WO2002030312A2

WO2002030312A2 - Method for making prosthetic, in particular dental, elements and dispenser for composite material comprising fibre bundles

Info

Publication number: WO2002030312A2
Application number: PCT/FR2001/003136
Authority: WO
Inventors: Noémie Bachmann
Original assignee: Carbotech; Bachmann, Marc; Bachmann, Sonia
Priority date: 2000-10-12
Filing date: 2001-10-11
Publication date: 2002-04-18
Also published as: FR2815243A1; WO2002030312A8; AU2001295680A1; AU2001295678A1; WO2002030646A1; WO2002030312A3

Abstract

The invention concerns a method for making prosthetic, in particular dental, elements and a dispenser for composite material comprising fibre bundles. The inventive method is characterised in that it comprises steps which consist in: a) winding a filament or tape of woven or non-woven fibres impregnated with a non-cured polymerisable resin by applying at least a stress on the impression of a prosthetic element to be obtained, until the desired shape and thickness are achieved; b) polymerising the resin by applying suitable stress/stresses; c) separating the prosthetic element obtained at step b) from the impression. The invention is applicable in the production of prosthetic, in particular dental, elements.

Description

Title: Process for manufacturing prosthetic elements, especially dental and distributor of fiber composite material.

The invention relates to a method of manufacturing prosthetic elements, in particular dental and a distributor of filament or ribbon of fiber composite material.

There is currently in dentistry a need for the replacement of metals, used for the manufacture of dental prostheses intended to remain in mouth, in order to avoid the problems related to corrosion due to the galvanic current which metals and their alloys can generate.

An alternative to metal prostheses are porcelain or ceramic prostheses. But such prostheses are expensive and made of a fragile material.

It was then proposed to use composite materials with a polymerizable resin matrix comprising mineral fillers of glass, quartz or ceramic in the form of particles of various shapes and sizes.

These composite materials are attractive alternatives from an aesthetic, functional and economic standpoint, to dental reconstructions made of precious or non-precious metal covered or not with pure ceramic.

However, these composite materials with a polymerizable resin matrix comprising mineral fillers of various shapes and sizes, hereinafter also called cosmetic composite materials, must be strong enough to withstand the forces which they support during masticatory function. This is why it is necessary to create a rigid frame on which the cosmetic composite materials are then applied and to which they adhere. This reinforcement which has a role of mechanical reinforcement is, for its part, made of composite materials, called fiber composite materials, which are, like cosmetic composite materials, made up of a polymerizable resin matrix but the charge of which is made up, not of particles of various shapes and sizes, but of fibers in the form of discontinuous or, better still, continuous filaments, braided, woven or unidirectional.

At present, fiber composite materials are used: - either in the form of woven or braided filaments, which are already pre-impregnated with unpolymerized polymerizable resin or which are embedded in the unpolymerized polymerizable resin at the time of their use , - Or in the form of plates composed of a superposition of layers of woven or non-woven fibers embedded in the non-polymerized polymerizable resin.

These resin-impregnated products have several drawbacks: - they appear as wicks of fibers or sheets of fabrics impregnated with an unpolymerized resin which has the consistency of honey. Their handling is therefore difficult because the whole is sticky, pasty, sticky, difficult to implement, and

- When handled, the fibers move apart, slide over each other and the assembly loses its cohesion, which makes the mechanical properties of the object obtained random and not reproducible.

But above all, these composite materials in the form of layers of fibers or superimposed layers of fibers do not allow the contour of the imprint of the prosthetic element to be obtained to be very precisely matched. Indeed, when using filaments consisting of a bundle of fibers substantially unidirectional, woven, braided or free, this bundle of fibers is deposited in layers on the imprint of the prosthetic element to be obtained, by crossing these layers for obtain the most complete recovery possible. In the case of the use of fiber composite material plates made up of one or more thin layers of woven or nonwoven fibers impregnated with resin, the plate is placed, with the thickness that this implies, on the imprint of the prosthetic element to be obtained and is shaped by pressure and depression. In both cases, there are at least two drawbacks: there remains a hiatus at the neck of the teeth due to the viscosity of the resin and, on the other hand, due to the use of superimposed layers or the rather thick plate of composite material, which is shaped by pressure and vacuum, the thickness of the reinforcement obtained is irregular.

The invention aims to overcome the drawbacks of the prior art by proposing a method of manufacturing prosthetic elements, in particular dental which makes it possible to cover very precisely, regularly, and to obtain a uniform thickness of the prosthetic element to get. The invention also provides a distributor of fiber composite material allowing, in particular, to implement this process. To this end, the invention provides a distributor of filament or ribbon of woven or nonwoven fibers, impregnated with a polymerizable resin by application of at least one stress and not polymerized, characterized in that it comprises: - a spool cylindrical pierced in its center with an orifice capable of receiving an axis of rotation, - a filament or a ribbon of fibers impregnated with a polymerizable resin by application of at least one stress and not polymerized, wound at the periphery of the coil , and - a device capable of receiving the reel provided with its winding of filament or ribbon comprising:

- a first external half-shell comprising, on its periphery (6), an opening allowing the passage of the filament or ribbon and pierced in its center with an orifice capable of receiving an axis of rotation, - a second internal half-shell able to engage tightly in the external half-shell comprising, on its periphery, an opening allowing the passage of the filament or ribbon when placed facing the opening, the half-shell being moreover pierced in its center an orifice capable of receiving an axis of rotation, - an axis of rotation capable of engaging in the orifices and forming an axis of rotation for the reel provided with its winding of filament or ribbon and comprising closing means and / or opening and / or tightening for the half-shells, the reel provided with the winding of the filament or of the ribbon being intended to be placed, on the axis of rotation, between the two half-shells and fitted one into the other.

According to a preferred characteristic, the dispenser according to the invention further comprises a hollow end-piece for guiding the filament or ribbon, placed facing the opening of the external half-shell and connected to this external half-shell.

According to another preferred characteristic, the dispenser according to the invention further comprises a second hollow end piece forming a narrowing neck for guiding and / or bringing the desired section of the filament or ribbon. Preferably, the dispenser according to the invention is in a single package and ready for use.

However, the dispenser according to the invention may also include, in a first package the coil provided with its filament or ribbon winding, and in a second package, the device assembled and removable, the coil provided with its filament or ribbon winding being placed before use in the device.

In these two embodiments, preferably, the device is made of a material opaque to light and not adhering to the resin and the coil is made of a material not adhering to the resin.

Also preferably, the reel provided with its filament or ribbon winding is moreover packaged in a light opaque packaging.

More preferably, the coil comprises on its periphery, a recessed part capable of receiving the filament or ribbon. In a particularly preferred embodiment, the fibers of the filament or ribbon are selected from the group consisting of glass fibers, quartz fibers, silica fibers, aramid fibers, kevlar fibers, fibers polyethylene, carbon fibers and mixtures thereof. In particular, it is preferred that the fibers are glass fibers based on zirconium oxide.

In particular, it is preferred that the glass constituting the fibers contains between 16.8% and 17.1% by weight of zirconium oxide relative to the total weight of the glass. As for the polymerizable resin impregnating the fibers of the filament or ribbon, is preferably a polymerizable resin by application of heat and / or light.

Particularly preferred, the polymerizable resin is either Bis-GMA resin or a di-urethane resin. The dispenser according to the invention is further characterized in that the filament or the ribbon ultimately contains between 40% and 80% by volume of fibers relative to the total volume of the fibers and of the polymerizable resin.

The invention also proposes a method for manufacturing prosthetic elements, in particular dental, characterized in that it comprises the steps of: a) winding a filament or a ribbon of woven or non-woven fibers impregnated with a polymerizable resin by application of at least one stress and not polymerized, on the imprint of the prosthetic element to be obtained, until obtaining the desired shape and thickness, b) polymerization of the resin by application of. the appropriate constraint (s), c) separation of the prosthetic element obtained in step b) and of the impression.

The method according to the invention is advantageously used for the manufacture of a reinforcing cap for bridge or dental crown. The invention will be better understood and other objects, characteristics, details and advantages thereof will appear more clearly during the explanatory description which follows which is given with reference to the appended figures in which:

FIG. 1 represents a perspective view of the composite material dispenser of the invention according to a first embodiment,

FIG. 2 represents an exploded perspective view of the device of the invention shown in FIG. 1,

- Figure 3 shows a sectional view of the composite material dispenser of Figure 1 along the plane PP passing through the axis XX ', - Figure 4A shows a partial perspective view of a first variant of the distributor according to the first embodiment of the invention,

FIG. 4B represents a partial perspective view of a second variant of the dispenser according to the first embodiment of the invention,

- Figure 5 schematically shows a sectional view of the composite material dispenser according to a second embodiment of the invention, ^'

FIG. 6 schematically represents an imprint of the prosthetic element to be obtained,

- Figure 7 shows schematically a first mode of implementation of the method of the invention, and - Figure 8 shows schematically a device for the implementation of the method of the invention.

First of all, the process for manufacturing prosthetic, in particular dental, elements of the invention will be described with reference to FIGS. 6 to 8. The process of the invention finds particular application in the manufacture of reinforcing copings in fiber composite materials for the manufacture of crowns or bridges.

The fiber composite materials used in the invention are the composite materials that are used in dentistry, that is to say comprising, as reinforcement, glass fibers, quartz fibers, silica fibers, aramid fibers, kevlar fibers, polymethylene fibers, carbon fibers, or mixtures thereof.

Preferably, composite materials comprising glass fibers will be used because they have the advantage, in particular compared to carbon fibers, of having a color closer to the color of the natural tooth. In fact, the glass fibers are off-white in color, which makes them particularly suitable for dental use.

The particularly preferred glass fibers for the manufacture of prosthetic elements, in particular dental, are glass fibers made from a glass based on zirconium oxide. Indeed, such glass fibers are radiopaque, that is to say visible on a dental radiography.

A preferred glass is a glass whose starting materials include zirconium oxide, the zirconium oxide being melted at the same time as the other components of the glass during the manufacture of the glass which is then itself transformed into fibers .

Thus, the fibers preferably used in the invention are fibers produced from a glass containing between 16.8% and 17.1% by weight of zirconium oxide relative to the total weight of the glass. These glass fibers, thanks to their zirconium oxide content, are particularly suitable for dental use.

In fact, saliva makes the oral cavity a more corrosive environment than sea air, which is the reference environment for corrosion resistance tests of industrial products. In the same individual, the salivary pH can be alternately acidic or basic. Any object in permanent contact with saliva is in a 100% humid environment, at a temperature of 37 ° C, and is subjected to a phenomenon of corrosion by hydrolysis. In addition, this medium contains aerobic bacteria and anaerobes capable of secreting all kinds of alkane, ketone, and other substances which are also corrosion agents.

Glass fibers containing zirconium oxide are preferred in the invention because they have a high resistance to acid and alkaline agents due to their proportions of zirconium oxide. This resistance is of the order of 10 times that of a glass fiber that does not contain zirconium oxide. They also have better resistance to hydrolysis in a humid environment, and moreover better mechanical properties, in particular better resistance to fatigue, which makes them particularly suitable for use in the manufacture of dental reinforcement.

Finally, these glass fibers enriched with zirconium oxide have an average diameter of 14 to 20 μm and have the property of disintegrating into microparticles but while keeping a size greater than 3 μm when they are ground by machining or attacked by hydrolysis, which makes them non-inhalable (not breathable). This is very important for a material intended to remain in the mouth for years and also for the health of professionals who have to work, machine and grind the parts obtained with the composite material of the invention.

Particularly suitable fibers are those sold under the brand name "Cem-FIL ^® Fibers" by the company VETROTEX, a subsidiary of the company Saint-Gobain.

The resin used for the composite material used in the invention is any resin curable by the application of at least one stress.

Preferably, this constraint will be heat or light, whether visible, infrared or UV.

It may also be a resin which is both photopolymerizable and thermosetting. A suitable resin in the context of the composite material of the invention is chosen from epoxy, polyester and vinylester resins which are thermosetting resins or polymethacrylate or diurethane resins which are photo- and thermosetting resins or derivatives thereof. this.

The resin preferably has a viscosity of between 400 and 800 centipoise. The viscosity can be adjusted by adding fillers such as micro- or macro-particles of quartz, barium glass, ceramic or others, of sizes between 0.3 and 10 μm. The elastic modulus or Young's modulus of this resin will be between 30 Gpa and l50 Gpa.

A preferred resin for the manufacture of dental prostheses is a Bis-GMA resin. This is used in dentistry for the prophylactic sealing of wells and cracks and is referred to as "flowable composite". It is sold under the "HELIOSEAL F" brands of Vivadent or

CONCISE WHITESEALANT from 3M.

The choice of this resin is justified for at least two reasons. The first reason is that the Bis-GMA resin has the same chemical nature as the resin of the cosmetic composite material which will be attached to it. This allows chemical bonding between them, that is to say a fusion of the two materials, which eliminates the problems of decoalescence between these materials.

The second reason is that the Bis-GMA resin shrinks when it sets (hardening). The larger the volume of resin, the greater the shrinkage.

This withdrawal was considered until now as the major handicap of obturation composites which, after hardening, decrease in volume with the formation of spaces between the composite and the edges of the cavity which encloses them, hence salivary infiltration and resumption possible cavities. In the context of the invention, this withdrawal when taken is an advantage because it will allow the most intimate application of the composite material, and in particular of the fibers, to the impression.

Another preferred resin is a di-urethane resin. As shown in Figure 7, a bridge is made up: - firstly, of a reinforcement yoke made up a) of two pillar elements noted 19, 19 'in Figure 7, resting on machined teeth noted 21, 21' in Figure 7, present on each side of a toothless sector, b) of a part, denoted 20 in FIG. 7, called pontic, replacing one or more absent teeth, and - secondly, of a part 22 of cosmetic composite material applied to the aforementioned reinforcement, this last part constituting the anatomy and the color of the abutment teeth and of missing tooth (s) to be reconstituted.

More specifically, the method of manufacturing a bridge consists in first cutting the abutment teeth 21 and 21 'in a substantially conical shape in order to be able to insert and remove the prosthetic element to be obtained. More precisely, a plaster impression as shown in FIG. 6, cut abutment teeth is produced. This imprint, as shown in Figure 6 is the exact replica of the tooth cut in the mouth noted 17 in Figure 6, extended by a metal part 18 allowing the manipulation of the plaster imprint.

In what follows, the plaster impression 17 will also be called abutment tooth 21 and / or 21 '.

To make the reinforcement or reinforcement 19, 19 ′, 20, it is first necessary to cover each cut tooth 21 and 21 ′, or more precisely their imprints also denoted 21 and 21 ′, with a yoke 19, 19 ′, the screeds 19, 19 'then being connected to each other by the bridge or pontic deck. The production of the screeds 19, 19' is complex: the imprints 21 and 21 'must be entirely wrapped with the fiber composite material, the thickness of the . fiber composite material should be low at the collar to increase at the top, and the amount of fibers making up the covering should be constant.

The reinforcement screed is then hardened by polymerization of the resin constituting the fiber composite material.

At present, to make this reinforcement screed, pellets are used which consist of superimposed layers of glass fibers impregnated with polymerizable and unpolymerized resin superimposed on each other, which are applied by pressing on the trimmed teeth. This system has at least two drawbacks: there remains a hiatus at the neck of the teeth because of the viscosity of the resin and, on the other hand, the thickness of the reinforcement obtained is irregular because the fibers of the tissue layers in the form of pellets move apart when pressed on the cut teeth.

It is also possible to use a wick of fibers impregnated with resin which is applied in the form of overlapping plies, crossing one another, on the imprints of the cut tooth (s), but the fibers compressed on the surface and on the angles of the impressions of the cut tooth move apart under the effect of the pressure and, moreover, they cannot surround the entire preparation.

These two ways of operating with a viscous and sticky material, are difficult to implement and give inconsistent results.

Thus, the reinforcement screed does not have constant mechanical properties over its entire surface. In contrast to the process of the prior art, the process for manufacturing prosthetic elements, in particular dental and more particularly a reinforcing cap for bridge or crown is, as shown in FIG. 7, based on the principle of use of a thread or a filament or a ribbon of woven or non-woven fibers which is wound around each of the abutment teeth 21, 21 '(or more exactly around their exact plaster replica), the fibers being impregnated with a polymerizable resin by application of at least one stress and not polymerized. This is truly a winding around the imprint of the prosthetic element to be obtained and not a simple covering. This winding can be obtained for example as shown in FIG. 8 by placing the plaster imprint of the tooth 17 ', 18' on a rotary axis 23. The plaster imprint 17 ', 18' will be maintained for example on the 'rotary axis 23 by a jaw 24. The rotary axis 23 will be rotated by a motor 25 or a crank. A stopper plate 26 will be placed against the free end of the imprint 17 'to hold the filament or ribbon in place during its winding on the imprint 17'. When the result is satisfactory, the filament or ribbon 1 is cut, the yoke 19, 19 ′ is hardened by polymerizing the resin of the fiber composite material, by application of the appropriate stress (es).

When the prosthetic element to be obtained is a crown, the prosthetic element is then separated from the impression and the prosthetic element, thus separated from its impression, is placed on the tooth cut in the mouth.

When the prosthetic element to be obtained is a bridge, the procedure is after curing the resin of the composite material closing the copings (19, 19 ′), as follows. The yokes 19, 19 ′ are then connected together by the thicker reinforcement 20 of the pontic. This reinforcement is produced, as shown in FIG. 7, by winding the filament or ribbon 1 on a preform placed between the two yokes 19, 19 '. This winding is carried out by gluing one end of the filament or ribbon to a point on the first yoke and winding on the preform 27 placed between the two yokes 19 and 19 '. When the desired shape of pontic 20 is obtained, the filament or ribbon will be cut and the assembly will be hardened by polymerization of the resin. Then, as in the case of single crowns, we separate the composite material bridge obtained and the plaster impression, after which we position this bridge in the mouth, as desired.

However, as mentioned above, the fiber composite materials are sticky and difficult to handle due to the presence of the non-polymerized resin.

To overcome this problem, the invention proposes a dispenser of such a composite material, which makes it possible to wrap the composite material around the imprint of the prosthetic element to be obtained, without touching the composite material impregnated with sticky resin itself. even. Thus, not only will the handling of this composite material be easy, but also, screeds having a constant fiber thickness will be obtained throughout the piece because the fibers will not spread under the effect of the pressure exerted during handling of the composite material. A first embodiment of the composite material dispenser of the invention is as shown in Figures 1 to 4B.

As seen in Figures 1 to 3, this distributor consists of a device 14, consisting, as shown in Figures 2 and 3, of a first external half-shell 5 comprising on its periphery 6 an opening 7 and a second internal half-shell 9 also comprising on its periphery 6 ′ an opening 10. When the opening 7 is placed facing the opening 10, an opening is obtained which allows the passage of the filament or ribbon 1. The half-shell 9 is intended to fit into the half-shell 5 to form a closed package. The half-shell 5 and the half-shell 9 have two orifices placed in their center, noted 8 and 11, respectively. A rotation axis 4 is intended to pass through the half-shells 5 and 9 through the orifices 8 and 11 so as to allow the rotation of the half-shell 9 relative to the half-shell 5, along the axis X-X ', so as either to close the device 14 in a sealed manner, or to release the opening formed by the openings 7 and 10, opening through which the filament or ribbon 1 will be unwound.

This device 14 is intended to receive a coil 2 also pierced in its center to allow the passage of the axis of rotation 4 and thus rotate around this axis along the axis XX '. The coil 2 has at its periphery 34 a winding of the filament or ribbon 1 of impregnated fibers which can be polymerized by applying at least one stress and which are not polymerized.

Thus, as shown in FIG. 1, when ready for use, the device 14 contains the coil 2 with its winding of filament or ribbon 1 of composite material and the filament or ribbon 1 comes out through the opening formed by the openings 7 and 10 of the half-shells 5 and 9. In addition, as shown in FIGS. 1 to 3, the axis of rotation 4 is provided with a threaded part coming out of the device 14 and with a nut to allow closing or l opening of the device 14 as well as ensuring the cohesion of the dispenser of the invention. In addition, to allow the tightening of the spool 2 provided with its winding of filament or ribbon 1 and thus block or slow down or speed up the unwinding of the spool 2, the axis of rotation 4 may further comprise, at each end in contact with the half-shells 5 and 9, the springs 4 '.

The filament or ribbon 1 of fibers impregnated with an unpolymerized polymerizable resin can be wound on the periphery and on this periphery 34 of the reel 2. However, preferably, the reel 2 will comprise a hollow part 35 hollowed in its periphery 34 forming housing for the wound ribbon or filament 1.

In addition, as shown in FIGS. 4A and 4B, the distributor denoted 14a, 14b of the invention preferably comprises a hollow cylindrical endpiece 12, 12a allowing the guiding of the filament or ribbon 1 out of the distributor 14a, 14b. This hollow end-piece is placed on the device 14a, 14b facing the opening 7 of the external half-shell, 5a, 5b and linked to the latter.

When the dispenser of the invention is delivered ready for use, that is to say in a single package, this hollow nozzle 12 will have a fully closed envelope surface, as shown in FIG. 4A, and the ribbon or filament will come out of the hollow tip 12.

But when the distributor is delivered assembled, that is to say that the coil 2 provided with its winding of filament or ribbon 1 will have to be placed, by the user, before use, in the distributor 14b, the end piece 12a advantageously comprises, as shown in FIG. 4B, a slot 21 along its length allowing the placement of the filament or ribbon 1 in the end piece 12a.

In these two embodiments, the device 14a and 14b advantageously further comprises a second hollow tip 13, 13a extending the end piece 12, 12a and forming a narrowing neck and allowing the guide and / or the desired section of the filament or ribbon 1.

When the end piece 12 does not have a slot, as shown in FIG. 4 A, the second end piece 13 may only cover externally or internally only a portion of the hollow end piece 12. On the other hand, when the end piece 12a has a groove 21, preferably the endpiece 13a will cover the entire endpiece 12a to avoid oxidation of the resin impregnating the fibers constituting the filament or ribbon 1. This will also make it possible to avoid any untimely blocking or any untimely exit of the filament or ribbon 1 through the groove 21. As already mentioned, the dispenser 14, 14a, 14b can be delivered, ready for use, in a single package or can be delivered in separate packages, the first package containing the two half-shells 5, 5a, 5b and 9 as well as the axis of rotation 4 and the second packaging containing the coil 2 provided with its winding of filament or ribbon 1. Certain resins being photopolymerizable, in order to avoid a prepolymerization of this re sine, the device 14, 14a, 14b, that is to say the two half-shells 5, 5a, 5b and 9, the end pieces 12, 12a and 13, 13a are preferably made of a material opaque to light. For the same reason, when the coil is delivered in a separate package, the packaging of this coil is preferably made of a material opaque to light.

Also, preferably, the coil 2, the two half-shells 5, 5a, 5b and 9 as well as the end pieces 12, 12a and 13, 13a will be made of a material which is not adherent to the resin.

Another distributor of composite material according to the invention is described in FIG. 5.

As can be seen in FIG. 5, this distributor 14 ′ comprises the distributor 14, 14a, 14b previously described, but in which the filament or ribbon denoted is made up only of woven, nonwoven, braided, nonwoven fibers. This means that ^'these fibers are not impregnated with resin. In order to obtain the composite material consisting of the ribbon or filament 1a of fibers impregnated with resin, the dispenser shown in FIG. 5 further comprises a separate container 15 containing a resin polymerizable by application of at least one stress, compatible with the fibers. of the filament or ribbon contained in the device 14 '. The container 15 is capable of delivering the resin, for example by pressure. In a preferred embodiment, the container 15 is, as shown in FIG. 5, a syringe whose piston 30 is actuated by a threaded screw.

The impregnation of the fibers of the ribbon or filament 1a, by the polymerizable resin contained in the container 15, is carried out in the body of a device 16 having the shape of a hollow Y, the device 16 also forming part of the dispenser. the invention.

To this end, the device 14 'is placed on a first branch of the Y of the device 16. The device 14' is preferably provided with the end piece 12 'for fitting into the first branch of the Y of the device. device 16, corresponding to the nozzle 12, 12a of the distributor 14a, 14b. Advantageously, the device 14 ′ will moreover be provided with an end piece 13 ′ forming a narrowing neck, having a very small diameter, extending the end piece 12 ′, which will bring the filament or ribbon l ′ into the body of the device 16. L 'end piece 13' has the function of guiding the filament and ribbon 1 'until practically the exit of the device 16 and also of preventing the return of the resin in the device 14'.

The filament or ribbon passes through the first branch of the Y by rotation of the coil around the axis of rotation XX 'as well as the body of the device 16. On the other branch of the Y forming the device 16, the container 15, containing the polymerizable resin, is placed. The resin contained in this container 15 is expelled from the container 15 and also passes into the body of the device 16 where it impregnates the fibers of the filament or ribbon 1a. On leaving the body of the device 16, the filament or ribbon 1a of fibers leaves impregnated with polymerizable and non-polymerized resin.

In the same way as above, this distributor can be supplied ready to use, in a single package, that is to say with the container 15, the distributor 14 'mounted ready for use in the device 16. It may be supplied in separate packages, the first package containing the device 16, the second package containing the container 15 and the third package containing the dispenser 14 '. It can be supplied in only two packages, the first package containing for example the device 16 and the container 15 and the second package containing the dispenser 14 '. The first packaging may also contain the device 16 and the dispenser 14 ', and the second packaging the container 15. Finally, the first packaging may contain the container 15 and the device 14', and the second packaging the device 16. Here again, when the resin contained in the container 15 is a photocurable resin, in order to avoid pre-polymerization of this resin, the container 15 and the device 16 will be made of a material opaque to light.

Advantageously, the container 15 and the device 16 will be made of a material which is not adherent to the resin.

With the dispensers according to the invention previously described, the dentist or the prosthetist will proceed to the manufacture of the prosthetic elements, in particular dental with the previously described process of the invention. The dispenser is used to handle the composite material leaving this dispenser. Thus, the handling of the composite material is easy because there is no manual contact with the resin.

In addition, thanks to the dispensers of the invention, the filament or ribbon 1 will have the desired shape and dimensions by passing through the opening formed by the openings 7, 10, of the dispenser 14, 14 'or thanks to the end piece 12, 12 'and end piece 13.

Of course, the invention is in no way limited to the embodiments described and illustrated which have been given only by way of examples.

Thus, although the distributors according to the invention have been described with openings 7, 10 rectangular or a nozzle 12, 12a, 12 ', 13, 13a, cylindrical, these may have any other shape such as for example, a rectangular, square shape and all the variants of these shapes, according to the shapes and dimensions desired for the composite material leaving the dispensers of the invention and according to the prosthetic element, in particular dental element to be obtained.

Likewise, although the invention has been described and illustrated in relation to the manufacture of dental prosthetic elements, the dispensers of the invention may be used for the manufacture of any other object, as will appear to that specialized in art.

This means that the invention includes all the technical equivalents of the means described as well as their combinations if these are carried out according to the spirit.

Claims

1. Distributor of filament or ribbon of woven or nonwoven fibers, impregnated with a polymerizable resin by application of at least one stress and not polymerized, characterized in that it comprises:

- a cylindrical coil (2) pierced in its center with an orifice (3) capable of receiving an axis of rotation (4),

a filament or a ribbon (1) of fibers impregnated with a resin which can be polymerized by application of at least one stress and which is not polymerized, wound at the periphery (34) of the coil (2), and

- a device (14, 14a, 14b) capable of receiving the coil (2) provided with its winding of filament or ribbon (1) comprising:

- a first external half-shell (5, 5 a, 5b) comprising, on its periphery (6), an opening (7) allowing the passage of the filament or ribbon (1) and pierced in its center with an orifice ( 8) capable of receiving an axis of rotation (4),

- A second internal half-shell (9) capable of engaging tightly in the external half-shell (5, 5a, 5b) comprising, on its periphery (6 '), an opening (10) allowing the passage of the filament or ribbon (1) when placed facing the opening (7), the half-shell (9) being further pierced in its center with an orifice (11) capable of receiving an axis of rotation (4),

- an axis of rotation (4) able to engage in the orifices (3, 8, 11) and forming an axis of rotation for the coil (2) provided with its winding of filament or ribbon (1) and comprising closing and / or opening and / or tightening means (4 ') for the half-shells (5, 5a, 5b) and (9), the spool (2) provided with the winding of the filament or ribbon (1) being intended to be placed, on the axis of rotation (4), between the two half-shells (5) and (9) fitted one into the other.

2. Dispenser according to claim 1, characterized in that it further comprises a hollow tip (12, 12a) for guiding the filament or ribbon (1), placed facing the opening (7) of the half outer shell (5, 5a, 5b) and linked to this outer half-shell (5, 5a, 5b).

3. Dispenser according to claim 2, characterized in that it further comprises a second hollow end piece (13, 13a) forming a narrowing neck for guiding. and / or placing the desired section of filament or ribbon (1).

4. Dispenser according to any one of the preceding claims, characterized in that it is in a single package and ready for use.

5. Distributor according to any one of the preceding claims, characterized in that it comprises in a first package the coil (2) provided with its winding of filament or ribbon (1) and in a second package, the device (14 , 14a, 14b) mounted and dismountable, the spool (2) provided with its winding of filament or ribbon (1) being to be placed, before use in the device (14, 14a, 14b).

6. Dispenser according to any one of the preceding claims, characterized in that the device (14, 14a, 14b) is made of a material opaque to light and not adherent to the resin and in that the coil (2) is a material not adhering to the resin.

7. Dispenser according to claim 5, characterized in that the reel (2), provided with its winding of filament or ribbon (1) is further packed in a package opaque to light.

8. Dispenser according to any one of the preceding claims, characterized in that the coil (2) comprises on its periphery (34), a recessed part (35) capable of receiving the filament or ribbon (1).

9. Dispenser according to any one of the preceding claims, characterized in that the fibers of the filament or ribbon (1) are selected from the group consisting of glass fibers, quartz fibers, silica fibers, fibers aramid, kevlar fibers, polyethylene fibers, carbon fibers and mixtures thereof.

10. Dispenser according to any one of the preceding claims, characterized in that the fibers are glass fibers based on zirconium oxide.

11. Dispenser according to any one of the preceding claims, characterized in that the glass constituting the fibers contains between 16.8% and 17.1% by weight of zirconium oxide relative to the total weight of the glass.

12 Dispenser according to any one of the preceding claims, characterized in that the polymerizable resin impregnating the fibers of the filament or ribbon (1) is a resin which can be polymerized by the application of heat and / or light.

13. Dispenser according to any one of the preceding claims, characterized in that the polymerizable resin is Bis-GMA resin or a di-urethane resin.

14. Dispenser according to any one of the preceding claims, characterized in that the filament or the ribbon (1) ultimately contains between 40% and 80% by volume of fibers relative to the total volume of the fibers and of the polymerizable resin.

15. A method of manufacturing prosthetic elements, in particular dental, characterized in that it comprises the steps of: a) winding a filament or a ribbon (1) of woven or nonwoven fibers impregnated with a resin polymerizable by application of at least one non-polymerized stress on the impression (17, 17 ', 21, 21') of the prosthetic element to be obtained, until the desired shape and thickness (19, 19 ') are obtained , 20), b) polymerization of the resin by application of the appropriate constraint (s), characterized in that it further comprises c) separation of the prosthetic element obtained in step b) and of the imprint (17, 17 ', 21, 21').

16. The method of claim 15, characterized in that the prosthetic element is a reinforcing cap (19, 19 ', 20) for bridge or dental crown.