US20080085492A1 - Implant with internal multi-lobed interlock - Google Patents
Implant with internal multi-lobed interlock Download PDFInfo
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- US20080085492A1 US20080085492A1 US11/952,349 US95234907A US2008085492A1 US 20080085492 A1 US20080085492 A1 US 20080085492A1 US 95234907 A US95234907 A US 95234907A US 2008085492 A1 US2008085492 A1 US 2008085492A1
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- cylindrical portion
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0066—Connecting devices for joining an upper structure with an implant member, e.g. spacers with positioning means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0012—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the material or composition, e.g. ceramics, surface layer, metal alloy
- A61C8/0013—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the material or composition, e.g. ceramics, surface layer, metal alloy with a surface layer, coating
- A61C8/0015—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the material or composition, e.g. ceramics, surface layer, metal alloy with a surface layer, coating being a conversion layer, e.g. oxide layer
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0018—Means 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
- A61C8/0022—Self-screwing
- A61C8/0024—Self-screwing with self-boring cutting edge
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0054—Connecting devices for joining an upper structure with an implant member, e.g. spacers having a cylindrical implant connecting part
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0059—Connecting devices for joining an upper structure with an implant member, e.g. spacers with additional friction enhancing means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0062—Catch or snap type connection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0069—Connecting devices for joining an upper structure with an implant member, e.g. spacers tapered or conical connection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0074—Connecting devices for joining an upper structure with an implant member, e.g. spacers with external threads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/008—Healing caps or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/006—Connecting devices for joining an upper structure with an implant member, e.g. spacers with polygonal positional means, e.g. hexagonal or octagonal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0068—Connecting devices for joining an upper structure with an implant member, e.g. spacers with an additional screw
Definitions
- the present invention relates generally to dental implants and, more particularly, to an improved implant with an improved internal interlock for supporting other dental implant components with corresponding interlock structures.
- Implant dentistry involves the restoration of one or more teeth in a patient's mouth using artificial components.
- artificial components typically include a dental implant and a prosthetic tooth and/or a final abutment that is secured to the dental implant.
- the process for restoring a tooth is carried out in three stages.
- Stage I involves implanting the dental implant into the bone of a patient's jaw.
- the oral surgeon first accesses the patient's jawbone through the patient's gum tissue and removes any remains of the tooth to be replaced.
- the specific site in the patient's jaw where the implant will be anchored is widened by drilling and/or reaming to accommodate the width of the dental implant to be implanted.
- the dental implant is inserted into the hole in the jawbone, typically by screwing, although other techniques are known for introducing the implant in the jawbone.
- the implant itself is typically, fabricated from pure titanium or a titanium alloy. Such materials are known to produce osseointegration of the fixture with the patient's jawbone.
- the dental implant fixture also typically includes a hollow threaded bore through at least a portion of its body and extending out through its proximal end which is exposed through the crestal bone for receiving and supporting the final tooth prosthesis and/or various intermediate components or attachments.
- a temporary healing cap is secured over the exposed proximal end in order to seal the internal bore.
- the patient's gums are then sutured over the implant to allow the implant site to heal and to allow desired osseointegration to occur.
- Complete osseointegration typically takes anywhere from four to ten months.
- stage II the surgeon reassesses the implant fixture by making an incision through the patient's gum tissues.
- the healing cap is then removed, exposing the proximal end of the implant.
- an impression coping in attached to the implant and a mold or impression is then taken of the patient's mouth to accurately record the position and orientation of the implant within the mouth. This is used to create a plaster model or analogue of the mouth and/or the implant site and provides the information needed to fabricate the prosthetic replacement tooth and any required intermediate prosthetic components.
- Stage II is typically completed by attaching to the implant a temporary healing abutment or other transmucosal component to control the healing and growth of the patient's gum tissue around the implant site.
- Stage III involves fabricating and placement of a cosmetic tooth prosthesis to the implant fixture.
- the plaster analogue provides laboratory technicians with a model of the patient's mouth, including the orientation of the implant fixture relative to the surrounding teeth. Based on this model, the technician constructs a final restoration. The final step in the restorative process is replacing the temporary healing abutment with the final restoration.
- the implant typically includes a hollow threaded bore for receiving and supporting the final tooth prosthesis and/or various intermediate components or attachments.
- the implant also typically includes anti-rotational means, which are typically located on the proximal end of the implant. These anti-rotational means are designed to mate with corresponding anti-rotational means formed on the various mating components (e.g., a healing abutments and/or an impression coping). These anti-rotational means primarily serve to prevent relative rotation between the mating component and the implant.
- Such anti-rotational/indexing means frequently take the form of a hexagonal boss or recess (“hex”) formed on the proximal portion of the implant.
- the hex may also be used to engage a driving tool for driving the implant into an internally threaded bore or osteotomy prepared in the patient's jawbone (mandible or maxilla).
- the hex or other indexing means is typically exposed through the crestal bone so that accurate indexing may be provided between the implant and the final prosthesis and/or various intermediate mating prosthetic components.
- prior art anti-rotational means typically include sharp corners.
- These sharp corners are subject to high concentrations of stress.
- the high stress concentrations can cause the sharp corners to chip or wear away. This can cause the anti-rotational means to take on a circular shape, which reduces the ability of the anti-rotational means to resist rotation.
- the chipping or wearing away can also result in fitting errors between the implant and the mating components.
- the high stress concentrations can also cause the implant to crack at or near the corners of the anti-rotational means thereby shortening the life of the implant.
- prior art anti-rotational means typically offer little resistance to lateral forces. That is, prior art anti-rotational means typically do not prevent the mating component from “tipping” off the implant. Furthermore, prior art anti-rotational means typically provide little or no tactile feedback to the oral surgeon to indicate that the mating component is properly seated in the implant.
- Yet another aspect of the present invention is the recognition that traditional anti-rotation means, such as a hexagonal recess, are difficult to machine. Specifically, a special reciprocating tool, such as a broach, typically must be used to form a hexagonal recess.
- a dental implant for supporting a dental prosthesis comprises a body portion and a top surface.
- the implant further comprises an internal cavity with an opening located at the top surface.
- the internal cavity comprises an interlock chamber having a depth measured from the top surface equal to a first distance.
- the interlock chamber comprising a cylindrical portion and plurality of semi-circular channels arranged around a periphery of the cylindrical portion.
- a threaded chamber that includes threads is located below the post-receiving chamber.
- the cylindrical portion has a first radius and the channels have a second radius, a ratio of the first radius to the second radius being between approximately 4:1. and 2:1.
- the prosthodontic assembly comprises a first prosthodontic component and a second prosthodontic component.
- the first prosthodontic component comprising a body portion and a top surface.
- the first prosthodontic component further comprising an internal cavity with an opening located at the top surface.
- the internal cavity comprising an interlock chamber having a depth measured from the top surface equal to a first distance.
- the interlock chamber comprising a cylindrical portion with a plurality of semi-circular channels arranged around a perimeter of the cylindrical portion.
- a threaded chamber that includes threads is located below the interlock chamber.
- the cylindrical portion has a first radius and the channels have a second radius.
- a ratio of the first radius to the second radius is between approximately 4:1. and 2:1.
- the second prothodontic component comprising an interlock area comprising a plurality of semi-circular protrusions configured to mate with channels of the first prosthodontic component.
- a dental implant for supporting a dental prosthesis.
- the dental implant comprising a body portion and a top surface.
- the implant further comprising an internal cavity with an opening located at the top surface.
- the internal cavity comprising an interlock chamber having a depth measured from the top surface equal to a first distance.
- a threaded chamber that includes threads and is located below the post-receiving chamber.
- the interlock channel being formed as a single continues curve having substantially no internal corners.
- Still yet another aspect of the present invention provides for a prosthodontic assembly for installing a prosthetic tooth.
- the prosthodontic assembly comprises a first prosthodontic component and a second prosthodontic component.
- the first prosthodontic component comprising a body portion and a top surface.
- the first prosthodontic component further comprising an internal cavity with an opening located at the top surface.
- the internal cavity comprising an interlock chamber having a depth measured from the top surface equal to a first distance.
- the interlock chamber being formed as a single continues curve having substantially no internal corners.
- a threaded chamber that includes threads is located below the post-receiving chamber.
- the second prothodontic component comprising an interlock area having a shape that corresponds to the shape of the interlock chamber.
- FIG. 1A is a side view of a dental implant having certain feature and advantages according to the present invention.
- FIG. 1B is a top plan view of the dental implant of FIG. 1A ;
- FIG. 1C is a cross-sectional view of the dental implant of FIG. 1A ;
- FIG. 1D -F are side views of the dental implant of FIG. 1A inserted into a patient's jawbone at different depths;
- FIG. 2A is a side view of an abutment having certain features and advantages according to the present invention.
- FIG. 2B is a detail view of the abutment of FIG. 2A ;
- FIG. 2C is a top plan view of the abutment of FIG. 2A ;
- FIG. 2D is a bottom plan view of the abutment of FIG. 2A ;
- FIG. 3A is a cross-sectional view of a coupling screw having certain features and advantages according to the present invention.
- FIG. 3B is a top plan view of the coupling screw of FIG. 3A ;
- FIGS. 4 A-C are schematic illustrations of preferred shapes of the interlock regions of the dental implant of FIG. 1A and the mating abutment of FIG. 2A ;
- FIG. 5A is a side view of a final abutment having certain features and advantages according to the present invention.
- FIG. 5B is a front view of the final abutment of FIG. 4A ;
- FIG. 5C is a bottom plan view of the final abutment of FIG. 4A .
- FIGS. 1A-1C illustrate a preferred embodiment of a dental implant 10 having certain features and advantages in accordance with the present invention.
- the implant 10 is configured to receive and support one or more dental attachments or components such as, for example, healing caps, impression copings, temporary abutments, and permanent abutments.
- the implant 10 is preferably made of a dental grade titanium alloy, although other suitable materials can be used.
- the outer surface of the implant 10 preferably includes a body portion 12 , a neck 14 , and a collar 16 .
- the body portion 12 of the implant 10 is preferably tapered and includes threads 18 that match preformed threads made along the inner surface of the patient's jawbone (not shown).
- the body portion 12 can be configured so as to be self-tapping.
- the illustrated body portion 12 is tapered or conical, the body portion 12 could also be substantially cylindrical.
- the body portion 12 could be unthreaded if the surgeon prefers to use an unthreaded implant.
- the body portion 12 of the implant 10 is also preferably acid-etched. Acid-etching produces a rougher surface, which increases the surface area of the body portion 12 . The increased surface area promotes osseointegration.
- the body portion 12 of the implant can be coated with a substance that increases the surface area of the body portion 12 . Calcium phosphate ceramics, such as tricalcium phosphate (TCP) and hydroxyapatite (HA), are particularly suitable materials.
- the neck 14 lies between the body portion 12 and the collar 16 .
- the neck 14 preferably has a diameter that is less than the diameter of the collar 16 .
- the collar 16 of the implant is substantially cylindrical and has a top surface 24 that is substantially flat.
- the collar 16 is defined in part by a vertical side wall 26 that is preferably greater than 1 millimeter in length. In the preferred embodiment, the length of the collar is approximately 2 millimeters.
- the neck 14 and the collar 16 form a “variable placement zone”.
- the length and configuration the variable placement zone allows for “variable positioning” of the dental implant 12 . That is, the surgeon can vary the height of the implant 10 with respect to the crest of the jawbone.
- the implant 10 can be placed supra-crestally (i.e., the top surface 24 of the implant 10 is positioned above the crest 27 of the jawbone 29 ) without exposing the threads 18 of the body region 12 .
- the collar 16 extends through the gums and acts as the temporary healing abutment thereby saving the surgeon and the patient time and money by eliminating stage II surgery.
- the surgeon can place the top surface 24 of the implant 10 level with the alveolar crest (i.e., the tooth socket in the jawbone) for esthetics (see FIG. 1E ).
- the surgeon can submerge the collar 16 into the jawbone such that the top surface 24 lies flush with the crest of the jawbone (see FIG. 1D ). In this arrangement, the surgeon can utilize the standard three stage process described above.
- the implant 10 includes an internal socket 28 .
- the socket 28 includes a threaded chamber 30 and an interlock chamber 34 .
- the threaded chamber 30 is threaded and preferably has a diameter that is less than the interlock chamber 34 .
- the interlock chamber 34 includes a substantially cylindrical portion 35 .
- the interlock chamber 34 also includes a plurality of channels 36 , which prevent the rotation of a dental component.
- the interlock chamber 34 includes three semicircular channels 36 , which are arranged along the periphery of the cylindrical portion 35 . More preferably, each channel 36 is located approximately 120 degrees apart from each other.
- the channels 36 preferably extend from the top surface 24 to the bottom 37 of the cylindrical portion 35 . That is, the channels 36 have the same depth as the cylindrical portion 35 .
- the cylindrical portion 35 has a first radius R 1 and the semi-circular channels 36 have a second radius R 2 .
- the ratio ⁇ 1 of the first radius R 1 to the second radius R 2 preferably is between 2:1 and 4:1. In the preferred embodiment the ratio ⁇ 1 is about 3:1. This arrangement is preferred to minimize the stress concentrations in the dental implant 10 , as will be explained below.
- the interfaces 39 between the channels 36 and the cylindrical portion 35 are preferably rounded.
- the interlock chamber 34 is preferably dimensioned to be as large as possible without significantly compromising the structural integrity of the vertical side wall 26 . This arrangement is preferred because it increases the surface area of the interlock chamber 34 . The larger surface area results in a more stable connection between the implant 10 and the mating dental component. Accordingly, the interlock chamber 34 has a third radius R 3 , which is approximately equal to the first radius R 1 plus the second radius R 2 . The third radius R 3 is sized such that the thickness T 1 (i.e., the radius R 4 of the implant minus R 3 ) of the vertical wall 26 is greater than a minimum value, which provides sufficient structural integrity for the implant 10 . For an implant made of dental grade titanium alloy, the preferably minimum value is approximately 0.4-0.8 millimeters.
- the ratio between the radius R 4 of the implant 10 and the radius R 2 of the channels 36 is preferably between 4:1 to 5:1. In the preferred embodiment, the ratio is about 4.5:1.
- the internal socket 28 also preferably includes a post-receiving chamber 32 , which lies between the interlock chamber 34 and the threaded chamber 30 .
- the post-receiving chamber 32 is preferably substantially cylindrical.
- the diameter of the post-receiving chamber 32 is preferably less than the diameter of the interlock chamber 34 .
- the post-receiving chamber also preferably includes a chamfered region 37 , which is adjacent the threaded chamber 30 .
- the implant 10 provides significant resistance to lateral (i.e., “tipping”) forces.
- the interlock chamber 34 preferably has a depth D 1 as measured from the top surface 24 that is greater than about 1 millimeter (see FIG. 1C ). In the preferred embodiment, the interlock chamber has a depth of approximately 1.5 millimeters.
- the post-receiving chamber 32 preferably has a depth D 2 of greater than about 3 millimeters. In the preferred embodiment, the post-receiving chamber has a depth of approximately 4.0 millimeters.
- FIGS. 2A-2D illustrates a dental component configured to mate with the implant 10 described above.
- the illustrated dental component is an abutment 38 .
- the abutment 38 can be formed into a variety of dental components, such as, for example, a healing cap, impression coping, a temporary healing abutment, and a final abutment.
- the abutment 38 is made of dental grade titanium; however, other suitable materials such as plastic can be used.
- the outer surface of the abutment 38 includes an upper region 40 , a curved region 42 , an interlock region 44 , and a post 46 .
- the upper region 40 is substantially smooth, cylindrical and has a top surface 48 that is substantially flat.
- the curved region 42 connects the upper region 40 to a bottom surface 50 , which is substantially flat.
- the illustrated shape of the abutment 32 can be used as an healing abutment, which is typically used during the second healing period to shape the patient's gums.
- the abutment 38 can be modified or otherwise formed into many different types of dental components. Therefore, it should be appreciated that the upper and curved regions 40 , 42 of the abutment can be formed into any desirable shape.
- an inner bore 52 extends through the center of the abutment 38 .
- the inner bore 52 is preferably divided into a first and second region 54 , 56 .
- the first region 54 has a diameter that is slightly larger than the diameter of the second region 56 .
- a seat 59 is formed between the first and second regions 54 , 56 .
- the seat 59 supports a bolt 60 (see FIG. 3A ), which will be described below.
- the second region 56 preferably includes internal capture threads 62 that are preferably double threaded.
- the bottom surface 50 is substantially flat and has a diameter approximately equal to the diameter of the top surface 24 of the implant 10 .
- Extending from the bottom surface 50 is the interlock region 44 , which is configured to fit within the interlock chamber 34 of the implant 10 .
- the interlock area 38 includes a substantially cylindrical portion 63 .
- the interlock area 38 also includes protrusions 64 , which are configured to fit within the channels 36 of the implant. Accordingly, in the preferred embodiment, the protrusions 64 are arranged around the perimeter of the interlock area at approximately 120 degrees.
- the post 46 is preferably substantially cylindrical and is configured to fit within the post-receiving chamber 32 of the implant.
- the coupling screw 60 mechanically couples the abutment 38 to the implant 10 .
- the coupling screw 60 is also preferably made of a dental grade titanium alloy; although other suitable materials can be used.
- the coupling screw 60 is sized and dimensioned to extend through the inner bore 52 of the blank abutment 38 and into the socket 28 of the implant 10 .
- the coupling screw 60 has an externally threaded lower region 68 that passes through the internal capture threads 62 of the abutment 38 and engages the threaded chamber 30 of the implant 10 .
- the threads 68 of coupling screw 60 engage the capture threads 62 so that the coupling screw 60 does not become disassociated as the abutment 38 is transferred and fitted to the patient's mouth.
- the coupling screw also preferably includes a hexagonal recess 70 located on a top surface 72 of the screw 60 .
- the hexagonal recess 70 allows for the insertion of a hexagonally shaped tool such as a conventional Allen® wrench to remove the coupling screw 60 from the implant body 10 .
- the dental implant 10 is typically inserted into a pre-made hole formed in the patient's jawbone.
- a driving tool (not shown) is typically used to screw the implant into the pre-made hole.
- a distal end of the driving tool is preferably configured to mate with the interlock chamber 34 of the implant 10 . That is, the distal end of the driver is preferably configured substantially the same as the interlock region 44 of the abutment 38 described above.
- the distal end of driver can be used to transmit torque to the implant through the interlock chamber 34 so as to drive the implant 10 into the pre-made hole.
- the implant 10 is self-tapping, a particularly large amount of torque is required to drive the implant 10 into the bone.
- this large amount of torque can cause the implant to crack at the apexes of the hexagonal recesses. This reduces the strength of the implant and can cause fluids and bacteria to enter the implant.
- An advantage of the illustrated implant 10 and mating abutment 38 is that when subjected to rotational forces the stress concentrations in the implant 10 and the abutment 38 are minimized.
- Stress concentrations refer to areas of large stress caused by geometric discontinuities (i.e., stress risers) and/or the application of large loads over a small area or at a point (e.g., at a corner or apex). Areas of large stress concentrations are often the starting point of material damage, which can ultimately lead to material failure by fracture (i.e., cracking).
- the reduction in stress concentration derives from the particular preferred shape of the interlock chamber 34 of the implant 10 and the mating interlock region 44 of the abutment 38 .
- FIGS. 4 A-C are schematic representations of the shape 78 of the interlock chamber 34 and the interlock region 44 .
- FIG. 4A compares the shape 78 to a triangle 79 .
- the shape 78 of the interlock region is in the form of an elliptically modified triangle 79 . That is, the apexes and sides of the triangle are substantially rounded.
- the shape 78 provides a smooth transition from the apex 82 to the sides 80 . Accordingly, some of the anti-rotational stress is distributed away from the apexes 82 towards the relatively flatter side walls 80 . These features help to reduce stress concentrations.
- the interlock regions 34 , 44 of the implant 10 and the blank abutment 38 are less likely to chip and wear away as compared to prior art anti-rotational means.
- the implant 10 is less likely to crack as compared to implants with hexagonal recesses, which tend to crank at the apexes of the hexagonal recess when subjected to large rotational loads (e.g., when a self-tapping implant is being threaded into the patient's jawbone).
- the abutment 38 and the implant 10 offer improved resistance to lateral or “tipping” forces.
- This improved resistance to lateral forces is due primarily to the depth of the interlock chamber 34 and the post-receiving chamber 32 .
- the improved resistance to lateral forces also prevents the coupling screw 60 from loosening, thereby virtually eliminating movement between the implant 10 and the abutment 38 .
- the interlock chamber of the implant 10 can be machined using a conventional end mill. That is, because of circular shape of the cylindrical portion 35 , it can be machined with a conventional end mill. Moreover, the semi-circular channels can also be machined with a conventional end mill. This reduces the complexity of manufacturing especially as compared to the machining of a conventional hexagonal recess, which typically requires a reciprocating tool, such as, for example, a broach.
- the illustrated arrangement of the implant 10 and abutment 38 also provides improved tactile confirmation that the blank abutment 38 is properly seated on the implant 10 . That is because of the depth of the post-receiving chamber 32 , the oral surgeon can feel the abutment 38 engaging the implant 10 . This tactile confirmation is especially important for posterior prosthetics where visibility and working space are often compromised.
- FIGS. 5A-5C illustrate a final abutment 86 having certain features and advantages according to the present invention.
- the final abutment 86 is preferably made from a dental grade titanium allow, although other suitable materials can be use.
- the final abutment 86 can also be machined from the abutment 38 of FIGS. 2A-2D .
- the lower region 87 of the final abutment 86 is substantially identical to the lower region of the blank abutment 38 described above. Accordingly, the lower region 87 comprises a lower surface 50 , an interlock region 44 with protrusions 64 , and a post 46 . As with the blank abutment 38 , the interlock region 44 with protrusions 64 , and the post 46 that are sized and dimensioned to fit within the interlock chamber 34 and post-receiving chamber 32 of the implant 10 .
- the inner bore 48 is preferably divided into two regions: a first chamber 50 and a second region 52 .
- the diameter of the first chamber 50 is slightly larger than the second chamber 52 .
- a screw passes through the screw receiving chamber 50 and engages the threads of the threaded region 52 and the first chamber 22 of the implant 10 .
- the final abutment 54 can be permanently attached to the implant.
- the final abutment 54 could be cemented to the implant 10 using methods well known in the art.
- the upper surface 88 of the final abutment 86 is formed to receive a prosthetic tooth. Accordingly, the prosthetic tooth (not shown) has an inner surface configured such that the prosthetic tooth can fit over the final abutment 86 .
- the prosthetic tooth is typically cemented to the final abutment 86 .
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Abstract
A dental implant for supporting a dental prosthesis comprises a body portion and a top surface. The implant further comprises an internal cavity with an opening located at the top surface. The internal cavity comprises an interlock chamber having a depth measured from the top surface equal to a first distance. The interlock chamber comprising a cylindrical portion and plurality of semi-circular channels arranged around a periphery of the cylindrical portion. A threaded chamber that includes threads is located below the post-receiving chamber. The cylindrical portion has a first radius and the channels have a second radius, a ratio of the first radius to the second radius being between approximately 4:1. and 2:1.
Description
- The present application claims priority and benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/156,198, filed Sep. 27, 1999.
- 1. Field of the Invention
- The present invention relates generally to dental implants and, more particularly, to an improved implant with an improved internal interlock for supporting other dental implant components with corresponding interlock structures.
- 2. Description of the Related Art
- Implant dentistry involves the restoration of one or more teeth in a patient's mouth using artificial components. Such artificial components typically include a dental implant and a prosthetic tooth and/or a final abutment that is secured to the dental implant. Generally, the process for restoring a tooth is carried out in three stages.
- Stage I involves implanting the dental implant into the bone of a patient's jaw. The oral surgeon first accesses the patient's jawbone through the patient's gum tissue and removes any remains of the tooth to be replaced. Next, the specific site in the patient's jaw where the implant will be anchored is widened by drilling and/or reaming to accommodate the width of the dental implant to be implanted. Then, the dental implant is inserted into the hole in the jawbone, typically by screwing, although other techniques are known for introducing the implant in the jawbone.
- The implant itself is typically, fabricated from pure titanium or a titanium alloy. Such materials are known to produce osseointegration of the fixture with the patient's jawbone. The dental implant fixture also typically includes a hollow threaded bore through at least a portion of its body and extending out through its proximal end which is exposed through the crestal bone for receiving and supporting the final tooth prosthesis and/or various intermediate components or attachments.
- After the implant is initially installed in the jawbone, a temporary healing cap is secured over the exposed proximal end in order to seal the internal bore. The patient's gums are then sutured over the implant to allow the implant site to heal and to allow desired osseointegration to occur. Complete osseointegration typically takes anywhere from four to ten months.
- During stage II, the surgeon reassesses the implant fixture by making an incision through the patient's gum tissues. The healing cap is then removed, exposing the proximal end of the implant. Typically, an impression coping in attached to the implant and a mold or impression is then taken of the patient's mouth to accurately record the position and orientation of the implant within the mouth. This is used to create a plaster model or analogue of the mouth and/or the implant site and provides the information needed to fabricate the prosthetic replacement tooth and any required intermediate prosthetic components. Stage II is typically completed by attaching to the implant a temporary healing abutment or other transmucosal component to control the healing and growth of the patient's gum tissue around the implant site.
- Stage III involves fabricating and placement of a cosmetic tooth prosthesis to the implant fixture. The plaster analogue provides laboratory technicians with a model of the patient's mouth, including the orientation of the implant fixture relative to the surrounding teeth. Based on this model, the technician constructs a final restoration. The final step in the restorative process is replacing the temporary healing abutment with the final restoration.
- As mentioned above, the implant typically includes a hollow threaded bore for receiving and supporting the final tooth prosthesis and/or various intermediate components or attachments. The implant also typically includes anti-rotational means, which are typically located on the proximal end of the implant. These anti-rotational means are designed to mate with corresponding anti-rotational means formed on the various mating components (e.g., a healing abutments and/or an impression coping). These anti-rotational means primarily serve to prevent relative rotation between the mating component and the implant.
- Such anti-rotational/indexing means frequently take the form of a hexagonal boss or recess (“hex”) formed on the proximal portion of the implant. For externally threaded implants, the hex may also be used to engage a driving tool for driving the implant into an internally threaded bore or osteotomy prepared in the patient's jawbone (mandible or maxilla). When the implant is fully installed in a patient's jawbone, the hex or other indexing means is typically exposed through the crestal bone so that accurate indexing may be provided between the implant and the final prosthesis and/or various intermediate mating prosthetic components.
- One aspect of the present invention includes the realization that prior art anti-rotational means typically include sharp corners. When the implant and mating component are subjected to a rotational force, these sharp corners are subject to high concentrations of stress. The high stress concentrations can cause the sharp corners to chip or wear away. This can cause the anti-rotational means to take on a circular shape, which reduces the ability of the anti-rotational means to resist rotation. The chipping or wearing away can also result in fitting errors between the implant and the mating components. In some cases, the high stress concentrations can also cause the implant to crack at or near the corners of the anti-rotational means thereby shortening the life of the implant.
- Another aspect of the present invention includes the realization that prior art anti-rotational means typically offer little resistance to lateral forces. That is, prior art anti-rotational means typically do not prevent the mating component from “tipping” off the implant. Furthermore, prior art anti-rotational means typically provide little or no tactile feedback to the oral surgeon to indicate that the mating component is properly seated in the implant.
- Yet another aspect of the present invention is the recognition that traditional anti-rotation means, such as a hexagonal recess, are difficult to machine. Specifically, a special reciprocating tool, such as a broach, typically must be used to form a hexagonal recess.
- Accordingly, it is a principle object and advantage of the present invention to overcome some or all of the above-mentioned limitations in the prior art. Thus, one aspect of the present invention provides for a dental implant for supporting a dental prosthesis comprises a body portion and a top surface. The implant further comprises an internal cavity with an opening located at the top surface. The internal cavity comprises an interlock chamber having a depth measured from the top surface equal to a first distance. The interlock chamber comprising a cylindrical portion and plurality of semi-circular channels arranged around a periphery of the cylindrical portion. A threaded chamber that includes threads is located below the post-receiving chamber. The cylindrical portion has a first radius and the channels have a second radius, a ratio of the first radius to the second radius being between approximately 4:1. and 2:1.
- Another aspect of the present invention provides for a prosthodontic assembly for installing a prosthetic tooth. The prosthodontic assembly comprises a first prosthodontic component and a second prosthodontic component. The first prosthodontic component comprising a body portion and a top surface. The first prosthodontic component further comprising an internal cavity with an opening located at the top surface. The internal cavity comprising an interlock chamber having a depth measured from the top surface equal to a first distance. The interlock chamber comprising a cylindrical portion with a plurality of semi-circular channels arranged around a perimeter of the cylindrical portion. A threaded chamber that includes threads is located below the interlock chamber. The cylindrical portion has a first radius and the channels have a second radius. A ratio of the first radius to the second radius is between approximately 4:1. and 2:1. The second prothodontic component comprising an interlock area comprising a plurality of semi-circular protrusions configured to mate with channels of the first prosthodontic component.
- Yet another aspect of the present invention provides for a dental implant for supporting a dental prosthesis. The dental implant comprising a body portion and a top surface. The implant further comprising an internal cavity with an opening located at the top surface. The internal cavity comprising an interlock chamber having a depth measured from the top surface equal to a first distance. A threaded chamber that includes threads and is located below the post-receiving chamber. The interlock channel being formed as a single continues curve having substantially no internal corners.
- Still yet another aspect of the present invention provides for a prosthodontic assembly for installing a prosthetic tooth. The prosthodontic assembly comprises a first prosthodontic component and a second prosthodontic component. The first prosthodontic component comprising a body portion and a top surface. The first prosthodontic component further comprising an internal cavity with an opening located at the top surface. The internal cavity comprising an interlock chamber having a depth measured from the top surface equal to a first distance. The interlock chamber being formed as a single continues curve having substantially no internal corners. A threaded chamber that includes threads is located below the post-receiving chamber. The second prothodontic component comprising an interlock area having a shape that corresponds to the shape of the interlock chamber.
- For purposes of summarizing the invention and the advantages achieved over the prior art certain objects and advantages of the invention have been described herein above. Of course, it is to be understood that not necessarily all such objects or advantages may be achieved in accordance with any particular embodiment of the invention. Thus, for example, those skilled in the art will recognize that the invention may be embodied or carried out in a manner that achieves or optimizes one advantage or group of advantages as taught herein without necessarily achieving other objects or advantages as may be taught or suggested herein.
- All of these embodiments are intended to be within the scope of the invention herein disclosed. These and other embodiments of the present invention will become readily apparent to those skilled in the art from the following detailed description of the preferred embodiments having reference to the attached figures, the invention not being limited to any particular preferred embodiment(s) disclosed.
- These and other features of this invention will now be described with reference to the drawings of a preferred embodiment which is intended to illustrate and not to limit the invention. The drawings contain the following figures
-
FIG. 1A is a side view of a dental implant having certain feature and advantages according to the present invention; -
FIG. 1B is a top plan view of the dental implant ofFIG. 1A ; -
FIG. 1C is a cross-sectional view of the dental implant ofFIG. 1A ; -
FIG. 1D -F are side views of the dental implant ofFIG. 1A inserted into a patient's jawbone at different depths; -
FIG. 2A is a side view of an abutment having certain features and advantages according to the present invention; -
FIG. 2B is a detail view of the abutment ofFIG. 2A ; -
FIG. 2C is a top plan view of the abutment ofFIG. 2A ; -
FIG. 2D is a bottom plan view of the abutment ofFIG. 2A ; -
FIG. 3A is a cross-sectional view of a coupling screw having certain features and advantages according to the present invention; -
FIG. 3B is a top plan view of the coupling screw ofFIG. 3A ; - FIGS. 4A-C are schematic illustrations of preferred shapes of the interlock regions of the dental implant of
FIG. 1A and the mating abutment ofFIG. 2A ; -
FIG. 5A is a side view of a final abutment having certain features and advantages according to the present invention; -
FIG. 5B is a front view of the final abutment ofFIG. 4A ; -
FIG. 5C is a bottom plan view of the final abutment ofFIG. 4A . -
FIGS. 1A-1C illustrate a preferred embodiment of adental implant 10 having certain features and advantages in accordance with the present invention. As will be explained below, theimplant 10 is configured to receive and support one or more dental attachments or components such as, for example, healing caps, impression copings, temporary abutments, and permanent abutments. Theimplant 10 is preferably made of a dental grade titanium alloy, although other suitable materials can be used. - As best seen in
FIG. 1A , the outer surface of theimplant 10 preferably includes abody portion 12, aneck 14, and acollar 16. Thebody portion 12 of theimplant 10 is preferably tapered and includesthreads 18 that match preformed threads made along the inner surface of the patient's jawbone (not shown). However, it should be appreciated that thebody portion 12 can be configured so as to be self-tapping. It should also be appreciated that although the illustratedbody portion 12 is tapered or conical, thebody portion 12 could also be substantially cylindrical. Finally, thebody portion 12 could be unthreaded if the surgeon prefers to use an unthreaded implant. - The
body portion 12 of theimplant 10 is also preferably acid-etched. Acid-etching produces a rougher surface, which increases the surface area of thebody portion 12. The increased surface area promotes osseointegration. Alternatively, thebody portion 12 of the implant can be coated with a substance that increases the surface area of thebody portion 12. Calcium phosphate ceramics, such as tricalcium phosphate (TCP) and hydroxyapatite (HA), are particularly suitable materials. - As best seen in
FIG. 1C , theneck 14 lies between thebody portion 12 and thecollar 16. Theneck 14 preferably has a diameter that is less than the diameter of thecollar 16. Thecollar 16 of the implant is substantially cylindrical and has atop surface 24 that is substantially flat. Thecollar 16 is defined in part by avertical side wall 26 that is preferably greater than 1 millimeter in length. In the preferred embodiment, the length of the collar is approximately 2 millimeters. - The
neck 14 and thecollar 16 form a “variable placement zone”. The length and configuration the variable placement zone allows for “variable positioning” of thedental implant 12. That is, the surgeon can vary the height of theimplant 10 with respect to the crest of the jawbone. For example, as shown inFIG. 1F , theimplant 10 can be placed supra-crestally (i.e., thetop surface 24 of theimplant 10 is positioned above thecrest 27 of the jawbone 29) without exposing thethreads 18 of thebody region 12. In this arrangement thecollar 16 extends through the gums and acts as the temporary healing abutment thereby saving the surgeon and the patient time and money by eliminating stage II surgery. Alternatively, the surgeon can place thetop surface 24 of theimplant 10 level with the alveolar crest (i.e., the tooth socket in the jawbone) for esthetics (seeFIG. 1E ). In yet another alternative arrangement, the surgeon can submerge thecollar 16 into the jawbone such that thetop surface 24 lies flush with the crest of the jawbone (seeFIG. 1D ). In this arrangement, the surgeon can utilize the standard three stage process described above. - It should, however, be noted that several advantages of the present invention can be achieved with an
implant 10 that (i) does not include a variable placement zone or (ii) includes variable placement zone that is smaller or larger than the preferred embodiment. For example, several advantages of the present invention can be achieved with an implant without theneck 14 and/or thecollar 16. Similarly, theneck 14 and/orcollar 16 can have dimensions that are smaller or larger than the illustrated embodiment. However, the illustrated embodiment, with theneck region 14 andcollar 16, is preferred because it best allows for the flexibility described above. - As best seen in
FIG. 1C , theimplant 10 includes aninternal socket 28. Thesocket 28 includes a threadedchamber 30 and aninterlock chamber 34. The threadedchamber 30 is threaded and preferably has a diameter that is less than theinterlock chamber 34. - With reference to
FIGS. 1B and 1C , theinterlock chamber 34 includes a substantiallycylindrical portion 35. Theinterlock chamber 34 also includes a plurality ofchannels 36, which prevent the rotation of a dental component. Preferably, theinterlock chamber 34 includes threesemicircular channels 36, which are arranged along the periphery of thecylindrical portion 35. More preferably, eachchannel 36 is located approximately 120 degrees apart from each other. Thechannels 36 preferably extend from thetop surface 24 to the bottom 37 of thecylindrical portion 35. That is, thechannels 36 have the same depth as thecylindrical portion 35. - The
cylindrical portion 35 has a first radius R1 and thesemi-circular channels 36 have a second radius R2. The ratio α1 of the first radius R1 to the second radius R2 preferably is between 2:1 and 4:1. In the preferred embodiment the ratio α1 is about 3:1. This arrangement is preferred to minimize the stress concentrations in thedental implant 10, as will be explained below. To reduce stress concentrations further, theinterfaces 39 between thechannels 36 and thecylindrical portion 35 are preferably rounded. - The
interlock chamber 34 is preferably dimensioned to be as large as possible without significantly compromising the structural integrity of thevertical side wall 26. This arrangement is preferred because it increases the surface area of theinterlock chamber 34. The larger surface area results in a more stable connection between theimplant 10 and the mating dental component. Accordingly, theinterlock chamber 34 has a third radius R3, which is approximately equal to the first radius R1 plus the second radius R2. The third radius R3 is sized such that the thickness T1 (i.e., the radius R4 of the implant minus R3) of thevertical wall 26 is greater than a minimum value, which provides sufficient structural integrity for theimplant 10. For an implant made of dental grade titanium alloy, the preferably minimum value is approximately 0.4-0.8 millimeters. Another preferred aspect of the shape of theinterlock chamber 34 is the ratio between the radius R4 of theimplant 10 and the radius R2 of thechannels 36. More specifically, the ratio between the radius R4 of the implant and the radius R2 of thechannels 36 is preferably between 4:1 to 5:1. In the preferred embodiment, the ratio is about 4.5:1. - The
internal socket 28 also preferably includes apost-receiving chamber 32, which lies between theinterlock chamber 34 and the threadedchamber 30. Thepost-receiving chamber 32 is preferably substantially cylindrical. The diameter of thepost-receiving chamber 32 is preferably less than the diameter of theinterlock chamber 34. The post-receiving chamber also preferably includes a chamferedregion 37, which is adjacent the threadedchamber 30. - One aspect of the present invention is that the
implant 10 provides significant resistance to lateral (i.e., “tipping”) forces. Accordingly, theinterlock chamber 34 preferably has a depth D1 as measured from thetop surface 24 that is greater than about 1 millimeter (seeFIG. 1C ). In the preferred embodiment, the interlock chamber has a depth of approximately 1.5 millimeters. Moreover, thepost-receiving chamber 32 preferably has a depth D2 of greater than about 3 millimeters. In the preferred embodiment, the post-receiving chamber has a depth of approximately 4.0 millimeters. -
FIGS. 2A-2D illustrates a dental component configured to mate with theimplant 10 described above. The illustrated dental component is anabutment 38. As will be explained below, theabutment 38 can be formed into a variety of dental components, such as, for example, a healing cap, impression coping, a temporary healing abutment, and a final abutment. Preferably, theabutment 38 is made of dental grade titanium; however, other suitable materials such as plastic can be used. - As best seen in
FIG. 2A , the outer surface of theabutment 38 includes anupper region 40, acurved region 42, aninterlock region 44, and apost 46. In the illustrated embodiment, theupper region 40 is substantially smooth, cylindrical and has atop surface 48 that is substantially flat. Thecurved region 42 connects theupper region 40 to abottom surface 50, which is substantially flat. - The illustrated shape of the
abutment 32 can be used as an healing abutment, which is typically used during the second healing period to shape the patient's gums. However, as mentioned above, theabutment 38 can be modified or otherwise formed into many different types of dental components. Therefore, it should be appreciated that the upper andcurved regions - As best seen in
FIG. 2A , aninner bore 52 extends through the center of theabutment 38. Theinner bore 52 is preferably divided into a first andsecond region first region 54 has a diameter that is slightly larger than the diameter of thesecond region 56. Accordingly, aseat 59 is formed between the first andsecond regions seat 59 supports a bolt 60 (seeFIG. 3A ), which will be described below. Thesecond region 56 preferably includes internal capture threads 62 that are preferably double threaded. - With continued reference to
FIG. 2A , thebottom surface 50 is substantially flat and has a diameter approximately equal to the diameter of thetop surface 24 of theimplant 10. Extending from thebottom surface 50 is theinterlock region 44, which is configured to fit within theinterlock chamber 34 of theimplant 10. Accordingly, as best seen inFIGS. 2B and 2D , theinterlock area 38 includes a substantially cylindrical portion 63. Theinterlock area 38 also includesprotrusions 64, which are configured to fit within thechannels 36 of the implant. Accordingly, in the preferred embodiment, theprotrusions 64 are arranged around the perimeter of the interlock area at approximately 120 degrees. - Below the
interlock area 44 is thepost 46. Thepost 46 is preferably substantially cylindrical and is configured to fit within thepost-receiving chamber 32 of the implant. - Tuning now to
FIGS. 3A and 3B , thecoupling screw 60 mechanically couples theabutment 38 to theimplant 10. Thecoupling screw 60 is also preferably made of a dental grade titanium alloy; although other suitable materials can be used. Thecoupling screw 60 is sized and dimensioned to extend through theinner bore 52 of theblank abutment 38 and into thesocket 28 of theimplant 10. Thecoupling screw 60 has an externally threadedlower region 68 that passes through the internal capture threads 62 of theabutment 38 and engages the threadedchamber 30 of theimplant 10. Thethreads 68 ofcoupling screw 60 engage the capture threads 62 so that thecoupling screw 60 does not become disassociated as theabutment 38 is transferred and fitted to the patient's mouth. - The coupling screw also preferably includes a
hexagonal recess 70 located on atop surface 72 of thescrew 60. Thehexagonal recess 70 allows for the insertion of a hexagonally shaped tool such as a conventional Allen® wrench to remove thecoupling screw 60 from theimplant body 10. - As mentioned above, during stage I surgery, the
dental implant 10 is typically inserted into a pre-made hole formed in the patient's jawbone. A driving tool (not shown) is typically used to screw the implant into the pre-made hole. Accordingly, a distal end of the driving tool is preferably configured to mate with theinterlock chamber 34 of theimplant 10. That is, the distal end of the driver is preferably configured substantially the same as theinterlock region 44 of theabutment 38 described above. When the driving tool is mated to theimplant 10, the distal end of driver can be used to transmit torque to the implant through theinterlock chamber 34 so as to drive theimplant 10 into the pre-made hole. If theimplant 10 is self-tapping, a particularly large amount of torque is required to drive theimplant 10 into the bone. For conventional implants with hexagonal recesses, this large amount of torque can cause the implant to crack at the apexes of the hexagonal recesses. This reduces the strength of the implant and can cause fluids and bacteria to enter the implant. - An advantage of the illustrated
implant 10 andmating abutment 38 is that when subjected to rotational forces the stress concentrations in theimplant 10 and theabutment 38 are minimized. Stress concentrations refer to areas of large stress caused by geometric discontinuities (i.e., stress risers) and/or the application of large loads over a small area or at a point (e.g., at a corner or apex). Areas of large stress concentrations are often the starting point of material damage, which can ultimately lead to material failure by fracture (i.e., cracking). Thus, by minimizing stress concentrations, the durability of theimplant 10 and theabutment 38 can be increase. The reduction in stress concentration derives from the particular preferred shape of theinterlock chamber 34 of theimplant 10 and themating interlock region 44 of theabutment 38. - FIGS. 4A-C are schematic representations of the
shape 78 of theinterlock chamber 34 and theinterlock region 44.FIG. 4A compares theshape 78 to atriangle 79. As seen inFIG. 4A , theshape 78 of the interlock region is in the form of an elliptically modifiedtriangle 79. That is, the apexes and sides of the triangle are substantially rounded. As shown inFIGS. 4B and 4C , theshape 78 provides a smooth transition from the apex 82 to thesides 80. Accordingly, some of the anti-rotational stress is distributed away from theapexes 82 towards the relativelyflatter side walls 80. These features help to reduce stress concentrations. Therefore, theinterlock regions implant 10 and the blank abutment 38 (particularly thechannels 36 and theprotrusions 64 are less likely to chip and wear away as compared to prior art anti-rotational means. Moreover, theimplant 10 is less likely to crack as compared to implants with hexagonal recesses, which tend to crank at the apexes of the hexagonal recess when subjected to large rotational loads (e.g., when a self-tapping implant is being threaded into the patient's jawbone). - Another advantage of the illustrated arrangement is that the
abutment 38 and theimplant 10 offer improved resistance to lateral or “tipping” forces. This improved resistance to lateral forces is due primarily to the depth of theinterlock chamber 34 and thepost-receiving chamber 32. The improved resistance to lateral forces also prevents thecoupling screw 60 from loosening, thereby virtually eliminating movement between theimplant 10 and theabutment 38. - Yet another advantage of the illustrated arrangement is that the interlock chamber of the
implant 10 can be machined using a conventional end mill. That is, because of circular shape of thecylindrical portion 35, it can be machined with a conventional end mill. Moreover, the semi-circular channels can also be machined with a conventional end mill. This reduces the complexity of manufacturing especially as compared to the machining of a conventional hexagonal recess, which typically requires a reciprocating tool, such as, for example, a broach. - The illustrated arrangement of the
implant 10 andabutment 38 also provides improved tactile confirmation that theblank abutment 38 is properly seated on theimplant 10. That is because of the depth of thepost-receiving chamber 32, the oral surgeon can feel theabutment 38 engaging theimplant 10. This tactile confirmation is especially important for posterior prosthetics where visibility and working space are often compromised. -
FIGS. 5A-5C illustrate afinal abutment 86 having certain features and advantages according to the present invention. Thefinal abutment 86 is preferably made from a dental grade titanium allow, although other suitable materials can be use. Thefinal abutment 86 can also be machined from theabutment 38 ofFIGS. 2A-2D . - The
lower region 87 of thefinal abutment 86 is substantially identical to the lower region of theblank abutment 38 described above. Accordingly, thelower region 87 comprises alower surface 50, aninterlock region 44 withprotrusions 64, and apost 46. As with theblank abutment 38, theinterlock region 44 withprotrusions 64, and thepost 46 that are sized and dimensioned to fit within theinterlock chamber 34 andpost-receiving chamber 32 of theimplant 10. - Down the center of the
final abutment 54 is anbore 48. Theinner bore 48 is preferably divided into two regions: afirst chamber 50 and asecond region 52. Preferably, the diameter of thefirst chamber 50 is slightly larger than thesecond chamber 52. A screw passes through thescrew receiving chamber 50 and engages the threads of the threadedregion 52 and the first chamber 22 of theimplant 10. Accordingly, thefinal abutment 54 can be permanently attached to the implant. Alternatively, thefinal abutment 54 could be cemented to theimplant 10 using methods well known in the art. - The
upper surface 88 of thefinal abutment 86 is formed to receive a prosthetic tooth. Accordingly, the prosthetic tooth (not shown) has an inner surface configured such that the prosthetic tooth can fit over thefinal abutment 86. The prosthetic tooth is typically cemented to thefinal abutment 86. - Although this invention has been disclosed in the context of certain preferred embodiments and examples, it will be understood by those skilled in the art that the present invention extends beyond the specifically disclosed embodiments to other alternative embodiments and/or uses of the invention and obvious modifications and equivalents thereof. In addition, while a number of variations of the invention have been shown and described in detail, other modifications, which are within the scope of this invention, will be readily apparent to those of skill in the art based upon this disclosure. It is also contemplated that various combination or subcombinations of the specific features and aspects of the embodiments may be made and still fall within the scope of the invention. Accordingly, it should be understood that various features and aspects of the disclosed embodiments can be combine with or substituted for one another in order to form varying modes of the disclosed invention. Thus, it is intended that the scope of the present invention herein disclosed should not be limited by the particular disclosed embodiments described above, but should be determined only by a fair reading of the claims that follow.
Claims (10)
1-36. (canceled)
37. A dental abutment for supporting a dental prosthesis on a dental implant, the abutment comprising:
an upper region comprising a bottom surface;
a substantially cylindrical post extending below the bottom surface, the substantially cylindrical portion including a plurality of substantially semi-circular protrusions arranged around a periphery of the substantially cylindrical post, wherein the substantially cylindrical post has a first radius and the protrusions have a second radius, a ratio of the first radius to the second radius being between approximately 4:1 and approximately 2:1 and wherein the protrusions have a length measured from the bottom surface of the upper region that is equal to a first distance and the substantially cylindrical post has a length measured from the bottom surface of the upper region that is equal to a second distance, the first distance being less than the second distance.
38. A dental abutment comprising:
a body portion with a bottom surface; and
a lower region comprising a post and an interlock region adjacent the bottom surface, the interlock region being formed as a single continuous curve having substantially no internal corners, the single continuous curve being formed from a substantially cylindrical portion and a plurality of semi-circular protrusions spaced around the periphery of the cylindrical portion at approximately 120 degrees from each other.
39. A prosthodontic component for mating with a dental implant, the prosthodontic component comprising:
an upper region comprising a bottom surface;
an interlock region extending below the bottom surface comprising a non-threaded cylindrical portion and at least one substantially semi-circular protrusion arranged around a periphery of the cylindrical portion, wherein the cylindrical portion has a first radius and the at least one protrusion has a second radius, a ratio of the first radius to the second radius being between approximately 4:1 and approximately 2:1 and wherein the interlock region has a length measured from the bottom surface that is equal to a first distance;
a non-threaded post extending below the interlock region; the post having a length measured from the bottom surface that is equal to a second distance; and
and an inner bore extending through the dental abutment.
40. A dental abutment for supporting a dental prosthesis on a dental implant, the abutment comprising:
an upper region comprising a bottom surface;
an interlock region extending below the bottom surface comprising a non-threaded cylindrical portion and at least three semi-circular protrusions arranged around a periphery of the cylindrical portion, wherein the cylindrical portion has a first radius and the protrusions have a second radius, a ratio of the first radius to the second radius being between approximately 4:1 and approximately 2:1 and wherein the interlock region has a length measured from the bottom surface that is equal to a first distance.
wherein the bottom surface of the abutment has a third radius and a ratio of the third radius to the second radius is between approximately 5:1 and 4:1.
41. A dental abutment for supporting a dental prosthesis on a dental implant, the abutment comprising:
an upper region comprising a bottom surface;
an interlock region extending below the bottom surface comprising a non-threaded cylindrical portion and plurality of substantially semi-circular protrusions arranged around a periphery of the cylindrical portion, wherein the cylindrical portion has a first radius and the protrusions have a second radius, a ratio of the first radius to the second radius being between approximately 4:1 and approximately 2:1 and wherein the interlock region has a length measured from the bottom surface of the upper region that is equal to a first distance; and
a non-threaded post extending below the interlock region; the post having a length measured from the bottom surface of the upper region that is equal to a second distance.
42. A dental implant for mating with a dental abutment, the dental implant comprising:
a body portion;
a top surface; and
an internal cavity formed in the body, the internal cavity comprising a substantially cylindrical portion that opens into a plurality of channels arranged around a periphery of the substantially cylindrical portion, the channels also opening into the top surface of the implant, each of the channels including a shelf that lies a first distance below the top surface and the substantially cylindrical portion having a depth measure from the top surface that is greater than the first distance, wherein the substantially cylindrical portion has a first radius and the channels have a second radius, a ratio of the first radius to the second radius being between approximately 4:1 and 2:1.
43. A dental implant for supporting a dental prosthesis, the dental implant comprising:
a body portion and a top surface, and
an internal cavity formed in the body, the internal cavity comprising an opening having a substantially cylindrical portion and a plurality of channels arranged around a periphery of the substantially cylindrical portion, the channels extending down the implant to a shelf that lies a first distance below the top surface; and
a threaded chamber that includes threads and is distanced from the shelf of the channels by an unthreaded portion of the internal cavity;
wherein the substantially cylindrical portion has a first radius and the channels have a second radius, a ratio of the first radius to the second radius being between approximately 4:1 and 2:1.
44. A prosthodontic assembly for installing a prosthetic tooth, the prosthodontic assembly comprising:
a first prosthodontic component comprising a body portion and a top surface, the first prosthodontic component further comprising an internal cavity with an opening located at the top surface, the internal cavity comprising an interlock portion having a depth measured from the top surface equal to a first distance, the interlock chamber being formed as a single continuous curve having substantially no internal corners, the single continuous curve being formed from a substantially cylindrical portion and a plurality substantially semi-circular channels spaced around the cylindrical portion at approximately 120 degrees from each other and a threaded chamber that includes threads and is located a second distance below the top surface, the second distance being greater than the first distance; and
a second prothodontic component comprising an interlock area a having a shape that corresponds to the shape of the interlock portion.
45. A dental implant for supporting a dental prosthesis, the dental implant comprising a body portion and a top surface, the implant further comprising an internal cavity with an opening located at the top surface, the internal cavity comprising an interlock portion having a depth measured from the top surface equal to a first distance, and a threaded chamber that includes threads and is located a second distance below the top surface, the second distance being greater than the first distance, the interlock portion being formed as a single continuous curve having substantially no internal corners, the single continuous curve being formed from a substantially cylindrical portion and a plurality of semi-circular channels spaced around the periphery of the cylindrical portion at approximately 120 degrees from each other.
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/952,349 US20080085492A1 (en) | 1999-09-27 | 2007-12-07 | Implant with internal multi-lobed interlock |
US12/896,715 US8721335B2 (en) | 1999-09-27 | 2010-10-01 | Implant with internal multi-lobed interlock |
US14/225,337 US20140322670A1 (en) | 1999-09-27 | 2014-03-25 | Implant with internal multi-lobed interlock |
US15/071,738 US20160242876A1 (en) | 1999-09-27 | 2016-03-16 | Implant with internal multi-lobed interlock |
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15619899P | 1999-09-27 | 1999-09-27 | |
US09/670,708 US6733291B1 (en) | 1999-09-27 | 2000-09-27 | Implant with internal multi-lobed interlock |
US10/800,818 US20040175674A1 (en) | 1999-09-27 | 2004-03-15 | Implant with internal multi-lobed interlock |
US11/011,513 US20050095560A1 (en) | 1999-09-27 | 2004-12-14 | Implant with internal multi-lobed interlock |
US11/952,349 US20080085492A1 (en) | 1999-09-27 | 2007-12-07 | Implant with internal multi-lobed interlock |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/011,513 Continuation US20050095560A1 (en) | 1999-09-27 | 2004-12-14 | Implant with internal multi-lobed interlock |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/896,715 Continuation US8721335B2 (en) | 1999-09-27 | 2010-10-01 | Implant with internal multi-lobed interlock |
Publications (1)
Publication Number | Publication Date |
---|---|
US20080085492A1 true US20080085492A1 (en) | 2008-04-10 |
Family
ID=32232973
Family Applications (8)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US09/670,708 Expired - Lifetime US6733291B1 (en) | 1999-09-27 | 2000-09-27 | Implant with internal multi-lobed interlock |
US10/800,818 Abandoned US20040175674A1 (en) | 1999-09-27 | 2004-03-15 | Implant with internal multi-lobed interlock |
US11/011,513 Abandoned US20050095560A1 (en) | 1999-09-27 | 2004-12-14 | Implant with internal multi-lobed interlock |
US11/417,619 Abandoned US20060199151A1 (en) | 1999-09-27 | 2006-05-03 | Implant with internal multi-lobed interlock |
US11/952,349 Abandoned US20080085492A1 (en) | 1999-09-27 | 2007-12-07 | Implant with internal multi-lobed interlock |
US12/896,715 Expired - Fee Related US8721335B2 (en) | 1999-09-27 | 2010-10-01 | Implant with internal multi-lobed interlock |
US14/225,337 Abandoned US20140322670A1 (en) | 1999-09-27 | 2014-03-25 | Implant with internal multi-lobed interlock |
US15/071,738 Abandoned US20160242876A1 (en) | 1999-09-27 | 2016-03-16 | Implant with internal multi-lobed interlock |
Family Applications Before (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US09/670,708 Expired - Lifetime US6733291B1 (en) | 1999-09-27 | 2000-09-27 | Implant with internal multi-lobed interlock |
US10/800,818 Abandoned US20040175674A1 (en) | 1999-09-27 | 2004-03-15 | Implant with internal multi-lobed interlock |
US11/011,513 Abandoned US20050095560A1 (en) | 1999-09-27 | 2004-12-14 | Implant with internal multi-lobed interlock |
US11/417,619 Abandoned US20060199151A1 (en) | 1999-09-27 | 2006-05-03 | Implant with internal multi-lobed interlock |
Family Applications After (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/896,715 Expired - Fee Related US8721335B2 (en) | 1999-09-27 | 2010-10-01 | Implant with internal multi-lobed interlock |
US14/225,337 Abandoned US20140322670A1 (en) | 1999-09-27 | 2014-03-25 | Implant with internal multi-lobed interlock |
US15/071,738 Abandoned US20160242876A1 (en) | 1999-09-27 | 2016-03-16 | Implant with internal multi-lobed interlock |
Country Status (1)
Country | Link |
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US (8) | US6733291B1 (en) |
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US20110183290A1 (en) * | 2007-11-09 | 2011-07-28 | Southern Implants (Pty) Ltd | Dental implant adaptor |
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Also Published As
Publication number | Publication date |
---|---|
US20040175674A1 (en) | 2004-09-09 |
US8721335B2 (en) | 2014-05-13 |
US20050095560A1 (en) | 2005-05-05 |
US6733291B1 (en) | 2004-05-11 |
US20140322670A1 (en) | 2014-10-30 |
US20110020767A1 (en) | 2011-01-27 |
US20160242876A1 (en) | 2016-08-25 |
US20060199151A1 (en) | 2006-09-07 |
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