Abstract: Improved methods and apparatus for forming a series of progressive aligners. A virtual model may be manipulated in a virtual CAD environment to arrive at an activated iteration of the virtual model representing progressively improved positions of one or more virtual teeth. From the virtual model, a positioning guide may be created (e.g., through the use of CAD CAM techniques to produce a corresponding positioning guide). The positioning guide may be registered to the physical model such that model teeth may be positioned according to the positioning guide to arrive at an activated iteration of the physical model. An aligner may then be generated using the activated iteration of the physical model. This process may be repeated for a variable number of iterations until the treatment objectives are determined to be met.

Abstract: The invention relates to a dentition retaining apparatus that includes a joint between a holding member and a supporting member. The holding member is elastically deformable and terminates in an end segment having a length with an outer diameter. The joint includes a coil extending from the supporting member and having an inner diameter that is less than the outer diameter of the end segment of the holding member. The coil is placed around at least a portion of the end segment of the holding member. The coil compresses the end segment of the holding member.

Abstract: Method and system for providing a first appliance configured for positioning substantially around one or more teeth during a first portion of a recurring time period to apply one of a first predetermined force or a predetermined tooth movement on the one or more teeth, the first appliance formed of a first material, a second appliance configured for positioning substantially around the one or more teeth during a second portion of the recurring time period to apply one of a second predetermined force or a predetermined tooth movement on the one or more teeth, the second appliance formed of a second material, where at least one of the first portion and the second portion of the recurring time period is repeated at least once such that at least one of the first appliance or the second appliance is positioned again substantially around the one or more teeth during the respective first or second portion of the recurring time period are provided

Abstract: A dental device for the correction of upper jaw transversal micrognathism in adult patients, which makes it possible to apply a slow expansion orthopedic technique, without osteotomy with osseo fixation by means of micro-implants, which comprises an expansion component, bilateral palatine support components, and a fixation component. The expansion component is an expansion screw joined to the palatine support components by means of lateral arms that extend out of it, where said palatine support components have perforations for receiving the fixation components defined by the micro-implants. The invention also provides a procedure for building the device and for setting up a surgical guide for said device.

Abstract: Methods, systems, and apparatus's for improving orthodontic treatments. In an embodiment, an orthodontic system including a tactile object is provided for modulating an engagement between a tooth attachment and an orthodontic appliance.

Abstract: A removable orthodontic appliance and methods of use and manufacturing of the removable orthodontic appliance for repositioning teeth of an upper jaw or lower jaw are provided. The removable orthodontic appliance comprises a trough shaped arch tray that defines an interstitial space between the sides of the arch tray for accommodating the teeth. The arch tray form fits over the contours of the teeth of the upper jaw or lower jaw from a first molar region through a second molar region. The arch tray extends down the teeth on a labial surface and a lingual surface of the teeth to the gingival areas. One or more arch wires are infused and rigidly anchored within the lingual side of the arch tray. Each of the arch wires comprises a surface pre-infused with a polymeric material for rigidly bonding to the lingual side of the arch tray.

Abstract: A robotic system for forming features in orthodontic aligners includes a control system, a platen for three-dimensional positioning of the aligner, a heating station for selectively heating a small region of the aligner, and a thermoforming station for manipulating the heated region to form a desired feature in the aligner. Optionally, a laser cutting and trimming station can also be included to trim excess material from the aligner or to cut features into the aligner. The control system can include a processor with CAD software to enable a user to design features for aligners.

Abstract: A method of producing a customized orthodontic appliance (1), including brackets (12) fixed to teeth (13) of a dental arch of a patient and an orthodontic archwire (11). Each bracket (12) is fixed to a surface of a tooth (13) of the dental arch by a bracket bonding pad (121) of the bracket, and the orthodontic archwire (11) is fixed to the brackets in a housing (123) of a bracket body (122) of each bracket. The bracket is produced with a blank (50) having at least two volumes (51, 52), one volume representative of an envelope volume of a bracket bounding pad and an envelope volume of a bracket body.

Abstract: A green metal body includes metal particles and a binder in the shape of an orthodontic bracket and/or base plate. The green metal body is fabricated by being laser-cut with a laser to shape the green metal body into the shape of an orthodontic bracket and/or to carve recesses and/or undercuts into the bonding surface of the bracket. The green metal body is sintered to shrink its volume into a denser and less porous sintered metal body configured to be an orthodontic bracket. The resultant sintered orthodontic bracket includes recesses and/or undercuts in the bonding surface to provide a mechanical aspect when bonded to a tooth.

Abstract: The invention relates to a method of obtaining a string of patterns, comprising the steps of: hollowing out an impression (2) in a slab (1), the impression comprising a sequence of patterns touching one another; causing a material (6) for taking the shape of the impression to penetrate into the impression so as to obtain a sequence of patterns (11) in relief; stiffening the sequence of patterns to obtain a male shape (10) suitable for being molded; and making a molding of the male shape.

Abstract: An aesthetic, partially removable orthodontic appliance is described, including a polymeric body that conforms to the lingual soft tissue and at least one wire member extending from the polymeric body. Each wire member releasably engages with a respective anchor that is, in turn, connected to the lingual surface of a respective tooth when the polymeric body is moved in a generally gingival direction into abutting relationship with the lingual soft tissue. Other features of the appliance include self-guiding magnetic couplings and couplings based on interlocking mechanical structures that provide releasable engagement between the removable section and the anchors, as well as related methods for making and using the same.

Abstract: An invisible removable orthodontic repositioning appliance with a lower modulus inner lining for systematically aligning teeth from an initial tooth arrangement to a final tooth arrangement while minimizing propensity for root and bone resorption due to the lower modulus is disclosed. The aligning of the teeth may be accomplished by taking impressions at various intervals for greater accuracy in the event of a distorted impression. Patient impression and/or model may then be digitally scanned. Using 3D software, tooth position may be incrementally modified toward idealized position and associated stress analyzed. Final modified model and associated appliance may be fabricated for orthodontic movement using 3D printing. Each appliance may be numerically identified to maintain uniformity of application from start of treatment to completion.

Abstract: A patient-specific bone implant has a porous body with a core material covered with tantalum. It is made with unique outer dimensions selected to match a specific patient.

Abstract: According to one embodiment, a method of forming an orthodontic appliance includes forming an arch configured to custom fit a plurality of teeth. The method may further include coupling a plurality of wire receptors to at least two of: a first surface of the arch corresponding to the lingual surfaces of the plurality of teeth; a second surface of the arch corresponding to the labial surfaces of the plurality of teeth; and a third surface of the arch corresponding to the occusal surfaces of the plurality of teeth. Selected portions of the composite arch may be separated. A first pair of the plurality of wire receptors may be coupled together using a first orthodontic wire. A second pair of the plurality of wire receptors may be coupled together using a second orthodontic wire.

Abstract: Methods and devices utilizing a dental appliance for dental retainer wire attachment are disclosed. One such wire attachment appliance includes a shell having one or more cavities formed therein and shaped to receive one or more teeth, at least two wire attachment members provided on the shell, and at least one attachment material reservoir provided on the shell, wherein the attachment material is provided to attach a wire to a tooth adjacent to a particular reservoir of the at least one attachment material reservoir.

Abstract: An endodontic instrument and method for making same is provided. A rod of superelastic material is set into a shaped configuration to form an instrument, such that the instrument may be inserted into a root canal in a configuration different than the shaped configuration and revert towards its shaped configuration during the endodontic procedure.

Abstract: Method for manufacturing a dental instrument having a desired machined configuration, without twisting the instrument. A blank of superelastic material is brought to an annealed state comprising a phase structure including a rhombohedral phase alone or in combination with austenite and/or martensite, or a combination of martensite and austenite. In this annealed state, a portion of the annealed material is removed at low temperature, for example less than about 100° C., and advantageously at ambient temperature, to form a final machined configuration for the instrument. The instrument is then heat treated and rapidly quenched to a superelastic condition.

Abstract: A system to manufacture orthodontic appliances, program product, and associated methods are provided. An embodiment of a system can include a virtual orthodontic appliance design computer having orthodontic appliance design program product provided to design a virtual dimensional representation of an orthodontic appliance including bracket bodies and bracket pads, and a mold apparatus positioned to form each bracket body and bracket pad. The system also includes a data processing computer including computer-aided manufacturing program product provided to derive electrical discharge device control instructions including a virtual dimensional representation of a bracket slot in the bracket, and an electrical discharge machining apparatus. The electrical discharge machining apparatus can include a controller including control program product to derive a control signal carrying the electrical discharge device control instructions and an electrical discharge device.

Abstract: Endodontic instruments or intermediate products (e.g., blanks) used to form finished endodontic instruments having a desired cutting edge and/or taper are formed, at least in part, by molding a metal powder into a desired shape and then sintering the metal particles together. The metal powder is initially formed into a green molded part that is sintered to yield a solid metal part. The sintered metal part may optionally be further processed by additional steps, as needed, to yield a finished endodontic instrument. One additional process includes cold forming the sintered metal body to provide a cutting edge, remove cracks and microfissures, or otherwise modify the characteristics of an intermediate product or endodontic instrument. Other processes include chemical milling and mechanical milling, grinding or cutting to sharpen the cutting edge, form a taper, or otherwise modify the intermediate product or endodontic instrument in a desired manner.

Abstract: The invention provides a method of manufacturing a series of tooth positioners for incrementally repositioning one or more teeth of a patient from an initial configuration to a final configuration via one or more intermediate configurations. The method uses a composite model of the patient's teeth in the initial configuration, the composite model having a base and one or more discrete model teeth. Each model tooth includes a crown portion and a root portion and is mounted on the base in a tooth mounting portion of the base formed from a mounting material in which the root portion can be imbedded and retained in position but which can allow movement of the root portion through the tooth mounting portion upon application of a force to the crown portion of the model tooth. In the method, the position of one or more of the model teeth is changed to reconfigure the composite model to a first intermediate configuration. A negative impression of the first intermediate tooth configuration is then made.

Abstract: A metal orthodontic appliance with a polymer coating that becomes slippery when wetted, and a method of making the appliance which comprises cleaning and treating the metal surface of the appliance and coating the appliance with a hydrophilic polymer.

Abstract: Systems and methods are disclosed to fabricate a restorative prosthesis. The system includes a scanner to intra orally capture color and translucency information along with a three dimensional (3D) shape of the dentition being reconstructed. The system also includes a computer aided design (CAD) module to receive the color and translucency information and the 3D shape to render a color accurate representation of the prosthesis for review, wherein the color, translucency and surface information is combined in a single digital prescription which is electronically transferred to a laboratory or CAD/CAM system for fabrication. The system provides the capability for 3D shape, color and translucency characteristics of the final prosthesis to be measured and quantitatively compared to the prescribed requirements.

Abstract: A system and method for orthodontic alignment includes a radiographic template. The radiographic template has a plurality of metallic markers. A negative impression of a patient's dental arch is made. At least one orthodontic treatment aligner is produced. The aligner is manufactured based in part on a computed axial tomography (CT) scan of a patient wearing the radiographic template and a separate scan of the radiographic template, wherein the data is processed by superimposition of the orthodontic aligner on the CT images of the patient including a jaw in axial and panoramic views. In this manner, the tooth above the gum line, represented by the negative impression as well as the tooth below the gum line, represented by the CT data is used to design the orthodontic aligner.

Abstract: The present invention relates to an orthodontic wire and a manufacturing method thereof, and more particularly, to an orthodontic wire, which is not harmful to the human body and is capable of continuously holding the color of teeth, and a manufacturing method of the orthodontic wire. According to the present invention, there is provided an orthodontic wire, comprising a metal wire formed of a shape memory alloy material; a silver (Ag) film applied to a surface of the metal wire; and a polymer compound film applied to a surface of the silver (Ag) film to prevent the silver (Ag) film from being discolored.

Abstract: Methods of manufacturing an adhesive precoated orthodontic appliance are carried out by determining a quantity of the adhesive that is representative of a norm for bonding a particular appliance to a tooth that is representative of a patient population. An electronic template is provided to an orthodontic practitioner that includes data representing the norm. The practitioner may then elect to instruct the manufacturer to ship the selected appliance to the practitioner with a quantity of adhesive pre-applied to the appliance that differs from the determined norm.

Abstract: An indirect bonding apparatus is made by initially placing spacer material over a replica of the patient's tooth structure. A tray is then formed over the spacer material and hardened. Next, the spacer material is removed from the tooth replica and orthodontic appliances are placed on the replica at desired locations. A matrix material is placed between the tray and the replica and allowed to harden. Optionally, the apparatus includes features for facilitating removal of the transfer apparatus after the bonding procedure has been completed, and features for applying firm, uniform pressure to the appliances during the bonding procedure. Other aspects of indirect bonding are also described.

Abstract: A robotic system for forming features in orthodontic aligners includes a control system, a platen for three-dimensional positioning of the aligner, a heating station for selectively heating a small region of the aligner, and a thermoforming station for manipulating the heated region to form a desired feature in the aligner. Optionally, a laser cutting and trimming station can also be included to trim excess material from the aligner or to cut features into the aligner. The control system can include a processor with CAD software to enable a user to design features for aligners.

Abstract: The invention relates to a bracket for fixing to the interior or exterior face of a tooth, the bracket having a base, which lies against the tooth and in which a slot is configured to receive a wire bow. The slot runs essentially perpendicularly in the oral cavity, thus retaining the wire bow, which exerts forces and torques in an essentially horizontal direction, in an optimum position in the slot. The overall form of the inventive brackets is significantly rounder than brackets in prior art and the brackets are thus much more comfortable for the patient to wear. The invention also relates to a method, according to which the form of the brackets is individually adapted to each tooth of a patient, in order to optimize the displacement of the dental bow into its ideal position and the fixing of the brackets to the tooth.

Abstract: A scanning system for carrying out a 3D scan of a tooth model includes an imaging device and a positioning system in the form of a sliding panel which can be positioned and has first locking means. On the locking panel there are provided second locking means which interact with the first locking means such that the sliding panel can assume one of several specified positions relative to the locking panel and locks in the selected position. The sliding panel has means for mounting a dental model and stands on projections disposed on its underside. A 3D scan of a tooth model is provided by creating a first image of the object to be scanned at a precisely defined locked position, moving the sliding panel to at least one further precisely defined locked position and creating another image at each such position, and creating a 3D data set by evaluating the images produced at least two different, precisely defined positions.

Abstract: Alternative methods are described for machining a root-canal instrument, such as a root-canal reamer, which includes a working section having three flutes forming three cutting lips which are located at the apices of an isosceles triangle.

Abstract: Method for manufacturing endodontic instruments having either helical or non-helical flutes with hard surfaces and resilient cutting edges by either an EDM or ECM process, wherein material is removed from the instrument blank in the desired flute pattern. The EDM or ECM process disintegrates the surface material, and as it cools, at least a portion of the removed material re-deposits onto the surface being machined to form a recast layer having a surface hardness that is at least about 15% greater than the hardness of the material forming the instrument blank.

Abstract: A quantity of a photocurable composition, such as an orthodontic adhesive containing a photoinitiator, is placed between the base of an orthodontic appliance and a replica of a patient's tooth structure. The replica is made using a material that transmits actinic radiation. As the appliance is pressed into firm contact with the replica tooth structure, an outer surface of the photocurable composition assumes the configuration of the underlying portion of the replica tooth structure. Actinic radiation is then directed to the photocurable composition, and at least part of the actinic radiation is directed through the replica tooth model in order to harden the photocurable composition. The hardened composition provides a contoured bonding surface having a shape that matches corresponding regions of the patient's tooth structure. Methods are also disclosed for making an orthodontic indirect bonding transfer apparatus for use with appliances having a contoured bonding surface.

Abstract: A dental template to position an object on a patient's tooth includes digitizing the patient's tooth; adding virtual objects to predetermined locations on the digitized tooth; and fabricating the dental template to locate the object on the patient's tooth. The template can be used for etching or for positioning brackets on teeth.

Abstract: An indirect bonding apparatus is made by initially placing spacer material over a replica of the patient's tooth structure. A tray is then formed over the spacer material and hardened. Next, the spacer material is removed from the tooth replica and orthodontic appliances are placed on the replica at desired locations. A matrix material is placed between the tray and the replica and allowed to harden. Optionally, the apparatus includes features for facilitating removal of the transfer apparatus after the bonding procedure has been completed, and features for applying firm, uniform pressure to the appliances during the bonding procedure. Other aspects of indirect bonding are also described.

Abstract: A method for applying a desired shape to an orthodontic archwire includes the steps of obtaining a numerical description of the desired shape of an orthodontic archwire, generating a description of the design of a fixture basing on the numerical description, manufacturing a fixture basing on this description of the design, constraining a wire into the fixture and applying an adequate treatment to the wire in order to cause it to adopt the shape dictated by the fixture.

Abstract: A method of manufacturing endodontic files involves a chemical milling process to yield endodontic files having a desired taper. The process involves the steps of (a) providing a metallic rod having a cutting portion with a polygonal cross section; (b) torsioning the rod so as to form helical cutting surfaces in the cutting portion of the metallic rod; and (c) chemically milling the cutting portion of the rod so as to taper the cutting portion. The rod may be formed of any desirable metallic material, for example stainless steel or a nickel-titanium alloy.

Abstract: Solid free form fabrication techniques such as fused deposition modeling and three-dimensional printing are used to create a shell or die used in the manufacture of a dental restoration. Three-dimensional printing includes ink-jet printing a binder into selected areas of sequentially deposited layers of powder. Each layer is created by spreading a thin layer of powder over the surface of a powder bed. Instructions for each layer may be derived directly from a CAD representation of the restoration. The area to be printed is obtained by computing the area of intersection between the desired plane and the CAD representation of the object. All the layers required for an aesthetically sound shell can be deposited concurrently slice after slice and sintered/cured simultaneously.

Abstract: An endodontic instrument for use in performing root canal therapy on a tooth having at least one straight flute which prevents self-threading or screwing of the instrument into a root canal during use. The instrument includes a shaft having a longitudinal central axis, a shank portion and an elongated working portion extending from the shank portion along the central axis, the elongated working portion having a proximal end, a distal end, and at least one peripheral surface and at least one straight flute formed on at least a portion of the peripheral surface of the working portion, the straight flute forming at least one cutting edge on the peripheral surface. The straight flute may be formed of a plurality of flute sections disposed on the peripheral surface of the instrument, the plurality of flute sections angularly displaced about the central axis with respect to one another. A method of manufacturing an endodontic instrument is also disclosed.

Abstract: A method for applying a desired shape to an orthodontic archwire includes the steps of obtaining a numerical description of the desired shape of an orthodontic archwire, generating a description of the design of a fixture basing on the numerical description, manufacturing a fixture basing on this description of the design, constraining a wire into the fixture and applying an adequate treatment to the wire in order to cause it to adopt the shape dictated by the fixture.

Abstract: A method for applying a desired shape to an orthodontic archwire includes the steps of obtaining a numerical description of the desired shape of an orthodontic archwire, generating a description of the design of a fixture basing on the numerical description, manufacturing a fixture basing on this description of the design, constraining a wire into the fixture and applying an adequate treatment to the wire in order to cause it to adopt the shape dictated by the fixture.