CN102715961A - Individualized anatomical type tooth root implant - Google Patents

Individualized anatomical type tooth root implant Download PDF

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Publication number
CN102715961A
CN102715961A CN2012102408266A CN201210240826A CN102715961A CN 102715961 A CN102715961 A CN 102715961A CN 2012102408266 A CN2012102408266 A CN 2012102408266A CN 201210240826 A CN201210240826 A CN 201210240826A CN 102715961 A CN102715961 A CN 102715961A
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tooth root
individuation
anatomical form
planting body
form tooth
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CN2012102408266A
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CN102715961B (en
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唐志辉
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Beijing Yipinleier Medical Technology Co ltd
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Individual
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Abstract

The invention provides an individualized anatomical type tooth root implant comprising a tooth crown, an implant part used for implanting an alveolar bone and a base station part for connecting the tooth crown and the implant part, wherein the appearance of the implant part is consistent with the anatomical appearance of a physiological tooth root of a sick tooth to be replaced. According to the technical scheme provided by the invention, the individualized anatomical type tooth root implant which aims at a specific physiological structure of a patient is provided and has the implant part having the consistent anatomical appearance with the physiological tooth root, thus the individualized anatomical type tooth root implant can be ensured to form good contact and gomphosis with a tooth crypt when being implanted to the alveolar bone, and the implant is ensured to be fit with a soft and hard tissue interface so as to improve the long-time success rate of the implant. The individualized anatomical type tooth root implant is especially suitable for immediate restoration of aesthetic area anodontia and restoration of severely contracted alveolar bone and meets the characteristics of individualized features of the patient.

Description

Individuation anatomical form tooth root planting body
Technical field
The present invention relates to the stomatology field, in particular to a kind of individuation anatomical form tooth root planting body.
Background technology
Having beautiful healthy tooth is the embodiment of modern's pursuing high quality healthy living.From the beginning of the sixties in last century Sweden professor Branemark to have founded the synosteosis of Dental Implant theoretical and successfully the tooth implant of Titanium material is applied to so far clinically, the Dental Implant technology has obtained the development of advancing by leaps and bounds.Along with the continuous development and progress of stomatology and each related discipline technology, today, the Dental Implant technology developed into one of main restorative procedure of dentition defect gradually.The tooth implant kind has multiple, comprise endosteal implant, subperiosteal implant, wear bone implantation body and endodontic implant or the like, and endosteal implant has the branch of blade implant, anchor implant and cylinder or coniform implantation body.According to the result of clinical use for many years, the tooth implant of main flow is cylindrical thread or taper thread endosteal implant in the world at present.
But cylindrical thread or taper thread are loosening easily under long-term alternate stress and torsional interaction; The straight oblique crank Z line design of non-anatomical form causes implantation body its surface behind the implantable bone bed very easily to produce interference and the secondary untoward reaction occurs with the adjacent healthy root of the tooth; Usually the time of implantation need wait for that the anodontia incident back several months tooth nest bone bed healing takes place calms down and just can undergo surgery, and the treatment phase is longer relatively.
Particularly, Dental Implant is combined closely through metal root of the tooth and alveolar bone and is born masticatory force, and successful Dental Implant needs enough alveolar bone bone amounts; But; After tooth was pulled out, the persistence bone resorption can take place in alveolar bone around the exodontia nest under the effect of osteoclast, caused the width of alveolar ridge and highly reduction; The variation while of these alveolar ridge forms is with the forfeiture of the soft tissue that covers on the alveolar bone; Especially for the lip buccal side bone wall in the aesthstic zone of labial teeth, in case be absorbed, soft tissue subsides thereupon; Alveolar bone no longer includes the reconstruction space that returns to prototype, can cause the patient to be not suitable for planting and treat or have a strong impact on the aesthetic effect that the patient plants treatment.Different people's jawbone forms are different with quality, and the absorption of bone is also different with reconstruction after the anodontia.Therefore, ideal implantation body should be personalized, anodontia can implant in the at once or as far as possible short time and with the tooth socket driving fit, it is fast that synestotic speed is wanted, so that effectively prevent frontal resorption, recovers the function of tooth and attractive in appearance as early as possible.
Summary of the invention
The present invention aims to provide a kind of individuation anatomical form tooth root planting body, is prone to send out untoward reaction, the technical problem that the treatment phase is long with the implantation body that solves non-anatomical form in the prior art.
To achieve these goals, according to an aspect of the present invention, a kind of individuation anatomical form tooth root planting body is provided, has comprised: corona; Plant body, be used to implant alveolar bone; Abutment portion connects corona and plants body; The profile of planting body is consistent with the dissection profile of the physiology root of the tooth of wanting substituted trouble tooth.
Further, plant body and abutment portion is one-body molded.
Further, plant body and abutment portion is fastenedly connected through connector.
Further, planting body surface is the matsurface with groove and/or pit.
Further, the numerical range of the width of groove is 15 μ m to 2000 μ m, and the numerical range of the diameter of pit is 15 μ m to 2000 μ m.
Further, the numerical range of the degree of depth of groove or pit is 15 μ m to 2000 μ m.
Further, the roughness of matsurface is along the short transverse graded or the gradual change of planting body.
Further, the roughness of matsurface from top to bottom increases along the short transverse of planting body
Further, plant body and processed by microcellular structure, microcellular structure comprises the hole that is interconnected.
Further, planting body inner is entity, surface coverage microcellular structure layer, and the microcellular structure layer comprises the hole that is interconnected.
Further, the numerical range of the thickness of microcellular structure layer is 0.25mm to 3mm.
Further, the numerical range in the aperture of hole is 100 μ m to 1800 μ m.
Further, the aperture of hole is along the short transverse graded of planting body, and the density of hole is along the short transverse graded or the gradual change of planting body.
Further, the density of hole from top to bottom increases along the short transverse of planting body.
Further, the set inside of microcellular structure has the reinforcement structure.
Further, strengthening structure is riser shape, column or netted solid construction.
Further, abutment portion with plant the bonded position of body and inwardly shrink, form around the transfer platform of planting body.
Further, the width of transfer platform is 0.2mm to 2mm.
Further, plant the top layer coating hydroxyapatite coating layer of body.
Use technical scheme of the present invention; A kind of individuation anatomical form tooth root planting body to patient's characteristics physiological structure is provided; Have dissection profile with the physiology root of the tooth consistent plant body, thereby can guarantee that this individuation anatomical form tooth root planting body can form excellent contact and chimeric with the tooth nest when implanting alveolar bone; Guaranteed coincideing of implantation body and soft or hard organizational interface, to improve the long-term success rate of implantation body; Especially be fit to the reparation at once of aesthstic district anodontia and the reparation of serious atrophy alveolar bone, satisfy the characteristics of patient's individualized feature.
Description of drawings
The Figure of description that constitutes the application's a part is used to provide further understanding of the present invention, and illustrative examples of the present invention and explanation thereof are used to explain the present invention, do not constitute improper qualification of the present invention.In the accompanying drawings:
Fig. 1 shows the exploded view of the one-part form structure of individuation anatomical form tooth root planting body first embodiment of the present invention;
Fig. 2 shows the two-part STRUCTURE DECOMPOSITION figure of individuation anatomical form tooth root planting body second embodiment of the present invention;
Fig. 3 shows the exploded view of another embodiment chamber of one-part form structure of individuation anatomical form tooth root planting body first embodiment of the present invention;
Fig. 4 shows the transfer platform of individuation anatomical form tooth root planting body of the present invention and implants generalized section;
Fig. 5 shows the generalized section of individuation anatomical form tooth root planting body of the present invention;
What Fig. 6 showed individuation anatomical form tooth root planting body of the present invention plants the lamellar reinforcement structural representation of body;
Fig. 7 shows the body column of planting of individuation anatomical form tooth root planting body of the present invention and strengthens structural representation;
What Fig. 8 showed individuation anatomical form tooth root planting body of the present invention plants the netted reinforcement structural representation of body;
Fig. 9 shows the microcellular structure sketch map of individuation anatomical form tooth root planting body of the present invention;
Figure 10 shows the sketch map of another embodiment of microcellular structure of individuation anatomical form tooth root planting body of the present invention.
The specific embodiment
Need to prove that under the situation of not conflicting, embodiment and the characteristic among the embodiment among the application can make up each other.Below with reference to accompanying drawing and combine embodiment to specify the present invention.
Referring to Fig. 1 to Fig. 3; Individuation anatomical form tooth root planting body of the present invention; Form with abutment portion 2 by planting body 1; Plant body 1 and be used to implant alveolar bone bone bed and produce the bone fusion at following and sclerotin and stablize obtaining, abutment portion 2 is connected to form a Dental Implant integral body as planting the bridge joint changeover portion between body 1 and the corona 3 so that plant body 1, abutment portion 2, corona 3 and other complementary function accessories.
Individuation anatomical form tooth root planting body of the present invention plant body 1 be according to equipment such as CT, CBCT, MRI obtain the patient the root of the tooth of waiting to pull out tooth or missing tooth, plant the 3 d scan data of tooth nest and jawbone anatomical structure; Carry out three-dimensional modeling through computer software; Design the Dental Implant of the bionical shape of the personalization that meets patient's anatomic characteristic, occluding relation; The applied metal rapid shaping technique is electron beam melting forming technique (Electron Beam Melting for example; EBM) or Selective Laser Sintering (Selected Laser Sintering, SLS) rapid processing becomes the point-device Dental Implant of physical dimension under computer control.To suffer from geometric shape and the overall dimensions of sound of baby talk root consistent with pulling out alternate physiology for the body 1 of planting of implantation body of the present invention, thus can guarantee this individuation anatomical form tooth root planting body when implanting alveolar bone can with tooth nest formation excellent contact and chimeric.
Two embodiment of individuation anatomical form tooth root planting body of the present invention are shown respectively among Fig. 1, Fig. 3 and Fig. 2, are divided into one-part form individuation anatomical form tooth root planting body and two-part individuation anatomical form tooth root planting body by its compound mode of planting body 1 and abutment portion 2.It is planted body 1 and is integral structure with abutment portion 2 like Fig. 1 and one-part form individuation anatomical form tooth root planting body shown in Figure 3.Two-part individuation anatomical form tooth root planting body as shown in Figure 2; It is planted body 1 and is split-type structural with abutment portion 2; Said body 1 and the abutment portion 2 of planting is through hold-down screw 4 and plant screw hole 10 on the body 1 and will plant body 1 and abutment portion 2 and interconnect fixingly, and the diameter of thread of hold-down screw 4 and the screw hole that is mated is 0.5mm to 3mm.
The present invention is provided with the anatomical form base station to increase the stability of following corona in the corona bond regions.In the art corona reparation at once of tooth nest is planted by implantation body, or healing corona reparation after 2-3 month.The present invention comprises cylindricality, irregular dissection shape, many shape implantation bodys according to the alveolar bone form Design and Machining root shape of planting the tooth district; Except that the reparation that is fit to the sufficient agomphosis patient of bone amount; Especially be fit to the reparation at once of aesthstic district anodontia and the reparation of serious atrophy alveolar bone; Satisfy the characteristics of patient's individualized feature, guaranteed coincideing of implantation body and soft or hard organizational interface, to improve the long-term success rate of implantation body.
First kind of mode as promote osteogenesis; Individuation anatomical form tooth root planting body of the present invention carries out different processing to the surface of Dental Implant different parts; Form the roughness of irregular micron order graded in the synosteosis district; Increase the surface area of implantation body, promote the attaching and the growth of osteocyte; The soft tissue land is then polished and is prevented that bacterial plaque from adhering to.Under above-mentioned situation, the roughness of matsurface from top to bottom increases along the short transverse of implantation body.
Preferably; It plants individuation anatomical form tooth root planting body of the present invention body 1 and is that the entity metal constitutes; Its surface that contacts with sclerotin is a matsurface 11, and said minute groove and pit help to strengthen planting the initial bond strength between body 1 and the tooth nest and having improved the shear strength of planting interface between body 1 and the sclerotin of individuation anatomical form tooth root planting body.
Like Fig. 2 and shown in Figure 3; The body surface of planting that individuation anatomical form tooth root planting body of the present invention contacts with sclerotin is a matsurface 11; This matsurface 11 presents rule or irregular dispersion minute groove and pit; This minute groove and pit, its width or diameter are 15 μ m to 2000 μ m, and its degree of depth is 15 μ m to 2000 μ m.
Preferably; Individuation anatomical form tooth root planting body of the present invention, its matsurface 11 of planting body 1 surface is designed to different roughness, different in width or diameter according to planting the body 1 surperficial sclerotin needs that contacted; And the gradient matsurface of different depth, can be graded or gradual change.For example the density of hole from top to bottom increases along the short transverse of said implantation body, to adapt to the demands of different of synosteosis district and soft tissue land.
Preferably; Individuation anatomical form tooth root planting body of the present invention adopts medical metal to comprise that materials such as medical stainless steel, titanium and titanium-base alloy, cobalt-base alloys process, and this type medical metal material has all confirmed the biology performance that it is good through clinical practice for many years and has been widely used in the manufacturing that human body is implanted type medical apparatus and instruments.
The second way of promote osteogenesis; Like Fig. 1, Fig. 4, shown in Figure 5; Body 1 all the other entire bodies except that the screw hole 10 that the middle part is provided with of planting of individuation anatomical form tooth root planting body of the present invention are that microcellular structure 5 constitutes; This microcellular structure 5 is built by comprising that a plurality of micropore stacks that are interconnected connect, and the aperture of said microcellular structure 5 holes is 100 μ m to 1800 μ m.
Preferably; Like Fig. 6, Fig. 7, shown in Figure 8; Its set inside of planting the microcellular structure of body 1 of individuation anatomical form tooth root planting body of the present invention has the reinforcement structure; This reinforcement structure is the solid construction of column lamellar, shown in Figure 7 shown in Figure 6 or shape such as netted shown in Figure 8, and this reinforcement structure distribution is on the inside or the surface of microcellular structure and provide added strength to plant the ability that body 1 bears tension and compression, shearing, torque load with raising.
The mode of another kind of promote osteogenesis, individuation anatomical form tooth root planting body of the present invention, it is inner for the entity metal constitutes that it plants body 1, and this is planted body 1 surface and is microcellular structure 5.The structure chart of microcellular structure 5 has been shown among Fig. 9 and Figure 10; This microcellular structure is that the multidirectional micropore stack that comprises a plurality of micropores that are interconnected connects the structure sheaf of building; The aperture of the hole of this microcellular structure layer is 100 μ m to 1800 μ m, and the thickness of said microcellular structure layer is 0.25mm to 3mm.
Preferably, individuation anatomical form tooth root planting body of the present invention, its microcellular structure 5 bases of planting body 1 surface are planted the gradient pore structured layer that the body 1 surperficial sclerotin needs that contacted are designed to the different apertures of different porosities, can be graded or gradual change.
Preferably; Its boundary line of planting body 1 and abutment portion 2 of individuation anatomical form tooth root planting body of the present invention is the demarcation line that individuation anatomical form tooth root planting body passes alveolar bone; Abutment portion 2 will inwardly be shunk rapidly and reserved one and also be called around the interior receipts platform of planting body 1 and shift platform 12 at place, this demarcation line; The width of said transfer platform 12 is 0.2mm to 2mm, when said individuation anatomical form tooth root planting body can be along shifting the growth of platform 12 toe-ins and the slit shutoff between tooth root planting body and the alveolar bone being got up to avoid the intrusion of microorganism by junctional epithelium after implanting alveolar bone and gingival connective tissue.
Preferably, said individuation anatomical form tooth root planting body its plant body 1 top layer and be coated with hydroxyapatite coating layer.
A kind of operation process of individuation anatomical form tooth root planting body of the present invention is:
1, claps CT, CBCT to being worth trouble tooth to be pulled out without reserve; Obtain the root of the tooth three-dimensional data according to CT, CBCT number; Through computer aided design software design anatomical form root of the tooth, base station and corona structure; Adopt technological quick Fabrication titanium or full porcelain anatomical form tooth root planting bodies such as EBM, LBM, CAM, implant surfaces has rough surface or modification is handled.
2, go conventional tooth pulling surgery.
3, cleaning tooth nest.
4, will get ready in advance and implant the tooth nest, impose suitable pressure so that individuation anatomical form tooth root planting body well contacts with the tooth nest and be chimeric through the individuation anatomical form tooth root planting body of thoroughly sterilization.
5, will fix conventional post surgery treatment and nursing with implantation body and adjacent teeth that interim hat or permanent hat are repaired.
6, individuation anatomical form tooth root planting body is closely contacted applying by the body surface microcellular structure of planting of this individuation anatomical form tooth root planting body after implanting with host's alveolar bone sclerotin, following osteocyte will grow into individuation anatomical form tooth root planting surface microcellular structure and form good bone property fusion.
The processing method of individuation anatomical form tooth root planting body of the present invention has two comparatively ideal machining paths:
The processor that A, each parts data of individuation anatomical form tooth root planting body that adopts the numerical control machine tool foundation in computer, to generate convert to carries out machine-shaping; Use the processing of methods such as spark machined, chemical attack, blasting treatment, machine cut to bore then and mill out needed rule or irregular dispersion minute groove and pit, base station, hold-down screw and screw hole then adopt turning or the conventional mechanical processing method such as mill and make;
B, utilize laser sintered or rapid shaping technique melt molding such as high-power electron beam fusion, concrete grammar is following:
A) obtain the tomoscan data of the trouble tooth that the patient will be replaced through CT or MRI scanning, and according to the tomoscan data inverse to setting up the threedimensional model of suffering from sound of baby talk root.
B) use professional software that the individuation anatomical form tooth root planting body component three-dimensional data model of design-build in computer is carried out layering, to obtain the outline data of a series of monolayer slices;
C) import above-mentioned serial synusia data to laser or high-power electron beam rapid forming equipment;
The medical metal powder of floor height respective thickness when d) in laser or high-power electron beam rapid forming equipment processing cabin, laying with aforementioned three-dimensional data model layering;
E) by computer controlled controlling laser beam or high-power electron beam the medical metal powder is scanned and selectively the fusing;
F) repeat aforementioned laying powder, scanning fusing step so that each layer is selected the mutual clinkering one-tenth of the material of fusing integral body;
G) remove the individuation anatomical form tooth root planting body component that not fused powder can obtain required shape and structure behind the melting process of the whole aspects of completion;
H) since when building individuation anatomical form tooth root planting body component three-dimensional data model with needed entity,, screw hole, micropore or the like structure designs in the lump in data file, therefore above-mentioned various structures in laser sintered or high-power electron beam melting process with disposable completion manufacturing;
I) hydroxyapatite coating layer can obtain through pyrolytic coating or electrochemical deposition.
The above is merely the preferred embodiments of the present invention, is not limited to the present invention, and for a person skilled in the art, the present invention can have various changes and variation.All within spirit of the present invention and principle, any modification of being done, be equal to replacement, improvement etc., all should be included within protection scope of the present invention.

Claims (19)

1. individuation anatomical form tooth root planting body comprises:
Corona (3);
Plant body (1), be used to implant alveolar bone;
Abutment portion (2) connects said corona (3) and the said body (1) of planting;
It is characterized in that said profile of planting body (1) is consistent with the dissection profile of the physiology root of the tooth of wanting substituted trouble tooth.
2. individuation anatomical form tooth root planting body according to claim 1 is characterized in that, the said body (1) of planting is one-body molded with said abutment portion (2).
3. individuation anatomical form tooth root planting body according to claim 1 is characterized in that, the said body (1) of planting is fastenedly connected through connector with said abutment portion (2).
4. according to any described individuation anatomical form tooth root planting body in the claim 1 to 3, it is characterized in that said body (1) surface of planting is for having the matsurface (11) of groove and/or pit.
5. individuation anatomical form tooth root planting body according to claim 4 is characterized in that, the numerical range of the width of said groove is that the numerical range of the diameter of 15 μ m to 2000 μ m and/or said pit is 15 μ m to 2000 μ m.
6. individuation anatomical form tooth root planting body according to claim 4 is characterized in that, the numerical range of the degree of depth of said groove or said pit is 15 μ m to 2000 μ m.
7. individuation anatomical form tooth root planting body according to claim 4 is characterized in that, the roughness of said matsurface (11) is along said short transverse graded or gradual change of planting body (1).
8. individuation anatomical form tooth root planting body according to claim 7 is characterized in that, the roughness of said matsurface (11) from top to bottom increases along said short transverse of planting body (1).
9. individuation anatomical form tooth root planting body according to claim 1 is characterized in that, the said body (1) of planting is processed by microcellular structure (5), and said microcellular structure (5) comprises the hole that is interconnected.
10. individuation anatomical form tooth root planting body according to claim 1 is characterized in that, said body (1) inside of planting is entity, surface coverage microcellular structure layer, and said microcellular structure layer comprises the hole that is interconnected.
11. individuation anatomical form tooth root planting body according to claim 10 is characterized in that the numerical range of the thickness of said microcellular structure layer is 0.25mm to 3mm.
12., it is characterized in that the numerical range in the aperture of said hole is 100 μ m to 1800 μ m according to claim 9 or 10 described individuation anatomical form tooth root planting bodies.
13. according to claim 9 or 10 described individuation anatomical form tooth root planting bodies; It is characterized in that; The aperture of said hole is along said short transverse graded of planting body (1), and the density of said hole is along said short transverse graded or gradual change of planting body (1).
14. individuation anatomical form tooth root planting body according to claim 13 is characterized in that, the density of said hole from top to bottom increases along said short transverse of planting body (1).
15. individuation anatomical form tooth root planting body according to claim 9 is characterized in that, the set inside of said microcellular structure is strengthened structure.
16. individuation anatomical form tooth root planting body according to claim 15 is characterized in that said reinforcement structure is riser shape, column or netted solid construction.
17. individuation anatomical form tooth root planting body according to claim 1 is characterized in that, said abutment portion (2) is inwardly being shunk with the said bonded position of body (1) of planting, and forms around said transfer platform (12) of planting body.
18. individuation anatomical form tooth root planting body according to claim 17 is characterized in that the width of said transfer platform (12) is 0.2mm to 2mm.
19. individuation anatomical form tooth root planting body according to claim 1 is characterized in that, said top layer of planting body (1) applies hydroxyapatite coating layer.
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CN104825241A (en) * 2015-05-27 2015-08-12 孙冬磊 Anatomic root-shaped implant, dental prosthesis with same and method for manufacturing dental prosthesis
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