Patent Description:
Oral hygiene is important for mitigating dental decay and for the prevention of systemic diseases, such as cardiovascular diseases, diabetes or osteoporosis which can be linked to poor oral hygiene. Brushing ones teeth regularly and efficiently is a key operation for maintaining good oral hygiene. Optimally, all dental surfaces should be cleaned with an appropriate applied force and at an appropriate rate, but this requires considerable care and ability, and it is not uncommon that people fail to clean all dental surfaces and the gingivae effectively. It would therefore be advantageous to provide a toothbrush which would render the brushing process guided to achieve a more controlled and uniform brushing motion and, in some cases, perform brushing automatically.

It is known to provide toothbrushes which surround multiple faces of a tooth and/or which extend around a significant proportion of a dental arch. Such a device would require personalized fitting to the curvature of an individual's dental arch, and cannot perform a significant brushing action along the length of the dental arch due to variations in curvature encountered along the dental arch.

A number of previous attempts to address these limitations may be found in the following patent publications: <CIT>; <CIT>; <CIT>; <CIT>; and <CIT>.

The present invention is a toothbrush and corresponding devices and methods.

According to the teachings of an embodiment of the present invention there is provided, a toothbrush for brushing at least one arch of teeth in a mouth of a user, the toothbrush comprising a brush assembly for introducing into the mouth of the user, the brush assembly comprising: (a) at least three bristle arrangements, each of the bristle arrangements including a plurality of opposing inwardly-directed bristles for simultaneously contacting facial and lingual surfaces of the teeth; and (b) flexible linkages interconnecting the at least three bristle arrangements, the flexible linkages being configured to maintain a relative spacing between the bristle arrangements while allowing variation of an effective curvature of the brush assembly such that the at least three bristle arrangements can ride along, and conform to a non-uniform curvature of, the arch of teeth. The toothbrush further comprises a pair of rods attached to two contralateral regions of said brush assembly such that displacement of said pair of rods causes an entire part of the toothbrush that is inside the mouth to travel along the arch of teeth using the teeth as a monorail which defines a local curvature of the brush assembly.

According to a further feature of an embodiment of the present invention, there is also provided an actuation mechanism mechanically linked to the brush assembly and configured to displace the brush assembly in a to-and-fro motion along the arch of teeth.

According to a further feature of an embodiment of the present invention, the actuation mechanism is configured to displace the brush assembly in a compound motion comprising the to-and-fro motion with a first amplitude and a first frequency and an oscillatory component with a second amplitude smaller than the first amplitude and a second frequency higher than the first frequency.

According to a further feature of an embodiment of the present invention, the second frequency of the oscillatory motion is at least an order of magnitude higher than the first frequency of the to-and-fro motion.

According to a further feature of an embodiment of the present invention, the brush assembly includes at least one gap between adjacent bristle arrangements, and wherein the first amplitude of the to-and-fro motion is larger than a length of the at least one gap.

According to a further feature of an embodiment of the present invention, the actuation mechanism is configured to remain outside the mouth of the user, the actuation mechanism being linked to two contralateral regions of the brush assembly via a pair of rods, the actuation mechanism being configured to impart motion to the brush assembly via the rods.

According to a further feature of an embodiment of the present invention, the actuation mechanism comprises an electric actuator.

According to a further feature of an embodiment of the present invention, the actuation mechanism comprises a pneumatic actuator.

According to a further feature of an embodiment of the present invention, the actuation mechanism comprises a hydraulic actuator.

According to a further feature of an embodiment of the present invention, each of the bristle arrangements comprise a plurality of bristles projecting from at least one bristle support element, and wherein the bristle support elements and the flexible linkages are integrally formed from a flexible polymer material.

According to a further feature of an embodiment of the present invention, at least one of the bristle arrangements further includes bristles inwardly directed for contacting occlusal surfaces of the teeth.

According to a further feature of an embodiment of the present invention, the brush assembly has a length sized to extend along a majority of a length of the arch of teeth.

According to a further feature of an embodiment of the present invention, the at least three bristle arrangements are implemented as a plurality of bristle arrangements deployed such that bristles contact the teeth along a contact profile spanning a majority of a length of the brush assembly.

According to a further feature of an embodiment of the present invention, the bristle arrangements include bristles deployed for simultaneously contacting facial and lingual surfaces of the teeth of both a maxillary arch and a mandibular arch.

According to a further feature of an embodiment of the present invention, a rapid oscillatory motion of the toothbrush is generated during the displacing.

There is also provided according to an embodiment of the present invention, an automatic toothbrush for brushing at least one arch of teeth in a mouth of a user, the automatic toothbrush comprising: (a) a brush assembly for introducing into the mouth of the user, the brush assembly comprising: (i) at least three bristle arrangements, each of the bristle arrangements including a plurality of opposing inwardly-directed bristles for simultaneously contacting facial and lingual surfaces of the teeth, and (ii) flexible linkages interconnecting the at least three bristle arrangements, the flexible linkages being configured to maintain a relative spacing between the bristle arrangements while allowing variation of an effective curvature of the brush assembly such that the at least three bristle arrangements can ride along, and conform to a non-uniform curvature of, the arch of teeth; and (b) an actuation mechanism mechanically linked to the brush assembly and configured to displace the brush assembly in a compound motion comprising a first component performing a to-and-fro motion along the arch of teeth with a first amplitude and a first frequency and a second component performing an oscillatory motion with a second amplitude smaller than the first amplitude and a second frequency higher than the first frequency.

The present invention is a toothbrush conforming to a dental arch and corresponding devices and methods
The principles and operation of a toothbrush according to an embodiment of the present invention may be better understood with reference to the drawings and the accompanying description.

Referring now to the drawings, <FIG> illustrate various aspects of a toothbrush, generally designated <NUM>, for brushing at least one arch of teeth in a mouth of a user. In general terms, toothbrush <NUM> includes a brush assembly <NUM> for introducing into the mouth of the user. Brush assembly includes at least three bristle arrangements <NUM>, each having a plurality of opposing inwardly-directed bristles <NUM>, <NUM>, <NUM> (<FIG>) for simultaneously contacting facial and lingual surfaces <NUM>, <NUM> of the teeth <NUM>, and preferably also occlusal surfaces <NUM> of the teeth. Flexible linkages <NUM>, interconnecting the bristle arrangements <NUM>, are configured to maintain a relative spacing between bristle arrangements <NUM> while allowing variation of an effective curvature of brush assembly <NUM> such that the bristle arrangements <NUM> can ride along, and conform to a non-uniform curvature of, the arch of teeth.

It will be immediately apparent that this toothbrush structure provides significant advantages. By providing a plurality of bristle arrangements spread around the arch of the teeth, thorough brushing of the teeth may be performed quickly and efficiently by a to-and-fro motion along the teeth. By employing flexible linkages between the bristle arrangements, the brush assembly can conform to the varying curvature of the arch of teeth, effectively traveling along the arch of teeth using the teeth as a "monorail" which defines the local curvature of the brush assembly, thereby tending to maintain effective contact of the bristles with all surfaces of the teeth along the entire contact profile of the brush assembly. The functionality of the brush assembly during use is best understood with reference to <FIG>, where the arch of teeth is schematically represented by profile <NUM> on which three bristle arrangements <NUM> ride, interconnected by flexible linkages <NUM>. Contralateral regions of the brush assembly <NUM> are attached to respective actuator rods <NUM> at connections <NUM>, which may be rigid or pivotal connections. Starting in an initial symmetric position as shown in <FIG>, the actuator rods <NUM> may be displaced in opposite directions, one anteriorly and one posteriorly, in alternating antiphase reciprocating motion to cycle through the positions of <FIG>, thereby providing a to-and-fro motion of each bristle arrangement <NUM> along a respective section of the arch of teeth. A dotted line denotes the neutral position of the ends of rods <NUM> corresponding to the center position of the brush assembly.

In one implementation, the toothbrush may be operated by manual displacement of rods <NUM>. In other particularly preferred implementations, toothbrush <NUM> further includes an actuation mechanism <NUM> mechanically linked to brush assembly <NUM> and configured to displace the brush assembly in a to-and-fro motion along the arch of teeth. The actuation mechanism <NUM> can be mounted in any suitable location where it can convey forces to the brush assembly to induce the desired motion, including an intraoral location. More preferably, actuation mechanism <NUM> may advantageously be integrated with a handset or handle <NUM> which remains outside the mouth of the user during operation. In this case, the actuation mechanism is advantageously linked to two contralateral regions of brush assembly <NUM> via pair of rods <NUM>, and is configured to impart motion to brush assembly <NUM> via bidirectional forced conveyed along rods <NUM>. The to-and-fro motion generated by actuation mechanism <NUM> may be generated by any suitable mechanism based on any suitable source of power including, but not limited to, manual operation (such as by squeezing and releasing an actuation lever), an electric actuator powered by one or more included battery <NUM> (<FIG>) and/or an external electrical power source, pneumatic actuation such as from a pressurized gas cartridge driving a pneumatic actuator, or by hydraulic power such as a mechanism driven by water flow or static pressure from a water faucet (referred to collectively as a "hydraulic actuator"). The term "actuator" is used herein broadly to refer to any device for converting potential energy into motion, and includes linear and rotary actuators and motors of all sorts.

The to-and-fro travel of the brush assembly is typically relatively slow, typically with a period of at least <NUM> second (i.e., a frequency of below <NUM>), as determined by user preference and/or by the force and power limitations of actuator system <NUM>. The amplitude of the motion is chosen to be greater than the largest gap between adjacent bristle arrangements <NUM> so that all regions of the teeth between adjacent bristle arrangements are passed across by the movement of the bristles. Additionally, the range of motion preferably complements the overall span of the brush assembly along the arch of teeth so that, at the extremities of the range of motion, the ends of the brush assembly reach all surfaces of the last teeth in the arch of teeth. To this end, brush assembly <NUM> is preferably of a length sized to extend along a majority of a length of the arch of teeth. To accommodate dental arches of differing sizes, both for a single individual between the mandibular and maxillary arches and between different individuals, a range of different sizes of brush assemblies are preferably provided, typically ranging from about <NUM> length up to about <NUM> as measured along the center line of the curved form, which may be offered as Small, Medium, Large and Extra-Large sizes and/or child, youth and adult models, which may also vary in height/depth to accommodate different sizes of teeth. The amplitude of the to-and-fro motion of the blush assembly is typically at least about <NUM>, and most preferably in the range of <NUM>-<NUM> (i.e., <NUM>-<NUM> in each direction from the symmetrical or "center" position). Optionally, the amplitude of to-and-fro motion may be adjustable by the user.

In various particularly preferred implementations of the present invention, actuation mechanism <NUM> is configured to displace brush assembly <NUM> in a rapid oscillatory motion with an amplitude smaller than the to-and-fro motion and a frequency higher than the to-and-fro motion, preferably by an order of magnitude. The oscillatory motion preferably has a frequency in excess of <NUM>, and is typically in the range of <NUM>-<NUM>, with an amplitude preferably less than <NUM>, and typically in the range of <NUM> - <NUM>. This rapid oscillatory motion is particularly effective for removal of dental plaque. The oscillatory motion is preferably superimposed on the to-and-fro motion to generate a compound motion. This is illustrated in <FIG>, where there are shown a smooth sinusoidal wave representing the low frequency larger-amplitude to-and-fro motion component, a rapid small-amplitude oscillating motion component, and the overall compound motion in which the larger amplitude motion is modulated by the rapid oscillation. <FIG> illustrates the synchronous motion of the two rods <NUM> according to a particularly preferred implementation in which the motion for one rod is in exact antiphase with (i.e., equal and opposite to) the other. It should be noted however that, particularly for high frequency small amplitude motions, it may be acceptable to apply the rapid oscillation in-phase (i.e., simultaneously in the same direction) or at any other desired phase difference, since the small range of motion is accommodated by the flexing/rubbing motion of the bristles which this motion is intended to induce.

It will be noted that the two components of the motion may be generated either by independent actuators or by a single actuator configured to generate the compound motion output. Where different actuators are used, the actuators may be of differing types, and may be actuated by different power sources, for example, with the to-and-fro motion being powered manually and the rapid oscillation being generated by an electrically powered vibrator.

One non-limiting exemplary implementation of actuator mechanism <NUM> is illustrated in detail in <FIG>, employing two rotary motors: a first motor <NUM> responsible for the low-frequency to-and-fro motion and another motor <NUM> generating the high-frequency oscillation. The high-frequency motor <NUM> has an output shaft <NUM> with a gear that is connected through a gear transmission to a rotor <NUM> which is rigidly attached to a gear plate <NUM>. Gear plate <NUM> is engaged with two gear wheels with two integrated cams <NUM>. The axes of two gear wheels <NUM> rotate relative to worm gear plate <NUM>. The low-frequency motor <NUM> drives a worm gear output <NUM> to rotate alternately in opposite directions. The worm gear engages gear plate <NUM>, causing it to rotate in alternate directions at low frequency.

The two followers <NUM> of the two cams <NUM> are rigidly attached to the two shafts <NUM> which are bent accordingly in order to accommodate them. The eccentricities of the two cams are in opposite directions. The movement of the cams <NUM> is transmitted onto the followers <NUM> and causes the shafts <NUM> to move back and forth at high frequency. The axes if of rotation of the cams <NUM> attached to worm plate <NUM> move around the main axis of rotation of <NUM> back and forth along a circular arc, and this motion through the cams <NUM> and followers <NUM> causes the shafts <NUM> to move back and forth at low frequency. Additional components typically include an electronic controller with dedicated hardware or suitable programmed processing components which controls power to the motors and synchronizes their operation, for example, adjusting the stroke length of the to-and-fro motion by changing the actuation time of motor <NUM> in each direction. The handset typically also includes a control panel with at least an on-off switch, and optionally an adjustment control for the amplitude and/or speed of the to-and-fro motion and/or the intensity/speed of the rapid oscillatory motion. The various electronic components are omitted here for clarity of presentation of the mechanism.

As a result of this mechanism, rods <NUM> undergo superimposed low-frequency and high-frequency motions, as described above. As already mentioned, the low-frequency and high-frequency motions need not be driven specifically by electrical motors, and may instead be driven using a pneumatic or hydraulic source. The low-frequency motion may also be driven by a manual input possibly with an adequate transmission. Other exemplary but non-limiting examples of suitable mechanisms for displacing rods <NUM> are linear actuators, which may be linear electric motors as taught for example in <CIT>, or may include ball-screws which transform rotary motion of an electro-magnetic engine into a linear motion. Ball-screw actuators are taught for example in <CIT> and <CIT>.

The handset may be held by the user in his hand or may be temporarily or permanently attached to a stand or a wall according to the user's convenience. Such arrangement be is particularly convenient for pneumatic, hydraulic or electrical power supply to the unit for driving the low-frequency or high frequency motions.

The device as described can clean either top (maxillary arch) or bottom (mandibular arch) teeth. As the upper and lower dental arch may be of different lengths, the stroke of shafts driving the mouthpiece might be different in both cases and possibly adapted by manual selection or automatically based on the measurement of a gravity-sensing element implemented in the hand-set.

Turning now to the structure of brush assembly <NUM>, each bristle arrangement <NUM> is typically formed from a plurality of bristles <NUM>, <NUM>, <NUM> projecting from at least one bristle support element, shown in <FIG> as a base <NUM> with two inclined flaps <NUM> and <NUM>. Flaps <NUM> and <NUM> may be in facing relation, or may be partially or fully offset relative to each other, effectively appearing as staggered bristle support elements on opposite sides of a central backbone of the device, and optionally with some flexibility between them, as exemplified particularly in the anterior region of <FIG> and <FIG>. Such offset adjacent bristle support elements together with whatever structure bridges between them are considered a "bristle arrangement <NUM>" for the purpose of this document. In some cases, bristles projecting from flaps <NUM> and <NUM> may be sufficient to give brushing coverage also for the occlusal surfaces of the teeth. In other cases, bristles may also be provided on base <NUM>, particularly in the region of the brush assembly which contacts the molars.

It should be noted that the term "bristles" is used herein to refer to any and all filaments suitable for use to form a toothbrush, whether of naturally occurring origin or artificial fibers.

In certain particularly preferred implementations of the present invention, the bristle support elements and flexible linkages <NUM> are integrally formed from a flexible polymer material, such as for example by injection molding. Many flexible polymer materials have mechanical properties suitable for such an implementation, where a relatively wide region of the structure, such as the flaps serving as bristle support elements, are relatively inflexible under conditions of normal usage, whereas a thin-walled cellular structure such as that of <FIG>, or a thin-walled undulating structure such as in <FIG>, provides considerable flexibility in a well-defined direction. In the embodiment of <FIG> and <FIG>, the flexibility is provided by effective hinges formed at the vertices of the adjacent cells, whereas in the embodiment of <FIG>, the undulating form provides enhanced leaf-spring flexibility. In both cases, the flexible linkages are effective to transfer sufficient compressive or tension forces along the length of the brush assembly to achieve the driving motion of the brush assembly along the arch of teeth. Alternatively, different materials may be used to provide the bristle support elements and the flexible linkages, for example, with the bristle support elements formed of a relatively stiff material while the flexible linkages are formed of a relatively more flexible material, such as for example silicone. The flexible linkages may be implemented as a continuous central structure extending along the length of the brush assembly curved form, serving as a backbone for the brush assembly, while the bristle arrangements are arranged bilaterally projecting from the flexible backbone, in opposing pairs or in partially or fully staggered relation. Where two different materials are used, they may advantageously be combined by use of overmolding techniques, which are already commonly in use in the field of toothbrushes. Tufts of bristles are typically incorporated during the molding process, also using techniques that are standard in the field of toothbrush manufacture.

The proportion of the length of brush assembly that is provided with bristles may be chosen according to various considerations, balancing user comfort and power requirements against efficacy of the brushing action. In certain particularly preferred implementations, a plurality of bristle arrangements <NUM> are deployed such that bristles contact the teeth along a contact profile spanning a majority of a length of the brush assembly.

Although illustrated thus far in the context of a toothbrush for brushing one arch of teeth at a time, certain implementations of the present invention provide for simultaneous brushing of both the upper and lower arches of teeth. Thus, in certain cases, bristle arrangements <NUM> include bristles deployed for simultaneously contacting facial and lingual surfaces of the teeth of both a maxillary arch and a mandibular arch. Most preferably, a system for simultaneous brushing of upper and lower teeth is implemented with two independent monorail train brush arrangements, one for the upper dental arch and the other one for the lower dental arch. Each such train is driven by a separate pair of shafts driven by the handset. In a preferable implementation, the two trains move in opposite directions, thereby avoiding simultaneous double-thickness overlap of the two brush assemblies in the rear molar region, where clearance between the teeth is smallest for a given degree of opening of the jaw.

In use, toothbrush <NUM> is positioned with brush assembly <NUM> on an arch of teeth of the user so that bristles of the bristle arrangements <NUM> contact facial and lingual surfaces of the teeth. The brush assembly <NUM> is displaced, preferably by actuating the actuation mechanism <NUM>, so that each of said bristle arrangements rides along a corresponding portion of the arch of teeth. The motion preferably includes a rapid oscillatory motion of the brush assembly superimposed on a to-and-fro displacement.

Claim 1:
A toothbrush (<NUM>) for brushing at least one arch of teeth in a mouth of a user, the toothbrush comprising:
a brush assembly (<NUM>) for introducing into the mouth of the user, the brush assembly comprising:
(a) at least three bristle arrangements (<NUM>), each of said bristle arrangements including a plurality of opposing inwardly-directed bristles (<NUM>, <NUM>) for simultaneously contacting facial and lingual surfaces of the teeth; and
(b) flexible linkages (<NUM>) interconnecting said at least three bristle arrangements (<NUM>), said flexible linkages being configured to maintain a relative spacing between said bristle arrangements while allowing variation of an effective curvature of the brush assembly (<NUM>) such that said at least three bristle arrangements can ride along, and conform to a non-uniform curvature of, the arch of teeth,
characterized in that the toothbrush further comprises a pair of rods (<NUM>) attached to two contralateral regions of said brush assembly (<NUM>) such that displacement of said pair of rods causes an entire part of the toothbrush that is inside the mouth to travel along the arch of teeth using the teeth as a monorail which defines a local curvature of the brush assembly (<NUM>).