DE102007022604A1 - Dental implant component has ready-made abutment with optimized mucous membrane transition section and crown flare portion, where dental implant is adapted with optionally different implant lengths, diameters, outer designs and inner lumen - Google Patents

Abstract

The dental implant component has a ready-made abutment with an optimized mucous membrane transition section (4) and a crown flare portion (10). A dental implant (1) is adapted with optionally different implant lengths, diameters, outer designs and an inner lumen (2). The components are held by rotational stabilizer and detachable pressure piece (8) and secured by a clip mechanism without screw connection in the area of an abutment extension (12).

Description

Of the current Prior art also has regard to CAD / CAM procedures before dental Implants did not stop and just with new ceramics, like zirconium oxide, however, in medicine and especially here Endoprosthetics have already found wide application, highly interesting Materials found that the results of titanium coating on the part of the bone compound probably inferior to nothing.

moreover the possibility arises with 3-D milling units, for the the name 'Cerec' is representative is to be named, patient-specific implants in the chair-side procedure, d. H. next to the patient chair made of blanks (eg green pieces). In order to What is now routine in inlays and crowns, around expanded a new application area.

Of Further, it is a concern of the applicant that screw connections between implant and abutment (crown, bridge, ...) is omitted and the structure by a preferred clip mechanism safe, stable to rotation and again detachable exactly with the implant (body) is connectable.

In a preferred embodiment are the dental Implants with optionally different implant lengths, diameters, exterior design and inner lumen suitable, in each case a prefabricated abutment (structure) with an optimized, mucosal transition area safe and yet solvable without the already mentioned To hold screw connection.

there the abutment preferably has a prefabricated Kronenaufbrennanteil with a patient-specific customizable mucosal transition area, which is suitable with its optimized surface, the transitional epithelium derive comparable epithelium by means of preferred growth factors transgingivally and a Abutmentfortsatz with clip mechanisms and a common Through perforation.

In a further preferred embodiment This is the preferred abutment passageway perforation suitable, close to the surface the burnt-on crown by means of a preferred burnable Sleeve continued and ultimately preferred to be closed with plastic.

In a further preferred embodiment the abutment extension has a secure against unintentional withdrawal preferred resilient deformable ring segment and a distal resilient retaining extension on, each by means of a preferred Holding circulation or a holding stage of the implant inner lumen the Abutment with the mucosal transition area, the Kronenaufbrennanteil and the preferred fired crown as common construction safe, but easily detachable in the sense of a clip mechanism connect, taking to the solution a preferred integrated pressure piece prefers the spring-elastic Ring segment resiliently deformed active, while the distal elastic Holding extension gives up its holding effect by pure traction.

preferably, Such a clip mechanism is preferred in ceramic implants such as zirconia implants indicated for a conventional Abutment screw connection are unsuitable.

In a further preferred embodiment With the proposed abutment, there is the possibility of burning the crown and / or the bridge pier the mucosal transition area preferably over a suitable milling unit optimally subgingival to the niche (transition Abutment crown) when usually used mucosal transition area to get around.

In a further preferred embodiment The number of necessary items for the dentist and the lab will be on Minimum reduced.

In a further preferred embodiment are preferred CAD / CAM ceramic blocks for individual Implant fabrication available, which are suitable, preferably on the preformed rotation stabilization the programmed implant and / or the preformed implant inner lumen of CAD / CAM ceramic blocks with the mutual, integrated holding post in the milling unit to be held.

In a further preferred embodiment Thus, the preferred CAD / CAM ceramic blocks are made of tube material, the one hand in the later Implantinnenlumen the preferred holding circulation and the holding level over a Integrate retaining recess, on the other hand by appropriate material identical Auxiliary elements by welding and / or be closed by burning caudal the holding stage.

In a further preferred embodiment is the respective abutment suitable, by means of his abutment extension over a preferred cone compound with preferably ellipsoidal cross section through a clip mechanism with the implant stable against rotation, exact and yet solvable to be connected.

In a further preferred embodiment form the respective abutment Kronenaufbrennanteil is standardized so formed that any required crown shape is preferably burned directly or after individual milling.

In a further preferred embodiment is the Druckstuck used preferably as a mandrel formed in Diameter on the abutment passage perforation matched and suitable, preferred holding elements and or or extensions in one Position and / or align that in the implant fixed structure is removable.

moreover is every auxiliary element for the used pressure pieces matched in diameter to the abutment passage perforation and with a handle provided with its terminal preferred plane surface to the respective pressure piece act, with several auxiliary elements suitable for an implant bridge are connected to each other optimally positioned and in their effective length to be adjusted to the respective individual implants.

To the Introduction of the respective structure or of the respective abutment structure is preferably an abutment-Einbringinstrument.

Ultimately the implants are suitable, patient-specific in the dental practice 'chairside' preformed and completed in the laboratory (firing, welding, ...).

The invention will now be described with reference to the claims 1-19 and 1 - 3 explained in more detail.

there shows:

1 in a schematic sectional view of a completed with a crown implant,

1A in a schematic sectional view of the implant entry,

1B in a schematic sectional view of a cross section of the preferred ring segment in normal and deformed configuration,

1C in a schematic sectional view of a cross section of the distal spring-elastic retaining extension,

2 in a schematic sectional view of the preferred abutment,

3 in a schematic sectional view of a preferred auxiliary element or in extension the preferred abutment-Einbringinstrument.

1 shows in a schematic sectional view one with a crown ( 14 ) completed implant ( 1 ).

Abutment ( 3 ) preferably has a prefabricated Kronenaufbrennanteil ( 10 ) with mucous membrane transition region ( 4 ), for the preferred burning of the crown ( 14 ) were preferably optimally contoured by milling. Furthermore, abutment ( 3 ) for torsional stabilization a cone portion ( 6 ) with an ellipsoidal cross section ( 24 ), which enters with appropriate implants ( 5 ) corresponds.

Abutment ( 3 ) is ultimately guided by abutment extension ( 12 ), which fits exactly with the upper portion of the implant inner lumen ( 2 ) cooperates. To stop the abutment structure ( 3 . 14 , ...) in the implant, the preferred clip mechanisms must be adjusted to the required fits. So attacks the actual Halteklippanteil ( 7 ) by a spring-deformed (preferred) 7 ) Ring segment ( 21 ) in holding recess ( 9 ) while distally the resilient retaining extension ( 7 ' ) at holding level ( 28 ) of the implant retaining recess ( 15 ) is in releasable, activated engagement. By clip share ( 7 ) is the abutment structure ( 3 . 14 , ...) secured against deduction.

In the case of the abutment structure ( 3 . 14 , ...) from the implant ( 1 ), after freeing the abutment access ( 17 ) of the plastic closure ( 16 ) the abutment passage perforation ( 13 ), so that auxiliary element ( 25 ) with handle ( 26 ) over its terminal plane ( 27 ) on pressure piece ( 8th ) acting with his terminal thorn ( 3 ) by circular shaping of the resilient ring segment ( 7 . 21 ) this again in the escape of the abutment process ( 12 ). The structure ( 3 . 14 , ...) can then against the spring force of the holding extension ( 7 ' ) with its slits ( 19 ) and processed on the laboratory side.

To build ( 3 . 14 , ...) then reposition, abutment introducer ( 22 ), first the deformed ring segment ( 7 . 21 ) and then the correct ( 5 . 6 ) Assembly positioning and fixation ( 7 . 7 ' ). Subsequently, in the event of a new build-up trigger pressure piece ( 8th ) in the abutment passageway perforation ( 13 ) and the abutment access ( 17 ), which was realized in the laboratory by a burn-out sleeve, by plastic ( 16 ) locked.

It remains to be added that the implant ( 1 ) preferably from a CAD / CAM milling body with integrated cone entry ( 5 . 24 ) and with molded ( 2 . 9 . 15 ) Durchgangsperforation is first milled open to be completed by means of a material-identical auxiliary element by firing and / or welding and / or the like.

And it remains to be said that the preferred milling unit is the abutment ( 3 ) is optimally shaped with its crown burning portion ( 20 ) is used to bring the crown edge under the gingiva ( 18 ), ie subgingival ( 29 ) relocate.

Ultimately, it's still on the surface ( 11 ) of the mucous membrane transition region ( 4 ), which is suitable, by appropriate design and processing, preferably by means of growth factors to initiate a quasi-transitional epithelium.

1A shows a schematic sectional view of the implant entry ( 5 ) with its ellipsoidal ( 24 ) Cross-section.

1B shows a schematic sectional view of a cross section of the preferred ring segment ( 21 ) in normal and deformed ( 7 ) Design.

1C shows a schematic sectional view of a cross section of the distal spring-elastic retaining extension ( 7 ' ) with its slits ( 19 ).

2 shows a schematic sectional view of the preferred abutment ( 3 ), with the reference numbers and the drawing explanation 1 can be seen.

3 shows a schematic sectional view of a preferred auxiliary element ( 25 ) with handle ( 26 ) or in extension or extension, the preferred abutment-insertion instrument ( 22 ).

Claims (19)

Dental implant kit, characterized in that dental implants ( 1 ) with optionally different implant lengths, diameters, outer designs and inner lumens ( 2 ), in each case a prefabricated abutment ( 3 ) with an optimized, mucosal transition region ( 4 ), Crown burning proportion ( 10 ) and with burnt-on crown ( 14 ) rotationally stabilized ( 5 . 6 ) safe and yet solvable ( 8th ) without screw connection in the area of the abutment extension ( 12 ) by at least one clip mechanism ( 7 . 7 ' . 9 . 28 , ...) to hold. Dental implant kit according to at least one of claims 1, characterized in that the abutment ( 3 ) prefers a prefabricated Kronenaufbrennanteil ( 10 ) with a patient-specific customizable mucosal transition region ( 4 ) with optimized surface ( 11 ), after caudal then a preferred Abutmentfortsatz ( 12 ), a common through-perforation ( 13 ) and at least one holding extension ( 7 . 7 ' ), wherein at least one ( 7 ) is suitable in the implant inner lumen ( 2 ) as Klippmechanismusbestandteil ( 7 ) detachable ( 8th ) securely fixed ( 7 . 21 . 9 ) to become. Dental implant kit according to at least one of claims 1, 2, characterized in that the preferred abutment passage perforation ( 13 ) is close to the surface of the burnt crown ( 14 ) continued by means of a preferred burn-out sleeve ( 17 ) and ultimately preferably with plastic ( 16 ) to be closed. Dental implant kit according to at least one of claims 1-3, characterized in that the abutment extension ( 12 ) caudally preferred for at least one retaining extension ( 7 . 7 ' ) a preferred holding circulation (( 9 ) For ( 7 )) and / or a preferred holding stage (( 28 ) For ( 7 ' )) of the implant inner lumen ( 2 ) and via abutment passage perforation ( 13 ) Pressure piece ( 8th ) is suitable, the resilient retaining extension ( 7 ) to be connection-releasing. Dental implant kit according to at least one of claims 1-4, characterized in that in the abutment passage perforation ( 13 ) preferably integrated pressure piece ( 8th ) after exposure of the abutment access created by means of a burnout sleeve ( 17 ), with a suitable auxiliary element ( 25 ) on the preferred holding extension ( 7 ) acting to release a crown ( 14 ) and / or a bridge pier and / or even an entire implant bridge in the remote state to revise, expand or more. Dental implant kit according to at least one of claims 1-5, characterized in that such anchoring ( 7 . 7 ' . 8th . 9 . 28 , ...) is preferably indicated in ceramic implants, such as zirconia implants, which are unsuitable for conventional abutment fitting. Dental implant kit according to at least one of claims 1-6, characterized in that with a preferred standard abutment ( 3 ) the possibility exists with the burning of the crown ( 14 ) and / or the bridge pier the preferably optimized mucosal transition region ( 4 ) to the anatomical situation subgingival ( 29 ) preferably milling ( 20 ) in order to avoid the first niche (transition abutment crown), in contrast to predominantly used mucosa transition areas. Dental implant kit according to at least one of claims 1-7, characterized in that for the dentist, only the implant ( 1 ) a preferred postoperative implant cover member and a suitable laboratory abutment (impression abutment) besides a preferred torque wrench and an abutment insertion instrument ( 22 ) is required as equipment, while in laboratory the original abutment ( 3 ), with it ( 3 ) connectable model retention element, pressure piece ( 8th ), a burn-out sleeve, suitable plastic ( 16 ) and a preferred abutment insertion instrument ( 22 ) for preparing the implant structure ( 3 . 14 , ...) suffice. Dental implant kit according to at least one of claims 1-8, characterized in that preferably CAD / CAM ceramic blocks for individual implant fabrication are available, which are suitable, preferably on the preformed rotational stabilization ( 5 . 6 ) and / or the preformed implant inner lumen ( 2 ) of the CAD / CAM ceramic blocks with the mutual integrated support post in the milling unit. Dental implant kit according to at least one of claims 1-9, characterized in that the preferred CAD / CAM ceramic blocks are made of tube material, on the one hand in the preformed implant inner lumen ( 2 ) the respective preferred holding circulation ( 9 ) and / or the respective holding recess ( 15 ), on the other hand by corresponding material-identical auxiliary elements ( 23 ) is suitable, by welding and / or by burning caudal of the holding circulation ( 9 ) or the preferred holding level ( 28 ) of the retaining recess ( 15 ) to be closed in each case by preferred welding and / or firing. Dental implant kit according to at least one of claims 1-10, characterized in that the respective abutment ( 3 ) is suitable, by Abutmentfortsatz ( 12 ) via a preferred cone connection ( 5 . 6 ) having a preferred ellipsoidal cross section ( 24 ) to the implant ( 1 ) via clip mechanism ( 7 . 7 ' . 8th . 9 ) with this ( 1 ) stable against rotation ( 5 . 6 ) for sure ( 7 . 9 ), exact yet solvable ( 8th ) connected ( 7 . 7 ' . 9 . 28 , ...) to become. Dental implant kit according to at least one of claims 1-11, characterized in that the respective Abutment Kronenaufbrennanteil ( 10 ) standardized preferably is formed so that any required crown shape is preferably aufflennbar. Dental implant kit according to at least one of claims 1-12, characterized in that the abutment-mucous membrane transition area ( 4 ) is preferably such that it is possible, preferably by means of growth factors, to create a kind of transitional epithelium. Dental implant kit according to at least one of claims 1-13, characterized in that the implants ( 1 ) are preferably suitable for patient-individual preforming in the dental practice, chairside 'and completed on the laboratory side. Dental implant kit according to at least one of claims 1-14, characterized in that Druckstuck ( 8th ) preferably formed as a mandrel and in diameter on the abutment passage perforation ( 13 ) is tuned. Dental implant kit according to at least one of claims 1-15, characterized in that each auxiliary element ( 25 ) in diameter on the abutment passageway perforation ( 13 ) and with a handle ( 26 ), with its terminal preferred plane surface ( 27 ) on pressure piece ( 8th ), wherein in an implant bridge several auxiliary elements ( 25 ) are adapted to be connected optimally positioned with each other and in their effective length on the respective individual implants ( 1 , ...) are adjustable. Dental implant kit according to at least one of claims 1-16, characterized in that for introducing the abutment ( 3 ) a preferred introduction instrument ( 22 ) suitable is. Dental implant kit according to at least one of claims 1-17, characterized in that the preferred clip mechanism retaining extension ( 7 ) preferably from a deformed ring segment ( 21 ) of the abutment extension ( 12 ), which ( 21 ) is suitable, by the pressure piece ( 8th ) and the auxiliary element ( 25 ) and / or the abutment insertion instrument ( 22 ) again in normal form and to the outer contour of the Abutmentfortsatzes ( 12 ) to be aligned. Dental implant kit according to at least one of claims 1-18, characterized in that each preferred clip mechanism retaining extension ( 7 ), preferably by pressure piece ( 8th ) and / or the like to be formed and / or aligned to the abutment structure ( 3 . 14 , ...) to make solvable, wherein the respective holding extension ( 7 . 21 ) is optimally designed by material thinning and / or slit and / or the like. Preferably resilient.