Patent Publication Number: US-11642204-B2

Title: Light brush and method of use

Description:
CROSS-REFERENCE TO RELATED APPLICATION 
     This application is a Divisional of U.S. application Ser. No. 16/008,361, filed Jun. 14, 2018, which claims priority from U.S. Patent Application No. 62/519,345 filed on Jun. 14, 2017, which is incorporated by reference herein in its entirety. 
    
    
     BACKGROUND 
     The oral cavity is the major reservoir for a variety of pathogens including bacteria, fungi and viruses. Dental plaque acts as a nucleus for bacteria and microorganisms that inhabit the enamel of teeth or gum line. Tongue-coating has also been associated as a risk indicator of aspiration pneumonia in edentate subjects. 
     Aggressive oral hygiene has been reported as being able to reduce pneumonia risk between 34-83% in high risk adults and appears to be an intervention method to reduce gastric and oral bacteria colonization. The Centers for Disease Control (CDC) has acknowledged the interplay between oral bacteria and health-care related pneumonia and stated that it was prudent for health-care facilities to implement a comprehensive oral-hygiene program. Education of health care workers to prevent pneumonias, interruption of transmission of microorganisms, and modifying host risk for infection have all received a CATEGORY 1A Grade by the U.S. Prevention Task Force. Dental caries is one of the most prevalent chronic diseases in the population worldwide, affecting 60-90% of school-aged children and almost 100% of the adult population. 
     Historically, implementing and being consistent with an oral care regimen in healthcare and home settings has been unsuccessful due to incomplete oral assessment tools, misconceptions on the importance of following oral care and hand hygiene, ineffective types of oral care products typically used in health care settings (e.g., swabs or sponges), patient resistance, “sensory-related” factors associated in special needs populations, and time. 
     SUMMARY 
     A light treatment device includes a light dome comprising a plurality of light emitting diodes (“LEDs”) and configured to be positioned inside an oral cavity and to deliver a plurality of types of light treatments to the inside of the oral cavity. The light treatment device further includes an elongated arm coupled to the light dome at a first end of the elongated arm and configured to maintain the light dome inside the oral cavity while the light dome delivers the light treatment. The light treatment device further includes a body coupled to the elongated arm at a second end of the elongated arm. The body includes a battery for providing power to the LEDs. The body further includes an interface for receiving a selection of an operating mode corresponding to one of the plurality of types of light treatments. The light treatment device further includes a mode circuitry coupled to the battery, the interface, and the plurality of LEDs and configured to deliver power from the battery to at least one of the plurality of LEDS based on the selected operating mode. 
     A method for delivering light treatment to an oral cavity includes providing a light treatment device comprising light dome, the light dome comprising a plurality of light emitting diodes (“LEDs”) and configured to be positioned inside an oral cavity and to deliver a plurality of types of light treatments to the inside of the oral cavity based on a selected mode of operation. The method further includes selecting a mode of operation of the light treatment device. The method further includes inserting the light treatment device into an oral cavity. The method further includes applying light treatment to the oral cavity based on the selected mode. The method further includes removing the light brush from the oral cavity. 
     A light device includes an elongated arm comprising a plurality of light emitting diodes (“LEDs”) disposed at a first end of the elongated arm and configured to be positioned inside an oral cavity and to deliver one of a plurality of types of light treatments to the inside of the oral cavity according to a selected one of a plurality of operating modes. The light device further includes a body coupled to the elongated arm at a second end of the elongated arm. The body includes a battery for providing power to the LEDs. The body further includes a mode module coupled to the battery and the plurality of LEDs and configured to deliver power from the battery to at least one of the plurality of LEDS based on the selected operating mode. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
       In the accompanying drawings, structures are illustrated that, together with the detailed description provided below, describe exemplary embodiments of the claimed invention. Like elements are identified with the same reference numerals. It should be understood that elements shown as a single component may be replaced with multiple components, and elements shown as multiple components may be replaced with a single component. The drawings are not to scale and the proportion of certain elements may be exaggerated for the purpose of illustration. 
         FIG.  1    illustrates an example light brush. 
         FIG.  2    illustrates an example side view of the example light brush of  FIG.  1     
         FIG.  3    illustrates a front view of an example light dome of an example light brush. 
         FIG.  4    illustrates a block diagram of an example light brush. 
         FIG.  5    illustrates an example method for using an example light brush. 
     
    
    
     DETAILED DESCRIPTION 
     Low level laser therapy (“LLLT”), and similarly light emitting diodes (“LEDs”), is an example therapeutic modality for addressing oral bacteremia. A light brush described herein leverages LED technology to address bacteria/plaque build-up on the tongue, cheeks, and dental caries on teeth. The light brush is used intraorally to address oral tissue health by reducing signs and symptoms associated with bacteria, plaque and dental carries. The light brush was developed to provide an efficient instrument to help manage oral tissue health by reducing signs and symptoms associated with bacteria, plaque and dental carries for a large majority of populations and conditions. In particular, by using the light brush to apply different combinations of LED for different periods of time in order to deliver specific amounts of radiant energy, various conditions across various populations may be addressed in a cost-effective and efficient manner. 
       FIG.  1    illustrates an example light brush  100 . The light brush  100  includes an arm  102  having a light dome  104  and configured to extend from a base  106  or a handle to aid in delivering light to a desired target location inside an oral cavity. In one example, the arm  102  is configured to be removable, thus being disposable and replaceable. For example, the arm  102  may be replaced if the light dome  104  of the arm  102  stops functioning as expected. In another example, the arm  102  may be interchanged with an alternate arm  102  having a light dome  104  capable of delivering an alternative light. 
     The arm  102  in combination with light dome  104  is configured to be substantially flat, as illustrated in a profile view of the light brush  100  in  FIG.  2   . A flat profile enables the arm  102  and the light dome  104  to be positioned inside a target location of a patient&#39;s oral cavity while minimizing discomfort to the patient. The flat profile also enables gentle positioning of the arm  102  and the light dome  104  inside a target location when handling and maneuvering the light brush  100  via the base  106 . 
     Referring back to  FIG.  1   , the light brush  100  further includes a power button  108  positioned on the handle  106  and configured to enable the light brush  100  to turn on an off. The light brush  100  includes a battery (not shown) to provide power. The battery may be removable, in one example. The battery may be rechargeable, in one example. 
     In one example, the light brush  100  is configured to deliver light in multiple modes, each mode being associated with a different combination of light sources, and thus a different treatment type. In one example, the light brush  100  provides a red light source and a blue light source via the light dome  104 . The red light provides restorative action, healing and pain relief, while the blue light source helps eradicate surface bacteria, as measured by a pH level, and in particular to reduce the appearance of “tongue plaque” on the surface area of the tongue. Thus, the light brush  100  may be configured to deliver red light to a target location while operating in a first mode and to deliver blue light to the target location while operating in a second mode. In one example, the light brush  100  may be configured to deliver a combination of red light and blue light to the target location while operating in a third mode. 
     In one example, the light brush  100  includes a first LED light indicator  110  for indicating when the light brush  100  is operating in a first mode. The light brush  100  includes a second LED light indicator  112  for indicating when the light brush  100  is operating in a second mode. The light brush  100  includes a third LED light indicator  114  for indicating when the light brush  100  is operating in a third mode. It should be appreciated that although three LED light indicators  110 ,  112 , and  114  are illustrated, the light brush  100  may include any suitable number of LED light indicators corresponding to the number of modes which the light brush  100  is configured to operate in. In one example, the LED light indicators  110 ,  112 , and  114  may also function as push buttons for selecting the corresponding operating modes of the light brush  100 . In one example, the power button  108  may be configured to enable selection of an operating mode. For example, pushing the power button  108  once may turn the light brush  100  on, while pushing the power button  108  after the light brush  100  is powered on may enable cycling through the different operating modes. 
     To enable different operating modes, the light dome  104  is configured to include a plurality of LED light sources.  FIG.  3    illustrates a front view  300  of an example light dome, such as the light dome  100  of  FIG.  1   . The front view  300  includes six light sources  302 ,  304 ,  306 ,  308 ,  310 , and  312 . A rear view (not shown) has an identical layout including six additional light sources, for a total of 12 light sources. Thus, the example light dome is a front-to-back light dome meaning it exposes light sources on both the front side and the back side. 
     In particular, the example light dome includes three red light sources and three blue light sources on the front side  300 , all arranged vertically. More particularly, the light dome includes a first red LED light source  302  near the top of the front side  300 . A first blue LED light source  308  is positioned below the first red LED light source  302 . A second red LED light source  304  is positioned below the first blue LED light source  308 . A second blue LED light source  310  is positioned below the second red LED light source  304 . A third red LED light source  306  is positioned below the second blue LED light source  310 . A third blue LED light source  312  is positioned below the third red LED light source  306 . 
     A back side (not shown) is a mirror image of the front side  300  and includes an identical arrangement of LED light sources. It should be appreciated that the arrangement of LEDs described is one example embodiment. A light dome, such as the light dome  104  of  FIG.  1    may include any suitable number and arrangement of LEDs. 
     While operating in first mode of operation, the red LED light sources  302 ,  304 , and  306  on the front side  300 , as well as the red LED light sources on the back side (not shown), are turned on to emit light while the blue LED light sources  308 ,  310 , and  312  on the front side  300 , as well as the blue LED light sources on the back side (not shown), are turned off. While operating in second mode of operation, the red LED light sources  302 ,  304 , and  306  on the front side  300 , as well as the red LED light sources on the back side (not shown), are turned off while the blue LED light sources  308 ,  310 , and  312  on the front side  300 , as well as the blue LED light sources on the back side (not shown), are turned on to emit light. While operating in a third mode of operation, all 12 LED light sources, including the red LED light sources  302 ,  304 , and  306  on the front side  300 , the blue LED light sources  308 ,  310 , and  312  on the front side  300 , as well as the red and blue LED light sources on the back side (not shown), are turned on to emit light. 
     It should be appreciated that the red LED light sources  302 ,  304 , and  306  on the front side  300 , the blue LED light sources  308 ,  310 , and  312  on the front side  300 , as well as the red and blue LED light sources on the back side (not shown), may be turned on and off in any suitable combination in while operating in alternative operating modes not described herein. 
     Thus, by adjusting the mode of operation, the light brush  100  can be configured to either to provide pain relief and treatment of inflammation, to provide treatment to eradicate surface bacteria, and to reduce the appearance of “tongue plaque” on the surface area of the tongue. By incorporating red/blue light sources on both the front and back of the light dome  300 , the light brush is able to more effectively deliver light to a desired target location. In one example, the light dome  300  is configured to emit light from the front side  300  and the back side simultaneously. 
     In one example, the blue LED light sources  308 ,  310 , and  312  emit a 415 nm blue. In one example, the red LED light sources  302 ,  304 , and  306  emit a 660 nm red. In one example, the light brush  100  is configured to emit a combined light at 1 J/cm 2 . In one example, the treatment intensity may be adjusted by turning on only a portion of the light sources. 
     In another example, the treatment intensity may be adjusted by controlling the length of time the light brush  100  emits light to a target location. In one example, the light brush  100  may include a time (not shown) to time the amount of time light is being delivered to a target location. In one example, the light brush  100  may include a user feedback mechanism (not shown) such an LED indicator or a vibration to notify a user when a desired length of time of treatment has been reached, indicating to turn off the light brush  100 . In one example, the light brush  100  may be configured to automatically turn off and to stop emitting light upon the timer reaching the desired length of time of treatment. 
     It should be appreciated that, although the example light dome  300  is illustrated to include three red LED light sources  302 ,  304 , and  306 , and three blue LED light sources  308 ,  310 , and  312  arranged in a vertical alternating pattern on the front side  300 , and another three red LED light sources and three blue LED light sources arranged in a vertical alternating pattern on the back side (not shown), another example of a light dome (not sown) may include any suitable number of light sources, including any suitable combination of colors of light sources, arranged in any suitable pattern. 
     It should be appreciated that although the example light brush  100  describe herein may resemble a traditional tooth brush, the light brush  100  does not include bristles as a traditional tooth brush. Accordingly, the light brush  100  provides waterless treatment with no bristles or specialized toothpaste simultaneous to providing light treatment to the global target region inside the oral cavity. 
     It should be appreciated that, although the example light brush  100  is described herein with a configuration of LED light sources for treating pain eradicate surface bacteria, and reduce the appearance of “tongue plaque” on the surface area of the tongue within an oral cavity, the light brush  100  may be configured with LED light sources for performing additional or alternative functions. For example, the light brush  100  may be configured with LED light sources for improving circulation and oxygenation in the oral cavity of a patient. 
       FIG.  4    illustrates a block diagram of an example light brush  400 , such as the light brush  100  of  FIG.  1   . The light brush  400  includes an input interface module  402  for receiving input from a user. Input may include, for example, request to power the light brush  400  on or off or to switch operating modes of the light brush  400 . The input interface module  402  may include one or more buttons, for example, or other suitable mechanisms for receiving user input. 
     The light brush  400  includes an LED light source  406  for providing light treatment to a patient. The light brush includes a battery  404  for powering the LED light source  406 . The battery  404  may be rechargeable in one example. The battery  404  may be removable in one example. The LED light source  406  may include any suitable combination of LEDS and colors of light sources. In one example, the LED light source  406  includes six 415 nm blue LEDs and six 660 nm red LEDs. 
     The light brush  400  includes a mode module  408  configured to turn on and off the LED light source  406  according to a mode provided by the input interface  402 . The mode module  408  may include circuitry coupled to the battery  404  and configured to deliver power to the LED light source  406  from the battery according to the provided mode. In one example, the light brush  400  includes a timer module  410  configured to keep track of the amount of time that the LED light source  406  is emitting light for a given treatment. The timer module  410  may be configured to reset automatically upon the light brush  400  being powered on or off or upon the mode module  408  changing a mode of the light brush  400 , for example. 
     The light brush  400  includes a feedback interface module  412  configured to provide user feedback. User feedback may include, for example, indication of a current mode of operation of the light brush  400  or the expiration of a desired treatment time as determined by the timer module  410 . The feedback interface module may include an LED display, a vibration device, a speaker for providing an audible feedback, or another suitable mechanism for providing user feedback. 
       FIG.  5    illustrates a method for using a light brush, such as the light brush  100  of  FIG.  1   . At  502 , a mode of operation for of the light brush is selected. In one example, a mode also includes a prescribed time for administering the light treatment to the patient. A mode may be selected via an input interface, such as the input interface module  402  of  FIG.  4   . A mode may be selected according to various factors. For example, depending on whether the intent is to treat a target area to improve the appearance of the surface area of tongue or to improve pH of the oral cavity will dictate the selection of the operating mode of the light brush, and in particular the type(s) of light to be delivered to the target area. The age and type of patient may also dictate the selection of the operating mode. For example, a child patient may require treatment for a shorter duration of time in order to achieve desired results as compared to a duration of time required for treating an adult patient to achieve the desired results. Moreover, the severity of a condition may also dictate the treatment mode. Additionally, maintenance of an oral cavity may require a different operation mode as compared to treatment of a condition of an oral cavity. 
     At  504 , the light brush is inserted in an oral cavity of a patient and positioned such that light from a light dome of the light brush is directed towards a target location inside the oral cavity. At  506 , the light brush is turned on and light is delivered to the target area at the selected mode for a prescribed length of time. In one example, an ideal length of time for delivering light to a target area is in a range between 15-60 seconds. Thus, between 15-60 J/cm 2  of light is delivered as part of a treatment. At  508 , once the prescribed treatment time has expired, the light brush is removed from the oral cavity. 
     In one example, a treatment protocol may require multiple light treatments over the course of a day or multiple days. Thus, in one example, the method  500  described herein may be repeated as needed according to a prescribed frequency. 
     In one example, selecting a mode of operation comprises determining a severity level or a risk factor associated with an oral cavity condition for a particular patient. The determined severity levels may be translated to an overall risk factor score, which may then be used to determine a treatment protocol. For example, a patient may be assigned a first score, or range of scores, if the patient is determined to have zero to very little risk factors associated with an oral cavity condition. The patient may be assigned a second score, or range of scores, if the patient is determined to have mild risk factors associated with the oral cavity condition. A patient may be assigned a third score, or range of scores, if the patient is determined to have severe risk factors associated with the oral cavity condition. Factors used to assess a patient and determine a score may include, for example: determining a level of care, including measuring dependency for feeding, dressing, and mobility; determining cognitive/health status, including measuring areas that contribute to level of “alertness”, physiological factors (e.g., respiration/digestion); swallowing function; and interventions that present with global, pre/post static change (e.g., post effects of RX, CA, alcohol/tobacco abuse); determining pH of the Oral Cavity, including measuring acidic vs alkaline levels across areas (e.g., cheeks, gumline, tongue); and determining an oral/dental status, including measuring conditions of the oral cavity (e.g., tooth/tongue plaque; tissue and teeth conditions; saliva output). 
     The mode of operation of the light brush, and therefore the protocol for treating the patient with the light brush may be adjusted according to the determined score. For example, Table 1 illustrates example protocols for using a light brush, such as the light brush  100  of  FIG.  1   , for treating a patient with a moderate risk factor score associated with aspiration pneumonia, while Table 2 illustrates example protocols for using a light brush, such as the light brush  100  of  FIG.  1   , for treating a patient with a severe risk factor score associated with aspiration pneumonia. 
     
       
         
           
               
             
               
                 TABLE 1 
               
             
            
               
                   
               
               
                 Protocols for using a light brush for treating a patient with a moderate risk  
               
               
                 factor score associated with aspiration pneumonia. 
               
            
           
           
               
               
               
               
               
               
            
               
                 Population 
                 Setting 
                 Instructions/Duration 
                 Frequency 
                 Example Schedule 
                 Maintenance 
               
               
                   
               
               
                 Child (6 years 
                 #3: 
                 Place the device in the 
                 1-2 times a 
                 Sunday: Red/Blue 
                 When global 
               
               
                 or older) or 
                 Red/Blue 
                 mouth. Ensure that the 
                 week. It is 
                 combo (AM or PM) 
                 Oral/Dental 
               
               
                 fragile 
                 combo 
                 flat head hovers over 
                 recommended 
                 Monday: No 
                 scores reduce 
               
               
                 teen/adult 
                   
                 the tongue area and the 
                 to wait 1-2 
                 application 
                 to .9 or lower, 
               
               
                   
                   
                 neck of the device 
                 days between 
                 Tuesday: No 
                 it is 
               
               
                   
                   
                 rests between the teeth. 
                 applications. 
                 application 
                 recommended 
               
               
                   
                   
                 Close the lips and run 
                   
                 Wednesday: Red/Blue 
                 to use this 
               
               
                   
                   
                 the device for 60 
                   
                 combo (AM or PM) 
                 setting one 
               
               
                   
                   
                 seconds. Do this one 
                   
                 Thursday: No 
                 time a day, 1- 
               
               
                   
                   
                 time a day, preferably 
                   
                 application 
                 2 time a week 
               
               
                   
                   
                 in the morning. 
                   
                 Friday: No application 
                 for 
               
               
                   
                   
                   
                   
                 Saturday: Reassess for 
                 maintenance. 
               
               
                   
                   
                   
                   
                 global Oral/dental 
                 If the global 
               
               
                   
                   
                   
                   
                 scores. 
                 Oral/Dental 
               
               
                   
                   
                   
                   
                   
                 score does 
               
               
                   
                   
                   
                   
                   
                 not change, 
               
               
                   
                   
                   
                   
                   
                 continue with 
               
               
                   
                   
                   
                   
                   
                 this schedule 
               
               
                   
                   
                   
                   
                   
                 until the 
               
               
                   
                   
                   
                   
                   
                 global score 
               
               
                   
                   
                   
                   
                   
                 is .9 or lower. 
               
               
                   
                   
                   
                   
                   
                 When global 
               
               
                   
                   
                   
                   
                   
                 Oral/Dental 
               
               
                   
                   
                   
                   
                   
                 scores reduce 
               
               
                   
                   
                   
                   
                   
                 to .9 or lower, 
               
               
                   
                   
                   
                   
                   
                 it is 
               
               
                   
                   
                   
                   
                   
                 recommended 
               
               
                   
                   
                   
                   
                   
                 to use this 
               
               
                   
                   
                   
                   
                   
                 setting one 
               
               
                   
                   
                   
                   
                   
                 time a day 
               
               
                   
                   
                   
                   
                   
                 once a week 
               
               
                   
                   
                   
                   
                   
                 for 
               
               
                   
                   
                   
                   
                   
                 maintenance. 
               
               
                 Adult (18 years 
                 #3: 
                 Place the device in the 
                 2-3 times a  
                 Sunday: Red/Blue 
                 When global 
               
               
                 and older) 
                 Red/Blue 
                 mouth. Ensure that the 
                 week. Wait 1- 
                 combo (AM or PM) 
                 Oral/Dental 
               
               
                   
                 Combo 
                 flat head hovers over 
                 2 days  
                 Monday: No 
                 scores reduce 
               
               
                   
                   
                 the tongue area and the 
                 between 
                 application 
                 to .9 or lower, 
               
               
                   
                   
                 neck of the device 
                 treatment 
                 Tuesday: Red/Blue 
                 it is 
               
               
                   
                   
                 rests between the teeth. 
                   
                 combo (AM or PM) 
                 recommended 
               
               
                   
                   
                 Close the lips and run 
                   
                 Wednesday: No 
                 to use this 
               
               
                   
                   
                 the device for 60 
                   
                 application 
                 setting one 
               
               
                   
                   
                 seconds. Do this 1-2 
                   
                 Thursday: Red/Blue 
                 time a day, 1- 
               
               
                   
                   
                 times a day, preferably 
                   
                 combo (AM or PM) 
                 2 time a week 
               
               
                   
                   
                 in the morning and 
                   
                 Friday: No application 
                 for 
               
               
                   
                   
                 evening. 
                   
                 Saturday: Reassess for 
                 maintenance. 
               
               
                   
                   
                   
                   
                 global Oral/dental 
                 If the global 
               
               
                   
                   
                   
                   
                 scores. 
                 Oral/Dental 
               
               
                   
                   
                   
                   
                   
                 score does 
               
               
                   
                   
                   
                   
                   
                 not change, 
               
               
                   
                   
                   
                   
                   
                 continue with 
               
               
                   
                   
                   
                   
                   
                 this schedule 
               
               
                   
                   
                   
                   
                   
                 until the 
               
               
                   
                   
                   
                   
                   
                 global score 
               
               
                   
                   
                   
                   
                   
                 is .9 or lower. 
               
               
                   
                   
                   
                   
                   
                 When global 
               
               
                   
                   
                   
                   
                   
                 Oral/Dental 
               
               
                   
                   
                   
                   
                   
                 scores reduce 
               
               
                   
                   
                   
                   
                   
                 to .9 or lower, 
               
               
                   
                   
                   
                   
                   
                 it is 
               
               
                   
                   
                   
                   
                   
                 recommended 
               
               
                   
                   
                   
                   
                   
                 to use this 
               
               
                   
                   
                   
                   
                   
                 setting one 
               
               
                   
                   
                   
                   
                   
                 time a day, 1- 
               
               
                   
                   
                   
                   
                   
                 2 time a week 
               
               
                   
                   
                   
                   
                   
                 for 
               
               
                   
                   
                   
                   
                   
                 maintenance. 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
             
               
                 TABLE 2 
               
             
            
               
                   
               
               
                 Protocols for using a light brush for treating a patient with a severe risk  
               
               
                 factor score associated with aspiration pneumonia. 
               
            
           
           
               
               
               
               
               
               
            
               
                 Population 
                 Setting 
                 Instructions/Duration 
                 Frequency 
                 Example Schedule 
                 Maintenance 
               
               
                   
               
               
                 Child (6 years 
                 #1: Blue 
                 Place the device in the 
                 It is 
                 Sunday: Blue 
                 When global 
               
               
                 or older) or 
                 (1-2 times 
                 mouth. Ensure that the 
                 recommended 
                 (AM)/Blue (PM) 
                 Oral/Dental 
               
               
                 fragile 
                 a week) 
                 flat head hovers over 
                 to wait one day 
                 Monday: No 
                 scores reduce 
               
               
                 teen/adult 
                 #2 Red: 
                 the tongue area and the 
                 to apply the red 
                 application 
                 to 1.5 or  
               
               
                   
                 (1-2 times 
                 neck of the device 
                 application after 
                 Tuesday: Red 
                 lower, change the 
               
               
                   
                 a week) 
                 rests between the teeth. 
                 using the blue 
                 (AM)/Red (PM) 
                 LightBrush 
               
               
                   
                   
                 Close the lips and run 
                 application and 
                 Wednesday: No 
                 setting to #3. 
               
               
                   
                   
                 the device for 60 
                 vice-versa. 
                 application 
                 It is 
               
               
                   
                   
                 seconds. Do this two (2) 
                   
                 Thursday: Blue 
                 recommended 
               
               
                   
                   
                 times a day, preferably 
                   
                 (AM)/Blue (PM) 
                 to use this 
               
               
                   
                   
                 in the morning and  
                   
                 Friday: No application 
                 setting one 
               
               
                   
                   
                 evening. 
                   
                 Saturday: Red 
                 time a day, 1-2 
               
               
                   
                   
                   
                   
                 (AM)/Red (PM) 
                 times a week, with a  
               
               
                   
                   
                   
                   
                 Recalculate for 
                 “rest” a day 
               
               
                   
                   
                   
                   
                 the global 
                 in between. 
               
               
                   
                   
                   
                   
                 Oral/Dental 
                 If the global 
               
               
                   
                   
                   
                   
                 score to 
                 Oral/Dental 
               
               
                   
                   
                   
                   
                 determine next 
                 score does 
               
               
                   
                   
                   
                   
                 course of action. 
                 not change, 
               
               
                   
                   
                   
                   
                   
                 continue one 
               
               
                   
                   
                   
                   
                   
                 more week 
               
               
                   
                   
                   
                   
                   
                 with the 
               
               
                   
                   
                   
                   
                   
                 initial 
               
               
                   
                   
                   
                   
                   
                 settings, 
               
               
                   
                   
                   
                   
                   
                 frequency, and 
               
               
                   
                   
                   
                   
                   
                 schedule. 
               
               
                   
                   
                   
                   
                   
                 When global 
               
               
                   
                   
                   
                   
                   
                 Oral/Dental 
               
               
                   
                   
                   
                   
                   
                 scores reduce 
               
               
                   
                   
                   
                   
                   
                 to 1.5 or lower, 
               
               
                   
                   
                   
                   
                   
                 change the 
               
               
                   
                   
                   
                   
                   
                 LightBrush 
               
               
                   
                   
                   
                   
                   
                 setting to #3. 
               
               
                   
                   
                   
                   
                   
                 It is 
               
               
                   
                   
                   
                   
                   
                 recommended to use 
               
               
                   
                   
                   
                   
                   
                 this setting one 
               
               
                   
                   
                   
                   
                   
                 time a day, 1-2 times 
               
               
                   
                   
                   
                   
                   
                 a week, with a  
               
               
                   
                   
                   
                   
                   
                 “rest” a day 
               
               
                   
                   
                   
                   
                   
                 in between. 
               
               
                 Adult (18 years 
                 #1: Blue 
                 Place the device in the 
                 It is 
                 Sunday: Blue 
                 When global 
               
               
                 and older) 
                 (1-2 times 
                 mouth. Ensure that the 
                 recommended 
                 (AM)/Blue (PM) 
                 Oral/Dental 
               
               
                   
                 a week) 
                 flat head hovers over 
                 to wait one day 
                 Monday: No 
                 scores reduce 
               
               
                   
                 #2 Red: 
                 the tongue area and the 
                 to apply the red 
                 application 
                 to 1.5 or lower, 
               
               
                   
                 (1-2 times 
                 neck of the device 
                 application after 
                 Tuesday: Red 
                 change the 
               
               
                   
                 a week) 
                 rests between the teeth. 
                 using the blue 
                 (AM)/Red (PM) 
                 LightBrush 
               
               
                   
                   
                 Close the lips and run 
                 application and 
                 Wednesday: No 
                 setting to #3. 
               
               
                   
                   
                 the device for 60 
                 vice-versa. 
                 application 
                 It is 
               
               
                   
                   
                 seconds. Do this two (2) 
                   
                 Thursday: Blue 
                 recommended 
               
               
                   
                   
                 times a day, preferably 
                   
                 (AM)/Blue (PM) 
                 to use this 
               
               
                   
                   
                 in the morning and 
                   
                 Friday: No application 
                 setting one 
               
               
                   
                   
                 evening. 
                   
                 Saturday: Red 
                 time a day, 1-2 
               
               
                   
                   
                   
                   
                 (AM)/Red (PM) 
                 times a week, with a 
               
               
                   
                   
                   
                   
                 Recalculate for 
                 “rest” a day 
               
               
                   
                   
                   
                   
                 the global 
                 in between. 
               
               
                   
                   
                   
                   
                 Oral/Dental 
                 If the global 
               
               
                   
                   
                   
                   
                 score to 
                 If the global 
               
               
                   
                   
                   
                   
                 determne next 
                 score does 
               
               
                   
                   
                   
                   
                 course of action. 
                 not change, 
               
               
                   
                   
                   
                   
                   
                 continue one 
               
               
                   
                   
                   
                   
                   
                 more week 
               
               
                   
                   
                   
                   
                   
                 with the 
               
               
                   
                   
                   
                   
                   
                 initial settings, 
               
               
                   
                   
                   
                   
                   
                 frequency, and 
               
               
                   
                   
                   
                   
                   
                 schedule. 
               
               
                   
                   
                   
                   
                   
                 When global 
               
               
                   
                   
                   
                   
                   
                 Oral/Dental 
               
               
                   
                   
                   
                   
                   
                 scores reduce 
               
               
                   
                   
                   
                   
                   
                 to 1.5 or lower, 
               
               
                   
                   
                   
                   
                   
                 change the 
               
               
                   
                   
                   
                   
                   
                 LightBrush 
               
               
                   
                   
                   
                   
                   
                 setting to #3. 
               
               
                   
                   
                   
                   
                   
                 It is 
               
               
                   
                   
                   
                   
                   
                 recommended to use 
               
               
                   
                   
                   
                   
                   
                 this setting one 
               
               
                   
                   
                   
                   
                   
                 time a day, 1-2 times 
               
               
                   
                   
                   
                   
                   
                 a week, with a  
               
               
                   
                   
                   
                   
                   
                 “rest” a day 
               
               
                   
                   
                   
                   
                   
                 in between. 
               
               
                   
               
            
           
         
       
     
     To the extent that the term “includes” or “including” is used in the specification or the claims, it is intended to be inclusive in a manner similar to the term “comprising” as that term is interpreted when employed as a transitional word in a claim. Furthermore, to the extent that the term “or” is employed (e.g., A or B) it is intended to mean “A or B or both.” When the applicants intend to indicate “only A or B but not both” then the term “only A or B but not both” will be employed. Thus, use of the term “or” herein is the inclusive, and not the exclusive use. See, Bryan A. Garner, A Dictionary of Modern Legal Usage 624 (2d. Ed. 1995). Also, to the extent that the terms “in” or “into” are used in the specification or the claims, it is intended to additionally mean “on” or “onto.” Furthermore, to the extent the term “connect” is used in the specification or claims, it is intended to mean not only “directly connected to,” but also “indirectly connected to” such as connected through another component or components. 
     While the present application has been illustrated by the description of embodiments thereof, and while the embodiments have been described in considerable detail, it is not the intention of the applicants 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. Therefore, the application, in its broader aspects, is not limited to the specific details, the representative apparatus and method, and illustrative examples shown and described. Accordingly, departures may be made from such details without departing from the spirit or scope of the applicant&#39;s general inventive concept.