DENTAL TOOL HAVING A THERMOELECTRIC DEVICE
20230034006 · 2023-02-02
Assignee
Inventors
- Mahmoud Torabinejad (Laguna Niguel, CA, US)
- Mason A. Bahador (Baltimore, MD, US)
- Mehdi Talwerdi (North Vancouver, BC, CA)
- Winfield S. Fisher (Maple Ridge, BC, CA)
- Vahid Pishvaei (Surrey, BC, CA)
- Bahador Sohrabi (Vancouver, BC, CA)
Cpc classification
A61B5/7475
HUMAN NECESSITIES
A61B5/4827
HUMAN NECESSITIES
A61C19/04
HUMAN NECESSITIES
International classification
Abstract
A dental tool electrically powered by a power source includes: a handpiece having at least one switch; and a probe attachable to the handpiece so as to define a probe tip, the dental tool being operable to maintain the probe at its probe tip at a specifiable temperature. At least one of the handpiece and the probe includes a thermoelectric device, the dental tool being operable to maintain the probe at said probe tip at a specifiable temperature in response to user actuation of the at least one switch. Optionally, a second handpiece having an electrically conductive enclosure houses a second switch held by the patient. A method of conducting a dental test on a tooth of the patient includes: generating a sensory stimulus at the probe tip when the probe tip is in contact with the tooth; and receiving an actuation by the patient of the second switch.
Claims
1. A dental tool having an electronic circuit, the dental tool comprising: (a) a first handpiece including a first switch; (b) a probe attachable to the first handpiece, the electronic circuit being operable to generate a sensory stimulus at the probe in response to actuation of the first switch; and (c) a second handpiece including a second switch, the second handpiece being operable to transmit to the first handpiece a signal for controlling the sensory stimulus in response to actuation of the second switch.
2. The dental tool of claim 1 wherein the first handpiece is operable to generate the sensory stimulus selected from the group consisting of a thermal stimulus, an electrical stimulus, and a visual stimulus.
3. The dental tool of claim 1 wherein the probe defines a probe tip, the first handpiece comprises a thermoelectric device for generating the sensory stimulus as a thermal stimulus, the dental tool being operable to maintain the probe tip at a specifiable temperature in response to the actuation of the first switch.
4. The dental tool of claim 3 wherein the electronic circuit is operable to control electrical power supplied to the thermoelectric device, the second handpiece being operable to transmit the signal such that the electronic circuit stops supplying the electrical power to the thermoelectric device.
5. The dental tool of claim 3 wherein the first handpiece further comprises a heatsink in thermal communication with the thermoelectric device, and a fan operably coupled to the electronic circuit to generate airflow at the heatsink.
6. The dental tool of claim 5 wherein the first handpiece further comprises a heat pipe for conveying thermal energy between the thermoelectric device and the heatsink.
7. The dental tool of claim 5 wherein the first handpiece further comprises an air duct for conveying the airflow between the fan and the heatsink.
8. The dental tool of claim 3 wherein the thermoelectric device is a multi-stage thermoelectric device.
9. The dental tool of claim 3 wherein the dental tool comprises a probe sensor operable to sense a temperature of the probe at the probe tip.
10. The dental tool of claim 2 comprising a plurality of said probes, each said probe being removably attachable to the first handpiece, the first handpiece comprising a detector for identifying a type of said each probe, the sensory stimulus being selected by the electronic circuit in response to the type identified by the detector.
11. The dental tool of claim 10 wherein the detector is operable to sense a pre-determined electrical parameter exhibited by said each probe when said each probe is attached to the first handpiece.
12. The dental tool of claim 10 wherein the detector is operable to sense a pre-determined optical parameter exhibited by said each probe when said each probe is attached to the first handpiece.
13. The dental tool of claim 12 wherein the detector comprises an optical source and an optical receiver.
14. The dental tool of claim 10 wherein at least one said removably attachable probe is operable to produce visible light for dental transillumination.
15. The dental tool of claim 1 wherein the second handpiece is operable to transmit the signal to cause a timer to be stopped in response to the actuation of the second switch.
16. The dental tool of claim 1 wherein the electronic circuit is operable to produce an audio signal in response to the actuation of the second switch.
17. The dental tool of claim 1 wherein the first handpiece has a gun-shaped housing.
18. A method of conducting a dental test on a tooth of a patient, the method comprising: (a) generating by an electronic circuit a sensory stimulus at a probe tip of a probe attached to a first handpiece when the probe tip is in contact with the tooth; and (b) receiving by the electronic circuit an actuation by the patient of a switch of a second handpiece held by the patient.
19. The method of claim 18 wherein step (a) comprises generating an electrical stimulus, the method further comprising: (c) ceasing to generate the electrical stimulus in response to receiving the actuation.
20. A dental tool for conducting a dental test on a tooth of a human patient, the dental tool comprising: (a) handpiece means for generating a sensory stimulus at the tooth; and (b) second handpiece means for receiving an actuation by the patient of a switch.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0036] In drawings which illustrate by way of example only embodiments of the invention:
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DETAILED DESCRIPTION
[0060] A dental tool for conducting a dental test on a tooth of a human patient includes: (a) handpiece means for generating a sensory stimulus at the tooth; and (b) second handpiece means for receiving an actuation by the patient of a switch.
[0061] Referring to
[0062] The dental tool includes in some embodiments a handpiece, detachable probe(s), an electronic control box and a connection wire. The handpiece has opening(s) to accept different probes, a visual indicator for showing the status of operation of the dental tool, and button(s) to start and stop testing.
[0063]
[0064] Referring back to
[0065] Still referring to
[0066] Additionally or alternatively, the electronic control circuitry may include an optical transmitter and an optical receiver, or a plurality of pairs of optical transmitters and receivers, separated by a gap defined by the probe holder. Also, each probe includes spaced-apart blockages and/or apertures in pre-determined patterns (e.g. binary code). When a probe is inserted into the gap of the probe holder, some free-space optical paths through the gap are blocked and some are not blocked in accordance with the pre-determined pattern that identifies the type of probe.
[0067] Additionally or alternatively, each probe may be marked by a bar code that is read by the electronic control circuitry upon insertion of the probe into the probe holder, such that the type of probe becomes identified.
[0068] In some embodiments in which the probe or type of probe is automatically identified, the electronic control circuitry is operable to receive user input directing the electronic control circuitry to override the automatic identification such that a given inserted probe is controlled by the electronic control circuitry as if it were of a different probe type. The different probe type may be user-selected, for example.
[0069] Exemplary physical characteristics in accordance with some embodiments are provided in the table 1 below.
TABLE-US-00001 TABLE 1 Exemplary Physical Characteristics Measurement Req# Parameter Symbol Description min target max Unit P1 Handpiece weight — Can be easily operated — 200 350 gr by an average person. P2 Probe visible length L.sub.1 20 30 40 mm P3 Probe tip geometry — Refer to figure(s) herein — — — — P4 Handpiece length L.sub.2 120 150 mm P5 Handpiece diameter D 10 20 25 mm P6 Wire (connection) length L.sub.3 1.5 1.5 2 m
[0070] With reference to
[0071] With reference to
[0072] Exemplary electrical characteristics in accordance with some embodiments are provided in the table 2 below.
TABLE-US-00002 TABLE 2 Exemplary Electrical Characteristics Measurement Req# Parameter Symbol Description min target max Unit E1 Operating voltage V.sub.in DC voltage from external 5 TBD 24 v adaptor E2 Power consumption W TBD W E3 Physical buttons C, H, E, L momentary buttons on 4 4 4 — (Option 1) handpiece for hot, cold, Electrical and Light E4 Physical button One momentary button on 1 1 1 — (Option 2) handpiece to start the operation E5 Power switch s Power On/Off on the 1 1 1 — Control box E6 Indicator LED RGB LED on the handpiece — — — — to show status of the device: Device not ready .fwdarw. BLINK Device ready .fwdarw. SOLID Hot .fwdarw. RED Cold .fwdarw. BLUE Electric .fwdarw. GREEN Light .fwdarw. WHITE E7 Control box weight — Can be easily carried and — — — — moved by an average person. Display 2 digit numeric display (or more)
[0073] Exemplary safety and environmental characteristics in accordance with some embodiments are provided in the table 3 below.
TABLE-US-00003 TABLE 3 Exemplary Safety and Environmental Characteristics Req # Parameter Description S1 Anti choking No component should break or get loose to go inside the throat S2 No sharp edge S3 No risk of electric shock S4 Bio Probes and any other parts that goes inside the Compatible mouth must be bio compatible S5 Hot and cold avoid extreme hot or cold condition on the protection tip of probe (time out, secondary switch, etc. . .) S6 Sterilizable Can be placed in autoclave or wiped down with standard cleaning solutions
[0074] The handpiece in some embodiments includes a heating element operable to generate heat in response to applied electrical power. The temperature of the heating element is controlled by varying the voltage and electrical current that is applied to the heating element. Such generated heat is transferable to a thermally conductive probe installed at the handpiece. In variations of embodiments, the heating element is made of nichrome, other resistance-heating alloy material, other material, including other alloy material, having a high electrical resistance, or any combination thereof for example.
[0075] With reference to
[0076] In an exemplary embodiment, the Peltier thermoelectric device is made by “Custom Thermoelectric” company located in “11941 Industrial Park Road, Suite 5|Bishopville, Md. 21813”. The physical properties of the exemplary Peltier device are as follows:
[0077] Imax (amps)=6
[0078] Qmax (watts)=6.9
[0079] Vmax (volts)=2.1
[0080] dT Max (° C.)=67
[0081] Length (mm)=15
[0082] Width (mm)=15
[0083] Height (mm)=3.9
[0084] Part Number=01711-5L31-06CF
[0085] In some embodiments, the hot and cold system of the dental tool includes a Peltier, a constructed heatsink, a fan, a probe holder, thermally conductive probes and an electronic circuit. The dental tool in some embodiments includes a heat pipe.
[0086] With reference to
[0102] Exemplary thermal characteristics in accordance with some embodiments are provided in the table 4 below.
TABLE-US-00004 TABLE 4 Exemplary Thermal Characteristics Measurement Req# Parameter Symbol Description min target max Unit T1 Probe COLD T.sub.c Temperature −5 −7.5 −10 ° C. temperature measurement at tip of probe within test period on a tissue at 37° C. T2 Operation ready time @ t.sub.1c When probe is at room 10 12.5 15 s COLD temperature T3 COLD test period t.sub.2c Duration of cold test 4 4 5 min T4 Probe HOT temperature T.sub.h Temperature Measured 90 95 100 ° C. within test time T5 Operation ready time @ t.sub.1h When probe is at room 10 12.5 15 s HOT temperature T6 HOT test period t.sub.2h Duration of hot test 4 5 5 min T7 Test interval t.sub.i Time between 2 30 30 — min consecutive hot or cold test T8 Handpiece temperature t.sub.hp Allowable temperature of — 37 40 ° C. handpiece
[0103] Thus, the present invention constitutes a novel and improved method to apply heat or cold stimuli to the tooth surface while reducing risk of tooth and patient injury. The method utilizes a Peltier thermoelectric device which can alternately generate either heat or cold. The present inventive method of applying thermal stimuli to the pulpal provides many advantages. For example, both cold and heat temperatures can be controlled, thereby reducing the risk of accidental patient injury. Furthermore, the Peltier thermoelectric device allows for switching between heating and cooling stimuli instantly with rapid changeover from a hot temperature to a cold temperature or vice versa, thereby reducing the testing time and accordingly reducing patient anxiety. This has the effect of reducing the likelihood of a patient's premature response to the stimuli due to anxiety and the anticipation of pain.
[0104] With reference to
[0105] With reference to
[0106] Components of the cooling system are connected through the tubing, such as flexible silicone or other rubber tubing, to form a closed circuit. The water pump pushes water into the cooling radiator and then to the water block. Water, then is transferred back from the water pump to the water pump and cycle continues. The electric fan is attached to the cooling radiator, keeping the water exiting the radiator at a continuously low temperature.
[0107] An exemplary 8-Pipe Aluminum Heat Exchanger Radiator with Fan (not shown) that is useable in embodiments of the present invention is sold by “Clyxgs” at the Amazon™ website. The specifications of the exemplary radiator and fan are as follows:
[0108] Fitting Thread: G¼ inch;
[0109] Fin density: 18 lines per inch
[0110] Weight: 106 g
[0111] Material: Aluminum
[0112] Mouth: 9.5 (D) mm
[0113] Longer Screw Size: 31×3 mm (L*D);
[0114] Length (mm)=105
[0115] Width (mm)=80
[0116] Height (mm)=37
[0117] Fit ID Tube Inner Diameter: 8-12 mm
[0118] Fit ID Tube Outer Diameter: 9.5 mm
[0119] Shorter Screw Size: 7×3 mm (L*D)
[0120] An exemplary water block (
[0121] Part Number: WBA-0.60-0.28-CU-01
[0122] Length (mm)=0.59
[0123] Width (mm)=0.59
[0124] Height (mm)=0.28
[0125] Usable area=15×15 mm
[0126] CNC machined from solid Copper 110.
[0127] An exemplary water pump (not shown) that is useable in embodiments of the present invention is made by “Shenzhen Tomtop Technology Co., Ltd.” Located in 4/F, No. A3 building HeKan Industrial Pa, Shenzhen, Guangdong, China. The specifications of the exemplary water pump are presented in the following:
[0128] Pump brand: Decdeal
[0129] Voltage: DC 12V
[0130] Max. Power: 5 W
[0131] Max. Current: 416 mA
[0132] Noise: Less than 35 dB
[0133] Outer Dia. of Inlet/Outlet: 8.5 mm
[0134] Inner Dia. of Inlet/Outlet: 6 mm
[0135] Max. Liquid Temperature: 60° C.
[0136] Cable Length: 100 cm
[0137] Product Size: 59.5*49*42 mm
[0138] Product Weight: 67 g
[0139] In some embodiments, a direct current (DC) power supply is used to power the cooling system and the Peltier device. An exemplary DC power supply with adjustable current and voltage is made by “Tech Instrumentation” company located in 750 E Kiowa Ave. Elizabeth, Colo. 80107-2029, USA. The properties of the exemplary power supply are as follows:
[0140] Output voltage: DC 0-30V Continuous adjustable
[0141] Output DC Current: 0-10 A
[0142] Overall efficiency: >89%
[0143] Voltage regulation: CV 0.01%+3 mV, CC<0.2%+6 mA
[0144] With reference to
[0145] In embodiments having a water cooling system and also in embodiments having an air fan and heatsink cooling system, when electrical current flows through the Peltier device and separately through the water or air cooling system, the temperature on the cold side of the Peltier device drops to a controllable cold, possibly including a freezing, temperature (e.g. about −15 C), typically within a few seconds, while the temperature on the hot side of the Peltier device remains low due to the cooling system.
[0146] In at least some of the water-cooled embodiments, the water block does not completely cover the hot side of the Peltier device. For example, approximately 1.5 mm of the ceramic plate of the Peltier device can remain uncovered. The uncovered portion of ceramic plate can be used for thermal communication between the hot side of the Peltier device and a heating probe. In such embodiments, heating and cooling probes are attachable thermally to the hot and cold sides of the Peltier device to transfer heat and cold to a patient's tooth, respectively. The probes can be placed in thermal communication with the ceramic plates of the Peltier device via magnets and/or mechanical lock, for example.
[0147] To transfer heat/cold from the Peltier ceramic plates to a patient's tooth, heat conductive (e.g. copper) probes can be used. Different heating probes can be made in different forms and shapes for contact with the patient's tooth at different tooth locations within the oral cavity, for example.
[0148] An exemplary 12V to 6V, 6 A, and 36 W Power Converter that is useable in embodiments of the present invention is made by “Shenzhen Shenhuo Trade Co Ltd” company located in Room 408 Block C, No. 339 Bulong Road, Longang District, Shenzhen, Guangdong, China. The properties of the exemplary power converter are as follows: [0149] Part number: SMAKN-1224-6-36 W [0150] Input voltage: DC:12V (Wide Voltage 8.5V-28V). [0151] Output voltage: DC: 6V [0152] Output current: 6 A [0153] Power: 36 W [0154] Length (mm)=43 [0155] Width (mm)=25 [0156] Height (mm)=22 [0157] Protection: Input instant high voltage, output over-current, output short circuit, chip overheating protection.
[0158] Exemplary flexible silicone rubber tubing that is useable in embodiments of the present invention is made by “uxcell” located in Unit 1111, 11/F, Tower 2 Metroplaza, No. 223 Hing Fong Road, Kwai Fong, China. The properties of the exemplary tubing are as follows:
[0159] Silicone rubber tube—will withstand repeated use
[0160] Size (mm): 4×6 (Inner Dia*Outer Dia)
[0161] Wall Thickness (mm)=1 mm
[0162] Operating Temperature: −60 to +220 C Degree
[0163] Hardness: 65
[0164] In some embodiments, the silicone rubber tube is selected to be transparent or translucent so as to permit visual inspection of fluid or fluid flow within the tube.
[0165] With reference to
[0166] Exemplary optical characteristics in accordance with some embodiments are provided in the table 5 below.
TABLE-US-00005 TABLE 5 Exemplary Optical Characteristics Des- Measurement Req# Parameter Symbol cription min target max Unit Light wavelength 400 550 700 nm Intensity 3000 5000 5000 Lux Diameter 2.5 3 3.5 mm
[0167] In some embodiments, the fiber-optic transillumination probe, the electrically conductive probes, and the thermally conductive probes are interchangeable with each other and can be separately mounted on the mentioned handpiece. In some embodiments, the transillumination probe and the electrically conductive probes are attachable to the handpiece via a mechanical lock (e.g. of a probe holder). In some embodiments, the electrically conductive probes and the thermally conductive probes are made out the same electrically and thermally conductive material (e.g. copper). The transillumination probe can be used, such as by holding the transillumination probe against the crown of a tooth, to detect cracks and/or fractures on the crown of the tooth.
[0168] With reference to 14, the dental tool in some embodiments includes a multiple-stage thermoelectrical device, such as the two-stage thermoelectric device shown in
TABLE-US-00006 TABLE 6 Exemplary Thermal Characteristics (Multi-Stage Thermoelectric Device) Measurement Req# Parameter Symbol Description min target max Unit T1 Probe COLD T.sub.c Temperature −10 −15 −20 ° C. temperature measurement at tip of probe within test period on a tissue at 37° C. T2 Operation ready time @ t.sub.1c When probe is at room 10 60 90 s COLD temperature T3 COLD test period t.sub.2c Duration of cold test 4 4 5 min T4 Probe HOT temperature T.sub.h Temperature Measured 60 65 70 ° C. within test time T5 Operation ready time @ t.sub.1h When probe is at room 10 12.5 15 s HOT temperature T6 HOT test period t.sub.2h Duration of hot test 4 5 5 min T7 Test interval t.sub.i Time between 2 30 30 — min consecutive hot or cold test T8 Handpiece temperature t.sub.hp Allowable temperature of — 37 40 ° C. handpiece
[0169] As shown in the table 6 above, the use of a multi-stage thermoelectric device (
[0170] With reference to
[0171] The dental tool shown in
[0172] The dental tool of
[0173] The dental tool of
[0174] The dental tool of
[0175] While
[0176] Referring to
[0177] With reference to
[0178] In variations of embodiments, all or part of the electronic control circuitry can be housed within the gun-shaped housing or implemented as part of a separate control console in electical communication with the gun-shaped portion of the dental tool. In variations, the display can be integrated into the gun-shaped housing as shown in
[0179] In embodiments of the invention, the probe is mechanically secured to the heat pipe, heat sink, or other heat conduit. In embodiments having a fixed probe, the fixed probe at its internal end is wrapped in an aramid-based material, such as Kevlar™, and an epoxy or other adhesive is employed to maintain the material in place at the internal end of the fixed probe.
[0180] In embodiments of the invention, thermal insulation is present between the hot and cold regions of the dental tool associated with the probe and heatsinking. For example, the exterior portion of the probe is thermally and electrically insulated to better maintain the desired temperature at the probe tip and to electrically protect tissue of a dental patient in contact with the probe.
[0181] With reference to
TABLE-US-00007 TABLE 7 Exemplary Electrical Pulp Test Characteristics Measurement Req# Parameter Symbol Description min target max Unit EP1 Probe Voltage V.sub.p V EP2 Probe Current C.sub.p mA EP3 Probe Frequency f.sub.p Hz EP4 Test duration t.sub.p 10 15 20 s EP5 Variable parameter X Any parameter that should change to perform the test (Voltage, Current, Frequency)
[0182] Referring to
[0183] Advantageously, the dental tool of the present invention, which in some embodiments may be referred to as a Diagnostic Pulp Tester (DPT), facilitates pulpal diagnosis by combining heat, cold, transillumination, and electric pulp tests into one multi-function tool that is operable to employ different removably attachable probes. The dental tool can be used to generate heat and cold in a short period of time in a dental setting.
[0184] The generated head/cold can be used in different dental applications such as heating sodium hypochlorite, and cryotherapy. For example, a heating probe of some embodiments is dimensioned for placement inside a root canal during sodium hypochlorite irrigation to activate the sodium hypochlorite and increase its ability to dissolve pulpal tissue. Such heating probe is preferably needle-like thin (e.g. as thin as 0.1 mm diameter in some cases). In some embodiments, a cooling probe can be momentarily placed against the soft tissue at a desired injection site prior to injecting so as to reduce needle-penetration pain. Such cooling probe applied to the injection site preferably has a blunt, rounded tip for patient comfort. The temperature of such cooling probe is preferably at or near zero degrees Celsius such that applying the cooling probe to the injection site provides temporary topical anesthesia without causing tissue necrosis.
[0185] Advantageously, the dental tool of the present invention in some embodiments involves the use of a Peltier thermoelectric device to generate heat and cold for performing thermal pulp vitality testing. This method advantageously provides a superior method to thermal pulp test a tooth and to diagnose pulpal pathology status. Such thermal pulp test device in some embodiments includes a Peltier thermoelectric device, a cooling system, interchangeable metal probes, and a power supply. In some embodiments, the thermal pulp test makes use of the second handpiece held by the patient, such that an audio signal is activated, a timer is stopped, other functions performed, or any combination thereof for example occurs when the patient presses the pushbutton of the patient's handpiece.
[0186] Referring to
[0187] While embodiments of the invention have been described and illustrated, such embodiments should be considered illustrative of the invention only. The invention may include variants not described or illustrated herein in detail. Thus, the embodiments described and illustrated herein should not be considered to limit the invention as construed in accordance with the accompanying claims.