CN114052957A - CAD/CAM implant anterior tooth aesthetic area digital repair abutment - Google Patents

CAD/CAM implant anterior tooth aesthetic area digital repair abutment Download PDF

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Publication number
CN114052957A
CN114052957A CN202111373918.7A CN202111373918A CN114052957A CN 114052957 A CN114052957 A CN 114052957A CN 202111373918 A CN202111373918 A CN 202111373918A CN 114052957 A CN114052957 A CN 114052957A
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China
Prior art keywords
connecting cylinder
implant
cad
abutment
reinforcing
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CN202111373918.7A
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CN114052957B (en
Inventor
张楚南
顾迎新
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Shanghai Gaochao Medical Technology Development Co ltd
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Publication of CN114052957A publication Critical patent/CN114052957A/en
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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
    • 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
    • A61C8/0053Connecting devices for joining an upper structure with an implant member, e.g. spacers with angular adjustment means, e.g. ball and socket joint

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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)
  • Prostheses (AREA)
  • Dental Prosthetics (AREA)

Abstract

The invention discloses a CAD/CAM (computer aided design/computer aided manufacturing) implant front tooth aesthetic area digital repair abutment, which comprises an implant body and an abutment, wherein the outer surface of the implant body is provided with a thread for fixing on an alveolar bone, the abutment is positioned on one side of the implant body far away from the alveolar bone, and the abutment is connected with the implant body through the thread; the base station comprises a connecting cap, the connecting cap is in threaded connection with the implant through a connecting piece, the top end of the connecting cap is obliquely provided with a connecting cylinder, and the bottom end of the connecting cylinder is fixedly connected with the top end of the connecting cap; the side wall of the connecting cylinder is provided with a notch which is convenient for adjusting the connecting piece, the notch is eccentrically arranged, and the notch is eccentric towards the inclined direction of the connecting cylinder; one side of the connecting cylinder, which is far away from the notch, is provided with a reinforcing piece, and the connecting cylinder is fixedly connected with a restoration body through the reinforcing piece. The invention can improve the repair flexibility by changing the appearance of the base station, can adapt to the individual requirements of different patients by changing the height of the base station, and has higher connection strength between the base station and the repair body, thereby achieving the best aesthetics and functions after the implantation.

Description

CAD/CAM implant anterior tooth aesthetic area digital repair abutment
Technical Field
The invention relates to the technical field of oral medical treatment, in particular to a digital restoration abutment for an aesthetic area of a tooth before CAD/CAM (computer-aided design/computer-aided manufacturing) implantation.
Background
The implantation in the front tooth aesthetic region is difficult, because of limited bone mass, it is difficult to ensure that all patients achieve the implantation with the restoration as the guide, a technician needs to take a traditional model in the restoration stage and then grind the abutment to an ideal three-dimensional position to perfect the crown restoration, and the process is time-consuming and labor-consuming. In recent years, more and more repairs adopt a digital CAD/CAM (computer aided design/computer aided manufacturing) process, particularly a posterior tooth area of an ideal repair implant position is easy to obtain, a digital impression can be obtained by the process, a technician can directly design the repair after directly generating a corresponding CAD/CAM abutment on a computer according to the digital impression, the process is time-saving and labor-saving, no solid model is provided, and the method is green and environment-friendly. However, the full digital process in the anterior area is still a difficult point because of the limited bone mass and the relatively small size of the anterior teeth, and it is difficult to implant all the anterior teeth within the ideal range. The design of a CAD/CAM abutment is particularly important for the aesthetic region of the anterior teeth. Most of the existing anterior CAD/CAM abutments are the same as the CAD/CAM design of the posterior teeth, so that the existing anterior CAD/CAM abutments are not suitable in most cases.
Disclosure of Invention
The invention aims to provide a digital restoration abutment for an aesthetic region of a pre-implant tooth, which solves the problems in the prior art, can improve the restoration flexibility by changing the appearance of the abutment, can adapt to individual requirements of different patients by changing the height of the abutment, and has higher connection strength with a restoration body, thereby achieving the optimal aesthetics and functions after the implant.
In order to achieve the purpose, the invention provides the following scheme: the invention provides a CAD/CAM (computer aided design/computer aided manufacturing) implant front tooth aesthetic area digital repair abutment, which comprises an implant body and an abutment, wherein the outer surface of the implant body is provided with a thread for fixing on an alveolar bone, the abutment is positioned on one side of the implant body, which is far away from the alveolar bone, and the abutment is in threaded connection with the implant body;
the base station comprises a connecting cap, the connecting cap is in threaded connection with the implant through a connecting piece, a connecting cylinder is obliquely arranged at the top end of the connecting cap, and the bottom end of the connecting cylinder is fixedly connected with the top end of the connecting cap;
the side wall of the connecting cylinder is provided with a notch which is convenient for adjusting the connecting piece, the notch is eccentrically arranged, and the notch is eccentrically arranged towards the inclination direction of the connecting cylinder;
and one side of the connecting cylinder, which is far away from the notch, is provided with a reinforcing piece, and the connecting cylinder is fixedly connected with a prosthesis through the reinforcing piece.
Preferably, the connecting piece comprises an angle screw, the angle screw extends into the connecting cylinder through the notch, the bottom of the angle screw penetrates through the connecting cap, and the bottom of the angle screw is in threaded connection with the top end of the implant.
Preferably, the reinforcing member comprises a plurality of reinforcing plates fixedly connected with the side wall of the connecting cylinder, the reinforcing plates and the side wall of the connecting cylinder are respectively provided with matched threaded holes, the side wall of the prosthesis is penetrated with a reinforcing rod, one end of the reinforcing rod penetrates through the reinforcing plates and the connecting cylinder, and the reinforcing rod is in threaded connection with the reinforcing plates and the connecting cylinder.
Preferably, the reinforcing plate includes with the connecting plate of connecting cylinder lateral wall rigid coupling, the screw hole is located on the connecting plate, the connecting plate bottom rigid coupling has the backup pad, the anchor strut is located the backup pad top, just the anchor strut bottom with backup pad bottom butt.
Preferably, the number of the reinforcing plates is three.
Preferably, the end of the reinforcing rod remote from the threaded hole is flush with the outer side wall of the prosthesis.
Preferably, the outer side wall of the connecting cylinder is coated with a titanium nitride coating.
Preferably, the height between the top end of the connecting cap and the bottom end of the angle screw is 1mm-3 mm.
Preferably, the outer side wall of the connecting cylinder is fixedly bonded with the prosthesis through an adhesive.
The invention discloses the following technical effects:
1. the shape of the traditional base station is unified into a cylindrical pure titanium material, and the finished shape is time-consuming and labor-consuming depending on the traditional model processing and the process. And the bone mass of the aesthetic region of the anterior teeth is limited, and the prosthesis is small, so that most CAD/CAM abutment can not be applied to the aesthetic region of the anterior teeth. Therefore, by changing the shape of the abutment, the front tooth aesthetic region can complete the restoration of the digital process, and the preparation of the integral crown can be matched, so that the convenience is very high.
2. Under the action of the connecting piece, the height of the base station can be adjusted, so that different requirements of patients can be met.
3. By arranging the reinforcing member, the connection strength of the abutment and the restoration body is improved, so that the optimal aesthetics and functions after the implantation are achieved.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed to be used in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without inventive exercise.
FIG. 1 is a perspective view of a prosthetic abutment;
FIG. 2 is a perspective view of a reinforcement member;
FIG. 3 is a schematic view of the abutment in connection with the implant and prosthesis;
FIG. 4 is a schematic structural view of an angle screw;
the implant comprises 1-an implant body, 2-a base station, 3-a connecting cap, 4-a connecting cylinder, 5-a notch, 6-an angle screw, 7-a reinforcing plate, 71-a connecting plate, 72-a supporting plate, 8-a threaded hole, 9-a reinforcing rod and 10-a prosthesis.
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.
In order to make the aforementioned objects, features and advantages of the present invention comprehensible, embodiments accompanied with figures are described in further detail below.
The invention provides a CAD/CAM (computer aided design/computer aided manufacturing) implant front tooth aesthetic area digital repair abutment, which comprises an implant 1 and an abutment 2, wherein the outer surface of the implant 1 is provided with a thread for fixing on an alveolar bone, the abutment 2 is positioned on one side of the implant 1 far away from the alveolar bone, and the abutment 2 is in threaded connection with the implant 1; the base station 2 comprises a connecting cap 3, the connecting cap 3 is in threaded connection with the implant 1 through a connecting piece, a connecting cylinder 4 is obliquely arranged at the top end of the connecting cap 3, and the bottom end of the connecting cylinder 4 is fixedly connected with the top end of the connecting cap 3; the side wall of the connecting cylinder 4 is provided with a notch 5 convenient for adjusting the connecting piece, the notch 5 is eccentrically arranged, and the notch 5 is eccentric towards the inclined direction of the connecting cylinder 4; one side of the connecting cylinder 4 far away from the notch 5 is provided with a reinforcing piece, and the connecting cylinder 4 is fixedly connected with a prosthesis 10 through the reinforcing piece.
When the prosthesis is used, the length of the connecting piece is selected according to actual conditions, then the connecting piece extends into the connecting cylinder 4 through the notch, then the connecting piece is rotated to enable the connecting piece to be fixed with the connecting cap 3, after the fixing is finished, the connecting piece is driven into the implant 1 through rotation, so that the connection between the abutment 2 and the implant 1 is completed, when the prosthesis 10 needs to be installed, the prosthesis 10 is installed on the connecting cylinder 4, then the prosthesis 10 and the connecting cylinder 4 are fixed through the reinforcing piece, the retention force between the prosthesis 10 and the connecting cylinder 4 is improved, and further the connecting strength between the prosthesis 10 and the connecting cylinder is improved.
In the technical scheme, due to the existence of the notch 5 and the eccentric arrangement, an operator can easily adjust the position of the connecting piece, further adjust the angle of the connecting piece and conveniently fix the connecting piece from the palate side.
In the technical scheme, the prosthesis 10 is a dental crown.
Further optimize the scheme, the connecting piece includes angle screw 6, and in angle screw 6 stretched into connecting cylinder 4 through opening 5, connecting cap 3 was passed through to 6 bottoms of angle screw, and 6 bottoms of angle screw and 1 top threaded connection of planting body. The connecting piece uses angle screw 6, and angle screw 6 is through with being connected cap 3 and planting body 1 threaded connection, realizes fixing between the two.
In this embodiment, the angle screw 6 can be used with a ball screwdriver (not shown).
According to a further optimized scheme, the reinforcing member comprises a plurality of reinforcing plates 7 fixedly connected with the side wall of the connecting cylinder 4, matched threaded holes 8 are respectively formed in the side walls of the reinforcing plates 7 and the connecting cylinder 4, reinforcing rods 9 penetrate through the side wall of the prosthesis 10, one end of each reinforcing rod 9 penetrates through the reinforcing plates 7 and the connecting cylinder 4, and the reinforcing rods 9 are in threaded connection with the reinforcing plates 7 and the connecting cylinder 4. The side walls of the reinforcing plate 7 and the connecting cylinder 4 are both provided with threaded holes 8, the two matched threaded holes 8 are used for penetrating through reinforcing rods 9, through holes for the reinforcing rods 9 to pass through are reserved in the prosthesis 10, after the prosthesis 10 is installed on the connecting cylinder 4, the reinforcing rods 9 are driven into the reinforcing plate 7 and the connecting cylinder 4 through the through holes, and therefore the fixing force of the prosthesis 10 is improved, the anti-rotation knobs of the prosthesis 10 are increased, and the prosthesis 10 is not easy to rotate.
In the technical scheme, the reinforcing rod 9 can be in threaded connection with the prosthesis 10, so that the connection effect of the prosthesis 10 and the connecting cylinder 4 through the reinforcing rod 9 is further improved.
Further optimize the scheme, gusset plate 7 includes the connecting plate 71 with connecting cylinder 4 lateral wall rigid coupling, and screw hole 8 is located connecting plate 71, and connecting plate 71 bottom rigid coupling has backup pad 72, and anchor strut 9 is located backup pad 72 top, and the butt of anchor strut 9 bottom and backup pad 72 bottom. The connecting plate 71 is used for forming the threaded hole 8, the supporting plate 72 is used for supporting the reinforcing rod 9, the probability of offset of the prosthesis 10 caused by downward movement of the reinforcing rod 9 is reduced, and the existence of the connecting plate 71 and the supporting plate 72 can improve the contact area of the prosthesis 10 and the connecting cylinder 4, so that the gluing effect of the prosthesis 10 and the connecting cylinder 4 is improved.
In a further optimized scheme, the number of the reinforcing plates 7 is three. The number of the reinforcing plates 7 is preferably three, and three reinforcing plates 7 should not be located below the slit 5 in order to fix the prosthesis 10.
In a further optimized scheme, one end of the reinforcing rod 9 far away from the threaded hole 8 is flush with the outer side wall of the prosthesis 10. The other end of the reinforcing rods 9 should not extend outside the prosthesis 10 in order for the prosthesis 10 to be used normally.
In a further optimized scheme, the outer side wall of the connecting cylinder 4 is coated with a titanium nitride coating. The titanium nitride coating is golden, has the advantages of high hardness, strong corrosion resistance, good biocompatibility, tight combination with metal and the like, and does not affect the appearance even if the soft tissues around the implant shrink slightly in the future, so the titanium nitride coating can be coated on the outer surface of the connecting cylinder 4 to improve the using effect of the connecting cylinder 4.
In a further optimized scheme, the height between the top end of the connecting cap 3 and the bottom end of the angle screw 6 is 1mm-3 mm. Because the bottom of the angle screw 6 passes through the connecting cap 3, the traditional angle screw 6 with shorter length is replaced by the angle screw 6 with longer length, the size of the whole abutment can be adjusted by selecting the angle screws 6 with different specifications, and the size of the abutment is preferably 1mm-3mm so as to be suitable for different patients.
In a further optimized scheme, the outer side wall of the connecting cylinder 4 is fixedly bonded with the prosthesis 10 through a bonding agent. When the prosthesis 10 is mounted on the connecting cylinder 4, the prosthesis 10 and the connecting cylinder 4 should be fixed by an adhesive to further improve the connection strength of the two, and the kind and the using mode of the adhesive are the prior art, which will not be described in detail herein.
In the technical scheme, due to the existence of the connecting plate 71 and the supporting plate 72, the contact area between the connecting cylinder 4 and the prosthesis 10 is increased, so that the fixing effect of the connecting cylinder and the prosthesis is improved when the connecting cylinder and the prosthesis are bonded and fixed.
In the technical scheme, the rest positions of the outer side wall of the connecting cylinder 4 except the threaded position are bonded with the prosthesis 10 through a bonding agent.
The use principle is as follows:
when the prosthesis is used, the length of the angle screw 6 is selected according to actual conditions, the angle screw 6 extends into the connecting cylinder 4 through the notch 5, the angle screw 6 is rotated to fix the angle screw 6 with the connecting cap 3, after the fixing is finished, the angle screw 6 is driven into the implant 1 through rotation, so that the connection between the abutment and the implant 1 is completed, when the prosthesis 10 needs to be installed, an adhesive is added into the prosthesis 10, the prosthesis 10 is installed on the connecting cylinder 4, finally the reinforcing rod 9 is driven into the prosthesis 10, and the reinforcing rod 9 enters the connecting cylinder 4, so that the connection strength between the prosthesis 10 and the connecting cylinder 4 is improved.
In the description of the present invention, it is to be understood that the terms "longitudinal", "lateral", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", and the like, indicate orientations or positional relationships based on those shown in the drawings, are merely for convenience of description of the present invention, and do not indicate or imply that the referenced devices or elements must have a particular orientation, be constructed and operated in a particular orientation, and thus, are not to be construed as limiting the present invention.
The above-described embodiments are merely illustrative of the preferred embodiments of the present invention, and do not limit the scope of the present invention, and various modifications and improvements of the technical solutions of the present invention can be made by those skilled in the art without departing from the spirit of the present invention, and the technical solutions of the present invention are within the scope of the present invention defined by the claims.

Claims (9)

1. A CAD/CAM (computer aided design/computer aided manufacturing) implant front tooth aesthetic area digital repair abutment comprises an implant body (1) and an abutment (2), and is characterized in that the outer surface of the implant body (1) is provided with a thread for fixing on an alveolar bone, the abutment (2) is positioned on one side of the implant body (1) far away from the alveolar bone, and the abutment (2) is in threaded connection with the implant body (1);
the base station (2) comprises a connecting cap (3), the connecting cap (3) is in threaded connection with the implant (1) through a connecting piece, a connecting cylinder (4) is obliquely arranged at the top end of the connecting cap (3), and the bottom end of the connecting cylinder (4) is fixedly connected with the top end of the connecting cap (3);
the side wall of the connecting cylinder (4) is provided with a notch (5) which is convenient for adjusting the connecting piece, the notch (5) is eccentrically arranged, and the notch (5) is eccentric towards the inclination direction of the connecting cylinder (4);
a reinforcing piece is arranged on one side of the connecting cylinder (4) far away from the notch (5), and a prosthesis (10) is fixedly connected to the connecting cylinder (4) through the reinforcing piece.
2. The CAD/CAM pre-implant dental aesthetic region digital restoration abutment according to claim 1, wherein: the connecting piece comprises an angle screw (6), the angle screw (6) extends into the connecting cylinder (4) through the notch (5), the bottom of the angle screw (6) penetrates through the connecting cap (3), and the bottom of the angle screw (6) is in threaded connection with the top end of the implant (1).
3. The CAD/CAM pre-implant dental aesthetic region digital restoration abutment according to claim 1, wherein: the reinforcing member comprises a plurality of reinforcing plates (7) fixedly connected with the side wall of the connecting cylinder (4), the side walls of the reinforcing plates (7) and the connecting cylinder (4) are respectively provided with a threaded hole (8) matched with each other, the side wall of the prosthesis (10) is provided with a reinforcing rod (9) in a penetrating manner, one end of the reinforcing rod (9) penetrates through the reinforcing plates (7) and the connecting cylinder (4), and the reinforcing rod (9) is in threaded connection with the reinforcing plates (7) and the connecting cylinder (4).
4. The CAD/CAM pre-implant dental aesthetic region digital restoration abutment according to claim 3, wherein: the reinforcing plate (7) comprises a connecting plate (71) fixedly connected with the outer side wall of the connecting cylinder (4), the threaded hole (8) is formed in the connecting plate (71), a supporting plate (72) is fixedly connected to the bottom end of the connecting plate (71), the reinforcing rod (9) is located above the supporting plate (72), and the bottom end of the reinforcing rod (9) is abutted to the bottom end of the supporting plate (72).
5. The CAD/CAM pre-implant dental aesthetic region digital restoration abutment according to claim 3, wherein: the number of the reinforcing plates (7) is three.
6. The CAD/CAM pre-implant dental aesthetic region digital restoration abutment according to claim 3, wherein: the end of the reinforcing rod (9) far away from the threaded hole (8) is flush with the outer side wall of the prosthesis (10).
7. The CAD/CAM pre-implant dental aesthetic region digital restoration abutment according to claim 1, wherein: the outer side wall of the connecting cylinder (4) is coated with a titanium nitride coating.
8. The CAD/CAM pre-implant dental aesthetic region digital restoration abutment according to claim 2, wherein: the height between the top end of the connecting cap (3) and the bottom end of the angle screw (6) is 1mm-3 mm.
9. The CAD/CAM pre-implant dental aesthetic region digital restoration abutment according to claim 1, wherein: the outer side wall of the connecting cylinder (4) is fixedly bonded with the prosthesis (10) through a bonding agent.
CN202111373918.7A 2021-11-19 2021-11-19 CAD/CAM (computer aided design/computer aided manufacturing) implant front tooth aesthetic area digital restoration base station Active CN114052957B (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5527182A (en) * 1993-12-23 1996-06-18 Adt Advanced Dental Technologies, Ltd. Implant abutment systems, devices, and techniques
CN101365395A (en) * 2006-01-03 2009-02-11 李钟琥 Free angled driver and free angled hole abutment
CN204072367U (en) * 2014-07-11 2015-01-07 福建中科康钛材料科技有限公司 Personalized base station assembly
CN106963505A (en) * 2017-03-18 2017-07-21 杭州华粹义齿制作有限公司 A kind of lateral screw retained dummy preparation method in planting body top
CN211355982U (en) * 2019-12-18 2020-08-28 上海双申医疗器械股份有限公司 Improved personalized low-resistance implanted implant
CN112469362A (en) * 2018-07-04 2021-03-09 士卓曼控股公司 Base station with embedded screw

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5527182A (en) * 1993-12-23 1996-06-18 Adt Advanced Dental Technologies, Ltd. Implant abutment systems, devices, and techniques
CN101365395A (en) * 2006-01-03 2009-02-11 李钟琥 Free angled driver and free angled hole abutment
CN204072367U (en) * 2014-07-11 2015-01-07 福建中科康钛材料科技有限公司 Personalized base station assembly
CN106963505A (en) * 2017-03-18 2017-07-21 杭州华粹义齿制作有限公司 A kind of lateral screw retained dummy preparation method in planting body top
CN112469362A (en) * 2018-07-04 2021-03-09 士卓曼控股公司 Base station with embedded screw
CN211355982U (en) * 2019-12-18 2020-08-28 上海双申医疗器械股份有限公司 Improved personalized low-resistance implanted implant

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