TW202002912A - Dental implant - Google Patents

Dental implant Download PDF

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TW202002912A
TW202002912A TW107118785A TW107118785A TW202002912A TW 202002912 A TW202002912 A TW 202002912A TW 107118785 A TW107118785 A TW 107118785A TW 107118785 A TW107118785 A TW 107118785A TW 202002912 A TW202002912 A TW 202002912A
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Taiwan
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implant
dental implant
item
tooth
patent application
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TW107118785A
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Chinese (zh)
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蔡東霖
曾俊傑
王躍鈞
翁麗雯
林志隆
王珮驊
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財團法人金屬工業研究發展中心
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Priority to TW107118785A priority Critical patent/TW202002912A/en
Priority to CN201910426618.7A priority patent/CN110547886A/en
Publication of TW202002912A publication Critical patent/TW202002912A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0018Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • A61C8/0054Connecting devices for joining an upper structure with an implant member, e.g. spacers having a cylindrical implant connecting part
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • A61C8/0056Connecting devices for joining an upper structure with an implant member, e.g. spacers diverging in the apical direction of the implant or abutment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • A61C8/0065Connecting devices for joining an upper structure with an implant member, e.g. spacers with expandable or compressible means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • A61C8/0066Connecting devices for joining an upper structure with an implant member, e.g. spacers with positioning means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/008Healing caps or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • A61C8/0059Connecting devices for joining an upper structure with an implant member, e.g. spacers with additional friction enhancing means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • A61C8/0069Connecting devices for joining an upper structure with an implant member, e.g. spacers tapered or conical connection

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

Abstract

A dental implant is provided to solve the problems where it is difficult to shorten the period of time of treatment for the conventional dental implant and it will inevitability damage the alveolus in a certain degree. The dental implant of the invention includes an implant having a head and a tail, and an abutment integrally formed with the head of the implant. A primary tooth portion is located between the head and the tail.

Description

牙科植入物 Dental implant

本發明係關於一種骨植入物,尤其是一種牙科植入物。 The invention relates to a bone implant, especially a dental implant.

一般而言,無論是老化或意外撞擊等因素導致牙齒缺損,若未針對缺損的牙齒加以修補復形,將影響咬合及咀嚼功能,嚴重者甚至造成後牙往前傾倒、骨萎縮及臉形改變等後遺症。在多種修補牙齒缺損的方法中,「人工植牙」具有不傷害兩側健康自然牙、易清潔、不造成異物感及植入後美觀度佳等優點,使得選由人工植牙方式修補牙齒缺損的患者有逐年增多的趨勢。 In general, no matter whether it is aging or accidental impact and other factors that lead to tooth defects, if the missing teeth are not repaired and complexed, it will affect the occlusion and chewing function. In severe cases, the posterior teeth may even fall forward, bone atrophy, and face shape changes. Sequelae. Among the various methods of repairing tooth defects, "artificial implants" have the advantages of not harming healthy natural teeth on both sides, easy to clean, no foreign body sensation, and good aesthetics after implantation. Therefore, artificial tooth implants are used to repair tooth defects Of patients have a trend of increasing year by year.

所謂「人工植牙」,係指將由醫療級材料(例如:鈦金屬或陶瓷等)製成的牙科植入物,透過手術植入患者的齒槽骨中,待骨整合後再進行牙冠的安裝,使患者恢復原有牙齒,以滿足咀嚼及美觀功能等需求。其中,所述牙科植入物包含一植體及一支台體,該牙科植入物由該植體植入患者的齒槽骨中,並由設於該植體一端的支台體供所述牙冠安裝定位。 The so-called "artificial tooth implant" refers to a dental implant made of medical-grade materials (such as titanium or ceramics), which is surgically implanted into the alveolar bone of the patient and the crown is integrated after the bone is integrated. The installation enables the patient to restore the original teeth to meet the needs of chewing and aesthetic functions. Wherein, the dental implant includes an implant and a table body, the dental implant is implanted into the alveolar bone of the patient from the implant, and is supplied by a support body provided at one end of the implant Describe the installation and positioning of the crown.

目前,臨床上使用的牙科植入物大致上可分為一件式牙科植入物、兩件式牙科植入物及三件式牙科植入物等三大類別;所述「一件式牙科植入物」係指植體與支台體呈一體相連的牙科植入物,相較於各構件之間須相互螺合或卡扣的兩件式牙科植入物及三件式牙科植入物,一件式牙科植入物無須擔心植體與支台體之連接處產生鬆脫或斷裂等問題,也不必執行第二 次手術,可提升手術效率及減低患者痛楚。如美國公告第5961328號「Dental implant」、中華民國公告第M416449號「人工牙種植體」、第M438247號「牙科人工植體改良」、第M457533號「螺紋最適化之牙科植體」、第M522007號「口腔種植體構造」及第I613992號「骨植入物」等專利案,均揭示了屬於前述「一件式牙科植入物」的牙科植入物。 At present, clinical dental implants can be roughly divided into three categories: one-piece dental implants, two-piece dental implants and three-piece dental implants; "Implant" refers to a dental implant in which the implant and the abutment body are integrally connected, compared to a two-piece dental implant and a three-piece dental implant that must be screwed or snapped between each component The one-piece dental implant does not need to worry about the loosening or breaking of the connection between the implant and the abutment body, nor does it need to perform the second operation, which can improve the efficiency of the operation and reduce the pain of the patient. Such as U.S. Announcement No. 5961328 "Dental implant", Republic of China Announcement No. M416449 "Artificial Dental Implant", M438247 "Dental Artificial Implant Improvement", M457533 "Thread-Optimized Dental Implant", M522007 Patent cases such as "Dental Implant Structure" and I613992 "Bone Implant" all disclose dental implants belonging to the aforementioned "one-piece dental implant".

惟,無論是一件式牙科植入物、兩件式牙科植入物或三件式牙科植入物,習知牙科植入物的植體都是呈預定的幾何形狀柱體(概呈圓柱狀),且環周面設有螺紋,其外形與拔除患牙後的齒槽窩孔形狀差異甚大,故傳統植牙過程中,大多需於患牙拔除後等待數月,伺骨頭癒合完成後再重新鑽孔及置入植體。但許多案例顯示,這段等待癒合的時間中,由於缺牙區並無咬合負荷,易產生齒槽骨吸收與軟組織退縮等情況,造成植體植入的困難與美觀的影響,有時需合併植入骨粉與軟組織修復的手術,不僅增添植牙成功率的變數,患者也需耗費更多的時間與費用。 However, regardless of whether it is a one-piece dental implant, a two-piece dental implant, or a three-piece dental implant, the implants of conventional dental implants are cylinders with a predetermined geometric shape (approximately cylindrical Shape), and the circumferential surface is provided with threads, the shape of which is very different from the shape of the socket of the tooth after extraction of the affected tooth, so in the traditional implant process, most of them need to wait for several months after the extraction of the affected tooth, and wait for the bone to heal. Then re-drill and place the implant. However, many cases have shown that during this period of waiting for healing, due to the absence of occlusal load in the missing tooth area, alveolar bone resorption and soft tissue retraction are likely to occur, resulting in difficulties in implant implantation and aesthetic effects, and sometimes need to be merged. Bone powder and soft tissue repair surgery not only increase the success rate of dental implants, but also require more time and expense for patients.

另外對於齒槽骨狀況較佳的患者而言,現有一種號稱「即拔即種」的植牙手術,就是在拔除患牙後立即植入植體,對於稍有缺損的部位則予以骨粉等補骨方式來填補,藉以縮短植牙療程。然而,在植入植體的過程中,仍需另以工具鑽削破壞原本的齒槽窩洞,才能植入該習知牙科植入物的植體,故仍會導致骨頭的傷害,進而需配合再生膜或骨頭重建手術,才能達到良好的植體穩定度及軟硬組織間的配合。 In addition, for patients with better alveolar bones, there is a so-called "implantation and implantation" dental implant surgery, which is to implant the implant immediately after the affected tooth is extracted, and to supplement the bone defect with bone powder. Bone method to fill, in order to shorten the dental implant treatment. However, in the process of implant implantation, it is still necessary to use another tool to drill and destroy the original alveolar cavity before implanting the implant of the conventional dental implant, so it will still cause bone damage, which requires cooperation Regeneration membrane or bone reconstruction surgery can achieve good implant stability and coordination between hard and soft tissues.

有鑑於此,習知的牙科植入物確實仍有加以改善之必要。 In view of this, the conventional dental implants still need to be improved.

為解決上述問題,本發明的目的是提供一種牙科植入物,其植體係依患者的齒槽窩孔形狀客製化,以於幾乎不破壞齒槽骨的前提下,滿足 即拔即種的植牙需求。 In order to solve the above-mentioned problems, the object of the present invention is to provide a dental implant whose implant system is customized according to the shape of the patient's alveolar socket, so as to satisfy the requirements of pulling out and seeding without damaging the alveolar bone Implant demand.

本發明以下所述方向性或其近似用語,例如「前」、「後」、「左」、「右」、「上(頂)」、「下(底)」、「內」、「外」、「側面」等,主要係參考附加圖式的方向,各方向性或其近似用語僅用以輔助說明及理解本發明的各實施例,非用以限制本發明。 The following directivity or similar terms of the invention, such as "front", "rear", "left", "right", "upper (top)", "lower (bottom)", "inner", "outer" , "Side", etc., mainly refer to the directions of the attached drawings, and each directivity or its approximate terms are only used to help explain and understand the embodiments of the present invention, not to limit the present invention.

本發明的牙科植入物,包含:一植體,該植體具有一頭端及一尾端,該頭端及該尾端之間具有一原生牙形部;及一支台體,該支台體一體連接於該植體的頭端。 The dental implant of the present invention includes: an implant having a head end and a tail end, and a native tooth-shaped portion between the head end and the tail end; and a table body, the table The body is integrally connected to the head end of the implant.

據此,本發明的牙科植入物,其植體具有與自然牙根外形相仿的原生牙形部,可滿足即拔即種的植牙需求,並使該原生牙形部與患者的齒槽窩孔高度密合。因此,植入本發明的牙科植入物時,幾乎不需要再對齒槽骨鑽孔,可大幅減少對齒槽骨的破壞,改善以往易於植入過程中造成齒槽軟硬組織與周圍神經損傷的問題,同時提高該植體與齒槽骨在植牙初期的穩定度,從而能夠有效縮短癒合時間、提升骨整合速率與復形完整度,更快復原到可安裝牙冠的程度,以縮短整體的植牙療程與風險。 According to this, the dental implant of the present invention, the implant has a native tooth shape similar to the shape of the natural tooth root, which can meet the needs of immediate extraction and implantation, and makes the native tooth shape and the alveolar socket of the patient The holes are tightly closed. Therefore, when implanting the dental implant of the present invention, it is almost unnecessary to drill the alveolar bone, which can greatly reduce the damage to the alveolar bone and improve the soft and hard tissue of the alveolar and peripheral nerves that are easy to cause in the past. The problem of damage, at the same time improve the stability of the implant and alveolar bone in the early stage of dental implantation, which can effectively shorten the healing time, improve the rate of osseointegration and the integrity of the complex, and restore to the degree that the crown can be installed faster. Shorten the overall dental implant treatment and risk.

其中,該原生牙形部較佳係依客製化圖檔3D列印而成。如此,該原生牙形部可與患者的齒槽窩孔高度密合,具有更進一步縮短癒合時間、提升骨整合速率與復形完整度等功效。 Among them, the native tooth-shaped portion is preferably printed in 3D according to a customized image file. In this way, the native tooth-shaped portion can be closely aligned with the patient's alveolar cavity, and has the effects of further shortening the healing time, improving the rate of bone integration and the integrity of the complex.

其中,該原生牙形部的表面較佳具有一粗糙結構。如此,該粗糙結構有利於齒槽骨的骨細胞生長,具有提升初期骨整合的效率等功效。 Wherein, the surface of the primary tooth-shaped portion preferably has a rough structure. In this way, the rough structure is conducive to the growth of bone cells of alveolar bone, and has the effect of improving the efficiency of initial bone integration.

其中,該粗糙結構可例如為數個凹孔、數個環槽、數個斜槽、數個網格槽、數個凸環或粗糙面之其一或任意組合。如此,該結構簡易而可便於成型,具有降低製造成本及提升骨整合效率等功效。 The rough structure may be, for example, one or any combination of several concave holes, several ring grooves, several oblique grooves, several mesh grooves, several convex rings or rough surfaces. In this way, the structure is simple and can be easily formed, and has the effects of reducing the manufacturing cost and improving the efficiency of bone integration.

其中,該支台體可具有相對的二夾持面,其中至少有一夾持面 的二側可分別設有至少一修磨標識部。如此,醫師可不需額外透過其他量測工具,快速地依臨床狀況修磨該夾持面至適當傾斜度,具有提升操作效率及縮短手術時間等功效。 Wherein, the support body may have two opposite clamping surfaces, and at least one grinding surface may be provided on two sides of at least one clamping surface. In this way, the physician can quickly sharpen the clamping surface to an appropriate inclination according to clinical conditions without additional measurement tools, which has the effects of improving operation efficiency and shortening operation time.

其中,該支台體可具有相對的二夾持面,該二夾持面較佳符合莫氏錐度。如此,可藉由錐度的摩擦力來傳遞施力,具有提升結合穩固性及達到細菌密封真空效果等功效。 Wherein, the abutment body may have two opposing clamping surfaces, and the two clamping surfaces preferably conform to the Morse taper. In this way, the force can be transmitted by the tapered frictional force, which has the effects of improving the combination stability and achieving the vacuum effect of bacteria sealing.

其中,該植體的頭端可具有間隔設置的數個抗旋環部,各該抗旋環部較該植體的環周面凸出0.1~0.5mm。如此,藉由使該數個抗旋環部對位在齒槽骨的皮質骨處,以加速骨整合效率,及在骨整合後使該牙科植入物可穩固支撐於齒槽骨中較硬的部位,從而可有效防止該牙科植入物往齒槽骨的海綿骨沉入,具有延長該牙科植入物的使用壽命等功效。 Wherein, the head end of the implant may have a plurality of anti-rotation ring portions arranged at intervals, and each of the anti-rotation ring portions protrudes from the circumferential surface of the implant by 0.1-0.5 mm. In this way, by aligning the anti-rotation ring portions at the cortical bone of the alveolar bone, the efficiency of osseointegration is accelerated, and after osseointegration, the dental implant can be stably supported in the alveolar bone, which is harder The position of the dental implant can effectively prevent the dental implant from sinking into the spongy bone of the alveolar bone, and has the effect of prolonging the service life of the dental implant.

其中,任二相鄰抗旋環部的間距較佳為0.1~0.5mm。如此,具有更佳的前述功效且便於成型。 Among them, the distance between any two adjacent anti-rotation ring portions is preferably 0.1 to 0.5 mm. In this way, it has better aforementioned effects and is easy to form.

其中,該植體的頭端可由一斜面一體連接該支台體,該斜面位於該數個抗旋環部上方,該斜面的徑寬由鄰近該數個抗旋環部處朝該支台體遞減。如此,將癒合帽結合該支台體後,該癒合帽與該植體之間可形成一轉移平台,具有減少齒槽骨吸收情形、避免產生沉骨效應或鬆脫等現象。 Wherein, the tip of the implant can be integrally connected to the abutment body by a slanted surface, the slanted surface is located above the anti-rotation ring portions, and the diameter and width of the slanted surface extend from the adjacent anti-rotation ring portions toward the abutment body Diminishing. In this way, after the healing cap is combined with the abutment body, a transfer platform can be formed between the healing cap and the implant, which can reduce the absorption of alveolar bone and avoid the phenomenon of sinking or loosening.

1‧‧‧植體 1‧‧‧Implant

1a‧‧‧頭端 1a‧‧‧Head

1b‧‧‧尾端 1b‧‧‧End

11‧‧‧原生牙形部 11‧‧‧ Native tooth

111‧‧‧粗糙結構 111‧‧‧Rough structure

111a‧‧‧凹孔 111a‧‧‧Concave hole

111b‧‧‧環槽 111b‧‧‧ring groove

111c‧‧‧斜槽 111c‧‧‧chute

111d‧‧‧網格槽 111d‧‧‧Grid slot

12‧‧‧抗旋環部 12‧‧‧Anti-rotation ring

13‧‧‧斜面 13‧‧‧Bevel

2‧‧‧支台體 2‧‧‧support body

21‧‧‧夾持面 21‧‧‧Clamping surface

22‧‧‧修磨標識部 22‧‧‧Marking Department

C‧‧‧癒合帽 C‧‧‧Healing Cap

H‧‧‧齒槽窩孔 H‧‧‧Groove socket

θ‧‧‧夾角 θ‧‧‧ included angle

〔第1圖〕本發明一較佳實施例的立體結構圖。 [Figure 1] A perspective structural view of a preferred embodiment of the present invention.

〔第2圖〕本發明一較佳實施例的局部平面圖。 [Figure 2] A partial plan view of a preferred embodiment of the present invention.

〔第3圖〕第2圖的A-A部分局部放大圖。 [Figure 3] Part A-A of Figure 2 is a partially enlarged view.

〔第4圖〕植入本發明一較佳實施例的操作示意圖。 [Figure 4] A schematic diagram of the operation of a preferred embodiment of the present invention.

〔第5圖〕將癒合帽結合至本發明一較佳實施例的操作示意圖。 [Figure 5] A schematic diagram of the operation of combining the healing cap with a preferred embodiment of the present invention.

〔第6圖〕本發明設有環槽的實施例的立體結構圖。 [Figure 6] A perspective structural view of an embodiment of the present invention provided with a ring groove.

〔第7圖〕本發明設有斜槽的實施例的立體結構圖。 [Figure 7] A perspective structural view of an embodiment of the present invention provided with a chute.

〔第8圖〕本發明設有網格槽的實施例的立體結構圖。 [Figure 8] A perspective structural view of an embodiment of the present invention provided with a grid groove.

為讓本發明之上述及其他目的、特徵及優點能更明顯易懂,下文特舉本發明之較佳實施例,並配合所附圖式,作詳細說明如下:請參照第1圖,其係本發明牙科植入物的一較佳實施例,該牙科植入物大致上包含一體相連的一植體1及一支台體2;在植牙療程中,該植體1係用以植入患者的齒槽骨,該支台體2則是用以供一牙冠(圖未繪示)組裝定位的部位。 In order to make the above and other objects, features and advantages of the present invention more obvious and understandable, the preferred embodiments of the present invention are described below in conjunction with the attached drawings, which are described in detail as follows: Please refer to FIG. A preferred embodiment of the dental implant of the present invention generally includes an implant 1 and a table body 2 that are integrally connected; in the course of dental implant treatment, the implant 1 is used for implantation The alveolar bone of the patient, the abutment body 2 is used for assembling and positioning a crown (not shown).

該植體1具有一頭端1a及一尾端1b,該頭端1a與該支台體2相連,該尾端1b則是該植體1率先植入齒槽骨的部位。該植體1具有一原生牙形部11位於該頭端1a及該尾端1b之間,該原生牙形部11具有與自然牙根相仿的外形且未設置螺紋;在本實施例中,可選擇透過電腦斷層掃描向各患者取得其患牙的牙根外形,再根據該牙根外形建立3D列印機所需的模型圖檔,並以3D列印技術成型該原生牙形部11,使本發明的每個牙科植入物的原生牙形部11都能透過此客製化技術而高度符合各患牙拔除後所留下的齒槽窩孔形狀。 The implant 1 has a head end 1a and a tail end 1b, the head end 1a is connected to the abutment body 2, and the tail end 1b is the portion where the implant 1 is first implanted into the alveolar bone. The implant 1 has a native tooth-shaped portion 11 located between the head end 1a and the tail end 1b. The native tooth-shaped portion 11 has a shape similar to that of a natural tooth root and is not provided with threads; in this embodiment, optional Through the computer tomography, the tooth root shape of the affected tooth is obtained from each patient, and then the model image file required by the 3D printing machine is created according to the tooth root shape, and the native tooth shape portion 11 is formed by the 3D printing technology. The original tooth-shaped portion 11 of each dental implant can highly conform to the shape of the tooth socket left after the extraction of each affected tooth through this customized technology.

該原生牙形部11的表面較佳具有一粗糙結構111,以利於齒槽骨的骨細胞生長,提升初期骨整合的效率。例如但不限制地,該粗糙結構111可以為數個凹孔111a、數個環槽111b(請配合參照第6圖)、數個斜槽111c(請配合參照第7圖)、數個網格槽111d(請配合參照第8圖)、數個 凸環或粗糙面等結構之其一或任意組合。其中,當該粗糙結構111為第6圖所示的數個環槽111b時,可選擇使鄰近該植體1頭端1a的數個環槽111b間距較小,而鄰近該植體1尾端1b的數個環槽111b間距較大,利用該植體1頭端1a較緻密的該數個環槽111b,可增加與皮質骨的接觸面積與支撐能力,提高植入初期的穩定度,減少植入後搖晃的情況。 The surface of the primary tooth-shaped portion 11 preferably has a rough structure 111 to facilitate the growth of bone cells of the alveolar bone and improve the efficiency of initial bone integration. For example, but not limited to, the rough structure 111 may be a plurality of concave holes 111a, a plurality of ring grooves 111b (please refer to FIG. 6), a plurality of inclined grooves 111c (please refer to FIG. 7), and a plurality of grid grooves One or any combination of 111d (please refer to Figure 8), several convex rings or rough surfaces. When the rough structure 111 is a plurality of ring grooves 111b shown in FIG. 6, the distance between the ring grooves 111b adjacent to the head 1a of the implant 1 may be selected to be smaller, and the tail end of the implant 1 may be smaller. The distance between the several ring grooves 111b of 1b is relatively large, and the denser ring grooves 111b of the head 1a of the implant 1 can increase the contact area and supporting capacity with the cortical bone, improve the stability of the initial implantation, and reduce Shaking after implantation.

此外,上述的各種粗糙結構111均可以呈規則或不規則設置;例如,請再參照第1圖,各該凹孔111a可以是等徑或非等徑的孔洞,各該凹孔111a可以呈圓孔、多邊形孔或任意孔洞型態,該數個凹孔111a在該原生牙形部11表面的開口大小可以相同或不同,不以圖式所揭露型態為限。 In addition, the above-mentioned various rough structures 111 may be arranged regularly or irregularly; for example, please refer to FIG. 1 again, each of the concave holes 111a may be a hole of equal or non-equivalent diameter, and each of the concave holes 111a may be round For the hole, polygonal hole or any hole type, the openings of the concave holes 111a on the surface of the primary tooth-shaped portion 11 may be the same or different, and is not limited to the type disclosed in the drawings.

另,請參照第1、3圖,該植體1的頭端1a可以具有間隔設置的數個抗旋環部12,各該抗旋環部12較該植體1的環周面凸出約0.1~0.5mm,其中任二相鄰抗旋環部12的間距約為0.1~0.5mm。又,該植體1的頭端1a可以由一斜面13一體連接該支台體2,該斜面13位於該數個抗旋環部12上方,該斜面13的徑寬可以由鄰近該數個抗旋環部12處朝該支台體2遞減。 In addition, referring to FIGS. 1 and 3, the head end 1a of the implant 1 may have a plurality of anti-rotation ring portions 12 arranged at intervals, and each of the anti-rotation ring portions 12 protrudes more than the circumferential surface of the implant 1 0.1~0.5mm, and the distance between any two adjacent anti-rotation ring portions 12 is about 0.1~0.5mm. In addition, the head end 1a of the implant 1 can be integrally connected to the abutment body 2 by a beveled surface 13, the beveled surface 13 is located above the anti-rotation ring portions 12, and the diameter and width of the beveled surface 13 can be determined by adjacent to the The ring portion 12 decreases toward the abutment body 2.

請參照第1、2圖,該支台體2具有相對的二夾持面21,該二夾持面21較佳符合莫氏錐度(Morse Taper);即,各該夾持面21與一鉛錘面的夾角θ較佳為6~18度。另,其中至少有一夾持面21的二側可分別設有至少一修磨標識部22,各該修磨標識部22可以是凹設、平設或凸設於該支台體2表面的任何結構,例如可以是設於該支台體2表面的一長型凹槽、刻劃在該支台體2表面的一刻痕、排成一列並設於該支台體2表面的數個凹穴、印製在該支台體2表面的一記號、黏貼於該支台體2表面的一貼標、結合於該支台體2表面的一凸條、或排成一列並結合於該支台體2表面的數個凸點等。 Please refer to FIG. 1 and FIG. 2, the abutment body 2 has two opposing clamping surfaces 21, and the two clamping surfaces 21 preferably conform to the Morse Taper; that is, each of the clamping surfaces 21 and a lead The angle θ of the hammer surface is preferably 6 to 18 degrees. In addition, at least one of the at least one clamping surface 21 may be provided with at least one grinding mark portion 22 on each side, and each grinding mark portion 22 may be concave, flat or convex on any surface of the support body 2 The structure may be, for example, a long groove provided on the surface of the support body 2, a notch scored on the surface of the support body 2, a plurality of recesses arranged in a row and provided on the surface of the support body 2 , A mark printed on the surface of the support body 2, a label adhered to the surface of the support body 2, a convex strip bonded to the surface of the support body 2, or arranged in a row and bonded to the support body Several bumps on the surface of the body 2 and so on.

請參照第4、5圖,據由前述結構,在使用本發明牙科植入物的植牙手術中,由於該植體1的原生牙形部11高度符合患牙拔除後所留下的齒槽窩孔H形狀,故可在拔除後患牙後,立即將該牙科植入物的植體1的原生牙形部11插入該齒槽窩孔H;另將一癒合帽C結合該牙科植入物的支台體2,以供骨整合期間的暫時固定,減少咬合造成該牙科植入物晃動的情形,並由該癒合帽C分散應力與降低應力遮蔽(Stress Shielding)現象。 Referring to FIGS. 4 and 5, according to the foregoing structure, in the dental implant operation using the dental implant of the present invention, since the native tooth-shaped portion 11 of the implant 1 is highly consistent with the tooth groove left after extraction of the affected tooth The shape of the socket H, so that the original tooth shape 11 of the implant 1 of the dental implant can be inserted into the socket H of the tooth socket immediately after extraction of the affected tooth; another healing cap C is combined with the dental implant The abutment body 2 is used for temporary fixation during osseointegration to reduce the swaying of the dental implant caused by occlusion, and the healing cap C disperses stress and reduces stress shielding (Stress Shielding) phenomenon.

值得注意的是,請參照第3、5圖,由於本實施例的植體1設有該數個抗旋環部12,且該植體1的原生牙形部11插入該齒槽窩孔H後,該數個抗旋環部12大致上可對位在齒槽骨的皮質骨(Cortical Bone)處。因此,在骨整合期間,由於該數個抗旋環部12非螺旋狀,不會有受力而反向懸鬆的狀況而可加速骨整合效率;在骨整合後,該數個抗旋環部12則可分別穩固抵接於齒槽骨的皮質骨,使該牙科植入物可穩固支撐於齒槽骨中較硬的部位,故即使各該抗旋環部12只是相當微幅地凸出於該植體1的環周面,也能有效防止該牙科植入物往齒槽骨的海綿骨(Spongy Bone)沉入,達到延長該牙科植入物的使用壽命等功效。 It is worth noting that, please refer to FIGS. 3 and 5, because the implant 1 of this embodiment is provided with the plurality of anti-rotation ring portions 12, and the native tooth-shaped portion 11 of the implant 1 is inserted into the alveolar cavity H Afterwards, the anti-rotation ring portions 12 can be positioned at the cortical bone of the alveolar bone. Therefore, during osseointegration, due to the non-helical shape of the anti-rotation ring portions 12, there will be no force and the condition of reverse suspension can accelerate the efficiency of osseointegration; after osseointegration, the anti-rotation rings The portion 12 can be firmly connected to the cortical bone of the alveolar bone, so that the dental implant can be firmly supported on the harder part of the alveolar bone, so even if each anti-rotation ring portion 12 is only slightly convex The circumferential surface of the implant 1 can also effectively prevent the dental implant from sinking into the spongy bone of the alveolar bone, so as to prolong the service life of the dental implant.

又,請參照第2、5圖,由於本實施例的植體1設有該斜面13,故該癒合帽C結合該牙科植入物的支台體2後,該癒合帽C與該植體1的頭端1a之間可形成一轉移平台(Platform Switching),從而可以將該植體1與該支台體2交界處的支台齒炎性細胞浸潤侷限於該植體1的斜面13之上,進而減少齒槽骨吸收情形,避免產生沉骨效應或該癒合帽C鬆脫等現象。 Also, referring to FIGS. 2 and 5, since the implant 1 of this embodiment is provided with the inclined surface 13, after the healing cap C is combined with the abutment body 2 of the dental implant, the healing cap C and the implant A platform can be formed between the tip 1a of the 1 (Platform Switching), so that the infiltration of the abutment tooth inflammatory cells at the junction of the implant 1 and the abutment body 2 is limited to the inclined surface 13 of the implant 1 In order to reduce the alveolar bone absorption, avoid the phenomenon of bone sinking or loosening of the healing cap C.

此外,由於本實施例的支台體2的該二夾持面21符合莫氏錐度,故組裝該癒合帽C時(或是最後裝上牙冠時),可藉由錐度的摩擦力來傳遞施力,不僅可提升結合穩固性,更能達到細菌密封真空的效果。而本實施例的支台體2更可藉由設置該修磨標識部22,供醫師可不需額外透過其他 量測工具,快速地依臨床狀況修磨該支台體2的夾持面21至適當傾斜度,有助提升操作效率及縮短手術時間。 In addition, since the two clamping surfaces 21 of the abutment body 2 of this embodiment conform to the Morse taper, when the healing cap C is assembled (or when the crown is finally installed), the friction force of the taper can be transmitted Applying force can not only improve the stability of the combination, but also achieve the effect of bacteria sealing vacuum. The abutment body 2 of this embodiment can be further provided with the grinding mark portion 22, so that the doctor can quickly grind the clamping surface 21 of the abutment body 2 according to clinical conditions without additional measurement tools. Appropriate inclination can help improve the operation efficiency and shorten the operation time.

綜上所述,本發明的牙科植入物,其植體具有與自然牙根外形相仿的原生牙形部,可滿足即拔即種的植牙需求,並使該原生牙形部與患者的齒槽窩孔高度密合。因此,植入本發明的牙科植入物時,幾乎不需要再對齒槽骨鑽孔,可大幅減少對齒槽骨的破壞,改善以往易於植入過程中造成齒槽軟硬組織與周圍神經損傷的問題,同時提高該植體與齒槽骨在植牙初期的穩定度,從而能夠有效縮短癒合時間、提升骨整合速率與復形完整度,更快復原到可安裝牙冠的程度,以縮短整體的植牙療程與風險。 In summary, the dental implant of the present invention has a native tooth shape similar to the shape of a natural tooth root, which can meet the needs of extraction and implantation, and makes the native tooth shape and the patient's teeth The height of the socket is close. Therefore, when implanting the dental implant of the present invention, it is almost unnecessary to drill the alveolar bone, which can greatly reduce the damage to the alveolar bone and improve the soft and hard tissue of the alveolar and peripheral nerves that are easy to cause in the past. The problem of damage, at the same time improve the stability of the implant and alveolar bone in the early stage of dental implantation, which can effectively shorten the healing time, improve the rate of osseointegration and the integrity of the complex, and restore to the degree that the crown can be installed faster. Shorten the overall dental implant treatment and risk.

雖然本發明已利用上述較佳實施例揭示,然其並非用以限定本發明,任何熟習此技藝者在不脫離本發明之精神和範圍之內,相對上述實施例進行各種更動與修改仍屬本發明所保護之技術範疇,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 Although the present invention has been disclosed using the above-mentioned preferred embodiments, it is not intended to limit the present invention. Anyone who is familiar with this art without departing from the spirit and scope of the present invention still makes various changes and modifications to the above-mentioned embodiments. The technical scope of the invention is protected, so the scope of protection of the present invention shall be subject to the scope defined in the appended patent application.

1‧‧‧植體 1‧‧‧Implant

1a‧‧‧頭端 1a‧‧‧Head

1b‧‧‧尾端 1b‧‧‧End

11‧‧‧原生牙形部 11‧‧‧ Native tooth

111‧‧‧粗糙結構 111‧‧‧Rough structure

111a‧‧‧凹孔 111a‧‧‧Concave hole

12‧‧‧抗旋環部 12‧‧‧Anti-rotation ring

13‧‧‧斜面 13‧‧‧Bevel

2‧‧‧支台體 2‧‧‧support body

21‧‧‧夾持面 21‧‧‧Clamping surface

22‧‧‧修磨標識部 22‧‧‧Marking Department

Claims (9)

一種牙科植入物,包含:一植體,該植體具有一頭端及一尾端,該頭端及該尾端之間具有一原生牙形部;及一支台體,該支台體一體連接於該植體的頭端。 A dental implant includes: an implant having a head end and a tail end, and a native tooth-shaped portion between the head end and the tail end; and a table body, which is integrated Connect to the head of the implant. 如申請專利範圍第1項所述之牙科植入物,其中,該原生牙形部係依客製化圖檔3D列印而成。 The dental implant as described in item 1 of the patent application scope, wherein the native tooth-shaped part is 3D printed according to a customized drawing. 如申請專利範圍第1項所述之牙科植入物,其中,該原生牙形部的表面具有一粗糙結構。 The dental implant as described in item 1 of the patent application scope, wherein the surface of the primary tooth-shaped portion has a rough structure. 如申請專利範圍第3項所述之牙科植入物,其中,該粗糙結構為數個凹孔、數個環槽、數個斜槽、數個網格槽、數個凸環或粗糙面之其一或任意組合。 The dental implant as described in item 3 of the patent application, wherein the rough structure is a plurality of concave holes, a number of ring grooves, a number of inclined grooves, a number of grid grooves, a number of convex rings or rough surfaces One or any combination. 如申請專利範圍第1項所述之牙科植入物,其中,該支台體具有相對的二夾持面,其中至少有一夾持面的二側分別設有至少一修磨標識部。 The dental implant as described in item 1 of the patent application scope, wherein the abutment body has two opposing clamping surfaces, and at least one grinding surface is provided on both sides of at least one clamping surface. 如申請專利範圍第1項所述之牙科植入物,其中,該支台體具有相對的二夾持面,該二夾持面符合莫氏錐度。 The dental implant as described in item 1 of the scope of the patent application, wherein the abutment body has two opposing clamping surfaces, and the two clamping surfaces conform to the Morse taper. 如申請專利範圍第1至6項中任一項所述之牙科植入物,其中,該植體的頭端具有間隔設置的數個抗旋環部,各該抗旋環部較該植體的環周面凸出0.1~0.5mm。 The dental implant according to any one of claims 1 to 6, wherein the head end of the implant has a plurality of anti-rotation ring portions, and each anti-rotation ring portion is smaller than the implant The peripheral surface of the ring protrudes by 0.1~0.5mm. 如申請專利範圍第7項所述之牙科植入物,其中,任二相鄰抗旋環部的間距為0.1~0.5mm。 The dental implant as described in item 7 of the patent application scope, wherein the distance between any two adjacent anti-rotation ring portions is 0.1 to 0.5 mm. 如申請專利範圍第7項所述之牙科植入物,其中,該植體的頭端由一斜面一體連接該支台體,該斜面位於該數個抗旋環部上方,該斜面的徑寬由鄰近該數個抗旋環部處朝該支台體遞減。 The dental implant as described in item 7 of the patent application scope, wherein the tip of the implant is integrally connected to the abutment body by a slope, the slope is located above the anti-rotation ring portions, and the diameter of the slope is wide It decreases toward the abutment body from the adjacent anti-rotation ring parts.
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