WO2004019806A1

WO2004019806A1 - Endodontic instrument

Info

Publication number: WO2004019806A1
Application number: PCT/US2003/026885
Authority: WO
Inventors: Gary T. Garman
Original assignee: Ormco Corporation
Priority date: 2002-08-28
Filing date: 2003-08-27
Publication date: 2004-03-11
Also published as: AU2003262930A1; US20040043357A1; JP2005537059A; EP1531752A1; DE60330353D1; JP4382666B2; EP1531752B1; US7147469B2

Abstract

A non-landed endodontic instrument [10] has flutes [22] formed along a working length of the instrument shaft [16]. The flutes [22] define cutting edges [18] for shaping a root canal [12] of a tooth [14]. The cutting edges [18] lie at a major diameter of the shaft [16] and peripheral flute surfaces [32] behind the cutting edges [18] extend along decreasing radial distances from the center of the shaft [16], in a direction opposite the cutting direction of the instrument [10].

Description

ENDODONTIC INSTRUMENT

Field of the Invention

This invention relates generally to the field of endodontics, and

more particularly to instruments and methods for extirpating and enlarging a

root canal.

Background of the Invention

In the field of endodontics, one of the most important and

delicate procedures is that of cleaning or extirpating a root canal to provide

a properly dimensioned cavity while essentially maintaining the central axis

of the canal. This step is important in order to enable complete filling of the

canal without any voids and in a manner which prevents the entrapment of

noxious tissue in the canal as the canal is being filled.

In cleaning and enlarging the root canal, instruments called

files, or reamers, are used. Commonly, both files and reamers have flutes

which spiral along a portion of the instrument length and define cutting

edges used to shape the root canals. The classification of an instrument as

a file or a reamer depends upon the pitch of the flutes. A instrument having

a greater pitch enables the instrument to cut better in a rotary mode, hence

the instrument is a reamer. An instrument having a lesser pitch enables the

instrument to cut better in the reciprocating mode, hence a file. During a

cleaning and shaping operation performed with such a file or reamer, the

instrument is normally rotated and moved into and out of the root canal

along the longitudinal axis of the instrument.

Root canal files are available in various cross-sectional

geometries and typically have two, three, four or even more cutting edges.

Files can be classified as either landed or non-landed files depending on the

geometry of the cutting edge. Non-landed files generally have a sharp

cutting edge which extends from a central axis of the file as depicted in

FIG. 2 which illustrates a cross-section of a non-landed file 1 1 0 having

three flutes 1 1 2 and three cutting edges 1 1 4, 1 1 4a and wherein the spiral

configuration has been removed for clarity. The sharp cutting edge 1 1 4 is

relatively weak and therefore may be distorted or folded back upon itself in

a direction opposite the cutting direction CD if excessive forces are applied

while in use, as illustrated by cutting edge 1 1 4a. Such distortion of the

cutting edge 1 1 4a severely lessens its effectiveness or makes the

instrument 1 1 0 unusable.

Landed files were developed to address the strength problems

of non-landed files. Referring to FIG. 3, the cutting edges 1 22 of landed

files 1 20 do not terminate in a sharp point. Instead, they are reinforced with a thick section of material directly behind the cutting edge 1 22,

creating a lobe-like protrusion with the cutting edge 1 22 at the leading edge

of a land surface 1 24. While landed files exhibit increased strength at the

cutting edge, they also significantly increase the friction between the file

and the tooth. This increased friction generates undesirable heat in the

canal and increases the stress on the file, which can lead to failure and

breakage of the instrument. Indeed, one of the problems with traditional

endodontic instruments used for extirpating and filing root canals is that the

torsional limitations of the instrument are often exceeded, resulting in

breakage of the instrument.

In an attempt to address the increased friction of landed files

of the type depicted in FIG. 3, files with reduced land surface areas have

been developed, as depicted in FIG. 4. This modified-land file 1 30 has

three flutes 1 32 defining three cutting edges 1 34 at the leading edge of a

reduced surface area land 1 36. The remaining portion 1 38 of the land 1 36

is stepped down to reduce the amount of surface area in contact with the

tooth. While these modified-land files provide improved strength, compared

to non-landed files, they still generate undesired friction within the canal.

There is thus a need for an endodontic instrument which

exhibits improved strength at the cutting edge and overcomes problems of

prior art endodontic instruments, such as those described above.

Summary of the Invention

The present invention provides an endodontic instrument for

use in shaping a root canal in which the cutting edges have been optimized for strength while minimizing the amount of friction generated within the

canal. The instrument has an elongate shaft with a working length along a

portion of the shaft. At least one non-landed flute is formed on the outer

surface of the working length and defines a cutting edge at a radial distance

from the axial center of the shaft. Behind the cutting edge, the outer

surface of the shaft decreases in radial distance from the axial center of the

shaft to form a peripheral flute surface that does not make contact with the

interior surface of the root canal of the tooth. Advantageously, the

peripheral flute surface provides strength to the cutting edge but does not

create unwanted friction within the canal.

In an exemplary embodiment, the boundary of the peripheral

flute surface behind the cutting edge is along a line of force defined by the

resultant vector of the tangential and radial forces at the cutting edge. This

configuration maximizes the effectiveness of the peripheral flute surface in

strengthening the cutting edge because any material radially outward of the

boundary does not contribute to strengthening the cutting edge.

In accordance with the invention, a method of shaping the root

canal of a tooth includes the steps of a) providing an endodontic instrument

with an elongate shaft having an axial center and a working length along at

least a portion of the shaft, the working length including an outer surface,

at least one non-landed flute formed on the outer surface and having a

cutting edge at a first radial distance from the axial center and a peripheral

flute surface extending therefrom in a direction opposite the direction of

cutting rotation, the peripheral flute surface having its maximum radial distance from the axial center at the cutting edge and decreasing from the

maximum distance in a direction opposite the direction of cutting rotation,

to terminate in a trailing edge, b) inserting the endodontic instrument into

the root canal, and c) manipulating the endodontic instrument to remove

portions of the tooth.

The features and objectives of the present invention will

become more readily apparent from the following Detailed Description taken

in conjunction with the accompanying drawings.

Brief Description of the Drawings

The accompanying drawings, which are incorporated in and

constitute a part of this specification, illustrate embodiments of the

invention and, together with a general description of the invention given

above, and the detailed description given below, serve to explain the

invention.

FIG. 1 is a cross-sectional view of a tooth illustrating a canal

being shaped with a file;

FIG. 1 A is detail view of the shaft of a file;

FIG. 2 is a cross-sectional view of a prior art non-landed file;

FIG. 3 is a cross-sectional view of a prior art landed file;

FIG. 4 is a cross-sectional view of a prior art modified-land file;

FIG . 5 is a cross-sectional view of an exemplary file of the

present invention;

FIG. 6 is a schematic of a file shaft illustrating forces acting on

a file; and FIGS. 7-8 are cross-sectional views of a landed file illustrating

forces acting on a file.

Detailed Description

Referring to FIGS. 1 -2, there is shown an exemplary

endodontic instrument 1 0 of the present invention being used to shape a

root canal 1 2 of a tooth 1 4. The endodontic instrument 1 0 includes a

handle 1 5 for manual gripping by, for example, an endodontist and an

elongate shaft 1 6 having cutting edges 1 8 for shaping the tooth 1 4. A

portion of the shaft 1 6 comprises a working length 20 having helical flutes

22 which form the cutting edges 1 8 of the endodontic instrument 1 0. In

use, the working length 20 of the instrument 1 0 is inserted into a root canal

1 2 of a tooth 1 4 through an upper interior portion 24 of the tooth 1 4 which

has been initially opened using another instrument, such as a drill (not

shown) . Although files and reamers are typically manipulated manually, the

instrument 10 of the present invention may be adapted for use with power

operated equipment as well. In a conventional manner, the instrument 1 0

may be rotated in the direction of arrows A and/or reciprocated in the

direction of arrow B to clean out and enlarge the root canal 1 2.

Referring to FIG. 5, a cross-sectional view of a portion of the

working length 20 of the instrument 1 0 is shown, wherein the helical

configuration has been eliminated for clarity. In the exemplary embodiment

shown, the instrument 1 0 has three cutting edges 1 8 defined by three

flutes 22 and three peripheral flute surfaces 32 that extend from the cutting

edges 1 8 to trailing edges 34, in directions opposite the cutting direction CD. While three cutting edges 1 8 are shown in the exemplary embodiment,

it will be understood that the instrument 1 0 may have a lesser number or a

greater number of cutting edges 1 8, as may be desired.

The cutting edges 1 8, which constitute the leading edges

when the instrument 10 is rotated to produce cutting action, are located

radially outward from the axial center O of the instrument 1 0 a distance R,

which extends to the major diameter 30. Behind the cutting edges 18, that

is, in a direction from the leading edge to the trailing edge 34, the peripheral

flute surfaces 32 are located radially outward from the axial center O

distances that are less than the radial distances R, of the cutting edges 1 8.

Advantageously, this configuration ensures that the peripheral flute surfaces

32 will not contact the interior surface of tooth 1 4 in the root canal 1 2. In

the exemplary embodiment shown in FIG. 5, peripheral flute surfaces 32 lie

at decreasing radial dimensions R_{1 ;} R₂, R₃ from the axial center O of the

instrument 1 0, in a direction opposite the cutting direction CD, from the

cutting edges 1 8 to the trailing edges 34. In another exemplary

embodiment, the boundaries of the peripheral flute surfaces 32 are

determined by the lines of force exerted by the cutting edges 1 8 on a tooth

1 4, as described more fully below.

FIGS. 6 and 7, illustrate the forces on an endodontic

instrument 40 during the shaping of a root canal 1 2. As the instrument 40

is inserted into a root canal 1 2 and manipulated to enlarge the canal by

cutting chips from the tooth with the cutting edge 42, the endodontist will

apply an axial force F_a and a torque T₀ to the instrument 40. The torque T₀ applied by the endodontist will be a function of the file type and geometry

and the applied axial force F_a. In practice, measured values of axial force F_a

have ranged from approximately 20 grams to over 1 000 grams. At the

cutting edge 42, the instrument 40 will experience a compressive force F_ra

related to the compression of the instrument 40 against the outer walls of

the canal and a tangential cutting force F_t tangent to the major diameter 48

at the cutting edge 42. The tangential cutting force F_t is one component of

the tangential cutting and frictional force F, and is related to the torque T₀

and to the geometry of the cutting instrument 40. F_f is the tangential

frictional force, which has no effect on the strength of the cutting edge 42.

The radial and tangential forces F_ra, F_t may be resolved into a

resultant force F_r which must be exerted by the instrument 40 at the

cutting edge 42 in order to cut a chip from the root canal 1 2. The resultant

force F_r will be applied along a line of action 44 that forms an angle β with

a tangent line 46 to the major diameter 48 at the cutting edge 42. The

angle β can be determined from the formula:

arctan

where: R^ = radius at the cutting edge

F_a = axial force along instrument

α = file side taper angle

T₀ = torque applied to file θ = file helix angle

Because the resultant force F_r applied by the instrument 40 at

the cutting edge 1 8 acts along a line 44 which forms an angle β with a

tangent 46 to the major diameter 48 at cutting edge 1 8, it will be

recognized that material 50 of the cutting instrument 40 which lies radially

outward of the line of action 44 of the resultant force F_r does not increase

the strength of the instrument 40 at the cutting edge 42. Accordingly, this

material 50 may be removed without effecting the strength of the

instrument 40 at the cutting edge 42, as depicted in FIG. 8. Thus, in an

exemplary embodiment, an instrument 10 of the present invention may be

configured such that peripheral flute surfaces 32 are formed to lie along

lines of action corresponding to the resultant forces F_r and located

approximately at angles β to lines tangent to the major diameter 30 at

cutting edges 1 8, as defined by the formula above. The angle β may be

constant along the working length 20 of a given instrument, or it may vary

along the working length 20, as may be desired.

While the present invention has been illustrated by the

description of the various embodiments thereof, and while the embodiments

have been described in considerable detail, it is not intended to restrict or in

any way limit the scope of the appended claims to such detail. Additional

advantages and modifications will readily appear to those skilled in the art.

The invention in its broader aspects is therefore not limited to the specific

details, representative apparatus and methods and illustrative examples

shown and described. Accordingly, departures may be made from such details without departing from the scope or spirit of Applicant's general

inventive concept.

WHAT IS CLAIMED IS:

Claims

1 . An endodontic instrument, comprising:

an elongate shaft having an axial center and a working length

along at least a portion of said shaft, said working length including an outer

surface;

at least one non-landed flute formed on said outer surface and

having a cutting edge at a first radial distance from said axial center; and

at least one peripheral flute surface formed on said outer

surface and extending from said cutting edge in a direction opposite a

cutting direction of the instrument, said peripheral flute surface located

from said axial center a radial distance less than said first radial distance.

2. The endodontic instrument of claim 1 , wherein said peripheral

flute surface is defined by decreasing radial distances from said axial center

in a direction opposite said flute.

3. The endodontic instrument of claim 1 , wherein said peripheral

flute surface does not extend beyond a line of force defined by the resultant

vector of tangential and radial forces at said cutting edge when the

instrument is used to cut dentin of a tooth.

4. The endodontic instrument of claim 1 , wherein said shaft has a

major diameter and wherein said peripheral flute surface does not extend

beyond a line at an angle β with respect to a direction tangent said major

diameter at said cutting edge, said angle β calculated from:

RiEo tanc. β = arctan

where: R, = radius at flute

F_a = axial force along instrument

α = file side taper angle

T₀ = torque applied to file

θ = file helix angle

5. A method of shaping the root canal of a tooth, comprising:

providing an endodontic instrument having:

an elongate shaft having an axial center and a working

length along at least a portion of the shaft, the working length including an

outer surface,

at least one non-landed flute formed on the outer

surface and having a cutting edge at a first radial distance from the axial

center, and

at least one peripheral flute surface formed on the outer

surface and extending from the cutting edge in a direction opposite a

cutting direction of the instrument, the peripheral flute surface located from

the axial center a radial distance less than the first radial distance;

inserting the endodontic instrument into the root canal; and

manipulating the endodontic instrument to remove portions of

the tooth.

6. The method of claim 5, wherein the shaft has a major diameter

and wherein the peripheral flute surface does not extend beyond a line at an

angle β with respect to a direction tangent to the major diameter at the

cutting edge, the angle β calculated from:

RiEαtanc. β = arctan

where: R^ = radius at flute

F_a = axial force along instrument

α = file side taper angle

T₀ = torque applied to file

θ = file helix angle.