Dental implement

A dental implement is disclosed that uses a conventional tank of pressurized medical grade nitrogen, a flow control box downstream from it that receives input from a standard dentist's handpiece airflow control, a mixing chamber that holds the abrasive and includes a secondary nitrogen flow line that will "fluff up" the abrasive when sufficient gas flow is allowed to pass through it, thus entraining the abrasive within the nitrogen flow, and a handpiece that has a directing nozzle for application of the flow on a specific worksite with a fiber optic bundle having a replaceable, resilient light transmissive tip to direct light on the worksite.

BACKGROUND OF THE INVENTION 
1. Field of the Invention 
The present invention relates to dental implements. More specifically, it 
relates to a dental implement that uses pressurized medical grade nitrogen 
to impel granules of aluminum oxide entrained in the nitrogen flow for use 
in preparing a tooth for receiving a filling or composite restoration. 
2. Description of the Prior Art 
A new trend in dentistry is to replace the conventional, well known drill 
with a high velocity stream of gas having entrained particles within it. 
This allows for removal of the decayed area or old filling in or on the 
tooth's surface without heat or shock, and in many cases, without the use 
of anesthetics. Additionally, the surface is roughened during the process, 
which promotes better bonding with the composite material. One of the 
drawbacks of other intraoral air abrasive devices is their prohibitive 
cost. With the overhead burden on dentists already being extraordinarily 
high, this precludes many practitioners from obtaining them. 
There have been a great many patents issued that relate to the present 
invention, and they will be discussed hereinafter, grouped according to 
the general thrust of their subject material. 
The first group are the patents that deal specifically with entrained 
particles in a stream having a dental application. 
In U.S. Pat. No. 3,626,841, issued on Dec. 14, 1971 to Zvi Harry Schachter 
there is disclosed an abrasive propellant apparatus. The mixing chamber of 
the device has a length of tubing having a threaded end. There is a cap 
having a flowable material inlet orifice at the base of the tube proximate 
the flexible conduit that connects the nozzle to the mixing chamber. This 
is an extraoral device that would be used for lab work. U.S. Pat. No. 
4,941,298 issued on Jul. 17, 1990 to Mark Fernwood et al. discloses a rear 
reservoir micro sandblaster. In this invention, the body of the device has 
a pulverant material supply tube and a compressed air supply line. The 
compressed air supply tube is compressed by a pinch lever and, if this 
lever is depressed to allow the air to flow, a vacuum is created in the 
vortex chamber proximate the nozzle, which draws the pulverant material 
from the reservoir to the vortex chamber to mix with the gas, and thus be 
propelled out the nozzle. In contradistinction to the present invention, 
the Fernwood et al. device is primarily an extraoral device that, when 
used intraorally, is utilized for the repair of fixed prosthetics. 
In U.S. Pat. Nos. 3,972,123 and 3,882,638 issued, respectively, on Aug. 3, 
1976 and May 13, 1975, both to Robert B. Black there is disclosed 
air-abrasive prophylaxis equipment. Centrally disposed within the abrasive 
mixing device is a receptacle to receive the gasses, containing ports to 
mix the abrasive and the air as it is passed through. The abrasive laden 
gas is then directed through a controlling pinch valve to the hand piece. 
Next is U.S. Pat. No. 4,174,571 issued on Nov. 20, 1979 to Ben J. Gallant. 
In this document, a method for cleaning teeth using water soluble abrasive 
particles is disclosed. 
In U.S. Pat. No. 4,214,871 issued on Jul. 29, 1980 to Carter H. Arnold, 
there is disclosed a method and apparatus for cleaning teeth. The method 
disclosed involves water soluble halite pellets entrained within a liquid 
stream. 
In U.S. Pat. No. 4,487,582 issued on Dec. 11, 1984 to George E. Warrin 
there is disclosed a dental cleaning system wherein a stream of soluble 
abrasive powder entrained in a stream of air is surrounded by a water 
spray curtain and directed at the surface of a tooth to clean the same. 
The second group of patents are related to entrained abrasives in an air 
flow. These patents are listed below but will not be discussed in detail. 
______________________________________ 
PAT. NO. INVENTOR DATE OF ISSUE 
______________________________________ 
3,163,963 Racine Caron January 5, 1965 
3,618,263 Per Torsten Weijsenburg 
November 9, 1971 
4,090,334 Benedict Kurowski 
May 23, 1978 
4,708,534 Ben J. Gallant November 24, 1987 
4,733,503 Ben J. Gallant et al. 
March 29, 1988 
4,893,440 Ben J. Gallant et al. 
June 16, 1990 
DE 2314294 
Robert B. Black October 18, 1973 
______________________________________ 
The next group of patents relate to tubal flow shutoff mechanisms. First is 
U.S. Pat. No. 3,759,483 issued to Thomas D. Baxter on Sep. 18, 1973. This 
control valve has a pair of ports that drive a piston connected to a cam 
member. When the piston travels, the attached camming member drives one of 
the two valve closure members towards the other, crimping the flexible 
conduit that lies between them. 
Another tube flow shutoff device is seen in U.S. Pat. No. 4,635,897 issued 
on Jan. 13, 1987 to Ben J. Gallant. In this patent, a plunger cuts off the 
flow in the tube. The plunger is driven by a cylinder and piston 
arrangement that, in turn, is driven by compressed air or the like. 
Another group of patents relevant to the present invention are those 
dealing with fiber optics associated with dental handpieces. First of 
these is U.S. Pat. No. 5,088,924 issued on Feb. 18, 1992 to Gary Woodward. 
This discloses a dental headpiece hose that with a plurality of inner 
components to provide drive air, an exhaust line, chip air, and coolant 
water. The hose also contains a fiber optic bundle for lighting the 
working area. 
The other patent in this group is U.S. Pat. No. 5,096,418 issued on Mar. 
17, 1992 to Ronald G. Coss. The device has a special channel within it to 
carry a fiber optic bundle for lighting the work area. 
U.S. Pat. No. 3,067,765 issued on Dec. 11, 1962 to Robert H. Aymer et al. 
discloses a foot control for dental accessories. 
And lastly, an American Dental Laser (ADL) brochure delineating the 
advantages of this type of device is enclosed. Unlike the present 
invention, the ADL device utilizes compressed air from the dentist's 
existing supply and further compresses this air to achieve a cutting 
level. 
The present invention allows the practitioner to simply detach the standard 
air driven drill from the existing airflow control means and plug the air 
transport hose, with its conventional four hole connector, into the 
control unit of the instant invention for nitrogen flow control purposes. 
The present invention also allows for more inexpensive construction in 
that the pressures being generated at points along the gas flow and 
abrasive entraining route never exceed 170 PSI. 
None of the above inventions and patents, taken either singly or in 
combination, is seen to describe the instant invention as claimed. 
SUMMARY OF THE INVENTION 
The present invention is a dental implement that uses a conventional tank 
of pressurized medical grade nitrogen, a flow control box downstream from 
it that receives input from a standard dentist's handpiece control, a 
fluid tight mixing chamber that holds the abrasive and includes a 
secondary nitrogen flow line that will create a fluid bed of N.sub.2 and 
AlO.sub.2 when sufficient gas flow is allowed to pass through it, thus 
entraining the AlO.sub.2 abrasive within the nitrogen flow, and a 
handpiece that has a directing nozzle for application of the flow on a 
specific worksite with a fiber optic bundle including a replaceable light 
transmissive tip to direct light on the worksite. Although nitrogen is 
discussed in some of the prior art patents as being suitable for a 
propellant, in practice it is rarely used. 
Accordingly, it is a principal object of the invention to provide a dental 
implement that can be used with the conventional air powered drill control 
means already present in the practitioner's office. 
It is another object of the invention to provide a dental implement that 
can be easily attached to utilize the preexisting controls familiar to the 
operator. 
It is a further object of the invention to provide a dental implement that 
utilizes medical grade nitrogen gas to entrain the abrasive particles, 
thus lessening the chance of harm in the case of an air embolism and 
obviating the possibility of contaminants being introduced into the 
abrasive stream. 
Still another object of the invention is to provide a dental implement that 
uses a diverging valve to pass part of the moving gas into the mixing 
chamber to agitate the abrasive in a uniform manner consistent with 
differing gas pressures, thus allowing it to be entrained in the gas. 
It is still yet another object of the invention to provide a dental 
implement that includes a fiber optic bundle with a resilient replaceable 
light transmissive tip protruding from the handpiece to assist in lighting 
the work area in the patient's mouth. 
It is an object of the invention to provide improved elements and 
arrangements thereof in an apparatus for the purposes described which is 
inexpensive, dependable and fully effective in accomplishing its intended 
purposes. 
These and other objects of the present invention will become readily 
apparent upon further review of the following specification and drawings.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT 
Referring to FIG. 1, the present invention is shown. The line K that 
surrounds the components of the device indicates that in the preferred 
embodiment, the device in an enclosed single unit, preferably having 
wheels or the like (not shown). The first component consists of a nitrogen 
tank 10, containing medical grade nitrogen, that serves as a means to 
retain the nitrogen under pressure. Preferably, the tank is a size number 
20 and includes a conventional regulator, such as a Williams #700 (not 
shown), to deliver the nitrogen at approximately 150 PSI. Of course other 
pressures could be chosen, depending on circumstances. Pressures ranging 
from 110 to 170 PSI are contemplated. Additionally, as is required by law, 
the gas line would include a safety relief valve 11. The nitrogen then 
flows through a containing and directing means in the form of a tube 12 
that, by virtue of its construction, defines a downstream direction from 
the tank. The use of the medical grade nitrogen obviates the possibility 
of contaminants being introduced into the entraining gas stream. 
The nitrogen enters the flow control means 100, best shown in FIG. 2. The 
control means allows the user to vary the volume of the gas flow upstream 
from the mixing chamber 200. The flow control means consists of an inlet 
port 102, a piston chamber 104, a piston 106, typically made of a Teflon 
material, an adjustable pinch bar biasing spring 109, and a rounded pinch 
bar 110 that adjustably crimps the tube 12 as it passes through the 
control means 100. Pinch bar 110 is pivotably attached to the control 
means 100 at a point 111 and the attachment is configured so as not to 
overstress the tube 12. The inlet port attaches by means of a conventional 
four hole connector to the existing air flow control means P that is 
present in almost all dental offices for attachment to a standard air 
drill. The airflow control means P delivers air from a compressor or the 
like (not shown). The user can typically control a flow of compressed air 
within a range of 0 to 40 PSI, flowing through the tube P1 into inlet port 
102. The inlet port 102 has a threaded member 150 that is configured to 
receive the standard four hole connector on conventional hand piece hoses 
that are present in most dental offices. This controllable air flows fills 
the piston chamber 104 with air and forces piston 106 upwards, driving 
rounded pinch bar 110 upwards about pivot point 111 as shown by arrow 112 
in FIG. 2, thus allowing the user to vary the volume of medical grade 
nitrogen gas allowed to pass through the control means 100 by means of the 
tube 12. Note that the piston 106 fits loosely into chamber 104 such that 
when air ceases to flow into the inlet port 102, the piston 106 will 
almost immediately be forced, by virtue of the pinch bar biasing spring 
109, back to the bottom of the chamber 104 and the pinch bar 110 will 
close off the tube 12 by crimping the tube 12 against the shoulder 160. 
Additionally, the piston chamber has a vent 140 to enable the air to more 
quickly exit the chamber 104 once the controllable air flow stops. The 
vent 140 optionally could have an audible component that would allow the 
practitioner to determine the volume of nitrogen being passed by the 
control means. The chamber 104 further includes an air activated switch 
port Z that directs air entering the chamber 104 into a activation tube Z 
that leads to the fiber optic housing 302 (see FIG. 1) thus lighting the 
fiber optic bundle discussed hereinafter. Another feature of the control 
means 100 is the biasing spring adjustment means. The top wall 130 of the 
control means 100 has a bore 132 therethrough. This bore 132 is 
sufficiently large to pass the biasing spring 109 through it to contact 
the rounded pinch bar 110. Integral with the crimping shoulder 160 is a 
threaded member 162. The threaded member 162 passes through a pinch bar 
bore 132 and extends substantially above the top wall 130 of control means 
100. The biasing spring 109 is placed on the threaded member 162 and then 
adjustment nut 164 is engaged with the threaded member 162 such that 
biasing spring 109 can be adjustably compressed in regards to the pinch 
bar 110. 
Turning to the mixing chamber 200, shown in FIG. 3, it can be seen that it 
consists of a body portion 202 and top 204. Between the body portion 202 
and top 204 is a double O-ring type seal 250 (see FIG. 5) held in place by 
bolts 252. These bolts are engaged by apertures (not shown) in both the 
body portion 202 and top 204 of the mixing chamber 200. The number of 
bolts employed could be as little as two or as many as would be necessary 
to secure the top 204. Additionally, the top 204 has a threaded fill cap 
260 to allow the abrasive A to be replenished when necessary. Both the 
body portion 202 and top 204 are shown as transparent so that the internal 
details can be easily seen and the fill level of the abrasive monitored, 
but it should be understood that one or the other, or both of these pieces 
could be opaque if desired. Tube 12 carrying the nitrogen gas is split in 
a "Y" configuration at point 206 that defines a diverting valve. This 
valve could be either manually adjustable or could be pressure sensitive 
to the flow of nitrogen. A secondary tube 208 splits away from tube 12 and 
enters the top 204 of the mixing chamber 200. There are two one-way check 
valves V1 and V2 present to prevent any backflow from the mixing chamber 
200. A rigid portion 210 extends into the mixing chamber 200 and is 
connected to a flexible end portion 212. Thus, when a sufficient volume of 
gas is allowed to pass the control unit 100, when it reaches the junction 
206, part of the gas is diverted to the secondary tube 208. This then 
passes through the rigid portion 210 and the flexible portion 212. The 
flexible portion is free to move about an area, shown as the line X in 
FIG. 5. This allows for the aluminum oxide abrasive, designated A, to be 
evenly distributed within the gas stream. The abrasive is preferably about 
50 microns in diameter, but different diameters, or mixtures of diameters, 
could be used. A range of 30 to 60 microns is contemplated. The flexible 
portion 212 could include a nozzle if necessary, depending on the size if 
the abrasive particles used. Additionally, under very low gas velocities, 
the aluminum oxide abrasive will not be agitated and thus the gas stream 
can be used to clean and/or dry the work area. 
The invention includes a conventional dental light source (not shown) 
contained within a housing 302. A standard fiber optic bundle 304 
transmits the light and projects it into the work area, as seen in FIG. 4. 
At the end of the fiber optic line is a light projecting tip 305. This tip 
is made of a semirigid plastic material and is press filled into the 
handpiece 400. As the light projecting tip becomes abraded by incidental 
abrasive flow, it can be easily removed and replaced. Preferably, the 
light is focused approximately 1-4 millimeters away from the end of the 
nozzle 404. In this type of dentistry, all tactile "feel" is removed, i.e. 
the pressure feedback from the enamel or decayed material being cut is not 
present. Thus, good lighting of the work area is critical, since the 
doctor is operating by visual cues alone. The handpiece 400 has a handle 
402, that is adapted to fit easily in the user's hand. The nozzle 404 is 
made of a sufficiently hard material that it will not be easily worn by 
the entrained aluminum oxide and, preferably would be removably attached 
by threading or the like to the handle 402. 
It is to be understood that the present invention is not limited to the 
sole embodiment described above, but encompasses any and all embodiments 
within the scope of the following claims.