# US 10,245,122 B2 · Method and device for causing tooth movement > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,245,122 B2 - Document ID: US10245122B2 - Status: Granted - Kind: B2 - Application number: 15/643,634 - Filed: 2017-07-07 - Published: 2017-10-26 - Granted: 2019-04-02 - Earliest claimed: 2011-05-13 - Assignees: Advanced Orthodontics and Education Association, LLC - Applicants: Advanced Orthodontics and Education Association, LLC - Inventors: Bryce A. Way; Christopher U. Phan; Dana Leigh Gelman Keiles; Richard Johnson; Phillip Abatelli - Web page: https://patentgrep.com/patent/US10245122B2 ## CPC - A61C 8/0096: {Implants for use in orthodontic treatment} - A61B 17/1604: {Chisels; Rongeurs; Punches; Stamps} - A61B 17/1673: {for the jaw} - A61C 1/082: {Positioning or guiding, e.g. of drills} - A61C 3/02: Tooth drilling or cutting instruments; Instruments acting like a sandblast machine - A61C 7/02: Tools for manipulating or working with an orthodontic appliance {(tools for placement of brackets A61C7/146; instruments for attaching elastic bands A61C7/306)} - A61C 7/12: Brackets; Arch wires; Combinations thereof; Accessories therefor - A61C 8/0089: {Implanting tools or instruments} - A61C 19/04: Measuring instruments specially adapted for dentistry ({A61C5/44 takes precedence; testing vitality of teeth A61B5/0534;} radiation diagnosis specially adapted for dentistry A61B6/51) - A61B 2017/00128: {related to intensity or progress of surgical action} - A61B 2017/0046: {with a releasable handle; with handle and operating part separable} - A61B 2017/1648: {as cutting jet} - A61B 2017/561: {Implants with special means for releasing a drug} - A61B 2090/062: {penetration depth} - A61B 2090/065: {for measuring contact or contact pressure} - A61C 1/084: {of implanting tools} - A61C: DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE (non-driven toothbrushes A46B; {tongue scrapers A61B17/24;} preparations for dentistry A61K6/00; preparations for cleaning the teeth or mouth A61K8/00, A61Q11/00) - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A method of increasing movement of a tooth in a jaw having at least one tooth with an orthodontic brace thereon includes: (1) holding a handle of a device, the device having an elongate member extending from the handle and a screw tip at a distal end of the elongate member; (2) moving a sleeve along the elongate member to set a length of exposed screw tip; (3) locking the sleeve in place relative to the screw tip; (4) drilling a hole with the screw tip through a cortical bone of a jaw to increase movement of the tooth; and (5) stopping the drilling when the length of exposed screw tip has penetrated the jaw. ## Claims ### Claim 1 A method of increasing movement of a tooth in a jaw by provoking an inflammatory response, the method comprising: (a) holding a handle of a device, the device having an elongate member extending from the handle and a screw tip at a distal end of the elongate member; (b) contacting the screw tip of the device with gingival tissue at a predetermined site on the gingival tissue; (c) screwing the screw tip of the device by applying a pressure force on the screw tip towards the gingival tissue along a first axis while simultaneously applying a rotational force on the screw tip in a first direction causing the screw tip to enter the gingival tissue at the predetermined site and to enter cortical bone tissue underneath the predetermined site on the gingival tissue; (d) displacing cortical bone tissue radial to the first axis as a result of said screwing step; (e) stopping the screwing of the screw tip into the gingival tissue when the screw tip has reached a desired depth in the cortical bone tissue; and (f) removing the screw tip from the gingival tissue and the cortical bone tissue by applying a rotational force on the screw tip in a second direction opposite the first direction; wherein said displacing step does not cause removal of cortical bone tissue. ### Claim 2 (depends on 1) The method of claim 1, wherein the inflammatory response comprises an increased presence of cytokines near a tooth to be moved. ### Claim 3 (depends on 2) The method of claim 2, wherein the increased presence of cytokines promotes formation and activation of osteoclasts, which cause an increase in bone remodeling and movement. ### Claim 4 (depends on 1) The method of claim 1, further comprising repeating steps a)-f) a plurality of times at a different predetermined site each time. ### Claim 5 (depends on 1) The method of claim 1, wherein the predetermined site is proximal to a central or lateral tooth or in a palatal. ### Claim 6 (depends on 5) The method of claim 5, wherein the screw tip is about 3 mm in length. ### Claim 7 (depends on 1) The method of claim 1, predetermined site is near a malocclusion to be treated. ### Claim 8 (depends on 1) The method of claim 1, wherein the desired depth is less than 10 mm. ### Claim 9 (depends on 8) The method of claim 8, wherein the desired depth is about 3 mm, 5 mm, or 7 mm. ### Claim 10 (depends on 1) The method of claim 1, wherein the predetermined site is proximal to a posterior molar or in a mandible. ### Claim 11 (depends on 10) The method of claim 10, wherein the screw tip is about 7 mm in length. ### Claim 12 (depends on 1) The method of claim 1, wherein the screw tip is about 3 mm to 7 mm in length. ### Claim 13 (depends on 1) The method of claim 1, further comprising exerting a continuous force on the tooth to be moved. ### Claim 14 (depends on 13) The method of claim 13, wherein the exerting a continuous force is performed through the use of braces. ### Claim 15 (depends on 1) The method of claim 1, wherein contacting the screw tip of the device with gingival tissue at the predetermined site is performed at an about 90-degree angle. ### Claim 16 A method of increasing movement of a tooth in a jaw by provoking an inflammatory response, the method comprising: (a) holding a handle of a device, the device having an elongate member extending from the handle, a screw tip at a distal end of the elongate member, and a sleeve configured to move along the elongate member to vary the length of exposed screw tip; (b) contacting the screw tip of the device with gingival tissue at a predetermined site on the gingival tissue; (c) screwing the screw tip of the device by applying a pressure force on the screw tip towards the gingival tissue along a first axis while simultaneously applying a rotational force on the screw tip in a first direction causing the screw tip to enter the gingival tissue at a predetermined site and to enter cortical bone tissue underneath the predetermined site on the gingival tissue; (d) displacing cortical bone tissue radial to the first axis as a result of said screwing step; (e) stopping the screwing of the screw tip when the sleeve makes contact with the gingival tissue; and (f) removing the screw tip from the gingival tissue and the cortical bone tissue by applying a rotational force on the screw tip in a second direction opposite to the first direction; wherein said displacing step does not cause removal of cortical bone tissue. ### Claim 17 (depends on 16) The method of claim 16, wherein the sleeve is adjusted to a position along the elongated member thereby causing the length of exposed screw tip to be fixed. ### Claim 18 (depends on 17) The method of claim 17, wherein the length of exposed screw tip is about 3 mm, 5 mm or 7 mm. ### Claim 19 (depends on 16) The method of claim 16, wherein contacting the screw tip of the device with gingival tissue at the predetermined site is performed at an about 90-degree angle.