U.S. patent application number 12/798842 was filed with the patent office on 2010-08-05 for dental training device.
Invention is credited to Amy H. Lee, Charles Q. Lee, Jeffrey Scott.
Application Number | 20100196864 12/798842 |
Document ID | / |
Family ID | 46326190 |
Filed Date | 2010-08-05 |
United States Patent
Application |
20100196864 |
Kind Code |
A1 |
Lee; Charles Q. ; et
al. |
August 5, 2010 |
Dental training device
Abstract
A dental training aid and method which assists a student in
learning how to determine the position of a root canal apex, repair
of dental decay, and how to perform crown and bridge procedures. In
certain embodiments, modular inserts are utilized that include
structure thereon for performing root canal procedures, repair of
dental decay procedures, crown and bridge procedures or other
procedures. The inserts can be assembled and configured to all
provide practice on the same procedure or on different procedures
and can be exchanged for other inserts once they are no longer
reusable or because the user wants to train on a different
procedure.
Inventors: |
Lee; Charles Q.; (Lenexa,
KS) ; Lee; Amy H.; (Lenexa, KS) ; Scott;
Jeffrey; (Shawnee Mission, KS) |
Correspondence
Address: |
John C. McMahon
PO Box 30069
Kansas City
MO
64112
US
|
Family ID: |
46326190 |
Appl. No.: |
12/798842 |
Filed: |
April 13, 2010 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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11541365 |
Sep 29, 2006 |
7713063 |
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12798842 |
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11297248 |
Dec 9, 2005 |
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11541365 |
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10767793 |
Jan 29, 2004 |
6988894 |
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11297248 |
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10024683 |
Dec 18, 2001 |
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10767793 |
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09848739 |
May 3, 2001 |
6520775 |
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10024683 |
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Current U.S.
Class: |
434/264 |
Current CPC
Class: |
A61C 19/042 20130101;
G09B 23/283 20130101; G09B 23/28 20130101 |
Class at
Publication: |
434/264 |
International
Class: |
G09B 23/30 20060101
G09B023/30 |
Claims
1. A human jaw manikin for practicing dental procedures, said jaw
comprising: a) a first tray including: i) a planar base portion
having an insert-engaging surface; and ii) an upwardly extending
wall portion joined to said base portion and surrounding said
insert-engaging surface; b) said first tray sized and shaped to
receive at least one gum insert.
2. The manikin of claim 1, further comprising: a) a second tray
including: i) a planar base portion having an insert-engaging
surface; and ii) an downwardly extending wall portion joined to
said base portion and surrounding said insert-engaging surface; b)
said second tray sized and shaped to receive at least one gum
insert.
3. The manikin of claim 2, further comprising: a) a first gum
insert sized and shaped to releasably secure to said first tray;
and b) a second gum insert sized and shaped to releasably secure to
said second tray.
4. The manikin of claim 1, wherein: a) said first tray is sized,
shaped and arranged to simulate a mandible; and b) said second tray
sized, shaped and arranged to simulate a maxilla.
5. The manikin of claim 1, wherein: a) said first and second trays
each includes a rear portion; said manikin further including: b) a
hinge configured and arranged to articulatingly connect the rear
portion of said first and second trays.
6. The manikin of claim 5, further comprising: a) support frame
including said hinge.
7. The manikin of claim 5, wherein: a) said hinge includes a
spring.
8. The manikin of claim 1, further comprising: a) a gum insert
having at least two sockets sized and shaped to releasably receive
a tooth unit.
9. The manikin of claim 8, wherein: a) said gum insert includes at
least two gum inserts.
10. The manikin of claim 8, wherein: a) said insert-engaging
surface being associated with at least one of a magnet and a
magnet-attracting plate for releasably securing a gum insert to
said insert-engaging surface.
11. The manikin of claim 8, further comprising: a) said
insert-engaging surface comprising a magnet-attracting plate for
releasably securing a gum insert having a magnet associated with a
tray-engaging surface of said gum insert.
12. The manikin of claim 1, further comprising: a) said
insert-engaging surface including a first magnet for releasably
securing a gum insert having a second magnet associated with a
tray-engaging surface of said gum insert; said first and second
magnets being configured and arranged to attract each other.
13. The manikin of claim 1, further comprising: a) a screw for
releasably securing a gum insert to said planar base.
14. A dental manikin for simulating the human mouth during dental
procedure training, the manikin comprising: a) an articulating
support having an upper portion and a lower portion; b) a simulated
maxilla attached to said upper portion and including an upper tray
and an upper gum insert interchangeably attached to an
insert-engaging surface of said upper tray; said upper gum insert
having at least two tooth-receiving sockets; c) a simulated
mandible attached to said lower portion and including a lower tray
and a lower gum insert interchangeably attached to an
insert-engaging surface of said lower tray; said lower gum insert
having at least two tooth-receiving sockets; d) a plurality of
teeth received in the teeth-receiving sockets.
15. The dental manikin according to claim 14 wherein: a) at least
one of the teeth is removable from a socket associated therewith
and said teeth are selected from the group consisting of simulated
human teeth and extracted human teeth.
16. The dental manikin according to claim 14 wherein: a) said
articulating support includes a hinge.
17. The dental manikin according to claim 16 wherein: a) said hinge
is spring-loaded.
18. The manikin of claim 14, further comprising: a) at least two
securing subassemblies for securing said gum inserts to said trays,
said securing subassemblies selected from the group consisting of a
magnet and a plate attracted to said magnet, a pair of magnets, and
a screw.
Description
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] The present application is a divisional of prior U.S.
application Ser. No. 11/541,365, filed Sep. 29, 2006 which was a
continuation-in-part of prior U.S. application Ser. No. 11/297,248,
filed Dec. 9, 2005, now abandoned which was a continuation-in-part
of U.S. application Ser. No. 10,767,793 filed Jan. 29, 2004,
entitled DENTAL TRAINING DEVICE, now U.S. Pat. No. 6,988,894 which
was a continuation-in-part of prior application Ser. No. 10/024,683
filed Dec. 18, 2001 and entitled DENTAL TRAINING DEVICE, now
abandoned, which was a continuation-in-part of prior application
Ser. No. 09/848,739 filed May 3, 2001 and entitled DENTAL TRAINING
DEVICE, now U.S. Pat. No. 6,520,775, all of which are incorporated
by reference herein.
BACKGROUND OF THE INVENTION
[0002] The present invention related to dental equipment, and more
particularly, to teaching tools for the use of endodontic apical
location equipment.
[0003] During certain dental procedures, the pulp of the tooth must
be removed and other procedures must be performed on the root
canal. Persons training to become dentists must learn how to
properly remove such pulp and perform the other necessary
procedures. Precise location of the root apex is vitally important
for the correct endodontic treatment of a tooth. Pulp tissue is
richly vascularized and innervated and is contained in the pulp
cavity inside the tooth including in the pulp chamber and in pulp
canals in tooth roots. The pulp canals are often referred to as
root canals. If the endodontic procedure of extracting and cleaning
the pulp tissue from a root pulp canal is performed at a length
short of the apex, pulp tissue may remain in the canal. Failure to
remove all pulp tissue may lead to infection and pain for the
patient and necessitate additional surgery. If the endodontic
procedure is performed beyond the length of the root apex, the
reamer may penetrate into the periodontal ligament leading to pain
and extreme sensitivity to the patient. Therefore, current
endodontic procedures normally require the careful locating of the
root apex at the base of the pulp canal before the reamer or other
tools are used to enlarge the pulp canal.
[0004] Multiple methods are currently utilized to determine the
location of the apex during an endodontic procedure on a live
patient. One procedure is the use of x-ray radiographs of the tooth
while a metal endodontic reamer is located in the root canal. This
allows the dentist to visually compare the length of the metal
reamer to the location of the end of the root to determine the
location of the root apex. This method is often unreliable and not
cost-effective.
[0005] A second method is to use an electrically aided apical
position location. Certain electronic aids and methods of their use
include those described in U.S. Pat. No. 5,759,159 to Masreliez,
U.S. Pat. No. 5,211,556 to Kobayashi et al, and U.S. Pat. No.
6,059,569 to Otsuka, all incorporated herein by reference. These
patents describe apical position locators utilizing impedance
measurements to determine the location of the apex that use
electrical conductance. In the electrical conductance approach, an
electrically-conductive probe is inserted into the root pulp canal
and a second electrode is attached to the patient's body, such as
by hanging a hook-shaped electrode from the patient's mouth. As the
probe is inserted into the root pulp canal and advanced through the
root pulp canal to the root apex, the electrical impedance between
the probe and the electrode is continuously measured. The
electrical impedance is greater when there is little conductance
between the probe and the electrode, such as when the probe is in
the pulp canal, and lower when there is greater conductance between
the probe and the electrode, such as when the probe touches the
tissue at the bottom of the pulp canal that is much more conductive
than the pulp canal itself. Once the impedance lowers and reaches a
predetermined range or value, the location of the apex is indicated
and the depth of the probe is noted for future use with other
instruments. The electrical approach using impedance for
determining apex location is currently the preferred and standard
technique used in endodontic practice and taught in dental
schools.
[0006] Instruction in the use of electrical apical position
locators has generally required practice upon live patients in need
of endodontic treatment. Performing endodontic procedures on
healthy teeth is unethical and represents dental malpractice.
Endodontic patients are often in pain prior to seeing the dentist,
and are usually apprehensive about the endodontic procedure and
less than enthusiastic about serving as subjects in dental
instruction on the use of apical position locators. The additional
pain which may be encountered, or the mere potential for such
additional pain, results in few such patients volunteering to allow
students to perform the procedure.
[0007] The number of endodontic procedures that a dental student or
a doctoral student in general dentistry performs on live patients
is severely limited by the number of willing participants in need
of such procedures. Dental students and general dentists would
benefit from additional training and instruction in the use of
apical position locators in a realistic setting. In turn, the
endodontic patient would benefit from the additional training
received by the practitioner.
[0008] Prior to this invention, no adequate surrogate for the live
patient has been developed for instruction in the use of electrical
apical position locators. U.S. Pat. No. 5,503,562 described a
transparent endodontic inspection block which allows the dental
student to simulate the cleaning out the root pulp canal. The
student utilizing the inspection block could look through the side
of the inspection block and locate the root apex. This invention is
not designed to train apex location techniques and does not
represent realistic conditions of endodontic treatment. U.S. Pat.
No. 4,137,633, issued in 1979, disclosed a resilient mass located
at the apex of a block of transparent material to simulate the
tactile sensation of the periodontal membrane located at the apex
of a natural tooth. Thus, prior devices permitted students to
visually locate a simulated apex through the addition of a
resilient mass located at the apex. However, no known prior devices
have disclosed providing a simulation of a live tooth and human
tissue to practice using an electrical apical position locator.
[0009] Additionally, during training to do such procedures, it is
important to have the procedure simulated on an actual patient, as
much as possible, so that the student can learn how to overcome
problems of working in the patient's mouth. Therefore, it is also
desirable to provide a training device that can be utilized for at
least some of the student endodontic procedures and which simulates
a live patient, as much as possible.
[0010] In addition to the need for a training device for use in
teaching root canal procedures, it is also desirable to have such a
device that can be used to teach other types of procedures such as
how to treat dental decay and how to do crown and bridge
procedures. Because training devices may be expensive for the
student, it is preferable that the device allow the student to
practice different types of procedures which preferably require
somewhat different structure. Root canal procedures require real or
artificial teeth having a root and with structure allowing
electrical conductance. Crown and bridge work require a section of
teeth wherein one or more is missing and real or artificial teeth
can be modified to accept a bridge with a skin like structure over
the gum, as it is important for the student to correctly interface
the bridge with the skin. Dental decay procedures do not require a
root or electrical conductance, but preferably utilizes real or
artificial teeth that are mounted in such a manner so as to
simulate the interaction of the teeth with each other and with
ligament tissue that normally holds such teeth in place. Each of
these and other procedures are preferably performed on separate or
different practice units to allow the student the best range of
training.
[0011] Furthermore, it is desirable that the different sections be
modular so that a student can preform one, two or all procedures
within a single assembly. For example, when working on one
procedure, all the individual modular inserts in an assembly may be
designed for a single procedure to provide multiple locations to
practice or such can be changed to provide modular inserts for
multiple procedures for practice or testing. Because the individual
modular inserts can be easily changed, when one is used and is not
reusable, it can easily be replaced by another without requiring
that the entire assembly be discarded.
SUMMARY OF THE INVENTION
[0012] The present invention provides an improved device and method
for the training of the use of an apical position locator. The
invention uses a real or replicated tooth with a root and a root
pulp canal (often referred to as a root canal) having an apex at
the root tip. Real teeth with pulp in the root canals are available
from a supply of such teeth removed from patients for other reasons
or from cadavers. In the present invention a student practices on a
tooth set in a hard medium which mimics the electrical impedance of
human tissue so that an electronic apical locator may be used. In a
first embodiment, the tooth is mounted in a single, rigid
conductive medium which mimics the conductivity and impedance
characteristics of human tissue. An alternative embodiment uses a
first highly conductive medium wrapped around the root tip to cover
the apex of the tooth which is then surrounded by a second rigid
medium so as to set the tooth in a fixture containing the second
medium. The second medium may be less conductive and holds the
tooth suitably for manipulation training purposes.
[0013] An electronic apical position locator has one lead connected
to an endodontic probe or reamer and the other to an electrode
blade extending from the medium. When the reamer is inserted in the
root canal and extended so that the reamer tip contacts the
conductive medium at the root apex, the electronic circuit of the
apical position locator is closed, the impedance is measured and
the apex is appropriately indicated by the apical position
locator.
[0014] In another embodiment of this invention, the tooth is
mounted in a manikin jaw that simulates a working human jaw.
Preferably, the manikin jaw has sockets at various locations that
are located whereat various teeth would normally be found. Each
tooth upon which the student is to train is mounted in an
electrically conductive medium that has a lower impedance than the
training tooth root canal and which desirably has approximately the
conductance or impedance of tissue found around the natural live
root apex. A highly conductive medium is preferably placed in a
protective sleeve and a second medium or matrix is placed about the
tooth within a sleeve and then allowed to harden. The sleeve is
sized and shaped to be received in one or more of the sockets. The
sleeve may be held in place by a pin, such as a thumbscrew or
similar fastener, that also acts as an electrical conductor in
contact with the conductive material in the sleeve and in turn is
electrically connected to an electrode of an apex location
apparatus. The entire matrix may be a highly conductive medium or a
less conductive medium may be used externally relative to the
sleeve. Further, if the pin connects directly with the highly
conductive medium in the sleeve, the remainder of the matrix does
not have to be conductive.
[0015] A more detailed understanding of the invention will be
obtained from the following description of the preferred
embodiments taken in conjunction with the attached drawings.
[0016] This invention provides an actual or replicated human tooth
with an electrically equivalent replicated human tissue medium,
especially in a human form manikin, to provide a realistic
simulator for training in the use of an electrical apical position
locator. Patient volunteers do not normally clamor for
dentists-in-training to practice root canals upon them, so this
invention allows the dental student the opportunity to practice in
a realistic environment, preferably with real teeth having pulp in
the root canals thereof. The user may select a partially radiopaque
electrically conductive medium, which allows the student to also
simulate the determination of the location of the root apex through
the use of an x-ray radiograph.
[0017] In yet another modification of the invention, the training
aid is provided with modular inserts that mimic various portions of
the jaw and which can be easily exchanged with other inserts that
mimic the same portion of the jaw. In this manner, the inserts can
include one or more units for training for particular procedures
such that all of the assembled inserts may be for the same
procedure or for different procedures. Each insert can be easily
replaced by another for the same or a different procedure.
[0018] Different inserts may be advantageous for many different
procedures. For example, the inserts may be especially designed to
act as an instruction aid for root canal procedures, repair of
dental decay procedures, for crown and bridge procedures or for
other procedures. The root canal procedure inserts are preferably
of the type described above with the added feature of providing a
common electrical conductor for the entire insert support structure
so that electrical conductance will be available whether none, one
or multiple inserts are for root canal procedures. The dental decay
procedure inserts preferably include structure to allow teeth to be
mounted in a matrix that mimics the setting of live teeth relative
to ligaments that support and hold live teeth, so the student more
closely encounters the feel of working on live teeth, especially
crowding by adjacent teeth and flexing under pressure. The crown
and bridge procedure inserts preferably include an artificial skin
layer that mimics a patient's skin, so that the student gains
experience in mounting crowns and bridge relative to skin
tissue.
[0019] Certain embodiments of the invention provide a plurality of
inserts that are removably secured to a receiving tray by screws,
magnets or the like in an abutting manner so as to simulate a gum
line of a human mouth while providing at least one actual or
replicated tooth upon which a practitioner can perform a dental
procedure.
OBJECTS AND ADVANTAGES OF THE INVENTION
[0020] Therefore, the objects of the present invention are: to
provide a training aid for dental students comprising a holder or
fixture for holding a tooth in a solid medium or material that is
at least in part approximately as electrically conductive as
non-boney tissue found in humans that surrounds teeth so as to
simulate the electrical conductivity or impedance found in such
tissue and thereby allowing a student to perform practice root
canal procedures, including practice with an electrical apical
position locator, without need for living patients; to provide such
a training aid wherein the fixture is an independent container
partially filled with solid electrically conductive medium or
material that simulates the electrical conductivity or impedance of
human tissue surrounding teeth; to provide an alternative
embodiment of such a training aid wherein the fixture includes a
socket in a manikin that simulates a human jaw structure; to
provide such a training aid wherein the sleeve is sized and shaped
to fit in such a manikin socket to allow easy removal and cleaning
after the training session is complete; to provide an alternative
manikin training aid wherein teeth with a highly conductive media
about the root tips thereof are molded directly into the manikin;
to provide such a training aid wherein a thumbscrew is used as a
pin to secure such a sleeve in a socket and wherein the thumbscrew
also functions as an electrode for the apical position locator; to
provide such a training aid that includes a set of modular training
inserts wherein such inserts can be exchanged for similar or
different inserts to form a training assembly; to provide such a
training aid that provides such inserts wherein each insert is
especially adapted to particular procedures, such as treatment of
dental decay procedures, root canal procedures and crown and bridge
procedures; to provide such training aid wherein all of the inserts
in a final assembly may be selected for training on the same
procedure or for different procedures to meet the needs of the
student using the training aid; to provide a method of training
aspiring dentists in endodontic procedures using the aforementioned
training aids such that the students become skilled without having
to practice on live patients; to provide such a training aid having
inserts removably securable to a receiving tray and abutting one
another so as to form a gum line of a simulated patient; and to
provide such training aids that are easy to use, comparatively
inexpensive to make and especially well suited for the intended
purpose thereof.
[0021] Other objects and advantages of this invention will become
apparent from the following description taken in conjunction with
the accompanying drawings wherein are set forth, by way of
illustration and example, certain embodiments of this
invention.
[0022] The drawings constitute a part of this specification and
include exemplary embodiments of the present invention and
illustrate various objects and features thereof.
BRIEF DESCRIPTION OF THE DRAWINGS
[0023] FIG. 1 is a cross-sectional view of a training aid in
accordance with the present invention.
[0024] FIG. 2 is a cross-sectional view of a first alternative
training aid.
[0025] FIG. 3 is a cross-sectional view of the first alternative
embodiment of the training aid shown in connection with an
electronic apex locator.
[0026] FIG. 4 is a perspective view of a second alternative
training aid in accordance with the present invention, illustrating
a training procedure being performed and with portions broken away
to show internal detail thereof.
[0027] FIG. 5 is an enlarged cross-sectional view of a sleeve,
tooth and highly conductive medium during a first step in assembly
of the second alternative training aid.
[0028] FIG. 6 is an enlarged cross-sectional view showing a second
step subsequent to the first step shown in FIG. 5 in the assembly
of the second alternative training aid.
[0029] FIG. 7 is an enlarged cross-sectional view of the second
alternative training aid showing a third step in assembly
thereof.
[0030] FIG. 8 is an enlarged cross-sectional view of the second
alternative training aid fully assembled and shown in a fragmentary
manikin as shown in FIG. 4.
[0031] FIG. 9 is an exploded perspective view of a third modified
training aid according to the present invention having a plurality
of modular inserts wherein each insert is utilized for training a
student with respect to a different dental procedure.
[0032] FIG. 10 is a perspective view of the third modified training
aid with inserts assembled.
[0033] FIG. 11 is a perspective view of the third modified training
aid showing the assemblage being prepared for and during specific
dental training procedures.
[0034] FIG. 12 is a fragmentary cross-sectional view of the third
modified training aid, taken along line 12-12 of FIG. 10.
[0035] FIG. 13 is a fragmentary cross-sectional view of the third
modified training aid, taken along line 13-13 of FIG. 10.
[0036] FIG. 14 is a plan view of a jaw dental training aid with
retainer mechanism.
[0037] FIG. 15 is an elevational view of the training aid shown in
FIG. 14.
[0038] FIG. 16 is a fragmentary, exploded and perspective view of a
fourth modified training aid in accordance with the present
invention.
[0039] FIG. 17 is a fragmentary side elevational view of the fourth
modified training aid with portions broken away to show detail
thereof.
[0040] FIG. 18 is a fragmentary, exploded and perspective view of a
fifth modified training aid and in accordance with the present
invention.
[0041] FIG. 19 is a fragmentary side elevational view of the fifth
modified training aid with portions broken away to show detail
thereof.
DESCRIPTION OF THE PREFERRED AND ALTERNATE EMBODIMENTS
[0042] As required, detailed embodiments of the present invention
are disclosed herein; however, it is to be understood that the
disclosed embodiments are merely exemplary of the invention, which
may be embodied in various forms. Therefore, specific structural
and functional details disclosed herein are not to be interpreted
as limiting, but merely as a basis for the claims and as a
representative basis for teaching one skilled in the art to
variously employ the present invention in virtually any
appropriately detailed structure.
First and Second Embodiments
[0043] Referring to FIG. 1, the reference numeral 1 generally
indicates a training device according to the present invention
which is useful to create an effective simulation of a tooth in a
patient, so that a student may practice using an electronic apical
position locator. The training device 1 consists of a tooth 2 which
may be an extracted human tooth or a replica, which is set in a
fixture 3 and connected to an apical position locator 4, FIG. 3, as
hereinafter described. In more detail, an illustrated exemplary
tooth 2 is a pre-molar with two roots 10, each with a root canal 11
ending at an apex 12 near the tip 13 of each root. Other tooth
forms are equally suitable. In a live tooth, the root canal 11 is
filled with nerve pulp tissue. Also, a live tooth is set into a
periodontal ligament which surrounds the root 10 and acts as a
barrier between the tooth root and the bone that holds the tooth.
In a patient the periodontal ligament or tissue around the tooth is
moist and electrically more conductive than the tooth, thereby
enabling the use of an electronic apical position locator 4 which
relies on the measurement of impedance to determine when the more
conductive tissue is encountered and therefore when the apex is
reached. When the measuring probe electrode approaches the apex,
the magnitude of impedance or the phase angle of the impedance
between the measuring probe and oral probe electrode starts to
change. The detector identifies the apex when the designated range
or the frequency of impedance is reached.
[0044] In the illustrated example, the tooth 2 is a "dead" tooth
which has been extracted from a patient or cadaver and is not
supported by a living periodontal ligament or other live conductive
materials. As shown in FIG. 1, the tooth 2 is set in a container or
fixture 3 which is selected for ease of manipulation by a student.
Preferably, a single setting material 15 is selected which provides
sufficient rigidity to support the tooth 2 during handling and
during the practice of root canal procedures. Ideally, the selected
material 15 should also replicate the range of impedance of live
human tissue in order to provide an impedance in the range of the
apex locator setting. Since there are many different types of apex
locators on the market, a single conductive material having an
impedance not in the range of live human tissue can also be used
for some apex locators of simple design and it is foreseen that a
conductive material could be selected for a specific locator.
Generally, the selected material 15 should replicate the
conductivity of live human tissue in order to provide an impedance
generally matched to the impedance of live tissue. Because an
electric apex locator of advanced design contains circuitry and
components to measure the impedance of human tissue and then
compare the impedance value to the impedance values obtained by a
measuring electrode inserted into the root canal, a closer match of
impedance between the material 15 and the circuit of the apical
locator 4 in the locating of apex is normally preferred. A suitable
range for the volume resistivity of the medium 15, 20 and 22
supporting the tooth 2 in the fixture 3 is in the range from
10.sup.15 to 10.sup.-3 ohm/cm.
[0045] To obtain a suitable support medium, conductive material is
mixed with different binders. Such a binder can be plastic resin,
polymer resin, plaster, stone, clay etc. Various types and
concentrations of conductive materials in the binder have been
conceived and include carbon, carbon fiber, graphite, silver
powder, metal or metal coated fiber or powder or flakes, silicon,
silicon dioxide, germanium, selenium, conductive polymer and others
in slight to significant concentrations. If a radiopaque support
medium can be tolerated, then a high metallic content or radiopaque
chemical such as barium sulfate or stainless steel fibers or powder
are usable with a binder. If radio transparency is needed, then
metallic content is limited and carbon or other non radiopaque
materials are increased to a proportion balancing strength,
conductivity and human tissue impedance. The attribute of impedance
matching is intended to bring impedance values into a range sensed
by the circuit of the electronic apex locator.
[0046] A second embodiment of the present invention is shown in
FIGS. 2 and 3 and uses two conductive medium components. The second
embodiment is essentially the same as the first embodiment
described above except for a modification to the medium supporting
the tooth and is thus numbered the same except for this medium. In
particular, in the second embodiment, a first conductive medium 20
is applied to the root tip 13 to cover the apex 12, generally in a
ball about the root tip 13. When applying the first conductive
medium 20 to the root tip 13, care is exercised so as not to pack
the medium 20 into the canal 11, but to merely cover the apex 12 as
it intersects with the root 10. The preferred material of the first
conductive medium 20 is a water based or a highly conductive
material. The first conductive material or medium 20 can be a
mixture of water, alginate, agar, gum, clay or a highly
concentrated carbon or metal powder that is a very good electrical
conductor in plastics, especially acrylics, or a mixture with a
calcium or sodium inorganic salt, such as calcium sulfate.
[0047] The tooth with its root tip coated with the first conductive
medium is placed in a second conductive medium 22 which fills the
fixture 3 and which is initially soft or even liquid. The second
conductive medium 22 is preferably then set or hardened to form a
solid support for the tooth 2. Settling can be accomplished by
allowing the medium to dry, where appropriate, allowing it to
chemically set such as an epoxy or acrylic, heat setting the medium
22, where it is capable of being heat set, or the like. The second
medium 22 is preferably mixed with a conductive element as
mentioned before, typically a resin type material, so that it can
hold the tooth 2 in place for handling and practicing root canal
procedures, after being hardened or set.
[0048] The first conductive medium 20 and the second conductive
medium 22 may possess radiopaque material, if training utilizes
radiographs to simulate use in a real patient. Such radiopaque
material may include material such as metal fibers, metal-coated
fibers, carbonaceous material, metallized glass or barium sulfate,
as a substantial component of the medium 22 in sufficient amount to
produce radiopaqueness. The first conductive medium 20 and the
second conductive medium 22 may possess materials of differing
radiopacity to simulate the different radiopacity of the
periodontal ligament and the bone in a patient.
[0049] FIG. 3 shows the training device 1 in connection with an
apical position locator 4. To enable the training device 1 to be
utilized with the apical position locator 4, a measuring probe such
as an endodontic reamer 25 is connected to the apical position
locator 4 via leads 26 and a connector, such as an alligator clip
28. The apical position locator 4 is connected to the conductive
medium such as the second conductive medium 22 via lead 30 and a
connector such as an alligator clip 32, connected to an electrode
or probe 34 set in second conductive medium 22. In the illustrated
example, apical position locator 4 indicates the closure of an
electronic circuit when the endodontic reamer 25 contacts or almost
reaches the conductive medium 20 at the apex 12. Then the
resistance or impedance of these materials are measured, compared
and calculated based on the pre-set formula in the apex locator. A
final reading will indicate reaching the apex by the tip of the
dental reamer. Normally, the apical position locator possesses
sufficient sensitivity that it can determine the distance between
the tip of the endodontic reamer 25 and the apex 12 and the locator
provides a visual readout of that distance.
[0050] In the practice of the invention, a tooth such as an
extracted human tooth 2 is used to train a user by placing the
tooth 2 into a container or fixture 3 and supporting the tooth 2
therein by a conductive medium, such as the single medium 15 shown
in FIG. 1. Alternatively, a first conductive medium 20 can be
molded around the root tip 13, being careful not to enter the canal
11. Next, the tooth 2 with first conductive medium 20 wrapped
around the root 10 is placed in second conductive medium 22 in the
fixture 3. The second conductive medium 22 is allowed to set so
that it firmly holds tooth 2 in place. The apical position locator
4 is connected to the endodontic reamer 25 and the probe 34 so that
when the reamer 25 is placed in the root canal 11 and the reamer
tip contacts the first conductive medium 20 or single medium 15
(FIG. 1) at the apex 12, the locator electronic circuit completes
the measurement of electronic resistance or impedance and the
apical position locator 4 so indicates. Importantly, the resistance
of the conductive medium is selected so that the electronic apical
locator measures the resistance.
[0051] Optionally, the training device may be utilized along with
x-ray machines and radiographic film to simulate the verification
of the location of the apex 12 through simulation of the relative
radiopacity of the periodontal ligament and bone by utilizing
differing levels of radiopaque materials in the first conductive
medium 20 and the second conductive medium 22.
[0052] Various forms of conductive media may be used as desired
including thermoplastic resins, acrylic, polymers and plasters with
fillers such as carbonaceous material or metal fibers or
flakes.
Third Embodiment
[0053] Illustrated in FIGS. 4 through 8 is a third embodiment of a
dental training device in accordance with the present invention
that is generally represented by the reference numeral 100. The
training device 100 has certain aspects that are similar to the
devices that are illustrated and disclosed in the previous
embodiments and reference is made to those embodiments for certain
details such as materials of construction.
[0054] The training device 100 generally comprises a manikin 110
having at least one socket 111 and, unlike the previously disclosed
embodiments, includes a sleeve 112 operably received in the socket
111 and within which a tooth 113 is mounted in a generally solid
matrix 114.
[0055] The manikin 110 is preferably a type of device which is
sometimes also referred to as a typodent that is utilized in the
training of dental students. The manikin 110 has an upper jaw or
maxilla 120 and a lower jaw or mandible 121 that are mounted on a
support frame 122, such that the jaw 120 can be articulated with
respect to the jaw 121 in a manner that is similar to that of a
human jaw, so as to simulate a human jaw for purposes of training
of a dental student. The jaws 120 and 121 have a plurality of real
and/or simulated teeth 126 that are positioned about the facing
surfaces of the jaws 120 and 121 in such a manner as to simulate
the appearance of teeth in a typical human dental patient. The jaws
120 and 121 are constructed of a material that can vary, depending
upon what is desired to be taught to the students, but which is
typically a rigid or semi-rigid plastic that has the shape and
appearance of the gums and mouth of a human.
[0056] As will be discussed below, the material of construction of
the jaws 120 and 121 may in some cases be an electrically
conductive material that has conductivity quite similar to the gums
and mouth tissue of a human patient or may alternatively be
constructed of a non-conductive material. The material of
construction of the jaws may also be radiolucent or radiopaque
depending on whether x-ray procedures are to be used. As is seen in
FIG. 4, the upper jaw 120 of the present embodiment is hinged on
the support frame 122 and is biased to a closed position by springs
128 wherein the teeth 126 of the upper jaw 120 engage similar teeth
of the lower jaw 121. This simulates a patient with a mouth that
can be opened and in which a student must work to perform
procedures using the device 100.
[0057] The sockets 111 are provided in the jaws 120 and 121 at
locations where it is desirable to provide training to a student
learning endodontic procedures. In the illustrated embodiment such
sockets 111 are provided in the lower jaw near the rear where a
large molar would be normally located and which is illustrated by
broken away portions in FIG. 4. Sockets 111 are also provided in
other locations such as are illustrated in the upper jaw 120 where
somewhat more forward teeth are normally located. A training
procedure is illustrated in FIGS. 4 to 8 with respect to an upper
jaw socket 111, such as is shown in FIG. 4. Each socket 111 is
sized and shaped to receive a sleeve 112 snugly therein. Each of
the sockets 111 has a shape that is somewhat in the form of a
hollow truncated cone and is accessible from the rear of each jaw
120 and 121 opposite the teeth 126 (see FIG. 4).
[0058] As is best shown in FIGS. 5 through 7, each sleeve 112 has a
general truncated conical shape with a thin wall 129 and has a
hollow interior so as to form a cavity 130 with an open upper end
131 and open lower end 132. The cavity 130 has an interior surface
133. The sleeve 112 is sized and shaped to receive a tooth 113 and
combined form an insert 134. Such an insert 134 is shown in phantom
lines in FIG. 8 prior to placement in the socket 111 wherein the
insert is shown in solid lines.
[0059] As has been described with the previous embodiments, the
tooth 113 is preferably a human tooth that has been removed from a
live patient for some other reason or is a tooth that has been
harvested from a cadaver. In certain instances where a human tooth
is unavailable, an artificial tooth that is sized and shaped to
mimic a real tooth may be used. Such a tooth 113 includes a pulp
chamber 137 and at least one root pulp canal or root canal 138 that
extends along each root 139 of the tooth 113. Normally, such a
tooth 113 would include pulp 141 intact in the root canals 138 and
pulp chamber 137. The root canals 138 containing the pulp 141
extend to an apex or tip 143 of each root 139.
[0060] The practice tooth 113 extends outwardly from the sleeve 112
such that a crown 146 of the tooth 113 is exposed and the tooth
roots 139 are located within the sleeve 112. The tooth 113 is
snugly and rigidly held in its associated sleeve 112 by the matrix
114. In the present embodiment, the matrix 114 has two components
148 and 150.
[0061] The first matrix component is a relatively good electrical
conductor that is chosen to simulate the electrical conduction
found in human tissue in the ligament and gum surrounding a live
human tooth. The highly conductive matrix component 148 can be any
of the materials that have been discussed in the previous
embodiments for such a component.
[0062] In the present embodiment the highly conductive component
148 is a malleable or semi-solid material that is molded about each
root tip 143. Because the material is soft and can be stripped from
the root 139 accidentally, a protector 149 is placed over the
highly conductive component 148. In the present embodiment the
protectors are annular sleeves 151 that are placed over each tooth
root 139, as is shown in FIGS. 5 and 6. The highly conductive
component 148 is specifically designed to provide good conductance
at each root tip 143. Each sleeve 151 is manually snugged against a
respective root 139 and about the highly conductive component 148
to hold the latter in touch with a respective root tip 143. It is
foreseen that other forms and shapes could be utilized for the
highly conductive component 148 such as a cup or the like and
without a protector.
[0063] The second component 150 of the matrix 114 can be several
different types of materials depending on whether or not it is
desired for the component 150 to also be highly conductive or for
conduction to be transferred from the highly conductive component
148 to the locating device described below through some other
structure. Consequently, it is foreseen that the matrix component
150 can either be a highly conductive material similar to that of
component 148, a semi-high conductive material that would be useful
in providing conduction between the component 148 and a locator or
alternatively, may not be conductive at all.
[0064] It is important that the matrix component 150 be at least
semi-solid and preferably rigid during usage of the device 1, so as
to support the tooth 113 in position while procedures are being
performed on the tooth 113. For this purpose, various thermally set
materials or the like could be utilized wherein the component 150
is initially a resin or powder into which the tooth 113 can be
initially pushed or embedded after which the component 150 is heat
set and solidified. Alternatively the matrix component 150 may be a
stick-type resin that forms a liquid when heated and which can be
dispersed into the sleeve 112, such as is illustrated in FIG. 7,
and thereafter allowed to harden by drying, chemical reaction,
heating with subsequent cooling or the like. It is foreseen that
other types of matrix components may be used in accordance with the
invention. For the purpose of dispersion, a heating gun 155, such
as a glue gun, distributes drops or a stream of conductive liquid
or gel material 156 into the sleeve 112 around the tooth roots 139
which thereafter solidifies or hardens as matrix component 150.
[0065] A pin 160 is utilized to secure the sleeve 112 in a
respective socket 111. While it is foreseen that in some instances,
the matrix 114 could be placed in a socket directly without a
sleeve 112, such a sleeve 112 is preferred as same allows for quick
change out and reduces the time that would otherwise be required to
clean the hardened matrix out of the socket.
[0066] The illustrated pin 160 is a thumb screw that has a threaded
shank 163 and flat head 164. The pin 160 is received through
openings 167 in the manikin jaws 120 or 121, as is shown in FIGS. 4
and 8. The threaded shank 163 provides two functions. In
particular, the shank 163 locks the sleeve 112 in position relative
to a respective socket 111 and also provides a metallic conductor
that directly engages the highly conductive component 148 when
assembled, as shown in FIG. 8. The head 164 also provides two
functions. The head 164 allows a grasping structure for a user to
insert the pin 160 and further provides a surface that is
comparatively shaped to receive an alligator clip 171, as will be
discussed below.
[0067] It is foreseen that the tooth 113 can be inserted into the
matrix 114 in the sleeve 112 in a number of ways, but one
alternative is shown in FIGS. 5 to 7. In particular, the crown 146
of the tooth 113 to be mounted is placed in an indentation 173 in a
block 174 of wood, embedded in a putty-like material, or the like.
The highly conductive matrix component 148 is placed over the root
tips 139 and thereafter the root sleeves 149 are placed over the
tooth roots 139 and the component 148. Then the matrix holding
sleeve 112 is placed over the lower part of the tooth 113 with the
sleeve lower end 132 engaging an upper surface 175 of the block
174. The liquid material 156 that forms the second matrix component
150 is then deposited in the sleeve 112 so as to preferably cover
the root tips 143, the conductive component 148 and the protectors
149, so as to secure the tooth 113 in the sleeve 112. The sleeve
112 with the tooth 113 secured therein is then placed in a selected
socket 111 and the pin 160 is used to secure the sleeve 112 in the
socket 111. The pin 160 preferably also touches a respective highly
conductive component 148 in which case the remainder of the matrix
114 that is component 150 does not have to be electrically
conductive. If the pin 160 is not positioned to touch the highly
conductive component 148, then the matrix component 150 must also
be electrically conductive.
[0068] After the sleeve 112 is placed in the socket 111, a student
170 connects an apical position locator 180 to the device 100. In
particular the student 170 uses an elongate reamer or probe 181
that has a shaft 182 sized to extend through a selected root canal
138. The shaft 182 is a conductive metal and is electrically joined
by an alligator clip 184 attached to a lead 185 or the like to the
main body (not shown) of the locator 180. The alligator clip 171
with a lead 187 is attached to the pin head 164, as is seen in FIG.
4. After opening the tooth crowns 164 by a well known process, the
student then practices finding the bottom of the root canal 138 in
the manner previously described. In an endodontic procedure, the
finding of the apex of the root canal 138 is accompanied by removal
of the pulp 141 and enlargement of the pulp or root canal 138 to
the depth determined by the above described procedure. Thereafter,
subsequent root canal procedures are performed.
[0069] It is foreseen that when a patient has a tooth that has a
metallic filling or crown extending into or near the pulp chamber
or root canal, it may be necessary to use a probe that is insulated
over at least the portion of the shaft that would engage the
filling or crown. For this purpose part of the shaft may be coated
with nonconductive material. It is also foreseen that a hook, eye
or the like may be joined to and extend outward from the probe
shaft to facilitate connection of the locator device and especially
an alligator clip.
[0070] It is also foreseen the manikin may be constructed of
conductive material as well as the entire matrix 114 in which case
it is not necessary that the pin be conductive, but only that the
locator lead hook onto or otherwise join with the manikin jaw
somewhere therealong. It is also foreseen that the sleeve holding
the tooth may be held in place by something other than a pin or set
screw. For example, a cover hinged to the manikin or a moveable
hook could be used to hold the sleeve in the manikin during
training procedures.
[0071] It is foreseen that the highly conductive material may
include a filler of conductive carbonaceous material, including
furnace black, channel black, acetylene black, graphite fiber and
carbon fiber; conductive fiber materials, including aluminum,
nickel, copper, iron and stainless steel fibers; and metal coated
fibers, including metallized glass, metallized graphite and
metallized plastic fibers; conductive metal powders, including
metallic flakes, powder and milled or ground metallized glass; and
other conductive materials, including conductive organic polymers,
glues, sponges, epoxies, paints, alginates and the like. A binder
for the highly conductive component may be chosen from
thermoplastic resins, including acrylic, polyvinyl chloride,
polypropylene, polyethylene terephthalate, polystyrene, abs
(acrylonitrite butodiene styrene resin), polyphenylene ether,
polycarbonate, styrene and ethylene vinyl acetate; polymers,
including bis-gma, TEGAMA and HEMA; and others, including plasters,
yellow stone, clay and the like.
[0072] The following radiopaque materials may be added to some
embodiments: barium sulfate and substantial concentrations of metal
fillers such as nickel, stainless steel and the like.
[0073] It is foreseen that a conductive portion of the tooth
holding matrix can also be a mixture of conductive materials
including water, glycerine and other conductors, especially a
percentage of from about 1 to 80% by weight in combination with a
filler or gelatin selected from clay, silica, gum, agar, alginate
and the like. Further, the conductive material is preferably water
with sodium hypochlorite, EDTA (ethylenediaminetetraacetic acid),
conductive aluminum compounds, conductive calcium and sodium salts,
conductive carbonate compounds, conductive basic compounds and the
like in a range from 1 to 80% by weight with the remainder being
binder or miscellaneous fill.
[0074] The following examples are provided to illustrate the
invention and are not intended to be limiting on the scope or
interpretation of the claims:
Example I
[0075] Highly conductive matrix components were produced in
accordance with the invention having the following formulation by
weight:
TABLE-US-00001 Composition A ethylene vinyl acetate 68% carbon
powder 30% steel fiber 2%
TABLE-US-00002 Composition B flour 45% salt 15% water 35% oil
5%
[0076] The highly conductive matrix component Composition B was
applied to roots of these teeth, as is shown in FIG. 5 and a root
sleeve of plastic tubing was placed about Composition B, as is
shown in FIG. 6. Composition A was then placed about the tooth root
in a sleeve, such as sleeve 112, as is shown in FIG. 7, and a
procedure was performed using an apex locator as described in the
last embodiment to find the distance from the crown to each tooth
root apex. Two other procedures were performed on each of the teeth
to determine root length which were by x-ray measurement and by in
vitro measurement. The results are provided in Table 1.
TABLE-US-00003 TABLE I Test Result: Root length Root length Root
length by in vitro in mm by x-ray in mm apex locator in mm Anterior
teeth 23 23 23 Two root bicuspid 20, 20 20, 20 20, 20 Three root
molar 19, 19, 19 19, 19, 19 19, 19, 19
Example II
[0077] Matrix conductive components of compositions C and D were
prepared and tests were performed in the same manner as in Example
I. The Composition D was applied directly to each root apex and the
Composition C was used to surround and support each tooth and
around Composition D.
TABLE-US-00004 Composition C Clay 70% Carbon-coated fiber 30%
TABLE-US-00005 Composition D Agar 30% Salt 10% Water 55% Oil 5%
[0078] Table II illustrates the results of testing:
TABLE-US-00006 TABLE II Root length Root length Root length by in
vitro in mm by x-ray in mm apex locator in mm Anterior teeth 23 23
23 Two root bicuspid 20, 20 20, 20 20, 20 Three root molar 19, 19,
19 19, 19, 19 19, 19, 19
Example III
[0079] Matrix conductive components of compositions E and F were
prepared and tests were performed in the same manner as in Example
I. The Composition D was applied directly to each root apex and the
Composition E was used to surround and support each tooth and
around Composition F.
TABLE-US-00007 Composition E acrylic 70% carbon powder 30%
TABLE-US-00008 Composition F Gum 30% Salt 15% Water 50% Oil 5%
TABLE-US-00009 TABLE III Root length Root length Root length by in
vitro in mm by x-ray in mm apex locator in mm Anterior teeth 23 23
23 Two root bicuspid 20, 20 20, 20 20, 20 Three root molar 19, 19,
19 19, 19, 19 19, 19, 19
Example IV
[0080] Matrix conductive components of compositions G and H were
prepared and tests were performed in the same manner as in Example
I. The Composition H was applied directly to each root apex and the
Composition G was used to surround and support each tooth and
around Composition H.
TABLE-US-00010 Composition G epoxy 70% conductive sponge 30%
TABLE-US-00011 Composition H Glycerine 77% Salt 5% Water 15%
Carbopol 3%
TABLE-US-00012 TABLE IV Root length Root length Root length by in
vitro in mm by x-ray in mm apex locator in mm Anterior teeth 23 23
23 Two root bicuspid 20, 20 20, 20 20, 20 Three root molar 19, 19,
19 19, 19, 19 19, 19, 19
TABLE-US-00013 Composition I Ground Stone 60% Carbon Powder 40%
TABLE-US-00014 Composition J Alginate 60% Water 40%
TABLE-US-00015 TABLE V Root length Root length Root length by in
vitro in mm by x-ray in mm apex locator in mm Anterior teeth 23 23
23 Two root bicuspid 20, 20 20, 20 20, 20 Three root molar 19, 19,
19 19, 19, 19 19, 19, 19
[0081] The test results for each of the Examples I to V indicate
that locating root length apexes utilizing devices in accordance
with the invention have essentially the same accuracy as direct
measurement (which cannot be accomplished in a living patient) and
x-ray.
[0082] It is foreseen that teeth may be imbedded in the matrix by
several different methods. The matrix can initially be powder,
soft, pliable or the like and the tooth pushed into the matrix. The
matrix may be poured about the tooth as seen in the third
embodiment. Furthermore, it is foreseen that the highly conductive
component of the matrix may be located only about the tooth root
and surrounded by a second component or the highly conductive
component may completely fill a sleeve sized for insertion in a
socket or a container, or the highly conductive component may be a
layer having less conductive material above and/or below the highly
conductive component, including a thin layer of matrix fixing
material that forms a substantially solid layer of matrix near the
top of the tooth.
[0083] As will be apparent to persons skilled in the art, various
additional modifications, adaptations and variations of the
foregoing specifically disclosed embodiment and method for training
in the use of an apical position locator may be made without
departing from the objectives and scope of the present invention.
Various modifications and changes may be made to the embodiment
disclosed herein by those skilled in the art and such are
contemplated by the present invention and are to be understood as
included within the spirit and scope of the appended claims.
Fourth Embodiment
[0084] Illustrated in FIGS. 10 through 13 is a fourth embodiment of
a dental training aid in accordance with the present invention and
generally indicated by the reference numeral 200. The fourth
embodiment includes elements of the first three and reference is
made to the first three embodiments for greater detail.
[0085] The dental training device 200 includes a tray or structural
support 203, three training inserts 204, 205 and 206 and a securing
plate 207.
[0086] The structural support 203 is generally in the shape of a
human jaw and in conjunction with the inserts 204, 205 and 206
provides a user with the feel of working on a human. It can be
either an upper or lower portion of the mouth and can be used
separately or in combination with a second unit in a manikin of the
type shown in FIG. 4.
[0087] The support 203 includes a peripheral wall 210 extending
upward from a lower and generally flat base 211 to a contoured end
212. A central and rearward portion 214 of the base 211 extends
upwardly and has a pair of spaced and threaded bores 216 that
extend downward vertically from a top thereof. The remainder of the
base 211 is covered by a relatively thin metal conductive plate 220
that is somewhat crescent or horseshoe in shape and which
preferably receives all of the training inserts 204, 205 and 206
thereon in touching relationship. The plate 220 includes a metal
conductive ring 225 that extends through and protrudes outwardly
from the support 203. The plate 220 has an upper surface 228 that
is below an upper surface 229 of the base portion 214.
[0088] The support wall 210 has an interior facing aperture or slot
230 for each insert 204, 205 and 206 that also face the inserts
204, 205 and 206 respectively when placed on the support 203 and
which are used for securing the inserts 204, 205 and 206 in the
support wall 210 as described below.
[0089] The present embodiment includes three inserts 204, 205 and
206 although it is foreseen that two or more than three could be
used in accordance with the invention. The illustrated inserts 204,
205 and 206 are designed to provide practice and instruction to a
student training in dental procedures.
[0090] In the present embodiment, insert 204 is especially designed
for training in repair of tooth decay procedures, insert 205 is
designed for training in crown and bridge procedures and insert 206
is designed for training in root canal procedures. Each of the
inserts 204, 205 and 206 are modular and can be replaced with other
units that provide training for the same or different procedures.
In this manner, the student can acquire inserts for a single aid
200 device that can be used multiple times to teach different
procedures and can be assembled in such a manner, as shown, to
allow training or testing on multiple procedures at the same time
or a plurality of training sites for a single procedure. In
particular, in some uses, all of the inserts may be for the same
procedures.
[0091] The insert 204 includes a base structure 235 that simulates
the right rear third of the lower jaw. It includes apertures,
sockets or openings 238, 239, 240 and 241 for teeth 250 to be used
in training for treating tooth decay. The openings 238, 240 and 241
are designed to receive a single tooth 250 each. The opening 239 is
wider than the others and receives multiple teeth 250, so that the
teeth 250 therein can be set to simulate a close positioning.
[0092] A tongue 255 extends outwardly from the insert 204 and is
shaped and sized to be received in one of the slots 230. Each of
the openings 238, 239, 240 and 241 extend vertically part way
through the insert 204. Glue or adhesive may be utilized to hold
the tooth and a surrounding matrix 250 in the opening 238. A bore
261 extends through the base 235 and allows the alternative use of
screw to hold the tooth 250 in the socket or opening 238. In use
each of the openings 238, 239, 240 and 241 receive at least one
tooth 250 for performing repair of dental decay procedures as
described before. The insert 204 has an inward facing lip 257 near
the bottom thereof for securing in place. A front 260 of the insert
204 has a recess 261 therein. Teeth 250 are placed in each of the
openings 238, 239, 240 and 241 in the matrix 262 that gives
slightly with pressure so as to simulate the ligaments that are
attached to live teeth. Preferably, the matrix 262 is at least
partly constructed of rubber, silicon or the like to provide some
degree of flexure. It is foreseen that the top of the matrix 262
can be solid with the tooth 250 and only the bottom of a flexible
material.
[0093] The insert 205 is designed for crown and bridge work and in
the present embodiment simulates the portion of the jaw normally
holding the front 6 lower teeth of the mouth with the intent to use
the two outer teeth for supporting a bridge. In particular,
openings 266 and 267 are provided which receive and hold artificial
or real teeth which are then ground by the student to provide
supporting pegs 270 and 271, as shown in FIG. 11. The student
prepares a bridge 275 with artificial teeth 276, 277, 278, 279, 280
and 281 that then set on and are adhered to the pegs 270 and 271 in
a conventional manner. A drape 284 of polyurethane, silicon, rubber
or the like extends over the insert 205 and simulates the
flexibility and structure of gum tissue, since it is important for
the student to carefully interact with gum in crown procedures.
[0094] The insert 205 also includes an outward facing tongue 290
that is positioned to fit in one of the slots 230 and an inwardly
facing lip 291. On opposite ends of the insert 205 are position
outward extending pegs 293 that are sized and shaped to be received
in respective recesses in inserts 204 and 206 such as recess 261 in
insert 204.
[0095] The insert 206 simulates the left side of the lower rear
third of the jaw and includes six openings 300, 301, 302, 303 and
304 which are each sized to receive a tooth 308 and do extend to
the bottom 307 of the insert 206. Each of the openings 300, 301,
302, 303, 304 and 305 are sized and shaped to receive a unit such
as unit 310 which includes a tooth 308 and a surrounding conductive
media 311. The units 310 are glued or otherwise affixed in the
openings 300, 301, 302, 303, 304 and 305. The teeth 308 are
preferably real teeth having a root canal. The student performs
root canal procedures on the teeth 308 in the manner described
before. The top part of the media 311 does not need to be
conductive, but the lower portion onto which the tooth 308 root
canal opens must be conductive between the tooth 308 and the plate
220. The material of the media 311 engages the plate 220 so as to
provide a conductive path between the bottom of each tooth root and
the ring 225. The insert 206 has a tongue 318 and a lip 319 similar
to like structure found on the insert 204.
[0096] The securing plate 207 is sized and shaped to be secured to
the base 211 using screws 324 set in apertures 325 that are
received in bores 216 in the support 203. The securing plate
extends outwardly toward each insert 204, 205 and 206 so as to
cover the lips 257, 291 and 319 and so as to secure the inserts
204, 205 and 206 in the support 203 when secured in place by the
screws 324.
[0097] In use the various inserts are used in the manner shown in
FIG. 11. An electrode 330 attached by an alligator clip 331 to the
conductive ring 225 when root canal procedures are performed in any
of the inserts 204, 205 or 206. The inserts 204, 205 and 206 are
changed out as needed for other procedures or when expended to
start new procedures.
[0098] It is foreseen that each insert would have an inwardly
directed extension plate that could be attached by a single thumb
screw, by multiple screws or the like to the support 203 and could
replace the plate 207. Also, it is foreseen that an electrode could
be attached to the plate 220 in a different manner than is shown
which could replace the conductive ring 225.
[0099] An alternative embodiment is shown in FIGS. 13 and 14 and
designated as training device 350. Device 350 has a base 353 with a
peripheral rim 354 and a base plate 355. The plate 355 has multiple
locator holes 360 to enable connection to a dental manikin. The
holes are arrayed in a triangular arrangement with a center hole so
that the plate 355 is adapted for fitting to a variety of dental
manikins. These manikins have pins in the oral cavity and the plate
355 slides onto the locator pins. The base 353 is a holder for
mandible segments 365, which may be several in number, such as
three or four and which are interconnected, as by tongue and groove
connectors. The segments 365 have sockets 366 holding artificial
teeth 368. The teeth 368 are removable and replaceable for use in
training for root canal procedures.
[0100] The mandible segments 365 are removable from the holder base
353 for cleaning and detailed work. A holder mechanism 370 extends
across a rear of the mandible segments 365 to hold them in place
against the underlying plate 355. Because the rear segments are
interconnected with the front segments, the front segments are also
held in place. Adhesives or magnetic strips may be used to aid in
holding the front segments in place. The mechanism 370 in the
illustrated example consists of a center post 372 extending
upwardly from a centered hold through the base plate 355. A lower
stop in the form of head 373 stops the post and a top winged tee
375 provides an upper stop. Other forms of lower stops could be
used such as keeper ring, cross pins, magnets or the like.
Similarly, other forms of upper stops could be used including, for
example, keeper rings, pins, friction or screw caps magnets or any
such stop. A coil spring 377 biases a crossbar 380 to an upper
position. The crossbar 380 has a longitudinal slot 383
accommodating the tee end 375 so that the post 372 can be rotated
and allow the crossbar 380 to be locked down or released up. The
crossbar 380 has ends 390, 391 engaging the mandible segments 365
to hold them down. Exemplary measurement for the slot 383 and tee
end 375 are 10-30 mm.
[0101] The hold down mechanism 370 provides an efficient and secure
method of retaining the teeth and gum segments on the base plate
353 yet allowing ease of removal when intended.
[0102] A further alternative embodiment of a dental training device
400 is shown in FIGS. 16 and 17. The device 400 may be utilized in
conjunction with a manikin device such as that shown in FIG. 4 or
as a stand alone training aid or tool for teaching a dental
practitioner to perform various procedures or for demonstrating
actual dental procedures on whole teeth suitable for receiving the
procedure during testing or the like.
[0103] Shown in FIGS. 16 and 17 is only a lower device 400;
however, if the device 400 were used with a manikin structure, such
as shown in FIG. 4, then an upper mirror image of the device 400
may also be utilized with the same or different teaching block
inserts, as described below.
[0104] The device 400 includes a lower support or tray 402 with at
least two training inserts 403 and 404. The tray 402 has a
relatively thin bottom wall 410 with a generally planar insert
receiving and engaging surface 411 surrounded by a peripheral ridge
415 that generally surrounds the surface 411. At least one screw
receiving aperture 417 for securing inserts 403 and 404 extends
vertically through the wall 410 and receives a respective screw
418. The illustrated device 400 includes a central aperture 420 for
attaching the device 400 to a manikin with a screw (not shown).
[0105] The inserts 403 and 404 are sized, shaped and designed to
mimic a portion of the gum line mouth of a patient and include a
gum region 423, teeth 424 and empty cavities 425 for teeth.
[0106] In the illustrated embodiment the teeth 423 are fixed and
non removable and either provide a dentist or trainee with
environment within to work, or are utilized for procedures that do
not require destruction or partial destruction of the teeth, or are
placed on a disposable insert that may be discarded at the end of
usage and replaced by another.
[0107] The cavities 425 are designed to receive teeth of the type
illustrated and discussed with respect to FIGS. 5, 6, 7, 11 and 13
wherein each tooth may be inserted and secured therein.
Subsequently a procedure may be performed on the tooth, such as a
root canal or filling, that effectively destroys or modifies the
tooth or renders the tooth unusable for further procedures. In this
case, the used tooth can be removed from an associated cavity 425
and replaced with another tooth. Yet further, a tooth can be
selected for a specific procedure and permanently secured in the
cavity 425. The teeth 424 or those teeth in the cavities 425 may be
real human teeth or artificial teeth. After the procedure is
completed, the entire insert 403 or 404 is removed and replaced or
modified by change out of teeth and reinserted.
[0108] The present embodiment is configured to receive three
inserts, including rear insert 403 and front insert 404, along with
a mirror image rear insert. Each insert 403 and 404 has a generally
flat under surface 430. The insert 403 has a threaded aperture 431
for receiving a respective screw 418. The insert 403 also includes
an undercut region 436 for operably interlocking with insert 404.
The insert 404 has a projection 440 that is operably received in
the region 436 of the insert 403 when assembled and a forward
projecting peg 442 that is received in the peripheral ridge 415
when assembled. In this manner, the rear inserts, such as insert
403 are secured to the tray 402 by the screws 418 and the central
or front insert 404 is secured to the tray 402 by the peg 442 and
the projections 440 being received in the rearward insert regions
436.
[0109] The inserts 403 and 404 are thereby held in place on the
tray 402 and present teeth, such as teeth 424 and teeth in cavities
425, so as to be available for simulating actual dental procedures
by a dentist in training, teaching, testing or the like. In this
way a dentist can perform and/or demonstrate these procedures in a
manner that is quite similar to performing then on a human subject,
but without requiring a live subject.
[0110] After the procedures are complete, the inserts, such as
inserts 403 and 404 can be removed and replaced by new inserts
having teeth 424 for simulating the same or different procedures
and/or the teeth in certain cavities 425 can be removed and
replaced. The inserts 403 and 404 allow the dentist to perform full
dental procedures. The inserts 403 and 404 are abuttingly received
on the tray 402 and are both secured to the tray 402 and to each
other by securing the rearward inserts 403 to the tray with screws
and the forward insert 404 to the rearward inserts 403 by
interlocking structure.
[0111] Preferably the tray 402 and inserts 403 and 404, except for
teeth therein, are constructed of a material that does not impede
x-rays, so that the dentist can use x-rays or the like in assisting
with procedures performed on the device 400. The screws 418, while
x-ray opaque are preferably low profile (near the bottom or away
from the teeth 424) and not likely to impede the process.
[0112] Shown in FIGS. 18 and 19 is yet another embodiment of a
dental training device 460 that is similar in many ways to the
previous device 400. The device 460 has a tray 462 and inserts 463
and 464 that are similar to tray 402 and inserts 403 and 404 except
with respect to the following differences.
[0113] In particular, the rear inserts 463 and front insert 464 are
removably secured to the tray 460 by magnets 470. The magnets 470
of the illustrated embodiment are located in the tray 460 and are
preferably comparatively high gauss ceramic magnets that are snugly
received in suitably sized apertures 472 in the tray 462hld therein
by adhesive 461. The magnets 470 of the illustrated embodiment are
secured by the adhesive 461 to the tray 462; however it is foreseen
that the magnets 470 could be secured by other suitable means such
as screws and the like. Located in the inserts 463 and 464 are
blocks 480 of material such as iron that is attracted to magnetic
fields. The blocks 480 are each positioned opposite the magnets
470. While the blocks 480 of the illustrated embodiment are glued
by adhesive 481 into the inserts 463 and 464 associated therewith,
it is foreseen that such could be secured by other means such as
screws. The blocks 480 are located in the lower part of the inserts
463 and 464 so as to have a low profile and not interfere with
x-ray techniques or the like. Further, while the magnets 470 are
illustrated in the tray 462 and the blocks 480 in the inserts 463
and 464, this could be in part or totally reversed, so that at
least some of the magnets are located in the inserts. It is also
foreseen that the blocks 480 could also be magnets.
[0114] It is to be understood that while certain forms of the
present invention have been illustrated and described herein, it is
not to be limited to the specific forms or arrangement of parts
described and shown.
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