Abstract
A method of using an orthodontic device to effect movement of an impacted or malpositioned tooth includes providing an orthodontic device, the orthodontic device including a bracket, a coiled spring, and an anchoring assembly, bonding the bracket to an impacted or malpositioned tooth, connecting a first end of the spring to a first spring attachment portion supported by the bracket, connecting a second end of the spring to a second spring attachment portion supported by the anchoring assembly, and coupling the anchoring assembly to a second orthodontic device that is installed in the patient's mouth.
Claims
1. A method of using an orthodontic device to effect vertical movement of an impacted tooth, comprising the steps of: providing an orthodontic device, the orthodontic device including a bracket, a spring, and an anchoring assembly, wherein the bracket and the anchoring assembly each include a distinct spring attachment portion, and wherein a first end of the spring is secured to the spring attachment portion of the bracket and a second end of the spring is secured to the spring attachment portion of the anchoring assembly; bonding the bracket to an impacted tooth in a first jaw, the first jaw being an upper jaw or a lower jaw, wherein an archwire is arranged around the first jaw; coupling the anchoring assembly directly to the archwire; wherein, with the bracket bonded to the impacted tooth, the anchoring assembly coupled to the archwire, and the spring secured at its first end to the spring attachment portion of the bracket and secured at its second end to the spring attachment portion of the anchoring assembly, the spring extends perpendicularly upward or downward from the archwire and is held in tension between the bracket and the archwire, thereby applying a pulling force to the bracket to pull the bracket predominantly vertically toward the archwire.
2. The method of claim 1, further comprising a step, prior to the bonding step, of surgically opening gum tissue on the first jaw to reveal the impacted tooth.
3. The method of claim 1, wherein the bracket includes a bondable metal pad or button, and wherein the bonding step includes bonding the bondable metal pad or button to the impacted tooth.
4. The method of claim 1, wherein the anchoring assembly includes a hook, and wherein the step of coupling the anchoring assembly to the archwire includes hooking the hook around the archwire.
5. The method of claim 4, wherein the step of coupling the anchoring assembly to the archwire further includes crimping the hook around the archwire.
6. The method of claim 1, further comprising a step, after the bonding step and before the coupling step, of stretching the spring such that the coupling step may be carried out.
7. The method of claim 1, wherein the step of providing an orthodontic device having a spring includes providing an orthodontic device having a coiled spring, and wherein the coiled spring is held in tension between the bracket and the archwire, thereby applying the pulling force to the bracket to pull the bracket predominantly vertically toward the archwire.
8. The method of claim 1, wherein the spring continues to apply a pulling force to the bracket, thus causing the bracket to move predominantly vertically toward the archwire, so long as the spring remains in a stretched state.
9. The method of claim 1, wherein the step of providing an orthodontic device includes selecting a spring length from a plurality of different spring lengths, wherein the particular spring length is chosen at least partly based on the distance between the impacted tooth and the archwire.
10. A method of using an orthodontic device to effect vertical movement of an impacted tooth, comprising the steps of: bonding a bracket to an impacted tooth in a jaw; installing an archwire around the jaw; and coupling an anchoring assembly to the archwire, wherein the anchoring assembly is disposed at a first end of a non-planar spring and wherein the spring has a second end, opposite the first end, that is secured to the bracket, such that the spring extends in a predominantly vertical direction upward or downward from the archwire and is held in tension between the bracket and the archwire, thereby applying a pulling force to the impacted tooth, via the bracket, to pull the impacted tooth predominantly vertically toward the archwire.
11. The method of claim 10, further comprising a step, prior to the bonding step, of surgically opening gum tissue on the jaw to reveal the impacted tooth.
12. The method of claim 10, wherein the bracket includes a bondable metal pad or button, and wherein the bonding step includes bonding the bondable metal pad or button to the impacted tooth.
13. The method of claim 10, wherein the anchoring assembly includes a hook, and wherein the step of coupling the anchoring assembly to the archwire includes hooking the hook around the archwire.
14. The method of claim 13, wherein the step of coupling the anchoring assembly to the archwire further includes hooking the hook around the archwire and a spacer sleeve disposed around the archwire.
15. The method of claim 10, further comprising a step of installing a spacer sleeve around the archwire at a location, along the archwire, immediately adjacent the location where the anchoring assembly is coupled.
16. The method of claim 10, wherein the spring continues to apply a pulling force to the bracket, thus causing the bracket to move predominantly vertically toward the archwire, so long as the spring remains in a stretched state.
17. The method of claim 10, further comprising a step of selecting a spring length from a plurality of different spring lengths, wherein the particular spring length is chosen at least partly based on the distance between the impacted tooth and the archwire.
18. The method of claim 10, wherein the spring is a coiled spring.
19. The method of claim 10, further comprising a step, after the bonding step and before the coupling step, of stretching the spring such that the coupling step may be carried out.
20. A method of using an orthodontic device to effect vertical movement of an impacted tooth, comprising the steps of: bonding a first bracket to an impacted tooth in a jaw; installing an orthodontia assembly around the jaw, the orthodontia assembly including an archwire, one or more archwire brackets attached to teeth, in the jaw, that are adjacent to the impacted tooth, and optionally including one or more spacers on the archwire; coupling an anchoring assembly to the orthodontia assembly, wherein the anchoring assembly is disposed at a first end of a coiled spring and wherein the spring has a second end, opposite the first end; and securing the second end of the spring to the first bracket such that the spring extends in a predominantly vertical direction upward or downward from the archwire to the first bracket and is held in tension between the first bracket and the orthodontia assembly, thereby applying a pulling force to the impacted tooth, via the first bracket, to pull the impacted tooth predominantly vertically toward the archwire.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) Further features, embodiments, and advantages of the present invention will become apparent from the following detailed description with reference to the drawings, wherein:
(2) FIG. 1 is a front view of an orthodontic device for exposure of impacted teeth in accordance with one or more preferred embodiments of the present invention;
(3) FIG. 2 is a side view of the orthodontic device of FIG. 1;
(4) FIGS. 3A and 3B are front views, with and without contemplated dimensions, of the bondable pad of FIGS. 1 and 2;
(5) FIG. 4 is a rear view of the bondable pad of FIGS. 3A and 3B;
(6) FIG. 5 is a top view of the bondable bracket of FIGS. 1 and 2;
(7) FIG. 6 is a side view of the bondable bracket of FIG. 5;
(8) FIG. 7 is a side view of the spring of FIGS. 1 and 2, shown in an inactive state;
(9) FIGS. 8A and 8B are front views, with and without contemplated dimensions, of the anchoring assembly of FIGS. 1 and 2;
(10) FIGS. 9A and 9B are side views, with and without contemplated dimensions, of the anchoring assembly of FIGS. 8A and 8B;
(11) FIGS. 10A-10E are a series of schematic illustrations of the device of FIGS. 1 and 2 in use in a patient's mouth;
(12) FIG. 11 is a front left view of an orthodontic device, shown in its inactive state, for exposure of impacted teeth in accordance with one or more preferred further embodiments of the present invention;
(13) FIGS. 12A and 12B are a front left view and a right side view, respectively, of the orthodontic device of FIG. 11, shown in its stretched or activated state;
(14) FIG. 13 is a bottom rear orthogonal view of the bondable bracket of FIG. 12B;
(15) FIG. 14 is a front view of the bondable bracket of FIG. 13;
(16) FIG. 15 is a top view of the bondable bracket of FIG. 13;
(17) FIG. 16 is a right side view of the bondable bracket of FIG. 13;
(18) FIG. 17 is a side view of the spring of FIGS. 12A and 12B, shown in its active state;
(19) FIG. 18 is a bottom rear orthogonal view of the anchoring assembly of FIG. 12B;
(20) FIG. 19 is a right side view of the anchoring assembly of FIG. 18; and
(21) FIGS. 20A-20E are a series of schematic illustrations of the device of FIG. 11 in use in a patient's mouth;
(22) FIG. 21 is a front orthogonal view of an orthodontic device, shown in its activated state, for exposure of impacted teeth in accordance with one or more further preferred embodiments of the present invention;
(23) FIG. 22 is a side view of the coiled spring of FIG. 21;
(24) FIG. 23 is a front orthogonal view of the orthodontic device of FIG. 21 but shown with only a single weld;
(25) FIG. 24 is a front orthogonal view of an orthodontic device, shown in its activated state, for exposure of impacted teeth in accordance with one or more further preferred embodiments of the present invention;
(26) FIG. 25 is a front orthogonal view of an orthodontic device, shown in its activated state, for exposure of impacted teeth in accordance with one or more further preferred embodiments of the present invention;
(27) FIG. 26 is a side view of the coiled spring of FIG. 25;
(28) FIGS. 27A and 27B are a front view and a right side view, respectively, of an alternative anchoring assembly;
(29) FIG. 28 is a front orthogonal view of an alternative bondable bracket for use in an orthodontic device for exposure of impacted teeth in accordance with one or more further preferred embodiments of the present invention; and
(30) FIGS. 29A-29C are a series of schematic illustrations of a variation of the device of FIG. 11 in use in a patient's mouth.
DETAILED DESCRIPTION
(31) As a preliminary matter, it will readily be understood by one having ordinary skill in the relevant art (Ordinary Artisan) that the present invention has broad utility and application. Furthermore, any embodiment discussed and identified as being preferred is considered to be part of a best mode contemplated for carrying out the present invention. Other embodiments also may be discussed for additional illustrative purposes in providing a full and enabling disclosure of the present invention. As should be understood, any embodiment may incorporate only one or a plurality of the above-disclosed aspects of the invention and may further incorporate only one or a plurality of the above-disclosed features. Moreover, many embodiments, such as adaptations, variations, modifications, and equivalent arrangements, will be implicitly disclosed by the embodiments described herein and fall within the scope of the present invention.
(32) Accordingly, while the present invention is described herein in detail in relation to one or more embodiments, it is to be understood that this disclosure is illustrative and exemplary of the present invention, and is made merely for the purposes of providing a full and enabling disclosure of the present invention. The detailed disclosure herein of one or more embodiments is not intended, nor is to be construed, to limit the scope of patent protection afforded the present invention, which scope is to be defined by the claims and the equivalents thereof. It is not intended that the scope of patent protection afforded the present invention be defined by reading into any claim a limitation found herein that does not explicitly appear in the claim itself.
(33) Thus, for example, any sequence(s) and/or temporal order of steps of various processes or methods that are described herein are illustrative and not restrictive. Accordingly, it should be understood that, although steps of various processes or methods may be shown and described as being in a sequence or temporal order, the steps of any such processes or methods are not limited to being carried out in any particular sequence or order, absent an indication otherwise. Indeed, the steps in such processes or methods generally may be carried out in various different sequences and orders while still falling within the scope of the present invention. Accordingly, it is intended that the scope of patent protection afforded the present invention is to be defined by the appended claims rather than the description set forth herein.
(34) Additionally, it is important to note that each term used herein refers to that which the Ordinary Artisan would understand such term to mean based on the contextual use of such term herein. To the extent that the meaning of a term used hereinas understood by the Ordinary Artisan based on the contextual use of such termdiffers in any way from any particular dictionary definition of such term, it is intended that the meaning of the term as understood by the Ordinary Artisan should prevail.
(35) Regarding applicability of 35 U.S.C. 112, 6, no claim element is intended to be read in accordance with this statutory provision unless the explicit phrase means for or step for is actually used in such claim element, whereupon this statutory provision is intended to apply in the interpretation of such claim element.
(36) Furthermore, it is important to note that, as used herein, a and an each generally denotes at least one, but does not exclude a plurality unless the contextual use dictates otherwise. Thus, reference to a picnic basket having an apple describes a picnic basket having at least one apple as well as a picnic basket having apples. In contrast, reference to a picnic basket having a single apple describes a picnic basket having only one apple.
(37) When used herein to join a list of items, or denotes at least one of the items, but does not exclude a plurality of items of the list. Thus, reference to a picnic basket having cheese or crackers describes a picnic basket having cheese without crackers, a picnic basket having crackers without cheese, and a picnic basket having both cheese and crackers. Finally, when used herein to join a list of items, and denotes all of the items of the list. Thus, reference to a picnic basket having cheese and crackers describes a picnic basket having cheese, wherein the picnic basket further has crackers, as well as describes a picnic basket having crackers, wherein the picnic basket further has cheese.
(38) Referring now to the drawings, in which like numerals represent like components throughout the several views, one or more preferred embodiments of the present invention are next described. The following description of one or more preferred embodiment(s) is merely exemplary in nature and is in no way intended to limit the invention, its application, or uses.
(39) FIGS. 1 and 2 are a front view and a side view, respectively, of an orthodontic device 10 for exposure of impacted teeth in accordance with one or more preferred embodiments of the present invention. As shown therein, the orthodontic device 10 includes a bondable bracket 20, a spring 30 (shown in its inactive state) connected at one end to the bracket 20, and an anchoring assembly 40 connected to the other end of the spring 30. Each of these is described in greater detail herein.
(40) FIGS. 3A and 3B are front views, with and without contemplated dimensions, of the bondable bracket 20 of FIGS. 1 and 2; and FIGS. 4, 5, and 6 are a rear view, a top view, and a side view, respectively, of the bondable bracket 20 of FIGS. 3A and 3B. The bracket 20 includes a bondable metal pad or button 22 and a spring attachment portion 24. The pad or button 22 may be bonded to an impacted tooth or other tooth of interest using a conventional dental or orthodontic bonding adhesive. The rear of the pad or button 22 may include a metal retentive mesh 26 where the bonding adhesive (not shown) may be placed. In at least some embodiments, the pad or button 22 is curved so as to better fit the contours of the tooth to which it is to be bonded. Such curvature may be side to side, top to bottom, or both, and different amounts of curvature may be supplied on different bondable brackets 20 so as to facilitate selection of the proper degree of curvature. The spring attachment portion 24 may include one or more features for attaching or connecting an end of a spring thereto. For example, in the illustrated embodiment, the spring attachment portion 24 includes a pair of slot openings 28 for receiving one or more loops or coils of a coiled spring. In at least some embodiments, the bracket 20, including the mesh 26, are produced from stainless steel.
(41) Dimensions of one particular contemplated embodiment are shown in FIG. 3B. The bondable bracket 20 may be 4.5 mm tall. The pad or button 22 may be 3.0 mm tall, 3.8 mm wide, and 0.3 mm thick. The spring attachment portion 24 may be 1.5 mm tall, 2.3 mm wide and 0.3-0.4 mm thick. The slot openings 28 may be 1.2 mm long and 0.4 mm wide, and may be spaced from each other and from the sides of the spring attachment portion 24 by 0.5 mm.
(42) FIG. 7 is a side view of the spring 30 of FIGS. 1 and 2, shown in an inactive state. The spring 30 includes a first end 32, a second end 34, and a middle section 36. The first end 32 connects to the bondable bracket 20 and the second end 34 connects to the anchoring assembly 40. In the illustrated embodiment, multiple coils of the first spring end 32 are wound through the slot openings 28 in the bondable bracket 20 and multiple coils of the second spring end 34 are wound through the slot openings 38 in the anchoring assembly 40. The middle spring section 36 is preferably between 3 and 13 mm in length, and is more preferably between 5 and 11 mm in length. In one contemplated embodiment, the middle spring section 36 is 5 mm in length. In another contemplated embodiment, the middle spring section 36 is 8 mm in length. In another contemplated embodiment, the middle spring section 36 is 11 mm in length. Also, in one contemplated embodiment, the first end 32 and the second end 34 are each approximately 0.5 mm in length. The diameter of the spring is preferably between 1.0 mm and 1.5 mm, and in a particular contemplated embodiment is 1.3 mm in diameter.
(43) In at least some embodiments, the spring 30 is preferably produced from some sort of superelastic metal, such as nickel-titanium (NiTi or nitinol), copper nitinol, alloys thereof, or the like. Furthermore, in at least some embodiments, the middle section 36 of the spring 30 is shaped in the form of a non-planar, helical coil spring that can be stretched or activated to a greater length. In at least some of these embodiments, the spring exerts approximately 150-250 g of pull force as it collapses from its stretched or active state back to its inactive state.
(44) FIGS. 8A and 8B are front views, with and without contemplated dimensions, of the anchoring assembly 40 of FIGS. 1 and 2, and FIGS. 9A and 9B are side views, with and without contemplated dimensions, of the anchoring assembly 40 of FIGS. 8A and 8B. The anchoring assembly 40 includes an anchoring feature 42 and a spring attachment portion 44. In the illustrated embodiment, the anchoring feature 42 is a hook, but in some embodiments, the anchoring feature 42 may include a clamp or other fastening device. The hook or other anchoring feature 42 may be anchored to an orthodontic archwire 98 or the like as described elsewhere herein. The spring attachment portion 44 may include one or more features for attaching or connecting an end of a spring thereto. For example, in the illustrated embodiment, the spring attachment portion 44 includes a pair of slot openings 48 for receiving one or more loops or coils of a coiled spring. The attachment features may be similar to those on the bondable bracket 20, or they may be different. In at least some embodiments, the anchoring assembly 40 is produced from stainless steel.
(45) Dimensions of one particular contemplated embodiment are shown in FIGS. 8B and 9B. The anchoring assembly 40 may be 4.5 mm tall. The spring attachment portion 44 may be 1.5 mm tall, 2.3 wide, and 0.3-0.4 mm thick. The anchoring feature 42 may be 3.0 mm tall, 0.5 mm in diameter, and may create a hook having an internal diameter of 2.0 mm and an opening at the end of 2.0 mm. The slot openings 48 may be 1.2 mm long and 0.4 mm wide, and may be spaced from each other and from the sides of the spring attachment portion 24 by 0.5 mm.
(46) The orthodontic device 10 may be used to quickly adjust the position, location, and/or orientation of an impacted tooth. In this regard, FIGS. 10A-10E are a series of schematic illustrations of the device 10 of FIGS. 1 and 2 in use in a patient's mouth 90. In FIG. 10A, an impacted tooth 92 is shown as being above the adjacent teeth 94, where it has failed to erupt from the gum tissue 96. It is anticipated that the device 10 may typically be installed during surgery, in which the gum tissue 96 is opened to facilitate access to the impacted tooth 92, but it will be appreciated that in some situations surgery may not be necessary. In FIG. 10B, the bondable bracket 20 is shown installed on the impacted tooth 92, and in FIG. 10C, the spring 30 and anchoring assembly 40 are shown connected to the bondable bracket 20. (It will be appreciated that in some embodiments, the device 10 may be installed as a single unit, while in some embodiments, the bondable bracket 20 may be bonded to the tooth 92 first, and then the spring 30 and anchoring assembly 40 connected afterward.)
(47) With the bondable bracket 20 bonded to the involved tooth 92, the spring 30 is activated or stretched, and the anchoring assembly 40 is attached to the orthodontic archwire 98, as shown in FIG. 10D. With the spring activated, the spring 30 applies a relatively constant and orthodontically-friendly force to the involved tooth 92 over a longer period of time when compared to traditional methods. It is thus potentially possible to carry out surgery on a particular patient a fewer number of times, to make adjustments less frequently, and to reduce the overall amount of time that is required to force eruption of the impacted tooth 92 through the gum tissue 96 and to bring it into a proper position between the adjacent teeth 94 as shown in FIG. 10E.
(48) By selecting the shortest possible length of spring 30 that will stretch from the involved tooth 92 to the orthodontic archwire 98 without undergoing permanent deformation, the device 10 will remain active over the longest period of time without the need for adjustment or reactivation by the orthodontist. Ideally, the device 10 would be produced in different sizes that differ only in the length of the middle section 36 of the coil spring 30, so that the practitioner could select the appropriate length of device 10 for the particular clinical situation in which it is being used. One contemplated set of sizes includes one size in which the middle spring section 36 is 5 mm in length when in its inactive state, one size in which the middle spring section 36 is 8 mm in length when in its inactive state, and one size in which the middle spring section 36 is 11 mm in length when in its inactive state. If the first and second spring end sections 32,34 are 0.5 mm in length, then the overall length of these three spring sizes would be 6 mm, 9 mm, and 12 mm, respectively.
(49) FIG. 11 is a front left view of an orthodontic device 110, shown in its inactive state, for exposure of impacted teeth in accordance with one or more preferred further embodiments of the present invention, while FIGS. 12A and 12B are a front left view and a right side view, respectively, of the orthodontic device 110 of FIG. 11, shown in its stretched or activated state. As shown therein, the orthodontic device 110 includes a bondable bracket 120, a spring 130 (shown in its inactive state) connected at one end to the bracket 120, and an anchoring assembly 140 connected to the other end of the spring 130. Each of these is described in greater detail herein.
(50) FIG. 13 is a bottom rear orthogonal view of the bondable bracket 120 of FIG. 12B; and FIGS. 14, 15, and 16 are a front view, a top view, and a right side view, respectively, of the bondable bracket 120 of FIG. 13. The bracket 120 includes a bondable metal pad or button 122 and a spring attachment portion 124. The pad or button 122 may be bonded to an impacted tooth or other tooth of interest using a conventional dental or orthodontic bonding adhesive. The rear of the pad or button 122 may include a metal retentive mesh 126 (representatively illustrated in FIG. 13) where the bonding adhesive (not shown) may be placed. In at least some embodiments, the pad or button 122 is curved so as to better fit the contours of the tooth 92 to which it is to be bonded. Such curvature may be side to side, top to bottom, or both, and different amounts of curvature may be supplied on different bondable brackets 120 so as to facilitate selection of the proper degree of curvature. The spring attachment portion 124 may include one or more features for attaching or connecting an end of a spring thereto. For example, in the illustrated embodiment, the spring attachment portion 124 includes a pair of conjoined slot openings 128, separated by a peg 127, for receiving one or more loops or coils of a coiled spring. The bracket 120 also includes a standoff portion 123 extending perpendicularly between the pad or button 122 and the spring attachment portion 124 to position the spring attachment features in front of the pad or button 122. As shown in FIGS. 15 and 16, relief openings 121 may optionally be provided in the standoff portion 123 near the attachment portion 124 to facilitate manufacturing.
(51) Dimensions of one particular contemplated embodiment of the bondable bracket 120 are as follows. The bondable bracket 120 may be 4.5 mm tall. The pad or button 122 may be 3.0 mm tall, 3.8 mm wide, and 0.3 mm thick. The spring attachment portion 124 may be 1.5 mm tall, 2.3 mm wide and 0.3-0.4 mm thick. The conjoined slot openings 128 may be 1.2 mm long and 0.4 mm wide, and their main portions may be spaced from each other and from the sides of the spring attachment portion 124 by 0.5 mm.
(52) FIG. 17 is a side view of the spring 130 of FIGS. 12A and 12B, shown in its active state. The spring 130 includes a first end 132, a second end 134, and a middle section 136. The first end 132 connects to the bondable bracket 120 and the second end 134 connects to the anchoring assembly 140. In the illustrated embodiment, multiple coils of the first spring end 132 are wound through the conjoined slot openings 128 in the bondable bracket 120 and multiple coils of the second spring end 134 are wound through conjoined slot openings 148 in the anchoring assembly 140.
(53) In at least some embodiments, the spring 130 is preferably produced from some sort of superelastic metal, such as nickel-titanium (NiTi or nitinol), copper nitinol, alloys thereof, or the like. Furthermore, in at least some embodiments, the middle section 136 of the spring 130 is shaped in the form of a non-planar, helical coil spring that can be stretched or activated to a greater length. In at least some of these embodiments, the spring exerts approximately 150-200 g of pull force as it collapses from its stretched or active state back to its inactive state. In at least some other embodiments, a constant force spring or constant tension spring, made from a flat ribbon or band of steel or the like, that exerts a constant or nearly constant force over its range of motion. In various alternative embodiments, other types of springs may utilized instead, including conical springs (particularly those providing constant or nearly constant forces), clock springs, simple wire springs, and/or the like.
(54) FIG. 18 is a bottom rear orthogonal view of the anchoring assembly 140 of FIG. 12B, and FIG. 19 is a right side view of the anchoring assembly 140 of FIG. 18. The anchoring assembly 140 includes an anchoring feature 142 and a spring attachment portion 144. In the illustrated embodiment, the anchoring feature 142 is a rectangular hook, but in some embodiments, the anchoring feature 142 may include a clamp or other fastening device. The hook or other anchoring feature 142 may be anchored to an orthodontic archwire 98 or the like as described elsewhere herein. The spring attachment portion 144 may include one or more features for attaching or connecting an end of a spring thereto. For example, in the illustrated embodiment, the spring attachment portion 144 includes a pair of conjoined slot openings 148, separated by a peg 147, for receiving one or more loops or coils of a coiled spring. The attachment features may be similar to those on the bondable bracket 120, or they may be different. The anchoring assembly 140 also includes a standoff portion 143 extending perpendicularly between the anchoring feature 142 and the spring attachment portion 144 to position the spring attachment features in front of the anchoring feature 142. As shown in FIGS. 18 and 19, relief openings 141 may optionally be provided in the standoff portion 143 near the attachment portion 144 to facilitate manufacturing.
(55) Dimensions of one particular contemplated embodiment of the anchoring assembly bracket 140 are as follows. The anchoring assembly 40 may be 4.5 mm tall. The spring attachment portion 144 may be 1.5 mm tall, 2.3 wide, and 0.3-0.4 mm thick. The anchoring feature 142 may be 3.0 mm tall, 0.5 mm in diameter, and may create a hook having an internal cross-section of 2.0 mm and an opening at the end of 2.0 mm. The slot openings 148 may be 1.2 mm long and 0.4 mm wide, and may be spaced from each other and from the sides of the spring attachment portion 124 by 0.5 mm.
(56) The orthodontic device 110 may be used to quickly adjust the position, location, and/or orientation of an impacted tooth. In this regard, FIGS. 20A-20E are a series of schematic illustrations of the device 110 of FIG. 11 in use in a patient's mouth 90. In FIG. 20A, an impacted tooth 92 is shown as being above the adjacent teeth 94, where it has failed to erupt from the gum tissue 96. It is anticipated that the device 110 may typically be installed during surgery, in which the gum tissue 96 is opened to facilitate access to the impacted tooth 92, but it will be appreciated that in some situations surgery may not be necessary. In FIG. 20B, the bondable bracket 120 is shown installed on the impacted tooth 92, and in FIG. 20C, the spring 130 and anchoring assembly 140 are shown connected to the bondable bracket 120. (It will be appreciated that in some embodiments, the device 110 may be installed as a single unit, while in some embodiments, the bondable bracket 120 may be bonded to the tooth 92 first, and then the spring 130 and anchoring assembly 140 connected afterward.)
(57) With the bondable bracket 120 bonded to the involved tooth 92, the spring 130 is activated or stretched, and the anchoring assembly 140 is attached to the orthodontic archwire 98, as shown in FIG. 20D. With the spring activated, the spring 130 applies a relatively constant and orthodontically-friendly force to the involved tooth 92 over a longer period of time when compared to traditional methods. It is thus potentially possible to carry out surgery on a particular patient a fewer number of times, to make adjustments less frequently, and to reduce the overall amount of time that is required to force eruption of the impacted tooth 92 through the gum tissue 96, as shown in FIG. 20E. Ultimately, the same process may be used to bring the impacted tooth 92 into a proper position between the adjacent teeth 94.
(58) By selecting the shortest possible length of spring 130 that will stretch from the involved tooth 92 to the orthodontic archwire 98 without undergoing permanent deformation, the device 110 will remain active over the longest period of time without the need for adjustment or reactivation by the orthodontist. Ideally, the device 110 would be produced in different sizes that differ only in the length of the middle section 136 of the coil spring 130, so that the practitioner could select the appropriate length of device 110 for the particular clinical situation in which it is being used. One contemplated set of sizes includes one size in which the middle spring section 136 is 5 mm in length when in its inactive state, one size in which the middle spring section 136 is 8 mm in length when in its inactive state, and one size in which the middle spring section 136 is 11 mm in length when in its inactive state. If the first and second spring end sections 132,134 are 0.5 mm in length, then the overall length of these three spring sizes would be 6 mm, 9 mm, and 12 mm, respectively.
(59) In various alternative embodiments, a coiled spring may be connected to a bondable bracket in other ways. For example, FIG. 21 is a front orthogonal view of an orthodontic device 210, shown in its activated state, for exposure of impacted teeth in accordance with one or more further preferred embodiments of the present invention. As shown therein, the orthodontic device 210 includes a bondable bracket 220, a spring 230 (shown in its active state) connected at one end to the bracket 220, and an anchoring assembly 140 connected to the other end of the spring 230.
(60) The bracket 220 includes a bondable metal pad or button 222 and a spring attachment portion 224. Like the pads or buttons 22,122 of previously-described embodiments, the pad or button 222 may be bonded to an impacted tooth or other tooth of interest using a conventional dental or orthodontic bonding adhesive. The rear of the pad or button 222 may include a metal retentive mesh 226 where the bonding adhesive (not shown) may be placed. In at least some embodiments, the pad or button 222 is curved so as to better fit the contours of the tooth 92 to which it is to be bonded. Such curvature may be side to side, top to bottom, or both, and different amounts of curvature may be supplied on different bondable brackets 220 so as to facilitate selection of the proper degree of curvature. In this embodiment, the spring attachment portion 224 includes a loop into which a first end 232 of the spring 230 may be inserted.
(61) FIG. 22 is a side view of the coiled spring 230 of FIG. 21. The spring 230 includes a first end 232, a second end 234, and a middle section 236. The first end 232 connects to the bondable bracket 220 and the second end 234 connects to the anchoring assembly 140. In the illustrated embodiment, the first spring end 232 is a straight segment that is inserted through the loop 224 of the bondable bracket 220 and multiple coils of the second spring end 234 are wound through conjoined slot openings 148 in the anchoring assembly 140. Other than the straight end 232, the spring 230 may otherwise have characteristics similar to those of the springs 30,130 described previously.
(62) In the illustrated embodiment, the anchoring assembly 140 may be identical to that of FIG. 11, described previously.
(63) Referring again to FIG. 21, the straight spring end 232 is connected to the bondable bracket 220 by first inserting the end 232 through the loop 224 and then welding the end 232 to the front of the bracket 220 using at least one weld 228 and, in some cases, a second weld 229. FIG. 21 illustrates the use of two welds 228,229, while FIG. 23 is a front orthogonal view of the orthodontic device 210 of FIG. 21 but shown with only a single weld 228. The welds 228,229 may, in at least some embodiments, be applied via laser welding and/or may, in at least some embodiments, be applied via spot welding. A groove 225 may be provided in the pad or button 222 to increase the surface area, thereby improving the strength and durability of the weld 228. In at least some embodiments, the spring 230 may be heat treated, and in at least some of these embodiments such heat treatment would occur post-welding, thereby providing additional strength and reliability in the welds 228,229.
(64) The orthodontic device 210 may be used to quickly adjust the position, location, and/or orientation of an impacted tooth using methods similar to those described previously, except that in at least some embodiments the first spring end 232 must be permanently attached to the bondable bracket 220 before use. In particularly, after insertion through the loop 224 of the bondable bracket 220, the first spring end 232 is welded to the pad or button 222 such that it cannot thereafter be removed from the loop 224 without destroying at least one of the spring 230, the welds 228,229, or the bracket 220 itself. With the spring 230 connected to the bracket 220, further use of the device 210 may be similar to the usage illustrated, for example, in FIGS. 20C-20E.
(65) FIG. 24 is a front orthogonal view of an orthodontic device 310, shown in its activated state, for exposure of impacted teeth in accordance with one or more further preferred embodiments of the present invention. As shown therein, the orthodontic device 310 includes a bondable bracket 320, a spring 230 (shown in its active state) connected at one end to the bracket 320, and an anchoring assembly 140 connected to the other end of the spring 230. The bracket 320 includes a bondable metal pad or button 322 and a spring attachment portion 224. The bracket 320 is somewhat similar to the bracket of FIG. 23 but includes a deeper groove 325 formed between two ridges 327 rising from the face of the pad or button 322. This deeper groove 325 provides further improvement to the strength and durability of the weld 228.
(66) FIG. 25 is a front orthogonal view of an orthodontic device 410, shown in its activated state, for exposure of impacted teeth in accordance with one or more further preferred embodiments of the present invention. As shown therein, the orthodontic device 410 includes a bondable bracket 420, a spring 430 (shown in its active state) connected at one end to the bracket 420, and an anchoring assembly 140 connected to the other end of the spring 430.
(67) The bracket 420 includes a bondable metal pad or button 422 and a spring attachment portion 424. Like the pads or buttons 22,122,222,322 of previously-described embodiments, the pad or button 422 may be bonded to an impacted tooth or other tooth of interest using a conventional dental or orthodontic bonding adhesive. The rear of the pad or button 422 may include a metal retentive mesh 226 where the bonding adhesive (not shown) may be placed. In at least some embodiments, the pad or button 422 is curved so as to better fit the contours of the tooth 92 to which it is to be bonded. Such curvature may be side to side, top to bottom, or both, and different amounts of curvature may be supplied on different bondable brackets 420 so as to facilitate selection of the proper degree of curvature. In this embodiment, the spring attachment portion 424 includes a loop into which a first end 432 of the spring 430 may be inserted.
(68) FIG. 26 is a side view of the coiled spring 430 of FIG. 25. The spring 430 includes a first end 432, a second end 434, and a middle section 436. The first end 432 connects to the bondable bracket 420 and the second end 434 connects to the anchoring assembly 140. In at least some embodiments, the spring 430 is initially provided in a state similar to that of the spring 230 in FIG. 22. More particularly, in an initial state, the first spring end 432 is a straight segment that may be inserted through the loop 424 of the bondable bracket 420. After insertion, the first spring end 432 is deformed, such as by melting, to form a mushroom- or other shaped head 428. Once the head 428 is formed, the first spring end 432 may no longer be withdrawn from the loop 424. Advantageously, the spring 430 itself may remain free to rotate, at least somewhat, within the loop 424, thereby providing an element of rotational flexibility. Furthermore, because the spring 430 is retained via the head 428, rather than by a weld such as the welds 228,229 of the spring 230 of FIGS. 21-23, there is no risk of a weld breaking. This may be particularly important where such a weld is between two different alloys or other metals, such as between stainless steel and nitinol.
(69) As in FIGS. 21 and 23, multiple coils of the second spring end 434 are wound through conjoined slot openings 148 in the anchoring assembly 140. Other than the straight end 432, the spring 430 may otherwise have characteristics similar to those of the springs 30,130,230 described previously. Also, as in the device 210 of FIGS. 21 and 23, the anchoring assembly 140 may be identical to that of FIG. 11, described previously.
(70) The orthodontic device 410 may be used to quickly adjust the position, location, and/or orientation of an impacted tooth using methods similar to those described previously, except that in at least some embodiments the first spring end 432 must be permanently attached to the bondable bracket 420 before use. In particularly, after insertion through the loop 424 of the bondable bracket 420, the first spring end 432 is deformed, such as by melting the end 432 to form a mushroom head 428, such that it cannot thereafter be removed from the loop 424 without destroying at least one of the spring 430, the mushroom head 428, or the bracket 420 itself. With the spring 430 connected to the bracket 420, further use of the device 410 may be similar to the usage illustrated, for example, in FIGS. 20C-20E.
(71) FIGS. 27A and 27B are a front view and a right side view, respectively, of an alternative anchoring assembly 540. Like the anchoring assembly 140 of FIGS. 18 and 19, the anchoring assembly 540 includes an anchoring feature 542 and a spring attachment portion 544. Unlike the anchoring assembly 140 of FIG. 19, the anchoring feature 542 of the alternative anchoring assembly 540 includes an angled tip 546 to facilitate maneuvering the anchoring feature 542, which may be a sort of hook, over an orthodontic archwire 98 or the like. More particularly, the angled tip 546 creates a wider opening in the anchoring feature 542. The hook or other anchoring feature 542 may be anchored to an orthodontic archwire 98 or the like as described elsewhere herein. In at least some embodiments, the angled tip 546 may be crimped into place, after being installed on the archwire 98, to provide an improved, connection. The spring attachment portion 544 may include one or more features for attaching or connecting an end of a spring thereto. For example, in the illustrated embodiment, the spring attachment portion 544 includes a pair of separate slot openings 548 for receiving one or more loops or coils of a coiled spring, but in other embodiments, a pair of conjoined slot openings similar to the conjoined slot openings 148 of FIG. 18 may be provided.
(72) FIG. 28 is a front orthogonal view of an alternative bondable bracket 620 for use in an orthodontic device for exposure of impacted teeth in accordance with one or more further preferred embodiments of the present invention. As shown therein, the bondable bracket 620 includes a bondable metal pad or button and a spring attachment portion. Like the pads or buttons 22,122,222,322,422 of previously-described embodiments, the pad or button may be bonded to an impacted tooth or other tooth of interest using a conventional dental or orthodontic bonding adhesive. The rear of the pad or button may include a metal retentive mesh where the bonding adhesive (not shown) may be placed. In at least some embodiments, the pad or button is curved so as to better fit the contours of the tooth 92 to which it is to be bonded. Such curvature may be side to side, top to bottom, or both, and different amounts of curvature may be supplied on different bondable brackets 620 so as to facilitate selection of the proper degree of curvature. In this embodiment, the spring attachment portion includes a first loop into which a first end of a spring may be inserted as well as a second loop or bracket. A groove may extend between the two loops so as to accommodate the spring end.
(73) In at least some contemplated embodiments, an orthodontic device includes a bondable bracket 220 and a spring 230 like those shown in FIG. 23 and an anchoring assembly or archwire bracket 540 like that shown in FIGS. 27A and 27B. In various such embodiments, the bondable metal pad or button 222 is approximately 3.00-4.00 mm wide, 2.00-4.00 mm tall, and 0.20-0.40 mm thick; the loop 224 is approximately 0.50-1.00 mm wide (top to bottom) and 0.20-0.40 mm thick, has an internal radius of approximately 0.10-0.20 mm, and is disposed approximately 0.50-1.00 mm from the top of the pad 222; and the weld 228 is in the form of a welded ball that is approximately 0.40-0.75 mm in diameter. Also in such embodiments, the wire comprising the spring 230 has a diameter of 0.15-0.35 mm, and the coil of the spring 230 has an exterior diameter of approximately 1.50-2.50 mm. Also in such embodiments, the spring attachment portion 544 is approximately 1.50-2.50 mm tall, 2.50-3.50 mm wide, and 0.20-0.40 mm thick; the anchoring feature 542 includes a first portion, which may be a standoff portion, extending perpendicularly from the spring attachment portion, that is approximately 0.75-1.25 mm wide, 2.00-2.50 mm long and 0.20-0.40 mm thick; the anchoring feature 542 includes a second portion, extending perpendicularly from the first portion (and parallel to the spring attachment portion 542), that is 0.75-1.25 mm wide, 1.25-3.00 mm long and 0.20-0.40 mm thick; the angled tip 546 is angled approximately 15-45 degrees from the plane of the second portion of the anchoring feature 542 and is approximately 0.75-1.25 mm wide, 1.50-2.00 mm long and 0.20-0.40 mm thick; the slots 548 are approximately 1.00 mm long and 0.70 mm wide, and separated from one another by 0.20 mm. In one particular embodiment, the bondable metal pad or button 222 is approximately 3.25 mm wide, 2.50 mm tall, and 0.25 mm thick; the loop 224 is approximately 0.65 mm wide (top to bottom) and 0.25 mm thick, has an internal radius of approximately 0.15 mm, and is disposed approximately 0.60 mm from the top of the pad 222; and the weld 228 is in the form of a welded ball that is approximately 0.50-0.60 mm in diameter. Also in at least such particular embodiment, the wire comprising the spring 230 has a diameter of approximately 0.25 mm, and spring coil of the spring 230 has an exterior diameter of approximately 1.60 mm. Also at least in such particular embodiment, the spring attachment portion 544 is approximately 2.0 mm tall, 2.60 mm wide, and 0.25 mm thick; the anchoring feature 542 includes a first portion, which may be a standoff portion, extending perpendicularly from the spring attachment portion, that is approximately 1.00 mm wide, 2.25 mm long and 0.25 mm thick; the anchoring feature 542 includes a second portion, extending perpendicularly from the first portion (and parallel to the spring attachment portion 542), that is 1.00 mm wide, 1.50 mm long and 0.25 mm thick; the angled tip 546 is angled approximately 17.5 degrees from the plane of the second portion of the anchoring feature 542 and is approximately 1.00 mm wide, 1.75 mm long and 0.25 mm thick; the slots 548 are approximately 1.00 mm long and 0.70 mm wide, and separated from one another by 0.20 mm.
(74) In at least some embodiments, the anchoring feature 42,142,542 is large enough that the interior width or diameter is sufficient to surround not only an archwire 98 but a spacer material, such as a stainless steel sleeve or spring, that surrounds the archwire 98. Also in at least some embodiments, the internal radius (diameter) of the loop 224 is selected to match the diameter or width of the wire of the spring 230. For example, FIGS. 29A-29C are a series of schematic illustrations of a variation of the device of FIG. 11 in use in a patient's mouth 90. As shown therein, the spring 130 and anchoring assembly 740 of the device 710 are shown connected to the bondable bracket 120. With the bondable bracket 120 bonded to the involved tooth 92, the spring 130 is activated or stretched, and the anchoring assembly 740 is attached to the orthodontic archwire 98, as shown in FIG. 29B. In order to accommodate the thickness of a spacer around the archwire 98, the anchoring feature 742 may be larger than the previously-described anchoring features. With the spring activated, the spring 130 applies a relatively constant and orthodontically-friendly force to the involved tooth 92 over a longer period of time when compared to traditional methods. Eruption of the impacted tooth 92 through the gum tissue 96 is shown in FIG. 29C.
(75) Based on the foregoing information, it will be readily understood by those persons skilled in the art that the present invention is susceptible of broad utility and application. Many embodiments and adaptations of the present invention other than those specifically described herein, as well as many variations, modifications, and equivalent arrangements, will be apparent from or reasonably suggested by the present invention and the foregoing descriptions thereof, without departing from the substance or scope of the present invention.
(76) Accordingly, while the present invention has been described herein in detail in relation to one or more preferred embodiments, it is to be understood that this disclosure is only illustrative and exemplary of the present invention and is made merely for the purpose of providing a full and enabling disclosure of the invention. The foregoing disclosure is not intended to be construed to limit the present invention or otherwise exclude any such other embodiments, adaptations, variations, modifications or equivalent arrangements; the present invention being limited only by the claims appended hereto and the equivalents thereof.
