NL1039169C2 - Peri-implant ultrasound debridement device (pius-dd). - Google Patents
Peri-implant ultrasound debridement device (pius-dd). Download PDFInfo
- Publication number
- NL1039169C2 NL1039169C2 NL1039169A NL1039169A NL1039169C2 NL 1039169 C2 NL1039169 C2 NL 1039169C2 NL 1039169 A NL1039169 A NL 1039169A NL 1039169 A NL1039169 A NL 1039169A NL 1039169 C2 NL1039169 C2 NL 1039169C2
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- Netherlands
- Prior art keywords
- implant
- peri
- debridement
- rotary
- pius
- Prior art date
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Classifications
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- A—HUMAN NECESSITIES
- A46—BRUSHWARE
- A46B—BRUSHES
- A46B13/00—Brushes with driven brush bodies or carriers
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- A—HUMAN NECESSITIES
- A46—BRUSHWARE
- A46B—BRUSHES
- A46B9/00—Arrangements of the bristles in the brush body
- A46B9/02—Position or arrangement of bristles in relation to surface of the brush body, e.g. inclined, in rows, in groups
-
- A—HUMAN NECESSITIES
- A46—BRUSHWARE
- A46B—BRUSHES
- A46B9/00—Arrangements of the bristles in the brush body
- A46B9/02—Position or arrangement of bristles in relation to surface of the brush body, e.g. inclined, in rows, in groups
- A46B9/025—Position or arrangement of bristles in relation to surface of the brush body, e.g. inclined, in rows, in groups the bristles or the tufts being arranged in an angled position relative to each other
-
- A—HUMAN NECESSITIES
- A46—BRUSHWARE
- A46B—BRUSHES
- A46B9/00—Arrangements of the bristles in the brush body
- A46B9/02—Position or arrangement of bristles in relation to surface of the brush body, e.g. inclined, in rows, in groups
- A46B9/026—Position or arrangement of bristles in relation to surface of the brush body, e.g. inclined, in rows, in groups where the surface of the brush body or carrier is not in one plane, e.g. not flat
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C17/00—Devices for cleaning, polishing, rinsing or drying teeth, teeth cavities or prostheses; Saliva removers; Dental appliances for receiving spittle
- A61C17/16—Power-driven cleaning or polishing devices
- A61C17/20—Power-driven cleaning or polishing devices using ultrasonics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C17/00—Devices for cleaning, polishing, rinsing or drying teeth, teeth cavities or prostheses; Saliva removers; Dental appliances for receiving spittle
- A61C17/16—Power-driven cleaning or polishing devices
- A61C17/22—Power-driven cleaning or polishing devices with brushes, cushions, cups, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C17/00—Devices for cleaning, polishing, rinsing or drying teeth, teeth cavities or prostheses; Saliva removers; Dental appliances for receiving spittle
- A61C17/16—Power-driven cleaning or polishing devices
- A61C17/22—Power-driven cleaning or polishing devices with brushes, cushions, cups, or the like
- A61C17/222—Brush body details, e.g. the shape thereof or connection to handle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C17/00—Devices for cleaning, polishing, rinsing or drying teeth, teeth cavities or prostheses; Saliva removers; Dental appliances for receiving spittle
- A61C17/16—Power-driven cleaning or polishing devices
- A61C17/22—Power-driven cleaning or polishing devices with brushes, cushions, cups, or the like
- A61C17/32—Power-driven cleaning or polishing devices with brushes, cushions, cups, or the like reciprocating or oscillating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0089—Implanting tools or instruments
Landscapes
- Health & Medical Sciences (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
Title of invention Peri-Implant Ultrasound Debridement Device (PIUS-DD) 1039169 2
Background
As a result of peri-implantitis caused by pathogenic microflora, the implant surface becomes covered by bio-film. The current treatment modalities advocated in the treatment of peri-implantitis have been reported to exert some beneficial and successful effect. Albeit, up to 5 present none of the implemented therapeutic strategies, using variety of physical and or chemical decontamination techniques and devices have proved to be the most efficacious in the treatment of advanced peri-implantitis with specific morphology, extent and severity.
Surgical therapeutic approaches are undertaken: to eliminate intra-lesion granulation tissues via surgical deregulation; to eradicate interfacial biofilm and residual debris consisting of surgical 10 mechanical and chemical surface debridement; to decontaminate the contaminated exposed interface via surgical surface decontamination techniques; to modify the interface architecture via implantoplasty (to reduce the risk for re-establishments of implant surface biofilm); to eliminate intrabony micro-environmental niche for pathogenic micro-organisms via resection, and to restore the bone defects caused by destructive pathologic process via regenerative 15 techniques and to promote the phenomenon of re-osseointegration via: surface bio-modification, augmentation techniques, and GBR.
3
The therapeutic strategies involved in the treatment of biomaterial-centred peri-implantitis should consider the following objectives: 1. Reduction and elimination of the supra-gingival bacterial plaque and establishment of an environment unfavourable to the bacterial adhesion & colonisation 5 2. Reduction and elimination of the sub-gingival anaerobic pathogens 3.. Establishment of a surgical approach designed to maximise the 3-D surface access, and efficacy of applied mechanical devices during the process of deregulation, surface debridement and detoxification of the exposed implant surface 4. Dissolving and disrupting the remaining biofilm or protein pellicle using solvents, local 10 antibiotics or oxidizing solutions which effectively remove the micro-organism 5. Elimination of the existing well-established anaerobic micro-ecosystem and establishment of compatible anatomic tissue architecture by undertaking appropriate surgical procedures e.g. gingivectomy, surgical peri-implant pocket reduction and apically repositioned flap 15 6. Re-establishment of a micro-ecological niche non-compatible to the bacterial re-adhesion & re-colonisation 7. Intra-marrow penetration & bleeding into the defect area is obtained by local osteotomy of the adjacent bone leading to implant surface coverage with fresh blood clot fixed by fibrin organization prior to the regenerative procedure.
20 8. Restoration of the compromised anatomical architecture and physiological function by: application of appropriate biological mechanism of regeneration versus repair, recruiting the appropriate regenerative devices, and attracting osteoprogenitor cells by receptor-specific cytokines and signal molecules 9. Maintenance of status sanita by eliminating the risk / confounding factors involved in the 25 aetiopathogenesis of biomaterial-centred peri-implantitis (Supportive Peri-implant Therapy) 4
Rational for invention of a new device to enhance the effectiveness of debridement/decontamination procedures
The extent and quality of bone regeneration and re-osseointegration at the interface following the treatment of peri-implantitis lesions using the regenerative means has been reported to be 5 inconsistent in various trials and case reports. This could be due to the fact that the currently applied interface debridement /decontamination techniques, perquisite for the resolution of peri-implant lesions are not performed effectively according to appropriate clinical protocols within the specific indication criteria.
The Peri-Implant Ultra-sound debridement device (PIUS-DD) is driven via precise and powerful 10 ultrasound oscillation transmitted by a centrally fixated piezo-electric core engineered on the basis of Piezo-ceramic principles applied in dentistry, using 4 piezo-ceramic discs mounted on a core, covered by a hand piece extended to a connector device holding the PIUS debridement device. The piezo-ceramic phenomenon is generated as a result of proportional alternating expansion and contraction of quartz crystals when being charged by alternating positive and 15 negative electrical current.
5
Engineering description:
The amplitude of the lateral movement is mainly determined by the material characteristics, the length of active part of the instrument, which could be adjusted using the laser-marked circle lines.
5 The profile and pattern of movement is determined by oscillation frequency (Hz) adjusted by power setting, the instrument’s technical specifications (i.e. weight, EM), tangential contact pressure, irrigation volume and working confinement within the defect area.
Power setting is adjusted to the instrument classification and indication of use according to the stage of debridement process and surface characteristic of the implant involved.
10 The continuous irrigation is mandatory and is regulated until an acoustic cavitation effect is reached.
PUIS-DD manufacturing description
Power generation: Ultrasound oscillation in range of 20-30kHz.
Instrument holding device: Stainless Steel (Fig.1) 15 PIUS device holder 120°: For the flexible use of PIUS instrument, specially designed for anterior implants.
PIUS device holder 90° : For the flexible use of PIUS instrument, specially designed for posterior implants.
Instrument brush plate: Ni-Ti/SS alloy; H: 8mm; L: 5.23mm; R: 2.5mm (Fig.2, Fig.4, Fig.6) 20 Instrument shaft: Ni-Ti/SS alloy; H: 18mm; R: 0.45mm (Fig.1, Fig.3, Fig.4, Fig.5)
Instrument core: Ni-Ti/SS alloy; H: 2mm; R: 2.5mm -/+ 0.2mm (Fig.2, Fig.3, Fig.4, Fig.5, Fig.6)
Instrument bristles: Nickel -Titanium alloy (Fig.3, Fig.5, Fig.6)
Ni-Ti alloy with 1 EM, t tensile strength (TS), T abrasion resistance, L: 1.5mm 25 The distribution and length of the bristles is designed and arranged in compatibility to the implant systems’ pitch sequence & design (Fig.5)
General instruction for the application of PIUS device
After performing of an atraumatic access flap, the surgical sequence described below should be performed in order to promote effective decontamination of implant surfaces: 30 1. Partial removal of the excessive bone-bound granulation tissue at the defect entrance to create adequate access for the instrumentation procedure OBS: The partial excision of the excessive peri-implant bone-bound granulation tissue at the defect entrance is undertaken in order to promote decontamination of implant surfaces. Albeit, the rational for total removal of the bone-bound granulation tissue is disputable, as during the 35 initial mechanical gross debridement of the infected implant surface, the peri-implant healthy 6 tissues may be contaminated by the disrupted biofilm, or that the detached pathogenic bacteria may be transfused by intra-osseous venous micro-vascular network giving rise to a sub-acute systemic bacteraemia, especially in patients with propensity to endocarditis or in immunocompromised patients.
5 2. Implant surface degranulation 3. Air-abrasive debridement 4. PIUS fine debridement 5. Total removal of the bone-bound granulation tissues and unsupported bone sequesters followed by saline irrigation 10 6. Intra-marrow penetration, bleeding stimulation, fibrin stabilisation 7. Performance of an appropriate regeneration technique.
NB: PIUS debridement device is manufactured for single use only, hence should not be reused due to the risk for organic contamination and cross infection. The damaged device should not be used.
1039169
Claims (5)
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
NL1039169A NL1039169C2 (en) | 2011-11-15 | 2011-11-15 | Peri-implant ultrasound debridement device (pius-dd). |
PCT/NL2012/050776 WO2013073935A1 (en) | 2011-11-15 | 2012-11-05 | A device for cleaning and/or debriding a medical implant |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
NL1039169 | 2011-11-15 | ||
NL1039169A NL1039169C2 (en) | 2011-11-15 | 2011-11-15 | Peri-implant ultrasound debridement device (pius-dd). |
Publications (1)
Publication Number | Publication Date |
---|---|
NL1039169C2 true NL1039169C2 (en) | 2013-05-16 |
Family
ID=47215707
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
NL1039169A NL1039169C2 (en) | 2011-11-15 | 2011-11-15 | Peri-implant ultrasound debridement device (pius-dd). |
Country Status (2)
Country | Link |
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NL (1) | NL1039169C2 (en) |
WO (1) | WO2013073935A1 (en) |
Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9827078B2 (en) * | 2014-05-16 | 2017-11-28 | Robert T. Bock Consultancy Llc | Spatially improved extended reach ultrasonic toothbrush |
MX2017004319A (en) * | 2014-10-02 | 2017-05-19 | Polypid Ltd | Methods for the treatment of peri-implantitis. |
US9744011B2 (en) * | 2015-04-06 | 2017-08-29 | Mark Montana | Dental cleaning system and method of using same |
US10219878B2 (en) | 2016-11-08 | 2019-03-05 | Christopher R. Goodman | Dental implantoplasty tool for preventing peri-implantis in dental implants |
WO2023206311A1 (en) * | 2022-04-29 | 2023-11-02 | 李岩峰 | Surrounding-type cleaning titanium brush for surface of implant and method of using same |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2446617A1 (en) * | 1979-01-17 | 1980-08-14 | Mocci Cesar | Articulated tooth-brush with pivoting head - has head mounted on ball joint on end of straight or bent handle |
US5067195A (en) * | 1989-01-25 | 1991-11-26 | Sussman Harold I | Device for cleaning dental implant posts |
DE4438731A1 (en) * | 1994-10-29 | 1996-05-02 | Braun Ag | Brush part for an electric toothbrush |
US5940923A (en) * | 1997-08-01 | 1999-08-24 | Gunning; Colleen K. | Dental implant cleaning system |
US9248009B2 (en) * | 2009-06-03 | 2016-02-02 | Straumann Holding Ag | Medical cleaning kit |
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2011
- 2011-11-15 NL NL1039169A patent/NL1039169C2/en not_active IP Right Cessation
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2012
- 2012-11-05 WO PCT/NL2012/050776 patent/WO2013073935A1/en active Application Filing
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Publication number | Publication date |
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WO2013073935A1 (en) | 2013-05-23 |
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V1 | Lapsed because of non-payment of the annual fee |
Effective date: 20150601 |