Endodontic instruments coated with multiple viscosities of gutta-percha

Abstract

Disclosed herein is an obturator for filling an endodontically prepared root canal and a method of manufacturing the obturator. The obturator includes an elongate carrier having a distal end, a proximal end, and a working portion coated thereon with a combination of filler materials having multiple viscosities.

Description

[Technical field]

[0001] CROSS-REFERENCE TO RELATED APPLICATIONS This patent application claims the benefit of and priority to U.S. Provisional Application No. 62 / 942,981, filed December 3, 2019, and U.S. Provisional Application No. 62 / 943,002, filed December 3, 2019, which are incorporated herein by reference for all purposes.

[0002] The present disclosure provides an obturator for filling an endodontically prepared root canal and a method of manufacturing the obturator. The obturator includes an elongate carrier having a distal end, a proximal end, and a working portion having a surface coated with a combination of filler materials having multiple viscosities. [Background technology]

[0003] One of the major problems with current obturators for filling endodontically prepared root canals is that they leave a large amount of gutta-percha in the pulp chamber, and if the gutta-percha is allowed to get scraped away or become stuck in the pulp chamber, it is not filling the root canal space / anatomy.

[0004] Obturators having different configurations are known. US Patent No. 5,833,457 discloses an obturator for use in filling endodontically prepared root canals in teeth, comprising an elongated body having a handle portion and a shaft. The shaft tapers from the handle towards the shaft distal end, and the shaft has an outer surface having a generally linear groove therein that extends from near the handle to, or at least adjacent to, the shaft distal end. The groove provides (a) a channel for the flow of excess filling material when the shaft is positioned in the prepared root canal, (b) increased flexibility of the shaft, and (c) a passageway for receiving a thin tapered metallic retrieval tool, such as a typical endodontic file, to aid in the removal of the shaft from the root canal.

[0005] US Patent Application Publication No. 2017 / 0071698 describes an endodontic obturator for obturating a root canal having a wire, a carrier, and a sheath made of a conductor. The carrier is configured to removably couple to the wire. The sheath is configured to slidably receive the carrier and is made of a second thermosetting material. The carrier is formed from gutta-percha having a high melting temperature. The sheath is formed from gutta-percha having a melting temperature lower than the melting temperature of the gutta-percha forming the carrier. The sheath also includes thermally conductive particles that improve the thermomechanical properties of the gutta-percha, for example by increasing the thermal conductivity of the gutta-percha. The sheath may have a melting temperature of about 80°C to about 90°C, and the carrier may have a melting temperature of about 180°C to about 220°C. A method of making an endodontic obturator is also disclosed. The method includes molding a carrier made of a first thermosetting material around a conductive wire, molding a sheath made of a second thermosetting material, and bonding the carrier and sheath.

[0006] US Patent Application Publication No. 2019 / 0117336 describes a root canal filling device with a flexible core member coupled to a rigid post member and a method for manufacturing the root canal filling device. The method includes forming a flexible core member, heating an end of the flexible core member to form a softened transition section, and inserting a rigid post member into the softened transition section. The flexible core member includes gutta-percha and the rigid post member includes a fibrous material such as gutta-percha.

[0007] US Patent Application Publication No. 2008 / 0108015 discloses the manufacture of dental posts and obturators in which a filler material is applied to the tip of the post and obturator so that the adhesion strength between the filler material and the post or obturator is very high. The post or obturator with the main body and carrier is manufactured by one of matched die process, autoclave molding, resin injection molding (RIM), sheet, premix and bulk molding, press molding, injection molding, reaction injection molding, resin transfer molding (RTM), compression molding, open mold molding, hand rolling, dipping and rolling, pressing, extrusion, pultrusion and filament winding. After the obturator carrier is manufactured, it is coated with a filler material. The filler material may be applied by any known means such as dipping, injection molding, hand rolling and spraying. The filler material may be attached to the post and obturator by subjecting the surface of the post and obturator to one or more corona or plasma treatments and then applying the filler material to the surface-treated post and obturator.

[0008] US Patent No. 7,252,508 discloses an endodontic obturator with a shaft portion and a filler portion made of the same material and formed as a single unit. The handle portion may be included in the shaft portion and the filler portion as a single unit and formed integrally therewith, or may be made separately and attached to the single unit including the shaft portion and the filler portion. Also provided is an endodontic post with a post portion and a filler portion made of the same matrix material to obtain a tight bond between the two portions. This material is typically a thermoplastic resin, synthetic rubber, a chemoplastic resin (i.e., that may be softened by chemicals), a resinous or similar polymeric material.

[0009] US Patent Application Publication No. 2008 / 0274439 provides a kit-of-parts comprising: (i) a dental device for use in obturating a root canal, comprising a tapered obturation point portion integrally connected at a distal end of a functional portion comprising (a) a neck portion adjacent to the obturation point portion and (b) a handle portion; and (ii) a dental sealant composition, the dental device being made of a material obtainable by hardening a composition containing one or more hardenable components contained in the dental sealant. The dental device may be formed by compression molding, in which a heated mold is pressed tightly around a preformed blank. More preferably, the dental device may be formed by injection molding, in which a powder or pellets is liquefied, injected into the mold, cooled under pressure, and removed. An injection unit is operated such that the material is heated in the injection nozzle to a temperature that is 110°C to 150°C above the glass transition temperature of the material for injection molding.

[0010] US Patent Application Publication No. 2007 / 0131139 discloses an endodontic post comprising a post portion, a tip portion including a filler material comprising a thermoplastic polymer having a bond strength of about 3 MPa or greater when bonded to a root canal sealant, and optionally a bioactive filler material, the thermoplastic polymer acting as a matrix for the bioactive material.

[0011] The majority of endodontic obturators are made with a shaft having a distal end covered with a filling material such as gutta-percha. For example, U.S. Patent No. 5,595,486 describes an apparatus and method for filling an endodontically prepared tooth. The apparatus comprises a carrier. A dental post is integrally attached to the carrier. A filling material surrounds the carrier and a portion of the post. The filling material is gutta-percha. U.S. Patent Application Publication No. 2008 / 0108009 discloses an obturator including an elongated shaft and a flowable filling material disposed on the elongated shaft, the elongated shaft being made from a polymer plastic having bismuth particles dispersed therethrough. The flowable filling material includes gutta-percha.

[0012] US Patent No. 7,665,991 describes an endodontic obturator for filling endodontically prepared root canals of teeth. The endodontic obturator comprises an elongated shaft having a proximal portion and a distal portion. The proximal portion has a handle portion connected thereto or is adapted to be detachably connected to the handle portion. A layer of filling material is coated around the shaft. The filling material has a low operating temperature at which it becomes plasticized or partially melted. The filling material in the layer located near the proximal end may have a higher viscosity at the operating temperature than the filling material closer to the distal end. The filling material has a composition including gutta-percha and / or polycaprolactone. When an obturator having a pre-heated (to a temperature at which substantially all of the filling material is melted or plasticized) layer of filling material is inserted into the root canal and performed with the handle, a first portion of the filling material exerts a plunger effect against a second portion of the filling material, thereby increasing the pressure at the apex of the tooth and resulting in a more complete (three-dimensional) filling of the root canal having cracks and enlargements.

[0013] U.S. Patent Application Publication No. 2010 / 0167232 discloses an obturator for use in filling an endodontically prepared root canal including a shaft having a proximal end and a distal end and a filler material disposed on the shaft, the shaft being made of a material including a thermoplastic matrix material, a filler material, and a processing aid, the thermoplastic matrix material having a molding temperature of about 300° C. or greater and a melting temperature in the range of about 150° C. to about 200° C., and the shaft being dissolvable in a dental solvent. The filler material is gutta-percha. Also disclosed is a method of making an endodontic obturator, comprising the steps of mixing together a thermoplastic matrix material, a filler material, and a processing aid to form a mixture, wherein the thermoplastic matrix material has a molding temperature above about 300°C and a melting temperature in the range of about 150°C to about 200°C; heating the mixture to a temperature in the range of about 285°C to about 305°C; injection molding the heated mixture at a temperature in the range of about 335°C to about 390°C to form a shaft having a distal end and a proximal end; and applying a filler material to the shaft.

[0014] No. 5,089,183 describes a method of manufacturing an instrument for use in filling endodontically prepared root canals, the method including the steps of forming a mold having a plurality of spaced apart elongated cavities therein, filling each of the cavities with unhardened endodontic filling material, inserting a shaft portion of a filling material carrier into each cavity, each filling material carrier having a handle portion remaining outside the mold, placing the mold with the unhardened filling material and filling material carrier therein in an oven, heating the mold with the unhardened filling material and filling material carrier therein to harden and adhere the filling material to the filling material carrier shaft portion, and removing the filling material carrier with the hardened filling material thereon, each of which is ready for use as an instrument for filling endodontically prepared root canals.

[0015] Several methods are known for obturating a completely removed root canal. For example, U.S. Patent No. 5,083,923 discloses a method for obturating a completely removed root canal utilizing two filling materials, one in the form of a gutta-percha point and the other being a thermoplasticized gutta-percha having a melting temperature approximately 15°-20°C lower than the melting temperature of the gutta-percha point. The steps of the method include introducing an initial amount of thermoplasticized gutta-percha into the root canal under heated and softened conditions such that the initial amount fills the bottom of the root canal. A gutta-percha point is then positioned in the root canal and another amount of thermoplasticized gutta-percha is introduced into the root canal under heated and softened conditions. The thermoplasticized gutta-percha is then manipulated into contact with a portion of the gutta-percha point positioned in the root canal, and the gutta-percha point is delivered into the root canal to be compacted with the thermoplasticized gutta-percha. Additional amounts of thermoplasticized gutta-percha are introduced and manipulated into contact with additional gutta-percha points as necessary to fill the canal with a core of filling material. One drawback of this method is that other processes must be repeated several times to completely fill the canal.

[0016] WO 93 / 14714 discloses a method for obturating a completely cleared root canal and an associated filling material utilizing two classes of gutta-percha, one of which becomes plasticized at a predetermined temperature and the other of which becomes plasticized at a temperature below the predetermined temperature. In one embodiment of the method, the second class of gutta-percha is coated around the first class when in a plasticized condition, and in another embodiment of the method, the second class is pre-coated around the first class and the second class is heated to a plasticized condition without plasticizing the first class. In either case, the first class of gutta-percha supports the plasticized second class when subsequently introduced into the root canal to fill the canal. To increase the stiffness of the first class of gutta-percha, the first class may be coated with a hardened layer of methyl methacrylate before the second class of gutta-percha is coated around the first class. To use either of the filling material assemblies, the assembly is heated so that the outer coating of the second class of gutta-percha becomes plasticized while the first coating of the first class of gutta-percha remains unplasticized. This allows the second class of gutta-percha to flow into the pulp region during insertion into the root canal. After the two classes of gutta-percha have been introduced into the root canal, they may be condensed within the root canal system.

[0017] U.S. Patent No. 5,302,129 describes an endodontic procedure that involves completely removing the root canal of a tooth and then inserting a mechanically driven compactor coated with alpha-phase gutta-percha into the completely removed root canal. The compactor is then rotated at a relatively high speed and the alpha-phase gutta-percha is plasticized solely by the frictional heat generated by the rotating compactor. The plasticized gutta-percha is forced radially outward and downward to fill all of the gaps in the root canal, after which the compactor is removed and the gutta-percha cools and solidifies. A crown may then be placed on the tooth over the gutta-percha in a conventional manner.

[0018] No. 6,312,261 describes a method of filling an endodontically prepared root canal including applying a filling material to a distal portion of an elongated shaft formed of a thermally conductive material, inserting a proximal portion of the shaft having the filling material thereon into the root canal, heating the shaft to reduce the surface tension of the filling material, and removing the shaft to leave the filling material in the root canal. An obturator system for carrying out this method of filling an endodontically prepared root canal employs an elongated thermally conductive shaft having proximal and distal portions with a filling material on the distal portion, a distal portion of the shaft having the filling material thereon and insertable into the root canal, and a heat source operable to selectively heat the shaft to allow the filling material to be removed while remaining in the root canal.

[0019] U.S. Patent No. 9,023,917 describes a carrier composition for filling dental root canals, comprising a thermosetting material which is about 1% to about 25% cis 1-4 polyisoprene, a hardener, about 25% to about 45% of a radiopaque agent having an average particle size of about 1.25 microns to about 2 microns, about 0.05% to about 50% of a filler, and about 0.5 to about 15% of an elastomer, wherein the cis 1-4 polyisoprene is present in a ratio ranging from about 10:1 to about 1:1 relative to the elastomer.

[0020] U.S. Patent No. 9,192,545 describes a root canal filling material comprising a matrix containing a heat-flowable material, the heat-flowable material being gutta-percha, and thermally conductive particles having a size of 1 micron or less being dispersed in the heat-flowable material of the matrix, the particles being non-metallic.

[0021] U.S. Patent No. 10,478,383 describes a root canal filling composition comprising a plurality of gutta-percha polymers having different Mooney index values, an antioxidant having particles with a particle size of 1000 nm or less, and a filler having particles with a particle size of 1000 nm or less, characterized in that the composition is capable of substantially maintaining its physical and chemical properties and shelf life after sterilization by irradiation.

[0022] A problem with root canal obturation that has not been adequately addressed by the prior art is how to more effectively fill the anatomy of the root canal. There is a continuing need to provide an obturator having a filling material disposed thereon that allows for a more apical and lateral filling of the root canal. Summary of the Invention

[0023] It is an object of the present disclosure to provide an obturator and a method of manufacturing an obturator that has a configuration that allows the filling material to flow more apically and laterally, and therefore can adequately fill the root canal anatomy. The obturator may be configured to have a coating of multiple viscosities. The filling material disposed on the surface of the obturator has improved flow characteristics that allow the filling material to flow more apically and laterally.

[0024] In a first aspect of the present disclosure, there is provided an obturator for filling an endodontically prepared root canal comprising an elongate carrier having a distal end and a proximal end, a working portion extending from the distal end towards the proximal end and having an apical portion, a coronal portion and a midpoint, and a coating of filling material surrounding the working portion of the carrier, the coating of filling material being disposed in at least three segments about the working portion, the at least three segments including a first segment of a first filling material characterized by a first viscosity, a second segment of a second filling material characterized by a second viscosity, and a third segment of a third filling material characterized by a third viscosity.

[0025] In a second aspect of the present disclosure, a method of manufacturing an obturator for filling an endodontically prepared root canal is provided, the obturator comprising an elongate carrier having a distal end, a proximal end, and a working portion having a surface coated with a combination of filler materials having multiple viscosities. The method includes the steps of: (a) providing a mold having a plurality of cavities therein; (b) placing at least two filler materials into each of the plurality of cavities of the mold; (c) baking the mold at a temperature of 98.9° C. to 154.4° C. for about 4 hours to about 24 hours to form a mold with a heated filler material comprising at least two filler materials, whereby the at least two filler materials have different viscosities when heated; (d) inserting a working portion of a carrier into the mold with the heated filler material; (e) placing a lid over the mold to maintain the carrier at the correct depth; (g) allowing the heated filler material to cool and solidify at about room temperature, thereby forming a coating comprising a combination of fillers having multiple viscosities on a surface of the working portion of the carrier, thereby forming an obturator; and (h) removing the obturator from the mold.

[0026] In yet another aspect of the present disclosure, a method of manufacturing an obturator is provided, the method including the steps of: (a) forming an initial coating of a first filler material on a surface of a working portion of a carrier; (b) filling a mold having a plurality of cavities therein with a second filler material; (c) baking the mold to form a mold with the heated second filler material; (d) inserting the initially coated working portion carrier into each cavity of the mold with the heated second filler material; (e) placing a lid over the second mold to maintain the elongated carrier at the correct depth; (f) cooling the second filler material to form a subsequent coating of the second filler material on a portion of the initially coated working portion carrier, thereby forming the obturator; and removing the obturator from the mold.

[0027] Other aspects will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the disclosure. [Brief description of the drawings]

[0028] [Figure 1A] A side view of the silicone mold 21 is shown. [Figure 1B] A side view of the silicone mold 22 is shown. [Figure 2A] A top view of the silicone mold 22 is shown. [Figure 2B] 1 shows a silicone mold including a lid. [Figure 3A] An obturator (40) is shown in one embodiment that includes multiple viscosity filler coatings. [Figure 3B] Another embodiment of an obturator (41) is shown that includes a multi-viscosity filler coating. [Figure 3C] A three-segment obturator (42) is shown. [Figure 4A] An embodiment of an obturator (43) is shown that includes multiple viscosity filler coatings. [Figure 4B] Another embodiment of an obturator (44) is shown that includes a multi-viscosity filler coating. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0029] These and other aspects, features and advantages of the present disclosure are described below in connection with various embodiments and with reference to the accompanying drawings.

[0030] The endodontic instrument of the present disclosure is designed with a configuration of filling material located on the surface of the device that allows more filling material to flow apically and laterally, thus properly filling the anatomy of the root canal. The endodontic instrument is an obturator for use in filling endodontically prepared root canals.

[0031] The endodontic instruments include an obturator for filling an endodontically prepared root canal comprising an elongated carrier having a distal end and a proximal end, a working portion extending from the distal end toward the proximal end and having an apical portion, a coronal portion and a midpoint, and a coating of filling material surrounding the working portion of the carrier, the coating of filling material being disposed in at least three segments about the working portion, the at least three segments including a first segment of a first filling material characterized by a first viscosity, a second segment of a second filling material characterized by a second viscosity, and a third segment of a third filling material characterized by a third viscosity.

[0032] An endodontic instrument according to the present disclosure includes a filler coating of multiple viscosities. In one embodiment of the obturator, the first viscosity is different from the second viscosity and the first viscosity is the same as the third viscosity.

[0033] The carrier may be made of a crosslinkable (e.g., thermosetting) material (e.g., a first rubber and / or plastic). Examples of crosslinkable materials include, but are not limited to, epoxides, phenolic resins (e.g., Bakelite), polyimides, formaldehyde resins (e.g., urea formaldehyde or melamine formaldehyde), polyester thermosets, unsaturated polyesters, polyurethanes, bismaleimides (BMI), silicones, and the like, or any combination thereof. The crosslinkable material may be present in an amount of about 1 wt% to about 70 wt% of the carrier composition, such as about 5 wt% to about 45 wt% (e.g., about 10 wt% to about 25 wt%). Examples of carrier compositions are disclosed in U.S. Pat. No. 9,675,528, the entire contents of which are incorporated herein by reference.

[0034] In one aspect of the obturator, a coating of filler material surrounds the working portion of the carrier, hi one embodiment, the coating is a combination of filler materials having multiple viscosities.

[0035] The filling material may be any known filling material, including, but not limited to, gutta-percha, thermoplastics, thermosets, chemoplastics, or other resinous or polymeric materials.

[0036] Examples of polymer fillers include polyacrylates / methacrylates, polyurethanes, polypropylenes, polyethylenes, polyamides, fluoropolymers, polyesters, polyphosphazenes, polyanhydrides, polysulfides, polyethers, epoxides, polycarbonates, polystyrenes, polyisoprenes, polybutadienes, polyphenylene oxides, silicone rubbers, polylactic acids, polyglycolides, polycaprolactones, polyamides, polyesteramides, polyorthoesters, polydioxanones, polyacetals, polyketals, polyorthocarbonates, polyhydroxybutyrates, polyhydroxyvalerates, polyalkylene oxalates, polyethylene oxides, polyalkylene succinates, poly(malic acid) polymers, polymaleic anhydrides, poly(methyl vinyl) ethers, poly(amino acids), chitin, chitosan, polyamides, polyesters, polyolefins, poly These include, but are not limited to, imides, polyarylates, polyurethanes, vinyl ester or epoxy based materials, styrene, styrene acrylonitrile, ABS polymers, polysulfones, polyacetals, polycarbonates, polyphenylene sulfides, polyaryl sulfides, acrylonitrile-butadiene-styrene copolymers, polyurethane dimethacrylate (hereinafter abbreviated as "UDMA"), triethylene glycol dimethacrylate (hereinafter abbreviated as "TEGDMA"), polyethylene glycol dimethacrylate (hereinafter abbreviated as "PEGDMA"), urethane dimethacrylate (hereinafter abbreviated as "UDMA"), hexanediol dimethacrylate (hereinafter abbreviated as "1,6-HDDMA") and polycarbonate dimethacrylate (hereinafter abbreviated as "PCDMA") and copolymers, terpolymers or combinations or mixtures thereof.

[0037] Examples of polyacrylates include, but are not limited to, polymethylmethacrylate, polyhydroxyethylmethacrylate, or hydroxyethylmethacrylate (HEMA). Examples of fluoropolymers include, but are not limited to, Teflon PTFE or Teflon PFA.

[0038] Examples of polyesters include, but are not limited to, polylactic acid, glycolide, polycaprolactone or copolymers thereof.An example of a silicone rubber is polysiloxane.

[0039] The fillers according to the present disclosure are characterized by different viscosities when heated.

[0040] The filling materials may be of the same formulation but prepared by different heat treatments to have different viscosities, for example, gutta-percha may be baked at 98.9°F to 154.4°C for 4 to 24 hours to achieve a low viscosity gutta-percha, or gutta-percha may be baked at 98.9°F to 154.4°C for 15 minutes to 4 hours to achieve a high viscosity gutta-percha, as disclosed in U.S. Pat. No. 5,372,759, which is incorporated herein by reference.

[0041] The filler may be different formulations having different initial viscosities. For example, a formulation for low or high viscosity may be a matrix including gutta-percha heat-flowable material and non-metallic heat-conductive particles of 1 micron or less in size dispersed in the heat-flowable material of the matrix, as disclosed in U.S. Patent No. 9,192,545, the entire contents of which are incorporated herein by reference.

[0042] Fillers for low flow or high viscosity may contain further processing aids such as antioxidants, waxes and / or saturated fatty acids.

[0043] For the obturator including a three-segment filler, the high viscosity filler at the distal end of the obturator can provide an "apical plug" effect, which helps prevent excess filler from extruding through the apex. In one embodiment of the obturator, the fillers are characterized by different viscosities when heated, e.g., a first filler characterized by a first viscosity, a second filler characterized by a second viscosity, and a third filler characterized by a third viscosity, etc.

[0044] In one embodiment of the obturator, the first filler material is characterized by a first viscosity having a target melt flow of 0-20 g / 10 min, or 0.5-15 g / 10 min, or 5-10 g / 10 min.

[0045] In another embodiment of the obturator, the second filler material is characterized by a second viscosity having a target melt flow of greater than 50 g / 10 min, or greater than 100 g / 10 min, or between 50 and 200 g / 10 min, or between 55 and 80 g / 10 min.

[0046] According to yet another embodiment of the obturator, the third filler material is characterized by a third viscosity having a target melt flow of 0-20 g / 10 min, or 0.5-15 g / 10 min, or 5-10 g / 10 min.

[0047] The above flow rates are tested using a mass of 2.26 kg, a temperature of 108° C. and an orifice diameter of 0.0823 inches.

[0048] In one embodiment of the obturator, the coating of filler material is disposed about the working portion in at least three segments, the at least three segments including a first segment of a first filler material characterized by a first viscosity, a second segment of a second filler material characterized by a second viscosity, and a third segment of a third filler material characterized by a third viscosity.

[0049] Each segment of the obturator may be arranged as a layer, e.g., one or two layers of filling material (initial and subsequent) having different viscosities. There may be a variation including a viscosity gradient in the filling material from the distal end to the coronal end of the filling material, or there is a viscosity gradient from the outer (subsequent layers) to the inner (initial layers) of the filling material.

[0050] Obturators having different filler configurations coated around the working portion are shown in Figures 3A, 3B, 3C, 4A and 4B. Obturators (40: shown in Figure 3A), (41: shown in Figure 3B), (42: shown in Figure 3C), (43: shown in Figure 4A) and (44: shown in Figure 4B) are shown herein. The obturator comprises an elongate carrier (31) having a distal end (32) and a proximal end (30), a working portion (33) extending from the distal end towards the proximal end. The distal end may have a diameter in the range of 0.2mm to 2mm. The working portion includes an apical portion (35), a coronal portion (34) and a midpoint (33a). The coronal portion (34) terminates at the coronal end (34a) and the apical portion (35) terminates at the distal end (32) or tip. The working portion (33) may be tapered or non-tapered. The taper may be a constant taper or a variable taper along the length of the working portion (33). The taper range may be 0% to 10%. The length of the working portion ranges from 14mm to 20mm in length.

[0051] In one embodiment of the obturator (42, FIG. 3C), the first segment (20a) extends from the distal end (32) of the carrier to a first point (35a) of the apical portion (35), the second segment (20b) extends from the first point (35a) of the apical portion to a midpoint (33a) of the working portion, and the third segment (20c) extends from the midpoint (33a) towards the coronal end (34a) of the working portion. The length of the first segment is 0.5 mm to 2 mm or 1 mm to 1.5 mm. The length of the second segment is 5 mm to 10 mm or 7 mm to 9 mm, and the length of the third segment is 5 mm to 10 mm or 7 mm to 9 mm. The first segment (20a) includes a first filler characterized by a first viscosity, the second segment (20b) includes a second filler characterized by a second viscosity, and the third segment (20c) includes a third filler characterized by a third viscosity.

[0052] In a more specific embodiment of the obturator (42, FIG. 3C), the first viscosity is different from the second viscosity and the first viscosity is the same as the third viscosity. The first segment (20a), the second segment (20b) and the third segment (20c) form a coating that surrounds the surface of the working portion from the coronal end to the distal end.

[0053] In another embodiment of the obturator (40, FIG. 3A), a first segment (10a) extends from the distal end (32) to a midpoint (33a), a second segment (10b) surrounds the first segment (10a) and extends from the distal end (32) to the midpoint (33a), and a third segment (10c) extends from the midpoint (33a) of the working portion (33) toward the coronal end (34a). The length of each of the first and second segments is 5 mm to 10 mm or 7 mm to 9 mm from the distal end. The length of the third segment is 5 mm to 10 mm from the midpoint to the coronal end. The first segment (10a) includes a first filler characterized by a first viscosity, the second segment (10b) includes a second filler characterized by a second viscosity, and the third segment (10c) includes a third filler characterized by a third viscosity.

[0054] In a more specific embodiment of the obturator (40, FIG. 3A), the first viscosity is different from the second viscosity and the first viscosity is the same as the third viscosity. Alternatively, when the first viscosity is the same as the third viscosity, the first segment (10a) and the third segment (10c) form an initial coating surrounding the surface of the working portion from the coronal end to the distal end, and the second segment (10b) coats the first segment (10a) and extends from the distal end (32) to the midpoint (33a). The total length of the first segment and the third segment is about 16 mm to about 19 mm, as measured from the distal end to the coronal end.

[0055] In yet another embodiment of the obturator (41, FIG. 3B), the second segment (15a) extends from the distal end (32) of the carrier toward the coronal end (34a), the first segment (15c) surrounds a portion of the second segment (15a) and extends from the midpoint (33a) of the working portion toward the coronal end (34a), and the third segment (15b) surrounds a portion of the second segment (15a) and extends from the distal end (32) to the midpoint (33a). The length of the second segment (15a) from the distal end (32) to the coronal end (34a) is about 16 mm or about 19 mm. The length of the first segment (15c) is 5 mm to 10 mm or 7 mm to 8 mm as measured from the midpoint (33a) of the working portion (33) toward the coronal end (34a). The third segment (15b) has a length of 5 mm to 10 mm or 7 mm to 9 mm as measured from the distal end (32) to the midpoint (33a). The first segment (15c) includes a first filler material characterized by a first viscosity, the second segment (15a) includes a second filler material characterized by a second viscosity, and the third segment (15b) includes a third filler material characterized by a third viscosity.

[0056] In a more specific embodiment of the obturator (41, FIG. 3B), the first viscosity is different from the second viscosity and the second viscosity is the same as the third viscosity. Alternatively, if the second viscosity is the same as the third viscosity, a portion of the second segment (15a) extends from the distal end (32) to the midpoint (33a), the third segment (15b) overlaps to form a coating surrounding the surface of the working portion, and the first segment (15c) coats a portion of the second segment (15a) and extends from the midpoint (33a) toward the coronal end (34a).

[0057] A further embodiment of the obturator (43, FIG. 4A) shows a transition between outer segments (50b) and (50c). The first segment (50a) extends downward from the coronal end (34a) of the carrier to the distal end (32), the second segment (50b) surrounds a portion of the first segment (10a) and extends from the distal end to the midpoint (33a), and the third segment (50c) extends from the midpoint (33a) of the working portion (33) toward the coronal end (34a). The first segment (50a) includes a first filler material characterized by a first viscosity, the second segment (50b) includes a second filler material characterized by a second viscosity, and the third segment (50c) includes a third filler material characterized by a third viscosity. In a more specific embodiment, the first viscosity is different from the second viscosity, and the first viscosity is the same as the third viscosity.

[0058] Yet a further embodiment of an obturator (44, FIG. 4B) shows a multi-viscosity filler coating having several segments: A first segment (60g) extends downward from the coronal end (34a) of the carrier to the distal end (32). The second segment (60a) extends from the distal end (32) of the carrier to a first point (35a) of the apical portion (35), the third segment (60b) extends from the first point (35a) of the apical portion to the midpoint (33a) of the working portion, the fourth segment (60c) extends from the midpoint (33a) of the working portion to the midpoint (33b), the fifth segment (60d) extends from the midpoint (33b) of the working portion to the midpoint (33c), the sixth segment (60e) extends from the midpoint (33c) of the working portion to the midpoint (33d), and the seventh segment (60f) extends from the midpoint (33d) of the working portion towards the coronal end (34a). The first segment (60g) has a length of about 16 mm or between 16 mm and about 19 mm as measured from the distal end to the coronal end. As will be appreciated by those skilled in the art, the number of segments above the first segment can vary according to the manufacturing process and can be as few as two overlapping segments or as many as ten overlapping segments. The second segment (60a) has a length of 0.5 mm to 2 mm or between 1 mm to 1.5 mm. The third segment (60b), fourth segment (60c), fifth segment (60d), sixth segment (60e) and seventh segment (60f) each have a length of 2 mm to 5 mm. The segments of the obturator can be formed using different filler materials characterized by different viscosities.

[0059] A method for manufacturing the present obturator is disclosed herein. The method for manufacturing the obturator 42 includes: (a) providing a mold having a plurality of cavities therein; (b) placing at least two filler materials into each of the plurality of cavities of the mold; (c) baking the mold at a temperature between 98.9° C. and 154.4° C. for about 4 hours to about 24 hours to form a mold having a heated filler comprising at least two fillers, whereby the at least two fillers have different viscosities when heated; (d) inserting the working portion of the carrier into a mold having a heated filler material; (e) placing a lid over the mold to maintain the carrier at the correct depth; (g) allowing the heated filler material to cool at about room temperature and solidify, and thereby form a coating including a combination of filler materials having multiple viscosities on a surface of the working portion of the carrier, thereby forming an obturator; (h) removing the obturator from the mold; Includes.

[0060] Molds (11, 12) used in the manufacture of obturators according to the present disclosure are shown in Figures 1A and 1B. The molds are preferably silicone molds, but may be made of any suitable material that allows for the formation and removal of the obturators from the molds. Figure 2A shows a top view of silicone mold 11 having multiple cavities (21) therein. Figure 2B shows the silicone mold with a lid (22).

[0061] The at least two segments may include a first segment of a first filler material, a second segment of a second filler material, and a third segment of a third filler material.

[0062] In one embodiment of the method of manufacturing the obturator (42), at least two filler materials are placed in each cavity of the mold in the following order: a first segment (20a) of a first filler material is placed in each cavity of the mold, followed by a second segment (20b) of a second filler material placed on top of the first segment of the first filler material in the same cavity of the mold, and then finally a third segment (20c) of a third filler material placed on top of the second segment of the second filler material in the same cavity of the mold.

[0063] The length of the first segment is 0.5 mm to 2 mm or 1.0 mm to 1.5 mm, the length of the second segment is 5 mm to 10 mm or 7 mm to 9 mm, and the length of the third segment is 5 mm to 10 mm or 7 mm to 9 mm.

[0064] In one embodiment of the method, at least two fillers are provided in the form of an injected gutta-percha point. US Patent Publication No. 20140272802 and US Patent No. 10484633 disclose gutta-percha points prepared by injection molding, each of which is incorporated herein by reference in its entirety.

[0065] A gutta-percha point having at least two filling materials is prepared by a gated injection molding process. For example, a first filling material is injected first with the gate of the other segment closed, and then a second filling material is injected. It is contemplated that either the first filling material or the second filling material can be injected first. The gate is there for the first injection cycle, but is then removed for the second cycle, thus forming one filling material point having multiple segments. US Patent Publication No. 20200094456 discloses gated injection molding of an obturator, the entire contents of which are incorporated herein by reference.

[0066] The mold (12) containing the at least two fillers is baked in an oven to form a mold with a heated filler containing the at least two fillers, whereby the at least two fillers have different viscosities when heated. The mold is baked at 98.9°C to 154.4°C for about 4 hours to about 24 hours, or the mold is baked at 110°C to 143.3°C for about 6 hours to about 20 hours, or the mold is baked at 121.1°C to 137.7°C for about 8 hours to about 16 hours.

[0067] At least two fillers have different viscosities upon heating is intended to mean that after heating, the at least two fillers include a first segment of a heated first filler material characterized by a first viscosity, a second segment of a heated second filler material characterized by a second viscosity, and a third segment of a heated third filler material characterized by a third viscosity. In more specific embodiments, the first viscosity is different from the second viscosity and the first viscosity is the same as the third viscosity. For example, the heated first filler material is characterized by a first viscosity having a target melt flow of 0-20 g / 10 min, or 0.5-15 g / 10 min, or 5-10 g / 10 min. The heated second filler material is characterized by a second viscosity having a target melt flow of greater than 50 g / 10 min or greater than 100 g / 10 min or 50-200 g / 10 min or 55-80 g / 10 min, and the heated third filler material is characterized by a third viscosity having a target melt flow of 0-20 g / 10 min or 0.5-15 g / 10 min or 5-10 g / 10 min. In one embodiment, the first filler material and the third filler material may have the same composition.

[0068] After the filler is heated, the working portion of the carrier (33) is inserted into each cavity of the mold with the heated filler. A lid (22) is placed over the mold (12) to maintain the carrier at the correct depth. The heated filler is then cooled at room temperature for at least 1 hour, or 2-4 hours. The heated filler then solidifies and forms a coating containing a combination of fillers with multiple viscosities on the surface of the working portion of the carrier, thereby forming an obturator (42). The carrier / obturator is then removed from the mold.

[0069] Another embodiment of a method for making the present obturator is disclosed. Obturators 40, 41, 43-44 may be prepared by the methods disclosed herein. The methods include: (a) forming an initial coating of a first filler material on a surface of a working portion (33) of a carrier; (b) filling a multi-cavity mold (12) with a second filler material; (c) baking the mold to form a mold having a heated second filler material; (d) inserting the initially coated working part carrier into each of the plurality of cavities of the mold having the heated second filler material; (e) placing a lid (22) over the mold to maintain the elongated carrier at the correct depth; (f) cooling the heated second filler material to form a subsequent coating of the second filler material on the surface of the initially coated working part carrier portion, thereby forming the obturator, and removing the obturator from the mold. Includes.

[0070] According to this embodiment, the method for forming an initial coating of a first filler material on a surface of the working portion (33) of the carrier includes the steps of: (i) inserting the working portion of the carrier into a container having heated first filler material; (ii) optionally placing a lid over the container to maintain the carrier at the correct initial depth; and (iii) cooling the filler material to form an initial coating of the first filler material on the surface of the working portion of the carrier.

[0071] The container is selected from a crucible (1) or an initial mold (11) having a plurality of cavities (21). The container with the heated first filler is obtained by baking the container filled with the first filler at 98.9°C to 154.4°C for about 15 minutes to about 4 hours, or by baking the initial mold at 121.1°C to 137.7°C for about 2 hours to about 4 hours. The mold with the second filler is obtained by heating at 98.9°C to 154.4°C for about 4 hours to about 24 hours, or by baking the mold at 121.1°C to 137.7°C for about 8 hours to about 16 hours.

[0072] When the lid is placed over the container to maintain the carrier at the correct initial depth, that depth is approximately 16 mm from the distal end of the carrier.

[0073] The heated first filler material is characterized by a first viscosity or a second viscosity. The heated first filler material is characterized by a first viscosity having a target melt flow of 0-20 g / 10 min, or 0.5-15 g / 10 min, or 5-10 g / 10 min. The heated first filler material may be characterized by a second viscosity having a target melt flow of greater than 50 g / 10 min, or greater than 100 g / 10 min, or 50-200 g / 10 min, or 55-80 g / 10 min.

[0074] In one embodiment of the method for manufacturing an obturator, a heated first filler material characterized by a first viscosity is used to form an initial coating from the coronal end to the distal end of the working part carrier (e.g., the first segment (10a) and the third segment (10c) of the obturator (40, FIG. 3A), where the first viscosity is the same as the third viscosity), and a second filler material is filled into the mold (12) from 5 to 10 mm from the distal end (10b). The second filler material heated in step (c) of the method is characterized by a second viscosity having a target melt flow of more than 50 g / 10 min or more than 100 g / 10 min or 50 to 200 g / 10 min or 55 to 80 g / 10 min. After performing further subsequent steps (c) to (f), an obturator 40 is obtained.

[0075] In yet another embodiment of the method, when a heated first filler material characterized by a second viscosity is used to form an initial coating from the distal end to the coronal end of the carrier (e.g., the second segment (15a) of the obturator (41, FIG. 3B)), the silicone mold (12) is filled with the second filler material from 5-10 mm from the distal end (segment 15b), and then a third filler material (segment 15c) is filled over the second filler material. The second filler material heated in step (c) of the method is characterized by a second viscosity having a target melt flow of greater than 50 g / 10 min or greater than 100 g / 10 min or 50-200 g / 10 min or 55-80 g / 10 min. The heated third filler material is characterized by a third viscosity having a target melt flow of 0-20 g / 10 min or 0.5-15 g / 10 min or 5-10 g / 10 min. After further subsequent steps (c) to (f) an obturator 41 is obtained.

[0076] The initial coating thickness is 10 μm to 500 μm over the length of the working part.

[0077] Although the present disclosure has been described with reference to one or more embodiments, it will be understood by those skilled in the art that various modifications can be made and that elements can be substituted with equivalents without departing from the scope of the present disclosure. Furthermore, many modifications can be made to adapt a particular situation or material to the teachings of the present disclosure without departing from its essential scope. Therefore, the present disclosure is not limited to the particular embodiment disclosed as the best mode contemplated for carrying out the disclosure, but the present disclosure is intended to include all embodiments falling within the scope of the appended claims. Furthermore, all numerical values ​​specified in the description for carrying out the invention should be interpreted as if both exact values ​​and approximations were explicitly specified.

Claims

1. an elongate carrier having a distal end and a proximal end; a working portion extending from the distal end toward the proximal end, the working portion having an apical portion, a coronal end and a midpoint; a coating of filler material surrounding the working portion of the elongated carrier; and 1. An obturator for filling an endodontically prepared root canal, comprising: the coating of filler material is disposed about the working portion in at least three segments; the at least three segments include a first segment of a first filler material characterized by a first viscosity, a second segment of a second filler material characterized by a second viscosity, and a third segment of a third filler material characterized by a third viscosity; the first filler has a target melt flow of 0 to 20 g / 10 min, the second filler has a target melt flow of 50 to 200 g / 10 min, and the third filler has a target melt flow of 0 to 20 g / 10 min; The first segment extends from the distal end of the carrier to a first point on the apical portion, the second segment extends from the first point on the apical portion to the midpoint on the working portion, and the third segment extends from the midpoint on the working portion toward the coronal end. An obturator, characterized in that

2. The obturator of claim 1 , wherein the first segment has a length of 0.5 mm to 2 mm, the second segment has a length of 5 mm to 10 mm, and the third segment has a length of 5 mm to 10 mm.

3. An obturator as described in claim 1 or 2, wherein the first viscosity and the third viscosity are the same.

4. An elongated carrier having a distal end and a proximal end; a working portion extending from the distal end toward the proximal end, the working portion having an apical portion, a coronal end and a midpoint; a coating of filler material surrounding the working portion of the elongated carrier; and 1. An obturator for filling an endodontically prepared root canal, comprising: the coating of filler material is disposed about the working portion in at least three segments; the at least three segments include a first segment of a first filler material characterized by a first viscosity, a second segment of a second filler material characterized by a second viscosity, and a third segment of a third filler material characterized by a third viscosity; the first filler has a target melt flow of 0 to 20 g / 10 min, the second filler has a target melt flow of 50 to 200 g / 10 min, and the third filler has a target melt flow of 0 to 20 g / 10 min; The second segment extends from the distal end of the carrier toward the coronal end, the first segment surrounds a portion of the second segment, the first segment extends from the midpoint of the working portion toward the coronal end, and the third segment surrounds a portion of the second segment, and the third segment extends from the distal end to the midpoint. An obturator, characterized in that

5. The obturator of claim 4, wherein the length of the second segment is approximately 16 mm from the distal end to the coronal end, the length of the first segment is 5 mm to 10 mm, and the length of the third segment is 5 mm to 10 mm.

6. 1. A method of manufacturing an obturator for filling an endodontically prepared root canal, the obturator having an elongate carrier having a distal end, a proximal end, and a working portion having a surface coated with a combination of a plurality of filling materials having a plurality of viscosities, the method comprising the steps of: (a) providing a mold having a plurality of cavities therein; (b) placing said plurality of filler materials into each of said plurality of cavities of said mold; (c) baking the mold at a temperature between 98.9° C. and 154.4° C. for about 4 hours to about 24 hours to form the mold with a heated filler material comprising the plurality of filler materials, whereby the plurality of filler materials have different viscosities upon heating; (d) inserting the working portion of the carrier into the mold containing the heated filler material; (e) placing a lid over the mold to maintain the carrier at the correct depth; (f) cooling and solidifying the heated filler material at about room temperature, thereby forming a coating including a combination of the filler materials having multiple viscosities on a surface of the working portion of the carrier, thereby forming an obturator; (g) removing the obturator from the mold. The method includes:

7. Step (b) comprises placing the plurality of fillers into each cavity of the mold in the following order: placing a first segment of a first filler material characterized by a first viscosity in each cavity of the mold, followed by placing a second segment of a second filler material characterized by a second viscosity on top of the first segment of the first filler material in the same cavity of the mold, and then finally placing a third segment of a third filler material characterized by a third viscosity on top of the second segment of the second filler material in the same cavity of the mold. The method of claim 6, comprising:

8. The method of claim 6 , wherein the plurality of filling materials are provided in the form of injected gutta-percha points.

9. The method of claim 8 , wherein the injected gutta-percha point is prepared by a gated injection molding process.

10. The method of claim 7, wherein the first filler has a target melt flow of 0 to 20 g / 10 min, the second filler has a target melt flow of 50 to 200 g / 10 min, and the third filler has a target melt flow of 0 to 20 g / 10 min.

11. 1. A method of manufacturing an obturator for filling an endodontically prepared root canal comprising an elongate carrier having a distal end, a proximal end, and a working portion extending from said distal end toward said proximal end, the working portion having an apical portion, a coronal portion end and a midpoint, the working portion having a combination of a plurality of filling materials having a plurality of viscosities coated thereon, the method comprising the steps of: (a) forming an initial coating of a second filler material on a surface of the working portion of the carrier; (b) filling a mold having a plurality of cavities therein with a third filler material, and thereafter filling the first filler material over the third filler material; (c) baking the mold to form the mold having a heated third filler material and a heated first filler material; (d) inserting the initially coated working portion into each cavity of the mold having the heated third filler material and the heated first filler material; (e) placing a lid over the mold to maintain the carrier at the correct depth; (f) cooling the third filler material and the first filler material to form a subsequent coating of the third filler material and the first filler material on a surface of a portion of the initially coated working portion, thereby forming an obturator, and removing the obturator from the mold; The method includes:

12. Step (a) is (i) inserting the working portion of the carrier into a container having a heated second filler material; (ii) placing a lid over the container to maintain the carrier at the correct initial depth; (iii) cooling the second filler material to form the initial coating of the second filler material on a surface of the working portion of the carrier; The method of claim 11 , comprising:

13. The method of claim 12, wherein the container is selected from a crucible or another type having multiple cavities.

14. 13. The method of claim 12, wherein the container with the heated second filling material is obtained by baking the container filled with the second filling material at a temperature of 98.9°C to 154.4°C for about 15 minutes to about 4 hours.

15. 12. The method of claim 11, wherein the mold with the third filler and the first filler is heated to a temperature of from 98.9°C to 154.4°C for about 4 hours to about 24 hours.

16. The method of claim 11 , wherein the working portion has a taper, which may be a constant taper or a variable taper along its length.

17. The method of claim 12 , wherein the correct initial depth is approximately 16 mm from the distal end of the carrier.

18. 13. The method of claim 12, wherein the heated first filler material is characterized by a first viscosity, the heated second filler material is characterized by a second viscosity, and the heated third filler material is characterized by a third viscosity.

19. 12. The method of claim 11, wherein when the heated second filler material is initially coated from the distal end to the coronal end of the carrier, the mold is filled from 5 mm to 10 mm from the distal end with a third filler material, and thereafter the first filler material is filled over the third filler material.

20. The method of claim 11, wherein the initial coating has a thickness of between 10 μm and 500 μm over the length of the working portion.

21. the heated first filler material is characterized by a first viscosity having a target melt flow of 0 to 20 g / 10 min; the heated second filler material is characterized by a second viscosity having a target melt flow of 50 to 200 g / 10 min; the heated third filler material is characterized by a third viscosity having a target melt flow of 0 to 20 g / 10 min; 20. The method of claim 18.

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