U.S. patent number 3,636,947 [Application Number 05/094,651] was granted by the patent office on 1972-01-25 for ultrasonic home dental instrument and method.
This patent grant is currently assigned to Ultrasonic Systems, Inc.. Invention is credited to Lewis Balamuth.
United States Patent |
3,636,947 |
Balamuth |
January 25, 1972 |
ULTRASONIC HOME DENTAL INSTRUMENT AND METHOD
Abstract
A method and apparatus for hygienic care of the oral cavity for
regular use in the home, in which an ultrasonic applicator is used
for cleaning of teeth as by the removal of tartar, placque,
calculus deposits, stubborn stains, such as are produced by
smoking, and simultaneous stimulation of the gingiva or gums. The
ultrasonic applicator or stimulator has a polishing effect when
used with a liquid medium and in engagement with the tooth and
gingival structures of the oral cavity for the removal of foreign
substances from the teeth.
Inventors: |
Balamuth; Lewis (New York,
NY) |
Assignee: |
Ultrasonic Systems, Inc.
(Farmingdale, NY)
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Family
ID: |
22246371 |
Appl.
No.: |
05/094,651 |
Filed: |
December 3, 1970 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
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722313 |
Apr 18, 1968 |
3547110 |
Dec 15, 1970 |
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Current U.S.
Class: |
601/162; 601/142;
15/22.1 |
Current CPC
Class: |
A61C
17/20 (20130101) |
Current International
Class: |
A61C
17/16 (20060101); A61C 17/20 (20060101); A61h
009/00 () |
Field of
Search: |
;128/62A,66,24A |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Trapp; L. W.
Parent Case Text
CROSS-REFERENCE TO RELATED APPLICATION
This application is a continuation-in-part of my copending
application Ser. No. 722,313, filed Apr. 18, 1968, now U.S. Pat.
No. 3,547,110, dated Dec. 15, 1970, entitled Method and Apparatus
For Maintaining Tooth and Gingival Structures with Ultrasonic
Energy, which entire subject matter of the copending application is
incorporated herein by reference as if fully herein set forth.
Claims
I claim:
1. The method of removing foreign deposits from teeth comprising
the steps of:
A. positioning adjacent the teeth to be cleaned an abrasive surface
capable of supporting and transmitting ultrasonic vibrations,
B. inducing vibrations in said abrasive surface at a frequency in
the ultrasonic range,
C. maintaining a film of fluid at the cleaning site of said
abrasive surface, and
D. moving said ultrasonically vibrating abrasive surface relative
to said teeth such that it engages and removes the foreign deposits
therefrom and said fluid acts to maintain the cleaning site free of
said removed foreign deposits.
2. The method as in claim 1, wherein said fluid is supplied at a
temperature and rate to maintain said teeth at substantially a
constant temperature during cleaning thereof.
3. The method as in claim 1, wherein said abrasive surface is
nonscratching against said teeth.
4. The method as in claim 1, wherein said abrasive surface is
flexible and adapted to substantially conform to the contour of
said teeth.
5. The method as in claim 1, wherein said abrasive surface is in
the form of a single pointed member adapted to be selectively
positioned against and interproximally of said teeth.
6. The method as in claim 1, wherein said abrasive surface is in
the form of a plurality of individual bristle elements each
containing an abrasive surface thereon such that the elements
assume positions in which they are randomly divided between actual
contact with and displacement from the surfaces of said teeth.
7. The method as in claim 1, wherein said motion of said abrasive
surface is of an amplitude of vibration to produce a cavitational
action in said fluid film between said abrasive surface and said
teeth surfaces when said abrasive surface is displaced
therefrom.
8. The method as in claim 1, wherein said abrasive surface is
vibrated in the frequency range of 5,000 cycles per second to 1
million cycles per second.
9. The method as in claim 8, wherein said frequency is preferably
in the range of 16,000 cycles per second to 40,000 cycles per
second.
10. The method as in claim 1, wherein the amplitude of vibration of
said abrasive surface is in the range of 0.0001 inch to about 0.070
inch.
11. The method as in claim 1, and further including the step of
providing a stream of fluid for maintaining said film at said
cleaning site.
12. The method as in claim 11, further including the step of
pulsing said stream of fluid at a preselected pattern of pulses at
spaced intervals of time.
13. The method of removing surface, interproximal and gum lime
foreign deposits from teeth in the oral cavity comprising the steps
of:
A. inserting an applicator having an abrasive contacting surface
within the oral cavity,
B. positioning said abrasive contacting surface adjacent the teeth
to be cleaned for transmitting to the selected structure mechanical
vibratory energy in the ultrasonic frequency range,
C. vibrating said abrasive surface at an ultrasonic rate,
D. maintaining the contacted surface of the teeth at substantially
a constant temperature, by
1. generating a stream of liquid of small cross-sectional area,
2. pumping said stream of liquid to said contacted surface to
maintain a fluid at the cleaning site, and
E. moving said ultrasonically vibrating abrasive surface relative
to said teeth such that it engages and removes the foreign deposits
therefrom and said fluid acts to maintain the cleaning site free of
said removed foreign deposits, and at a substantially constant
temperature.
14. The method as in claim 13, further including the step of
pulsing said stream of fluid at a preselected pattern of pulses at
spaced intervals of time.
15. The method as in claim 14, wherein the frequency of pulsing
said stream is in the range of 6 cycles per minute to 26,000 cycles
per minute to obtain a macropulsing thereof.
16. The method as in claim 14, wherein the frequency of pulsing
said stream is in the ultrasonic frequency range.
17. The method as in claim 14, wherein
a. said stream of liquid is moved to substantially engage the
gingival structure, and
b. further including the step of micromassaging of the cellular
structure of said gingival structure by providing ultrasonically
micropulsed energy waves in said stream for pervasively penetrating
and treating the accessible inner region of said gingival structure
for treatment thereof.
18. The method as in claim 13, further including the step of
maintaining said stream exiting from said applicator, in spaced
relation to said teeth.
19. The method as in claim 13, wherein said stream of liquid and
applicator are vibrated at substantially the same frequency.
20. The method of removing surface, interproximal and gum line
foreign deposits from teeth structures, and treating the gum
structures, within the oral cavity for hygienic control thereof,
with an applicator having an abrasive surface capable of supporting
vibrations in the ultrasonic range and adapted to be inserted
within the oral cavity, comprising the steps of:
A. inserting said applicator within the oral cavity,
B. positioning against the structures to be treated the abrasive
surface of said applicator,
C. generating a stream of liquid of small cross-sectional area,
D. pumping said stream of liquid through said applicator, such that
said stream of liquid substantially engages the teeth or gum
structures thereof,
E. micropulsing said stream of liquid in said applicator to induce
therein energy waves in the ultrasonic frequency range,
F. vibrating said abrasive surface at an ultrasonic rate against
said teeth to effect a removal of said foreign deposits and a
flushing away thereof by said stream of liquid,
G. microstimulating said engaged structure by transmitting said
ultrasonically micropulsed energy waves contained in said stream to
effect the treatment thereof,
H. pulsing said stream at a frequency below that of said
micropulsing frequency to provide doses of mechanical energy at two
different frequencies to said treated structure, and
I. moving said ultrasonically vibrating applicator relative to said
teeth and gum structures for removing deposits and treatment
thereof.
21. The method as in claim 20, wherein
a. said stream of liquid is moved to substantially engage said
teeth and any foreign deposits adhered thereto, and
b. said microstimulating includes a microfatiguing of said foreign
deposits by said vibrating abrasive surface and by transmitting
said micropulsed energy waves contained in said stream against said
teeth for a period of time sufficient to fatigue the bond
therebetween and effect the removal of said foreign deposits
therefrom, whereby the teeth may be maintained substantially free
of foreign deposits.
22. The method as in claim 20, wherein
a. said stream of liquid is moved to simultaneously engage said
teeth and gingival structures, and
b. said microstimulating simultaneously effects a micromassage of
said gingival structure and a microfatigue of said tooth structure
to remove surface, interproximal and gum line foreign deposits
therefrom, whereby the hygienic condition of said oral cavity is
maintained.
23. The method as in claim 20, wherein said elastic energy waves of
said micropulsed stream of liquid is induced therein as said stream
is pumped through said applicator.
24. The method as in claim 14, wherein said microstimulating of
said gum structure induces a micromassage of the cellular structure
thereof.
25. The method of treating the teeth structures, and gum
structures, within the oral cavity for hygienic control thereof,
with an applicator in the form of a flexible suction cup capable of
supporting vibrations in the ultrasonic range and adapted to be
inserted within the oral cavity, comprising the steps of:
A. inserting said applicator within the oral cavity,
B. positioning against the structures to be treated the front end
of said applicator,
C. generating a stream of liquid within said suction cup to
substantially maintain said cup completely filled during engagement
with the teeth or gum structures,
D. micropulsing said stream of liquid in said applicator to induce
therein energy waves in the ultrasonic frequency range,
E. microstimulating said engaged structure by transmitting said
ultrasonically micropulsed energy waves contained in said liquid in
said suction cup to effect the treatment thereof,
F. vibrating said suction cup applicator at an ultrasonic rate,
and
G. moving said applicator suction cup towards and away from said
contacted surface to induce therein a macromassaging effect on said
treated structure.
26. The method as in claim 25, and further including the step of
pulsing said stream at a frequency below that of said micropulsing
frequency to provide doses of mechanical energy at two different
frequencies to said treated structure.
27. The method as in claim 25, wherein said applicator has an
abrasive surface thereon for engagement with the treated
structure.
28. The method as in claim 25, wherein said motion of said liquid
is of an amplitude of vibration to produce a cavitational action in
said liquid.
29. The method as in claim 25, wherein said liquid is vibrated in
the frequency range of 5,000 cycles per second to 1 million cycles
per second.
30. Apparatus for removing foreign deposits from teeth,
comprising
A. means having an abrasive surface thereon of nonscratching
characteristic relative to the teeth and capable of supporting and
transmitting ultrasonic vibrations,
B. means for inducing vibrations in said abrasive surface at a
frequency in the ultrasonic range,
C. means for maintaining a film of fluid at the cleaning site of
said abrasive surface, wherein as said abrasive surface is moved
relative to said teeth that it engages, the foreign deposits are
removed therefrom and said fluid acts to maintain the cleaning site
free of said removed foreign deposits.
31. Apparatus as in claim 30, wherein said fluid is supplied at a
temperature and rate to maintain said teeth at substantially a
constant temperature during cleaning thereof.
32. Apparatus as in claim 30, wherein said abrasive surface is
flexible and adapted to substantially conform to the contour of
said teeth.
33. Apparatus as in claim 30, wherein said abrasive surface is in
the form of a single pointed member adapted to be selectively
positioned against and interproximally of said teeth.
34. Apparatus as in claim 30, wherein said abrasive surface is in
the form of a plurality of individual bristle elements each
containing an abrasive surface thereon such that the elements
assume positions in which they are randomly divided between actual
contact with and displacement from the surfaces of said teeth.
35. Apparatus as in claim 30, wherein said motion of said abrasive
is of an amplitude of vibration to produce a cavitational action in
said fluid film between said abrasive surface and said teeth
surfaces when said abrasive surface is displaced therefrom.
36. Apparatus as in claim 30, wherein said abrasive surface is
vibrated in the frequency range of 5,000 cycles per second to 1
million cycles per second.
37. Apparatus as in claim 30, wherein said frequency is preferably
in the range of 16,000 cycles per second to 40,000 cycles per
second.
38. Apparatus as in claim 30, wherein the amplitude of vibration of
said abrasive surface is in the range of 0.0001 inch to about 0.070
inch.
39. Apparatus as in claim 30, further including means for providing
a stream of fluid for maintaining said film at said cleaning
site.
40. Apparatus as in claim 39, and further including means for
pulsing said stream of fluid at a preselected pattern of pulses at
spaced intervals of time.
41. A system for removing surface, interproximal and gum line
foreign deposits from teeth structures, and treating the gum
structures, within the oral cavity for hygienic control thereof,
comprising
A. applicator means having a pointed tip with a passageway
therethrough and an abrasive surface of nonscratching
characteristic relative to the teeth that is capable of supporting
vibrations in the ultrasonic range and adapted to be inserted
interproximally of said teeth within the oral cavity,
B. reservoir means for retaining a supply of liquid,
C. pumping means in communication with said reservoir means for
continuously supplying liquid therefrom, said pumping means adapted
to form a stream of liquid,
D. instrument means adapted to be hand held by the user and in
communication with said pumping means for receiving said stream
which is adapted to pass through the instrument passageway
extending therethrough,
E. means for removably securing said applicator means to one end of
said instrument means with said respective passageways
communicating with each other,
F. motor means contained within said instrument means for
converting electrical energy into mechanical vibrations at an
ultrasonic rate, said motor means in energy transmission
relationship to said stream within said instrument passageway to
impart thereto micropulsed energy waves for treatment of said
structures, with said stream passing through said applicator at
said pointed tip for transmitting said energy waves to said treated
structures,
G. means for pulsing said stream at a frequency below that of said
micropulsing frequency to provide doses of mechanical energy at two
different frequencies to said treated structure, and
H. means for coupling said applicator means to said motor means to
vibrate said applicator means at ultrasonic rates, whereby said
mechanical vibrations of said applicator means is adapted to be
transmitted to said treated structures.
42. A system as in claim 41, wherein said pumping means is adapted
to pulse said stream within a defined frequency range.
Description
BACKGROUND OF THE INVENTION
This invention relates generally to the hygienic care of the oral
cavity, and more particularly to methods and apparatus utilizing
ultrasonic vibratory energy for removal of foreign substances from
teeth, polishing selected tooth surface areas, and the treatment of
the gingival tissues within the oral cavity.
Applicant has already participated in earlier developments in
ultrasonic periodontal applications which have led to U.S. Pat.
Nos. 3,075,280, 3,076,904 and 3,213,537; and U.S. Pat. No.
3,375,820 of Balamuth and Kuris issued Apr. 2, 1968, for Methods
and Apparatus for Ultrasonic Cleaning of Teeth and referred to as
generally the "ultrasonic toothbrush." This latter invention may be
used in conjunction with ultrasonic brush heads as disclosed in
U.S. Pat. No. 3,335,443, issued Aug. 15, 1967, to Parisi et al.
We are concerned in the present invention with new discoveries by
applicant which allow dramatic improvements in the application of
ultrasonic energy for periodontal procedures, primarily for use in
the home. Before proceeding to the details of the invention, let us
first review briefly generally known facts of oral hygiene. Let us
first look at the oral cavity with its tooth structure and gingival
surfaces formed by the gum structure and review the situation as to
objectives to be achieved. In the first place, ordinary tooth
brushing uses bristles and toothpaste to keep tooth surfaces clean
and hopefully, polished and bright (including "whiteness"). In
addition, an attempt is made to clean out interproximal, gingival
crest, or gumline areas, and other hard-to-get-at areas (without
too much success). Finally, under dental teaching, the tooth
brusher learns how to stroke the gingival-tooth boundaries so as to
provide some gum stimulation. The now successful electric
vibratory, i.e., 60 cycle per second, toothbrushes attempt to meet
all the above goals, only with more efficiency and with the aid of
outside electrical energy to aid the bristle motions during
use.
There has recently come into general use a basic modification of
the so-called Stim-U-Dent as a new kind of home periodontal care as
an assist to the professional care ordinarily supplied by the
dentist. As is probably well known the Stim-U-Dent is essentially a
solid, narrow, elongated element (originally in wood) capable of
being manually slipped interproximally of the teeth and then gently
pressed up and down on the interproximal gingival surface. This
provides gross local stimulation of gingival tissue by means of a
macromassage and has been recognized even to the extent that
toothbrushes are made with a brush at one end and a rubber tip at
the other, the latter being used for the macromassage of gingiva.
There are also stimulators which provide, instead of bristles at
the brush end, several soft rubber suction cups, and also provide
the rubber tip stimulator at the other end. The suction cup end
also provide a means of applying pull-push massage forces to gums
in noninterproximal areas such as the front and rear surfaces of
the gums. Thus, quite apart form the present oral hygiene devices,
such as manual and mechanical toothbrushes and water jet pulse
generator, there exists the use of soft and hard gingival
stimulators.
Now applicant has discovered that the addition of high-frequency
mechanical vibrational energy to such elements as Stim-U-Dents,
abrasive-filled Stim-U-Dents, and to soft suction-type applicators,
permits the extension of benefits in oral hygiene normally obtained
from the dentist, to safely self-administered benefits by the
patient at home. As is usual with high-frequency mechanical
vibration devices the benefits are multivalued comprising the
possibilities of micromassage, fatigue destruction of calculus,
interproximal cleaning due to cavitational energy in associated
fluids being present, etc.
OBJECTS OF THE INVENTION
An object of the present invention is to provide improved methods
and apparatus for performing oral hygienic procedures with
ultrasonic energy.
Another object of the present invention is to provide novel and
improved cleaning techniques for personal oral hygienic care which
enables the user to control and obtain significantly better
cleaning of teeth.
Another object is to provide new and novel methods and apparatus
which are embodied in a device that is completely safe for use by
adults and children in the home on a regular basis.
Another object of the present invention is to provide new and novel
methods and apparatus for regular personal oral hygienic care which
provides excellent cleaning results in the hard to reach
interproximal and gumline areas in general, and simultaneous gum
stimulation.
Another object of the present invention is to provide improved
cleaning techniques for the removal of placque, tartar, calculus,
stubborn stains, interproximal soft debris by a microfatiguing
action.
Other objects and advantages of this invention will become apparent
as the disclosure proceeds.
SUMMARY OF THE INVENTION
The present inventor has discovered that an important advance in
the art is obtained by vibrating an applicator having certain
characteristics to effect a polishing action on the tooth structure
for performing home dental prophylaxis care by the user. The
applicator is generally applied in the field of a fluid medium to
both flush away the plaque, tartar (calculus) and stubborn stains,
removed as well as provide a cooling action.
Specifically, applicant discloses a hand stimulator, of plastic or
other material, in elongated slim pointed shape and containing
incorporated removing means in the form of abrasive fine enough to
polish dentine or enamel, but not coarse enough to abrade same. The
stimulator being removably attached to a high-frequency mechanical
vibrator motor, and at the same time with means to allow the
constant presence of adequate cooling moisture at the side where
the high-frequency rubbing is occurring. The moisture is to
guarantee that the temperature of the treated area is continually
in the neighborhood of ordinary tooth temperatures while the
frictional rubbing occurs.
The practicability of this method of treating tooth structure
prophylactically inheres in the fact that the main work of treating
the tooth (or gingiva) is provided by the high-frequency energy and
therefore, all the patient has to do is hold the applicator
removing means in the proper position. Best results are obtained in
specific cases by having the patient instructed by his/her dentist
as to the best procedure to follow. Check up with the dentist
guarantees that the safe home regimen is being carried out
properly. Furthermore, the use of plastic stimulators and the
avoidance of extra hard loose abrasives is combined with low levels
of vibration in the home prophylactic device so as to ensure
complete safety in use.
BRIEF DESCRIPTION OF THE DRAWINGS
Although the characteristic features of this invention will be
particularly pointed out in the claims, the invention itself, and
the manner in which it may be made and used, may be better
understood by referring to the following description taken in
connection with the accompanying drawings forming a part hereof
wherein like reference numerals refer to like parts throughout the
several views and in which:
FIG. 1, is a perspective view of an ultrasonic oral hygiene unit
embodying the present invention;
FIG. 2, is a section through the supply means of FIG. 1 taken along
the lines 2--2;
FIGS. 3 and 4, illustrate the applicator means of the present
invention in relation to the gingival and tooth structures of a
human to obtain a cleaning action, and are helpful in explaining
the operation of the present invention.
FIG. 5, illustrates the applicator instrument in accordance with
the present invention in which the combination of polishing and
fluid flow is employed;
FIG. 6, is an assembled view, partly in cross section, of the
ultrasonic cleaning instrument according to the present
invention;
FIG. 7, is a sectional view through the ultrasonic handpiece of
FIG. 6, taken along the line 7--7;
FIG. 8, is a sectional view of an applicator in accordance with the
invention;
FIG. 9, is a sectional view of another form of applicator insert in
accordance with the invention; and
FIGS. 10 and 11, illustrate modified applicator constructions.
DETAILED DESCRIPTION OF THE DRAWINGS
Turning now to FIGS. 1 and 2 there is illustrated an oral hygienic
unit 10, which will be described in greater detail hereinafter, and
for present purposes it is sufficient to indicate that it includes
an instrument or handle means 12 adapted to be held by the user in
a conventional manner, having extending from one end thereof supply
means 14 which supplies to the instrument means 12 both power and a
constant supply of fluid. Applicator means 16 extends from the
opposite end of the instrument means 12 and has a passageway
extending therethrough and in communication with the supply means
14 to permit the formation of a stream of liquid 15 of a small
cross-sectional area, generally in the diametrical range of 0.010
inch to about 0.070 inch. The fluid generally in the form of a
liquid is passed through the instrument means 12 to exit at or near
the applicator means 16.
The velocity, and spray pattern fluid stream 15 may be controlled
by employing pumping means 20 which continuously supplies liquid 21
from the reservoir means 22, either continuously or intermittantly.
Generating means 24 is provided to convert the current, i.e., 60
cycle, to a frequency in the ultrasonic range, which for purposes
of the present invention, "ultrasonic" is defined to include the
range of approximately 5,000 cycles per second to 1 million cycles
per second, although preferably in the range of approximately
16,000 cycles per second to 40,000 cycles per second. The oral
hygienic unit 10, may be controlled such that the liquid stream may
be continuously pumped at a constant rate of flow with the
ultrasonic energy transmitted thereto, or the liquid stream may be
simultaneously pumped to obtain a macropulsing action as well.
To power the unit 10 we have a plug 27 and cord 28 which is in
communication with the generator means 24 and pumping means 20.
Switching means 26 contains a first switch 30 connected to the
generator 24, in a conventional manner, for providing power for
energizing the ultrasonic motor contained within the instrument
casing 32 of the hand held instrument means 12. The energy from the
generator is transmitted to the ultrasonic motor by wires 33 and 34
extending through the flexible conduit 35 of the supply means
14.
A second switch 31 is provided to control the pumping action of the
liquid supply, such that both the velocity as well as the pumping
cycle is controlled. Although reservoir means 22 has been shown in
communication with the pumping means 20, it is to be understood
that essentially both might be considered the equivalent of a water
tap under normal pressure that is controlled as to volume by the
conventional control of the faucet, found in the home. But to
obtain controlled velocities of the fluid stream it is preferable
to provide both reservoir and pumping means. The switch 31 is
provided to regulate, in any conventional manner, the pumping means
20 to provide a stream of the fluid 21 through the tube 37 which is
contained in the conduit 35, through the ultrasonic motor and then
exiting from the applicator means 16 in the direction of arrow 38
in the form of a pattern or stream 15. The applicator means 16 may
take various shapes and forms to permit its positionment within the
oral cavity and is coupled to the ultrasonic motor to induce
therein ultrasonic energy waves in the direction of double-headed
arrow 40. A more detailed discussion of the ultrasonic dental unit
10 is contained in U.S. Pat. No. 3,547,110 and may be referred
thereto for one form of construction thereof.
As seen in FIG. 1 the dental applicator or stimulator means 16 has
a contoured tip 23 that may be pointed for proper positionment
within the oral cavity and contains removing or polishing means 25
thereon. The solid removing plastic stimudents 16 may have
incorporated into them the means 25 in the form of a very fine
abrasive 29 so that a rubbing action against tooth structure
permits the slow removal of plaque and calculus from teeth as well
as the polishing of tooth surfaces after such removal. These
plastic elements 16 may be used by dentists to perform what is
called "port polishing" of root surfaces of teeth, a sophisticated
dental procedure whose aim is to render the polished surfaces so
smooth that the buildup of placque and subsequent development of
calculus is inhibited. The applicator 16, removing means 25, is
intended for interproximal placement and action therein to remove
placque and calculus and also to polish tooth surfaces where such
foreign deposits have been removed. The pointed shape 23 of the
applicator 16 gives maximum flexibility in being able to reach
relatively inaccessible interproximal areas. The placement of the
orifice 74 for water exit is such that surface at the tip 15 of the
applicator may serve as an atomizing means so that the treated area
is being continually saturated without there being a need for an
excessive water flow. However, this arrangement is not the only
usable one to practice the invention. For example, the plastic
applicator could be provided with an adjoining flow section, as
hereinafter illustrated, which serves to bring coolant in adequate
amounts to the treatment site.
The polishing particles 29 may be of various commercial materials
that are known to be capable of engagement with the tooth structure
without damaging effects when properly used. For example, zirconium
silicate, calcium bentinite, aluminum oxide, flour silicon, rouge,
silicon carbide, boron carbide, cerium oxide and Tripoli powder may
be selected for use at a size and level for polishing without
scratching. The particles 29 may be embedded within, or bonded to,
the applicator 16 which may be made of plastic, paper or other
material such as metal. In addition, the applicator 16 may be
formed entirely or on a core, and the polishing medium sintered or
otherwise bonded together to be maintained and vibrated at a given
level of mechanical vibratory energy to perform the results
described herein. Although the particles 29 are illustrated on the
drawings to be of a size visible to the eye, it is appreciated that
in actual fact the mere viewing of the applicator would not
necessarily disclose to the naked eye that it has the particles 29
thereon.
In accordance with the present invention, as is illustrated in
FIGS. 3, 4, and 5 the applicator means 16 of the hand held
instrument is positioned within the oral cavity and in substantial
engagement with the tooth structure 45 and/or the gingival
structure 46 for interproximal gum line, and other treatment
thereof. That is, the applicator is inserted in the mouth and
positioned adjacent the desired structure to be treated with the
mechanical vibrating energy in such a manner to engage the various
portions of the oral cavity. The treating applicator 16 is manually
moved over the respective tooth and gingival surfaces 48 and 49
respectively, much in the manner in which conventional brushing is
performed. The fluid stream 15 which is generated by means of the
pumping means 20 is of a relatively small cross-sectional area and
as the liquid is passed through the supply means 14, and in turn
through the instrument means 12, high-frequency ultrasonic energy
may be superimposed on the stream of liquid so as to obtain a
micropulsing action thereon. Accordingly, the stream of liquid is
then moved to substantially engage the tooth structure 45 or
gingival structure 46, within said cavity and it is moved at such a
rate, dependent upon the user, to obtain a microstimulating of the
engaged structure by transmitting the ultrasonically micropulsed
energy waves contained in the fluid stream 15 to effect a cleansing
action thereof. In this manner a level of hygienic control may be
maintained in the oral cavity.
Accordingly, the action obtained by the fluid stream in the form of
microstimulation may be divided into various subcategories.
Particularly, we have the ability due to a microfatiguing action of
the polishing means 25 to remove foreign deposits, or substances
50, normally found on teeth which may be generally characterized as
stain, placque, calculus or tartar. Stain and tartar are both
adherent deposits on teeth but placque is somewhat softer and less
adherent, such as soft food deposits found between or on the teeth.
The ability of the applicator polishing means 25 to engage these
hard foreign deposits brings about this microfatiguing action in
such a manner such that the bond between the teeth structure and
the foreign deposits is weakened by the high-frequency energy
pulses to the extent that it is broken and the resultant deposits
are flushed away by the continuous stream of liquid.
In this manner it has been shown that the ultrasonically vibrated
applicator 16 with a continuous or pulsed fluid flow can remove
tartar deposits. In addition it also removes stain and
interproximal deposits in a significantly superior fashion, these
improved cleaning results are believed to be directly related to
the ability to continuously supply at an ultrasonic rate a
polishing action to fatigue the bond between the tooth structure
and foreign deposits to obtain the latters removal.
In addition the microstimulation concept also takes another form in
its ability to remove tartar deposits by the well-known factors of
a liquid combined with a grit, such as toothpaste or a special
powder to also assist in removal of tartar and calculus. This is
brought about since the applicator, which is ultrasonically
vibrated produces various cavitational action in the area in which
it is directed. This is directly related to the high-frequency
acceleration which further enhances the cleaning action effect and
will also assist in the removal of foreign deposits.
In order to obtain the desired removal effect it is just necessary
to bring the vibratory surface removing means 25 of the applicator
means 16 into lightly engaged contact with the surface of the
structure to be treated and in the presence of the material
removing particles 29 contained on the applicator. This may take
the form of various particles 29 which may be embedded in the
applicator.
Simultaneously with the results obtained by microfatiguing we
simultaneously have the action obtained by micromassaging of the
gum structure if desired, of the organic oral cavity. A jet stream
may have superimposed on the ultrasonic vibrations in the range of
from 5,000 to 1 million cycles per second and at the same time this
stream might be simultaneously pulsed at a defined low frequency to
obtain a macropulsing thereof. This low-frequency macropulsing is
generally in the range of 6 cycles per minute to 26,000 cycles per
minute. This permits a combination of effects to be obtained since
the macropulsing has certain known beneficial aspects, and the
micropulsing has others, which when combined produces results in
the maintenance of the condition of the oral cavity not heretofore
obtainable.
Accordingly, the combination of an ultrasonically vibrating
applicator tip yields with a polishing compound provides an
unexpected bonus of tooth treatment which is not present in other
ultrasonic systems. Together with the other advantages arising from
the combination described in this invention we have therefore
transcended a simply additive combination and have arrived at a
truely novel improvement in oral dental hygiene.
Having pointed out the benefits of the impregnated applicator with
removing means it should be indicated that this direct coupling of
the energy which is simultaneously transmitted through the
applicator directly to the treated structure, may have a vibratory
component either elliptical, longitudinal, torsional, or any
combination thereof. As indicated in FIG. 5 means 52a, which
includes a plurality of individual resilient Stim-U-Dent members
coupled to the applicator means 16a for transmission of the
mechanical vibrations. The advantages of utilizing the applicator
means 16a in substantial engagement with the treated structure,
irrespective if it is in the form of a single Stim-U-Dent which is
essentially what is shown in FIG. 2 or a plurality of Stim-U-Dents
each containing removing means 25a with particles 29a thereon,
pertains to the basic configuration such that the contour of the
teeth 48a is followed by the Stim-U-Dent 52a such that we obtain
the combined effects in a manner to obtain the coupling or
transmission of ultrasonic energy to the treated structure through
substantial direct engagement of a solid member. The liquid medium
15a is directed at a predetermined pressure such that we are able
to maintain the tooth structure at a desired temperature level and
flush away the removed particles.
Utilizing the brushing implement of FIG. 5, the brush is inserted
in the mouth of the user and moved across the gingival surfaces, so
that the polishing means 25a is adapted, to engage both the tooth
and gingival structures 45a and 46a, with the Stim-U-Dent or
bristle cluster in relatively light contact with the tooth surfaces
48a and the gingival surfaces 49a as well. As the applicator
implement 16a is manually moved throughout the mouth the liquid
stream 15a is continually flowed thereagainst to simultaneously
engage the desired surface structures and flush away removed
particles. The individual Stim-U-Dent, or if a plurality of
clusters are employed, they assume different positions and permit
the removal of foreign deposits that are contained on the tooth
surfaces or interproximal as indicated in FIG. 4. Thus, we have in
effect a microfatiguing of the foreign substances by transmitting
the energy waves contained in the removing means 25a against the
tooth structure for a period of time to fatigue the bond between
the tooth structure and the foreign deposits and effect the removal
thereof.
We also have the ability, if desired, to obtain a micromassaging of
the gingival structure by the ultrasonically micropulsed energy
stream which pervasively penetrates and treats the structure for
the use required. This dual effect obtained by the
microstimulation, removes interproximal and gum line foreign
substances as well as those adhering to the surfaces of the teeth
as well. The rate of removal will be dependent upon the
accumulation to date and whether or not the patient requires
primarily gingival stimulation or removal of materials, in either
case he moves the applicator means in the direction he so desires,
or, preferably as advised by the dentist.
In order to practice the novel combination or methods discussed
hereinabove, in a practical manner to accomplish the desired
objectives, it is preferable to provide an ultrasonic motor of low
cost, when mass produced; also, it is important to limit the amount
of ultrasonic vibrational energy so that an over zealous user may
not wear away the surface or damage the gum structure along with
the stubborn stains or calculus. All the requirements cited above
may be realized by using a suitable instrument including plastic,
rubber, or other components which may be designed to be of self
limiting vibrational energy transmitters which can deliver, and at
the same time, which are also capable of delivering the continuous
pulsating jet stream of liquid to the work site.
In FIGS. 6 through 11, there is shown various embodiments of
ultrasonically driven instruments in accordance with the principles
of the present invention. As seen best in FIGS. 6 and 7, the
instrument means 12 comprises two basic elements, namely an
applicator insert 53, and a handle unit 54 for receiving the insert
53 and which together form in part the ultrasonic motor means
18.
The pumping means 20 of the system produces a stream of liquid and
the instrument means 12 forms a passageway 72 to transmit the
stream of liquid by means of the applicator means 16 which has a
continuing passageway therethrough for applying the jet stream 15
to the structure to be treated in the direction of arrow 38. The
ultrasonic motor means 18 contained within the instrument means 12
can superimpose on the liquid stream mechanical vibrations in the
ultrasonic range to form micropulsed energy waves therein. The
generator means 24 may be set to provide rest periods by pulsing or
modulating the energy waves at a frequency in the ultrasonic range.
At the same time the pumping means 20 may be set to provide pulsing
at a frequency less than the frequency of said micropulsed energy
waves.
The outer casing 32 of the handle unit 54 of the instrument means
12 is generally of a cylindrical element preferably formed of an
electrically insulating and fluid impervious plastic material,
which is provided with a central bore 55 extending axially
therethrough. The outer dimensions of the instrument means 12 is
made such as to be comfortably held in the hand without causing
fatigue.
The handle unit 54 is formed in two sections, a first section which
is the outer casing 32 whose exterior surface forms the peripheral
surface of the handle, and a second portion 57 including a tubular
extension which fits within the member 32, leaving between the
members an annular space extending substantially over their entire
lengths. Within this annular space is wound a coil 56 of insulated
wire for establishing the magnetic field. At the rearward end of
the bore in the member 32 is formed a reduced diameter portion 58
sized to receive the applicator insert 53.
The conduit 35 of the supply means 14 is secured to the end of the
instrument, as by applicator insert support means 62 having a
radical flange 63 secured to the inner bore 54 in any conventional
manner, and a rear lip 64 which has the tube 37 snugly fitting
thereover. A front lip 65 retains the applicator insert 53 in
position.
The applicator insert support means 62 contains a bore 66 to permit
the supply means 14 to be in communication with the instrument
means 12 and the passageway 72 extending therethrough. The front
lip 62 is of a diameter to snugly fit within the end portion 67 of
the applicator insert 53. The resiliency of the material used, such
as plastic, in the acoustic element enables the applicator insert
53 to be manually forced over the front lip 65 by a force which is
sufficient to prevent its voluntary release but which a child is
capable of applying. Similarly, the applicator insert 53 may be
removed from the instrument 12 with the proper amount of force and
at the same time provide a fluid tight seal.
The complete assembly for use in the home includes the generating
means 24, for example, a transistorized oscillator capable of
producing electrical oscillation at a frequency in the ultrasonic
range e.g., between 16,000 and 100,000 cycles per second. Various
types of such oscillators are known and it is not believed
necessary to describe the details herein.
Electrical oscillations and direct current from the source are
coupled via the connector 27 (FIG. 1) and the lead 28, to the
generator 24 and in turn through the leads 33 and 34 to the coil 56
in axial spaced relation to an acoustic element 70 in the
instrument 12 which forms part of the insert 53. There is thus
established in the bore 55 of the handle a magnetic field whose
magnitude changes at an ultrasonic rate. Upon insertion of the
applicator insert 53 the magnetostrictive portion of the acoustic
element 70 is positioned within the magnetic field and in
well-known manner provides a mechanical longitudinal vibration at
the frequency of the magnetic field.
The illustrated embodiment of the applicator insert 53, as shown in
partial cross section in FIG. 6, and which forms part of the
ultrasonic motor 18, comprises a vibratory transmitting assembly
which includes the vibratory or acoustic element 70 which is
preferably made of a nonmetallic material such as plastic or glass
etc., but is capable of transmitting and acting as an acoustic
element to transmit the high-frequency vibratory energy. Secured to
the exterior surface of the elongated acoustic element 70 and
forming a part thereof, is a plurality of spaced-apart strips 71
running actually the length of the acoustic element core 70 which
as hereinafter discussed when energized will vibrate and which
vibrations may also be coupled to the applicator means 16 such that
the latter vibrates and is capable of transmitting vibratory
energy. In order to vibrate such thin metallic strips, such as
Nickel from which the strips may be made, it is important that they
be bonded to the acoustic element 70. For example, if the acoustic
element 70 is of a plastic material in the form of a rod and in the
preferred embodiment is illustrated to be hollow having a conduit
or instrument passageway 73 extending therethrough, which forms
part of the fluid flow passageway 72, and which carries the
metallic strips or layers thereon. The metallic material may be
bonded to the plastic by several available methods, including
electroplating, epoxy bonding and the like. It is of course
necessary to supply the Nickel coat in such a way that no complete
rings or circles of metal are formed. This is to minimize eddy
currents. Also it is possible to cut the tube which contains a
suitable binder for binding both the support member and Nickel
together to the underlying plastic. The acoustic element 70 could
be glass for sanitary reasons and for high Q high-efficiency
vibration. But if glass is used definite limitations must be
inherent in the driving generator. The sidewall of the acoustic
element 70 may also have bonded to it a piezoelectric or
magnostrictive pickup element in order to keep the motor automatic
in its resonant frequency operation.
In practice the generator may be as small as 1 to 10 watts into the
ultrasonic motor, and is preferably of the solid state type. The
forward end 75 of the acoustic element 70 is provided in the
conduit 73 with a threaded portion 76 which is adapted to be
engageable with the applicator means 16. The applicator means 16
includes an applicator member 80 which at its rear portion 81 is
provided with a complimentary threaded portion 82 for engagement
with the threads 76. As seen in FIG. 6, the applicator member 80
may include a forward portion 83 which is tapered with respect to
the rear portion 81 of the applicator. The applicator member has an
applicator passageway or conduit 74 continuing therethrough, and is
hollow throughout its entire length to permit the liquid which is
being passed through the instrument passageway 73 of the applicator
insert 53 to continue in its path to the working or output surface
84 of the applicator means 16. The angular relationship between the
forward portion 83 and rear portion 81 of the applicator member 80
will be dependent upon the amplitude of vibration of the output
surface 84 as well as the configurations of the vibrational pattern
desired to be obtained thereat.
Accordingly, the applicator insert 53 which has the fluid
passageway 72 extending therethrough may be designed such that the
acoustic element 70 is positioned in energy transferring
relationship to the instrument passageway 73, so that the
ultrasonic mechanical vibrations are continuously transmitted to
the stream of liquid as it passes therethrough. The applicator
means 16 includes the applicator passageway 74 extending
therethrough and which is in communication with the instrument
passageway 73, such that essentially the passageway 72 is formed by
the instrument passageway 73, and the applicator passageway 74.
Depending on the design of the ultrasonic system the energy waves
may be introduced into the liquid stream in either of said
passageways if desired or the water or other liquid brought to the
applicator 16 at substantially the point of application.
Thus, one complete magnetostrictive system would include an
acoustic element 70 comprising a properly coated tube member formed
of any suitable material capable of supporting vibrations
transmitted thereto from the magnetostrictive coating, this will
include many metals and hard plastics which are suitable for this
purpose. In order to operate most efficiently, the magnetostrictive
strips 71, the associated body 70, and the applicator means 16
should together be resonant with the frequency at the applied
electric current. A suitable material enabling the length of the
acoustic element 70 to be maintained within reasonable limits is
Nickel, but it will be understood that other materials may also be
used.
As to a further construction of the applicator insert 53 the
acoustic element 70 may also be made from Pyrex glass tubing. On
the surface of this tubing a silver metallizing paint is baked on
and then Nickel plating is placed on the metallized surface.
Slotting of the Nickel coating is provided by masking the Pyrex
tube surface during silver metallizing. This manufacture lends
itself to automated mass production. The hollow tube output end of
the glass tubing provides a means for attaching a light weight
metal element to receive screw-on plastic or other working tips.
The hollow tube also lends itself to through feed of liquid
mediums. The coupling to the casing may be accomplished with
O-rings or variants of other type mountings. Much simpler, of
course, would be permanently attached working tips. In this case
the whole insert must be inexpensive enough to be replaceable at
suitable intervals by buying new ones. The plated glass tube-type
transducer would lend itself pretty well to this type of
approach.
Now, in addition to the complete system described we may include in
the handle 54 into which the applicator insert 53 is assembled in
addition to the energizing winding, pickup winding in the form of a
permanent magnet (not shown) to bias the acoustic strips 71. Now,
in addition to this we also have the hydraulic system which
includes the reservoir means 22 and a suitable electric pumping
means 20, which arrangement was previously discussed with respect
to FIGS. 1 and 2.
Front support means for the applicator insert may include a radial
flange in the form of an O-ring 85 which prevents the vibrations
induced in the applicator insert 53 from being transmitted to the
handle portion 54.
FIG. 8, shows applicator means 16a which includes Stim-U-Dent means
52a in the form of a flexible member 90a in spaced-apart relation
and coupled to the applicator member 80a in any conventional
manner. The applicator member 80a includes a rear portion 81a
having threads 82a for securement to the acoustic element. The
forward portion 83a is integral with the output portion 84a from
which the flexible member 90a extend in a plane substantially
normal thereto. The fluid passageway or conduit 74a tapers
downwardly and terminates in a plurality of apertures 91a through
which the liquid flows to form a plurality of spaced-apart flow
patterns 15a between or in spaced relation to the removing means
25a having particles 29a thereon. In this manner the member 90a
conforms to the contour of the teeth with the removing means 25a
engaging various surfaces simultaneously.
FIG. 9 illustrates another embodiment of the applicator insert 53b
that may be used in conjunction with the instrument illustrated in
FIG. 6, in the illustrated embodiment, the applicator insert 53b
comprises an elongated magnetostrictive acoustic element 93b formed
of a plurality of thin sheets of a magnetostrictive material such
as permanickel or permendur, or any other material capable of
mechanically elongating or shortening when subjected to a magnetic
field. In view of the relative dimensions of the magnetostrictive
portion 93b, it will be seen that upon insertion in a suitably
oriented magnetic field, a significant elongation of the stack will
occur. Consequently, upon application thereto of a magnetic field
whose magnitude varies, the length of the stack 93b will similarly
vary. In accordance with known principles, the magnetostrictive
stack 93b is made to be of a length equal to an integral number of
half-wave lengths in the material at the driving frequency. In this
manner, maximum conversion of energy from the magnetic field to
mechanical vibration is achieved. As is noted hereinabove, other
forms of electrical to mechanical transducers, e.g., piezoelectric,
ferrites, and others may also be employed in accordance with the
present invention.
Rigidly affixed to one end of the magnetostrictive element 93b,
such as by welding, is a connecting member 94b. This member may be
formed of any suitable material capable of supporting vibrations
transmitted thereto from the magnetostrictive stack and many metals
and hard plastics are suitable for this purpose. However, to
operate most efficiently, the connecting member 94b should be made
equal in length to an integral number of half-wavelengths in the
material at the frequency of vibration. A suitable material
enabling the length of the connecting member 94b to be maintained
within reasonable limits is Monel, but it will be understood that
other materials may also be used.
Preferably, the connecting member 94b is formed to produce at its
output end 95b an amplification of the longitudinal vibrations
applied to its input end by the magnetostrictive member 93b. To
effect this function, the member 94b is formed in two sections 96b
and 97b of differing diameter. The transition from the larger to
the smaller diameter occurs at a nodal point of vibration, that is,
a point along a member wherein longitudinal motion is a minimum. In
a uniform diameter element one-half wavelength long, such a node
would occur at the quarter-wave point, half way between the ends.
By locating the transition point at a nodal plane, proper acoustic
impedance transformation takes place and an increased longitudinal
amplitude of vibration is obtained at the output end 95b.
The applicator member 16b is rigidly affixed to the forward end 95b
of the connecting member such as by a screw threaded fastening. By
this means, longitudinal vibrations in the connecting body may be
transmitted unimpeded to the applicator means 16b and consequently
to the removing means 25b mounted thereon.
Surrounding the magnetostrictive stack 93b and the connecting
member 94b is a generally cylindrical casing 100b formed of a
suitable nonmagnetic and fluid impervious material, such as plastic
or aluminum. The casing 100b is structurally rigid and spaced from
the peripheral surfaces of the stack 93b and connecting member 94b
over substantially their entire lengths so as not to be vibrated
therewith.
At the connecting member end of the casing 100b the walls thereof
are somewhat thickened to closely engage the peripheral surface of
the enlarged portion 96b of the connecting member. At approximately
a nodal point of longitudinal motion in the connecting member, an
annular insert 101b of rubber or similar resilient material is
secured in the casing and extends therearound to snugly engage a
mating depression provided in the surface of the connecting member
94b. This serves to firmly support the connecting member within the
casing 100b in such a manner that no longitudinal vibration is
transmitted to the casing 100b. The insert 101b and the closeness
of fit between the casing 100b and the outer surface of the
connecting member 94b also provide a fluidtight seal between the
casing 100b and the connecting member 94b.
The end of the casing 100b beyond the magnetostrictive portion 93b
is thickened at 102b and provided with an aperture 103b extending
all the way through to receive the front lip 65b such that the
liquid flowing therein enters the passageway 72b, which includes
the passageway 73b, which is the space between the stack 93b and
the inside of the casing 100b. The instrument passageway 73b
continues exteriorly of the insert by means of a conduit 99b which
connects at the insert 101b to a point adjacent the tip 23b so that
a flow of fluid 15a is present at the work site and the applicator
means 16a may be removed and a new one assembled as desired.
It will be seen that the entire applicator insert 53b is
self-contained and includes only one part subject to wear, i.e.,
the applicator 16b, which is arranged to be removed without
difficulty and replaced with a new unit whenever necessary.
FIG. 10 illustrates a form of the applicator means 16c in which the
fluid 15c in spaced relation to a tip 106c thereof by a distance D.
This permits the removing means 25c at the tip 106c to engage the
tooth structure and provide a flow of cooling liquid. The fixed
spacing between the output surface 84c and the tip 106c is
important in that the fluid flow is not blocked by the user. In
addition the flow may be so proportioned that a significant amount
of atomization occurs at surface 84c, thereby assuring a continuous
"rain" of liquid at the treatment site.
FIG. 11 illustrates a form of the applicator means 16d with
Stim-U-Dent means 52d in the form of a suction cup provided such
that the liquid flow 15d exits from the applicator means 16d in
spaced relation to the engaged surface and into the cup formed by
the Stim-U-Dent means 52d.
Accordingly, applicant has referred to the benefits arising from
the energizing of a soft applicator, be it of suction cup type or a
simple soft blunt element. In this case, as seen in FIG. 11 the
applicator 16d in the form of a suction cup, may be used in its
ordinary manual mode of hand push-pull to provide macromassage, but
at the same time high-frequency energizing provides additional
modes of periodontal home treatment. For example, applicant has
found that as the soft elastic element is pressed against gingival
tissue the ability of the element to transmit micromassage
vibrations to the gingiva is increased. Thus during manual
manipulation the applicator periodically causes a pulsing of
micromassage energy to be added to the macromassage energy normally
being applied. Now, at the same time by providing a small orifice
91d into the soft cuplike element 52d through which water may
trickle we have an additional coupling medium interposed between
the gingiva and the surface, which, as vibrating fluid medium
assists in enhancing the micromassage effects.
The Stim-U-Dent 52d may also have removing means 25d with particles
29d thereon for engagement with the surfaces.
From the foregoing, it will be evident that the application of
ultrasonic energy by employing cleaning means to tooth and gingival
surfaces is effective to provide significantly improved cleaning
action, and, if employed for regular dental care in the home, will
result in maintenance of greater dental health than is possible
utilizing conventional implements.
While the invention has been described in connection with
particular ultrasonic motor and applicator constructions, various
other devices and methods of practicing the invention will occur to
those skilled in the art. Therefore, it is not desired that the
invention be limited to the specific details illustrated and
described and it is intended by the appended claims to cover all
modifications which fall within the spirit and scope of the
invention.
* * * * *