Abstract: A degradation resistant gingival retraction cord comprising or consisting essentially of silk is formed from two or more strands that are braided, twisted or woven. The degradation resistant retraction cord comprises at least about 50% silk, 80% silk, 90% silk, 95% silk, or essentially all silk. They are able to maintain at least about 70%, 80% or 90% of this tensile strength for a time period of at least about 7 days, 30 days, 60 days, or 90 days. The silk retraction cords have the look, feel and desirable utility of a thin, flexible, and resilient natural fiber cord, while also resisting degradation when pre-impregnated with a corrosive agent. Such cords combine the degradation resistance of a man-made fiber, while also having greater liquid absorbance, lightness, flexibility and resilience like a natural fiber cord.

Abstract: Treatment devices in the shape of a dental tray, strip or patch include a barrier layer and a protective adhesive composition. Treatment kits include one or more treatment devices and one or more treatment compositions that are initially separate from the treatment devices. The treatment compositions may be contained within a syringe (e.g., a unit dose syringe) for ease of delivery. The treatment composition is dispensed from the syringe onto the barrier layer and then placed over a person's teeth and/or gums. The protective adhesive composition, in combination with the barrier layer, at least partially confines the treatment composition to a desired location within the person's mouth during use. The barrier layer protects the treatment and protective adhesive compositions from saliva or moisture found in the person's mouth.

Abstract: Injection needle devices for administering a local anesthetic into tough, dense ligamentary tissue surrounding a tooth. The injection needle is a two-part needle that includes a proximal needle portion formed of metal, ceramic or rigid plastic and a distal needle portion formed of ceramic or hardened metal. The distal penetrating needle portion has an exposed length not more than about 8 mm, and an maximum outside diameter of about 25 gauge. At the transition between the proximal needle portion and the distal needle portion there can be an abrupt stop surface for limiting penetration through tissue. Alternatively, the proximal needle portion can have a tapered surface that permits penetration of the tapered surface into tissue. The injection needle device is designed to minimize pain and prevent buckling of the distal needle portion.

Abstract: Methods for injecting a local anesthetic into dental tissues, such as tough, dense ligamentary tissue adjacent to a patient's tooth. According to one embodiment, the method involves puncturing a patient's gingival tissue adjacent a selected tooth with an array of micro-needles having a length so that the micro-needles penetrate into ligamentary tissue adjacent to the tooth. A local anesthetic is then injected through the micro-needles so as to deliver the local anesthetic to the tissue surrounding the tooth. The micro-needles may be short to limit penetration through tissue and of narrow diameter to minimize pain and discomfort to the patient.

Abstract: A pre-dosed, pre-packaged mixing system and associated method for mixing, storing, and dispensing a two-part dental composition that becomes less stable upon mixing. The mixing system includes a pre-dosed, pre-packaged quantity of a first component contained within a first chamber, and a pre-dosed, pre-packaged quantity of a second component contained within a second chamber. The chambers are separated by separation means so as to separate the two-components prior to mixing. Once mixed, the practitioner is able to record a mixing and/or expiration date on at least a portion of the mixing system so as to indicate a shelf-life of the less stable mixed dental composition.

Abstract: A delivery system that includes a bone growth promoting material encapsulated within a water absorptive gelatinizable covering is used to promote bone growth in order to repair a bone defect and/or strengthen a weakened bone region. The delivery system may be shaped and sized in order to fit within a bleeding wound (e.g. one that is formed in the gingiva when a tooth is extracted). The covering may be formed of a gelatinizable gauze that forms a gel-like material when moistened with water. The delivery system is contained within a moisture resistant package prior to use. Alternatively, the delivery system comprises a bone growth promoting material and thickening agent contained within a syringe that, upon adding water, form a viscous gel or stiff putty.

Abstract: Time-indicating syringe mixing systems for mixing, storing, and dispensing a two-part dental composition that becomes less stable upon mixing including a first plunger comprising an elongate stem and a plug at a distal end of the elongate stem, a hollow first chamber configured to contain a first component, a hollow second chamber configured to contain a second component, and means for indicating a recorded date when a first component initially contained within the hollow first chamber is mixed with a second component initially contained within the hollow second chamber. The inventive syringe mixing systems may be configured as syringe-in-syringe systems and/or syringe-to-syringe systems.

Abstract: Dental instruments and appliances are manufactured from a superelastic alloy, which includes atoms from the group IVB and group VB transition metals and oxygen so as to exhibit superior strength and flexibility. The metal alloys are cold worked to increase the tensile strength of the dental instruments and appliances. Cold working the metal also increases the flexibility of the dental instruments and appliances and prevents work hardening. Dental instruments made from the superelastic alloy exhibit higher strength, flexibility, resistance to work hardening, and biocompatibility compared to dental instruments made from nickel-titanium alloys. In one particular example a super-elastic endodontic file is described.

Abstract: A method for manufacturing a delivery system that includes a bone growth promoting material encapsulated within a water-absorbing, water-gelatinizable covering used to promote bone growth in order to repair a bone defect and/or strengthen a weakened bone region. The delivery system may be shaped and sized in order to fit within a bleeding wound (e.g., one that is formed in the gingiva when a tooth is extracted). The covering may be formed of a gelatinizable-gauze (e.g., oxidized cellulose) that forms a gel-like material when moistened with water. The delivery system may be stored in a moisture resistant package prior to use.

Abstract: A dental curing light includes a body, one or more LEDs configured to emit a first spectrum of light having a relatively short first peak wavelength (e.g., UV) disposed on the body, and a fluorescing lens that converts at least a portion of the first spectrum of light into a second spectrum of light having a second peak wavelength that is longer than the first peak wavelength. The second spectrum of light is selected so as to match the curing spectrum of a desired light-curable dental composition. In a preferred embodiment, the body comprises an elongate wand having a proximal end and distal end. The LEDs may be disposed at or near the distal end of the elongate wand.

Abstract: An exoskeleton support and associated placement system for use in placing a thin, flexible dental treatment strip over a person's tooth surfaces. The exoskeleton support includes an exoskeleton body that is curved so as to approximate the curvature of a person's dental arch. The exoskeleton support includes an inner surface that is oriented toward a person's tooth surfaces during use, an outer surface oriented away from the person's tooth surfaces during use, and means for temporarily holding or attaching a flexible dental treatment strip to the inner surface of the exoskeleton support. The exoskeleton support allows a user to more easily and accurately place a dental treatment strip on tooth surfaces to be treated.

Abstract: A method of manufacturing endodontic files involves a chemical milling process to yield endodontic files having a desired taper and/or degree of sharpness. The process involves the steps of (a) forming helical cutting edges in the cutting portion of the metallic rod; and (b) chemically milling the cutting portion of the rod so as to sharpen and/or taper the cutting portion. The rod may be formed of any desirable metallic material, for example stainless steel or a nickel-titanium alloy. The cutting edges may be formed by torsioning, cutting, grinding, machining, laser micromachining, or grit blasting.

Abstract: A method of manufacturing endodontic files involves a chemical milling process to yield endodontic files having a desired taper and/or degree of sharpness. The process involves the steps of (a) forming helical cutting edges in the cutting portion of the metallic rod; and (b) chemically milling the cutting portion of the rod so as to sharpen and/or taper the cutting portion. The rod may be formed of any desirable metallic material, for example stainless steel or a nickel-titanium alloy. The cutting edges may be formed by torsioning, cutting, grinding, machining, laser micromachining, or grit blasting.

Abstract: An absorbent and degradation resistant knitted gingival retraction cord comprising silk is formed from one or more strands by interlocking a plurality of loops. As a whole, the knitted retraction cord comprises at least about 50% silk which, when manufactured so as to have a knitted structure, exhibits resistance to degradation and has the ability to absorb liquid (e.g., an active agent solution). An active agent is impregnated within the one or more strands and/or the plurality of interlocking loops of the knitted retraction cord such that the cord advantageously retains the active agent and resists degradation by the active agent.

Abstract: Prefabricated non-custom dental appliances, kits, and methods that allow a practitioner to select one or more prefabricated non-custom appliances having desired color shading characteristics from a kit and bond the selected appliances to a person's teeth. Each appliance includes a form layer including a surface contoured so as to approximate a tooth surface (e.g., the labial surface shape of a selected tooth). The appliance includes a plurality of at least partially uncured composite layers or regions. At least one of the composite layers or regions is disposed adjacent to the form layer, and each region is prearranged relative to one another so as to provide a predetermined overall color shade configuration. At least one of the composite layers or regions differs in color from at least one other composite region so as to provide a desired shade and intensity to the dental appliance.

Abstract: Water and aqueous sodium hypochlorite indicating endodontic monitoring devices include an endodontic cone formed of a water absorptive material and a color changing system applied to the water absorptive material that selectively changes to different colors when exposed to either water or aqueous sodium hypochlorite within a root canal chamber. The water-indicating endodontic points include a pH changing material, a pH indicator, and a pH insensitive dye. The dye imparts an initial color when the device is in a dry condition. The pH changing material and pH indicator react in the presence of moisture found in a root canal to yield a second color that differs from the initial color. In the presence of aqueous sodium hypochlorite, the device changes to a third color different from both the initial color and the second color as a result of bleaching of the dye and/or pH indicator by the hypochlorite ions or aqueous analogs.

Abstract: A non-custom, dental tray device includes a moisture-resistant barrier layer having a labial-buccal wall, a lingual wall, and a bottom wall. The dental tray device includes at least one of the following structural features to enhance the fit of the device; (1) the bottom wall includes an abrupt reduction of width at a location corresponding to where the first bicuspid meets the canine; (2) a bottom wall in the posterior region having a width that is equal to or less than the width of the bottom wall in the anterior region, with no lingual wall in the posterior region; or (3) a transition portion between the bottom wall and either the labial-buccal wall or the lingual wall has a larger radius of curvature as compared to a radius of curvature at a transition portion between the bottom wall the other of the labial-buccal wall and the lingual wall.

Abstract: A root canal is filled and/or sealed using a hydrophilic sealing composition, optionally in combination with other filling materials. The sealing composition may include one or more resins that promote adhesion to hydrophilic dental tissues. The composition may be introduced into the root canal using a narrow cannula coupled to a high pressure hydraulic delivery device. In the case where a chemical cure composition is used to seal the root canal, a chemical initiator can be used to cause the mixed composition to harden over time. Hardening of at least a portion of the composition can be accelerated by including a photoinitiator and irratiating the mixed composition with radiant energy (e.g., from a dental curing lamp).

Abstract: Time-indicating syringe mixing systems for mixing, storing, and dispensing a two-part dental composition that becomes less stable upon mixing including a first plunger comprising an elongate stem and a plug at a distal end of the elongate stem, a hollow first chamber configured to contain a first component, a hollow second chamber configured to contain a second component, means for providing a region of increased space between an outside surface of the elongate stem of the first plunger and an interior surface of a wall defining the hollow first chamber, and means for protecting a recorded mixing and/or expiration date from damage or alteration. The inventive syringe mixing systems may be configured as syringe-in-syringe systems and/or syringe-to-syringe systems.

Abstract: Time-indicating syringe mixing systems for mixing, storing, and dispensing a two-part dental composition that becomes less stable upon mixing including a first plunger comprising an elongate stem and a plug at a distal end of the elongate stem, a hollow first chamber configured to contain a first component, a hollow second chamber configured to contain a second component, and means for indicating a recorded date when a first component initially contained within the hollow first chamber is mixed with a second component initially contained within the hollow second chamber. The inventive syringe mixing systems may be configured as syringe-in-syringe systems and/or syringe-to-syringe systems.