a method of processing a
solid material which includes exposing the material to pulsed
radiation with an energy above an ablation threshold for the
material; and returning or otherwise directing particles of ablated
material to a region of processing of the material to further
influence material processing. Some of the particles of ablated
material will be deposited on a surface adjacent the region of
processing, the method including returning these deposited particle
to the region of processing in response to the next radiation pulse
to further process the material. While the region of processing is
the source of the particles of ablated material for a preferred
embodiment, other sources of particles may also exist, either in
addition to or instead of the preferred source, which particles can
be delivered to the region of processing for the further processing
of the material. Potential sources for such added material include
a tip through which radiation is delivered, reflectors surrounding
the tip and/or an additional piece of material positioned between
the radiation source and the region of processing which may be
ablated by radiation passing therethrough to produce accelerated
particles. For a preferred embodiment, the material being processed
is a dental material, for example dental enamel, dentin, bone,
stain, filling material, cementum and the like. For such
embodiments, the pulsed radiation is preferably from a laser with a
wavelength within one of the bands 1.9-2.1 .mu.m, 2.65-3.5 .mu.m,
5.6-7.5 .mu.m, and 8.5-11 .mu.m; a duration of 0.0001-10000 .mu.s
(preferably 1-500 .mu.s); and an energy density of 0.5-500
J/cm.sup.2. The method may also include cooling the region of
processing of the material and/or removing particles from an area
between a source of the pulsed radiation and the region of
processing, these steps preferably being performed between pulses
of the radiation for some embodiments. For another embodiment, air
is first applied to the region of processing to clean at least the
area. A light water spray or mist is then applied to both cool the
area and to be ablated, the laser or other radiation source being
fired during the applications of the mist. After the firing of the
radiation source, the misting or a stronger water spray may be
applied to cool the region of processing. While the three steps
indicated above are preferably used together, for some embodiments,
one or more of these steps may be individually performed.
[0007] The invention also includes a device for processing a solid
material which includes a source of pulsed radiation and a system
for delivering radiation from the source through a tip to a region
of processing, the tip including an end for delivering radiation to
at least one particle source, the radiation accelerating particles
from the particle source, which particles are accelerated and/or
reflected to a region of processing on the surface of the solid
material to influence the processing thereof. For preferred
embodiments, the particle source is the region of processing on the
surface of the solid material, the radiation ablating the surface
to create particles of ablation accelerated away from the surface,
at least some of these particles being reflected back to the region
of processing by at least one of the tip and a reflector
surrounding the tip to further process the surface. The radiation
and the reflected particles may impinge on substantially the same
point in a region of processing or they may impinge on different
points in this region to increase the area being processed.
[0008] At the end of at least some radiation pulses, some particles
of ablation may adhere to the tip or other surfaces adjacent the
area of processing, and these adhered particles may serve as an
additional particle source for a subsequent radiation pulse, the
adhered particles being ablated by such radiation pulse so as to be
accelerated toward the region of processing. For some embodiments,
the tip has an end facet shape to function as a reflector for the
particles. At least a portion of the tip may also be ablated by the
radiation, the ablated portion of the tip being a source of
particles for delivery to the region of processing. A unit may also
be positioned between the tip and the region of processing which
unit is ablated by radiation applied thereto to produce particles
of ablation directed to the region of processing. A mechanism may
be provided for advancing the portion of the unit between the tip
and the region of processing as the unit is ablated. For preferred
embodiments, the source of pulsed radiation is a pulsed laser.
[0009] The particles from the particle source are of a hardness
which is at least close to that of the material in the region of
processing and is preferably of a greater hardness. For preferred
embodiments, the source of pulsed radiation is a pulsed laser.
[0010] A mechanism may also be provided for facilitating the
removal of particles from an area between the tip and the area of
processing, generally between radiation pulses. This mechanism may
include a mechanism for vibrating the tip, the vibrations being
preferably synchronized with the pulsed radiation to enhance
particle delivery to the region of processing and/or the removal of
particles. The mechanism for facilitating removal may alternatively
include a mechanism for applying to the area between the tip and
the area of processing a liquid, a gas, and/or underpressure to
facilitate the removal of the particles. For certain embodiments,
such delivery mechanism operates at least primarily between pulses
from the source of pulsed radiation. Liquid and/or gas applied
between pulses may also function to cool the surface of the area of
processing. For another embodiment, air is applied before a
radiation pulse to clean at least the area of processing, followed
by a fine water spray or mist for at least cooling the region of
processing, the radiation pulse occurring during the misting. The
radiation pulse preferably lags the misting by at least a
sufficient time for a thin water coating to form on the area of
processing. The misting or a stronger water spray is applied after
the radiation pulse.
[0011] The tip, instead of being solid, may be either hollow or
liquid filled. A hollow tip may be shaped to minimize entry of
particles from the particle source therein. The tip may also have
an in facet cut at an angle to facilitate side processing of the
material.
[0012] For preferred embodiments, the radiation is at a wavelength
preferentially absorbed by the solid material. The radiation may
also have a pulse duration which is of the same order or shorter
than the thermal relaxation time of an absorbing fraction of the
solid material. The distances between the end of the tip and a
surface of the material to be processed is preferably not more than
a distance of flight of the particles during which their speed
decreases by a factor of 10.
[0013] The tip may be a dielectric waveguide with an end facet
which is one of flat, elliptical and spherical. The tip may also
include a microlens or may include some other portion focusing the
radiation at or below the surface of the region of processing. A
reflector may also be provided which surrounds the end of the tip
and is shaped to direct the particles to the region of processing
and to control the dimensions of such region.
[0014] As indicated earlier, for preferred embodiments, the solid
material is a dental material such as dental enamel, dentine, bone,
other dental tissue, filling material, cementum or stain. For such
embodiments, the source of pulsed radiation is at a wavelength
preferentially absorbed by such dental material. In particular, the
source of pulsed radiation for such embodiments is preferably a
pulsed laser. Examples of suitable pulsed lasers include Er:YAG
with a wavelength of 2.94 .mu.m, Er:YLF with a wavelength in the
2.71-2.87 .mu.m range, Er:YGG with a wavelength of 2.7-2.8 .mu.m,
CTE:YAG with a wavelength in the 2.65-2.7 .mu.m range,
Ho:KGd(WO.sub.4).sub.2 with a wavelength of 2.93 .mu.m, and
CO.sub.2 with a wavelength in the 9-11 .mu.m range.
[0015] The foregoing other objects, features and advantages will be
apparent from the following more particular description of
preferred embodiments as illustrated in the accompanying drawings,
the same reference numeral being used for common elements in the
various figures.
BRIEF DESCRIPTION OF THE DRAWINGS
[0016] FIG. 1 and FIG. 2 are schematic diagrams of an experimental
setup for the destruction of a substance using the energy of
ablation products and the results of this processing
respectively.
[0017] FIGS. 3a and 3b are semi-schematic side views of a device
for the processing of materials in accordance with the teachings of
this invention, including a particle reflector located around an
output waveguide end facet and an enlarged view of the tip of the
device, respectively.
[0018] FIG. 4 is an enlarged view of a portion of FIG. 3
illustrating a scheme of reflector operation permitting regulation
of the processing zone dimensions.
[0019] FIG. 5 illustrates the application of the output waveguide
end facet as a reflector of particles.
[0020] FIG. 6 is a schematic representation of an embodiment of the
invention utilizing a vibrator for enhanced performance.
[0021] FIG. 7a is a schematic representation of an embodiment of
this invention which includes the additional application of spray
and air-cooling systems.
[0022] FIGS. 7b and 7c are enlarged side and bottom views
respectively of the tip for the embodiment shown in FIG. 7a.
[0023] FIGS. 8a and 8b are schematic representations of two related
embodiments of the invention which include a reflector of
particles, where the output of the radiation delivery system is a
mirror.
[0024] FIGS. 9a-9c show embodiments of the inventions with a
reflector of particles, where the output of the radiation delivery
system is a microlens.
[0025] FIGS. 10-12 illustrate three further embodiments of
apparatus for use in practicing the teachings of the invention.
DETAILED DESCRIPTION
[0026] The invention generally involves the recirculation of
particles resulting from the ablation of a solid, preferably hard
material, the essence of the invention involving the following:
[0027] Under ablation, normally laser ablation, the processed
material in many cases breaks up into small-sized particles. This
is characteristic of the case where the destruction begins with the
heating of a strongly absorptive center inside the material. In
this case, the pressure of the strongly heated up center results in
the appearance of microcracks. In the paper "Human tooth in low and
high intensive light fields" Proc. SPIE, v.2623, pp. 68-81, 1996 by
G. Altshuler, this mechanism for the destruction of enamel or
dentin under the influence of Er:YAG laser radiation is described.
The cracking of enamel or dentin occurs as a result of the
overheating of water inside the enamel's micropores or dentinal
tubules. The products of ablation (particles) can be ejected from a
zone of destruction with very high speed. For example, during the
destruction of enamel by submillisecond pulses of Er:YAG laser,
speeds for ablation products of 300 m/s, with sizes for particles
of hydroxilapatite reaching 200 .mu.m, have been measured. The most
probable particle size is approximately 20 .mu.m. The kinetic
energy of such particles can be 0.5 mJ, which is enough for the
destruction of enamel and dentin under collision.
[0028] During a laser pulse, the particles of processed material
(for example enamel or dentin) being moved or deposited at an end
facet of the waveguide can be ablated and accelerated by the same
pulse. The particles of enamel and dentin at the moment of contact
with the end facet of the waveguide can, due to strong absorption
of light, blow up near the surface of the waveguide causing damage
to the waveguide which results in the emission of fast particles of
waveguide material. These secondary particles are accelerated by
the laser radiation to increase the volume of material in collision
with the processed material.
[0029] When the laser pulse is terminated, the particles of
processed material (for example, enamel or dentin), can deposit on
the surface of a dielectric, for example, the end facet of the
waveguide. Therefore the next pulse can ablate and accelerate these
particles. As a result of ablation, they move towards a processing
zone of the material into collision with a surface of the processed
material, resulting in additional destruction. These deposited
particles can also cause the micro destruction of the surface of
the dielectric (waveguide) and the particles of this dielectric
destruction can be accelerated by the laser radiation in the
direction of the processed material surface, causing additional
destruction thereof. A unit of suitable material may also be
mounted between the waveguide/tip of the processing zone and may be
ablated by the laser to serve as an additional source of particles
for destruction of the processed material surface.
[0030] Thus, the recirculation of the particles described above
results in increased efficiency of processing, and this effect can
be used for laser processing of dielectric crystals, polymers,
polycrystalline materials, ceramics, composite materials and other
hard materials. While the invention disclosed herein is used mainly
for hard dental tissues or other dental materials, the invention is
not limited in any way to this application and may be used for the
materials indicated above and others.
[0031] A schematic diagram of an experiment carried out to confirm
the effects of the recirculation of particles is shown in FIG. 1.
The beam 1 of Er:YAG laser radiation with a pulse energy of 0.3 mJ,
pulse of duration 0.3. ms, and beam diameter of 0.6 mm ablated the
enamel 2 of a human tooth. The products of ablation 3
(hydroxilapatite particles) hit the surface of a sapphire plate 4
positioned at an angle to the surface of enamel 2. The
hydroxilapatite particles 3, having a lower hardness than sapphire,
were reflected from the surface of plate 4 back to the surface of
enamel 2, but in a zone 6 displaced from laser crater 5. As a
result, there were two craters on the surface of enamel 2; laser
crater 5 and crater 6 formed by the flow of fast enamel particles 3
reflected by sapphire plate reflector 4 (also see FIG. 2). The
volume of crater 6 formed by the particles 3 is approximately the
same as that of laser crater 5. Thus, particularly if there is
overlapping of the craters, the efficiency of laser processing can
be increased by at least a factor of two.
[0032] The layout of an embodiment of the invention for material
processing based on the effect of recirculation of particles is
shown in FIGS. 3a and 3b. The device consists of a laser 7, a
radiation delivery system shown as a light-guide 8 (for example, an
optical fiber, hollow fiber, etc.), joined with an optical tip,
shown as an output unit having a waveguide 9. A reflector 10 is
located around waveguide 9. The output unit can be replaceable and
easily disconnected from housing 11 by screw, bayonet or other
conventional means. Waveguide 9 is made of a transparent material
with a hardness which is preferably more than, but at least close
to, the hardness of particles of the processed material, for
example sapphire, quartz, glass, optical ceramics, and has a
focusing or collimating surface on its leading edge. If reflector
10 returns particles to a processing zone of material 12, they
destroy the material and produce new particles which are redirected
to the processing zone by the reflector. Thus, this process of
circulation of particles can repeat many times, increasing the
efficiency of the process. Therefore, the effect is a recirculation
of particles. Reflector 10 is made of a hard material providing
elastic reflection of the particles, for example diamond, sapphire,
metal, ceramics, metaloceramics. To increase the life-time of
waveguide 9 and reflector 10, their surfaces facing processed
material 12 can be covered with a film of a hard material, for
example diamond, sapphire etc. In this case, the hardness of
waveguide material 9 and reflector 10 can be lower than the
hardness of processed material 12.
[0033] The form of the reflector and its orientation are selected
to direct the flow of particles to a selected zone on a surface of
the processed material. For example, the reflector surface can have
the form of a hemisphere with a center concurrent with a focal
point of radiation beam 1 and located inside the material near the
processed surface thereof. In this case, ejected particles 13 are
reflected back, mainly to the zone of laser ablation. If the center
of the reflector orb 10 is displaced above the surface of processed
material 12, the reflected particles 14 will hit on a surface of
the processed zone mainly around the zone of laser effect. In this
case, the transversal size of the processed zone will be enlarged
(FIG. 4) (i.e., the damage zone for reflected particles will be
around that for laser effect resulting in an enlarged cavity). By
changing the form of the reflecting surface (plane, ellipse,
hyperboloid, cone, cylinder, etc.) and the layout of the reflector,
it is possible to control the dimensions of the processed zone. The
reflection of particles is subject to the geometrical optics law;
therefore the calculation for the optimization of the reflector is
similar to that for the design of an optical system. It should also
be noted that the beam and the reflector can have an axis of a
symmetry (round beam) or a plane of symmetry (knife cut).
[0034] An embodiment where the surface of the waveguide 9 functions
as a reflector is shown in FIG. 5. In this case, the surface may be
plane (FIG. 5a), spherical (FIG. 5b), conic, cylindrical, etc.
[0035] An embodiment where the reflector 10 and the waveguide 9 are
attached to a vibrator 15 is shown in FIG. 6. The vibrator provides
movement in a direction either perpendicular or parallel to the
surface of the processed material. It may also provide turning
around an axis laying in a plane parallel to the plane of the
processed surface as well movements in this plane. The availability
of these movements and turns allows the products of ablation to
escape and thus not to be stored in the zone between the waveguide
and reflector surfaces and the surface of material 12. If these
particles cannot escape, they hinder the reflection of particles.
The effect of particle removal can be enhanced if the movement of
the tip is synchronized with the laser pulses so that the tip is
moving towards the surface of the processed material during the
ablation. Then the reflection of ablation products from the surface
of the reflector increases their speed. The connection 16 provides
air-tightness of the tip.
[0036] An embodiment where liquid or gas for cooling of processed
material is supplied through channels 17, 18 to the zone of
processing is shown in FIG. 7. The feeding of liquid or gas can
take place between laser pulses so the speed of particles will not
be reduced. The liquid and/or gas can also clean and protect the
surface of the reflector and waveguide against the adhesion of
particles. Underpressure/vacuum for the removal of the products of
ablation may be supplied between pulses on the same channels. If
underpressure is used, the channels are preferably designed so that
either particles are not drawn therein, or if drawn therein, are
returned. The underpressure also allows an increase in the speed of
the recirculating particles because of decreased air resistance.
Channels 17 and 18 can be closely located to the treatment area so
a dispersion of particles of liquid will be produced, providing
uniform fluid deposition on a cooled surface, and also to achieving
a spray-effect (evaporation of small-size drops). To provide for
the removal of liquid and products of ablation, small slits 19 can
be made in the reflector. The removal of excess particles between
pulses improves laser efficiency by as much as a factor of three.
Channels 17 and 18 may have a spiral structure to provide more
effective cooling of waveguide 9 and reflector 10. Gas or liquid
can also enter in the space between lightguide 8 and waveguide 9 to
cool their end facets.
[0037] For another embodiment, air is initially applied through a
channel, for example channel 17, to clean the area of processing,
the tip, the reflector, and/or the space between the tip and area
of processing. A fine water spray or mist is then applied through
the other channel, the laser/radiation source being fired during
such misting. The misting cools the area of processing and lasts
for a sufficient time before the radiation source is fired to
provide a thin (for example one to 100 micron, preferably 10
micron) water coating on the area of processing, this water coating
being ablated by the radiation to create a shock wave which can
create microcracks in the material in the region of processing,
facilitating the generation of the particles. The water mist is not
heavy enough to interfere with the movement of particles of
ablation. After the radiation pulse, either the water mist or a
stronger water spray continues to be applied for a short period to
cool and clean the area of processing. This sequence of operation
may be repeated at the repetition rate of the radiation source, for
example one Hz to fifty Hz. While the three step processed
indicated above (i.e., air before the radiation pulse, misting
before and during the pulse and mist/spray after pulse) are
preferably employed together, one or more of these steps may be
employed independently for selected embodiments. It is also
possible for the water spray to be continuous, preferably with
varying intensity, air for example being applied to the area of
processing through the water mist.
[0038] FIG. 8a is a schematic diagram of an optical tip with a
waveguide output unit for an alternative embodiment. For this
embodiment, waveguide 22 can be hollow or filled with liquid. In
both cases, the waveguide 22 represents a cylindrical viahole (it
can be a circular or elliptical cylinder). The lateral surface of
the hole is polished to mirror quality or can be coated with a
high-reflecting coating at the laser radiation wavelength.
Radiation 21 from lightguide 8 of the radiation delivery system is
directed to waveguide 22 by, for example, mirror 23. In order to
prevent contamination of the walls of waveguide 22, liquid or gas
can be passed through a hole as discussed above. The waveguide can
be conic (FIG. 8b) where the concentration of radiation provided by
the unit 23 (mirror or lens) takes place on a small square of the
processed material (i.e., there is a small spot size). The conic
form of the waveguide is adjusted to the shape of the radiation
beam extending from mirror 23 to material 12, and the small size of
the hole in the surface of reflector 10 limits the undesirable
penetration of ablation products to mirror 23, and at the same time
provides the desirable large reflecting surface.
[0039] The layout of a tip with a microlens 24 as an output unit
for concentration of radiation on the surface of the processed
material is shown in FIG. 9. This microlens may be an orb (FIG.
9a), hemisphere (FIG. 9c) or meniscus (FIG. 9b) and may be formed
from sapphire or other suitable material. The use of the microlens
with plane, convex or concave surface faced to the surface of the
processed material increases the concentration of particles
reflected from the surface of the microlens. In order to reduce the
effect of ablation particle adhesion to the surfaces of waveguide
9, microlens 24 and reflector 10, these surfaces can be coated with
a material providing minimum adhesion with respect to the material
of the ablation particles.
[0040] As mentioned above, the effect of particle recirculation
consists of three parts: the first one is the reflection of
ablation products back to the crater being formed in the processed
material; the second is the acceleration of particles deposited on
the end facet surface of waveguide 9 or lens 24 and on reflector 10
into the crater; and third is the acceleration of particles of
material resulting from the ablation or destruction of surfaces of
the waveguide 9, lens 24 or reflector 10 by laser radiation to the
laser crater.
[0041] In all the versions of the devices shown in FIG. 3-9, and in
particular FIG. 5, two of these parts may play an essential role.
In these devices, the reflector 10 and end facet of the waveguide 9
or lens 24 function as a repository for particles which have left
the laser crater, but which on reaching the waveguide, reflector or
lens do not have sufficient energy to be reflected, and therefore
adhere to the surface. The construction of a tip in which particles
of ablated material can deposit on the surfaces of waveguide 9 and
reflector 10 is shown in FIG. 10. These surfaces thus
simultaneously serve as a repository of the particles. Such
adhesion often occurs at the end of a pulse when energy is
reduced.
[0042] Laser radiation passing through the surface of waveguide 9,
for example from the next pulse, and being reflected from the
surface of the reflector 10, ablates the deposited particles of
processed material, creating pressure which initiates particle
movement towards the surface of processed material 12 where the
particles cause additional destruction.
[0043] An embodiment where a third mechanism for producing
recirculating particles is used is shown in FIG. 11. Radiation from
light-guide 8 hits on a floppy film, fiber or other unit 25 of a
composite material formed at least in part of a hard material such
as sapphire particles. Unit 25 can be an optical fiber made of a
material which is partially or completely absorbed by the laser
radiation, for example quartz, glass or sapphire, or a film coating
of the same material. The width of unit 25 can be less than that of
the radiation so that, even if the unit is fully absorptive,
radiation reaches the area of processing. Thus, radiation may reach
the area of processing for this embodiment through a unit which is
at least partially transparent and/or around the unit. The
light-guide 8 and floppy unit 25 are fixed in a housing 26 which
can function as a reflector. During each laser pulse, partial
ablation of the material of the unit 25 from its surface facing the
processed material 12 takes place, this ablation accelerating the
particles toward material 12. Unit 25 should include a material
having a hardness which is at least close to and preferable more
than the hardness of the processed material. Ablation of the
material of unit 25 takes place because of absorption of laser
radiation by its surface and/or due to absorption of radiation by
the products of ablation of the processed material which are
deposited on the surface of this unit. The particles of material
from unit 25 cause additional removal of processed material 12.
Since unit 25 can be damaged during each pulse, a system 27 is
provided for continuous or discrete moving of unit 25 between
pulses. System 27 can, for example, be represented by a motor
having an axis or shaft on which unit 25 can be reeled. If unit 25
is formed as a cylindrical waveguide, it can also focus laser
radiation on the surface of the processed material.
[0044] An embodiment having an output unit with a tip providing
side processing of the material is shown in FIG. 12. In dentistry,
such kind of treatment is necessary, for example, for the
processing of a tooth before crown making. In this case, waveguide
9 is made with an edge cut angle "a" of
20.degree.<a<60.degree.. The waveguide is placed in reflector
10 with the reflecting surface parallel to the surface of processed
material 12. In this case, low energy particles can adhere to a
lateral area of waveguide 9 faced to the surface of material 12,
and can be accelerated to the surface of material 12 by the next
laser pulse in the manner previously described.
[0045] All the tips for the embodiments described above, when used
in dentistry or certain other applications, can be made as one-time
appliances, limited use appliances or extended use appliances, a
softer tip being used for a one-time tip, and the hardness of the
tip increasing as the projected use for the tip increases. In
particular, in addition to obtaining particles from the processed
material and/or from a unit 25 as shown in FIG. 11, particles may
also be obtained from the tip. This can happen in a number of ways.
First, as indicated earlier, low energy particles may adhere to the
tip, particularly near the end of a light pulse Such particles may
then be ablated and/or accelerated by the next laser/radiation
pulse and can cause part of the tip to be removed with them when
ablated. Alternatively, particularly if a softer tip is used, high
energy particles and ablating on the tip may cause particles to
break off from the tip, which particles can be accelerated to the
surface of processed material 12. Similarly, reflector 10 may also
be formed of a materials of varying hardness depending on the
extent of use desired for the reflector. The reflector may also
serve as a source of particles based on mechanisms similar to those
discussed above with respect to the tip. Finally, depending on the
material of the tip 9, the radiation passing through the tip may
cause some ablation thereof resulting in additional particle
production.
[0046] In order to realize the recirculation of particles, the
radiation wavelength, pulse duration and energy density should be
set within defined ranges. The wavelength should be within the
range of maximum absorption of the processed material or a selected
portion thereof. The pulse duration should be of the same order or
shorter than the time of thermal relaxation of the absorbing
fraction or layer of the processed material with a thickness which
is approximately the depth of light penetration in the material.
The density of pulse energy should be sufficient for destruction of
the material by microexplosions. The indicated parameters can be
found for each processed material. Considering enamel, dentin and
bone tissues, the wavelength of radiation should correspond to
wavelengths strongly absorbed by the main components of hard
tissues: water, hydroxilapatite and/or proteins. The range of
wavelengths should be 1.9-2.1 .mu.m (water), 2.65-3.5 .mu.m (water,
hydroxilapatite, proteins), 5.6-7.5 .mu.m (proteins), 8.5-11 .mu.m
(water, hydroxilapatite). Therefore, for example, holmium, erbium,
CO and CO.sub.2 lasers can be used. The duration of pulses depends
on the dimensions of the absorbing components--drops of water
0.01-10 .mu.m, or water inside the dentinal tubules 1-10 .mu.m,
enamel prisms, interprismatic spaces 1-20 .mu.m, collagen clusters
0.1-10 .mu.m, and is normally within a 0.0001-1000 .mu.s range. The
preferable range is 1-500 .mu.s. Experiments show that the energy
density should be within the 0.5-500 J/cm.sup.2 range (5-150
J/cm.sup.2 range is preferable). An important parameter of the
invention is the distance S between the processed surface and the
surface of the waveguide 9. This distance should not be more than
the length of particle flight during which the speed of the
particle decreases by more than a factor of ten. The decrease of
speed takes place due to friction of the particles moving in air;
this decrease in particle speed can be reduced by providing reduced
pressure or vacuum condition in the space between the
reflector/waveguide and the processed material. The distance S can
be determined according to the formula
S=V.sub.0/2.gamma.(1-e.sup.-.gamma.), where
.gamma.=18.eta./.rho.d.sup.2, .eta.=viscosity of air, .rho.=density
of particle material, d=particle diameter, V.sub.0=initial speed of
particles. Applying the formula for hard tissues, S should be
within the 0-10 mm range. The preferable range is 0.1 mm.
[0047] Where the invention is being utilized for the removal of
hard dental tissues (for example, enamel, dentin, cement, and also
tooth stains and filing materials (including composites), laser 7
can be a laser generating radiation in the spectral range 2.69-3
.mu.m. In particular, it may be an Er:YAG laser or a laser based on
Er:YSGG, Er:YLF, Er:YAP, Er:Cr:YAG or an ions Ho:KGd
(W0.sub.4).sub.2. CO.sub.2 laser. The radiation from the laser can
be delivered to the tip via a solid waveguide, hollow waveguide
with a solid tip or via an optical system. The laser may be placed
directly inside a tip; the pumping radiation in this case can be
the radiation of another laser, for example a diode laser or
solid-state laser transmitted through the waveguide. The laser can
also be made as a waveguide with a core doped by the ions, for
example, of erbium. Optical radiation sources other than lasers,
for example flash lamps/arc lamps, may also be utilized in
practicing the teachings of this invention in appropriate
applications, particularly non-dental applications.
[0048] While the invention has been described above primarily with
respect to embodiments for performing drilling or other processing
on dental tissue and/or other dental materials, the invention is in
no way limited to such applications and may, for example, be used
in various orthopedic applications for drilling or otherwise
processing bone or other hard tissue or may be used in a wide
variety of applications where solid, generally hard material such
as metals, ceramic, glass, crystals, various composites certain
plastics and the like are to be drilled or otherwise processed.
Further, while the invention has been discussed with respect to a
number of preferred embodiments, and variations on the embodiments
have also been discussed, it is to be understood that these
embodiments are for purposes of illustration only and that the
invention is to include the foregoing and other changes in form and
detail which might be apparent to one skilled in the art and is to
be limited only by the following claims.
* * * * *