TW201212893A - Dental cervical slop and cervical steps implant - Google Patents

Dental cervical slop and cervical steps implant Download PDF

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Publication number
TW201212893A
TW201212893A TW99131336A TW99131336A TW201212893A TW 201212893 A TW201212893 A TW 201212893A TW 99131336 A TW99131336 A TW 99131336A TW 99131336 A TW99131336 A TW 99131336A TW 201212893 A TW201212893 A TW 201212893A
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TW
Taiwan
Prior art keywords
dental implant
implant
lock
root
dental
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TW99131336A
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Chinese (zh)
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TWI362254B (en
Inventor
Yuan-Siang Hung
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Yuan-Siang Hung
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Priority to TW99131336A priority Critical patent/TWI362254B/en
Publication of TW201212893A publication Critical patent/TW201212893A/en
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Publication of TWI362254B publication Critical patent/TWI362254B/en

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Abstract

A dental implant includes a dental implant body which is a cylinder body having an apex lock being formed at the first end, an asymmetric thread being provided around the dental implant body, 3 plurality of apex indentations at the insertion portion the dental implant body, an apexsinoelevation being formed at the lowermost end, a hexamaxim lock being provided at the second end, ferroembrace, cervical step and cervical steps; The apex lock is a space indented in the first end for enabling new grown bone extending into the apex lock to provide a locking mechanism to ensure integration between the dental implant and the bone. Asymmetrical threads provide self drilling effect and reduce resistance of bone. 3 plurality of apex indentations are spacedly formed in the insertion portion root of said dental implant body, adjacent to said first end. Apexsinoelevation tip is a narrow platform located at the lowermost end, formed at the first end of dental implant body. Hexamaxim lock comprises a lock cavity having 4 retentive features adapted for hex-shaped root protruded from the root of the abutment to engage with said 4 retentive features. A ferroembrace is a bevel helps dentist to control esthetics and retention. A cervical slop and cervical steps will help dentist to control the depth of a dental implant to be inserted.

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201212893 六、發明說明: 【發明所屬之技術領域】 »別的發月疋關於牙科植體,特別是關於一個牙科植體有⑴牙根尖 環鎖’目的在於促成骨頭的雌和鼻f提升,⑺最大六靡計,其設 札括八角文置凹槽’目的是提供最大的摩擦和穩定度,⑶費洛環面可 以額外增域物辦自,⑷咖麵和㈣ 頭的阻力’又可以稱作鑽馳體,⑸—個解的斜面可以提供廣複體, 可以移動膺複體邊緣的位置,⑻頸部階梯可以提供膺複體,可以移動膚 複體邊緣的位置,⑺有三個牙根凹槽複合體,目的在於增強切削功能, ⑻牙根鼻竇推升端可以提高鼻竇的底部。 【先前技術】 牙科植體是人工的牙根’它被用在口腔修復學,來支援廣複體,此廣複 體可以承載-顆或多顆牙齒。在過去的二十年,每年有數以百萬計的植牙 體被用於修復缺損的牙齒’然而仍然有很多關於安全,患者舒適,成本支 出以及美觀的問題’導致了只有不到3%的牙醫師提供這項服務給病人,並 且間接造成小於5%的需要服務的患者真正接受浙科植體的服務。此外, 植牙手術的時候也可能造成神經組織的永久性傷害。 因此’設計新龄科植體就變得非常的重要,的牙科植體賴可以⑴ 提升安全性(2)減短骨頭轉的時間⑻縮短治療的時間⑷降低植牙 醫學的成本⑸提减辨⑻增加患者的舒適度⑺改進美觀和功能… I 3 i 5 201212893 性。更重要的是介由新牙科植體的開發,鼓勵牙醫師和骨科專家提供這項 服務給病人,新植體可以減少植體手術對神經的傷害,增加初期的穩定卢, 減少手術對病人的傷害,縮短手術的時間,縮短裝載假牙所需的時間,辦 進骨頭粘黏的數量和品質,避免額外的骨頭移植手術,增加植體、支台和 螺絲表面的接觸,進而提高穩定度和膺複體的成功率,減少技術應用上的 困難。 【發明内容】 本發明的一個主要目的是提供一個牙科植體,可以增加骨頭粘黏的數量 和品質 本發明的另外一個目的是提供一個牙科植體,此植體可以方便地使用, 從而降低技術應用上的困難。 本發明的另外一個目的是提供一個牙科植體,此植體可以提供一個最大 φ 的初期穩定度。 本發明的另外一個目的是提供一個牙科植體,此植體可以增強對骨頭的 保護。 本發明的另外-個目的是提供-個牙科植體,可⑽免手術後植體的旋 轉。 本發明的另外-個目的是提供-個牙科植體,避免螺絲從支臺上松脫, 此螺絲松脫是造成治療後治療失敗的最主要原因。 201212893 本發明的另外-自目岐,彳㈣〜顿成功率,避 免不必要❹次物’同柯叫域鮮功能性。 本發月的另外個目的是提供一個牙科植體,可以減少裝假牙和整體治 療的時間。 本發明的另外-個目的是提供—個牙難體,允許改變膺複體邊緣的位 置。 本發明的另外-個目岐提供—辦科健,可以介由提高頸部斜面 到牙齦上,從而避免傷害到齒槽骨的神經。 因而為了要達成上述的目的,此發明提供了 一個牙科植體,其組成包括: 一個牙科植體的體部。 一個牙根尖環鎖。 在植體中端的外側壁有不對稱螺紋,在植體根部的外側壁有螺旋式的尖 銳切端。 三個牙根凹槽的複合體。 費洛環面可以提供額外的穩定度和美觀和功能。 頸部斜面可以改變膺複體邊緣的設計。 頸部階梯可以改變膺複體邊緣的設計。 最大六角鎖位於此植體的内部,可以在支台和植體之間提供最大的摩 201212893 牙根鼻竇推升端是位於此植體的端部。 此發明的特徵和優點可以介由下麵鱗細敘述,_的工_和權利要 求得到更具體的體現。 【實施方式】 圖!'圖3所示的是本發明牙根植體的主視圖,可見,牙根植體1〇 的形狀類針糊__,嫌如丨_ 12。加丨是用來 插入骨頭上的相應位置,而頂端12則是通過螺職和支台⑼相配合。牙 根植體1G的外側有不對稱螺⑽,底端11上有牙根尖環鎖30,頂端12 上有最大六角鎖40。 牙根植體10上有-個位於底端U和頂端12之間的環形截面,還有一 個靠近底端11的錐形插人端’此設計可讓牙科植體1G更容易地插入到骨 頭之中。頂端12包含費洛環面5〇和平臺16。平臺16位於牙根植體的 最頂端’用以和支台60配合。本發明既允許頂端12在牙銀之上與支台⑼ 配合’也允許其在在牙齦之下與支台6〇配合。頂端12和不對稱螺紋2〇之 間有頸部斜面或者頸部階梯,其設計允許牙#_整膺複體的邊緣。根據 不同的鼻竇的情況’牙科植體的尺寸會隨之變化,尺寸變化主要體現在其 長度和寬度。 不對稱螺紋20依附于牙科植體1〇的外側壁,位於環形面巧和底端u 之間。不對稱螺紋20可以是連續的螺紋,也可以是分段連續,其作用在於 當牙科植體10被插入到鼻竇的骨頭之後,把植體1〇鎖在骨頭上。 8 201212893 如圖3所示’因域稱觀對於牙科植财其不足之處,所以本發明之 中的螺紋20為不對稱設計,也就是說螺_兩面有獨_斜角度。由圖 3的截面視圖可知,不對稱螺紋2〇包含斜面一 21和斜面二&。斜面一 21 朝向牙科植體10的底端1卜其擁有較小的傾斜角度。而斜面二22朝向牙 科植體1G的頂端12 ’其擁有較大的傾斜角度。換言之,斜面二22比斜面 - 21更陡。在把牙科植體插人的時候,因為斜面—21 _斜角度較 小’所以會遇到較少的阻力。而相比之τ,斜面二22的傾斜角度較大,在 將牙科植體從錢f倾A的時候,齡遇雖大_力。因此,就插入 齒槽骨和增加織_賊種而言,獨稱職2〇在插人鋪骨和提高 植體初期穩定度方面有更好的效果。 如圖3所示,不對稱螺紋設計包含一段主螺紋25和一段尾螺紋26,其 中尾螺紋26接近植體的底端11,主螺紋25則位於頸部斜面丨4和尾螺紋 26之間。相對於主螺紋25,尾螺紋26的深度和螺距更小。 如圖3,圖4和圖7,可以見到最大六角鎖44的第一部分45的詳細情 況。最大六角鎖的腔壁總共有四層固位功能。第一層451靠近平臺16,由 六個平面4511和六個垂直曲面4512以90°的夾角所形成,還包含6組12〇。 的凹槽。第一層固位功能與支臺上的波浪形突起部分611配合,可以極大 地提高牙科植體和支台之間的穩定度。第二層452由六個垂直瓣面4521和 六個垂直圓面4522 (深度1.2麵〜1.3mm)組成。第三層453包含六個曲立 面’每相鄰的兩個曲立面之間還有兩個夾角平面4531 ’兩平面夾角為12〇。。 第四層454是一個360°的圓形壁。 201212893 根據硬度不同’骨頭可被分為鸣。第—類代表最硬的骨頭,而第四類 代表最軟的骨頭。如圖1和圖3,不對稱螺紋有切刃23,其位於斜面一 和斜面二22的頂部。切刀23可以輕易地切人第三和第四類骨頭,也會相 應的減少在切人第-和第二類骨頭的時候所遇到的阻力。當牙科植體被捧 進第三或第四類骨頭的時候,切刀23可以不用賴而直接切入骨頭,真正 地實現了歸植牙手術。輯料-或第二喊頭,也可以大域少骨頭 的切削量。這概可以最大程度地齡骨_祕,這躲植牙手術的穩 定度和成功率非常關鍵。此外,不對稱螺紋2G上的切刃23可以極大地減 /切入時所產生的熱量’從而縮短手術時間^手術時產生的熱量和手術時 間也會影響手術的成功率。 為了進_步提高牙科植體被插人骨頭時的效率,本設計包含三個牙根凹 槽複合體均勻分佈在牙科植體1G的插入端。如圖丨和圖3,每—個牙根凹 槽複合體13有-個V形的截面,它由兩個切面131從底端u切入牙科植 體10而形成》在切面131之上,可以清楚地見到不對稱螺紋2〇的截面, 切刀23也在此處形成一個❹個切點24。當把本發明的牙科植體插入到骨 頭的時候’娜24會首衫狀骨頭。如果骨雜硬的話,—些骨頭會被切 點24推入到牙根凹槽複合體13裡面。由圖可見,本發明的牙科植體1〇總 共有三組牙根凹槽複合體13。 如圖3和圖5,牙根尖環鎖3〇位於牙科植體1〇的底端^卜牙根尖環鎖 之中有牙根尖腔31,牙根尖腔31包括腔底32和腔壁33 ^腔壁33與圓 201212893 周邊結合的地方形成腔沿34。腔沿34界定了牙根尖口 35,這樣就允許骨 頭長入牙根尖腔31。 牙根尖環鎖30的牙根尖腔31裡包含了鎖元36。鎖元36包含了凹槽和 凸緣來增加摩擦。在本發明之中,鎖元36就是在在腔壁33上的一组内螺 紋。逆樣的話就可以讓麵在植牙手術後制更多的血液補充,所以在這 個區域牙科植體可以更好的和骨頭結合。牙根尖腔幻中的空間允許骨頭在 Φ 射生長’並且長入螺紋的凹槽之中,從而形成鎖定機制來保證牙科植體 和骨頭的長期結合。 牙科手術的其中一個失敗原因是植體的松脫。在植體和齒槽骨結合之 前,它可以被從齒槽骨中取出。值得說明的是,腔壁33上的螺紋方向和不 對稱螺紋20的方向完全相反。也就是說,當外力試圖松脫由不對稱螺紋形 成的固疋的時候’牙根尖環鎖3〇裡面的内螺紋就會同時被摔緊。從而兩種 效應互相_ ’介此防止錯紐體的松脫。 籲 如圖3和圖5,牙根鼻竇推升端37是-個窄平面,其位於牙科植體1〇 的最底部。三個牙根凹槽複合體13和牙根鼻竇推升端37有輕微的接觸。 牙根尖腔31佔據了平臺中心的大部分區域,從而讓平臺變成了既薄且尖的 圓環。當牙科植體10的牙根鼻竇推升端37被擰進鼻竇的時候,牙根鼻寶 升端與鼻竇的底層相接觸。在鼻竇的底層,由於不對稱螺紋的作 用’扭力會被轉化成線性力。牙根鼻竇推升端37會由其外壁進行骨擴張。 同時’牙根鼻竇推升端37會更深入到鼻竇裡面,從而提升鼻寶底心由於 鼻竇提升和骨擴張,牙科植體就倾鎖得更牢固。 11 201212893 如圖1 ’圖4和圖7,牙科植體10 ±的最大六角鎖4〇的目的在於安置 支台60。最大六角鎖40包含兩部分:鎖腔41和螺紋鎖42。在頂端12的 地方,鎖腔41有鎖口 44’其垂直延展到植體的内部。鎖腔可分為第一和第 -兩部分’第-部分45靠近鎖口 44,它是用來安置支台6〇的六角形根部 61 ’平面4531和支台60的六角體613之間的配合相對寬鬆。 如圖4和圖8,鎖腔41的第-部分45是用來安置植體固定起子8〇的 φ 六角柱形杆83的。平面備和的六角柱形杆83的配合相對寬鬆。由六角 柱形杆83上的卡環831和平面4531緊密配合,從而能夠在植牙手術的時 候卡住牙科植體1〇並將其放入齒槽骨之中。 第二部分46緊鄰第-部分45,位於鎖腔的更深處。螺紋鎖42的螺紋分 佈在第二部分的内壁之上。螺紋鎖42是用來和螺絲7〇配合。在把植體固 定在骨頭之中之後,就可以放置支台6〇 了。首先把支台6〇的六角形根部 61插入鎖腔41的第-部分45,然後用螺絲7〇把支台6〇固定在植體上。 鲁支台60内部的通孔62連接鎖口 44和鎖腔41的第二部分46。螺絲70的頂 部71上有外螺紋72 ’它穿過通孔62和植體内部的螺紋相連,螺絲7〇的頭 部73則留在通孔62之内以固定支台6〇。螺絲7〇和牙科植體1〇之間的金 屬配合可以牢固地把支台固定在植體1〇上,從而大幅提升穩定度。 值得-提的是傳統的牙科植體的内部只有三個卡口用以和傳統支台的 三個卡爪相互配合’這樣的話支台就必須旋轉12〇。才能找到下一個安裝位 置,而總共有三個可關安裝位L這在安f支台的時齡產生極大的不 便,尤其是對於有角度的支台。如圖4所示,鎖腔41的第一部分的第三層[ 201212893 453擁有6對平面4531,它們繞著植體10的中心轴平均分佈在腔壁之上。 這樣的話’兩個相鄰的錢位置之間的角度就從120。減少到了 6〇。,而安 裝位置的數量從以前的三個增加到了六個。因此更容易找到適合的裝配角 度’並且簡化了牙冠的較准。 ⑴在很錯況下’因為—些上贿竇_張,所以沒有足夠的空間 放置整支植體’⑵還有-些情況,當牙槽神經和牙槽脊非常接近的時候, #也沒有足夠的工間放置整支植體。這樣的話,牙醫師就可以保留-部分的 頸部斜面或者頸部階梯在牙銀之外,從而避免損害到神經組織。 如圖1 S3’圖4和圖6’牙科植體有一個頸部斜面14或者頸部 階梯17,於費洛環面50和環形面15之間。頸部斜面u是由錐形面⑷ 從環形面15向上延展到費洛環面5〇而形成的。頸部斜面14使植體10的 頂部12變薄’但精稱增加了植體的寬度。頸部斜面14可以是光滑,粗經 或者有螺紋的斜面。 _ ® 6所示為本發明的另-種帶有頸部階梯17的牙科植體。頸部階梯17 包含了多個階梯面172和多個斜面171。這一種牙科植體可以有2〜6個階梯 均勻分佈在位於費洛環面50和環形面15之間,階梯的宽度介於〇. lmffl到 〇.5麵之間,斜® 171和與之相鄰的階梯δ172之間的夹角則介於45。到15〇。 之間。頸部階梯17會稍微削減頂部12的厚度,但是它給了更多地空間讓 骨頭生長’因此會有更好的骨頭枯黏。頸部斜面14和頸部階梯I?的設計 目的在於美觀性,穩定性和安全性,它們允許牙醫師在有組織萎縮,技術 困難或者安全隱患的時候,通過把植體的一部分留在牙齦之上來更改膺複 201212893 體或者牙冠的邊緣位置,從而增進美觀。在很多臨床應用的時候,齒槽骨 的深度不足以安放整支植體ίο。為了防止植體傷害到齒槽神經或者牙齦組 織’牙醫師可選擇把頸部斜面14或者頸部階梯17的一部分保留在牙齦之 上。露在外面的部分可以用膺複體或者陶瓷牙冠掩蓋起來,形成牙齒顏色 從而增進美觀。本發明中的頸部斜面14和頸部階梯17可以説明外科醫生 掌控植體的插入深度。有了頸部斜面14和頸部階梯π的設計,手術中傷 害到齒槽神經的幾率就大大減少了。因為齒槽神經的傷害是醫療事故索賠 的一個主要部分,所以頸部斜面14和頸部階梯17的設計可以大大地增加 植牙手術的安全性。另外,通過把膺複體的邊緣放置在更靠近牙根尖的位 置,牛固程度就可大大提南。還有,不管是把保留頸部斜面14和頸部階 梯17彳分在牙銀之上或者全部插人牙銀之中’齒槽骨都可以沿著斜面或 者階梯生長,從而進-步達到_植體、避免移位、抵抗推力和拉力的目 的。如此一來,植體和膺複體的壽命也就會大大提高。 如圖1和圖5,牙科植體1〇有-個費洛環面5〇,位於植體1〇頂端。費 洛環面50其實是-個位於頂端12圓周邊緣的倒角51。費洛環面5〇會增 加頂端12的厚度。設計費洛環_目的在於增進美觀和提高穩勝如果 植體1G的插入深度不夠,植體的—部分就會暴露在外面,影響了美觀。本 發明之中的費洛環面5G説明外科醫師掌控植體的l在手術之中, 牙床應該減細肖51社,獅概啸厚,繼,也會減 少植體的暴露面積,提高植體穩定性。此外,膺複體的陶料緣可以遮蓋 植體暴露出麵部分,進—步增進美觀和提高輕體的功能。 201212893 如圖2’圖3,圖4和圖7,支台6〇的六角形根部6ι是用來插入到植體 1〇的鎖腔41之中,第—層陶能451將與支台_波浪形突起部細 配合,費洛體60和植體10上的倒角51配合。這兩個固位功能可以極大地 提高植體10和支台60之間的穩定性。 總之’本發明是-個自動鑽孔或者無f鑽孔的牙科植體^它使用不對稱 螺紋20來簡化手術並增加穩定性。不對稱螺紋2()的㈣幻和切點财 • _時候最大程度地保護了骨頭。牙根尖環鎖3〇的壓根腔31允許骨頭 在其中生長。内螺紋36增加了摩擦從而增加了支台和植體之間的穩定性。 此外’由於内螺紋36的方向和不對稱螺紋20的方向相反,所以可以防止 植體的松脫。還有’牙根尖環鎖3〇有牙根鼻竇推升端37,可以在植牙手術 的時候提升鼻竇。 本發明還_大六觸4G,通過金雜合把支台6() __ ι〇之 上鎖腔41的第心45提供了更多的安裝位置,從而大大簡化了安裝 籲和校準。本發明中的頸部斜面14和頸部階梯Π可以説明醫師控制植體的 __ ι4和购階梯17允許骨頭沿著斜面或者階梯 生長,這樣可以進-步固定植體1〇。費洛環面可以説明醫師 控制植體的位 置’固定膺複體以及減少金屬的暴露。 此技術領域的技術人員應該會明白,附圖以及以上敘述僅僅是示範性質 的,而並不應該限制本發明。 201212893 到此為止,本發明的所有目的都已經達成。本發明的所有的結構上和功 能上的原理都已詳細描述。本發明的所有變化都不會背離這些原理。因此, 本發明也包括所有依照權利要求的精神所做出的改變。 201212893 【圖式簡單說明】 圖1是植牙體的主視圖。 圖2是分解圖,其中包括本植牙體,支台,和螺絲。螺絲的目的是用來 固定植牙體和支台。 圖3是植體的切面圖。 圖4是牙科植體最大六角鎖的腔的詳細圖解。 圖5是牙科植體另外一個角度的透視圖。 ® 圖6是頸部階梯的另外一個角度的透視圖。 圖7是植體固定支台的透視圖。 圖8是牙科植體和植體固定起子的分解圖,此起子是用來把植體固定到 齒槽骨上。 【主要元件符號說明】 10 一一牙科植體 鲁 11 —底端 12 --頂端 13 一一牙根凹槽複合體 131--切面 14 一一頸部斜面 141 一一錐形面 15 —一環形面 16 一一平臺 17 —一頸部階梯 171 --階梯面 172 一一斜面 17 201212893 20 --不對稱螺紋 21 --斜面一 22 --斜面二 23——切刃 24 一一切點 25 --主螺紋 26 --尾螺紋 30 --牙根尖環鎖 31 __牙根尖腔 32 --腔底 33 --腔壁 34 一一腔沿 35 --牙根尖口201212893 VI. Description of the invention: [Technical field to which the invention belongs] » Other hairpins on dental implants, especially regarding a dental implant (1) root tip ring lock' is intended to promote the female and nasal f-lift of the bone, (7) The maximum six hexagrams, which are designed to provide the maximum friction and stability, (3) the Feiluo torus can be added to the additional area, (4) the coffee surface and (four) the resistance of the head can be called For the body, (5) - the solution of the slope can provide a wide complex, can move the position of the edge of the complex, (8) the neck ladder can provide a complex, can move the position of the edge of the complex, (7) has three roots The trough complex is designed to enhance the cutting function. (8) The push-up end of the root sinus can increase the bottom of the sinus. [Prior Art] Dental implants are artificial roots. It is used in oral prosthetics to support a wide complex, which can carry one or more teeth. In the past two decades, millions of implants have been used to repair defective teeth every year. 'However, there are still many questions about safety, patient comfort, cost and aesthetics' resulting in less than 3%. The dentist provides this service to the patient and indirectly causes less than 5% of the patients in need of service to truly receive the services of the Zinc implant. In addition, permanent damage to nerve tissue can also occur during implant surgery. Therefore, 'designing new-age implants becomes very important, and dental implants can (1) improve safety (2) reduce bone turnover time (8) shorten treatment time (4) reduce the cost of implant medicine (5) (8) Increase patient comfort (7) Improve aesthetics and function... I 3 i 5 201212893 Sex. More importantly, through the development of new dental implants, dentists and orthopedics are encouraged to provide this service to patients. New implants can reduce the nerve damage caused by implant surgery, increase the initial stability, and reduce the operation of patients. Injury, shorten the time of surgery, shorten the time required to load dentures, increase the amount and quality of bone sticking, avoid additional bone grafting, increase contact between implants, abutments and screw surfaces, thereby improving stability and sputum The success rate of the complex reduces the difficulty of technical application. SUMMARY OF THE INVENTION A primary object of the present invention is to provide a dental implant that can increase the amount and quality of bone sticking. Another object of the present invention is to provide a dental implant that can be conveniently used to reduce the technique. Difficulties in application. Another object of the present invention is to provide a dental implant which provides an initial stability of maximum φ. Another object of the present invention is to provide a dental implant that enhances the protection of bone. Another object of the present invention is to provide a dental implant that can (10) rotate without post-operative implants. Another object of the present invention is to provide a dental implant that avoids loosening of the screw from the abutment, which is the most common cause of treatment failure after treatment. 201212893 Another aspect of the present invention is the self-seeking, 彳(4)-ton success rate, and avoiding unnecessary ❹ 物 同Another goal of this month is to provide a dental implant that reduces the time required to hold dentures and overall treatment. Another object of the present invention is to provide a dental difficult body that allows for changing the position of the rim of the iliac complex. Another object of the present invention is to provide a cure for the neck, which can improve the neck slope to the gums, thereby avoiding damage to the alveolar bone. Thus, in order to achieve the above objects, the present invention provides a dental implant comprising: a body of a dental implant. A root tip ring lock. The outer side wall of the implant has asymmetric threads on the outer side of the implant, and the outer side wall of the root of the implant has a helical sharp cut end. A complex of three root grooves. The Felot torus provides extra stability and aesthetics and functionality. The neck bevel can change the design of the edge of the complex. The neck step can change the design of the edge of the complex. The largest hex lock is located inside the implant and provides maximum friction between the abutment and the implant. 201212893 The root sinus push-up end is located at the end of the implant. The features and advantages of the present invention can be more specifically embodied by the following detailed description. [Embodiment] Figure! Fig. 3 is a front view of the root implant of the present invention. It can be seen that the shape of the root implant 1〇 is __, which is like 丨 -12. Twisting is used to insert the corresponding position on the bone, while the top 12 is matched by the screw and the abutment (9). The root of the root implant 1G has an asymmetrical snail (10), the bottom end 11 has a root tip ring lock 30, and the top end 12 has a maximum hex lock 40. The root implant 10 has an annular section between the bottom end U and the tip end 12, and a tapered insertion end near the bottom end 11. This design allows the dental implant 1G to be more easily inserted into the bone. in. The top end 12 includes a Filo annulus 5〇 and a platform 16. The platform 16 is located at the topmost end of the root implant for mating with the abutment 60. The present invention allows both the tip 12 to mate with the abutment (9) on the silver of the teeth and also allows it to mate with the abutment 6 under the gums. There is a neck bevel or a neck step between the top end 12 and the asymmetrical thread 2〇, which is designed to allow the teeth to align the edges of the complex. Depending on the condition of the sinus, the size of the dental implant will vary, and the dimensional change will be mainly reflected in its length and width. The asymmetrical thread 20 is attached to the outer side wall of the dental implant 1 位于 between the annular surface and the bottom end u. The asymmetrical thread 20 can be a continuous thread or a segmented continuous function that locks the implant 1 on the bone after the dental implant 10 is inserted into the bone of the sinus. 8 201212893 As shown in Fig. 3, the thread 20 in the present invention has an asymmetrical design, that is, the screw _ has a single oblique angle on both sides. As can be seen from the cross-sectional view of Fig. 3, the asymmetrical thread 2〇 includes a bevel 21 and a bevel 2 & The beveled surface 21 faces the bottom end 1 of the dental implant 10 and has a smaller angle of inclination. The beveled surface 22 faces the tip end 12' of the dental implant 1G, which has a large inclination angle. In other words, the bevel 22 is steeper than the bevel -21. When the dental implant is inserted, there is less resistance because the bevel - 21 _ oblique angle is smaller. Compared with τ, the inclination angle of the slanting surface 22 is large, and when the dental implant is tilted from the money, the age is large. Therefore, in terms of inserting the alveolar bone and increasing the woven thief species, the exclusive 2 〇 has a better effect in inserting the bone and improving the initial stability of the implant. As shown in Figure 3, the asymmetric thread design includes a length of main thread 25 and a length of tail thread 26, wherein the tail thread 26 is adjacent the bottom end 11 of the implant and the main thread 25 is located between the neck bevel 4 and the tail thread 26. The depth and pitch of the tail threads 26 are smaller relative to the main thread 25. As seen in Figures 3, 4 and 7, the details of the first portion 45 of the largest hex lock 44 can be seen. The wall of the largest hex lock has a total of four layers of retention. The first layer 451 is adjacent to the platform 16, and is formed by six planes 4511 and six vertical curved surfaces 4512 at an angle of 90°, and further includes six sets of 12 turns. Groove. The first layer retention function cooperates with the undulating protrusion portion 611 on the abutment to greatly improve the stability between the dental implant and the abutment. The second layer 452 is composed of six vertical lobes 4521 and six vertical circular faces 4522 (depth 1.2 faces to 1.3 mm). The third layer 453 includes six curved faces. There are two angled planes 4531' between each adjacent two curved faces. The two planes have an angle of 12 inches. . The fourth layer 454 is a 360° circular wall. 201212893 Depending on the hardness, bones can be divided into sounds. The first category represents the hardest bone and the fourth category represents the softest bone. As shown in Figures 1 and 3, the asymmetrical threads have cutting edges 23 which are located at the top of the beveled one and the beveled surface 22. The cutter 23 can easily cut the third and fourth types of bones, and will also reduce the resistance encountered when cutting the first and second types of bones. When the dental implant is held into the third or fourth type of bone, the cutter 23 can be directly cut into the bone without the need to actually perform the implant surgery. The collection - or the second shouting head, can also cut the amount of bones in a large area. This is the most important age, and the stability and success rate of this dental surgery is critical. In addition, the cutting edge 23 on the asymmetric thread 2G can greatly reduce the heat generated during cutting/cutting, thereby shortening the operation time. The heat generated during the surgery and the operation time also affect the success rate of the operation. In order to improve the efficiency of the dental implant when it is inserted into the bone, the design comprises three root groove complexes evenly distributed at the insertion end of the dental implant 1G. As shown in Fig. 3 and Fig. 3, each of the root groove complexes 13 has a V-shaped cross section which is formed by cutting the dental implant 10 from the bottom end u from the bottom end 131 to form a "over the cut surface 131". A section of the asymmetrical thread 2〇 is seen, and the cutter 23 also forms a tangent point 24 here. When the dental implant of the present invention is inserted into the bone, the 'Na 24 will be the first bone. If the bone is too hard, some of the bone will be pushed into the root groove complex 13 by the point 24. As can be seen, the dental implant of the present invention has a total of three sets of root groove complexes 13. As shown in Fig. 3 and Fig. 5, the root tip ring lock 3 is located at the bottom end of the dental implant 1〇. The root tip ring lock 31 has a root tip cavity 31, and the root tip cavity 31 includes a cavity bottom 32 and a cavity wall 33 cavity. The wall 33 forms a cavity edge 34 where it is joined to the circumference of the circle 201212893. The lumen edge 34 defines the root tip 35 which allows the bone to grow into the apical cavity 31. A lock element 36 is included in the root tip cavity 31 of the root tip ring lock 30. The lock element 36 includes grooves and flanges to increase friction. In the present invention, the lock element 36 is a set of internal threads on the cavity wall 33. In the opposite case, the face can be made more blood after the implant surgery, so the dental implant can better integrate with the bone in this area. The phantom space of the root tip allows the bone to grow in Φ and grow into the groove of the thread, creating a locking mechanism to ensure long-term bonding of the dental implant and bone. One of the failures of dental surgery is the loosening of the implant. It can be removed from the alveolar bone before the implant and alveolar bone are combined. It is worth noting that the direction of the threads on the cavity wall 33 is exactly opposite to the direction of the asymmetric threads 20. That is to say, when the external force tries to loosen the solid formed by the asymmetrical thread, the internal thread inside the root tip ring lock 3 is simultaneously crushed. Thus, the two effects mutually prevent the release of the wrong body. 3 and 5, the root sinus push-up end 37 is a narrow plane located at the bottom of the dental implant 1〇. The three root groove complex 13 has a slight contact with the root sinus push-up end 37. The apical cavity 31 occupies most of the center of the platform, turning the platform into a thin, pointed ring. When the root sinus push-up end 37 of the dental implant 10 is screwed into the sinus, the ascending end of the root is in contact with the bottom layer of the sinus. At the bottom of the sinus, the torsion is converted into a linear force due to the action of the asymmetrical thread. The root sinus push-up end 37 will undergo bone expansion from its outer wall. At the same time, the push-up end 37 of the root sinus will penetrate deeper into the sinus, thereby enhancing the bottom of the nose. Due to the sinus lift and bone expansion, the dental implant is locked more firmly. 11 201212893 As shown in Fig. 1 'Fig. 4 and Fig. 7, the maximum hexagonal lock 4 of the dental implant 10 ± is intended to accommodate the abutment 60. The maximum hex lock 40 has two parts: a lock chamber 41 and a thread lock 42. At the top end 12, the lock chamber 41 has a lock port 44' which extends vertically into the interior of the implant. The lock chamber can be divided into first and second portions, the first portion 45 is adjacent to the lock port 44, and is used to position the hexagonal root portion 61 'plane 4531 of the support 6〇 and the hexagonal body 613 of the abutment 60. The cooperation is relatively loose. As shown in Figs. 4 and 8, the first portion 45 of the lock chamber 41 is a φ hexagonal cylindrical rod 83 for arranging the implant fixing driver 8〇. The fit of the hexagonal cylindrical rod 83 of the flat surface is relatively loose. The snap ring 831 on the hexagonal cylindrical rod 83 is tightly fitted to the flat surface 4531 so that the dental implant 1 can be caught and placed in the alveolar bone during the implant surgery. The second portion 46 is adjacent to the first portion 45 and is located deeper in the lock chamber. The thread of the threaded lock 42 is distributed over the inner wall of the second portion. The threaded lock 42 is for mating with the screw 7〇. After the implant is fixed in the bone, the abutment 6 can be placed. First, the hexagonal root portion 61 of the abutment 6 is inserted into the first portion 45 of the lock chamber 41, and then the support 6 is fixed to the implant with a screw 7〇. The through hole 62 inside the lug support 60 connects the lock port 44 and the second portion 46 of the lock chamber 41. The top portion 71 of the screw 70 has an external thread 72' which is connected to the internal thread of the implant through the through hole 62, and the head portion 73 of the screw 7 is retained in the through hole 62 to fix the abutment 6''. The metal fit between the screw 7〇 and the dental implant 1〇 securely secures the abutment to the implant 1〇 for maximum stability. It is worth mentioning that the traditional dental implant has only three bayonet openings for interfacing with the three jaws of a conventional abutment. Thus the abutment must be rotated 12 turns. In order to find the next installation position, there are a total of three installation positions L which are extremely inconvenient in the age of the anchor, especially for angled abutments. As shown in Fig. 4, the third layer of the first portion of the lock chamber 41 [201212893 453 has six pairs of planes 4531 which are evenly distributed around the wall of the implant 10 about the central axis of the implant 10. In this case, the angle between two adjacent money positions is from 120. Reduced to 6〇. The number of installation locations has increased from the previous three to six. It is therefore easier to find a suitable assembly angle' and to simplify the alignment of the crown. (1) Under very bad circumstances, 'because some of the sinus _ s Zhang, so there is not enough space to place the whole implant' (2) and some cases, when the alveolar nerve and alveolar ridge are very close, #also no Sufficient work space to place the entire implant. In this way, the dentist can retain part of the neck slope or neck step outside the tooth silver to avoid damage to the nerve tissue. The dental implant of Fig. 1 S3' Fig. 4 and Fig. 6' has a neck bevel 14 or a neck step 17 between the Felot annulus 50 and the annular surface 15. The neck slope u is formed by the tapered surface (4) extending upward from the annular surface 15 to the Feiluo annulus 5〇. The neck bevel 14 thins the top 12 of the implant 10' but is said to increase the width of the implant. The neck bevel 14 can be a smooth, thick or threaded bevel. _ ® 6 shows another dental implant with a neck step 17 of the present invention. The neck step 17 includes a plurality of step faces 172 and a plurality of slopes 171. This type of dental implant can be evenly distributed between 2 to 6 steps between the Ferro ring surface 50 and the annular surface 15, the width of the step is between 〇.lmffl to 〇.5, oblique® 171 and The angle between adjacent steps δ172 is between 45. To 15 baht. between. The neck step 17 will slightly reduce the thickness of the top 12, but it gives more room for the bone to grow' so there will be better bone stickiness. The neck bevel 14 and the neck step I? are designed for aesthetics, stability and safety, allowing the dentist to leave a part of the implant in the gums during tissue atrophy, technical difficulties or safety hazards. Come up to change the edge position of the 201212893 body or crown to enhance the appearance. In many clinical applications, the depth of the alveolar bone is not sufficient to accommodate the entire implant. In order to prevent the implant from injuring the alveolar nerve or the gum tissue, the dentist may choose to retain the neck bevel 14 or a portion of the neck step 17 on the gum. The exposed part can be covered with a sputum complex or ceramic crown to create a tooth color that enhances aesthetics. The neck bevel 14 and neck step 17 of the present invention may illustrate the surgeon's ability to control the depth of insertion of the implant. With the design of the neck bevel 14 and the neck step π, the chance of injury to the alveolar nerve during surgery is greatly reduced. Because the damage to the alveolar nerve is a major part of the medical malpractice claim, the design of the neck bevel 14 and the neck step 17 can greatly increase the safety of the implant surgery. In addition, by placing the edge of the iliac complex at a position closer to the tip of the root, the degree of solidification can be greatly increased. Also, whether it is to retain the neck slope 14 and the neck step 17 on the silver or all of the teeth silver, the alveolar bone can grow along the slope or the step, so as to reach _ Implant, avoid displacement, resist thrust and pull. As a result, the life span of the implant and the scorpion complex will be greatly improved. As shown in Figures 1 and 5, the dental implant 1 has a Ferro annulus 5 〇 located at the top of the implant 1 。. The Fello torus 50 is actually a chamfer 51 located at the circumferential edge of the tip 12. The 5's of the Fello torus increases the thickness of the top 12. Designing the Ferro Ring _ The purpose is to improve the appearance and improve the stability. If the insertion depth of the implant 1G is not enough, the part of the implant will be exposed to the outside, which will affect the appearance. The Ferro torus 5G in the present invention indicates that the surgeon controls the implant during the operation, the gums should be reduced, and the lion is thick and thick, and the exposed area of the implant is also reduced, and the implant is improved. stability. In addition, the ceramic material edge of the sputum complex can cover the exposed part of the implant, further improving the appearance and improving the function of the light body. 201212893 As shown in Fig. 2'Fig. 3, Fig. 4 and Fig. 7, the hexagonal root portion 6i of the support 6〇 is inserted into the lock chamber 41 of the implant 1,, and the first layer of the pottery 451 and the support _ The undulating protrusions are closely fitted, and the Ferro body 60 is engaged with the chamfer 51 on the implant 10. These two retention functions can greatly improve the stability between the implant 10 and the abutment 60. In summary, the present invention is an automated or non-f-drilled dental implant that uses asymmetric threads 20 to simplify surgery and increase stability. Asymmetric thread 2 () (four) illusion and cut point money _ when the maximum protection of the bone. The root cavity 31 of the root tip ring lock 3 allows the bone to grow therein. The internal thread 36 increases friction and thereby increases the stability between the abutment and the implant. Further, since the direction of the internal thread 36 and the direction of the asymmetrical thread 20 are opposite, it is possible to prevent the implant from coming loose. There is also a 'root root ring lock 3' with a root sinus push-up end 37, which can raise the sinus during implant surgery. The present invention also provides a larger mounting position for the center 45 of the locking chamber 41 of the support 6() __ ι by the gold hybrid, thereby greatly simplifying the installation and calibration. The neck bevel 14 and the neck step 本 in the present invention may indicate that the physician controls the implant's __ ι4 and the purchase step 17 to allow the bone to grow along the slope or step, so that the implant can be fixed step by step. The Felot torus can be used to indicate where the physician controls the implant's fixation and reduction of metal exposure. It should be understood by those skilled in the art that the drawings and the above description are merely exemplary and not limiting. 201212893 So far, all the objects of the present invention have been achieved. All structural and functional principles of the invention have been described in detail. All variations of the invention do not depart from these principles. Accordingly, the invention also includes all modifications that are made in accordance with the spirit of the claims. 201212893 [Simple description of the drawing] Fig. 1 is a front view of the implant body. Figure 2 is an exploded view of the implant, the abutment, and the screw. The purpose of the screw is to fix the implant and the abutment. Figure 3 is a cutaway view of the implant. Figure 4 is a detailed illustration of the cavity of the dental implant's largest hex lock. Figure 5 is a perspective view of another angle of the dental implant. ® Figure 6 is a perspective view of another angle of the neck step. Figure 7 is a perspective view of an implant fixation abutment. Figure 8 is an exploded view of a dental implant and an implant-fixing driver for securing the implant to the alveolar bone. [Main component symbol description] 10 one dental implant Lu 11 - bottom end 12 - top 13 one-to-one groove complex 131 - cut surface 14 one neck slope 141 one tapered surface 15 - one annular surface 16 one platform 17 — a neck ladder 171 -- step surface 172 one slope 17 201212893 20 -- asymmetrical thread 21 -- bevel a 22 -- bevel two 23 -- cutting edge 24 all points 25 -- Main thread 26 - tail thread 30 - root tip ring lock 31 __ root tip cavity 32 - cavity bottom 33 - cavity wall 34 one cavity along 35 - root tip

36 --鎖 7L 37 一一牙根鼻竇推升端 40 --最大六角鎖 41 ——鎖腔 44——鎖口 45 __第一部分 451 ——第一層固位功能 4511 --平面 4512 --垂直曲面 452 --第二層固位功能 4521 一一垂直瓣面 4522 --垂直圓面 453 一一第三層固位功能 4531 --炎角平面 454——第四層固位功能 46 —_第二部分 50--費洛環面 201212893 —倒角 —支台 —六角形根部 ——波浪形突起部分 一一六角體 一一通孔 一一螺絲 ——頂部 ——外螺紋 一一頭部 一一植體固定起子 —六角柱形杆 一一卡環 1936 --Lock 7L 37 One-to-one sinus push-up end 40 --Maximum hex lock 41 --Lock cavity 44 --Lock 45 __First part 451 --First layer retention function 4511 --Flat 4512 -- Vertical surface 452 -- second layer retention function 4521 - vertical lobed surface 4522 -- vertical circular surface 453 - a third layer retention function 4531 -- inflammation angle plane 454 - fourth layer retention function 46 - _ The second part 50--Ferro torus 201212893 - chamfering - abutment - hexagonal root - undulating protrusions - one hexagonal body - one through hole - one screw - top - external thread one head One-to-one implant fixed screwdriver - hexagonal cylindrical rod - one snap ring 19

Claims (1)

201212893 七、申清專利範圍: 尘科,體彳科植體的外形近似為圓柱形,擁有在底端上的牙根 獨嫩、鋪f缚㈣綱3個牙根 选靠近最底端的牙根鼻f推升端、頂端的最大六角鎖、費 環斜面和頸部階梯。其中的牙根尖環鎖是位於底端的一空 二長入其中’從而形成-種自鎖機制來增強植體和骨頭之 ==黏;其中的獨稱職提供自動鑽孔效應和減少骨頭的阻力; 竇推升=^槽複合_分佈在牙科植體的插入端;其中的牙根鼻 =面馳包含4個固位功能與支台的六角形根部相配合;其: 環——個倒角面’可以説明醫師增進美觀和提高穩定性;其 中的頸樹面和頸部階梯可以説明醫師掌控植體的插入深度。、 2. j中請專利範圍丨所述的牙科植體,其特徵是:包含牙 中Γ根尖腔’牙根尖腔包括腔底和腔壁。腔壁與圓周 壁之根尖腔裡包含了鎖元。鎖元包含了位於腔 ’槽。本㈣㈣鎖减是在在腔壁 端:相反。牙— :;凹槽複合體和牙根鼻竇推升端有輕微的接據;: 臺中心的大部分區域,從而讓平臺變成了既薄且尖的圓環。 3.=請:圍1所述的牙科植體,其特徵是:包 =面-,斜面二和位於斜面—和斜面^ =植=’其擁有較小的傾斜角度。植 體的頂端,其擁有較大的傾斜角度。換言之 =稱螺_包含—段主螺紋和—段尾螺7螺_體 20 201212893 4·根據申請專利範圍1所述的牙科植體,其特徵是:㉝^凹槽複合 麗均句分佈在牙科植體靠近底部的錐形插入端。每—個牙根凹槽複合 體有-個ν形的截面,它由兩個切面從底端切人牙科植體而形 切面之上’可以清楚地制不賴職的截面,_也在此處形成一 個或多個切點。 5. 根據申請專利範圍】所述的牙科顏,其特徵是:輕缝位於植體 頂端。費洛環面其實是一個位於頂端圓周邊緣的倒角。 6. ,據申請專利範圍i所述的牙科植體,其特徵是:麵缝位於費洛 環面和環形面之間。頸部斜面是由錐形面從環形面向上延展到費洛環 - 面而形成的。頸部斜面可以是光滑,粗糖或者有螺紋的斜面。 7. ,據巾請專利範g丨所賴牙科㈣’其特徵是:觀腿位於費洛 環面和環形面之間。這-種牙科植體可以有2~6個階梯均勾分佈在位 於費洛環面和環形面之間,階梯的宽度介於〇1麵到〇. 5刪之間,斜 面和與之相鄰的階梯面之間的夾角介於45。到150。之間。 J 8. 根據申請專利範圍1所述的牙科植體,其特徵是:最大六备齡妬一 個鎖腔。最大六角鎖的腔壁總共有四層固位功能。第一層靠近平臺, 由六個平面和六個垂直曲面以9〇。的夾角所形成。第一層固位功能與 支臺上的波浪开>突起部分配合,可以極大地提高牙科植體和支台之間 ^ 的穩疋度。第二層由六個垂直瓣面和六個垂直曲面(深度 3mm)組成。第三層包含六個曲立面’每相鄰的兩個曲立面 之間還有兩個平面,兩平面夾角為120。。第四層;^-個36G。的圓形 壁。 9. 根據申請專利範圍1所述的牙科植體,其特徵是·牙根鼻竇推升端是 一個位於牙科植體最底部的圓環平面。三個牙根凹槽複合體和牙根鼻 竇推升端有輕微的接觸。牙根尖腔佔據了平臺中心的大部分區域,從 而讓平臺變成了既薄且尖的圓環。 21201212893 VII. Shenqing patent scope: Dust, the body of the body is approximately cylindrical, with the roots on the bottom end of the roots, the b-binding (four), the three roots selected near the bottom of the roots f push Lifting end, maximum hex lock on the top, cost ring bevel and neck step. The root tip ring lock is located at the bottom end of a hollow two into which 'the formation of a self-locking mechanism to enhance the implant and bone == sticky; the exclusive position provides automatic drilling effect and reduce the resistance of the bone; Push-up = ^ groove composite _ distributed in the insertion end of the dental implant; wherein the root nose = face-to-face includes four retention functions in conjunction with the hexagonal root of the abutment; its: ring - a chamfered surface 'can Explain that the physician can improve the appearance and stability; the neck and neck steps of the neck can indicate that the physician controls the insertion depth of the implant. The dental implant described in the scope of the patent is characterized in that it comprises a apical apical cavity of the gingival ridge. The root tip cavity comprises a cavity bottom and a cavity wall. The apex chamber of the cavity wall and the circumferential wall contains a lock element. The lock element contains the slot in the cavity. This (four) (four) lock is at the end of the cavity wall: the opposite. The teeth—:; the groove complex and the root sinus push-up end have a slight connection;: Most of the center of the table, so that the platform becomes a thin and pointed ring. 3. = Please: The dental implant described in the above 1, which is characterized by: package = face -, bevel 2 and bevel - and bevel ^ = plant = ' which has a smaller angle of inclination. The top of the plant, which has a large angle of inclination. In other words, the snails are included in the dental implants according to the scope of claim 1 and are characterized in that: 33^ grooves are integrated in the dental implants. The implant is near the tapered insertion end of the bottom. Each of the root groove complexes has a v-shaped cross-section, which is cut from the bottom end by two cutting surfaces from the bottom end of the dental implant and can be clearly formed by the cross section, which is also formed here. One or more cut points. 5. The dental face according to the scope of the patent application, characterized in that the light seam is located at the top of the implant. The Fello torus is actually a chamfer at the edge of the top circumference. 6. The dental implant of claim i, wherein the face seam is between the Fero ring face and the annular face. The neck slope is formed by the tapered surface extending upward from the annular surface to the Ferro ring-face. The neck bevel can be smooth, raw sugar or threaded bevel. 7. According to the towel, the patent (G) is based on the patent (4). The feature is that the leg is located between the Feluo torus and the annular surface. This kind of dental implant can have 2~6 steps and is evenly distributed between the Feiluo ring surface and the annular surface. The width of the step is between 〇1 and 〇. 5 Between, the slope and the adjacent The angle between the step faces is 45. To 150. between. J. The dental implant according to claim 1, characterized in that: a lock cavity of a maximum of six years of age. The wall of the largest hex lock has a total of four layers of retention. The first layer is close to the platform, with six planes and six vertical surfaces at 9 inches. The angle formed by it. The first layer retention function cooperates with the wave opening > protrusion on the abutment to greatly improve the stability of the dental implant and the abutment. The second layer consists of six vertical lobes and six vertical surfaces (depth 3mm). The third layer contains six curved faces. There are two planes between each adjacent two curved faces, and the angle between the two planes is 120. . The fourth layer; ^-36G. The circular wall. 9. The dental implant of claim 1, wherein the root sinus push-up end is a circular plane at the bottom of the dental implant. The three root groove complexes have a slight contact with the ascending end of the root sinus. The apical cavity occupies most of the center of the platform, turning the platform into a thin, pointed ring. twenty one
TW99131336A 2010-09-16 2010-09-16 Dental cervical slop and cervical steps implant TWI362254B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4272692A1 (en) * 2022-05-05 2023-11-08 Star Generation Limited Sinus dental implant

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4272692A1 (en) * 2022-05-05 2023-11-08 Star Generation Limited Sinus dental implant

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