MXPA99001305A - Oral implantology method without ciru - Google Patents

Abstract

To facilitate the insertion of the implants we can enter where the bone allows us and following the buccolingual and mesiodistal anatomy and direction that originally had the lost roots. We began to place the fourteen inferior implants and then we placed the fourteen superior implants in the same day and in only three hours (13) and as you can see there is very little bleeding in only two or three implants placed (14) which speeds up and shortens the process of osseointegration. Nowadays, every time we are improving more, both the techniques and the implants are developed, also, to allow us to achieve a faster implant more efficient and less annoying and traumatic for the patient and for the implantologist. So efficient for the patient that we get implant placement with practically no bleeding which will initiate an immediate and excellent healing around the implants, and so fast for the implantologist that can place the 28 implants in two or three hours and in a single vision.

Description

* Jf METHOD OF ORAL IMPLANTOLOGY WITHOUT SURGERY BACKGROUND OF THE INVENTION ^ Since time immemorial the man has tried to rep 'r ~ l? Your dental pieces with different types of prosthesis and in the present century with different types of implants, without However, the first evidence of a dental implant is found in the Mayan culture developed in the vicinity of A-Cancun, Mexico in the year 600 AD. since that time, the man dreamed of making the first in-dividual implants and made them with nacre shell fragments, tailing them to give them the root form and crown of three inferior anterior incisions which were found in their site and with the evidence of having remained in the mouth virtually osseointegrated and without having produced infection or foreign body reaction which is demonstrated in the neo era found in the area of Palenque, Mexico (1).

In the 70's and 80's we had to see the hue So it was going to be perforated to insert the implants running while reflecting the tissues, and sometimes it took us up to - ßi three hours to insert only one blade implant in - and? these implants we had to make an incision to the soft tissue i-1 * .4 two, with an extension of half jaw with a 25 i- • «* exaggerated bleeding and extensive surgery to reflect these tissues, a channel in the bone of several cm .. long and up to 2mm. wide and 1 to 2 cm. of depth, this procedure caused the following risks for the patient. 1) The risk of reaching the floor of the nose or maxillary sinuses. 2) The risk of reaching the roof of the dental canal lower. 3) The risk of entering into and partially or totally cutting off said servant with the consequent temporal or definite loss of sensibility. 4) Finally, the risk of inflammation, infection and sometimes mandibular trisms caused by in-cicision, soft tissue reflection, bone surgery, implant placement and - subsequent sutures that took up to three hours. n the 90 's an incision was made, separating the implants, suturing everything and - within six months,. many implants we had to re-open and re-reflect the soft tissues to know where the implants were, then a crescent cut was made on one side and on the other of the tissues, the incision was made to see where the implants were and to leave uncovered a new healing screw larger than the gum protruded, it was sutured, but the definitive post was not yet placed, again we left time for the soft tissues to heal around the new screw, when-less fifteen days later we had to hurt the soft tissues again, removing the new healing screw and placing the post and wait another fifteen days to take the impressions.

Now we can eliminate all this procedure and insert the implants that a simple pair of local points, leaving the healing screws outside the gum, in this way we can easily remove it without a new scarcity and a repeated reflection of tissues. soft.

PREVIOUS TECHNIQUE Unlike other techniques that use different types of surgical guides that require time in the clinic and in the laboratory, they present problems such as: 1) The volume or thickness of acrylic resin that used to make the wings of the template made it difficult to see the guide marks on the implant drills - even though the acrylic resin was clear, sometimes the surgeon may not always be able to. 2) Place the milling cutter on the guide, especially on patents with a limited opening. 3) In some cases the surgeon can not see the depth of the drill. 4) The occlusal surface did not allow adequate space to accommodate the head of the handpiece at - the correct angle to cut freely. 5) Coolant fluid from handpieces with external irrigation system was impossible. t i * S DESCRIPTION OF THE INVENTION Nowadays, recovering the aesthetic function and safety of a healthy, strong and complete denture is not a dream of the future. The inventor shows how in 1991 achieved the first total oral rehabilitation with 27 individual crowns mounted on 27 implants based on the natural characteristics of the human dentition, achieving for the patient a greater comfort, safety and aesthetics- 10 (2 and 3) .

It also shows as an imitation of nature in 1994, - by replacing the lower molars with two implants replacing their two roots lost at the time of ex¬ 3 15 traction, as well as for the first time in this same year we replaced the three lost roots of the maxillary molars with three implants (4 and 5).

We must keep in mind that each of the molars *, t 20 superiors receive a muscular load of 44 Kg that the first and second lower molars receive approximately 31 kg each and the central incisors receive 15 and 16 kg- (6), for this reason: Nature gave them 3 , 2 and 1 root-p, depending on the amount of load they receive. The inventor invites us to be more aware of these factors in order to provide the greatest possible safety especially for our young patients of the year 2000 and the future.

Thinking that nature only need a small channel or conduit in the bone to make and grow teeth from a germ, we must respect those principles and try to replace all the teeth using small holes through the gum and of the bone, this invention shows how it was possible in 1997 to replace for the first time the 28 dental pieces with individual crowns and implants placed without separating the weaves, nor having to use more the visturi and the suture (7 and 8) .

To know the diameter dimension of the implants to be placed as well as the possibility of placing the same - without the need to separate the tissues we use two different types of scalers that measure tenths of millimeters and - which serve us, the first to measure the thickness of the maxilla or mandible, including bone and gum, since it has end stops, which do not allow perforation of the gum during the measurement process.

We have a second scale that has sharp points and this allows us once anesthetized the patient that the tips pierce the gum reaching the bone and giving us an exact and reliable dimension in such a way that if we see a maxilla or jaw that has 5 mm.-of bone width in its anterior part we can place 3.25 mm implants. of diameter in the anterior part of this mandible or maxilla. Leaving 8.7 tenths of mr.? to side of internal and external table, which would be the minimum bone thickness allowed if we talk about the replacement of the four anterior and inferior incisors and the two upper lateral incisors, although, in a comparative study in relation to a skull Young human found that for lower incisors, nature only needs 1 to \ tenth of a mm.

To replace both upper central incisors-we must have a minimum of 5.50 mm. in width in the maxilla superior, then, this will maintain the same relationship-of bone that we had already mentioned before. However, in a young human skull we find that nature has given us two decimas in both tables.

For premolar and molar canines the minimum width of maxillary and mandibular bone available should be --6 mm. because the upper molars receive a muscular load of 44 kg. and in the jaw the molars receive a muscular load of 31 kg. Therefore, it is necessary that -the width of the bone in these cases is at least 1 mm. in the internal table and 1 mm. in the external table. Because here nature has given us 5 to 10 tenths of-mm. of variation depending on the position of the root in the maxillary or jaw bone.

When you have 7, 8 or more mm. and you have the experience of having placed six thousand or more implants you can -replaced the use of the calipers by our own thumb and Index of our left hand (9 and 10) -and the sense of touch of our right hand that is piercing the bone (11) to be feeling step by step and perfection the width of the bone, the perforation of the bone and the enzanchamiento of the bone with each one of the -fresas surgical until arriving at the caliber wished. The procedure that we already used in all our cases, since we could manage to replace all the pieces with this system that allows us to feel by means of the experienced touch as soon as we had to see separating the tissues. For example, if the bone is very porous, -if its cortical lamina is very hard, and if its transference-is very dense, if the bone has concavities or alterations of the normal anatomy or if the bone is expanding dangerously or in an incorrect way or if our strawberries are very wide and should stop and reduce - our diameter or introduce the strawberries in a new direction as well as using subsequent radiographs for the proper perforation of the bone.

Claims (2)

1) The placement of the dental implant is very fast and it is done with a simple local anesthesia, it is not painful neither at the time of the operation nor after the operation, nor is there any rejection since the material used is titanium a hundred times 100 pure and sterilized - three times by gamma rays, the implants are biocompatible with any organism to which it is osseointegrated - easily, providing a better option in comfort is 10 Tethy and masticatory function offered by dentures or traditional removable prostheses.

2) Through an oral implant, the patient will return to you. -? 15 one hundred percent of its masticatory function the recovery of the sense of taste by not having a total pía that prevents it, disappearing inflammations due to movable dentures, which would encourage you to speak naturally and recover its normal appearance 20 In addition, the implanted teeth will look as natural as they had previously. 25