WO2018090118A1 - Instrument ultrasonore pour traitement et retraitement de canal radiculaire - Google Patents

Instrument ultrasonore pour traitement et retraitement de canal radiculaire Download PDF

Info

Publication number
WO2018090118A1
WO2018090118A1 PCT/BR2017/050346 BR2017050346W WO2018090118A1 WO 2018090118 A1 WO2018090118 A1 WO 2018090118A1 BR 2017050346 W BR2017050346 W BR 2017050346W WO 2018090118 A1 WO2018090118 A1 WO 2018090118A1
Authority
WO
WIPO (PCT)
Prior art keywords
tip
geometry
instrument according
instrument
pointed
Prior art date
Application number
PCT/BR2017/050346
Other languages
English (en)
Portuguese (pt)
Inventor
Alexandre Capelli
Original Assignee
Alexandre Capelli
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from BR102016027072-3A external-priority patent/BR102016027072A2/pt
Priority claimed from BR102017024636-1A external-priority patent/BR102017024636A2/pt
Application filed by Alexandre Capelli filed Critical Alexandre Capelli
Priority to CN201780083737.6A priority Critical patent/CN110177520A/zh
Publication of WO2018090118A1 publication Critical patent/WO2018090118A1/fr

Links

Classifications

    • 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
    • A61C5/00—Filling or capping teeth
    • A61C5/40—Implements for surgical treatment of the roots or nerves of the teeth; Nerve needles; Methods or instruments for medication of the roots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C5/00—Filling or capping teeth
    • A61C5/50—Implements for filling root canals; Methods or instruments for medication of tooth nerve channels

Definitions

  • the present invention is in the field of ultrasonic instruments for root canal preparation, preferably having flattened or oval shaped isthmus and channels, and its use is directed to endodontic treatments and retreatments, especially root canal type, in dentistry. .
  • US20161 13735A relates to an instrument for preparing for placement of a pin. This instrument is designed to work in oval channels. However, unlike said document, the present invention does not work with motion
  • the present invention is not used to perform pin preparation, but rather the cleaning and removal of bacterial biofilm and tissue debris in treatments and obturator material in root canal retreatments.
  • the present invention has as its main function to clean the isthmus and
  • root canal system and may even be used in conjunction or not with rotary
  • DE102004036000B4 discloses an ultrasonic tool. However, its application is totally different. of the application of the present invention.
  • the tool is used to perform a retrograde preparation in the root canal during a surgical procedure, being the access made through a bone store and resection of the apical part of the root.
  • the ultrasonic insert is used during conventional non-surgical endodontic treatment, with access to the root canals through the crown of the tooth and to the root canals.
  • the ultrasonic instrument disclosed herein acts by cavitation, disaggregating the bacterial biofilm, as well as being able to remove obturator material such as gutta percha.
  • the commercially available "Ellipson” product is an oval ultrasonic insert. However, its function is restricted to preparing the root canal to receive an oval fiber pin for the reconstruction of the dental element.
  • the Ellipson insert is not suitable for isthmus cleaning and preparation in addition to rotary instruments or
  • the Ellipson insert has a single geometry.
  • the inserts described in this document have different geometries that fit anatomically to different root canal shapes.
  • the present invention proposes an ultrasonic instrument capable of working the root canal space without altering its shape anatomy.
  • the present invention eliminates the impacting effect of dental scratches and debris during the removal of the disease-causing bacteria and further removes gutta percha and other obturator materials of any kind.
  • the present invention relates to an ultrasonic root canal treatment and retreatment instrument which acts in cleaning, shaping and / or enlarging and removing obturator material as a gutta percha of the root canal system and mainly reaches areas not instrumented by rotary or reciprocating files, in addition to isthmus and anastomosis areas.
  • Figures 1a, 1b and 1c are detailed graphical representations of the ultrasonic root canal treatment instrument of the present invention in their preferred embodiment.
  • Figures 2a, 2b, 2c and 2d are graphical representations in details of the pointed end conical tip of the instrument of the present invention in its preferred embodiment.
  • Figure 3 is a representation of a common prior art instrument.
  • Figure 4 is a cone beam tomography image demonstrating a root canal before and after preparation with state of the art rotary instruments, showing material accumulation in the instrument exhaust areas.
  • Figures 5a, 5b, 5c and 5d are a graphical representation of an optional embodiment of the instrument of the present invention with the flattened conical tip with rounded and recessed ends.
  • Figures 6a, 6b, 6c and 6d are a graphical representation of an optional embodiment of the instrument of the present invention with the flattened triangular profile tip.
  • Figures 7a, 7b, 7c and 7d are a graphical representation of an optional embodiment of the instrument of the present invention, with the parallel tip flattened with the pointed end.
  • Figures 8a, 8b, 8c and 8d are a graphical representation of an optional embodiment of the instrument of the present invention, with the parallel tip with pointed ends on the four sides in diamond profile.
  • Figures 9a, 9b, 9c and 9d are a graphical representation of an optional embodiment of the instrument of the present invention, with the parallel tip having two pointed ends and two rounded ends in diamond profile.
  • the present invention relates to an ultrasonic root canal treatment and retreatment instrument which acts in cleaning, shaping and / or enlarging and removing obturator material from the root canal system and mainly reaches the untreated areas.
  • said instrument comprises a one-piece body, preferably made of titanium or stainless steel and optionally coated with diamond or other abrasive.
  • the first end of the ultrasonic root canal treatment instrument which comprises the largest diameter portion, is illustrated and shown with the appropriate numerical references in Figure 1a, in top view, which can be observed: irrigation (1), torque wrench geometry (2) and thread clamping geometry (3). Since it has a threaded internal hole, this instrument is coupled with the ultrasonic transducer,
  • the second end comprises a smaller diameter tip compared to the first end.
  • this tip has geometry that approximates the anatomy of the root canals, as described in Figures 2a to 2d, referred to herein as a pointed tip tapered tip. Your preferred measurements are: length ranging from 0.15 to 5mm.
  • this second end can be represented in Figure 1b, being formed by the intermediate geometry (4) and the tip geometry (5).
  • the present invention may be presented as a conical or conical tip flattened with the
  • Said instrument may be used in conjunction with rotary or reciprocating files.
  • Said ultrasonic instrument may be used prior to the files, between the files or
  • the second end of the instrument disclosed herein assumes the following formats and is further characterized in the same scope as the present invention:
  • One feature of the instrument disclosed herein is that it does not act by significantly cutting the tooth wall. Its geometry, which follows the anatomy of the canals, allows the removal of bacterial biofilm and obturator material without wear that significantly changes the original anatomy of the root canals. The action of ultrasonic cavitation within the root canals allows the bacterial biofilm to disintegrate without damaging the dental structure. This preserves more tooth structure, removes plugging material and at the same time allows a larger area of the walls to be touched.
  • the Ultrasonic instruments can work in long oval or oval channels, where the largest diameter can be 5 times larger than the smallest diameter.

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)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Surgery (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

La présente invention concerne un instrument ultrasonore pour le traitement et le retraitement des canaux radiculaires, lequel agit sur le nettoyage, le modelage et/ou l'augmentation et le retrait du matériau obturateur du système de canaux radiculaires, et atteint notamment les zones non instrumentées par les limes rotatives ou à mouvement alternatif, outre les zones d'isthmes et d'anastomoses.
PCT/BR2017/050346 2016-11-18 2017-11-17 Instrument ultrasonore pour traitement et retraitement de canal radiculaire WO2018090118A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201780083737.6A CN110177520A (zh) 2016-11-18 2017-11-17 用于根管治疗和再治疗的超声波器械

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
BRBR102016027072-3 2016-11-18
BR102016027072-3A BR102016027072A2 (pt) 2016-11-18 2016-11-18 Instrumento ultrassônico de tratamento de canal radicular
BRBR102017024636-1 2017-11-16
BR102017024636-1A BR102017024636A2 (pt) 2017-11-16 2017-11-16 Instrumento ultrassônico para tratamento e retratamento de canal radicular

Publications (1)

Publication Number Publication Date
WO2018090118A1 true WO2018090118A1 (fr) 2018-05-24

Family

ID=62145972

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/BR2017/050346 WO2018090118A1 (fr) 2016-11-18 2017-11-17 Instrument ultrasonore pour traitement et retraitement de canal radiculaire

Country Status (2)

Country Link
CN (1) CN110177520A (fr)
WO (1) WO2018090118A1 (fr)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2566262B1 (fr) * 1984-06-21 1988-08-05 Satelec Soc Appareil de traitement canalaire par ultrasons en odontologie
FR2617704B1 (fr) * 1987-07-10 1991-03-08 Ritano Francesco Serie d'instruments odontologiques pour la preparation et l'obturation des canaux radiculaires par des pieces a main a vibration sonique, ultrasonique ou mecanique
WO2012011708A2 (fr) * 2010-07-19 2012-01-26 Jang Sung Wook Dispositif de transmission d'ondes ultrasonores capable d'échange de lime pour nettoyer des canaux radiculaires dentaires
EP2422738A2 (fr) * 2010-08-10 2012-02-29 Gebr. Brasseler GmbH & Co. KG Instrument dentaire sonique et ultrasonique, dispositif de couplage de pointes soniques et outil à pointes soniques
EP2700376A2 (fr) * 2012-08-23 2014-02-26 Alexandre Capelli Insert pour l'irrigation à ultrasons destiné à être engagé dans un dispositif dentaire à ultrasons
WO2014137885A1 (fr) * 2013-03-07 2014-09-12 Brigham And Women's Hospital, Inc. Système et procédé d'endodontie acoustique

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6638064B1 (en) * 2000-06-07 2003-10-28 Robert Scott Nance Flexible endodontic syringe
EP2019641A4 (fr) * 2006-05-23 2014-12-24 Sonendo Inc Matériaux et procédés d'obturation d'un canal radiculaire
JP5622540B2 (ja) * 2010-12-02 2014-11-12 株式会社モリタ製作所 根管治療用振動切削工具及び根管治療用振動切削装置
US20120214125A1 (en) * 2011-02-18 2012-08-23 Ss White Burs, Inc. Endodontic burs, kits, and methods for using endodontic burs
CH707745B1 (fr) * 2013-03-12 2017-05-31 Fkg Dentaire S A Instrument endodontique, notamment pour l'alésage d'un canal radiculaire.
KR101344570B1 (ko) * 2013-06-14 2013-12-26 김형우 치아 신경치료용 엔도파일
DE112014006143A5 (de) * 2014-01-09 2016-09-22 Transcodent GmbH & Co. KG Spülkanüle und Verfahren zum Herstellen einer Spülkanüle
CN204909680U (zh) * 2015-07-13 2015-12-30 桂林市啄木鸟医疗器械有限公司 一种超声牙科治疗用的工作头
CN205598038U (zh) * 2015-12-24 2016-09-28 南宁市微牙机电科技有限公司 一种带水洗功能的超声波洁牙机工作尖

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2566262B1 (fr) * 1984-06-21 1988-08-05 Satelec Soc Appareil de traitement canalaire par ultrasons en odontologie
FR2617704B1 (fr) * 1987-07-10 1991-03-08 Ritano Francesco Serie d'instruments odontologiques pour la preparation et l'obturation des canaux radiculaires par des pieces a main a vibration sonique, ultrasonique ou mecanique
WO2012011708A2 (fr) * 2010-07-19 2012-01-26 Jang Sung Wook Dispositif de transmission d'ondes ultrasonores capable d'échange de lime pour nettoyer des canaux radiculaires dentaires
EP2422738A2 (fr) * 2010-08-10 2012-02-29 Gebr. Brasseler GmbH & Co. KG Instrument dentaire sonique et ultrasonique, dispositif de couplage de pointes soniques et outil à pointes soniques
EP2700376A2 (fr) * 2012-08-23 2014-02-26 Alexandre Capelli Insert pour l'irrigation à ultrasons destiné à être engagé dans un dispositif dentaire à ultrasons
WO2014137885A1 (fr) * 2013-03-07 2014-09-12 Brigham And Women's Hospital, Inc. Système et procédé d'endodontie acoustique

Also Published As

Publication number Publication date
CN110177520A (zh) 2019-08-27

Similar Documents

Publication Publication Date Title
Wu et al. The capability of two hand instrumentation techniques to remove the inner layer of dentine in oval canals.
Zhao et al. Root canal preparation of mandibular molars with 3 nickel-titanium rotary instruments: a micro–computed tomographic study
Schäfer et al. Efficiency of rotary nickel–titanium K3 instruments compared with stainless steel hand K-Flexofile. Part 2. Cleaning effectiveness and shaping ability in severely curved root canals of extracted teeth.
Makati et al. Evaluation of remaining dentin thickness and fracture resistance of conventional and conservative access and biomechanical preparation in molars using cone-beam computed tomography: An: in vitro: study
Agrawal et al. A rare case of type III dens invaginatus in a mandibular second premolar and its nonsurgical endodontic management by using cone-beam computed tomography: a case report
Zmener et al. Efficacy of the NaviTip FX irrigation needle in removing post instrumentation canal smear layer and debris in curved root canals
Sakkir et al. Management of dilacerated and S-shaped root canals-an endodontist’s challenge
Kum et al. Smear layer production of K3 and ProFile Ni-Ti rotary instruments in curved root canals: a comparative SEM study
Pecora et al. Histological evaluation of the root apices of failed endodontic cases
Kiran et al. Comparative evaluation of smear layer and debris on the canal walls prepared with a combination of hand and rotary ProTaper technique using scanning electron microscope
Gani et al. Quality of apical seal in curved canals using three types of spreaders
Mohammadi et al. The oval shaped root canal: a clinical review: clinical review
Wang et al. Influence of the number of pecking motions at working length on the shaping ability of single-file systems in long oval-shaped curved canals
Perlea et al. Middle mesial canal of the permanent mandibular first molars: an anatomical challenge directly related to the outcome of endodontic treatment
WO2018090118A1 (fr) Instrument ultrasonore pour traitement et retraitement de canal radiculaire
Iqbal et al. Effect of modified Hedström files on instrumentation area produced by ProFile® instruments in oval canals
BR102017024636A2 (pt) Instrumento ultrassônico para tratamento e retratamento de canal radicular
Reddy et al. Cleaning efficiency of anatomic endodontic technology, ProFile System and manual instrumentation in oval-shaped root canals: An in vitro study
BR102016027072A2 (pt) Instrumento ultrassônico de tratamento de canal radicular
Lumley et al. Practical clinical endodontics
Ajayi et al. Comparative study of treatment outcome in apicectomies with or without root-end filling
Verma et al. Efficacy of LA Axxess burs, Gates Glidden drills and Protaper Sx in obtaining straight line access in mesiobuccal roots of mandibular first molars: A cone-beam computed tomography assessment
RU2586737C1 (ru) Способ формирования пульповой камеры при планировании эндодонтического лечения моляров верхней челюсти
Markovic et al. Use of the CanalBrush improves removal of calcium hydroxide paste from instrumented straight root canals
Tudorache et al. Study on the mechanical treatment of root canals using Mtwo and ProTaper Next rotary systems

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 17870798

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 17870798

Country of ref document: EP

Kind code of ref document: A1