EP3930626A1 - Outil d'implantoplastie dentaire destiné au traitement de péri-implantite autour d'implants dentaires - Google Patents

Outil d'implantoplastie dentaire destiné au traitement de péri-implantite autour d'implants dentaires

Info

Publication number
EP3930626A1
EP3930626A1 EP20762784.5A EP20762784A EP3930626A1 EP 3930626 A1 EP3930626 A1 EP 3930626A1 EP 20762784 A EP20762784 A EP 20762784A EP 3930626 A1 EP3930626 A1 EP 3930626A1
Authority
EP
European Patent Office
Prior art keywords
implant
main body
blade
compression sleeve
dental
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP20762784.5A
Other languages
German (de)
English (en)
Other versions
EP3930626A4 (fr
Inventor
Christopher R. Goodman
Alan Mark Meltzer
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US16/286,307 external-priority patent/US11090139B2/en
Application filed by Individual filed Critical Individual
Publication of EP3930626A1 publication Critical patent/EP3930626A1/fr
Publication of EP3930626A4 publication Critical patent/EP3930626A4/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00—Dental tools or instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089—Implanting tools or instruments
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
    • B23G—THREAD CUTTING; WORKING OF SCREWS, BOLT HEADS, OR NUTS, IN CONJUNCTION THEREWITH
    • B23G9/00—Working screws, bolt heads, or nuts in conjunction with thread cutting, e.g. slotting screw heads or shanks, removing burrs from screw heads or shanks; Finishing, e.g. polishing, any screw-thread
    • B23G9/009—Thread cleaning or repairing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08—Machine parts specially adapted for dentistry
    • A61C1/082—Positioning or guiding, e.g. of drills
    • A61C1/084—Positioning or guiding, e.g. of drills of implanting tools

Definitions

  • This disclosure relates to dental implant tools and more specifically to a dental tool for resurfacing the threads of a dental implant to prevent peri-implantis.
  • a well-known procedure is the dental restoration of a partially or wholly edentulous patient with artificial dentition.
  • a dental implant is seated into the bone of a patient’s jaw.
  • the exterior of the dental implant will have a series of threads that assist in seating the dental implant in the bone and hold the dental implant to the bone.
  • the dental implant includes a socket, e.g., a bore, which is accessible through the overlying or surrounding gum tissue for receiving and supporting one or more attachments or components such as an abutment, which, in turn, are useful to fabricate and support prosthodontic restorations.
  • the dental implant generally includes a threaded bore to receive a retaining screw for holding mating components therein.
  • Dental implant procedures may use a variety of implanting modalities, for example, blade, threaded implant, or smooth push-in implant to attach the prosthetics.
  • peri-implantitis Within the dental implant industry, there is a condition termed peri-implantitis that generally occurs and is chronic to dental implants over a period of time. This condition is brought on by bacteria and or debris attached to or attaching to the surfaces of the implant, eventually causing resorption of the surrounding bone leading to implant compromise or failure. This condition is especially prevalent to threaded implants, which are dominant within the industry market and the most difficult to clean, debride, and resurface for treatment.
  • One disclosed example is a dental tool for resurfacing thread forms of a dental implant.
  • the tool includes a main body having a cylindrical member with a slot.
  • a blade has a head and is inserted in the slot to orient the head to protrude from an interior surface of the cylindrical member of the main body.
  • the main body may be rotated into traversing a thread form of the implant.
  • a compression sleeve is inserted over the main body having an open position and a closed position to hold the blade in the slot.
  • a dental tool is inserted over the dental implant.
  • the dental tool includes a main body having a cylindrical member with a slot.
  • a blade having a head is inserted in the slot to orient the head to protrude from the interior surface of the main body.
  • the dental tool has a compression sleeve inserted over the main body.
  • the compression sleeve has an open position and a closed position to hold the blade in the slot.
  • the dental tool is rotated in a first rotational direction to contact the bone.
  • the compression sleeve is moved from the open position to the closed position.
  • the dental tool is moved in a second rotational direction to resurface the thread form of the dental implant by contact between the head and the thread form.
  • the tool includes a main body having a cylindrical member with a slot.
  • the tool includes a blade having a head.
  • the blade is inserted in the slot to orient the head to protrude from an interior surface of the cylindrical member of the main body.
  • the main body may be rotated into traversing a tapered thread form of the implant.
  • a flexible compression sleeve is inserted over the main body.
  • the compression sleeve has an open position and a closed position to hold the blade in the slot.
  • the blade may be moved in the slot to flex the compression sleeve when following the tapered thread form of the implant.
  • the tool includes a main body having a cylindrical member with a first lateral slot, a second lateral slot, and a third lateral slot.
  • the tool includes a first blade having a head. The first blade inserted in the first slot to orient the head to protrude from an interior surface of the cylindrical member of the main body.
  • the main body may be rotated into traversing a thread form of the implant.
  • the tool includes a second blade having a head. The second blade is inserted in the second slot to orient the head to protrude from the interior surface of the cylindrical member of the main body.
  • the tool includes a third blade having a head.
  • the third blade is inserted in the third slot to orient the head to protrude from the interior surface of the cylindrical member of the main body.
  • a compression sleeve is inserted over the main body. The compression sleeve has an open position and a closed position to hold the blades in the slots.
  • FIG. 1 is a perspective view of an example assembled example dental tool with a compression sleeve in a fully open position
  • FIG. 2 is an exploded side cutaway view of the components of the example dental tool in FIG. 1 ;
  • FIG. 3 is a side cutaway view of the assembly of the components of the example dental tool in FIG. 1;
  • FIG. 4 is a perspective cutaway view of the assembly of the components of the example dental tool in FIG. 1;
  • FIG. 5 is a perspective view of the main body of the dental tool in FIG. 1;
  • FIG. 6 is a front view of the main body of the dental tool in FIG. 1;
  • FIG. 7 is a perspective view of the blade of the dental tool in FIG. 1 for resurfacing the minor, flank and all other aspects of the thread;
  • FIG. 8 is a close-up perspective view of the blade of the tool in FIG. 1 for resurfacing the major diameter of the thread;
  • FIG. 9 is a perspective view of the compression sleeve for delivering focused compression to the blades for the tool in FIG. 1;
  • FIG. 10 is a perspective view of the containment pin of the tool in FIG. 1;
  • FIG. 11A-11D are views of the use of the tool in FIG. 1 to resurface a dental implant
  • FIG. 12 is a close-up cross-section view of the heads of the blades of the dental tool in FIG. 1 interfacing with the thread forms of an implant;
  • FIG. 13 is a side view of another assembled example dental tool with a modified compression sleeve that allows the recutting of a tapered implant thread;
  • FIG. 14 is a side view of the unassembled components of the example dental tool in FIG. 13;
  • FIG. 15 is a side view of the blades of the dental tool in FIG. 13;
  • FIG. 16A is a top view of the example dental tool in FIG. 13 with the pressure sleeve forcing the blades to extend from the interior surface of the tool;
  • FIG. 16B is a top view of the example dental tool in FIG. 13 with the pressure sleeve flexed to accommodate the tapered thread of a dental implant;
  • FIG. 17A is a side view of the blades in the dental tool in FIG. 13;
  • FIG. 17B is a side cross-section view of one of the blades in the dental tool in
  • FIG. 13 where the compression sleeve is not flexed
  • FIG. 17C is a side cross-section view of one of the blades in the dental tool in FIG. 13 flexing the compression sleeve from the tapered threads of a dental implant;
  • FIG. 18 is a side view of an implant with a tapered thread form and the dental tool in FIG. 13;
  • FIG. 19 is a side view of a double threaded implant with another example dental tool
  • FIG. 20A is a top view of the double threaded implant with the pressure sleeve flexed on a double threaded implant having a tapered thread form;
  • FIG. 20B is a top view of the double threaded implant with the example dental tool of Fig. 19.
  • FIG. 1 shows a perspective view of an assembled example dental tool 100.
  • FIGs. 2-4 are different views of the different components of the dental tool 100.
  • FIGs. 5-10 are perspective views of the individual components of the dental tool 100 in FIG. 1.
  • FIGs. 1- 10 therefore show a main body 110, a compression sleeve 112, a containment pin 114 and blades 120 and 122.
  • the main body 110 houses the set of blades 120 and 122 that have specific geometries conforming to a specific thread form when compressed by the compression sleeve 112.
  • the blades 120 and 122 are engaged into the thread form of a dental implant. As explained below, the blades 120 and 122 will recut affected or damaged thread surfaces of a dental implant to remove debris.
  • FIGs. 5-6 show the main body 110 of the tool 100 in FIG. 1. As shown in FIG. 6, the main body 110 holds the blades 120 and 122 to provide a counter clockwise cutting action when the main body 110 is placed over the implant and rotated.
  • the main body 100 includes a cylindrical socket member 200 that has an open end 202 and an opposite end 204 that is joined to one end of a support cylinder 210.
  • the socket member 200 has an interior surface 224 and an opposite exterior surface 226 that defines two slots 230 and 232.
  • the slots 230 and 232 are cut into the exterior surface 226 of the socket member 200.
  • the slots 230 and 232 extend from the open end 202 to the middle of the socket member 200.
  • Each of the slots 230 and 232 had respective open ends 240 and 242 on the open end 202 of the socket member 200.
  • the slots 230 and 232 have respective opposite ends 250 and 252 that have respective openings 254 and 256.
  • the interior surface 224 mounts an interior annular collar 258 that extends inwardly from the interior surface 224.
  • the openings 254 and 256 at the respective ends 250 and 252 are wider than the slots 230 and 232.
  • the openings 254 and 256 extend through to the interior surface 224 to accommodate the blades 120 and 122.
  • the annular collar 258 provides support for the blades 120 and 122 when they are inserted in the slots 230 and 232.
  • the support cylinder 210 has a connection member 260 that protrudes from the opposite end of the support cylinder 210.
  • the support cylinder 210 has a pair of holes 264 and 266 to the interior surface 224 for accepting the containment pin 114 that may be inserted through the holes 264 and 266 to lock in the compression sleeve 112 relative to the main body 110.
  • the main body 110 holds the two blades 120 and 122.
  • the two blades 120 and 122 have respective heads protruding from the interior surface 224 of the main body 110.
  • the blades 120 and 122 are held in place on the main body 110 by the compression sleeve 112 that is inserted over the main body 110.
  • the compression sleeve 112 locks the blades 120 and 122 in place.
  • the containment pin 114 holds the compression sleeve 112 in place.
  • the main body 110 is fabricated from high temperature thermoplastic material such as RADEL.
  • the blades 120 and 122 are fabricated from Nitinol material.
  • the compression sleeve 112 and the containment pin 114 are fabricated from Ti-64 Eli titanium alloy. Of course any appropriate thermoplastic material may be used for the main body 110. Of course other materials such as titanium and stainless steel may be used for the compression sleeve 112, the containment pin 114 and the blades 120 and 122.
  • FIG. 7 is a close up perspective view of the blade 120.
  • the blade 120 includes a tab 300, a support member 302 and a head 304 opposite the tab 300.
  • the support member 302 of the blade 120 is inserted in the slot 230 of the main body 110.
  • the tab 300 is inserted in the opening 254 to lock the blade 120 in position in the slot 230 as shown in FIG. 4.
  • This allows the head 304 to be oriented to protrude from interior surface 224 of the main body 110.
  • the head 304 is shaped to allow the blade 120 to be used for resurfacing the minor, flank and all other aspects of the thread form.
  • FIG. 8 is a close up perspective view of the blade 122.
  • the blade 122 includes a tab 350, a support member 352 and a head 354 opposite the tab 350.
  • the support member 352 of the blade 122 is inserted in the slot 232 of the main body 110.
  • the tab 350 is inserted in the opening 256 to lock the blade 122 in position in the slot 232.
  • This allows the head 354 to be oriented to protrude from interior surface 224 of the main body 110.
  • the head 354 is shaped to allow the blade 122 to be used for resurfacing the major diameter of the thread form when the main body is inserted over a dental implant.
  • FIG. 9 shows the compression sleeve 112.
  • the compression sleeve 112 is cylindrically shaped with opposite open ends 400 and 402 that allow the compression sleeve 112 to be slipped over the exterior surface 226 of the main body 110.
  • the compression sleeve 112 includes a larger diameter cylinder 410 and a smaller diameter cylinder 412.
  • the cylinders 410 and 412 form an interior bore 420 having one end at the open end 400.
  • a smaller diameter interior bore 422 extends from the opposite open end 402.
  • the interior bore 422 forms an annular shoulder 424 that defines the opposite end of the interior bore 420.
  • the diameter of the interior bore 420 is a little larger than the diameter of the main body 110 to allow a snug fit when the compression sleeve 112 is telescoped over the main body 110.
  • the open end 400 of the compression sleeve 112 is inserted over the end 204 of the support cylinder 210 and the cylindrical socket member 200.
  • the compression sleeve 112 may be inserted over the cylindrical socket member 200.
  • the compression sleeve 112 may move from an open position against the containment pin 114 and a closed position where the annular shoulder 424 contacts the end of the cylindrical socket member 200.
  • the compression sleeve 112 When the compression sleeve 112 is inserted around the main body 110 in the closed position, it delivers focused compression to hold the blades 120 and 122 in the respective slots 230 and 232 during the use of the dental tool 100.
  • the compression sleeve 112 When the main body 110 is inserted over a dental implant, the compression sleeve 112 provides rigid engagement of the heads 304 and 354 of the blades 120 and 122 to the thread path of the dental implant conforming to the pitch angle and forcing a compounding angle condition.
  • FIG. 10 shows the containment pin 114 that provides a capture and stop for the compression sleeve 112 when the containment pin 114 is inserted in the holes 264 and 266 in the support cylinder 210 as shown in FIGs. 1-4.
  • the containment pin 114 prevents the compression sleeve 112 from sliding away from the main body 110.
  • the end 402 of the compression sleeve 112 abuts against the shoulder 424 contacting the end of the cylindrical socket member 200
  • the blades 120 and 122 are encased within respective slots 230 and 232 of the main body 110.
  • the blades 120 and 122 are held in place by the compression sleeve 112 in the closed position.
  • the main body 110 is inserted over a dental implant and allows the heads 304 and 354 to engage the thread forms of the implant.
  • the support of the slots 230 and 232 provide fixed lateral and torsional rigidity for the respective heads 304 and 354 during the cutting of the thread form of an implant. Without this rigidity, the blades 120 and 122 would only abrade or polish rather than cut into the thread form of the implant.
  • connection member 260 has a square cross section in this example.
  • the connection member 260 is designed for, but not limited to be used with a ratchet wrench commonly used in oral surgery, without the use of a centering guide interface.
  • the ratchet wrench may be mated to the square shaped connection member 260 and allows the main body 110 to be rotated in a clockwise and counter-clockwise direction around an implant as will be explained below in reference to FIGs. 11 A-l ID.
  • the components of the dental tool 100 in FIG. 1 are assembled prior to resurfacing a dental implant.
  • the blades 120 and 122 are inserted in the slots 230 and 232 of the main body 110.
  • the tabs 300 and 350 of the blades 120 and 122 are inserted in the corresponding holes 254 and 256 in the main body 110 when the blades 120 and 122 are inserted in the respective slots 230 and 232.
  • the compression sleeve 112 is placed in an open position over the main body 110 allowing the insertion of the blades 120 and 122.
  • the compression sleeve 112 is locked in place by inserting the containment pin 114 through the holes 264 and 266 in the support cylinder 210.
  • the compression sleeve 112 is moved to the closed position when the annular shoulder 424 contacts the cylindrical socket member 200. In the closed position, the compression sleeve 112 holds the blades 120 and 122 in place and causes the heads 304 and 354 to protrude from the interior surface 224.
  • FIGs. 11 A-l ID shows the application of the assembled dental tool 100 to resurface the thread form of a dental implant 1000.
  • FIG. 11A shows a dental assembly that includes the dental implant 1000, a retaining component and a dental mating component that in this example is a temporary abutment 1010. Other mating components may include abutments, impression copings, cover screws, monolithic prosthesis, etc.
  • the dental implant 1000 has a roughly cylindrical body that includes a closed end and an opposite open end.
  • the cylindrical body includes an exterior surface and an interior surface.
  • the exterior surface has a series of threads 1012 that hold the dental implant 1000 into the bone.
  • the implant 1000 includes an interior bore that includes the interior surface. The interior bore allows the mounting of a temporary abutment.
  • FIG. 11A shows exterior threads 1012 of the implant 1000 that engage bone when the dental implant 1000 is inserted in a patient.
  • the dental implant 1000 has an interior bore 1022 that holds a mounting screw 1124 that holds the temporary abutment 1010.
  • FIG. 11B shows the dental implant 1000 with the temporary abutment 1010 removed.
  • the dental tool 100 is used to resurface the threads 1012 and remove debris before a new mating component is inserted on the implant 1000.
  • FIG. l lC shows the implant 1000 inserted in the bone 1030.
  • the dental tool 100 is positioned over the implant 1000 with the compression sleeve 112 in an open position.
  • the socket member 200 of the dental tool 100 is positioned so the heads 304 and 354 of the blades 120 and 122 engage the threads 1012.
  • the dental tool 100 is then rotated in a clockwise direction to the base of the level of the bone 1030.
  • the rotation of the dental tool 100 is performed by engaging a wrench with the connection member 260 of the support cylinder 210.
  • the compression sleeve 112 is then moved down to the closed position.
  • the dental tool 100 is then rotated in a counter-clockwise direction to move the dental tool 100 away from the level of the bone 1030.
  • the heads 304 and 354 of the blades 120 and 122 traverse the threads 1012 and thereby clean and resurface the threads 1012.
  • FIG. 12 shows the interaction between the heads 304 and 354 of the blades 120 and 122 and the threads 1012 of the implant 1000.
  • Each head 304 and 354 of the blades 120 and 122 is positioned on or behind center respective to cutting direction allowing blade to cut efficiently and effectively.
  • the cutting face of the heads 304 and 354 are at the height of the diameter of the thread allowing relief during cutting.
  • the head 304 of the blade 120 contacts a minor aspect 1030 and flanks 1032 and 1034 of the thread 1012 of the implant 1000. The contact of the head 304 scrapes away the material allowing resurfacing of the minor aspect 1030 and flanks 1032 and 1034.
  • the head 304 cleans away debris when the head 304 is rotated relative to the minor aspect 1030 of the thread 1012.
  • the head 354 of the blade 122 contacts a major aspect 1036 of the thread 1012 of the implant 1000.
  • the contact of the head 354 scrapes away the material allowing resurfacing of the major aspect 1036.
  • the head 354 cleans away debris when the head 304 is rotated relative to the major aspect 1036 of the thread 1112.
  • the assembly of the blades 120 and 122, main body 110 and sleeve 112 are designed to cut and contain debris and material while working from bone/implant base upward in a counter clockwise rotation away from the bone 1030.
  • the dental tool 100 thus resurfaces the thread surfaces of the implant 1000 rather than simply cleaning or debriding them.
  • the heads 304 and 354 of the blades 120 and 122 actually cut the implant material creating a new implantoplasty surface desirable for bone grafting.
  • the form of the heads 304 and 354 of the blades 120 and 122 is designed to be slightly larger in width, depth, and angle than the threads 1012.
  • the larger dimensions of the heads 304 and 354 while engaged into the implant thread 1012, and under pressure from the closed sleeve 112, force the cutter to lay slightly back causing a compound angle. This also causes a conforming compression against the thread form of the threads 1012, allowing an ever deepening cut if necessary. This allows the user to engage the dental tool 100 and use multiple rotational motions up and down the implant 1000 to deepen the cut if it is desired to further remove the material of the implant 1000.
  • the example dental tool 100 is designed so all aspects of the implant thread geometry are cut simultaneously within one rotational pass of the dental tool 100. Thus, the thread root, thread flank, and thread crest of the thread form are cut by the dental tool 100.
  • the example dental tool 100 is designed so the blades 120 and 122 can be rigid no matter the length of the thread of the dental implant to be cut. In this example, the working length of the dental tool 100 is about 10 mm, although a longer working length of the dental tool 100 may be provided using the principles described herein.
  • the blades 120 and 122 of the dental tool 100 are not fixed to the main body 110.
  • the blades 120 and 122 are captured within the assembly with the main body 110 and the compression sleeve 112 allowing the blades 120 and 122 to pivot to maneuver over the implant 1000 when the sleeve 112 is drawn to the closed position to hold the blades 120 and 122.
  • the example dental tool 100 allows thorough cleaning and resurfacing of all aspects of the thread form of a dental implant such as the implant 1000 in FIGs. 11-12. These aspects include minor, major and flank aspects as well as all surfaces of the thread form.
  • the example dental tool 100 allows the ability to cut deep in the implant surface due to rigid compression to provide a complete new surface which is key to implantoplasty success.
  • the example dental tool 100 provides cleaned new surfaces within minutes rather than hours of chair time.
  • the example dental tool 100 retains debris instead of dispersing debris throughout the implant site.
  • the example dental tool 100 also provides an option to save a failing implant site rather than requiring a replacement thus saving the need for additional prosthetic work.
  • the example dental tool 100 may be designed and built to interact with various thread forms and be specific to all makes and models of threaded dental implants.
  • the utilization of the example dental tool 100 can interrupt the onset of peri-implantitis by resurfacing the implant thread form. This allows for successful bone grafting and ensures of the implants response to the grafted site. This allows the continued utilization of the existing prosthetics which are built to the existing implant’s position. This creates a savings of thousands of dollars by using the existing implant rather than removal and replacement, scrapping the prosthetics mentioned.
  • the pressure sleeve 112 shown in FIGs. 2-4 and 9 is also functional when made of rigid plastic, such as PEEK as well as the Radel material described above, providing enough rigid engagement to the blades to perform the task of resurfacing the thread of the dental implants.
  • a sleeve made of more flexible material allows for a dental tool that may be used to recut affected or damaged thread surfaces of a dental implant to remove debris when the thread depth is of a varying depth.
  • Some dental implant designs have a thread that tapers away from the central axis of the implant as the implant is conically shaped to the tip. Thus, the depth of the thread decreases as it travels towards the tip of the implant.
  • FIG. 13 shows a side view of another assembled example dental tool 1300 with a modified compression sleeve that allows the recutting of a tapered implant thread.
  • FIG. 14 is a side view of the unassembled components of the example dental tool 1300 in FIG. 13.
  • FIG. 15 is a side view of the blades of the dental tool 1300.
  • FIG. 16A is a top view of the example dental tool 1300 with the compression sleeve forcing the blades to extend from the interior surface of the tool.
  • FIG. 16B is a top view of the example dental tool 1300 with the compression sleeve flexed to accommodate the tapered thread.
  • FIG. 17A is a side view of the blades in the dental tool 1300.
  • FIG. 17B is a side cross-section view of one of the blades in the dental tool 1300 where the compression sleeve is in a normal shape when initially placed in the closed position.
  • FIG. 17C is a side cross-section view of one of the blades in the dental tool 1300 flexing the compression sleeve from the tapered threads of the implant.
  • FIG. 18 is a side view of a tapered thread implant 1400 and the location of the blade from the tool 1300.
  • FIGs. 13-17 show a main body 1310, a compression sleeve 1312, a containment pin 1314, and blades 1320 and 1322 of the tool 1300.
  • the main body 1310 houses the set of blades 1320 and 1322 that have specific geometries conforming to a tapered thread form when compressed by the compression sleeve 1312.
  • the blades 1320 and 1322 are engaged over the threads of a tapered thread form 1402 of the dental implant 1400 shown in FIG. 18.
  • the blades 1320 and 1322 will recut affected or damaged thread surfaces of a dental implant such as the tapered form dental implant 1400 to remove debris.
  • the main body 1310 of the example dental tool 1300 is identical to the main body 110 shown in FIGs. 1-10. Like element numbers of the main body 1310 are labeled with identical element numbers to those of the main body 110 shown in FIGs. 1-10.
  • the main body 1310 holds the two blades 1320 and 1322.
  • the two blades 1320 and 1322 have respective heads protruding from the interior surface 224 of the main body 1310.
  • the blades 1320 and 1322 are held in place on the main body 1310 by the compression sleeve 1312 that is inserted over the main body 1310.
  • the compression sleeve 1312 locks the blades 1320 and 1322 in place on the main body 1310 when the compression sleeve 1312 is placed in the closed position.
  • FIG. 15 is a close up perspective view of the blade 1320 and blade 1322.
  • the blade 1320 includes a tab 1330, a support member 1332, and a head 1334 opposite the tab 1330.
  • the support member 1332 of the blade 1320 is inserted in the slot 230 of the main body 1310.
  • the tab 1330 is inserted in the opening 254 of the main body 1310 to lock the blade 1320 in position in the slot 230 of the main body 1310 as shown in FIGs. 16A-16B and 17A.
  • the head 1334 is shaped to allow the blade 1320 to be used for resurfacing the minor diameter, flank and all other aspects of the thread form.
  • a back end 1336 of the head 1334 is shaped more bulbously than the head 304 of the blade 120 in FIG. 7 to allow the additional flexibility of the sleeve 1312 as will be explained below.
  • the blade 1322 includes a tab 1340, a support member 1342, and a head 1344 opposite the tab 1340.
  • the support member 1342 of the blade 1322 is inserted in the slot 232 of the main body 1310.
  • the tab 1340 is inserted in the opening 256 to lock the blade 1322 in position in the slot 232 of the main body 1310. This allows the head 1344 to be oriented to protrude from interior surface 224 of the main body 1310.
  • the head 1344 is shaped to allow the blade 1322 to be used for resurfacing the major diameter of the thread form when the main body is inserted over a dental implant.
  • a back end 1346 of the head 1344 is shaped more bulbously than the head 354 of the blade 122 in FIG. 8 to allow the additional flexibility of the sleeve 1312 as will be explained below.
  • FIGs. 13-14 show the compression sleeve 1312.
  • the compression sleeve 1312 is cylindrically shaped with opposite open ends 1360 and 1362 that allow the compression sleeve 1312 to be slipped over the exterior surface 226 of the main body 1310.
  • the compression sleeve 1312 includes a larger diameter cylinder 1370 and a smaller diameter cylinder 1372.
  • the cylinders 1370 and 1372 form an interior bore 1380 having one end at the open end 1360.
  • a smaller diameter interior bore 1382 extends from the opposite open end 1362.
  • the interior bore 1382 forms an annular shoulder 1384 that defines the opposite end of the interior bore 1380.
  • the diameter of the interior bore 1380 is a little larger than the diameter of the main body 1310 to allow a snug fit when the compression sleeve 1312 is telescoped over the main body 1310.
  • the open end 1360 of the compression sleeve 1312 is inserted over the end of the support cylinder 210 and the cylindrical socket member 200.
  • the compression sleeve 1312 may be inserted over the cylindrical socket member 200.
  • the compression sleeve 1312 may move from an open position against the containment pin 1314 and a closed position where the annular shoulder 1384 contacts the end of the cylindrical socket member 200.
  • the compression sleeve 1312 When the compression sleeve 1312 is inserted around the main body 1310 in the closed position, it delivers focused compression to hold the blades 1320 and 1322 in the respective slots 230 and 232 during the use of the dental tool 1300. When the main body 1310 is inserted over a dental implant, the compression sleeve 1312 provides rigid engagement of the heads 1334 and 1344 of the blades 1320 and 1322 to the thread path of the dental implant conforming to the pitch angle and forcing a compounding angle condition.
  • the compression sleeve 1312 includes another annular counter bore 1390 that forms a shoulder 1392 near the respective heads of the blades 1320 and 1322 when the sleeve 1312 is inserted over the main body 1310.
  • a thin wall 1394 is formed near the open end 1360 of the compression sleeve 1312 by the counter bore 1390.
  • the thin wall 1394 and counter bore 1390 creates a larger diameter at the end of the compression sleeve 1312 to accommodate the relatively larger ends 1336 and 1346 of the blades 1320 and 1322 respectively.
  • the compression sleeve 1312 is manufactured from rigid plastic that allows the area of the thin wall 1394 to be deformed by outward pressure from the blades 1320 and 1322 from the threads of an implant.
  • the components of the dental tool 1300 in FIGs. 13-14 are assembled prior to resurfacing a dental implant.
  • the blades 1320 and 1322 are inserted in the slots 230 and 232 of the main body 1310.
  • the tabs 1330 and 1340 of the blades 1320 and 1332 are inserted in the corresponding holes 254 and 256 in the main body 1310 when the blades 1320 and 1322 are inserted in the respective slots 230 and 232.
  • the compression sleeve 1312 is placed in an open position over the main body 1310 allowing the insertion of the blades 1320 and 1232.
  • the compression sleeve 1312 is locked in place by inserting the containment pin 1314 through the holes in the support cylinder 210.
  • the compression sleeve 1312 is moved to the closed position after the dental tool 100 is inserted over the implant and contacts the bone.
  • the compression sleeve 1312 is in the closed position where the annular shoulder 1384 contacts the cylindrical socket member 200.
  • the compression sleeve 1312 holds the blades 1320 and 1322 in place and causes the heads 1334 and 1344 to protrude from the interior surface 224 and contact the thread of the implant.
  • FIG. 18 shows an example implant 1400 with the tapered form 1402.
  • the implant 1400 is inserted to protrude partially from bone 1404.
  • the tapered form 1402 defines a tapered interior side wall 1410.
  • the interior side wall 1410 has a tapered thread 1420 that includes threads 1422, 1424, 1426, 1428, and 1430 of different depths.
  • the blades 1320 and 1322 may be allowed more freedom of movement to follow the tapering of the thread 1420 compared with the dental tool 100 in relation to the uniform thread of an implant as shown in FIGs. 11-12.
  • FIG. 18 shows the contact of the head 1334 of the blade 1320 at a minor aspect 1430 of the thread 1420 including a flank of the thread 1422 when the tool 1300 is fully positioned over the implant 1400 and the compression sleeve 1312 is in a closed position.
  • the head 1344 of the blade 1322 will contact the major aspect of the threads such as thread 1420.
  • a minor aspect 1432 has a smaller relative depth than the minor aspect 1430 and thus when the head 1334 contacts the minor aspect 1430 initially, it will be pushed away from the implant 1400.
  • the minor aspect and major aspects of the thread 1420 will push the blades 1320 and 1322 outward and flex out the compression sleeve 1312 as shown in FIG. 16B.
  • Each successive thread decreases in depth closer to the head of the implant 1400 and when the tool 1300 is rotated to the level of the head of the implant 1400, the compression sleeve 1312 will be fully flexed as shown in FIG. 16B.
  • FIG. 16A shows the top view of the location of the blades 1320 and 1322 when the tool 1300 is initially inserted on the implant 1400.
  • FIG. 17B shows a side view of the location of the blades 1320 and 1322 when the tool 1300 is initially inserted on the implant 1400.
  • FIG. 17A and FIG. 17B shows a side view of the location of the blade 1320 when the tool 1300 is initially positioned covering most of the implant 1400 and the compression sleeve 1312 is placed in the closed position.
  • the corresponding edges 1336 and 1346 of the heads 1334 and 1346 thus push on the thin wall 1394 of the sleeve 1312 and expand the sleeve 1312 away from the implant 1400.
  • the thin wall 1394 and the relatively more flexible material of the sleeve 1312 allows compression in one axis (vertical in FIG. 16B) while elongating in another axis (horizontal in FIG. 16B), allowing the blades 1320 and 1322 to maintain and even increase engagement pressure as the tool 1300 traverses the tapered thread path of the implant 1400.
  • FIG. 16B shows the top view of the location of the blades 1320 and 1322 when the tool 1300 is rotated to a position exposing most of the implant 1400.
  • the heads 1334 and 1344 are pushed outward thereby flexing the compression sleeve 1300. In this manner, the expansion or elongation of the sleeve 1312 at the thin wall 1394 increases as the tool 1300 traverses the tapered thread path of the implant.
  • FIG. 19 shows another example dental tool 1900 that has multiple blades to resurface the threads of an implant 1910 with a multi -thread configuration inserted in a bone 1908.
  • the implant 1910 has two sets of threads 1912 and 1914. Each thread 1912 and 1914 has a series of minor aspects and major aspects.
  • the multiple threads may also be tapered if the implant 1910 has a tapered form similar to the threads on the tapered form of the implant 1400 shown in FIG. 18.
  • the dental tool 1900 is similar to the dental tools 100 and 1300 discussed above with the addition of a third blade.
  • the tool 1900 includes a main body 1920 similar to the main body 100 in FIGs. 1-10 with a third slot as shown in a top view in FIG. 20 A.
  • the tool 1900 also includes a compression sleeve 1922 that ensures that the blades contact the threads of the implant when the compression sleeve 1922 is in the closed position.
  • the main body 1920 holds two blades 1930 and 1932 that resurface the minor aspects of the implant 1910 and a third blade 1934 for resurfacing the major aspects of both threads 1912 and 1914. As may be seen in FIG.
  • the two blades 1930 and 1932 include respective heads 1940 and 1942 that serve to resurface the minor aspects of the threads 1912 and 1914 of the implant 1910.
  • the other blade 1934 includes a head 1944 for resurfacing the major aspects of both threads 1912 and 1914.
  • the blades 1930, 1932, and 1934 are fabricated from metal.
  • the main body 1920 is fabricated from thermoplastic material.
  • the compression sleeve 1922 may be fabricated from either metal or thermoplastic material.
  • FIG. 19 shows the tool 1900 when it is initially inserted over the implant 1910 and rests near the level of the bone 1908.
  • FIG. 20B shows a modification of the tool 1900 with the compression sleeve 1922 being fabricated from more flexible material such as thermoplastic material.
  • the more flexible compression sleeve 1922 allows the user of the tool 1900 with implants with multiple threads having a tapered form.
  • the modified tool 1900 is inserted over the implant and the compression sleeve 1922 is placed in the closed position. Since the threads near the bone level are relatively deeper, the heads 1940, 1942 and 1944 of the blades 1930, 1932, and 19334 are extended fully from the main body 1920 when the compression sleeve is moved to the closed position as shown in FIG. 20A.
  • the blades will follow the tapering of the threads and the compression sleeve 1922 eventually reaches a shape similar to that shown in FIG. 20B. Similar to what is shown in FIG. 16B, the compression sleeve 1922 is flexed out to allow the blades to follow the shallower threads at the top of the implant.

Landscapes

  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Dental Prosthetics (AREA)

Abstract

L'invention concerne un outil dentaire destiné au resurfaçage de formes de filetage d'un implant dentaire. Cet outil comprend un corps principal comportant un élément cylindrique doté d'une fente. Une lame comprenant une tête est insérée dans la fente afin d'orienter la tête pour que celle-ci saille à partir de la surface intérieure de l'élément cylindrique du corps principal. Le corps principal peut être tourné de manière à traverser une forme de filetage de l'implant. Un manchon de compression est inséré sur le corps principal. Le manchon de compression comporte une position ouverte et une position fermée pour retenir la lame dans la fente. Le manchon de compression peut être fléchi par un mouvement relatif des lames pour resurfacer les filetages d'un implant dentaire effilé.
EP20762784.5A 2019-02-26 2020-02-25 Outil d'implantoplastie dentaire destiné au traitement de péri-implantite autour d'implants dentaires Withdrawn EP3930626A4 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US16/286,307 US11090139B2 (en) 2016-11-08 2019-02-26 Dental implantoplasty tool for treatment of peri-implantis in dental implants
PCT/US2020/019754 WO2020176543A1 (fr) 2019-02-26 2020-02-25 Outil d'implantoplastie dentaire destiné au traitement de péri-implantite autour d'implants dentaires

Publications (2)

Publication Number Publication Date
EP3930626A1 true EP3930626A1 (fr) 2022-01-05
EP3930626A4 EP3930626A4 (fr) 2022-11-23

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EP20762784.5A Withdrawn EP3930626A4 (fr) 2019-02-26 2020-02-25 Outil d'implantoplastie dentaire destiné au traitement de péri-implantite autour d'implants dentaires

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EP (1) EP3930626A4 (fr)
CA (1) CA3127967A1 (fr)
WO (1) WO2020176543A1 (fr)

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8529259B2 (en) * 2010-07-29 2013-09-10 Curtis K. Wade Systems and methods for reconditioning implants in situ
JP2014511159A (ja) * 2011-03-10 2014-05-12 テヴァ ファーマスーティカル インダストリーズ エルティーディー． 健康管理の改善のための方法、システム、及びプログラム
US20130115570A1 (en) * 2011-11-04 2013-05-09 Han Chip Kim Infected dental implant cleaning technique
US20140137345A1 (en) * 2011-11-04 2014-05-22 Hans Korea Co., Ltd Infected dental implant cleaning technique
TWM474588U (zh) * 2013-11-21 2014-03-21 Yih Troun Entpr Co Ltd 多片式刀片螺絲攻
KR101643352B1 (ko) * 2015-02-25 2016-07-27 오스템임플란트 주식회사 치과용 임플란트의 세척기구
US10219878B2 (en) * 2016-11-08 2019-03-05 Christopher R. Goodman Dental implantoplasty tool for preventing peri-implantis in dental implants
KR101936322B1 (ko) * 2017-05-02 2019-04-03 오스템임플란트 주식회사 치과용 세정도구

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CA3127967A1 (fr) 2020-09-03
WO2020176543A1 (fr) 2020-09-03
EP3930626A4 (fr) 2022-11-23

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