Oral appliance for delivery of medicaments and/or other substances
An oral appliance is provided for delivering a medicament to at least a portion of teeth and/or soft tissue areas inside a mouth. The oral appliance contains an interior surface having a medicament disposed in or on at least a portion of and/or the entire interior surface of the oral appliance. The interior surface of the oral cavity is formed to fit contours of at least the portion of the teeth and/or soft tissue areas inside the oral cavity and is configured for holding the medicament in contact with at least the portion of the teeth and/or soft tissue areas inside the oral cavity to deliver the medicament to strategic areas in need of treatment. In some embodiments, computer, network and computer readable storage media are provided.
1. A computer implemented method of making an oral appliance, the method comprising: creating a digital record of a patient's oral cavity by obtaining a baseline digital image of at least a portion of the patient's teeth, and/or soft tissue of the patient's oral cavity using an imaging device; obtaining a first digital image (Dig1) of an oral appliance based on the baseline digital image corresponding to the at least a portion of the patient's teeth, and/or soft tissue of the patient's oral cavity of the baseline image, creating a second digital image (Dig2) by performing a digital segmentation defining at least one treatment surface area including discrete regions of the oral cavity, the second digital image corresponding to at least a portion of the patient's teeth and/or soft tissue of the patient's oral cavity in need of treatment; combining the first digital image and the second digital image to form a third digital image (Dig3) of the oral appliance, the oral appliance having an interior surface being formed to fit contours of the treatment area that comprises the treatment area for treatment with a medicament storing the third digital image in the computer; and instructing a 3D printer to produce the oral appliance having the medicament disposed in or on at least a portion and/or all of the interior surface.
2. A computer implemented method of claim 1 wherein, creating a digital record of the patient's oral cavity by obtaining a baseline digital image of at least a portion of the patient's teeth, and/or soft tissue of the patient's oral cavity comprises: taking an impression of the patient's oral cavity using such materials as alginate, polyvinals, silicones or a combination thereof.
3. A computer implemented method of claim 1 wherein obtaining a baseline digital image of at least a portion of the patient's teeth, and/or soft tissue of the patient's oral cavity further comprises digitally storing a permanent record of the topography of least a portion of the patient's teeth, and/or soft tissue of the patient's oral cavity for future iterations of oral appliances.
4. A computer implemented method of claim 1 wherein obtaining the first digital image (Dig1) comprises an additive process wherein programmatically a platform appliance image is digitally layered over the baseline digital image.
5. A computer implemented method of claim 1 wherein the digital image (Dig1) is a platform carrier for delivering medicaments and/or cells to at least a portion of the patient's teeth, and/or soft tissue of the patient's oral cavity.
6. A computer implemented method of claim 1 wherein obtaining the second digital image (Dig2) comprises a subtractive process of the baseline image made through program manipulations to treat at least a portion of the patient's teeth and/or soft tissue of the patient's oral cavity in need of treatment.
7. A computer implemented method of claim 1 , the method further comprising: using the third digital image (Dig3) to print the oral appliance virtually made through the computer.
8. A computer implemented method of claim 1 , wherein the thickness of the surface oral appliance is incrementally configured for treatment of a gum disease.
9. A computer implemented method of claim 1 , wherein the oral appliance is in oral appliance form and comprises at least two oral appliances.
10. A computer implemented method of claim 1 , wherein the oral appliance comprises tissue for grafting a cleft palate or other defects of the jaws and face.
11. A computer implemented method of claim 1 , wherein the oral appliance is monolithic and an interior surface is custom fit to contours of the teeth and/or soft tissue areas inside the oral cavity of the patient in need of treatment.
12. A computer implemented method of claim 1 , further comprising storing a three-dimensional representation of the third digital image (Dig3) in format suitable for use by a manufacturer to manufacture the oral appliance.
13. A computer implemented method of claim 1 , wherein creating a digital record of the patient's oral cavity comprises imaging devices including at least one of a digital camera, X-ray device, hand-held 3-D scanner, laser scanner, computed tomography (CT) scanner, magnetic resonance imaging (MRI) scanner, coordinate measuring machine, destructive scanner or ultrasound scanner.