TW202005617A - Bone-fusion dental implant providing with penetrative porous structure layer having sufficient thickness - Google Patents

Bone-fusion dental implant providing with penetrative porous structure layer having sufficient thickness Download PDF

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TW202005617A
TW202005617A TW107122973A TW107122973A TW202005617A TW 202005617 A TW202005617 A TW 202005617A TW 107122973 A TW107122973 A TW 107122973A TW 107122973 A TW107122973 A TW 107122973A TW 202005617 A TW202005617 A TW 202005617A
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Taiwan
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tooth root
artificial tooth
root
structure layer
penetrating
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TW107122973A
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Chinese (zh)
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劉永隆
李立群
陳文毅
陳錦昇
蘇皇家
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可成生物科技股份有限公司
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Priority to TW107122973A priority Critical patent/TW202005617A/en
Publication of TW202005617A publication Critical patent/TW202005617A/en

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Abstract

The present invention discloses a bone-fusion dental implant, which comprises: an implant top having a cylindrical shape and including a circular smooth surface; and, an implanting portion which is connected with the implant top and includes a penetrative porous structure layer disposed under the circular smooth surface, wherein the penetrative porous structure layer has a predetermined thickness, and the predetermined thickness of the implant portion at its largest outer diameter is larger than 0.4 mm.

Description

骨融合人工牙根 Bone fusion artificial root

本發明是有關於一種骨融合人工牙根,且特別是有關於一種骨融合人工牙根,其具有足夠厚度的穿透性多微孔結構層。 The invention relates to a bone fusion artificial tooth root, and in particular to a bone fusion artificial tooth root, which has a penetrating porous structure layer with a sufficient thickness.

隨著科技的進步,目前亦已發展出一種植牙的技術。具體而言,是將人工牙根直接植入齒槽骨中,徹底取代受損之牙齒。由於人工植牙不需附加其它裝置與鄰牙支撐,較不會傷害相鄰之自然牙,且可預防齒槽骨及牙肉之萎縮,長期維護口腔之健康與功能。1950年,瑞典教授Per-Ingvar Branemark發現鈦對人體具有高度生物相容性。亦即,人體對鈦發生排異反應之機率較小,進而容許骨組織生長並整合於鈦之表面。因此,P-I Branemark提出了骨整合(Osseointegration)之概念並將其應用於牙科領域中,由此達成牙科技術之突破。 With the advancement of technology, a technology for dental implants has also been developed. Specifically, the artificial tooth root is directly implanted into the alveolar bone to completely replace the damaged tooth. Because artificial implants do not need to be attached with other devices and adjacent teeth to support, it is less likely to damage the adjacent natural teeth, and can prevent the atrophy of alveolar bone and gums, and maintain the health and function of the oral cavity for a long time. In 1950, Swedish professor Per-Ingvar Branemark discovered that titanium is highly biocompatible with the human body. In other words, the body has a low probability of rejection of titanium, which allows bone tissue to grow and integrate on the surface of titanium. Therefore, P-I Branemark proposed the concept of Osseointegration and applied it to the dental field, thereby achieving a breakthrough in dental technology.

在植牙之前,必須先在牙槽骨裡鑽洞以鎖上人工牙根。請參考圖1,人工牙根1通常設有一外螺紋11、一內螺紋12、一多角形內錐段13。利用工具將外螺紋11鎖進齒槽骨2的骨洞裡。齒槽骨2與人工牙根1之骨整合可需要約三至六個月之時間。等骨洞長合之後將固緊人工牙根1。接著穿過牙齦組織21將支座3插接在人工牙根1內,利用一鎖固螺釘31穿過支座3鎖入內螺紋12,使支座3固定於人工牙根1,最後裝上牙冠32,完成假牙或義齒的安裝。支座3具有與多角形內錐段13形狀相應的多角形錐狀柄身,可長期使用而不易發生動搖與轉動。目前最廣用的人工牙根1材料,鈦金屬確實是一種相當可靠的口腔植體材料。然 而,植牙過程仍存在風險。當骨組織正在生長並整合至人工牙根之表面上時,應防止出現微位移。微位移會導致骨組織自人工牙根之表面鬆動,致使骨整合失敗。 Before implanting a tooth, a hole must be drilled in the alveolar bone to lock the artificial root. Please refer to FIG. 1, the artificial tooth root 1 is generally provided with an external thread 11, an internal thread 12, and a polygonal inner tapered section 13. The external thread 11 is locked into the bone hole of the alveolar bone 2 using a tool. The integration of the alveolar bone 2 and the artificial tooth root 1 may take about three to six months. After the bone cavity is closed, the artificial tooth root 1 will be tightened. Then insert the support 3 into the artificial tooth root 1 through the gingival tissue 21, and use a locking screw 31 to pass through the support 3 into the internal thread 12, so that the support 3 is fixed to the artificial root 1, and finally the crown is installed 32. Complete the installation of dentures or dentures. The support 3 has a polygonal cone-shaped shank corresponding to the shape of the polygonal inner cone section 13, and can be used for a long time without being easily shaken and rotated. At present, the most widely used artificial tooth root 1 material, titanium metal is indeed a fairly reliable oral implant material. However, there are still risks in the dental implant process. When bone tissue is growing and integrating onto the surface of the artificial tooth root, micro-displacement should be prevented. Micro-displacement can cause bone tissue to loosen from the surface of the artificial tooth root, resulting in failure of bone integration.

目前若人工牙根欲達到縮短骨整合的時程,最快速的方法是直接創造適合骨細胞生長的環境。而要達到這個目的,最佳的方式即是進行人工牙根專用的表面處理技術。所謂適合人工牙根的表面處理技術,是指人工牙根經過表面處理後,能夠使其表面具有特定的生物性功能,例如表面形成有較大粗糙度或微孔洞。換言之,就是在人工牙根的表面創造適合骨細胞貼附及生長的環境,並可加速骨細胞進行分化及礦化作用,於最短時程內形成骨骼。適合人工牙根的表面處理方法包括亁式及濕式製程兩類。亁式製程包括物理氣相沉積技術、電漿噴塗技術、噴砂技術等。濕式製程包括陽極處理技術、微弧氧化技術、化學蝕刻技術等。 At present, if the artificial tooth root wants to shorten the time course of osseointegration, the fastest way is to directly create an environment suitable for the growth of bone cells. To achieve this goal, the best way is to use special surface treatment technology for artificial roots. The so-called surface treatment technology suitable for artificial tooth roots means that after the surface treatment of artificial tooth roots, the surface can have a specific biological function, for example, the surface is formed with a large roughness or micro holes. In other words, it is to create an environment suitable for the attachment and growth of bone cells on the surface of the artificial tooth root, and can accelerate the differentiation and mineralization of bone cells to form bones in the shortest time. Surface treatment methods suitable for artificial tooth roots include two types of wet and wet processes. The gen-type process includes physical vapor deposition technology, plasma spraying technology, sand blasting technology, etc. The wet process includes anode treatment technology, micro-arc oxidation technology, chemical etching technology, etc.

然而,不論亁式製程的表面處理方法,還是濕式製程的表面處理方法都只是在人工牙根的表面進行粗糙度處的處理或進行微孔洞的處理,而無法在其表面形成具有足夠厚度的穿透性多微孔結構層。 However, regardless of the surface treatment method of the gen-type process or the surface treatment method of the wet process, only the roughness of the surface of the artificial tooth root or the treatment of micro-holes are processed, and a sufficient thickness cannot be formed on the surface of the artificial tooth root. Penetrating microporous structure layer.

因此,便有需要一種骨融合人工牙根,能克服上述問題。 Therefore, there is a need for a bone fusion artificial tooth root that can overcome the above problems.

本發明之一目的是提供一種骨融合人工牙根,其具有足夠厚度的穿透性多微孔結構層。 An object of the present invention is to provide a bone fusion artificial tooth root having a penetrating porous structure layer with a sufficient thickness.

依據上述之目的,本發明提供一種骨融合人工牙根包括:一牙根頂部,具有圓柱外形,並包括一環形光滑表面;以及一牙根植入部,連接該牙根頂部,並包括:一穿透性多微孔結構層,設置於該環狀光滑表面下方,其中該穿透性多微孔結構層具有一預定厚度,當該牙根植入部在其最大外徑之位置時,該預定厚度大於0.4mm。 According to the above purpose, the present invention provides a bone fusion artificial tooth root comprising: a tooth root top having a cylindrical shape and including a ring-shaped smooth surface; and a tooth root implant portion connected to the tooth root top and comprising: a penetrating The microporous structure layer is arranged under the annular smooth surface, wherein the penetrating microporous structure layer has a predetermined thickness, and when the root implant portion is at its maximum outer diameter, the predetermined thickness is greater than 0.4 mm .

本發明更提供一種人工牙根製造方法,包括下列步驟:建置一人工牙根立體圖像模型,其中該人工牙根立體圖像模型包括一牙根植入部之立體圖像,該牙根植入部之立體圖像包括一穿透性多微孔結構層之立體圖像,該穿透性多微孔結構層具有一預定厚度,當該牙根植入部在其最大外徑之位置時,該預定厚度大於0.4mm;以及根據該人工牙根立體圖像模型,進行一積層製造步驟,以製造出一人工牙根。 The present invention further provides a method for manufacturing an artificial tooth root, which includes the following steps: constructing an artificial tooth root stereoscopic image model, wherein the artificial tooth root stereoscopic image model includes a stereoscopic image of a tooth root implanted portion, and a three-dimensional image of the tooth root implanted portion The image includes a three-dimensional image of a penetrating microporous structure layer. The penetrating microporous structure layer has a predetermined thickness. When the root implant is at its maximum outer diameter, the predetermined thickness is greater than 0.4mm; and according to the three-dimensional image model of the artificial tooth root, perform a layered manufacturing step to manufacture an artificial tooth root.

由於本發明之人工牙根具有足夠厚度的穿透性多微孔結構層,因此可在人工牙根直接創造適合骨細胞生長的環境,使骨細胞除了生長在表面,更能深入人工牙根內部,達到骨頭與人工牙根完全融合,稱為骨融合(Osseo Ingrowth)。 Because the artificial tooth root of the present invention has a penetrating porous microstructure layer with sufficient thickness, an environment suitable for the growth of bone cells can be directly created at the artificial tooth root, so that the bone cells can grow deeper into the artificial tooth root in addition to growing on the surface to reach the bone Fully fused with artificial tooth roots, called Osseo Ingrowth.

1‧‧‧人工牙根 1‧‧‧ Artificial tooth root

451‧‧‧開孔 451‧‧‧Opening

11‧‧‧外螺紋 11‧‧‧ External thread

5‧‧‧三維立體物體 5‧‧‧Three-dimensional objects

12‧‧‧內螺紋 12‧‧‧ female thread

51‧‧‧粉末層 51‧‧‧Powder layer

13‧‧‧多角形內錐段 13‧‧‧Polygonal inner cone section

6‧‧‧人工牙根 6‧‧‧ Artificial tooth root

2‧‧‧齒槽骨 2‧‧‧Alveolar bone

6’‧‧‧人工牙根 6’‧‧‧ Artificial tooth root

21‧‧‧牙齦組織 21‧‧‧Gum tissue

6”‧‧‧人工牙根 6”‧‧‧Artificial tooth root

3‧‧‧支座 3‧‧‧support

61‧‧‧牙根頂部 61‧‧‧Top of tooth root

31‧‧‧鎖固螺釘 31‧‧‧Locking screw

611‧‧‧環形光滑表面 611‧‧‧Annular smooth surface

32‧‧‧牙冠 32‧‧‧Crown

612‧‧‧內螺紋 612‧‧‧ female thread

4‧‧‧三維(3D)列印裝置 4‧‧‧Three-dimensional (3D) printing device

62‧‧‧牙根植入部 62‧‧‧Dental root implantation

41‧‧‧處理腔體 41‧‧‧Processing chamber

621‧‧‧中心柱 621‧‧‧Central column

411‧‧‧製造表面 411‧‧‧ Manufacturing surface

6211‧‧‧實心鰭狀片 6211‧‧‧Solid fin

42‧‧‧粉末散布單元 42‧‧‧Powder distribution unit

6212‧‧‧縱向鰭狀片 6212‧‧‧Longitudinal fins

43‧‧‧雷射光束 43‧‧‧Laser beam

6213‧‧‧縱向溝 6213‧‧‧Longitudinal groove

44‧‧‧製造平台 44‧‧‧ Manufacturing platform

622‧‧‧外螺紋 622‧‧‧Male thread

45‧‧‧缸體 45‧‧‧Cylinder

623‧‧‧穿透性多微孔結構層 623‧‧‧penetrating microporous structure layer

46‧‧‧氣體傳輸回路 46‧‧‧Gas transmission circuit

82‧‧‧牙冠 82‧‧‧Crown

461‧‧‧泵 461‧‧‧Pump

90‧‧‧鏈結纏繞結構 90‧‧‧Link winding structure

462‧‧‧過濾器 462‧‧‧filter

A1‧‧‧預定厚度 A1‧‧‧ predetermined thickness

47‧‧‧氣體傳輸回路 47‧‧‧Gas transmission circuit

A2‧‧‧預定厚度 A2‧‧‧ predetermined thickness

471‧‧‧泵 471‧‧‧Pump

A3‧‧‧預定厚度 A3‧‧‧Predetermined thickness

472‧‧‧過濾器 472‧‧‧filter

B1‧‧‧直徑 B1‧‧‧Diameter

48‧‧‧氣體傳輸回路 48‧‧‧ gas transmission circuit

B2‧‧‧直徑 B2‧‧‧Diameter

481‧‧‧泵 481‧‧‧Pump

B3‧‧‧直徑 B3‧‧‧Diameter

482‧‧‧過濾器 482‧‧‧filter

S10~S20‧‧‧步驟 S10~S20‧‧‧Step

圖1為先前技術之人工牙根結合支座及牙冠之示意圖 Figure 1 is a schematic diagram of the prior art artificial tooth root support and crown

圖2為本發明之一實施例之人工牙根製造方法之流程圖。 FIG. 2 is a flowchart of an artificial tooth root manufacturing method according to an embodiment of the invention.

圖3為本發明之具有非幾何形狀的鏈結纏繞結構之立體圖像。 FIG. 3 is a stereoscopic image of a non-geometric link winding structure of the present invention.

圖4為本發明之三維(3D)列印裝置之剖面示意圖。 4 is a schematic cross-sectional view of a three-dimensional (3D) printing device of the present invention.

圖5為本發明之一實施例之人工牙根製造方法之剖面示意圖。 5 is a schematic cross-sectional view of an artificial tooth root manufacturing method according to an embodiment of the invention.

圖6為本發明之第一實施例之人工牙根之平面示意圖。 6 is a schematic plan view of the artificial tooth root of the first embodiment of the present invention.

圖7為本發明之第一實施例之人工牙根之立體示意圖。 7 is a schematic perspective view of the artificial tooth root of the first embodiment of the present invention.

圖8為本發明之第一實施例之人工牙根之縱向剖面示意圖。 8 is a schematic longitudinal cross-sectional view of an artificial tooth root according to the first embodiment of the present invention.

圖9a至圖9c為牙根植入部之最大外徑為3.5mm、4mm及4.5mm之位置時,該穿透性多微孔結構層及該中心柱的橫向剖面示意圖。 9a to 9c are schematic cross-sectional views of the penetrating microporous structure layer and the central pillar when the maximum outer diameter of the root implant is 3.5 mm, 4 mm, and 4.5 mm.

圖10為本發明之一實施例之人工牙根之牙根植入部的局部立體剖面示意圖。 10 is a partial perspective cross-sectional schematic view of the root implant portion of an artificial tooth root according to an embodiment of the invention.

圖11a為本發明之另一實施例之人工牙根之穿透性多微孔結構層及該中心柱的橫向剖面示意圖。 FIG. 11a is a schematic cross-sectional view of a penetrating porous microstructure layer of an artificial tooth root and the central pillar according to another embodiment of the present invention.

圖11b為本發明之另一實施例之人工牙根之穿透性多微孔結構的中心柱取代實心結構的中心柱後的橫向剖面示意圖。 FIG. 11b is a schematic cross-sectional view of a central post of a penetrating porous microstructure of an artificial tooth root after replacing a central post of a solid structure according to another embodiment of the present invention.

圖12為本發明之第一實施例之人工牙根結合牙冠之縱向剖面示意圖。 12 is a schematic longitudinal cross-sectional view of an artificial tooth root combined with a crown according to the first embodiment of the present invention.

圖13為本發明之第二實施例之人工牙根之縱向剖面示意圖。 13 is a schematic longitudinal cross-sectional view of an artificial tooth root according to a second embodiment of the invention.

圖14a及圖14b分別為本發明之第三實施例之人工牙根之立體示意圖及橫向剖面示意圖。 14a and 14b are a schematic perspective view and a lateral cross-sectional schematic view of an artificial tooth root according to a third embodiment of the invention.

為讓本發明之上述目的、特徵和特點能更明顯易懂,茲配合圖式將本發明相關實施例詳細說明如下。 In order to make the above objects, features and characteristics of the present invention more obvious and understandable, the relevant embodiments of the present invention are described in detail below with reference to the drawings.

圖2顯示本發明之一實施例之人工牙根製造方法之流程圖。該人工牙根製造方法包括下列步驟: FIG. 2 shows a flowchart of an artificial tooth root manufacturing method according to an embodiment of the invention. The artificial tooth root manufacturing method includes the following steps:

在步驟S10:建置一人工牙根立體圖像模型,其中該人工牙根立體圖像模型包括一牙根植入部之立體圖像,該牙根植入部之立體圖像包括一穿透性多微孔結構層之立體圖像。該穿透性多微孔結構層具有一預定厚度,當該牙根植入部在其最大外徑之位置時,該預定厚度大於0.4mm。詳言之,可透過三維(3D)建模軟體(例如FreeCAD或者SpaceClaim等現有軟體)建構出該人工牙根立體圖像模型。該穿透性多微孔結構層之立體圖像為具有非幾何形狀的鏈結纏繞結構90之立體圖像(如圖3所示)。本實施例是以外觀設計為螺紋式的人工牙根為例,詳細說明如後,但並非用以限制本發明。 In step S10: construct a three-dimensional image model of an artificial tooth root, wherein the three-dimensional image model of an artificial tooth root includes a three-dimensional image of a root implant portion, and the three-dimensional image of the tooth root implant portion includes a penetrating micropore Stereoscopic image of structural layer. The penetrating microporous structure layer has a predetermined thickness, and when the root implant portion is at its maximum outer diameter, the predetermined thickness is greater than 0.4 mm. In detail, the three-dimensional (3D) modeling software (such as FreeCAD or SpaceClaim and other existing software) can be used to construct the three-dimensional image model of the artificial tooth root. The three-dimensional image of the penetrating porous structure layer is a three-dimensional image of a non-geometric link winding structure 90 (as shown in FIG. 3). This embodiment takes an artificial tooth root with a thread design as an example. The detailed description is as follows, but it is not intended to limit the present invention.

在步驟S20:根據該人工牙根立體圖像模型,進行一積層製造步驟,以製造一人工牙根。在本實施例中,積層製造步驟包括:將一粉末層散布在一製造表面上;將一雷射光束掃過與正在製造的人工牙根之橫向剖面相應的該粉末層部分進行燒結;將一層粉末層燒結之後,然後將另一層粉末層散布覆蓋在該燒結後之粉末層表面,繼續用該雷射光束掃過該人工牙根之橫向剖面 相應的粉末層部分進行燒結;重複這些過程,直到該人工牙根整個成型。 In step S20: according to the three-dimensional image model of the artificial tooth root, a layered manufacturing step is performed to manufacture an artificial tooth root. In this embodiment, the buildup manufacturing step includes: spreading a powder layer on a manufacturing surface; sweeping a laser beam across the powder layer portion corresponding to the transverse section of the artificial tooth root being manufactured; sintering; a layer of powder After the layer is sintered, then another powder layer is spread over the surface of the powder layer after sintering, and the laser beam is used to scan the corresponding powder layer portion of the transverse section of the artificial tooth root for sintering; these processes are repeated until the artificial The tooth root is completely formed.

舉例,該人工牙根之材料可為鈦金屬。上述積層製造步驟利用三維(3D)列印裝置而製造出該人工牙根。請參考圖4,該三維(3D)列印裝置4包括處理腔體41,該處理腔體41可以自外部環境密封,並具有製造表面411。該處理腔體41內設置有粉末散布單元42,用以將粉末層51散布在該製造表面411上。該處理腔體41允許高能量之雷射光束43進入以掃描該製造表面411上的粉末層51進行燒結,以形成三維立體物體5之部份。該製造表面411由製造平台44所支撐,該製造平台44在缸體45之開孔451可往復移動,使得當該三維立體物體5逐層形成時,該製造平台44可以被降低以容納該三維立體物體5。該製造平台44與該缸體45之開孔451可密封地接合,以保持在該處理腔體41內之氣壓(例如充滿惰性氣體),並防止該粉末層51的溢出。該三維(3D)列印裝置4更包括多個不同的氣體傳輸回路46、47、48連通至該處理腔體41,每個氣體傳輸回路46、47、48分別具有泵461、471、481及過濾器462、472、482。 For example, the material of the artificial tooth root may be titanium metal. The above-mentioned build-up manufacturing step uses a three-dimensional (3D) printing device to manufacture the artificial tooth root. Referring to FIG. 4, the three-dimensional (3D) printing device 4 includes a processing chamber 41 that can be sealed from the external environment and has a manufacturing surface 411. The processing chamber 41 is provided with a powder dispersing unit 42 for dispersing the powder layer 51 on the manufacturing surface 411. The processing chamber 41 allows a high-energy laser beam 43 to enter to scan the powder layer 51 on the manufacturing surface 411 for sintering to form a part of the three-dimensional three-dimensional object 5. The manufacturing surface 411 is supported by a manufacturing platform 44 that can reciprocate in the opening 451 of the cylinder 45 so that when the three-dimensional solid object 5 is formed layer by layer, the manufacturing platform 44 can be lowered to accommodate the three-dimensional Three-dimensional object 5. The manufacturing platform 44 is sealingly engaged with the opening 451 of the cylinder 45 to maintain the gas pressure (eg, filled with inert gas) in the processing chamber 41 and prevent the powder layer 51 from overflowing. The three-dimensional (3D) printing device 4 further includes a plurality of different gas transmission circuits 46, 47, and 48 communicating with the processing chamber 41. Each gas transmission circuit 46, 47, and 48 has pumps 461, 471, and 481, respectively. Filters 462, 472, 482.

該三維(3D)列印裝置4以選擇性雷射燒結(SLS)或選擇性雷射熔化(SLM)的技術,使該雷射光束43掃過與正在製造的該三維立體物體5之橫截面相應的該粉末層51部分,藉由燒結或熔化方式進行燒結。該橫截面是根據該人工牙根立體圖像模型並藉由計算輔助設計(CAD)數據而產生。在將一層粉末層51燒結之後,將該製造表面411降低,且燒結後之粉末層51使該三維立體物體5增加厚度。然後,將另一層粉末層51散布覆蓋在該燒結後之粉末層51表面。繼續用雷射光束照射該三維立體物體5之橫截面相應的粉末層部分,則新燒結後之粉末層堆疊在舊燒結後之粉末層。重複這些過程,運用疊層加工原理使其堆疊,直到該三維立體物體5(亦即人工牙根)整個成型,如圖5所示。然後,將附著於該三維立體物體5表面之粉末移除,例如將該三維立體物體5 放置於清水中,利用超音波震盪把附著於該三維立體物體5表面的粉末移除。最後,將該人工牙根之牙根頂部的外表面拋光,即可獲得該人工牙根之成品。 The three-dimensional (3D) printing device 4 uses the technique of selective laser sintering (SLS) or selective laser melting (SLM) to sweep the laser beam 43 across the cross-section of the three-dimensional solid object 5 being manufactured Correspondingly, the powder layer 51 is sintered by sintering or melting. The cross-section is generated based on the three-dimensional image model of the artificial tooth root and by calculation aided design (CAD) data. After sintering a powder layer 51, the manufacturing surface 411 is lowered, and the powder layer 51 after sintering increases the thickness of the three-dimensional solid object 5. Then, another powder layer 51 is spread over the sintered powder layer 51 surface. Continue to irradiate the corresponding powder layer part of the cross section of the three-dimensional solid object 5 with the laser beam, then the newly sintered powder layer is stacked on the old sintered powder layer. Repeat these processes and stack them using the principle of lamination until the three-dimensional three-dimensional object 5 (that is, the artificial tooth root) is completely formed, as shown in FIG. 5. Then, the powder attached to the surface of the three-dimensional three-dimensional object 5 is removed, for example, the three-dimensional three-dimensional object 5 is placed in clear water, and the powder attached to the surface of the three-dimensional three-dimensional object 5 is removed by ultrasonic vibration. Finally, the outer surface of the root of the artificial tooth root is polished to obtain the finished product of the artificial tooth root.

本發明之積層製造步驟利用三維(3D)列印裝置,而製造出對應該人工牙根立體圖像模型的人工牙根。圖6、圖7及圖8分別顯示本發明之第一實施例之人工牙根之平面示意圖、立體示意圖及縱向剖面示意圖。該人工牙根6為骨融合人工牙根,其包括:一牙根頂部61及一牙根植入部62。該牙根頂部61具有圓柱外形,並包括一環形光滑表面611。該牙根植入部62連接該牙根頂部61,並包括一中心柱621、一外螺紋622及一穿透性多微孔結構層623。該中心柱621為實心結構。該穿透性多微孔結構層623環繞於該中心柱621外圍,並位於該環狀光滑表面611下方。該外螺紋622以一螺旋方向環繞並連接該中心柱621。該外螺紋622可為實心結構。該穿透性多微孔結構層623位於該外螺紋622與該中心柱621之間,例如該穿透性多微孔結構層623也以該螺旋方向環繞並連接該中心柱621,其中該外螺紋622具有一螺紋間距,該螺紋間距定義出一螺紋間距空間,該穿透性多微孔結構層623位於該螺紋間距空間內,且該穿透性多微孔結構層623具有一預定厚度。植牙手術復原後,該環狀光滑表面611接觸牙齦組織,且該牙根植入部62伸入齒槽骨內。 The layered manufacturing step of the present invention uses a three-dimensional (3D) printing device to manufacture artificial roots corresponding to the three-dimensional image model of artificial roots. 6, 7 and 8 respectively show a schematic plan view, a schematic perspective view and a longitudinal section schematic view of the artificial tooth root of the first embodiment of the present invention. The artificial tooth root 6 is a bone fusion artificial tooth root, which includes: a tooth root top 61 and a tooth root implant portion 62. The tooth root top 61 has a cylindrical shape and includes an annular smooth surface 611. The root implant portion 62 is connected to the top 61 of the root and includes a central post 621, an external thread 622, and a penetrating microporous structure layer 623. The center column 621 is a solid structure. The penetrating micro-porous structure layer 623 surrounds the periphery of the central pillar 621 and is below the annular smooth surface 611. The external thread 622 surrounds the central post 621 in a spiral direction. The external thread 622 may be a solid structure. The penetrating porous microstructure layer 623 is located between the external thread 622 and the central pillar 621, for example, the penetrating porous microstructure layer 623 also surrounds and connects to the central pillar 621 in the spiral direction, wherein the outer The thread 622 has a thread pitch, the thread pitch defines a thread pitch space, the penetrating microporous structure layer 623 is located in the thread pitch space, and the penetrating microporous structure layer 623 has a predetermined thickness. After the dental implant surgery is restored, the ring-shaped smooth surface 611 contacts the gum tissue, and the root implant portion 62 extends into the alveolar bone.

圖9a至圖9c顯示牙根植入部之最大外徑為3.5mm、4mm及4.5mm之位置時,該穿透性多微孔結構層及該中心柱的橫向剖面示意圖。請參考圖9a,當該牙根植入部62之最大外徑為3.5mm之位置時,該穿透性多微孔結構層623之預定厚度A1(0.4mm)與該中心柱621之直徑B2(2.3mm)的比例為0.17:1;請參考圖9b,當該牙根植入部62之最大外徑為4mm之位置時,該穿透性多微孔結構層623之預定厚度A2(0.65mm)與該中心柱621之直徑B2(2.3mm)的比例為0.28:1;以及,請參考圖9c,當該牙根植入部62之最大外徑為4.5mm之位置時,該穿透性多微 孔結構層623之預定厚度A3(0.9mm)與該中心柱621之直徑B3(2.3mm)的比例為0.39:1。因此,當該牙根植入部62在其最大外徑之位置時,該穿透性多微孔結構層623之預定厚度與該中心柱621之直徑的比例可介於0.17:1與0.39:1之間,且該穿透性多微孔結構層623之預定厚度可介於0.4與0.9mm之間。由於本發明之人工牙根具有足夠厚度的穿透性多微孔結構層,因此可在人工牙根直接創造適合骨細胞生長的環境,達到使骨細胞除了生長在表面,更能深入人工牙根內部,達到骨頭與人工牙根完全融合。 9a to 9c show schematic cross-sectional views of the penetrating microporous structure layer and the central post when the maximum outer diameter of the root implant is 3.5 mm, 4 mm, and 4.5 mm. Please refer to FIG. 9a, when the maximum outer diameter of the root implant portion 62 is 3.5 mm, the predetermined thickness A1 (0.4 mm) of the penetrating porous microstructure layer 623 and the diameter B2 of the central post 621 ( 2.3mm) ratio is 0.17:1; please refer to FIG. 9b, when the maximum outer diameter of the root implant portion 62 is 4mm, the predetermined thickness A2 (0.65mm) of the penetrating porous structure layer 623 The ratio to the diameter B2 (2.3mm) of the central post 621 is 0.28:1; and, please refer to FIG. 9c, when the maximum outer diameter of the root implant 62 is 4.5mm, the penetration The ratio of the predetermined thickness A3 (0.9 mm) of the hole structure layer 623 to the diameter B3 (2.3 mm) of the central pillar 621 is 0.39:1. Therefore, when the root implant portion 62 is at its maximum outer diameter, the ratio of the predetermined thickness of the penetrating microporous structure layer 623 to the diameter of the central post 621 may be between 0.17:1 and 0.39:1 The predetermined thickness of the penetrating microporous structure layer 623 may be between 0.4 and 0.9 mm. Because the artificial tooth root of the present invention has a penetrating porous microstructure layer with sufficient thickness, an environment suitable for the growth of bone cells can be directly created at the artificial tooth root, so that the bone cells can grow deeper into the artificial tooth root in addition to growing on the surface. The bone is fully fused with the artificial tooth root.

圖10顯示本發明之第一實施例之人工牙根之牙根植入部的局部立體剖面示意圖。該穿透性多微孔結構層623包括具有非幾何形狀的鏈結纏繞結構90,使該穿透性多微孔結構層623佈滿微孔隙位在該鏈結纏繞結構90內,單一微孔隙之尺寸的最大值可介於250~700μm,以適合骨細胞平貼攀附。 FIG. 10 is a schematic partial cross-sectional view of the root implant portion of the artificial tooth root of the first embodiment of the present invention. The penetrating microporous structure layer 623 includes a chain winding structure 90 having a non-geometric shape, so that the penetrating microporous structure layer 623 is covered with micropores within the chain winding structure 90, a single micropore The maximum size can be between 250~700μm, which is suitable for flat attachment of bone cells.

圖11a顯示本發明之另一實施例之人工牙根之穿透性多微孔結構層及該中心柱的橫向剖面示意圖。該牙根植入部62之中心柱621包括多個實心鰭狀片6211,該些實心鰭狀片6211以星狀分佈排列。該穿透性多微孔結構層623更位於該些實心鰭狀片6211外圍,如此可增加該穿透性多微孔結構層623之單位面積的體積,並在積層製造步驟時節省粉末材料。圖11b顯示本發明之另一實施例之人工牙根之穿透性多微孔結構的中心柱取代該實心結構的中心柱的橫向剖面示意圖。此時,該穿透性多微孔結構層623仍環繞於具有穿透性多微孔結構的該中心柱621外圍,該穿透性多微孔結構層623及具有穿透性多微孔結構的該中心柱621之厚度總合可小於該牙根植入部62之最大外徑(例如3.5mm、4mm、4.5mm、5mm、5.5mm、6mm或6.5mm等)。 FIG. 11a shows a schematic cross-sectional view of a penetrating porous microstructure layer of an artificial tooth root and the central pillar according to another embodiment of the present invention. The central post 621 of the root implant portion 62 includes a plurality of solid fins 6211, and the solid fins 6211 are arranged in a star shape. The penetrating microporous structure layer 623 is further located around the solid fins 6211, so that the volume per unit area of the penetrating microporous structure layer 623 can be increased, and powder material can be saved during the lamination manufacturing step. FIG. 11b shows a cross-sectional schematic view of the central post of the penetrating porous microstructure of the artificial tooth root in another embodiment of the present invention replacing the central post of the solid structure. At this time, the penetrating porous microstructure layer 623 still surrounds the periphery of the central pillar 621 having the penetrating micropore structure, the penetrating micropore structure layer 623 and the penetrating micropore structure The total thickness of the central post 621 may be less than the maximum outer diameter of the root implant portion 62 (for example, 3.5 mm, 4 mm, 4.5 mm, 5 mm, 5.5 mm, 6 mm, or 6.5 mm, etc.).

圖12顯示本發明之第一實施例之人工牙根結合牙冠之示意圖。本發明所述人工牙根6之牙根植入部62在植入該齒槽骨2後,該人工牙根1之牙根頂部61可直接連接該牙冠82,其中該牙根頂部61及該牙冠82之間的連接方式為現有技術,在此不 另詳述。是以,本發明之第一實施例之人工牙根6可適用於一件式(亦即人工牙根6與牙冠82)的人工植牙技術,以完成人工植牙作業。植牙手術復原後,該環狀光滑表面611接觸牙齦組織21,且該牙根植入部62伸入齒槽骨2內。 FIG. 12 shows a schematic diagram of an artificial tooth root combined with a crown according to the first embodiment of the present invention. After implanting the alveolar bone 2 into the root implant portion 62 of the artificial tooth root 6 of the present invention, the root top 61 of the artificial root 1 can be directly connected to the crown 82, wherein the root top 61 and the crown 82 The connection method between them is the prior art and will not be described in detail here. Therefore, the artificial tooth root 6 of the first embodiment of the present invention can be applied to the one-piece (i.e., artificial tooth root 6 and crown 82) artificial tooth implantation technology to complete the artificial tooth implantation operation. After the dental implant surgery is restored, the annular smooth surface 611 contacts the gingival tissue 21, and the root implant portion 62 extends into the alveolar bone 2.

圖13顯示本發明之第二實施例之人工牙根之縱向剖面示意圖。第二實施例之人工牙根6’大體上類似於第一實施例之人工牙根6,類似元件標示類似標號。第二及第一實施例之人工牙根6’、6的差異在於:本發明之第二實施例之人工牙根6’之牙根頂部61更包括一內螺紋612可用於鎖合一支座或一鎖固螺釘,以適用於二件式或三件式的人工植牙技術。 13 is a schematic longitudinal cross-sectional view of an artificial tooth root according to a second embodiment of the present invention. The artificial tooth root 6'of the second embodiment is substantially similar to the artificial tooth root 6 of the first embodiment, and similar elements are marked with similar reference numerals. The difference between the artificial roots 6', 6 of the second and first embodiments is that the root top 61 of the artificial root 6'of the second embodiment of the present invention further includes an internal thread 612 that can be used to lock a seat or a lock Fixed screws, suitable for two-piece or three-piece artificial dental implant technology.

圖14a及圖14b分別顯示本發明之第三實施例之人工牙根之立體示意圖及橫向剖面示意圖。第三實施例之人工牙根6”大體上類似於第一實施例之人工牙根6,類似元件標示類似標號。第三及第一實施例之人工牙根6”、6的差異在於:第三實施例之人工牙根6”之該牙根植入部62之中心柱621包括多個縱向鰭狀片6212(fin sheet)及多個縱向溝6213(vertical slot),該些縱向鰭狀片6212沿一向外方向而漸縮,且該些縱向溝6213分別位於該些縱向鰭狀片6212之間。該穿透性多微孔結構層623位於該些縱向溝6213內,如此可增加該穿透性多微孔結構層623之體積。第三實施例之人工牙根6”是以敲擊方式而將該牙根植入部62植入齒槽骨內。 14a and 14b respectively show a schematic perspective view and a transverse cross-sectional schematic view of an artificial tooth root according to a third embodiment of the present invention. The artificial tooth root 6" of the third embodiment is substantially similar to the artificial tooth root 6 of the first embodiment, and similar elements are marked with similar reference numbers. The difference between the artificial tooth roots 6", 6 of the third and first embodiments is: the third embodiment The central post 621 of the root implant portion 62 of the artificial tooth root 6" includes a plurality of longitudinal fins 6212 (fin sheet) and a plurality of longitudinal grooves 6213 (vertical slot), the longitudinal fins 6212 are in an outward direction It is tapered, and the longitudinal grooves 6213 are located between the longitudinal fins 6212. The penetrating microporous structure layer 623 is located in the longitudinal grooves 6213, so that the penetrating micropores can be increased The volume of the structural layer 623. The artificial tooth root 6" of the third embodiment is to implant the root implant portion 62 into the alveolar bone by tapping.

綜上所述,乃僅記載本發明為呈現解決問題所採用的技術手段之較佳實施方式或實施例而已,並非用來限定本發明專利實施之範圍。即凡與本發明專利申請範圍文義相符,或依本發明專利範圍所做的均等變化與修飾,皆為本發明專利範圍所涵蓋。 In summary, it only describes the preferred embodiments or examples of the technical means adopted by the present invention to solve the problem, and is not intended to limit the scope of the patent implementation of the present invention. That is, any changes and modifications that are consistent with the context of the patent application scope of the present invention, or made in accordance with the patent scope of the present invention, are covered by the patent scope of the present invention.

S10~S20‧‧‧步驟 S10~S20‧‧‧Step

Claims (6)

一種骨融合人工牙根,包括:一牙根頂部,具有圓柱外形,並包括一環形光滑表面;以及一牙根植入部,連接該牙根頂部,並包括一穿透性多微孔結構層,設置於該環狀光滑表面下方,其中該穿透性多微孔結構層具有一預定厚度,當該牙根植入部在其最大外徑之位置時,該預定厚度大於0.4mm。 A bone fusion artificial tooth root, comprising: a tooth root top, having a cylindrical shape, and comprising a ring-shaped smooth surface; and a tooth root implantation part, connected to the tooth root top, and comprising a penetrating microporous structure layer, arranged on the Below the annular smooth surface, wherein the penetrating microporous structure layer has a predetermined thickness, the predetermined thickness is greater than 0.4 mm when the root implant portion is at its maximum outer diameter. 如申請專利範圍第1項所述之骨融合人工牙根,其中該牙根植入部更包括一中心柱,該中心柱為實心結構,該穿透性多微孔結構層環繞於該中心柱外圍。 The bone fusion artificial tooth root as described in item 1 of the patent application scope, wherein the root implant portion further includes a central column, the central column is a solid structure, and the penetrating porous structure layer surrounds the periphery of the central column. 如申請專利範圍第1項所述之骨融合人工牙根,其中該牙根植入部更包括一中心柱,該中心柱為穿透性多微孔結構,該穿透性多微孔結構層環繞於該中心柱外圍。 The bone fusion artificial tooth root as described in item 1 of the patent application scope, wherein the root implant portion further includes a central column, the central column is a penetrating porous structure, and the penetrating porous structure layer surrounds The periphery of the center column. 如申請專利範圍第1項所述之骨融合人工牙根,其中該牙根植入部更包括:一外螺紋,該外螺紋為實心結構,該穿透性多微孔結構層位於該外螺紋與該中心柱之間。 The bone fusion artificial tooth root as described in item 1 of the patent application scope, wherein the root implant portion further includes: an external thread, the external thread is a solid structure, and the penetrating porous structure layer is located on the external thread and the Between the center columns. 如申請專利範圍第2項所述之骨融合人工牙根,其中該牙根植入部之中心柱包括多個實心鰭狀片,該些實心鰭狀片以星狀分佈排列,且該穿透性多微孔結構層更位於該些實心鰭狀片外圍。 The bone fusion artificial tooth root as described in item 2 of the patent application scope, wherein the central post of the root implant part includes a plurality of solid fin-shaped pieces, the solid fin-shaped pieces are arranged in a star shape, and the penetrability is much The microporous structure layer is further located on the periphery of the solid fins. 如申請專利範圍第2項所述之骨融合人工牙根,其中該牙根植入部之中心柱包括多個縱向鰭狀片及多個縱向溝,該些縱向鰭狀片沿一向外方向而漸縮,該些縱向溝分別位於該些縱向鰭狀片之間,且該穿透性多微孔結構層更位於該些縱向溝內。 The bone fusion artificial tooth root as described in item 2 of the patent application scope, wherein the central post of the root implant portion includes a plurality of longitudinal fins and a plurality of longitudinal grooves, and the longitudinal fins taper in an outward direction The longitudinal grooves are respectively located between the longitudinal fins, and the penetrating microporous structure layer is further located in the longitudinal grooves.
TW107122973A 2018-07-03 2018-07-03 Bone-fusion dental implant providing with penetrative porous structure layer having sufficient thickness TW202005617A (en)

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