Note : Les descriptions sont présentées dans la langue officielle dans laquelle elles ont été soumises.
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LENTULO DRILL FOR DENTAL POST SYSTEM
Background Of Tl~e Invention
This invention relates to a novel method for placing a
dental post inta a tc:~ath root canal, and more particularly,
to a dental post sys~:em~ that utilizes a slotted tap and a
reverse lentulo drill.
In conventional root canal t:echnic~ues, it is generally
the practice to firsi~, form a post.-hole in a selected tooth,
after which a dental prefabricated post is placed therein.
:Lfl Then, the denti~~t or dental practitioner builds up the core
using a corm build-ul=~ material, after which a crown is
applied thereover.
One example of a. prefabricated post is the product
FLEXI-POST, :manufactu.red by Essential dental Systems, :Inc.
:L5 of South Ha~:kensack, New Jersey and described in ti.S. Patent
Nos. 4 , 490, :L16 and RIu 31, 948. This dental po~;t has a
threaded outside for generating c~raovos in+:.o t:he post hole
of a tooth as the post is threadingly inserted therein. The
product also has relc3tively spaced lega that define a longi-
20 tudinally extending M at. The legs move radially to absorb
vhreading torque and other forceC. Thc-=refore, the legs
prevent the ~~pplicat.~or. of such forces and stresses to the
walls of the tcoth root so as to permit the dental post to
be threaded ~~rithout fracture of tha tooth. In other words,
5 threading th~~ post into the root canal causes the slot of
the post to ;~t Least partially collapse, thereby reducing
stress while the post: is being threaded. However, the use
of a slotted post such as FLEXI-POST does have certain
disadvantage:. Since FLEXI-POST is not a solid post, there
:3Q is the risk of increa sed metal fatigue.
In man;% systems used in dentistry today, a substantial-
ly solid ta~~ is used t.~ trial thread a root canal. The
purpose of t:.lze tap i~~ to create the grooves along the post
hole in the :root canal. once this is done, a solid post is
:35 seated in t>::c~ post hale: in which the grooves were formed by
the threads c~f the paveviously used tap.
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Although at first examination, it would appear that use
of a solid tap would produce less stress during insertion
than if one simply took a solid threaded post and trial
seated it into the root canal. However, use of such a solid
tap for creating grooves in the post hole does apply a ,
significant amount of force and stress to the walls of the
tooth root, and there is still a risk of fracture to the
tooth when using a tap. This is because there is substan-
tially no flexibility between the tooth and the thread
l0 formed along the post-hole.
Another problem with most dental post systems is the
difficulty of applying cement along the post hale prior to
insertion of the dental post. In some systems, a lentulo
drill is used, which essentially comprises a spiral wire
which sprays cement radially along the post hole. In other
words, if the end or apex of the post hole is open, the
cement can often be sprayed by the lentulo drill wire beyond
the confines of the post hole. This is because of the
Gentrifying action of the spiral -- no stop is found on a
conventional lentulo drill.
Accordingly, it would be desirable to provide a
dental post system including a tap and lentulo drill which
overcomes these disadvantages.
Summary Of The Tnvention
Generally speaking it accordance with the invention, a
method and system for inserting a dental post into a tooth
root canal is provided. The method comprises the steps of
cutting out a post hole in the tooth and inserting a thread-
ed tap into the post hole for creating at least one groove
along the hole. Significantly, the tap includes at least
one slot defined by a pair of flexible legs and running at
least a portion of the length thereof for reducing stress
along the post hole during threaded insertion.
Thereafter, the tap is unthreaded from the post hole in
order to reveal at least one groove that was formed by the
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slotted tap which runs along the post hole. Cement is
placed either along the post hole or on the post itself and
the post is finally threaded into the post hole.
In practice, the slotted tap comprises a depending
shaft and at least one flange located adjacent the shaft
with a diameter that is larger than the diameter of the
shaft. The tap is adapted to be received in the post hole
with the flange seated along an annular tier formed in the
hole. In this situation, and since size, shape and configu-
ration of the past must be substantially similar to that of
the tap, the post also includes a depending shaft and at
least one flange to be selectively seated along the annular
tier formed in the post hole.
The advantage of using the dental system of the inven-
tion is to prevent the application of forces and stress to
the walls of the post hole when forming the necessary groove
or grooves therealong for the dental post. Also, since a
solid post is threaded, the dental restoration is stronger
and more resistant to metal fatigue.
As part of the invention, a specially designed lentulo
drill is used to radially apply cement to the wall of the
post hole prior to insertion of the dental post. The len-
tulo drill comprises a spiraled wire having a reverse spiral
configuration along the-most apical end thereof. This
reverse spiral acts as a stop on the apical whipping of the
cement during operation of the drill, thereby confining the
placement of the cement to the length of the post hole along
which the dental post is to be inserted. .
Accordingly, it would be desirable to provide an im-
proved dental past system for a tooth root canal.
Another object of the invention is to provide a dental
tap having a slot running at least a portion of the length
thereof for preventing the application of forces and stress
to the walls of the post hole.
A further object of the invention is to provide a
system for a dental root canal which utilizes a slotted tap
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and a substantially solid post.
Yet another object of the invention is to provide a
dental post system for a dental root canal in which cement .
is applied to the post hole utilizing a lentulo drill with a
reverse spiral on the most apical end.
Still other objects and advantages of the invention
will in part be obvious, and will in part be apparent from
the following description..
The invention accordingly comprises the several steps
and the relation of one or more such steps with respect to
each of the others, the system embodying the features of
construction, combination of elements, and arrangement of
parts which are adapted to effect such steps, and the prod-
uct or products Which possess the characteristics, proper-
ties and relation of components, all as exemplified in the
detailed disclosure hereinafter set forth, and the scope of
the invention will be indicated in the claims.
Description of the Drawings
For a fuller understanding of the invention, reference
is made to the following description, taken in connection
with the accompanying drawings, in which:
FIG. 1 is plan view in partial cross-section. showing
formation of a post hole in a tooth having an elongated
shaft and a shortened tier;
FIG. 2 is plan view in partial cross-section illustrat-
ing the threaded slotted tap of the invention after it has
been threaded into the tooth post hole:
FIG. 3 is a cross-sectional view taken along line 3 - 3
of FIG. 2;
FIG. 4 is a plan view illustrating the lentulo drill of
the invention with the reverse spiral wire at its apical
tip;
FIG. 5 is a broken plan view in partial cross-section
illustrating insertion of the spiral wire of the lentulo tip
into the post hole of the tooth:
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FIG. 6 is a broken plan view in partial cross-section
similar to FIG. 5, but illustrating operation of the lentulo
drill as the wire thereof radially sprays cement along the
wall of the post hole:
FIG. 7 is a cross-sectional view taken along line 7 - 7
of FIG. 6; and
FIG. 8 is a broken plan view in partial cross-section
showing a substantially solid post after it has been thread-
ingly inserted into the post hole of the tooth and with core
material and a crown applied thereover.
Detailed Description
of the Preferred Embodiments
Referring first to FIG. l, a post hole generally indi
cated at 17 is shown formed in a tooth 11. Post hole 17 is
typically prepared by means of a cutting drill, a primary
reamer and a countersink drill bit, as is well known in the
art. The cutting drill is first used to prepare the post
hole. The primary reamer is used next and comprises a
rotating shaft which is contained in a conventional dental
drill. The primary reamer is drilled into the post hole in
order to widen the post hole to the desired diameter. The
countersink drill bit comprises a shaft and a head having a
plurality of annularly spaced teeth and the countersink
drill bit is used in order to cut one or more preparations
in the post hole. As shown in FIG. 1, post hole 17 includes
a bore 15 and a tier 13. For a further description of the
use of a cutting drill, a primary reamer and countersink
drill, reference is made to U.S. Patent No. 5,348,476 to
Cohen et al.
30' Turning now to FIGS. 2 and 3, a slotted tap 19 in
accordance with the invention is shown. Slotted tap 19
comprises a shaft 21 formed unitarily with a body or flange
member 23 that is connected to head 25. Shaft 21, body 23
and head 25 are all integrally connected together and formed
as a unitary structure with a continuously running thread 33
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formed along shaft 21 and body 23. Thread 33 is used to
create a continuously running groove along the wall of post
hole 15, as described below. Tap 19 is preferably made from
stainless steel, titanium or titanium alloy.
Shaft 21 is divided and separated into a desired plu- ~,
rality of substantially flexible legs exemplified in the
drawing by two legs 27 and 29. Legs 27 and 29 are relative-
ly spaced by a slot 31 that extends fully along the length
of the shaft and body 23 where it terminates at head 25.
Slot 31 is sized such as to permit legs 27 and 29 to absorb
radial forces that are applied to the legs when shaft 19 is
threaded into post hole 17, as shown in FIG. 2.
In particular, tap 19 is selected in size to match the
size of post hole 17 that was prepared by the primary reamer
and countersink drill, as described above. Slotted tap 19
is threadingly inserted into post hole 17 by rotating head
in a conventional manner, preferably by hand, until tips
of legs 29 reach the apical end of post hole 15.
Dental debris is collected in slot 31, as shown in FIG. 2,
20 as tap 19 is threaded in post hole 17, which is later re-
moved when tap I9 is unthreaded.
By using tap 19 of the invention, a continuously run-
ning groove (see FIG. 5) is formed along the wall of post
hole 15. Moreover, since legs 27 and 29 are flexible and
25 spaced apart by slot 31, the legs absorb the threading
torque and other forces produced during the threading opera-
tion in order to prevent the application of such forces and
stresses to the wall of post hole 17. Consequently, the
risk of fracture to tooth 11 is substantially reduced.
30 If the tap 19 does not fully seat in post hole 17 such
that body 23 is not in the hole, it would be necessary to
apically cut the tap along shaft 2l. to seat the tap appro-
priately. This results in a threaded pattern that is appro-
priate for both tier 13 and bore 15.
Once threading of post hole 17 is completed, tap 19 is
then unthreaded therefrom by rotating head 25 thereof in the
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opposite direction. As can be seen in FIG. 5, post hole 17,
along both bore 15 and tier 13, now incorporates a running
groove therealong that will be used for threadingly receiv-
ing a substantially solid dental post, as described below.
Turning now to FIG. 4, a lentulo drill, generally indi-
cated at 37, and made in accordance with the invention, is
now described. Drill 37 is used for applying a dental
'cement along post hole 17 and comprises a shaft 39 which can
be selectively retained in a powered dental handpiece, and
an extending spiral wire 41. Wire 41 comprises a main wire
portion 42, and apical wire portion 43 (identified in FIG.
4) .
As best shown in FIG. 5, main wire portion 42 includes
a series of forward helical spirals. On the other hand,
apical wire portion 43 includes a spiral wire configuration
that is different from the rest of the wire 41, that is, it
incorporates or comprises a reverse spiral wire configura-
tion. In other words, main wire portion 42 will have a
series of spirals which are in either a clockwise or coun-
terclockwise rotational direction, while wire portion 43
will have a series of spirals with the opposite rotational
direction. Such a configuration is used to prevent cement
placement along post hole 17 beyond where the dental post is
to be placed. Preferably, the reversed spiral wire configu-
ration is no greater than 50% of the length of wire 41 that
is inserted in post hole 17, as shown in FIG. 5.
In FIGS. 5 - 7, operation of lentulo drill 37 for
applying a dental cement to post hole 17 is now described.
Spiral wire 41 of drill 37 is inserted into post hole 17
(which now includes running groove 45 formed by tap 19)
until the tip of wire 41 is located just below where post
hole 17 begins to narrow (see FIG. .5). Then, lentulo drill
37 is operated in order to rapidly rotate spiral wire 41, as
shown in FIG. 7. Spiral wire 41, as alluded to above, has
been previously dipped in or otherwise applied with an
appropriate dental cement that is suitable for dental post
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application. Consequently, when wire 41 rotates, the ap-
plied cement is radially sprayed from wire 41 to the wall of
post hole 17. With respect to wire portion 42, cement is
sprayed radially in both a somewhat upward and downward
direction (see arrows in top portion of FIG. 6). However,
because apical wire portion 43 has a reverse spiral configu-
ration, cement is only radially sprayed therefrom in either
a slightly up or sideways direction (see arrows in bottom
portion of FIG. 6) -- no cement is sprayed below Where post
hole 17 along bore 15 begins to narrow. Thus, cement is
placed only along the portion of the post hole where the
dental post is to be inserted.
once cement application is complete, and referring to
FIG. 8, a substantially solid dental post generally indicat-
ed at 51 is selected which matches the size of the post hole
that has been prepared. The dental post is made from stain-
less steel, titanium, titanium alloy or gold. Dental post
51 comprises a body 55 sized to sit along tier I3 of post
hole 17, an extending shaft 53 and a head 57. Shaft 53 and
body 55 are formed with a continuous thread 59 which runs
therealong and which is sized to engage running groove 45
formed along the wall of post hole 17. In use, post 51 is
threadingly inserted into post hole 17 until. head 57 sits
flush along the surface of tooth 1-1, body 55 rests along
tier 13 and the end of shaft 53 is disposed along past hole
17 where post hole 17 begins to narrow -- see FIG. 8.
In concluding the root canal procedure, a core material
63 is built up over head 57 of post 51, which may include a
series of grooves 61 (vertical and horizontal) for facili-
tating engagement with the core material. Then, a crown 67
is placed over core material 63 in a conventional fashion.
Although in the preferred system, the lentulo drill is
used to apply cement along the wall of the post hole prior
to insertion of the dental post, cement may instead be
applied to the wall of the post hole by means of a dental
instrument or explorer, as is well known. Alternatively,
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the dental post to be inserted can be first painted or
otherwise applied with a cement prior to insertion in the
post hole.
Although the lentulo drill of the invention preferably
has a reverse spiral configuration along its most apical
end, the reverse spiral configuration could extend beyond
the apical end and even along substantially all of the
entire wire.
It will thus be seen that the objects set forth above,
among those made apparent from the preceding description,
are efficiently attained and, since certain changes may be
made in carrying out the above process, in the described
products, and in the construction set forth above, without
departing from the spirit and scope of the invention, it is
intended that all matter contained in the above description
and shown in the accompanying drawings shall be interpreted
as illustrative and not in a limiting sense.
It is also to be understood that the following claims
are intended to cover all of the generic and specific fea
tures of the invention described herein, and all statements
of the scope of the invention which, as a matter of lan-
guage, might be said to fall therebetween.
