# US 2019/0167402 A1 · Photocured resin based attachment to jaw

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- Number: US 2019/0167402 A1
- Document ID: US20190167402A1
- Status: Published application
- Kind: A1
- Application number: 16/200,871
- Filed: 2018-11-27
- Published: 2019-06-06
- Earliest claimed: 2017-12-06
- Assignees: Claronav Inc.
- Applicants: Claronav Inc.
- Inventors: Doron Dekel
- Web page: https://patentgrep.com/patent/US20190167402A1

## CPC

- 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)
- G16H 40/67: for remote operation
- A61B 5/0022: {Monitoring a patient using a global network, e.g. telephone networks, internet}
- A61B 5/0077: {Devices for viewing the surface of the body, e.g. camera, magnifying lens}
- A61B 5/062: {using magnetic field}
- A61B 5/4547: {Evaluating teeth}
- A61B 6/505: {for diagnosis of bone}
- A61B 5/45: {For evaluating or diagnosing the musculoskeletal system or teeth (A61B5/1036, A61B5/1074, A61B7/006 take precedence)}
- A61B 6/032: {Transmission computed tomography [CT]}
- A61B 6/51: for dentistry
- 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)
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A method and system are provided for measuring changes in a pose of a human jaw within a coordinate system of a pose tracking system. The method involves providing a configurable arm; configuring the configurable arm such that at least one rigid target portion of the configurable arm is compliant with operational conditions of the pose tracking system when a selected anchor region of a surface of an anchor portion of the configurable arm is in close proximity to a selected attachment region of the human jaw; positioning the configurable arm such that the anchor region is in close proximity to the attachment region; applying and curing a paste to rigidly couple the anchor region to the attachment region, and operating the pose tracking system to measure changes to the pose of the at least one rigid target portion when the configurable arm is rigidly coupled to the human jaw.

## Claims

### Claim 1

A method for measuring changes in a pose of a human jaw within a coordinate system of a pose tracking system, the method comprising:
(a) providing a configurable arm, the configurable arm comprising an anchor portion and at least one rigid target portion coupled to the anchor portion, a pose of the at least one rigid target portion being trackable by a tracking system when the at least one rigid target portion is compliant with operational conditions of the pose tracking system;
(b) configuring the configurable arm such that the at least one rigid target portion is compliant with the operational conditions of the pose tracking system when a selected anchor region of a surface of the anchor portion is in close proximity to a selected attachment region of the human jaw, the selected attachment region of the human jaw comprising a surface of at least one of the human jaw and a structure rigidly coupled to the human jaw;
(c) positioning the configurable arm such that the selected anchor region is in close proximity to the selected attachment region of the human jaw;
(d) applying and curing a paste to rigidly couple the anchor region to the attachment region, the paste comprising a light-curable polymer; and
(e) operating the pose tracking system to measure changes to the pose of the at least one rigid target portion when the configurable arm is rigidly coupled to the human jaw, the changes to the pose of the at least one rigid target portion being indicative of the changes in the pose of the human jaw.

### Claim 2 (depends on 1)

The method of claim 1, wherein the pose tracking system is an optical pose tracking system and the at least one rigid target portion comprises at least one of a retro-reflective region and a high contrast optical marking.

### Claim 3 (depends on 1)

The method of claim 1, wherein:
(a) the configurable arm comprises a metal wire; and
(b) configuring the configurable arm comprises bending the metal wire.

### Claim 4 (depends on 3)

The method of claim 3, wherein providing a configurable arm further comprises selecting a metal wire biased to resume an initial shape after removal of a transient force of up to about 1 Newton at a distance of up to about 50 millimeters from the anchor region when the configurable arm is rigidly coupled to the human jaw, the initial shape defining an initial spatial relationship between the anchor region and the at least one rigid target portion prior to the transient force.

### Claim 5 (depends on 1)

The method of claim 1, wherein providing a configurable arm further comprises providing at least a portion of the anchor portion shaped to resist rolling of the configurable arm about its longitudinal axis within the paste after the paste is cured.

### Claim 6 (depends on 5)

The method of claim 5, wherein the at least a portion of the anchor portion shaped to resist rolling comprises at least one of a non-circular cross-section and a knurled surface.

### Claim 7 (depends on 1)

The method of claim 1, wherein the paste further comprises a chemically-curable compound.

### Claim 8 (depends on 1)

The method of claim 1, wherein the selected attachment region comprises an unetched surface of tooth enamel or dentin, and the paste is chemically adherable to the selected attachment region at an adhesion strength sufficient for attaching the configurable arm to the selected attachment region and resisting separation of the configurable arm from the selected attachment region when a force of 1 Newton is applied to the configurable arm in any direction at a distance of 50 millimeters from the anchor region.

### Claim 9 (depends on 1)

The method of claim 1, wherein the paste has a viscosity in the range of about 10 Pascal second to about 250 Pascal second.

### Claim 10 (depends on 1)

The method of claim 1, wherein the surface of at least one of the human jaw comprises a portion of a surface of a tooth of the human jaw.

### Claim 11 (depends on 1)

The method of claim 1, wherein the structure rigidly coupled to the human jaw comprises at least one of an artificial crown and a dental implant screwed into the human jaw.

### Claim 12 (depends on 1)

The method of claim 1, wherein the selected attachment region comprises a ceramic surface region, and the method further comprises applying a bonding agent to the ceramic surface region to increase a stickiness of the selected attachment region prior to applying the paste, the bonding agent being light-curable.

### Claim 13 (depends on 1)

The method of claim 1, wherein the method further comprising operating a computer and the pose tracking system to determine a registration of the human jaw with a volumetric computed tomography image of the human jaw stored in a computer-readable memory using exposed surfaces of the human jaw outside of the selected attachment region.

### Claim 14 (depends on 1)

The method of claim 1, wherein the configurable arm has a weight of less than about 10 grams.

### Claim 15 (depends on 1)

The method of claim 1, wherein the at least one rigid target portion being coupled to the anchor portion comprises the at least one rigid target portion being detachably coupled to the anchor portion.

### Claim 16

A system for measuring changes in a pose of a human jaw within a coordinate system of a pose tracking system, the system comprising:
(a) a configurable arm comprising an anchor portion and at least one rigid target portion, the anchor portion comprising an anchor region of a surface of the anchor portion, the configurable arm having a length sufficient for positioning the anchor region in close proximity to an attachment region of the human jaw while the at least one rigid target portion is compliant with operational conditions of the pose tracking system, the anchor region being rigidly securable by a light-curable paste to the attachment region of the human jaw, the attachment region of the human jaw comprising a surface of at least one of the human jaw and a structure rigidly coupled to the human jaw, the at least one rigid target portion being trackable by the pose tracking system; and
(b) the pose tracking system configured for measuring changes to the pose of the at least one rigid target portion, the changes in the pose of the at least one rigid target portion being indicative of the changes in the pose of the human jaw.

### Claim 17 (depends on 16)

The system of claim 16, wherein the pose tracking system is an optical pose tracking system and the at least one rigid target portion comprises at least one of a retro-reflective region and a high contrast reflective optical marking.

### Claim 18 (depends on 16)

The system of claim 16, wherein the configurable arm comprises a bendable metal wire.

### Claim 19 (depends on 18)

The system of claim 18, wherein the bendable metal wire comprises a wire biased to resume an initial shape after removal of a transient force of up to about 1 Newton at a distance of up to about 50 millimeters from the anchor region when the configurable arm is rigidly coupled to the human jaw, the initial shape defining an initial spatial relationship between the anchor region and the at least one rigid target portion prior to the transient force.

### Claim 20 (depends on 16)

The system of claim 16, wherein at least a portion of the anchor portion of the configurable arm is shaped to resist rolling of the configurable arm about its longitudinal axis within the light-curable paste after the paste is cured.

### Claim 21 (depends on 20)

The system of claim 20, wherein the at least a portion of the anchor portion shaped to resist rolling comprises at least one of a non-circular cross-section and a knurled surface.

### Claim 22 (depends on 16)

The system of claim 16, further comprising the light-curable paste and the light-curable paste further comprising a chemically-curable compound.

### Claim 23 (depends on 22)

The system of claim 22, wherein the attachment region comprises an unetched surface of tooth enamel or dentin, and the light-curable paste is chemically adherable to the attachment region at an adhesion strength sufficient for attaching the configurable arm to the attachment region and resisting separation of the configurable arm from the attachment region when a force of 1 Newton is applied to the configurable arm in any direction at a distance of 50 millimeters from the anchor region.

### Claim 24 (depends on 16)

The system of claim 16, wherein the light-curable paste has a viscosity in the range of about 10 Pascal-second to about 250 Pascal-second.

### Claim 25 (depends on 16)

The system of claim 16, wherein the surface of at least one of the human jaw comprises a portion of a surface of a tooth of the human jaw.

### Claim 26 (depends on 16)

The system of claim 16, wherein the structure rigidly coupled to the human jaw comprises at least one of an artificial crown and a dental implant screwed into the human jaw.

### Claim 27 (depends on 16)

The system of claim 16, the attachment region comprises a ceramic surface region, and the system further comprises a light-curable bonding agent for application to the ceramic surface region to increase a stickiness of the attachment region.

### Claim 28 (depends on 16)

The system of claim 16, further comprising a computer configured for determining a registration of the human jaw with a volumetric computed tomography image of the human jaw stored in a computer-readable memory using exposed surfaces of the human jaw outside of the selected attachment region.

### Claim 29 (depends on 16)

The system of claim 16, wherein the configurable arm has a weight of less than about 10 grams.

### Claim 30 (depends on 16)

The system of claim 16, wherein the at least one rigid target portion is detachably couplable to the anchor portion.
