Dental Suction Device, and Dental Suction Device and Instrument Assembly

Abstract

A dental suction device for suction of fluid deflections and aerosols produced by the effect of a drill or laser of a dental instrument inside the oral cavity, and attachment for removably attaching the dental suction device to the dental instrument, characterised in that the dental suction devices comprises a tubular body for suctioning fluid that forms a first outer cavity to receive a working head of the dental instrument, wherein a distal portion (B) of the tubular body extends radially so as to at least partially surround a perimeter of the first outer cavity housing the working head of the dental instrument, wherein a wall of the distal portion (B) of the tubular body incorporates at least one suction orifice.

Claims

1. A dental suction device to be coupled to a dental instrument provided with a drill or laser tip and an injection unit for injecting under pressure a jet of fluid comprising a mixture of air and water, wherein the device comprises: a suction unit for suctioning inside an oral cavity deflection a fluid and an aerosol produced by an effect of the drill or laser tip of the dental instrument, and an attachment system for removably attaching the device to the dental instrument, wherein the suction unit comprises a fluid suction body forming a first outer housing to receive a working head of the dental instrument, wherein a distal tubular portion (B) of the suction body surrounds at least partially a perimeter of the outer housing for receiving the working head of the dental instrument, and wherein a wall of the distal tubular portion (B) incorporates at least one suction orifice arranged so as to determine a peripheral fluid suction area in an upward direction that at least partially surrounds the outer housing for receiving the working head, said distal tubular portion (B) of the suction body being configured and sized so that it can be introduced in a patient’s mouth while the working head of the dental instrument is operating in the outer housing of the suction body .

2. The dental suction device according to claim 1, wherein the at least one suction orifice is provided in the wall of the distal tubular portion (B) so as to determine a peripheral fluid suction area in an upward direction substantially parallel to an axis of the drill or laser tip of the dental instrument.

3. The dental suction device according to claim 1, wherein the wall of the distal tubular portion (B) extends radially outwards from the outer receiving housing of the working head with a width determined by a distance (d), the distance (d) being sized so as to absorb fluid deflections forming an angle (α) between 30°- and 60°- with an axis of the drill or laser tip of the head of the dental instrument.

4. The dental suction device according to claim 1, wherein the wall of the distal tubular portion (B) extends radially outwards from the outer receiving housing of the working head with a width determined by a distance (d) between 3 mm and 9 mm.

5. The dental suction device according to claim 1, wherein the suction body has a tubular body comprising: a proximal tubular portion (A) forming a second outer housing to receive a handle supporting the working head of the dental instrument, and the distal tubular portion (B) which at least partially surrounds the perimeter of the first outer housing for receiving the working head.

6. The dental suction device according to claim 5, wherein the distal tubular portion (B) extends on both sides of the second outer housing for receiving the handle, in correspondence with the neck of the handle, the wall of the distal tubular portion (B) incorporating, on both sides of the second outer housing, one or more suction orifices.

7. The dental suction device according to claim 1, wherein the distal tubular portion (B) of said suction body extends to surround the outer housing for receiving the head so as to form a bifurcation (Y) of tubular bodies forming an intermediate hollow space intended to define the first outer housing for receiving the working head, said first outer housing including an access hole for accessing an upper part of the working head and changing the drill without dislodging the working head.

8. The dental suction device according to claim 1, wherein a cross-section of the at least one suction orifice includes a wall of the orifice vertically oriented in a radial direction toward an area where fluid deflection is generated.

9. The dental suction device according to claim 5, wherein the at least one suction orifice is configured as one or more fluid suction through slots provided in the wall of the distal tubular portion (B) of the suction body in such a way that the one or more fluid suction through slots extend to determine a peripheral area of upward fluid suction that at least partially surrounds the perimeter of the outer housing for receiving the head and at least partially surrounds the perimeter of the outer housing for receiving the handle, in the area in correspondence with the neck of the handle.

10. The dental suction device according to claim 1, wherein the peripheral area of upward fluid suction increases or decreases towards the distal end of the device.

11. The dental suction device according to claim 5, wherein a lumen of the suction tubular body decreases in area from the proximal tubular portion (A) toward the distal tubular portion (B).

12. The dental suction device according to claim 5, wherein the proximal tubular portion (A) of the suction body comprises a press-fit attachment system for fitting the handle of the dental instrument inside the outer housing to receive the handle.

13. The dental suction device according to claim 1, further comprising a source of vacuum production and means for connecting said source of vacuum production to the suction body.

14. A dental suction device and instrument assembly, comprising: a dental suction device; and a dental turbine or dental contra-angle handpiece provided with a drill and an injection unit for injecting under pressure a fluid jet comprising a mixture of air and water capable of producing an aerosol comprising milled particles in suspension from tooth tissue, wherein the dental suction device comprises a fluid suction body forming a first outer housing shaped to receive a working head of the dental turbine or dental contra-angle handpiece, wherein a distal tubular portion (B) of the suction body surrounds at least partially a perimeter of the outer housing for receiving the working head of the dental turbine or dental contra-angle handpiece, and wherein a wall of the distal tubular portion (B) incorporates at least one suction orifice arranged so as to determine a peripheral fluid suction area in an upward direction that at least partially surrounds the outer housing for receiving the working head, the distal tubular portion (B) of the suction body being configured to be introducible in a patient’s mouth while the working head of the dental turbine or dental contra-angle handpiece is operating in the outer housing of the suction body when coupled to the dental suction device.

15. A dental suction device and instrument assembly, comprising: a dental suction device; and a dental laser having a laser tip and an injection unit for injecting under pressure a jet of fluid comprising a mixture of air and water capable of producing an aerosol comprising a plume of particles resulting from an ablation effect produced by the laser tip on tooth tissue, wherein the dental suction device comprises a fluid suction body forming a first outer housing shaped to receive the working head of the dental laser, wherein a distal tubular portion (B) of the suction body surrounds at least partially a perimeter of the outer housing for receiving the working head of the dental laser, and wherein a wall of the distal tubular portion (B) incorporates at least one suction orifice arranged so as to determine a peripheral fluid suction area in an upward direction that at least partially surrounds the outer housing for receiving the working head, the distal tubular portion (B) of the suction body being configured so that it is introducible in a patient’s mouth while the working head of the dental laser is operating in the outer housing of the fluid suction body when coupled to the dental suction device.

16. The dental suction device according to claim 1 and a dental instrument assembly, comprising a dental turbine, a dental contra-angle handpiece or a dental laser coupled to the fluid suction body of the dental suction device, wherein the distal tubular portion (B) of the suction body comprises a peripheral fluid suction orifice configured and arranged to generate a circumferential suction effect so that, in the vicinity of a working surface in a working position of the assembly, the jet of injected fluid is transformed by the effect of the circumferential suction into a stable toroidal vortex in the center of which is the drill or laser tip of the dental instrument.

17. The dental suction device and dental instrument assembly according to claim 16, wherein the fluid suction body comprises the at least one suction orifice configured as one or more fluid suction through slots provided in the wall of the distal tubular portion (B) of the suction body, in such a way that said through slot or slots extend to determine the peripheral area of upward fluid suction that at least partially surrounds the perimeter of the outer housing for receiving the head and at least partially surrounds the perimeter of the outer housing for receiving the handle, in the area in correspondence with the neck of the handle.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0040] The patent or application file contains at least one drawing executed in color. Copies of this patent or patent application publication with color drawings will be provided by the Office upon request and payment of the necessary fee.

[0041] To facilitate the description of what has been described above, drawings are appended which represent, schematically and only by way of non-limiting example, a practical case of realisation of the dental suction device and of an assembly of dental suction device and dental turbine to which said device is coupled.

[0042] FIG. 1 is an axonometric lower view of an embodiment of the tubular suction body of the dental suction device showing the proximal and distal portion of the suction body.

[0043] FIG. 2 is an axonometric side view of the suction tubular body of FIG. 1.

[0044] FIG. 3 is an axonometric top view of the suction tubular body of FIG. 1.

[0045] FIG. 4 is a wireframe style axonometric top view of an assembly of the tubular suction body assembly of FIG. 1 and a dental turbine.

[0046] FIG. 5 is a wireframe style axonometric lower view of the tubular suction body and dental turbine assembly of FIG. 4.

[0047] FIG. 6 is a wireframe style isometric lower view of the tubular suction body of FIG. 1.

[0048] FIG. 7 is a wireframe style isometric side view of the tubular suction body and dental turbine assembly of FIG. 4.

[0049] FIG. 8 is a cross-section of the embodiment of the distal tubular portion of the suction body of FIG. 1 comprising suction orifices with walls oriented vertically in a radial direction.

[0050] FIG. 9 is an axonometric top view of a second embodiment of the dental suction device.

[0051] FIG. 10 is an axonometric lower view of the device of FIG. 9. This figure shows the housings that form the proximal and distal tubular portions of the suction body for receiving, respectively, the head and the handle of the dental instrument.

[0052] FIG. 11 is a cross-section of the second embodiment of the distal tubular portion of the suction body of FIG. 9, at the height of the area surrounding the second outer housing that receives the neck of the turbine handle. This section includes suction orifices provided with walls oriented vertically in a radial direction at an angle β.

[0053] FIG. 12 is a schematic representation showing the coupling operation of the dental instrument, in this case a dental turbine, in the device of the embodiment of FIG. 9. For the sake of clarity, this figure does not show the orifice provided as a through slot partially surrounding the housing for receiving the head and the handle of the turbine.

[0054] FIG. 13 is a schematic representation of the claimed dental device and instrument assembly simulating the operation inside the oral cavity and the formation of the toroidal suction vortex with its centre at the bur of the dental instrument, in this case a dental turbine.

[0055] FIG. 14 is a photo of the assembly shown in FIG. 12 in operation.

[0056] FIG. 15 is a photo showing a bottom view of an embodiment of the claimed dental suction device and dental instrument assembly, wherein the outer housing of the suction body is shaped to receive the working head of a dental turbine. This photo shows the orifice provided as a through slot partially surrounding the outer housing of the suction body.

[0057] FIGS. 16a and 16b show a first and second Whatman experimental discs of cotton cellulose qualitative filters mounted on respective circular methacrylate frames to capture aerosol particles on a comparative experimental trial to show reduction of aerosols captured by the filters. The first Whatman experimental disc filter shows experimental results of subtrial I when using a prior art disposable suction cannula and a dental turbine. The second Whatman experimental disc filter shows experimental results of subtrial II when using the dental turbine coupled to the claimed dental suction device.

DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0058] In what follows, two embodiments of the dental suction device of the present invention are described with reference to FIG. 1 to 16a and 16b.

[0059] The claimed dental suction device comprises suction means comprising a suction body 1, which is preferably a tubular body, capable of being connected to a vacuum source (not shown) suitable for providing preferably a vacuum equal to or greater than 100 millibars, for example, 160 millibars.

[0060] The outer walls of the tubular suction body 1 form a first outer cavity or housing 2 intended to receive a working head 3 of a dental instrument, and a second outer cavity or housing 4 intended to receive the handle 5 supporting the working head 3 of said dental instrument. In the embodiments described and shown in the figures, the outer cavities, or housings 2 and 4 of the tubular body 1 are shaped to receive a working head 3 and handle 5 of a dental instrument which, in this case, is a dental turbine 6 fitted with a drill 6a. However, the same tubular body 1 could comprise cavities or housings adapted to receive the head of a laser and the handle of a dental laser, respectively.

[0061] The tubular suction body 1 includes a proximal tubular portion “A” capable of being removably attached to the support handle 5 of the dental instrument by means of a clamp or by means of a clipping system, and a distal tubular portion “B” sized so that it can be introduced in the oral cavity of a patient.

[0062] In the embodiments described, the distal tubular portion “B” extends radially so as to at least partially surround the perimeter of the first outer cavity or outer housing 2 receiving the dental instrument working head 3, as well as a portion of the perimeter of the second outer cavity or housing 4 that receives the neck of support handle 5 of the dental instrument working head 3.

[0063] In particular, according to one embodiment, the distal tubular portion “B” of the suction tubular body 1 extends radially forming a bifurcation “Y” of tubular bodies 1a, 1b, in the form of branches, creating a hollow intermediate space defining the first outer cavity or outer housing 2 for the reception of the working head 3 of the dental instrument. As can be seen in FIGS. 3 and 4, and in FIG. 8, each of the bodies or branches 1a, 1b of the bifurcation “Y” of the distal portion “B” of the tubular body 1 extends to surround a perimeter portion of the first outer cavity or outer housing 2 of the dental instrument working head 3 and incorporates one or more suction orifices 8. The upper edge of the hollow intermediate space forms an access hole 9 which allows access to the upper part of the working head 3 where the button for clamping the drill 6a is located to allow changing the drill 6a, without the need to disengage the head 3 from the interior of the outer cavity or outer housing 2.

[0064] The figures of both embodiments of the device show a lower wall 7 of the distal tubular portion “B” of the suction body 1 which has the particularity that it extends radially outwards from both outer first and second cavities or housings 2 and 4 with a width determined by a distance “d”, and incorporates the suction orifices 8 arranged so as to determine a perimeter area of upward suction of fluid around the outer cavities or outer housings 2 and 4.

[0065] The distance “d”, or width of the lower wall 7 of the distal tubular portion “B” of the suction body, 1 is sized to absorb fluid deflections forming an angle “α” between 30° and 60° with the axis of the drill 6a or dental laser tip (see FIG. 7). In particular, the distance “d” is equal to or greater than 2 mm, preferably between 3 mm and 9 mm, or, advantageously, between 4 mm and 8 mm, as is the case in the embodiment shown in the figures (see FIG. 8).

[0066] It has been observed that these distances are adequate to provide an extended perimeter suction area that can very efficiently approach the site of projected fluid deflections and ejection of liquids and solids, which are generated inside the oral cavity by the effect of the drill 6a or dental laser, avoiding the leakage of aerosols in the anterior and posterior part of the distal portion “B” of the device.

[0067] As regards the suction orifices 8 themselves, it should be mentioned that these may be configured as through slots in the lower wall 7 of the distal tubular portion “B” of the suction body 1, as shown in FIG. 10 of the second embodiment.

[0068] Preferably, the cross section of these orifices or through suction slots 8 determines a fluid passage in the lower wall 7 which may be equal to or greater than 1 mm and, optionally, the cross section of the orifices or through slots 8 extending on both sides of the second cavity or housing 4 for receiving the handle 5 may include walls 11 oriented vertically in a radial direction (see FIG. 11), towards the area where the deflections would escape. This detail improves the control of aerosol leakage through the rear part of the instrument by favouring a vacuum effect and the maintenance in this rear area of the stable toroidal suction vortex (see FIGS. 13 and 14).

[0069] In what follows the operation of the claimed device is described with reference to a dental instrument, which may be, for example, a dental turbine 6 provided with a working head 3 comprising a drill 6a and pressurised water and air injection means for injecting a pressurised jet of cooling fluid. Dental turbines of this type are available on the market, such as those marketed under the brand names Kaltenbach & Voigt®, NSK®, or B&W®. Such dental turbines 6 include a rotor, which is preferably driven by air compression at a speed of between 100,000 and 500,000 revolutions per minute, and a support handle 5 through which the air, water and electricity supply lines extend to the working head 3.

[0070] When the operator needs to carry out dental work with a dental turbine 6 as described in the previous paragraph, the device claimed is coupled first to the support handle 5 of the turbine 6, so that the working head 3 is housed inside the first outer cavity or outer housing 2 of the tubular suction body 1, and a portion of the support handle 5 itself is also housed in the second external cavity or housing 4 formed by the same suction body 1. In the embodiments described, the tubular suction body 1 is coupled to the support handle 5 by means of projections 10 provided in the proximal portion “A” of the tubular body 1 which are clipped to the support handle 5 of the dental turbine 6 (see FIGS. 5 and 12).

[0071] As can be seen in FIGS. 5 and 12, in the coupled position of the device the lower wall 7 of the distal tubular portion “B” of the suction body 1, which includes the orifices 8 or suction through slots, surrounds the working head 3 and extends towards the rear, covering a part of the perimeter of the housing 4 in which the support handle 5 is housed. The height of the distal tubular portion “B”, and in particular that of the tubular branches or body 1a, 1b, is substantially equivalent to the height of the head 3 supporting the drill 6a, which facilitates the handling of the device and dental instrument assembly inside the patient’s oral cavity, and more importantly, allows the peripheral suction area determined by the orifices 8 or suction through slots to be brought closer to the place where aerosols and fluid deflections are generated.

[0072] When the operator operates the dental turbine 6 inside the oral cavity, the pressurised spray that cools the drill 6a carries with it, on its way to and from the tooth surface, all kinds of biological products, such as bioaerosols, blood, hard or soft dental tissue, serous or purulent secretions, bacteria, or viruses, among other products and residues. However, thanks to the device of the present invention, while the dental turbine 6 is in operation, the peripheral suction area of the distal tubular portion “B” of the suction body 1 of the device suctions very efficiently the fluid deflections and ejections of particles milled and dragged by the same fluid.

[0073] It has been observed that the trajectory of the fluid deflections and ejections of milled particles is substantially circumscribed within the extended perimeter suction area determined by the orifices 8 or suction pass-through slots surrounding the head 3 and part of the neck of the handle 5, forming a stable toroidal suction vortex of fluid with its centre in the drill 6a (see FIGS. 13 and 14). Due to this, a very high percentage of these deflections and ejections are absorbed and controlled by the barrier effect generated, in the aforementioned enlarged peripheral area, by the toroidal vortex and the upwards suction.

[0074] An additional advantage of the device of the present invention lies in the fact that it makes it possible to dispense with the use of conventional suction cannulas which are manually positioned by an assistant in the vicinity of the dental turbine 6a. It has been observed that these cannulas cannot suction the totality of aerosols, or the splashes or deflections of fluid created by the presence of the cooling fluid of the drill 6a.

[0075] The claimed device has the advantage that it envelops the working area in such a way that the aerosols are very efficiently controlled, avoiding the usual leaks that occur with the use of the aforementioned cannulas. Furthermore, in the device of the present invention, the suction area is distributed peripherally, avoiding accidental deviations of cooling fluid that occur due to the lateral suction effect of the aforementioned cannulas. Accidental collisions with these are also eliminated.

[0076] Indeed, the distal portion of the tubular body comprises the peripheral suction orifice 8 which is arranged so as to determine the perimeter area of upward fluid suction which at least partially surrounds the outer receiving cavity 2 of the working head 3 of the dental instrument. This difference is essential in that it ensures the generation of a stable toroidal vortex within which the aerosol that produces the jet of pressurised water and air from the dental instrument is confined (see arrows in FIG. 14).

[0077] The claimed device generates a circumferential suction effect designed so that, in the vicinity of a working surface, the flow of spray (a mixture of air and water) injected is transformed by the effect of suction into a stable toroidal vortex in the centre of which is the drill or laser tip. Thanks to the stability provided by the fluid movement within the toroidal vortex, the aerosol produced is very efficiently confined. In particular, the at least one suction orifice 8 is provided in the wall 7 of the distal tubular portion “B” in such a way as to determine a perimeter area of fluid suction in an upward direction substantially parallel to the axis of the drill or laser tip of the dental instrument. In fact, the upward suction is in the opposite direction to the downward jet of spray (air/water mixture) that accompanies the drill or laser tip of the dental instrument.

[0078] To show the effectivity of the claimed suction device an experimental comparative trial has been carried out which shows the significative reduction of production of aerosols particles when using a dental turbine coupled to the claimed dental suction device. Below, the experimental comparative trial is described.

Material and Method

[0079] A typical working position with a dental turbine is emulated on the second lower left premolar, in a first subtrial without using the claimed dental suction device, and in a second subtrial, using it.

[0080] With the intention of capturing the aerosol particles produced by the dental turbine, a Whatman disc of cotton cellulose qualitative filter of 15 cm in diameter and 0.18 mm thick, mounted on a circular methacrylate frame is available. This frame fits into an infundibulum connected to a suction system that sucks the air through the filter at a rate of 216 I/ min. All air flow measurements have been performed with an air column float flowmeter “ASA P13-2800”.

[0081] With the intention of objectifying the aerosol particles, sodium fluorescein (C20H10Na205) is used, which is an odourless orange powder that turns green when mixed with water. A fluorescein solution at a rate of 1 g per litre has been used.

[0082] An “Orbitec 008453” type “A” UV lamp is used to detect fluorescein in the aerosols captured by the filter.

[0083] To emulate a clinical work situation, a “Bader” phantom is attached to an AG3 permanent denture typodont on the headrest of a “DKL L2 ECO” dental unit. The phantom is separated 20 cm of the Whatman cellulose disc filter. A distilled water tank “A.E.B.” is connected to this equipment, pressurized to 3 Atm as a turbine coolant, with two litres of the fluorescein solution. A quadruple spray dental turbine “B.A. INTERNATIONAL OPTIMA BA525K” with a blunt bur or drill is placed over the mesial fossa of the second lower left premolar of the typodont. Said dental turbine operates at a regime of 300,000 r.p.m, 2.2 kgf / cm.sup.2 of pressure in pipes and an intermediate water flow of 25 ml/ min.

[0084] This equipment has a “DÜRR 600” dental aspiration that develops an aspiration of 260 I / min in the 16 mm hose terminal, which places it at the lower limit of a high-volume evacuation (> 250 I / min).

[0085] A disposable suction cannula is connected to the phantom to evacuate excess fluid and emulate the flow of air entering the oral cavity.

[0086] With aspiration through the filter actuated, the dental turbine bur is placed perpendicular to the occlusal plane on the mesial fossa of the lower left first premolar and the dental turbine is operated for two minutes in each of the two experimental subtrials.

[0087] Photographs of the fluorescence on the filters are taken under ultraviolet light with a “Nikon D3000” digital camera.

[0088] The comparative trial includes two experimental subtrials: [0089] Subtrial I: Dental turbine and saliva ejector aspirating to the maximum (at a rate of 83 I / min). [0090] Subtrial II: Dental turbine with the claimed dental suction device connected to the 16 mm suction hose terminal and saliva ejector aspirating to a minimum.

[0091] No renewal of air was done between subtrials.

[0092] Results show that in subtrial I, all the surface of the Whatman experimental disc filter was contaminated by more than nine thousand aerosol droplets, while in subtrial II only six droplets appeared on the surface of the Whatman experimental disc filter.

[0093] In subtrial I, a disposable saliva ejector was placed in the posterior part of the oral cavity of the phantom with a maximum flow of 83 I/ min. This creates an air current that opposes the exit of the aerosol droplets to the outside as far as possible. During the test and against the backlight, the recovery of part of the aerosol was evidenced due to the establishment of said current, but it was insufficient to avoid contamination of the Whatman filter.

[0094] On the contrary, in subtrial II, the ejector flow was reduced to the minimum necessary to evacuate the liquid formed in the most sloping part of the oral cavity of the phantom while the claimed dental suction device connected to the aspiration system with the 16 mm hose terminal effectively blocked the exit of aerosols. As can be seen in FIG. 16b, in subtrial II, only six dimly lit spots were seen.

[0095] Therefore, the described experimental trial shows a reduction of aerosols of virtually 100% (see, FIGS. 16a and 16b), so the use of the claimed dental suction device and dental instrument assembly can be considered as an alternative for the reduction of aerosols in daily clinical practice and for preventing airborne diseases during the current pandemic.

[0096] Although reference has been made to specific embodiments of the invention, and to an experimental trial,applied to a dental turbine, it is obvious to a person skilled in the art that similar results can be obtained if the dental suction device described is applied or coupled to another dental instrument, such as, for example, a dental contra-angle handpiece or a dental laser. Thus, the claimed device is susceptible to numerous variations and modifications, so that all the aforementioned details can be replaced by technically equivalent ones without departing from the scope of protection defined by the appended claims.