WO2006130064A1

WO2006130064A1 - Implant arrangement

Info

Publication number: WO2006130064A1
Application number: PCT/SE2006/000493
Authority: WO
Inventors: Izidor Brajnovic
Original assignee: Nobel Biocare Services Ag
Priority date: 2005-06-03
Filing date: 2006-04-27
Publication date: 2006-12-07
Also published as: JP2008541926A; EP1890634A1; EP1890634A4; SE0501286L; US20090317763A1; JP4959689B2; SE528719C2; US7866981B2

Abstract

In an implant arrangement (1) extending in a hole formed between a tooth prosthesis and the zygoma (10), the longitudinal axis (7) of the implant extends at an angle (α) in relation to a longitudinal direction (21) for a fastening screw (33) by means of which the tooth prosthesis can be anchored to the implant. The tooth prosthesis has a receiving opening for the fastening screw, located on the inside of the tooth prosthesis. In its position when screwed into the zygoma, the implant is rotatable for orienting a receiving part for said fastening screw at said opening, and the fastening screw can be screwed into a corresponding thread in the receiving part. The fastening screw can be fastened via a surrounding sleeve which, via its first end, bears against the receiving part and, at its second end, supports a cap-shaped part with which the head of the fastening screw can be covered. The invention affords secure anchoring which counteracts, among other things, the accumulation of bacteria.

Description

Implant arrangement

The present invention relates to an implant arrangement which extends in a hole formed between a tooth fixture and the zygoma. The longitudinal axis of the implant extends at an angle in relation to a longitudinal direction for a fastening screw, by means of which the fixture can be anchored to the implant.

Similar implants are already known per se, and reference may be made inter alia to US 5 362 236 and to US 6 280 194.

In tooth prosthesis fixtures, there is a need to ensure an appropriate fixture which has points of connection situated at the best possible sites in the mouth. The fixture must not have any tendency to accumulate bacteria and contaminants and must additionally have positions that are advantageous for the patient. Known techniques must be able to be used for the fixture, and, at the same time, clear and simple components must be able to be used.

The invention sets out to solve these problems inter alia.

What can principally be seen as characterizing an arrangement according to the invention is that the tooth fixture consists of a tooth prosthesis whose receiving opening for the fastening screw is located on the inside of the tooth prosthesis. In its position when screwed into the zygoma, the implant is to be rotatable for orienting a receiving part for said fastening screw at said opening. The fastening screw is also to be able to be screwed into a corresponding thread in the receiving part. The fastening screw is also to be fastened via a surrounding sleeve which, at its first end, bears against the receiving part and, at its second end, supports a cap-shaped part with which the head of the fastening screw can be covered.

In further developments of the inventive concept, the sleeve is designed with an end surface by means of which the sleeve bears against a top surface of the receiving part across its full extent. At its end extending away from the receiving part, the sleeve carries a cap-shaped part, by means of which the screw arrangement can be sealed off. Further developments of the inventive concept are set forth in the attached dependent claims .

By means of the above, conventional implants known per se can be used, while at the same time the anchoring function can be made safe and reliable, and accumulation of contaminants and bacteria can be effectively avoided. The implant can be of the type that comprises one or more threads of the same or different diameters. The implant can be applied in threaded and/or unthreaded holes which can be^' formed in accordance with what is set out in an application submitted on the same day as the present patent application and filed by the same applicant.

A presently proposed embodiment of an arrangement having the features characteristic of the invention will be described below with reference to the attached drawings, in which:

Figure 1 shows an implant in vertical section,

Figure 2 shows, in partial vertical section, the implant according to Figure 1 when turned through 90° about the longitudinal axis,

Figure 3 shows, in a horizontal view, a tightening member arranged at the upper end of the implant and acted upon by a tightening tool in a manner known per se,

Figure 4 shows a side view of the implant according to Figures 1 and 2 provided with a connector arrangement by means of which a tooth prosthesis can be connected to the implant ,

Figure 5 shows a perspective view of a tooth prosthesis and also of a unit which indicates the main directions of the implants , and

Figure 6 shows side views of the implant with associated screwing arrangements for a tooth prosthesis.

In Figure 1, an implant is designated by 1. At its upper parts, the implant has an implant head 2 and a receiving part for an anchoring screw, which is indicated symbolically by 3. The receiving part has a plane top surface 4, which is circular in the illustrative embodiment. Extending centrally within said surface there is a threaded hole 5 with a longitudinal axis 6 which is angled in relation to the longitudinal axis 7 of the implant by an angle α. Said angle can assume values of between 30-60° and is preferably ca. 45°. At its parts under said receiving part 3, the implant has a thread 8 via which the implant can be screwed into a jaw bone which is indicated symbolically by 9 and which can be threaded in advance or can be tapped by means of the thread 8 shown. The lower parts of the implant are threadless and are anchored in the zygoma, which is designated symbolically by 10. The hole 11 formed in the zygoma can be a through-hole, and the implant can extend to a position 12 before the exit 13 of the hole. At its upper end, the implant is also provided with an actuating member 14 for a tool 15 which can be of a type known per se. The actuating member 14 can be a polygonal part, for example a quadrangular part, via which the tool 15 cooperates with the implant for turning the latter about the longitudinal axis 7 in directions of rotation 16.

Figure 3 shows the implant turned through 90° about the longitudinal axis in relation to Figure 1. Figure 2 shows, among other things, the configuration of said surface 3.

Figure 4 shows the section of the actuating member 14 in the transverse direction of the implant.

Figure 4 shows the implant according to Figures 1 and 2 and an anchoring arrangement for anchoring a tooth prosthesis to the implant. The anchoring arrangement comprises a sleeve 17 which, at one end 18, is provided with a cap-shaped part 19 and which, at its other end

20, bears with a plane end surface against said receiving surface 3 (see Figure 2 inter alia) . Located inside the sleeve, and covered by the cap-shaped part

19, there is a fastening screw which is described in more detail below and which can be screwed into the thread 5 (see Figure 1) . The longitudinal axis 21 of the arrangement and the longitudinal axis 7 of the implant are angled relative to one another by said angle α.

In Figure 5, reference number 22 designates a tooth prosthesis which is to be fastened to a number of implants, which number can be four. Receiving openings in the tooth prosthesis are designated by 23 and 24 in Figure 5. With the aid of a unit 5 are shown the applications for four implants according to Figure 4. The implants are shown from above by 26, 27, 28 and 29. As will be seen from Figure 5, the main directions of the implants 26-29 are different than the main directions of the openings 23 and 24. The connector arrangement for the tooth prosthesis thus comprises said sleeve 17 which, at one end, has a widened part 17a and, at its other end, has said end surface 17b which bears against the receiving surface 3 (see Figure 1) . The cap-shaped part 19 is shown in two views, one from above and one from underneath. The cap-shaped part has a knob 30 on its top face and has a flat part and, extending down from this, an edge 31. The sleeve-shaped part 17 has an inner shoulder surface (not shown) which carries a sealing member 32. The arrangement also includes a fastening screw 33 with a disk-shaped top part 34 and a pin-shaped part 35 which is provided with a thread 36 at the free end of the screw. By means of said thread 36, the screw can be screwed into the thread 5 in Figure 1, which thus constitutes a corresponding thread. The disk-shaped part reaches an end position at the' aforementioned inner shoulder surface of the sleeve 17 and the sealing member 32 lies between the disk-shaped part 34 and the inner shoulder in the sleeve 17. Once the seal and the screw have been introduced into the sleeve 17 and this, together with the screw, has been brought to lie against the implant in accordance with Figure 4, the cap-shaped part 19 can be applied to the widened part of the sleeve and an effective seal is obtained in this way at the point of connection. The end surface 17b bears against the receiving surface across its full extent.

The invention is not limited to the embodiment described above by way of example, and instead it can be modified within the scope of the attached patent claims and the inventive concept.

Claims

Patent claims

1. An implant arrangement (1) extending in a hole formed between a tooth fixture and the zygoma

(10), the longitudinal axis (7) of the implant extending at an angle (cc) in relation to a longitudinal direction (21) for a fastening screw (33) by means of which the fixture can be anchored ^' to the implant, characterized in that the tooth fixture consists of a tooth prosthesis whose receiving opening for the fastening screw is located on the inside of the tooth prosthesis, in that the implant, in its position when screwed into the zygoma, is rotatable for orienting a receiving part for said fastening screw at said opening, in that the fastening screw can be screwed into a corresponding thread in the receiving part, and in that the fastening screw can be fastened via a surrounding, sleeve which, via its first end bears against the receiving part and, at its second end, supports a cap-shaped part with which the head of the fastening screw can be covered.

2. The arrangement as claimed in patent claim 1, characterized in that the sleeve, at its second end, has a widened part on which the cap-shaped part can be fitted.

3. The arrangement as claimed in patent claim 1 or 2, characterized in that the cap-shaped part has a plane top surface and, extending down from the latter, an edge that can cooperate with an inner surface of the sleeve at the second end.

4. The arrangement as claimed in patent claim 2 or 3, characterized in that the sleeve, at the widened part, has an inner shoulder surface on which is arranged a sealing member, with which the downwardly extending edge of the cap-shaped part can cooperate for sealing.

5. The arrangement as claimed in any of patent claims 1 to 4, characterized in that the fastening screw has a disk-shaped head and, extending downward from the center thereof, a part which at its free end has a thread that can cooperate with the corresponding thread.

6. The arrangement as claimed in any of patent claims 1-5, characterized in that the implant, at its area above the receiving part, is provided with a member that can cooperate with a screwing tool.

7. The arrangement as claimed in patent claim 6, characterized in that the member consists of a polygonal part extending upward from the implant.

8. The arrangement as claimed in any of the preceding patent claims, characterized in that an angle between the longitudinal axes of the implant and of the fastening screw is chosen in the range of 20-30° and is preferably ca. 45°.

9. The arrangement as claimed in any of patent claims 1-8, characterized in that the cap-shaped part is provided with a manual actuating member, e.g. a knob.

10. The arrangement as claimed in any of the preceding patent claims, characterized in that the receiving part on the implant is located at the upper part of a first thread on the implant.

11. The arrangement as claimed in any of patent claims 1-10, characterized in that the sleeve has an end surface that can bear against a top surface of the receiving part across its full extent.