Optically Clear Tooth Positioning and Retaining Appliance

FIG. 1 is a perspective view of a tooth positioning and retaining appliance subsequent to being trimmed and buff polished where it has a semi-opaque or frosty appearance;

FIG. 2 is a perspective view of the appliance of FIG. 1 illustrating the optional application of the molding members to the appliance as a step in the method of making it substantially optically clear according to the invention;

FIG. 3 illustrates the step of cooling the appliance and the molding members where they are immersed in a cooling medium such a water and also illustrating the air hole inserts in place which facilitates the handling of the assembly of the appliance and molding parts during treatment by flame polishing;

FIG. 4 is a perspective view illustrating the step of blow drying the appliance and molding parts subsequent to removing them from the cooling medium;

FIG. 5 is a perspective view illustrating the step of applying a concentrated heat source by flame polishing the labial side of the appliance with an air-gas blow pipe;

FIG. 6 illustrates the step of flame polishing the archways of the appliance;

FIG. 7 is a perspective view of the appliance after it has been fully treated and illustrating it to be optically clear;

FIG. 8 is a perspective view illustrating the step of applying a concentrated heat source to the labial side of an appliance with an air-gas blow pipe which does not include air holes and where the use of molding members has been omitted;

FIG. 9 is a perspective view similar to FIG. 8 but illustrating the appliance with air holes and with the heat source applied to another part of the appliance; and

FIG. 10 is a perspective view of the appliance after it has been treated by the method of the invention and illustrating it to be optically clear and transparent.

The method of the present invention concerns the treatment of a custom-made tooth positioning and retaining appliance which is constructed of a resilient thermoplastic material with the capability of having substantially optically clear transparentness. Such an appliance has been heretofore made and sold and represented to be clear when in fact it has a semi-opaque or frosty appearance. Treatment of that appliance by the method of the present invention results in the production of ah appliance which is substantially optically clear and therefore transparent. The use of such an appliance treated according to the invention, because it has greater aesthetic appeal, is expected to have a major impact on improving patient cooperation. Moreover, the transparency of such an appliance readily permits the orthodontist to visually examine the appliance in place in a patient's mouth to determine proper positioner placement. This thereby facilitates the effectiveness of orthodontic treatment.

The apparatus and method of making a custom-made tooth positioning and retaining appliance of the type illustrated in FIG. 1 is fully disclosed in U.S. Pat. Nos. 2,775,036 and 4,195,046. For purposes of better understanding the present invention, reference will be made to these patents and particularly to the latter patent. The material employed for making such an appliance is either an elastomeric thermosetting or thermoplastic material. The material is generally formed or premolded into a blank in the form of a bar or in the form of a horseshoe so that it can be readily used in the apparatus and method for making a custom appliance. As disclosed in U.S. Pat. No. 4,195,046, such a blank is inserted into the central section of a mold or flask which coacts with upper and lower sections, each of which has mounted therein mold members in the form of a patient's upper and lower arches which previously have been made from a setup that arranges the teeth in an ideal arch relationship. It may be appreciated that prior to treating a patient with such an appliance, the patient has already been treated for a time with fixed appliances and that the tooth positioning and retaining appliance is used in the final treatment stage of a patient to bring the teeth into the ideal arch relationship.

The mold members in the mold or flask which are representative of the teeth in the ideal relationship are made of a suitable plaster or stone so that they can withstand the heat and pressure needed when the mold members are brought together with the blank of molding material. Subsequent to the molding operation, after the archways are properly formed in the blank of material to form the appliance in its initial phase, the appliance is then removed from the flask and trimmed and optionally buff polished in the usual manner to provide the appliance, as shown in FIG. 1. Trimming is accomplished by subjecting the appliance to either or both coarse and fine grinding wheels. Thereafter, the appliance may be cooled and removed from the mold set for trimming and buffing.

The present invention requires choosing an elastomeric or resilient thermoplastic material that is or can be optically clear or transparent. One example of such a material is a family of commercially available resins which are a copolymer of ethylene and vinyl acetate.

One method of making the appliance optically clear according to the present invention includes the step of salvaging the plaster or stone arches or models used in the flask as mold members to mold the archways into the appliance. As seen particularly in FIG. 1, the appliance with a semi-opaque appearance is designated by the numeral 10 and a part of the upper archway 11 is seen, but it will be understood that it will likewise have a lower archway representative of the lower arch of the patient for which the appliance is being made. The plaster or stone arches or models used to mold the appliance in the flask are illustrated in FIG. 2, the upper being designated by the numeral 12 and the lower by the numeral 13. In the event that it is not possible to salvage these models from the flask, new models or reproductions of the arches may be made from the setup by any suitable method of the setup may be used in the method of making the appliance optically clear. In the event the appliance is made with seating springs of the type illustrated in the preformed appliance of U.S. Pat. No. 3,837,081, it may be necessary to redrill seating spring holes in the upper and/or lower stone models 12 and 13 prior to positioning the models relative to the appliance in order to provide accurate seating of the models on the appliance. Use of the models the appliance during the further treatment of the appliance enhances the stability of the appliance when it is being subjected to heat to prevent distortion, and also assists in dissipating heat generated during the heating step.

If molded airways or air holes are provided in the appliance 10 as illustrated at 14, an air hole insert support 15 may be used to facilitate the flame polishing step. The manner in which air holes may be molded into the appliance is fully disclosed in U.S. Pat. No. 4,195,046. These air holes are disposed in the appliance between the upper and lower archways and extend between the labial and lingual sides of the appliance.

While the illustrations herein show the use of an air hole insert support because air holes have been provided, if such air holes are not molded into the appliance, the appliance with the models may be handled by manually grasping the outer portions of the models or by mounting a handle on one or more of the models for facilitating the supporting of the appliance during the heating step. So, where air holes are provided following the step of mounting the models onto the appliance, the air hole insert support 15 which includes a handle 16 is mounted on the appliance by inserting the fingers of the support into the air holes as illustrated. Thereafter, the assembly of the appliance, models and air holes insert support is cooled such as by placing this assembly into a container 17 of cool or cold water to room temperature or below, as illustrated in FIG. 3. This step not only wets the, models but also cools them so that they can thereafter better dissipate heat during the heating step. However, it may be appreciated the assembly may be cooled by other methods if desired.

Following the cooling of the assembly, it is necessary to next remove the water and therefore the assembly is blow dried, as illustrated in FIG. 4, by use of a suitable air nozzle 18 connected to a source of compressed air. The overall assembly is now prepared for the step of heating which may also be deemed heat polishing.

The step of heat polishing is preferably accomplished by the use of gas-air blow pipe 19 that is suitably connected to a source of flammable gas and air which coacts to produce a concentrated pencil-thin blue flame 20 which is quite hot. The heat polishing for making the appliance transparent may be here defined as flame polishing. When properly adjusted, the pipe will produce a flame having a temperature of about 5700 degrees F. The blow pipe is adjusted to generate a flame having a height of one to one-and-one-half inches. At its base the flame will be about one-quarter inch in diameter and will taper to a pinpoint. While it is preferably to use a gas-air blow pipe, it may be appreciated that any device which will produce a concentrated blue flame will be acceptable to carry out the step of flame polishing.

The step of flame polishing involves the application of the apex or pinpoint of the flame to-the outer or labial surface of the appliance, as generally illustrated in FIG. 5, and preferably moving the flame from the distal toward the mesial until the material of the appliance begins to shine and transparency through the appliance may be observed. The temperature of the appliance material at the surface must be raised to cause momentary melting to smooth the surface so that it is transparent. It is important, where an air hole insert is used, to minimize the heat from the flame such that it does not go directly onto the insert. In addition to the insert serving to assist in supporting the entire assembly, the insert will provide stability for the air holes so that they do not close. The flame may be applied above the insert in the first instance, and in order to avoid overheating, the entire assembly can be immersed in water or other suitable cooling medium and then blow dried. Then, the flame can be applied beneath the insert to the other part of the labial surface, and once again the assembly can be immersed in cool water to cool it. Thereafter, it must again be blow dried before further flame polishing. Similarly, the lingual surface of the appliance will be flame polished by application of the apex of the flame to the lingual surface of the appliance and moving it therealong until the material begins to shine and become transparent. It is then again cooled to stabilize the material.

In order to obtain maximum transparency, the archways which include the tooth sockets and gum areas, may also be flame polished. The size of the flame is readjusted such that it is about two-thirds the original height, although a well defined primary blue flame must still be present. The models 12 and 13 are removed following the cooling of the appliance in water and blow drying. The flame should be held above the center of the tooth sockets and quickly moved around the arch from one end to the other end. Thereafter, the positioner may be immediately dropped in water for cooling purposes. After blow drying the appliance, the opposite archway may then be flame polished in the same manner.

Following the optional flame polishing of the archways, the appliance then attains its maximum optical clarity and transparentness, as illustrated by the appliance designated as 21 in FIG. 7. Upon removal of the air hole insert support, the appliance may then be checked by placing it on the setup. It can then be sent to the orthodontist for placement with a patient.

The method of treating a trimmed and/or buff polished appliance to obtain optical clarity may be achieved without the use of the mold members in the archways of the appliance during the flame polishing step or steps. This method is illustrated particularly in FIGS. 8 to 10 wherein a trimmed and/or buffed appliance 10A is shown in FIG. 8 with the pinpoint flame of a gas-air blow pipe 19 being applied to its labial surface. The appliance 10A also differs from the appliance illustrated in FIG. 1 in that it does not include air holes. An appliance with air holes and being flame polished without use of the mold members is illustrated in FIG. 9 and designated 10B. Moreover, it should be appreciated that during the flame polishing steps, the appliance may be supported by manually grasping it at one end during flame polishing along the opposite end of the appliance. Intermittent cooling between flame polishing treatments will maintain the appliance at a temperature level to prevent distortion of the molded areas and maintain the integrity of the appliance.

As seen in FIG. 9, the blow pipe 19 is adjusted to have a shorter flame than as illustrated in FIG. 8 which also could be employed to effectively flame polish the appliance. Further, the appliance is shown with air holes to illustrate that flame polishing can be done without having an air hole insert in place.

The flame polishing treatment in this method is otherwise the same as that already described in connection with the method employed where the mold members are mounted in the appliance and which yields an optically clear appliance, as illustrated in FIG. 10 and designated as 21A.

While the heating step for causing the surface of the appliance to momentarily melt and become transparent is herein described as being accomplished by using a hot blue flame, it should be appreciated other heat sources capable of sufficiently raising the surface temperature of the appliance to cause glossing and effect transparentness could also be used. For example, superheated air or steam might be used.

It may be further appreciated that the elastomeric thermoplastic material used must be capable of being repeatedly heated to a level that will produce transparentness, such as being subjected to a flame impinging on its exterior surface which generates a localized heat.

From the foregoing, it will be appreciated that the method of the present invention is particularly useful for making a trimmed and buffed or trimmed custom appliance optically clear when molded from a resilient thermoplastic having the capability of having optically clear transparentness.

It will be understood that modifications and variations may be effected without departing from the scope of the novel concepts of the present invention, but it is understood that this application is to be limited only by the scope of the appended claims.