Classifications

• • 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
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
  • A61C13/00—Dental prostheses; Making same
  • A61C13/0003—Making bridge-work, inlays, implants or the like
  • A61C13/0004—Computer-assisted sizing or machining of dental prostheses
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
  • A61C13/00—Dental prostheses; Making same
  • A61C13/0003—Making bridge-work, inlays, implants or the like
  • A61C13/0006—Production methods
  • A61C13/0018—Production methods using laser

Definitions

• the invention concerns a supporting structure for a dental prosthesis, whereby this supporting structure comprises means to be fixed to at least one implant and/or at least one tooth which is set into a person's jawbone.
• This supporting structure has a nominal surface with a surface texture which is at least partly formed of retention elements.
• Such retention elements make sure that synthetic material or porcelain can be connected to the supporting structure with a very large adhesive power. This is particularly important when fixing for example false teeth to the supporting structure.
• Many of the existing dental prostheses are formed of a metal or ceramic supporting structure and an upper structure.
• Such an upper structure is formed for example of synthetic teeth which are glued onto the supporting structure or of a layer of porcelain which is burnt onto the supporting structure.
• a good bond between both is required.
• the size of the contact surface is enlarged by increasing the surface roughness, for example by sandblasting the supporting structure or by treating it with plasma jets.
• a porous top coat is provided as well on the supporting structure. If the supporting structure is made by means of a lost wax technique, little granules will be provided for example on the wax model, as a result of which the final supporting structure will have granular retention elements.
• the invention aims to provide a supporting structure for a dental prosthesis and a method for manufacturing this prosthesis which makes sure that a stronger bond is obtained between the supporting structure and the upper structure than is the case with the known supporting structures according to the present state of the art.
• said retention elements comprise protrusions and/or recesses in relation to the nominal surface of the supporting structure each having an undercut.
• said retention elements extend in relation to said surface over a height according to the normal direction on the nominal surface which is smaller than one fifth, and preferably smaller than one tenth of the average diameter of the supporting structure
• the supporting structure is made by means of a selective laser sintering and melting method, in particular Selective Laser Powder Processing.
• the invention also concerns a method for manufacturing a supporting structure for a dental prosthesis, whereby this supporting structure is digitally generated, and thus a nominal surface for the supporting structure is determined having means for being fixed to at least one implant and/or at least one tooth which is set into a person's jawbone.
• This method is characterised in that a surface texture which is at least partly formed of retention elements is digitally provided on said nominal surface. Digital information is thereby generated which defines the supporting structure provided with the above-mentioned surface texture.
• the supporting structure is manufactured by means of a rapid prototyping technique.
• a surface texture is digitally provided on said nominal surface with retention elements formed of protrusions and/or recesses in relation to said nominal surface, whereby these retention elements each have an undercut.
• a selective laser sintering and melting method is applied as said rapid prototyping technique, in particular a Selective Laser Powder Processing.
• Figure 1 represents a few schematic left-hand side views of an implant-born dental prosthesis, whereby illustration (a) represents a lower jaw with said prosthesis, illustration (b) represents this lower jaw with implants and a supporting structure, and illustration (c) represents a vertical longitudinal section of the prosthesis.
• Figure 2 is a schematic representation in perspective of a supporting structure provided with a surface structure.
• Figure 3 is a schematic two-dimensional representation of a nominal surface and of this surface provided with a surface texture.
• Figure 4 is a schematic two-dimensional representation of a retention element forming a protrusion in relation to the nominal surface of the supporting structure with an undercut.
• Figure 5 is a schematic two-dimensional representation of another retention element forming a protrusion in relation to the nominal surface of the supporting structure with an undercut.
• Figure 6 is a schematic two-dimensional representation of a retention element forming a recess in the nominal surface of the supporting structure with an undercut.
• Figure 7 is a schematic two-dimensional representation of a retention element forming a protrusion in relation to the nominal surface of the supporting structure with an undercut.
• the invention generally concerns a method for digitally designing and producing a supporting structure for a dental prosthesis, whereby this supporting structure is provided with a surface texture in order to enlarge the contact surface with an upper structure to be fixed on the supporting structure.
• This surface texture preferably comprises retention elements each having an undercut.
• the surface texture is hereby digitally applied on a basic form for the supporting structure, whereby said supporting structure is subsequently manufactured by means of a rapid prototyping technique.
• This rapid prototyping technique preferably consists of a Selective Laser Powder Processing.
• the supporting structure which is either screwed down on implants which are present in a person's jaw or which is cemented to teeth which are still present in the jaw, is digitally designed by making use of CAD software. After the nominal surface of the supporting structure has been designed, a surface texture is applied on the nominal surface of the designed supporting structure by means of the same CAD software.
• This surface texture comprises among others retention elements each having an undercut.
• a Selective Laser Powder Processing is applied.
• the three-dimensional shape of the supporting structure is transformed in a series of two-dimensional layers which are successively put in a solid shape on top of one another.
• the three-dimensional shape of the digitally designed supporting structure with the surface texture is gradually generated.
• Said Selective Laser Powder Processing is known as such to the professional and is described for example in greater detail in document WO 2006/079188.
• nominal surface is meant the surface of the supporting structure in this description, which has been designed on the basis of the characteristics of the dental prosthesis to be produced, without this surface having any surface structure or surface texture. Consequently, this nominal surface comprises means making it possible to cement the supporting structure on existing teeth or to fix it onto dental implants fixed in the jaw.
• the nominal surface of the supporting structure can also be described as the apparent surface of said supporting structure which is visible according to a normal direction on the surface of said supporting structure.
• “Surface texture” or “texture” refers to the form deviations of a surface in relation to said nominal surface.
• a surface texture is characterised in that it shows variations in height and characteristic dimensions which are an order or more smaller than the variations in height and characteristic dimensions of said nominal surface.
• Figure Ia is a left-hand side view of a jaw 1 with a dental prosthesis 2 which is provided with false teeth 3. This prosthesis 1 is fixed to implants 4 extending through the gums 5 and which are anchored in the jaw 1.
• Figure Ib represents the supporting structure 6 onto which the teeth 3 are fixed and with which the prosthesis 1 is fixed to the implants 4.
• Figure Ic shows how the false teeth 3 have been formed by adhering a thin layer of synthetic material or porcelain onto the supporting structure.
• FIG. 2 An example of a supporting structure 6 made according to the method of the invention is represented in figure 2.
• This supporting structure 6 is provided with sockets 7 forming means for an almost perfect fit on the implants provided in the jaw. Further, said supporting structure has a surface texture 8 over part of its surface which makes sure that the contact surface with the false teeth to be fixed on the latter is considerably enlarged in relation to the nominal surface of the supporting structure.
• Figure 3a is a schematic two-dimensional representation of part of the nominal surface 9 of a supporting structure 6. To each point of this nominal surface corresponds a tangent line 10 with said surface 9 and a normal direction 1 1.
• a surface texture 8 is applied on a part of the nominal surface 9.
• This texture 8 is formed of pyramidal protrusions extending above the nominal surface 9.
• the surface texture 8 is formed of a regular or irregular repetition of a textured pattern of retention elements.
• a textured pattern thus comprises at least one retention element.
• Figures 4 to 7 represent different possible embodiments of retention elements 12 according to the invention.
• the retention element 12 from figure 4 is formed of a mushroom- shaped protrusion with a ring-shaped undercut 13, and thus it protrudes above the nominal surface 9.
• said ring-shaped cut-out 13 is not visible.
• Figure 5 represent a retention element 8 having the shape of a reverse truncate pyramid. This retention element protrudes in relation to the nominal surface 9 and also has an undercut 13 which is not visible according to the normal direction 1 1.
• a retention element 12 which is formed of a recess in the nominal surface 9 is schematically represented in figure 6.
• this retention element 12 is countersunk in the nominal surface 9 whereby it forms a cavity in the latter with an access opening 14 whose diameter is smaller than the largest diameter of the cavity according to a plane parallel to the access opening.
• this retention element 12 also has an undercut 13.
• Figure 7 shows a retention element 12 in the shape of a half ring having an undercut 13 which is formed of a semi cylinder.
• the invention generally concerns a supporting structure 6 with a nominal surface 9 having a surface texture 8 which is at least partly formed of retention elements 12 which consist of protrusions and recesses in relation to the nominal surface 9 of the supporting structure or of a combination of these protrusions and recesses.
• retention elements 12 In order to considerably improve the bond of an upper structure to the supporting structure 6, said retention elements 12 each have an undercut 13. This undercut may extend for example over the entire perimeter of the retention element 12 or over only part of the perimeter. In the retention element as represented in figure 7, the undercut 13 is situated inside the retention element 12.
• said retention elements 12 extend over a height in relation to said nominal surface 9 according to a normal direction on the nominal surface which is smaller than one fifth, and preferably smaller than one tenth of the average diameter of the supporting structure 6.
• the minimal surface of the cross section of a retention element 12 at said undercut 13 according to a plane which is perpendicular to a normal 1 1 on the nominal surface 9 comprising the centre of the retention element amounts to 50% to 90% of the maximal cross section of the retention element 12 according to a plane which is perpendicular to said normal 1 1.
• the invention is not restricted to the above-described embodiments of the supporting structure or the method according to the invention.
• the shape of the retention elements 12 may vary almost endlessly while still remaining within the scope of the invention.
• the material out of which the supporting structure is made can be any biocompatible material whatsoever which is sufficiently solid, such as for example metal, i.e. titanium, stainless steel, etc.
• the invention is applied to a supporting structure for a dental prosthesis, it is clear that the invention may regard any component or structure which is digitally designed and onto which a second element must be attached.

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• Health & Medical Sciences (AREA)
• Animal Behavior & Ethology (AREA)
• Public Health (AREA)
• Dentistry (AREA)
• Epidemiology (AREA)
• Life Sciences & Earth Sciences (AREA)
• Oral & Maxillofacial Surgery (AREA)
• General Health & Medical Sciences (AREA)
• Veterinary Medicine (AREA)
• Orthopedic Medicine & Surgery (AREA)
• Physics & Mathematics (AREA)
• Optics & Photonics (AREA)
• Engineering & Computer Science (AREA)
• Manufacturing & Machinery (AREA)
• Dental Prosthetics (AREA)

Priority Applications (1)

Applications Claiming Priority (2)

Publications (2)

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Family Applications (1)

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Cited By (5)

Citations (4)

Family Cites Families (2)

• 2009
  • 2009-06-02 BE BE2009/0336A patent/BE1018492A3/nl active
• 2010
  • 2010-06-02 WO PCT/BE2010/000041 patent/WO2010139031A2/en not_active Ceased
  • 2010-06-02 EP EP10782844.4A patent/EP2437679B1/en active Active

Patent Citations (4)

Non-Patent Citations (1)

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