CN113262061A - Multifunctional abutment for dental implant healing scanning, operation method thereof and special carrier - Google Patents

Multifunctional abutment for dental implant healing scanning, operation method thereof and special carrier Download PDF

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Publication number
CN113262061A
CN113262061A CN202110681161.1A CN202110681161A CN113262061A CN 113262061 A CN113262061 A CN 113262061A CN 202110681161 A CN202110681161 A CN 202110681161A CN 113262061 A CN113262061 A CN 113262061A
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China
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abutment
base station
implant
carrier
dental
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张紫阳
张丽莎
卢伟丽
李亚明
苏帆
苏莹
周东云
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Henan Lava Medical Technology Co ltd
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Henan Lava Medical Technology Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • A61C8/0069Connecting devices for joining an upper structure with an implant member, e.g. spacers tapered or conical connection
    • A61C8/0071Connecting devices for joining an upper structure with an implant member, e.g. spacers tapered or conical connection with a self-locking taper, e.g. morse taper
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • A61C8/0074Connecting devices for joining an upper structure with an implant member, e.g. spacers with external threads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0087Means for sterile storage or manipulation of dental implants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089Implanting tools or instruments

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Prosthetics (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The invention relates to the technical field of dental implants, in particular to a multifunctional abutment for healing and scanning of a dental implant, an operation method thereof and a special carrier, wherein the existing abutment has the problems that intraoral data is difficult to obtain and the dental implant needs to be repeatedly installed; the depth surface can be scanned for the scanner to position the specific position of the base station, and data such as the direction, the depth, the angle and the like of the implant are obtained; the abutment becomes the system, becomes the individualized customization scheme of rule, for patient's implantation restoration provides good foundation, has good development prospect in dental implant technical field.

Description

Multifunctional abutment for dental implant healing scanning, operation method thereof and special carrier
Technical Field
The invention relates to the technical field of dental implants, in particular to a multifunctional abutment for healing of a dental implant, an operation method thereof and a special carrier.
Background
The existing dental implant technology is mature day by day, the popularity is improved year by year, the convenience brought by the dental implant technology for patients is unprecedented, and the dental implant technology has no replaceable function on the function recovery.
Through clinical verification and with the deepening of clinical application and research, people find that the implant repairing process has the following defects:
1. in the existing implant, an implant is firstly implanted into an alveolar bone, and a healing abutment is inserted or fixed to an implant interface part by using a screw for gum shaping after an implant operation. After the gum is shaped, the repair process of clinical oral treatment can be completed by using an oral impression technology. The traditional oral impression technology is that a corresponding closed type or window-opening type transfer rod is installed on an intraoral implant, the intraoral condition is transferred to the outside of an oral cavity, a plaster mold in the oral cavity is copied, then a scanning base table or a scanning rod is inserted into the plaster mold, intraoral data is obtained by scanning the plaster mold and the scanning base table, then the permanent repairing base table and the dental crown are designed and manufactured through CAD/CAM, the healing base table needs to be taken down again clinically, and the final repairing base table and the dental crown are installed to complete the whole repairing process.
Above-mentioned traditional mould of getting and restoration process need relapse dismouting different grade type base station or transfer pole many times, and not only the process is loaded down with trivial details to each restoration process all need be operated by the clinical dentist who plants the restoration experience for many years, prevents that inaccurate, the not condition of taking one's place of intermediate link from appearing and leading to the doctor to need repeat this process. Therefore, the pain and the treatment cost of the patient are increased, and on the other hand, the transfer process in the later stage of the planting can be mastered by a dentist with years of clinical experience, so that the requirements on the experience of the dentist are increased, and the operation time of the dentist is increased.
2. In the traditional clinical oral restoration, the specification of an implant is selected according to the gap of a missing position in the mouth of a patient, generally, the specification of the dental implant is divided into a micro implant, a standard implant and a wide implant, the implant with different specifications is selected to be implanted relative to the gap of the missing position in the mouth, a plaster model is made by an oral impression technology, and then the direction, the position and the intraoral data of the implant are obtained by a box-type scanner/a desk-type scanner outside the mouth; or inserting the intraoral scanning rod corresponding to each type of implant into the intraoral implant, and acquiring the direction, the position and intraoral data of the implant by using an intraoral scanner.
The above-mentioned clinical dentist in traditional impression taking or intraoral scanning should reserve accessories such as healing base station, transfer pole and the substitute of each model implant, and after having gathered patient intraoral data, need install the healing base station that corresponds with the implant again, make implant peripheral gum moulding.
3. Specific specification and model can't be judged from the outward appearance to traditional implant scanning rod, and the clinician puts into the implant after confusing scanning rod model number easily by mistake, and measured intraoral data can't use, can cause whole repair process's failure.
4. After the existing healing abutment is installed on an implant, through recovery and growth for a period of time, the gingiva usually covers and wraps the healing abutment, and when the final healing abutment is installed in the later period, a clinician needs to reopen the gingiva at the position, so that the pain of a patient and the treatment cost are greatly increased.
5. In the existing oral implant restoration, a healing base station for restoration is relatively small, so that accurate and effective restoration can be realized in various oral environments. But also because the healing abutment itself is too small, the following risks are liable to occur: if there is unreliable fixation during the surgical procedure, detachment can occur, the patient can present a swallowing reflex, which can lead to the risk of this component entering the patient's throat or being inhaled into the respiratory tract, and these potentially risky and harmful events are most likely to occur during the placement or removal of the abutment within the patient's mouth by the clinician.
6. The healing abutment may also be unstable or mishandled during transport outside the mouth (e.g., during removal of the abutment from its sterile packaging and transfer of the abutment into the patient's mouth) and may fall out. When the base is made of a metal member, the base may be deformed after being dropped or contaminated by time in a harmful environment, and it is necessary to re-sterilize and sterilize the base. When the abutment material is a ceramic material, the abutment material is likely to be broken after being dropped, and thus the patient may have a prolonged visit time. This not only causes inconvenience to the patient, but also creates a corresponding additional cost.
Aiming at the defects in the prior art, the novel scheme design is started from the base station structure in advance and matched with related auxiliary facilities.
Disclosure of Invention
Aiming at the situation, in order to overcome the defects of the prior art, the invention provides a multifunctional dental implant healing scanning abutment, an operation method thereof and a special carrier, and solves the problems that data in an abutment mouth is difficult to obtain and needs to be repeatedly installed.
The technical scheme is that the multifunctional abutment for the healing and scanning of the implant comprises an abutment, wherein the abutment comprises a Morse taper structure and a gum penetrating section, the Morse taper structure is matched with a corresponding inclined plane inside an implant body, the sealing effect between the abutment and the implant body is realized, oral microorganisms are prevented from entering the implant body from a joint, and the inflammation of the gum around the implant body and even the mucositis around the implant body, which further causes the failure of an implantation operation, are avoided; the gum penetrating section is attached to the gum around the implant, the gum shaping function is achieved, symmetrical groove bodies are arranged at the upper end of the gum penetrating section, each groove body comprises a measurable structural surface in the vertical direction and a scannable depth surface in the horizontal direction, the measurable structural surface is beneficial to a clinician to cooperatively use a dental measuring caliper or a digital display vernier caliper to distinguish the specific specification and model of the technology, and the generation of subsequent accidents caused by specification and model confusion is avoided; the depth surface can be scanned for the scanner to position the specific position of the base station, and the position of the base station is positioned and is opposite to the position of the implant, so that the direction, the depth and the angle data of the implant are obtained; the outer edge of the upper end face of the gum penetrating section is of an annular inclined plane structure, and the inclined plane can avoid gum injury, mucous membrane injury or adjacent tissue injury caused by application to an oral environment.
More closely, scannable depth face depth value beta is set between 0.5 mm-1 mm, and numerical value is less, and its position is difficult more to cause food waste to pile up here, and numerical value is bigger, and its position is more favorable to the clinician to cooperate and use dentistry measuring caliper or digital display slide caliper, distinguishes the concrete specification and the model of this patent technique.
Furthermore, when the implant is implanted according to the condition of the jaw bone of the oral cavity of a patient, the difference of the height and the diameter of the penetrated gum can exist, and the aesthetic restoration and personalized restoration problems of the implanted tooth are considered, so that the height sizes of the penetrated gum section can be respectively set to be 3mm, 5mm, 7mm and 9 mm; the diameter of the gum penetrating section can be respectively set to be 4-4.3 mm, 5-5.3 mm, 6-6.3 mm and 7-7.3 mm.
Further, the measured structure surface-to-side distances are denoted as α, which may be set to 3.3mm, 4.3mm, 5.3mm, 6.3mm, respectively.
Furthermore, an anti-rotation structure with a chamfer is arranged at the bottom of the Morse taper structure to form an anti-rotation base station, a central bolt channel and a matched central bolt are arranged in the middle of the base station, the central bolt is connected to the implant through the central bolt channel of the base station to realize thread fastening connection, the thread type of the central bolt is arranged according to a corresponding implant system, and the upper end face of the central bolt is parallel to the upper end face of the base station; anti revolution mechanic is positive polygon prism structure, set up in the base station with the concentric coaxial internal thread structure of central bolt passageway, internal thread structure is convenient for central bolt and is twisted smoothly behind this patent base station, the bolt is difficult for this patent base station separation, the clinician's operation of being convenient for, can use torque wrench directly to tear open adorn on the planting body, and internal thread structure cooperation carrier can realize the firm of base station and carry, prevents that misoperation from appearing and leads to the time extension of seeing a doctor and increase corresponding additional cost.
When the number of the edges of the anti-rotation structure is even, the measured structure surface is parallel to one group of opposite edges of the anti-rotation structure, so that the data of the specific direction, depth and angle of the implant can be acquired; the measurable structure face is used for a base station without an anti-rotation structure, namely when a non-anti-rotation structure base station is applied to an implant, depth and angle data of the implant can be obtained.
Furthermore, the model-free repairing operation method of the multifunctional abutment for the dental implant healing scanning comprises the following steps:
s1, implanting an implant into a jawbone of an edentulous part;
s2, measuring the numerical value of the depth of the position where the implant is located and the size of the diameter of a gum cuff by using a dental measuring caliper or a probe, wherein the depth of the position where the implant is located corresponds to the gum penetrating height of the abutment, the diameter of the gum cuff corresponds to the gum penetrating diameter of the abutment, and selecting the abutment with the matched specification and model;
s3, after the base station is disinfected and sterilized, the base station is firmly connected with the base station by using a carrying device;
s4, the base station is sent to the position of the implant in the patient mouth by the handheld carrier, and when the base station is installed, the depth surface can be scanned and is not located at the near-far middle position of the missing position as much as possible, so that subsequent operation is facilitated;
s5, scanning and positioning the base station by using an intraoral scanner, and acquiring the implant direction, depth and angle data of the relative position of the base station;
s6, disassembling the carrier and taking the carrier out of the mouth of the patient;
s7, after scanning is finished, confirming whether the depth surface of the base station which can be scanned is clear, and if the missing phenomenon exists, using an intraoral scanner to obtain the data of the missing position again;
s8, opening the acquired intraoral data by using dental special CAD software and designing a related final repair abutment and a related dental crown;
s9, typesetting and cutting the final restored abutment and the dental crown by using dental CAM equipment;
s10, installing a final repair abutment and a dental crown;
s11, after the repair is finished, the base station and the carrying device are sterilized and repackaged for the next use.
Furthermore, the operation method of the model-free restoration of the implant healing scanning multifunctional abutment and the operation method of the anti-rotation abutment further comprise the following steps:
in the step 4: after the hand-held carrier is used for sending the base station into an implant position in a patient mouth, a dental special clamp is used for placing a central bolt into a central bolt channel, a torque wrench is used for corresponding to the relative torque of the implant system, and the central bolt is screwed down, so that the base station and the implant are firmly connected through threads;
in the step 10: before installing final restoration base station and dental crown, need to use torque wrench to unscrew central bolt and take out, then use the carrier firm connection base station, wait to confirm to connect firm the not back of rocking, take away from patient's intraoral with carrier and central bolt.
Further, the carrier comprises a PEEK carrier and a metal carrier, and the PEEK carrier and the metal carrier can be used separately or in combination; when the opening degree of the oral cavity of the patient is not enough to use the two structures for combination, one of the two structures can be directly connected with the base station, so that the stable carrying function of the base station is realized; the PEEK carrier is provided with an inverted concave structure and a retention structure matched with the groove body, and the retention structure is matched with the structure of the measurable structure surface and the scannable depth surface and can be directly connected with the upper structure of the abutment; the inverted concave structure can prevent the base station described in the patent technology from falling off during carrying; the middle part of the PEEK carrier is provided with a central through hole for the metal carrier to pass through, and the metal carrier is in threaded connection with the internal thread structure, so that the base station is stably carried; when PEEK carrier and metal carrier combined use, the metal carrier passes through PEEK carrier central authorities through-hole and connects in the base station internal thread structure that this patent technique described, can realize the aseptic contact with the base station and carry the effect more outstanding.
The inverted concave structures are symmetrically arranged, the diameter of each inverted concave structure is smaller than the maximum diameter of the abutment, the inverted concave structures correspond to the retention structures matched with the groove bodies in the vertical direction, matching and retention of the abutments and the carriers are facilitated, and the size of one side of each inverted concave structure is 0.25mm-0.35mm larger than that of the edge of the gum penetrating section.
Furthermore, the metal carrier is made of medical titanium alloy, so that the strength is higher; the PEEK carrier is made of polyether-ether-ketone medical materials, and is durable, wear-resistant and light in weight.
Further, PEEK carries ware and metal and carries the ware surface and all sets up anti-skidding structure, anti-skidding structure is formed by anti-skidding line, and the handheld use of being convenient for more avoids causing the phenomenon that drops to take place when using.
Further, the PEEK carrier has a height of 15mm, and the height of the carrier in combination is 25mm-26 mm.
The invention has the technical effects that a clinician can use a dental measuring caliper or a digital display vernier caliper in a matching way to distinguish the specific specification and model of the scanning rod through the measurable structure surface and the scannable depth surface on the base station; the base station and the carrier can realize the stable carrying of the base station, thereby preventing the extension of the treatment time and the increase of the corresponding additional cost caused by misoperation; by adopting the base station structure of the scheme, the mould taking and repairing process is greatly simplified, compared with the prior art, a personalized tray does not need to be manufactured, and a series of mould taking tools and mould taking methods such as transferring and the like do not need to be used, so that the efficiency of the mould taking and repairing work is improved, the time for opening the mouth of a patient and the time for operating beside a clinician chair are shortened, and the requirement on the experience of the clinician is not high; in addition, the healing base station does not need to be disassembled and assembled for many times, the traditional step of secondary reset is not needed, and only the base station needs to be installed and fixed, the intraoral scanning can be directly carried out to obtain intraoral data, so that the digital model-free repair is realized, the intraoral data precision is ensured, tools such as the healing base station, a substitute body, a transfer rod, an intraoral scanning rod and the like used in the traditional mold taking are replaced, the waste of resources is avoided, and the clinical cost is greatly reduced; the technique can avoid gum coverage without creating; the system and the scale personalized customization scheme of the abutment is realized, and a good repair foundation is provided for the patient implantation repair.
Drawings
FIG. 1 is a schematic view of the abutment structure without the anti-rotation structure according to the present invention.
Fig. 2 is a schematic view of the anti-rotation base of the present invention.
Fig. 3 is a schematic cross-sectional view of the anti-rotation base of the present invention.
FIG. 4 is a schematic view of the combination structure of the base and the center bolt of the present invention.
FIG. 5 is a cross-sectional view of the abutment and the center bolt according to the present invention.
Fig. 6 is a schematic view of the base station and the carrier of the present invention.
FIG. 7 is a schematic cross-sectional view of a PEEK carrier of the present invention.
Fig. 8 is a schematic view of the assembly of the carrier of the present invention.
FIG. 9 is an enlarged view of the structure at I of the present invention.
In the figure: 11-abutment, 111-anti-rotation structure, 112-morse taper structure, 113-transgingival section, 114-measurable structure face, 115-scannable depth face, 116-chamfer structure, 1171-central bolt passage, 1172-internal thread structure, 121-central bolt, 131-carrier, 1311-PEEK carrier, 1312-metal carrier, 13111-retention structure, 13112-undercut structure, 13113-central through hole, 13114-anti-slip structure.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It should be noted that in the description of the present invention, the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. indicating the directions or positional relationships are based on the directions or positional relationships shown in the drawings, which are only for convenience of description, and do not indicate or imply that the device or element must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," "third," and "fourth" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
Furthermore, it should be noted that, in the description of the present invention, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
The first embodiment is as follows: as shown in fig. 1, the multifunctional abutment for implant healing scanning comprises an abutment 11, wherein the abutment 11 comprises a morse taper structure 112 and a gum penetrating section 113, the morse taper structure is matched with a corresponding inclined plane inside an implant body, and a sealing effect between the abutment and the implant body is realized, so that oral microorganisms are prevented from entering the implant body from a joint, and inflammation of gums around the implant body is avoided, even mucositis around the implant body is caused, and then the implant operation fails; the gum penetrating section 113 is attached to the gum around the implant, the gum shaping function is achieved, symmetrical groove bodies are arranged at the upper end of the gum penetrating section 113, each groove body comprises a measurable structural surface 114 in the vertical direction and a depth surface 115 capable of being scanned in the horizontal direction, the measurable structural surface 114 is beneficial for a clinician to cooperatively use a dental measuring caliper or a digital display vernier caliper to distinguish the specific specification and model of the technology, and the condition that specification and model are mixed to cause a series of subsequent accidents is avoided; the scannable depth plane 115 is used for the scanner to position the specific position of the base station, and the position of the base station is positioned and is opposite to the position of the implant, so that the direction, the depth and the angle data of the implant are obtained; the outer edge of the upper end face of the gum penetrating section 113 is an annular inclined surface structure 116, and the inclined surface can avoid gum injury, mucous membrane injury or adjacent tissue injury caused by application to the oral environment.
Example two, anti-rotation base: as shown in fig. 2 to 9, the anti-rotation structure 111 with a chamfer is arranged at the bottom of the morse taper structure 112 to form an anti-rotation base station, a central bolt channel 1171 and a matched central bolt 121 are arranged in the middle of the base station 11, the central bolt 121 is connected to the implant through the central bolt channel 1171 of the base station 11 to realize threaded fastening connection, the thread type of the central bolt is arranged according to a corresponding implant system, and the upper end surface of the central bolt is arranged in parallel with the upper end surface of the base station in the patent; anti revolution mechanic 111 is positive polygon prism structure, set up in the base station 11 with central bolt passageway 1171 concentric coaxial internal thread structure 1172, internal thread structure 1172 is convenient for central bolt twists smoothly behind this patent base station, the bolt is difficult for this patent base station 11 separation, the clinician's operation of being convenient for, can use torque wrench directly to tear open adorn on the planting body, internal thread structure 1172 cooperation carrier can realize the firm of base station 11 and carry, prevent that misoperation from appearing and lead to the time extension of seeing a doctor and increase corresponding additional cost.
In each embodiment, the depth value beta of the scannable depth surface 115 is set to be between 0.5mm and 1mm, the smaller the numerical value is, the less the position of the scannable depth surface is, the food residues are difficult to accumulate at the position, the larger the numerical value is, the more the position of the scannable depth surface is beneficial to a clinician to use a dental measuring caliper or a digital display vernier caliper in a matched mode to distinguish the specific specification and the model of the technology, when the implant is implanted according to the condition of the jaw bone of the oral cavity of a patient, the difference between the height of the transgingival is existed, and the problems of aesthetic restoration and personalized restoration of the implanted tooth are considered, so the height size of the transgingival section can be respectively set to be 3mm, 5mm, 7mm and 9 mm; the diameter of the gum penetrating section can be respectively set to be 4-4.3 mm, 5-5.3 mm, 6-6.3 mm and 7-7.3 mm.
After the height size (horizontal row in the following figures) of the transgingival is combined with the diameter size (vertical row in the following figures) of the transgingival, the transgingival can be combined into a series of specifications, and the specific models of the abutment are as follows:
base station model 3mm 5mm 7mm 9mm
4mm 403 405 407 409
5mm 503 505 507 509
6mm 603 605 607 609
7mm 703 705 707 709
The distance between opposite sides of the structure surface 114 can be measured and recorded as alpha, and the alpha can be respectively set to be 3.3mm, 4.3mm, 5.3mm and 6.3 mm;
the distance between the opposite sides is alpha 3.3mm, and the corresponding specific specifications and models are 403, 405, 407 and 409 respectively;
the distance between the opposite sides is alpha 4.3mm, and the corresponding specific specifications and models are 503, 505, 507 and 509 respectively;
the distance between the opposite sides is alpha 5.3mm, and the corresponding specific specifications and models are 603, 605, 607 and 609 respectively;
the distance between the opposite sides is alpha 6.3mm, and the corresponding specific specifications and models are 703, 705, 707 and 709 respectively.
On the basis of the second embodiment, when the number of the edges of the anti-rotation structure 111 is a double number, the measurable structure surface 114 is parallel to one group of opposite edges of the anti-rotation structure 111, which is beneficial to acquiring data of specific direction, depth and angle of the implant; the measurable structural surface 114 is used for abutments without anti-rotation structures 111, i.e. abutments with non-anti-rotation structures applied to the implant, depth and angle data of the implant can be obtained.
In the third embodiment, the model-free repairing operation method of the multifunctional abutment for dental implant healing scanning comprises the following steps:
s1, implanting an implant into a jawbone of an edentulous part;
s2, measuring the numerical value of the depth of the position where the implant is located and the size of the diameter of a gum cuff by using a dental measuring caliper or a probe, wherein the depth of the position where the implant is located corresponds to the gum penetrating height of the abutment 11, the diameter of the gum cuff corresponds to the gum penetrating diameter of the abutment 11, and selecting the abutments with matched specifications and models;
s3, after the base platform 11 is disinfected and sterilized, the base platform 11 is firmly connected with the carrying device 131;
s4, the handheld carrier 131 sends the base platform 11 to the position of the implant in the patient's mouth, and when the base platform 11 is installed, the scannable depth plane 115 is not located at the near-far middle of the missing position as much as possible so as to facilitate subsequent operation;
s5, scanning and positioning the base station 11 by using an intraoral scanner, and acquiring the implant direction, depth and angle data of the relative position of the base station 11;
s6, disassembling the carrier 131 and taking away from the mouth of the patient;
s7, after the scanning is finished, whether the depth surface 115 of the base platform 11 for scanning is clear is confirmed, and if the missing phenomenon exists, the data of the missing position is obtained again by using an intraoral scanner;
s8, opening the acquired intraoral data by using dental special CAD software and designing a related final repair abutment and a related dental crown;
s9, typesetting and cutting the final restored abutment and the dental crown by using dental CAM equipment;
s10, installing a final repair abutment and a dental crown;
s11, after the repair is finished, the base station 11 and the carrier 131 are sterilized and repackaged for the next use.
In a fourth embodiment, based on the third embodiment, the operation method of the implant healing scanning multifunctional abutment for model-free repair further comprises the following steps:
in the step 4: after the hand-held carrier 131 puts the abutment 11 into the implant position in the patient's mouth, the central bolt 121 is put into the central bolt channel 1171 by using dental special pliers, and the central bolt 121 is screwed down by using a torque wrench corresponding to the relative torque of the implant system, so that the abutment and the implant are firmly connected by the thread;
in the step 10: before the final repair abutment and crown are installed, the central bolt 121 needs to be loosened and taken out by using a torque wrench, then the abutment 11 is stably connected by using the carrier 131, and after the connection is confirmed to be stable and free from shaking, the carrier and the central bolt are taken out of the patient.
Fifth, in the above embodiments, the carrier 131 includes a PEEK carrier 1311 and a metal carrier 1312, and the PEEK carrier 1311 and the metal carrier 1312 may be used separately or in combination; when the opening degree of the oral cavity of the patient is not enough to use the two structures for combination, one of the two structures can be directly connected with the base platform 11, so that the base platform 11 is stably carried; the PEEK carrier 1311 is provided with an inverted concave structure 13112 and a retention structure 13111 matched with the groove body, and the retention structure 13111 is structurally matched with the measurable structure surface 114 and the scannable depth surface 115 and can be directly connected to the upper structure of the abutment 11; the undercut structure 13112 prevents the abutment 11 described in the present patent from falling off during carrying; a central through hole 13113 for the metal carrier 1312 to pass through is arranged in the middle of the PEEK carrier 1311, and the metal carrier 1312 is in threaded connection with the internal thread structure 1172, so that the base 11 is stably carried; when the PEEK carrier 1311 and the metal carrier 1312 are used in combination, the metal carrier 1312 is connected to the female screw structure 1172 of the abutment 11 described in the present patent technology through the central through hole 13113 of the PEEK carrier 1311, and thus, it is possible to achieve aseptic contact with the abutment 11 and more excellent carrying effect.
In the above embodiments, the inverted concave structures 13112 are symmetrically arranged, the diameter of each inverted concave structure is smaller than the maximum diameter of the abutment 11, the inverted concave structures and the retention structures matched with the groove bodies correspond in the vertical direction, matching and retention of the abutment and the carrier are facilitated, and the size of one side of each inverted concave structure is 0.25mm-0.35mm more inward than the edge of the gum penetrating section.
In the above embodiments, the metal carrier 1312 is made of a medical titanium alloy, and has higher strength; the PEEK carrier 1311 is made of medical PEEK materials, is durable and wear-resistant and is light in weight, the height of the PEEK carrier 1311 is 15mm, and the height of the carrier 131 is 25mm-26mm when the carrier is used in a combined mode; the anti-slip structure 13114 is arranged on the surface of the two-part structure of the carrier 131, the anti-slip structure 13114 is composed of anti-slip lines, so that the carrier is convenient to use by hand and avoids the phenomenon of falling off during use.
The invention has the technical effects that a clinician can use a dental measuring caliper or a digital display vernier caliper in a matching way to distinguish the specific specification and model of the scanning rod through the measurable structure surface and the scannable depth surface on the base station; the base station and the carrier can realize the stable carrying of the base station, thereby preventing the extension of the treatment time and the increase of the corresponding additional cost caused by misoperation; by adopting the base station structure of the scheme, the mould taking and repairing process is greatly simplified, compared with the prior art, a personalized tray does not need to be manufactured, and a series of mould taking tools and mould taking methods such as transferring and the like do not need to be used, so that the efficiency of the mould taking and repairing work is improved, the time for opening the mouth of a patient and the time for operating beside a clinician chair are shortened, and the requirement on the experience of the clinician is not high; in addition, the healing base station does not need to be disassembled and assembled for many times, the traditional step of secondary reset is not needed, and only the base station needs to be installed and fixed, the intraoral scanning can be directly carried out to obtain intraoral data, so that the digital model-free repair is realized, the intraoral data precision is ensured, tools such as the healing base station, a substitute body, a transfer rod, an intraoral scanning rod and the like used in the traditional mold taking are replaced, the waste of resources is avoided, and the clinical cost is greatly reduced; the technique can avoid gum coverage without creating; the system and the scale personalized customization scheme of the abutment is realized, and a good repair foundation is provided for the patient implantation repair.
The present invention has been described in detail with reference to the specific embodiments and examples, but these are not intended to limit the present invention. Many variations and modifications may be made by one of ordinary skill in the art without departing from the principles of the present invention, which should also be considered as within the scope of the present invention.

Claims (7)

1. Implant healing scans multi-functional base station, including the base station, the base station includes morse's tapering structure and wears the gum section, its characterized in that, it sets up the cell body of symmetry to wear gum section upper end, the cell body includes measurable structural plane and the scanning degree of depth face on the horizontal direction in the vertical side, it is cyclic annular inclined plane structure to wear the above-mentioned terminal surface outward flange of gum section.
2. The multifunctional implant tooth healing scanning abutment as claimed in claim 1, wherein an anti-rotation structure with a chamfer is arranged at the bottom of the Morse taper structure to form an anti-rotation abutment, a central bolt channel and a matched central bolt are arranged at the middle of the abutment, the anti-rotation structure is a regular polygon prism structure, and an internal thread structure concentric and coaxial with the central bolt channel is arranged in the abutment.
3. The model-free repairing operation method of the multifunctional abutment for dental implant healing scanning is characterized by comprising the following steps of:
s1, implanting an implant into a jawbone of an edentulous part;
s2, measuring the numerical value of the depth of the position where the implant is located and the size of the diameter of a gum cuff by using a dental measuring caliper or a probe, wherein the depth of the position where the implant is located corresponds to the gum penetrating height of the abutment, the diameter of the gum cuff corresponds to the gum penetrating diameter of the abutment, and selecting the abutment with the matched specification and model;
s3, after the base station is disinfected and sterilized, the base station is firmly connected with the base station by using a carrying device;
s4, the base station is sent to the position of the implant in the patient mouth by the handheld carrier, and when the base station is installed, the depth surface can be scanned and is not located at the near-far middle position of the missing position as much as possible;
s5, scanning and positioning the base station by using an intraoral scanner, and acquiring the implant direction, depth and angle data of the relative position of the base station;
s6, disassembling the carrier and taking the carrier out of the mouth of the patient;
s7, after scanning is finished, confirming whether the depth surface of the base station which can be scanned is clear, and if the missing phenomenon exists, using an intraoral scanner to obtain the data of the missing position again;
s8, opening the acquired intraoral data by using dental special CAD software and designing a related final repair abutment and a related dental crown;
s9, typesetting and cutting the final restored abutment and the dental crown by using dental CAM equipment;
s10, installing a final repair abutment and a dental crown;
s11, after the repair is finished, the base station and the carrying device are sterilized and repackaged for the next use.
4. The model-free restoration operation method for the implant healing scanning multifunctional abutment according to claim 3, wherein the operation method for the anti-rotation abutment further comprises:
in the step 4: after the hand-held carrier is used for sending the base station into an implant position in a patient mouth, a dental special clamp is used for placing a central bolt into a central bolt channel, a torque wrench is used for corresponding to the relative torque of the implant system, and the central bolt is screwed down, so that the base station and the implant are firmly connected through threads;
in the step 10: before installing final restoration base station and dental crown, need to use torque wrench to unscrew central bolt and take out, then use the carrier firm connection base station, wait to confirm to connect firm the not back of rocking, take away from patient's intraoral with carrier and central bolt.
5. The model-free repair operation method for the multifunctional abutment for healing dental implant according to claim 3 or 4, wherein the carrier comprises a PEEK carrier and a metal carrier, the PEEK carrier is provided with an inverted concave structure and a retention structure adapted to the groove body, the middle part of the PEEK carrier is provided with a central through hole for the metal carrier to pass through, and the metal carrier is in threaded connection with the internal thread structure.
6. The model-free repairing operation method for the dental implant healing scanning multifunctional abutment as claimed in claim 5, wherein the metal carrier is made of medical titanium alloy.
7. The model-free repairing operation method for the dental implant healing scanning multifunctional abutment as claimed in claim 5, wherein the PEEK carrier and the metal carrier are provided with anti-slip structures on the surfaces thereof.
CN202110681161.1A 2021-06-19 2021-06-19 Multifunctional abutment for dental implant healing scanning, operation method thereof and special carrier Pending CN113262061A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114469404A (en) * 2022-02-08 2022-05-13 苏州新创诚医疗器械有限公司 Construction method and construction device for healing abutment for tooth implantation restoration
CN114681084A (en) * 2022-04-02 2022-07-01 江苏福隆数齿科技有限公司 Digital manufacturing method and manufacturing system for dental post-core prosthesis
CN115969549A (en) * 2022-12-23 2023-04-18 北京大清西格科技有限公司 Multifunctional split type digital healing base station

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114469404A (en) * 2022-02-08 2022-05-13 苏州新创诚医疗器械有限公司 Construction method and construction device for healing abutment for tooth implantation restoration
CN114469404B (en) * 2022-02-08 2024-09-03 苏州新创诚医疗器械有限公司 Construction method and construction device for healing base station for dental implant restoration
CN114681084A (en) * 2022-04-02 2022-07-01 江苏福隆数齿科技有限公司 Digital manufacturing method and manufacturing system for dental post-core prosthesis
CN115969549A (en) * 2022-12-23 2023-04-18 北京大清西格科技有限公司 Multifunctional split type digital healing base station

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