FABRICATION OF AN ORTHODONTIC ALIGNER FROM A NEGATIVE MOLD DESIGNED BY A COMPUTATIONAL DEVICE
20180304497 ยท 2018-10-25
Inventors
- Ian Kitching (Rancho Cucamonga, CA, US)
- Hua Zhang (San Dimas, CA, US)
- Tuan A. Do (West Covina, CA, US)
- Kenneth A. Phelps (Chino Hills, CA, US)
- Evan Yifeng Tsai (Rancho Cucamonga, CA, US)
Cpc classification
B33Y10/00
PERFORMING OPERATIONS; TRANSPORTING
B29C51/264
PERFORMING OPERATIONS; TRANSPORTING
B29C51/00
PERFORMING OPERATIONS; TRANSPORTING
B29C33/3835
PERFORMING OPERATIONS; TRANSPORTING
B29C64/188
PERFORMING OPERATIONS; TRANSPORTING
B29C41/02
PERFORMING OPERATIONS; TRANSPORTING
B29C2033/3871
PERFORMING OPERATIONS; TRANSPORTING
B29C33/3878
PERFORMING OPERATIONS; TRANSPORTING
B29C64/10
PERFORMING OPERATIONS; TRANSPORTING
B29C41/18
PERFORMING OPERATIONS; TRANSPORTING
B29C33/3842
PERFORMING OPERATIONS; TRANSPORTING
B29C51/266
PERFORMING OPERATIONS; TRANSPORTING
A61C7/08
HUMAN NECESSITIES
International classification
B29C33/38
PERFORMING OPERATIONS; TRANSPORTING
A61C7/00
HUMAN NECESSITIES
B29C64/10
PERFORMING OPERATIONS; TRANSPORTING
B29C64/188
PERFORMING OPERATIONS; TRANSPORTING
A61C7/08
HUMAN NECESSITIES
B33Y10/00
PERFORMING OPERATIONS; TRANSPORTING
Abstract
Provided is a method in which a computational device generates a design of a negative mold of teeth. The negative mold of the teeth is fabricated from the design of the negative mold. An aligner is formed using the fabricated negative mold. Provided also is a negative mold of teeth for fabricating a positive model of the teeth for an aligner. The negative mold comprises a tooth surface, and an identity tracking entity coupled to the tooth surface to provide identification.
Claims
1. A negative mold of a patient's teeth from which an aligner is configured to be fabricated comprising: a tooth surface that defines at least a portion of a hollow cavity in a shape of the patient's teeth, the hollow cavity having an opening to receive liquid material into the hollow cavity; and an identity tracking entity that provides identification information associated with the patient, the identification information is at least usable in manufacturing or being transferable to an aligner manufactured from the negative mold.
2. The negative mold of claim 1, further comprising: an identity tracking surface within the hollow cavity and being exposed to the liquid material and including the identity tracking entity.
3. The negative mold of claim 2, wherein the identity tracking entity is at least one of a positive model and a negative mold.
4. The negative mold of claim 3, wherein the identity tracking entity is alphanumeric text.
5. The negative mold of claim 3, wherein the identity tracking entity is a 3-dimensional barcode.
6. The negative mold of claim 3, wherein the identity tracking entity is a data matrix.
7. The negative mold of claim 2, wherein the identity tracking surface includes a structurally weakened region that surrounds the identity tracking entity and is configured to separate the identity tracking entity from the negative mold during removal of a positive model from the negative mold, the identity tracking entity being configured to be transferred to the positive model.
8. The negative mold of claim 1, further including an elongated link extending outwardly from the tooth surface and in a direction away from the hollow cavity, wherein the identity tracking entity is at least one of a negative mold and a positive model and is coupled to the elongated link.
9. The negative mold of claim 8, wherein a portion of the elongated link extends into the hollow cavity and is configured to be transferred to a positive model made from the negative mold via the portion.
10. The negative mold of claim 1, wherein the identity tracking entity is a radiofrequency identification tag.
11. The negative mold of claim 1, wherein the identity tracking entity includes information regarding a location of a gingival margin of the patient.
12. The negative mold of claim 1, further comprising: a rim surface that surrounds the tooth surface and defines a portion of the hollow cavity, an intersection of the rim surface and the tooth surface defining a gingival margin.
13. The negative mold of claim 12, further comprising: a base boundary surface intersecting the rim surface and defining a portion of the hollow cavity including an upper-most edge of the negative mold, wherein the rim surface includes a spillway configured to allow excess liquid material to escape the negative mold at a predetermined location.
14. The negative mold of claim 13, further comprising: a mold sitting feature configured to maintain the negative mold in a level orientation during filling.
15. The negative mold of claim 12, further comprising: a positioning post extending toward the opening in the hollow cavity and being positioned to be exposed to the liquid material, a location of the positioning post being transferable to a positive model formed from the negative mold.
16. The negative mold of claim 12, further comprising: at least two accuracy markers on an outer surface of the hollow cavity and extending outwardly from the tooth surface, wherein a dimension between the at least two accuracy markers is predetermined according to a design dimension of the negative mold and is measurable to determine a quality of the negative mold.
17. The negative mold of claim 1, wherein the tooth surface is made of resin and includes striations.
18. A set of negative molds of a patient's teeth, each mold being of the patient's teeth in a different position and from which an aligner is configured to be fabricated, each negative mold comprising: a tooth surface that defines at least a portion of a hollow cavity in a shape of the patient's teeth, the hollow cavity having an opening to receive liquid material into the hollow cavity; and an identity tracking entity that provides identification information associated with the patient, the identification information is at least usable in manufacturing or transferable to an aligner manufactured from the negative mold, wherein the identification information for each mold differs in at least a stage number associated with the position of the patient's teeth during an orthodontic treatment plan for the patient.
19. The set of negative molds of claim 18, wherein each tooth surface defines a U-shaped body.
20. The set of negative molds of claim 19, wherein each U-shaped body lacks a center piece.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0030] Referring now to the drawings in which like reference numbers represent corresponding parts throughout:
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DETAILED DESCRIPTION
[0055] In the following description, reference is made to the accompanying drawings which form a part hereof and which illustrate several embodiments. It is understood that other embodiments may be utilized and structural and operational changes may be made
Design of a Negative Mold of Teeth via a Computation Device
[0056] In certain embodiments, rather than generating a design of a positive model of teeth, a design of a negative mold of the teeth may be generated by using a computational device. The negative mold is fabricated via a rapid prototyping machine, such as SLA machine, a laser sintering machine, a 3-dimensional printer or via any other type of rapid prototyping mechanism. A positive model of the teeth is made by transferring (e.g., by pouring via automated means, injecting via automated means, or via other automated means) a material (e.g. plaster or certain types of liquid plastic) that hardens over time into the positive model. Subsequently, thermoforming is performed over the positive model of the teeth to fabricate the orthodontic aligners. The positive model corresponds to a cast of the teeth whereas the negative mold corresponds to a mold of the teeth, where a mold may be defined as the negative or hollow cavity produced around a sculpted piece for use in creating multiples of that piece, and a cast may be defined as the positive or a reproduction of the piece. For the purposes of this disclosure the term negative mold corresponds to a mold, and the term positive model corresponds to a cast.
[0057] It may be noted that the positive model of the teeth may appear substantially solid and may appear similar to an embossing whereas a negative mold of the teeth may appear hollow and may appear similar to an engraving.
[0058] In certain embodiments, the negative mold that is substantially hollow in appearance may use a lesser amount of material than the positive model of the teeth. Since the material deposited for fabricating the mold by rapid prototyping machines is relatively expensive, usage of a lesser amount of material in comparison to the substantially solid positive model may be preferred in certain situations.
[0059] Additionally, plaster or plastic that is used to generate the positive model from the negative mold is substantially cheaper than the resin type of material used by the rapid prototyping machines. As a result, the cost of material for generating the negative mold via the rapid prototyping machines and the positive model via plaster or plastic may be less than the cost of material for generating the positive model directly via the rapid prototyping machine.
[0060] Generation of negative molds in batches may be much faster in comparison to the generation of positive models via rapid prototyping machines because the negative molds require lesser material to be deposited by the rapid prototyping machines. Therefore the rapid prototyping machines are used more efficiently.
[0061] Additionally, clearer aligners may be made with the two step process of generating a negative resin mold via a rapid prototyping machine followed by generating a positive model, in comparison to generating the positive resin mold directly via the rapid prototyping machine. Molds built by the rapid prototyping machine have striations caused by the layered deposition process. As a result, the striations may cause jagged grooves in the aligners generated directly from the positive model fabricated by the rapid prototyping machine. Such striations are decreased in the positive model fabricated from the negative mold. As a result, the positive model may be used to generate a relatively smooth surface for the aligners. The smoother the surface of the aligners the lesser may be the likelihood of trapping of food and bacteria between the aligner and the teeth.
Exemplary Embodiments
[0062]
[0063] In
[0064] Once the negative mold 104 has been fabricated, liquid material is poured into the negative mold and the liquid material is allowed to harden. Block 106 shows the positive model 108 that is generated when the hardened material is separated from the negative mold.
[0065] Subsequent to generation of the positive model, thermoforming is performed to mold a sheet of clear plastic over the positive model 108, and in block 110 a portion of the aligner 112 generated via the thermoforming is shown.
[0066] Therefore,
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[0068] A computational device 202 is used to generate the design 204 a negative mold. The computational device 202 may comprise any suitable computational device known in the art, such as a personal computer, a server, a mini computer, a mainframe, a laptop computer, a blade computer, a telephony device, etc. The computational device may execute a negative mold design application 203 implemented in software, hardware, or firmware or any combination thereof to generate the design of the negative molds with or without the assistance of an operator.
[0069] A rapid prototyping machine 206 may use the design of the negative mold 204 as an input to fabricate a negative mold 208 by depositing a plurality of layers of resin or other types of material to generate the negative mold 208. The rapid prototyping machine may comprise any SLA machine known in the art that uses stereolithography. Instead of an SLA machine a selective laser sintering (SLS) machine or 3-dimensional printing machines may be used to fabricate the negative mold 204.
[0070] Liquid material that can harden over time is poured on the negative mold (block 210) to generate the positive model 212. Thermoforming (block 214) is performing to generate a series of aligners 216. Subsequently a laser marker 218 is used to mark additional identification 220 such as tracking information on the series of aligners 216. Laser trimming 222 is performed to trim the marked aligners such that extra surfaces beyond those needed to cover the teeth are removed to generate the series of aligners 224 for placing on the patient's teeth.
[0071] Therefore,
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[0083] The build supports 404 are used to assemble separate mold components into one piece during a rapid prototyping manufacturing process. For a mold designed as shown in
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[0086] In block 602, a flat rectangular design platform 604 is shown. The rectangular design platform shown in block 602 is designed by a computational device and is shown floating in space in block 602. The design of the negative mold with the floating design platform 604 is sent from the computational device to the rapid prototyping machine. The design platform 604 allows the identity tracking symbols to be supported with less build support.
[0087] Block 650 shows a block diagram of low density build supports 652 for the tracking symbol 654, in accordance with certain embodiments. In certain embodiments, if the tracking symbol 654 faces towards the rapid prototyping machine platform during a rapid prototyping build, then due to its tiny features, high density build supports may be built from the rapid prototyping machine platform to support the tracking symbol, which may result in resin mounding and may stop the rapid prototyping machine. To solve this issue, a thin design platform 656 may be added between the machine platform and the tracking symbol 654, and low density build supports 652 are generated from the machine platform to the thin design platform.
[0088] It should be noted that the rapid prototyping machine may automatically determine the density and type of support to build based on the features being supported. The rapid prototyping machine may not put any element is space without fabricating build supports to support the element. The design platform 656 may be supported with relatively low density build supports (i.e., there are relatively fewer build supports) as the design platform 656 is relatively devoid of tiny features and is smooth. Therefore, certain embodiments design the negative mold to reduce the amount of build support by building the design platform to support the tracking symbol.
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[0093] Block 1002 shows that tapered pixel positions in the pouring material may act as holding feet to retain pixels on positive model after mold removal. So, the pixel portions outside of the pouring material can become a positive matrix on the positive model. Block 1004 shows that the tapered holding feet on the boundary of the data matrix will retain the positive data matrix on positive model after the negative mold is removed. Block 1006 shows that when the negative mold is removed the mold will break at the tapered groove and the pouring material filled data matrix is retained on the positive model as positive data matrix. Block 1008 shows that when the negative mold is removed, the mold will break at the groove and the tapered holding feet will retain the positive data matrix on the positive model. Note that this data matrix is a connected data matrix, not a separate pixels data matrix.
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[0097] If there is no center piece then many more negative molds may be fabricated on the same tray on a rapid prototyping machine by fabricating the negative molds in an interleaved pattern as shown via reference numeral 1304. For example, in certain embodiments if there is a center piece then about 100 negative molds may be fabricated on one tray of a rapid prototyping machine but with no center piece about 150 molds may be fabricated on one tray of the rapid prototyping machine.
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[0100] In certain embodiments, when the negative mold is designed by a computer the design is made in a three dimensional coordinate system. Similarly, for the laser marker or laser trimmer there is a three dimensional coordinate system. The positioning posts 1504 are used by the laser trimmer and the laser marker to position and orient the thermoformed aligner for printing and trimming.
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[0102] In one set of operations, control starts at block 1602 in which the thermoformed aligner is placed in a laser marker for marking identification on the aligner. A scanner reads (at block 1604) the data matrix coupled to the positive model. The laser marker identifies (at block 1606) the position of the second molar (or the position of some other selected tooth such as the first molar, or the position of two or more adjacent teeth such as the first and the second molar) from the positioning post(s). The laser marker uses (at block 1608) the information extracted from the scanned data matrix to imprint identifying marking on the second molar (or the some other selected tooth such as the first molar, or the two or more adjacent teeth such as the first and second molar) of the aligner. In certain embodiments for clarity and readability of the identifying marking, the identifying marking is printed over an area that encompasses regions in two adjacent teeth such as the first and the second molar. Also, certain embodiments in which the identifying marking does not fit on one tooth, the identifying marking is printed on more than one teeth. Software medications may indicate the starting position of the identifying marking and the identifying marking may then be printed over one or more than one teeth depending on the length of the identifying marking.
[0103] In the other set of operations control starts at block 1610, in which the thermoformed aligner is placed in a laser trimmer for trimming along gingival margin. A scanner reads (at block 1612) the data matrix coupled to the positive modes for identification of the patient. The laser trimmer determines (at block 1614) the gingival margin from the position and orientation information extracted from the positioning post to trim the aligner along the gingival margin by positioning the tool path of the laser trimmer.
[0104] As a result of the operations shown in
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[0108] In certain embodiments, the pixel size may vary for the data matrix. For example, each pixel may be 1 mm or 1.5 mm in size. The pixel sizes may be large, as long as there is enough space on the mold to put the symbol. The pixel size can be small as long as it is possible to manufacture and pour liquid (e.g., plaster), and the pixels may be read and scanned. There should be adequate spacing between the pixels. All these conditions may be needed for proper transference of the data matrix to the positive model. In certain embodiments, the transference of pixels shaped as rectangular prisms are superior for transference in comparison to other shapes.
[0109] In certain embodiments for the data matrix, the pixel taper may be a positive taper (
[0110] Usually, the tracking symbol needs to have a color contrast with the background to be readable and to be scanned properly. This is accomplished by stenciling or rolling ink of different color from the background color. The ink may be put either on plaster directly or on the mold and then transferred and displayed on plaster. The ink may also be put either on tracking symbol or on background. In certain embodiments, if the mold and the plaster have different color and the tracking symbol is left in the plaster as an insert, the two may have enough color contrast and there may be no need for rolling ink.
[0111] If the tracking symbol is positive on plaster and made of plaster, it may not withstand thermoforming and may need to be protected by placing a cover cup over the tracking symbol before thermoforming. The cover cup may be of any shape and made of any material strong enough to withstand thermoforming.
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[0113] In such embodiments, the tracking symbols may be separated and tapered 1.0-1.5 mm pixels and combined as a data matrix positive on the mold, resulting as an insert on positive model with ink being painted over the data matrix on the mold. After mold removal, due to the negative taper, the data matrix is left in the positive model as insert. Protection for thermoforming is not needed. After thermoforming, the data matrix insert in the positive model may be scanned through thermoforming film. This can save the step to cut the film open to scan the data matrix. In a similar manner the positioning posts may also be left in the positive model as an insert.
[0114] To further illustrate certain embodiments shown in
[0115] It may be seen from
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Digital Generation of Negative Mold
[0117] In certain embodiments, software applications may be designed to generate digital data sets to represent the designed negative mold of each incremental teeth position. Digital mold generation scheme is a combination of general geometry modeling operations, such as cut, clip, flip, extrusion, shelling, Boolean operation, etc. The scheme may be different for different mold designs. Split level approaches and top cavity based approaches may be used for the design of negative molds via the computational device 202.
Physical Manufacturing of Negative Mold
[0118] Negative mold may be physically manufactured in different ways by different machines with different materials. Based on experiments on using rapid prototyping technology to produce negative molds it has been determined that plaster surface quality heavily depends on mold's aligner surface quality.
[0119] Additionally, while building it is desirable to build the mold tooth down to avoid hundreds of support to be built internally within the mold to support the tooth crowns, because build supports within the tooth crowns are difficult to remove entirely and may interfere in the ability to create a precision mold internal surface. In certain embodiments, since the aligner surface is a concave surface, a tiny brush may be used to brush away resin residual after the rapid prototyping process. The accessory geometry features can be designed to improve manufacturability and productivity.
Pouring Plaster into Negative Mold
[0120] Plaster or other liquid material is poured into the mold and allowed to harden. Dental plasters vary considerably in their expansion and contraction characteristics but mainly tend to expand. Either expansion or contraction may result in manufactured plaster dimension varying from designed plaster dimension.
[0121] For plaster with high expansion/contraction characteristics, an attempt is made to compensate plaster dimension by reducing/enlarging mold dimension from designed plaster dimension.
[0122] For plaster with high expansion/contraction characteristics, hollow posts are added internally within the mold to each tooth to reduce plaster expansion/contraction, especially for posterior teeth because due to their mass. The posterior teeth were found to vary significantly more than the anterior teeth.
[0123] Experiments show that by selecting plaster with very low expansion/contraction characteristics, the aligners fabricated from a polyvinyl siloxane (PVS) impression compared to aligners fabricated via rapid prototyping mold and a plaster positive showed less than 50 micron variance.
Removing Negative Mold from Plaster
[0124] Mold removal from the plaster was found to be time consuming and in certain situations removed tooth features, such as cusp tips, from the positive model. This problem can be improved by one or combination of several of following methods: [0125] a) Using release agents. Release agents can help to keep plaster from sticking on mold and then being torn off by mold. [0126] b) Design weak points on mold. For example, certain pattern of grooves can be laid out on the outside surface of the mold, which acts like perforations, helps to tear apart mold, similar to how dotted lines allow for easier opening of an envelope. [0127] c) Heat up mold/plaster. If mold is made of plastics, heating up can soften the mold to help manual removal. Mold should be removed while it is still hot and soft. Otherwise if the mold cools, it may become rigid again and becomes hard to remove or may drag off small plaster pieces. Heating up can be accomplished by: [0128] (i) Boiling water (Shortcoming is that plaster may soak up too much water and become weak and cannot withstand thermoforming). [0129] (ii) High heat oven. Experiments have been done for temperature varying from 135 C to 450 C and heating up time varying from 30 s to 10 minutes. The preferred setting is 416 C for 45 s. [0130] (iii) Extreme high heat. Temperature can be around 1800 degrees F., which can burn the mold off the plaster, but unfortunately the temperature tends to explode the plaster into small pieces as the plaster moisture evaporates with the heat. [0131] (iv) High heat steam. Experiments have been performed using 275 F temperature and heating up for 3 minutes to 15 minutes. A problem is that plaster may soaks up too much water and become weak and cannot withstand thermoforming. [0132] (v) Microwave. Experiments have been done using microwave oven to heat up mold/plaster for 30 s to 3 minutes depending on the power of microwave oven. Heating up by this method is more uniform than ordinary oven. [0133] (vi) Use solvents such as acetone. Immersion in acetone can dissolve plastic mold enough for the mold to come off. Time the mold takes to come off vary from 2 hours to overnight. One problem of this method is that some solvents, such as acetone may dissolve ink painted on mold or plaster which may cause errors in the reading and scanning of tracking symbol. [0134] (vii) Use assembly mold. The mold is designed in such a way that each component can be removed piece by piece.
[0135] Therefore certain embodiments illustrated in
Additional Embodiments
[0136] Certain operations described in the figures may be implemented as a method, apparatus or computer program product using techniques to produce software, firmware, hardware, or any combination thereof. Additionally, certain embodiments may take the form of a computer program product embodied in one or more computer readable storage medium(s) having computer readable program code embodied therein.
[0137] A computer readable storage medium may include an electronic, magnetic, optical, electromagnetic, or semiconductor system, apparatus, or device, or any suitable combination of the foregoing. The computer readable storage medium may also comprise an electrical connection having one or more wires, a portable computer diskette or disk, a hard disk, a random access memory (RAM), a read-only memory (ROM), an erasable programmable read-only memory (EPROM or Flash memory), a portable compact disc read-only memory (CD-ROM), an optical storage device, a magnetic storage device, etc. A computer readable storage medium may be any tangible medium that can contain, or store a program for use by or in connection with an instruction execution system, apparatus, or device.
[0138] A computer readable signal medium includes a propagated data signal with computer readable program code embodied therein. A computer readable signal medium may be any computer readable medium that is not a computer readable storage medium and that can communicate, propagate, or transport a program for use by or in connection with an instruction execution system, apparatus, or device. The computer readable storage medium is different from the computer readable signal medium.
[0139] Computer program code for carrying out operations for aspects of the present invention may be written in any combination of one or more programming languages.
[0140] Aspects of the present invention are described below with reference to flowchart illustrations and/or block diagrams of methods, system and computer program products according to certain embodiments. At least certain operations that may have been illustrated in the figures show certain events occurring in a certain order. In alternative embodiments, certain operations may be performed in a different order, modified or removed. Additionally, operations may be added to the above described logic and still conform to the described embodiments. Further, operations described herein may occur sequentially or certain operations may be processed in parallel. Yet further, operations may be performed by a single processing unit or by distributed processing units. Computer program instructions can implement the blocks of the flowchart. These computer program instructions may be provided to a processor of a computer for execution.
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[0142] The terms an embodiment, embodiment, embodiments, the embodiment, the embodiments, one or more embodiments, some embodiments, and one embodiment mean one or more (but not all) embodiments of the present invention(s) unless expressly specified otherwise.
[0143] The terms including, comprising, having and variations thereof mean including but not limited to, unless expressly specified otherwise.
[0144] The enumerated listing of items does not imply that any or all of the items are mutually exclusive, unless expressly specified otherwise.
[0145] The terms a, an and the mean one or more, unless expressly specified otherwise.
[0146] Devices that are in communication with each other need not be in continuous communication with each other, unless expressly specified otherwise. In addition, devices that are in communication with each other may communicate directly or indirectly through one or more intermediaries.
[0147] A description of an embodiment with several components in communication with each other does not imply that all such components are required. On the contrary a variety of optional components are described to illustrate the wide variety of possible embodiments.
[0148] When a single device or article is described herein, it will be readily apparent that more than one device/article (whether or not they cooperate) may be used in place of a single device/article. Similarly, where more than one device or article is described herein (whether or not they cooperate), it will be readily apparent that a single device/article may be used in place of the more than one device or article or a different number of devices/articles may be used instead of the shown number of devices or programs. The functionality and/or the features of a device may be alternatively embodied by one or more other devices which are not explicitly described as having such functionality/features.
[0149] The foregoing description of various embodiments of the invention has been presented for the purposes of illustration and description. It is not intended to be exhaustive or to limit the invention to the precise form disclosed. Many modifications and variations are possible in light of the above teaching. It is intended that the scope of the invention be limited not by this detailed description, but rather by the claims appended hereto. The above specification, examples and data provide a complete description of the manufacture and use of the composition of the invention. Since many embodiments of the invention can be made without departing from the spirit and scope of the invention, the invention resides in the claims hereinafter appended.