JP2006167089A - Hookless fixation denture - Google Patents

Hookless fixation denture Download PDF

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Publication number
JP2006167089A
JP2006167089A JP2004362610A JP2004362610A JP2006167089A JP 2006167089 A JP2006167089 A JP 2006167089A JP 2004362610 A JP2004362610 A JP 2004362610A JP 2004362610 A JP2004362610 A JP 2004362610A JP 2006167089 A JP2006167089 A JP 2006167089A
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denture
bar
teeth
tooth
synthetic resin
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Isao Osada
勲 長田
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MICROCAST LAB KK
MICROCAST LABORATORY KK
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MICROCAST LAB KK
MICROCAST LABORATORY KK
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Abstract

<P>PROBLEM TO BE SOLVED: To provide hookless fixation denture which can be mounted while hardly putting burdens on remaining teeth. <P>SOLUTION: The hookless fixation denture is provided with a falling prevention part 7 made of synthetic resin, which is freely detachably mounted on the defective part L of the teeth and locked to the side face of the teeth. Also, the denture is provided with a denture body composed of a plurality of implants which are connected through a connection part, can be attached to the plurality of noncontinuous defective parts and are embedded in the gingiva part of the defective part of the teeth, a bar joined to the implants and the falling prevention part made of the synthetic resin. The falling prevention part is freely attachable to and detachable from the bar and is locked to the bar. The synthetic resin to be used is a modified polyethylene resin or vinyl chloride or silicone rubber. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

この発明は、例えば欠損した歯の機能を復元するために歯の欠損した部分に装着される無鈎固着義歯に関する。   The present invention relates to a toothless fixed denture that is attached to a missing part of a tooth in order to restore the function of the missing tooth, for example.

従来の義歯として、残存している歯にバネによって固定されるタイプのものが一般的である。   As a conventional denture, a type that is fixed to a remaining tooth by a spring is common.

しかし、上記従来の義歯では、バネが掛けられた歯に対して前後左右に揺さぶる力が加わり、その歯の寿命を著しく縮めたり、前記力が抜歯につながるおそれがあった。   However, in the above-mentioned conventional denture, there is a possibility that a force swinging back and forth and right and left is applied to the tooth on which the spring is hung and the life of the tooth is remarkably shortened or the force leads to extraction.

この発明は上述の事柄に留意してなされたもので、その目的は、残存している歯に負担を殆どかけることなく装着することができる無鈎固着義歯を提供することである。   The present invention has been made in consideration of the above-described matters, and an object of the present invention is to provide a self-fixing denture that can be mounted with almost no burden on the remaining teeth.

上記目的を達成するために、第1発明の無鈎固着義歯は、歯の欠損部分に着脱自在に装着され、歯の側面に係止する合成樹脂製の抜け止め部を備えていることを特徴としている(請求項1)。   In order to achieve the above object, the self-fixing denture of the first invention is provided with a synthetic resin retaining portion that is detachably attached to a tooth defect portion and is locked to a side surface of the tooth. (Claim 1).

前記無鈎固着義歯は、連結部を介して複数連結され、連続しない複数の前記欠損部分に取り付けられてもよい(請求項2)。   A plurality of the anchorless fixed dentures may be connected to each other via a connecting portion and attached to a plurality of non-continuous missing portions (Claim 2).

第2発明の無鈎固着義歯は、歯の欠損部分の歯肉部に埋設された複数のインプラントと、これらのインプラントにわたって接合されるバーと、当該バーに対して着脱自在となるように構成され、当該バーに係止する合成樹脂製の抜け止め部を有する義歯本体とを備えたことを特徴としている(請求項3)。   The toothless fixed denture of the second invention is configured to be detachable with respect to the plurality of implants embedded in the gingival part of the missing portion of the tooth, a bar joined over these implants, And a denture body having a synthetic resin retaining portion that is locked to the bar (claim 3).

具体的には、前記抜け止め部を、変性ポリエチレン樹脂または硬質ビニールまたはシリコンゴムにより形成することができる(請求項4)。   Specifically, the retaining portion can be formed of a modified polyethylene resin, hard vinyl, or silicon rubber (claim 4).

請求項1および2に係る発明では、残存している歯に負担を殆どかけることなく容易に装着することができる無鈎固着義歯が得られる。   In the inventions according to claims 1 and 2, it is possible to obtain a self-fixing denture that can be easily mounted with little burden on the remaining teeth.

請求項3に係る発明でも、残存している歯に負担を殆どかけることなく容易に装着することができる無鈎固着義歯が得られる。   In the invention according to claim 3, an unfixed fixed denture that can be easily mounted with little burden on the remaining teeth is obtained.

請求項4に係る発明では、前記無鈎固着義歯をより容易にかつ低コストで製造することができる。   In the invention which concerns on Claim 4, the said unfixed fixed denture can be manufactured more easily and at low cost.

図1〜図5は、この発明の第1の実施の形態に係る無鈎固着義歯(以下、義歯という)1を示す。前記義歯1は、図2に示すように、一つの歯が欠損した部分Lに着脱自在に装着され、図1〜図3に示すように、歯冠部の外観を呈する模擬歯冠部2と、歯肉部の外観を呈する模擬歯肉部3とを備えている。この義歯1は、欠損部分Lに臨む位置に残存する歯の歯冠部4や歯肉部5の形状等に適合するように形成されている。また、義歯1は、欠損部分Lに臨む位置に残存する歯(歯冠部4)の側面に係止する抜け止め部7を左右両側に備えている。   1 to 5 show a toothless fixed denture (hereinafter referred to as a denture) 1 according to a first embodiment of the present invention. As shown in FIG. 2, the denture 1 is detachably attached to a portion L in which one tooth is missing, and as shown in FIGS. 1 to 3, And a simulated gingival part 3 having an appearance of the gingival part. This denture 1 is formed so as to conform to the shape and the like of the crown portion 4 and the gingival portion 5 of the tooth remaining at the position facing the defect portion L. Further, the denture 1 is provided with left and right retaining portions 7 that are engaged with the side surfaces of the tooth (the crown portion 4) remaining at the position facing the defect portion L.

詳しくは、前記模擬歯冠部2および模擬歯肉部3は、それぞれ例えばアクリル樹脂よりなり、模擬歯肉部3は、図1〜図5に示すように、歯の欠損部分Lの歯肉部5の外側(口腔外側)および内側(口腔内側)を覆う一対のスカート部8,8を有している。   Specifically, the simulated crown part 2 and the simulated gingival part 3 are each made of, for example, acrylic resin, and the simulated gingival part 3 is located outside the gingival part 5 of the missing tooth portion L as shown in FIGS. It has a pair of skirt parts 8 and 8 which covers (outer oral cavity) and inner side (inner oral cavity).

一方、前記抜け止め部7は、図3に示すように、前記欠損部分Lに臨む位置に残存する歯(歯冠部4)の側面に沿うようにほぼU字状をしており、例えばシート状の変性ポリエチレン樹脂または硬質ビニールよりなる。また、抜け止め部7は、模擬歯冠部2および模擬歯肉部3に対して例えば即時重合レジンを介して接合され、この際、抜け止め部7の表面はジクロロメタンで処理される。   On the other hand, as shown in FIG. 3, the retaining portion 7 is substantially U-shaped along the side surface of the tooth (crown portion 4) remaining at the position facing the defect portion L, for example, a sheet. It is made of a modified polyethylene resin or hard vinyl. Further, the retaining portion 7 is joined to the simulated crown portion 2 and the simulated gingival portion 3 through, for example, an immediate polymerization resin, and at this time, the surface of the retaining portion 7 is treated with dichloromethane.

そして、抜け止め部7の当接部7a(図3において斜線で示す部分)が、欠損部分Lに臨む位置に残存する歯(歯冠部4)の側面に当接することで、義歯1が欠損部分Lに装着された状態が維持されるように構成されている。ここで、前記当接部7aは、図2に示すように、前記歯冠部4の側面において、歯冠部4の先端側(図2では上側)に近づくに従って側方に位置(突出)する傾斜がついた部分6またはその近傍に当接するように構成されていることが望ましい。この実施の形態では、前記部分6は、歯冠部4の側面において歯肉部5付近に形成されている。   Then, the abutment portion 7a of the retaining portion 7 (portion indicated by hatching in FIG. 3) abuts the side surface of the tooth (dental crown portion 4) remaining at the position facing the missing portion L, so that the denture 1 is missing. The state where the portion L is mounted is maintained. Here, as shown in FIG. 2, the abutting portion 7 a is positioned (protruded) laterally on the side surface of the crown portion 4 as it approaches the distal end side (upper side in FIG. 2) of the crown portion 4. It is desirable to be configured to contact the inclined portion 6 or the vicinity thereof. In this embodiment, the portion 6 is formed in the vicinity of the gingival portion 5 on the side surface of the crown portion 4.

なお、図6〜図8に示すように、前記模擬歯冠部2の下側に沿うU字状をしており、両端に係止爪9が形成された金属製(例えばコバルトクロム合金製)の部材(レスト)10を設けてもよい。すなわち、係止爪9は、義歯1を前記欠損部分Lに装着したときに隣接する歯の歯冠部4に係止し、義歯1が隣接する歯よりも歯肉部5側へと沈みこむことを防止するように構成されている。   6-8, it is U-shaped along the lower side of the simulated crown portion 2 and is made of metal (for example, made of cobalt chrome alloy) with locking claws 9 formed at both ends. The member (rest) 10 may be provided. That is, the locking claw 9 is locked to the crown portion 4 of the adjacent tooth when the denture 1 is attached to the defect portion L, and the denture 1 sinks to the gingival portion 5 side than the adjacent tooth. Is configured to prevent.

また、図9に示すように、義歯1を、連続する二つの歯が欠損した部分Lに着脱自在に装着されるように構成してもよいし、連続する三つ以上の歯が欠損した部分Lに着脱自在に装着されるように構成してもよい。すなわち、連続する複数の歯が欠損した部分Lに装着される義歯1を構成する場合には、欠損部分Lに存在していた歯の数と同数の模擬歯冠部2を義歯1に設ければよい。   Moreover, as shown in FIG. 9, you may comprise so that the denture 1 may be detachably mounted | worn with the part L from which two continuous teeth were missing, or the part from which three or more continuous teeth were missing You may comprise so that it may attach to L freely. That is, in the case where the denture 1 is configured to be attached to the portion L where a plurality of continuous teeth are missing, the same number of simulated crown portions 2 as the number of teeth existing in the missing portion L are provided in the denture 1. That's fine.

さらに、図10に示すように、複数の義歯1を歯の口腔内側にのみ設けられる連結部11を介して連結し、連続しない複数の前記欠損部分Lに一度に取り付けることができるように構成してもよい。ここで、前記連結部11は、模擬歯肉部2と同じ材料または金属(コバルトクロム合金等)等適宜の強度を有する材料によって形成することができ、この場合、連結部11が歯肉部の外観を呈するように構成してもよい。また、この連結部11にも、前記抜け止め部7を設けることができる。   Furthermore, as shown in FIG. 10, a plurality of dentures 1 are connected via a connecting portion 11 provided only inside the oral cavity of the tooth, and can be attached to a plurality of non-continuous defective portions L at a time. May be. Here, the connecting part 11 can be formed of the same material as the simulated gingival part 2 or a material having an appropriate strength such as a metal (cobalt chromium alloy or the like). In this case, the connecting part 11 has an appearance of the gingival part. You may comprise so that it may exhibit. The connecting portion 11 can also be provided with the retaining portion 7.

また、図10に示すように、残存している歯が少ない場合や、孤立歯(隣接する歯がない歯)のみが残存している場合には、前記抜け止め部7を弾力性のある材料によって形成することが好ましく、そのような材料としては、例えばシリコンゴムが挙げられる。そして、シリコンゴムによって抜け止め部7を形成する場合には、この抜け止め部7は、例えば接着剤を介して前記模擬歯冠部2および模擬歯肉部3に接合することができる。   In addition, as shown in FIG. 10, when the remaining teeth are few or only isolated teeth (teeth without adjacent teeth) remain, the retaining portion 7 is made of an elastic material. Preferably, the material is formed by, for example, silicon rubber. When the retaining portion 7 is formed of silicon rubber, the retaining portion 7 can be joined to the simulated crown portion 2 and the simulated gingival portion 3 via an adhesive, for example.

なお、図1〜図10に示す実施の形態において、前記模擬歯肉部3内に、金属製(例えばコバルトクロム合金製)等適宜の強度を有する補強部材(図示していない)を埋設してもよい。この補強部材は、薄板状、細棒状など適宜の形状に形成することができる。   In the embodiment shown in FIGS. 1 to 10, even if a reinforcing member (not shown) having an appropriate strength such as a metal (for example, a cobalt chrome alloy) is embedded in the simulated gingival portion 3. Good. The reinforcing member can be formed in an appropriate shape such as a thin plate shape or a thin rod shape.

図11および図12は、この発明の第2の実施の形態に係る義歯12を示す。義歯12は、歯の欠損部分Lの歯肉部5に埋設された複数(この実施の形態では二つ)のインプラント13,13と、これらのインプラント13,13にわたって接合(例えばロウ付け)されるバー(例えばドルダーバー)14と、このバー14に対して着脱自在となるように構成され、前記バー14に係止する合成樹脂製の抜け止め部15aを有する義歯本体15とを備えている。なお、前記インプラント13の数は、二つに限られず、三つ以上でもよい。   11 and 12 show a denture 12 according to a second embodiment of the present invention. The denture 12 includes a plurality (two in this embodiment) of implants 13 and 13 embedded in the gingival part 5 of the tooth defect portion L, and a bar joined (for example, brazed) over the implants 13 and 13. (For example, a Dolder bar) 14, and a denture body 15 that is configured to be detachable from the bar 14 and has a synthetic resin retaining portion 15 a that engages with the bar 14. The number of the implants 13 is not limited to two and may be three or more.

前記義歯本体15は、前記義歯1とほぼ同じ構成をしており、義歯1と比較すると、前記抜け止め部7に代えて、中央下側に、前記バー14に係止するように構成された縦断面ほぼU字形状の抜け止め部15aが形成されている点で異なり、その他の点では共通しているので、共通部分の再度の説明は省略する。   The denture body 15 has substantially the same configuration as the denture 1 and is configured to be locked to the bar 14 at the center lower side instead of the retaining portion 7 as compared with the denture 1. This is different in that a retaining portion 15a having a substantially U-shaped longitudinal section is formed, and is common in other respects, so that the description of the common portion is omitted.

なお、上記二つの実施の形態に示す義歯はいずれも以下のようにして作成される。すなわち、まず、義歯を作成しようとする対象者(患者)の顎から直接得られる1次顎模型(原型)を作成し、続いて、この原型から義歯作成作業用の2次顎模型を作成した上、この2次顎模型を用いて義歯を作成する。ここで、2次顎模型から作成した義歯は、通常、熱膨張等が原因となって歪み、2次顎模型に合致する形状とはならない。そのため、2次顎模型を1次顎模型と同一形状の型とはせず、前記歪みが生じることを考慮して2次顎模型を作成する。すなわち、2次顎模型を用いて義歯を作成するときに義歯に生じる歪みを前記原型から予測し、この予測に基づき、歪んで形成された義歯が原型に合致するように2次顎模型を作成する。そして、前記2次顎模型を用いて得られた義歯は、前記対象者の口腔内に実際に装着される前に、前記原型を用いてその精度等の点検や咬合の調整が行われ、これにより、義歯の原型上精度保証が得られると共に、その品質の向上が確実に図られることとなっている。   In addition, all the dentures shown in the above-mentioned two embodiments are created as follows. That is, first, a primary jaw model (prototype) obtained directly from the jaw of a subject (patient) who wants to create a denture was created, and then a secondary jaw model for creating a denture was created from this prototype. Above, a denture is created using this secondary jaw model. Here, the denture created from the secondary jaw model is usually distorted due to thermal expansion or the like and does not have a shape matching the secondary jaw model. Therefore, the secondary jaw model is not formed into the same shape as the primary jaw model, but a secondary jaw model is created in consideration of the occurrence of the distortion. In other words, when creating a denture using a secondary jaw model, the distortion generated in the denture is predicted from the prototype, and based on this prediction, a secondary jaw model is created so that the denture formed by distortion matches the prototype. To do. The denture obtained using the secondary jaw model is subjected to inspection of its accuracy and adjustment of the occlusion using the prototype before it is actually installed in the oral cavity of the subject. As a result, the accuracy of the original denture is guaranteed, and the quality of the denture is reliably improved.

この発明の第1の実施の形態に係る無鈎固着義歯の装着状態の構成を概略的に示す平面図である。It is a top view which shows roughly the structure of the mounting state of the unfixed fixed denture based on 1st Embodiment of this invention. 前記無鈎固着義歯の構成を概略的に示す説明図である。It is explanatory drawing which shows schematically the structure of the said unfixed fixed denture. 前記無鈎固着義歯の構成を概略的に示す斜視図である。It is a perspective view which shows schematically the structure of the said unfixed fixed denture. 前記無鈎固着義歯の装着状態の構成を概略的に示す縦断面図である。It is a longitudinal cross-sectional view which shows schematically the structure of the mounting state of the said unfixed fixed denture. 前記無鈎固着義歯の装着状態の構成を概略的に示す平面図である。It is a top view which shows roughly the structure of the mounting state of the said unfixed fixed denture. 前記無鈎固着義歯の変形例の構成を概略的に示す斜視図である。It is a perspective view which shows roughly the structure of the modification of the said unfixed fixed denture. 前記変形例に係る無鈎固着義歯の構成を概略的に示す縦断面図である。It is a longitudinal cross-sectional view which shows schematically the structure of the unfixed fixed denture based on the said modification. 前記変形例に係る無鈎固着義歯の構成を概略的に示す平面図である。It is a top view which shows roughly the structure of the unfixed fixed denture based on the said modification. 前記無鈎固着義歯の他の変形例の装着状態の構成を概略的に示す平面図である。It is a top view which shows roughly the structure of the mounting state of the other modified example of the said self-fixing denture. 前記無鈎固着義歯の更に他の変形例の装着状態の構成を概略的に示す平面図である。It is a top view which shows roughly the structure of the mounting state of the further another modification of the said unfixed fixed denture. この発明の第2の実施の形態に係る無鈎固着義歯の装着状態の構成を概略的に示す説明図である。It is explanatory drawing which shows roughly the structure of the mounting state of the unfixed fixed denture based on 2nd Embodiment of this invention. 前記無鈎固着義歯の構成を概略的に示す縦断面図である。It is a longitudinal cross-sectional view which shows schematically the structure of the said unfixed fixed denture.

符号の説明Explanation of symbols

4 歯冠部
5 歯肉部
6 凹み部分
7 抜け止め部
L 欠損部分
4 Crown part 5 Gingiva part 6 Recessed part 7 Retaining part L Defect part

Claims (4)

歯の欠損部分に着脱自在に装着され、歯の側面に係止する合成樹脂製の抜け止め部を備えていることを特徴とする無鈎固着義歯。   A toothless fixed denture characterized by comprising a synthetic resin retaining portion that is detachably attached to a tooth defect portion and is engaged with a side surface of the tooth. 連結部を介して複数連結され、連続しない複数の前記欠損部分に取り付けられる請求項1に記載の無鈎固着義歯。   The unfixed fixed denture according to claim 1, wherein a plurality of non-continuous defect parts are connected via a connecting part and attached to a plurality of non-continuous parts. 歯の欠損部分の歯肉部に埋設された複数のインプラントと、これらのインプラントにわたって接合されるバーと、当該バーに対して着脱自在となるように構成され、当該バーに係止する合成樹脂製の抜け止め部を有する義歯本体とを備えたことを特徴とする無鈎固着義歯。   A plurality of implants embedded in the gingival part of the tooth defect portion, a bar joined across these implants, and a structure made to be detachable from the bar, and made of a synthetic resin that is locked to the bar A denture-fixing denture comprising a denture body having a retaining portion. 前記抜け止め部を、変性ポリエチレン樹脂または硬質ビニールまたはシリコンゴムにより形成してある請求項1〜3のいずれかに記載の無鈎固着義歯。   The toothless fixed denture according to any one of claims 1 to 3, wherein the retaining portion is formed of a modified polyethylene resin, hard vinyl, or silicon rubber.
JP2004362610A 2004-12-15 2004-12-15 Hookless fixation denture Pending JP2006167089A (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009066281A (en) * 2007-09-14 2009-04-02 Hideo Nakagawa Partial denture
WO2012049879A1 (en) * 2010-10-15 2012-04-19 株式会社ユニックスジャパン Partial denture and production method therefor
WO2017083995A1 (en) * 2015-11-18 2017-05-26 Universidad Mayor Mandibular prosthesis device in edentate patients and associated method
JP2018064657A (en) * 2016-10-17 2018-04-26 和憲 古賀 Local denture

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009066281A (en) * 2007-09-14 2009-04-02 Hideo Nakagawa Partial denture
WO2012049879A1 (en) * 2010-10-15 2012-04-19 株式会社ユニックスジャパン Partial denture and production method therefor
WO2017083995A1 (en) * 2015-11-18 2017-05-26 Universidad Mayor Mandibular prosthesis device in edentate patients and associated method
JP2018064657A (en) * 2016-10-17 2018-04-26 和憲 古賀 Local denture

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