WO2011125309A1 - Implant dentaire - Google Patents

Implant dentaire Download PDF

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Publication number
WO2011125309A1
WO2011125309A1 PCT/JP2011/001883 JP2011001883W WO2011125309A1 WO 2011125309 A1 WO2011125309 A1 WO 2011125309A1 JP 2011001883 W JP2011001883 W JP 2011001883W WO 2011125309 A1 WO2011125309 A1 WO 2011125309A1
Authority
WO
WIPO (PCT)
Prior art keywords
abutment
fixture
base
width
implant
Prior art date
Application number
PCT/JP2011/001883
Other languages
English (en)
Japanese (ja)
Inventor
哲司 森本
Original Assignee
有限会社シエスタ
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 有限会社シエスタ filed Critical 有限会社シエスタ
Priority to JP2012509304A priority Critical patent/JPWO2011125309A1/ja
Publication of WO2011125309A1 publication Critical patent/WO2011125309A1/fr

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers

Definitions

  • the present invention relates to an improvement of an abutment that is fixed to a distal end portion of an implant fixture inserted into an alveolar bone and constitutes an artificial tooth root together with the fixture. More specifically, the present invention relates to an abutment that suppresses stress acting on the fixture from the prosthetic crown through the abutment during use.
  • the dental implant fixture that is embedded in the jawbone of the missing tooth and boned with the jawbone (or alveolar bone) is used in the oral cavity.
  • Dental implant treatment for fixing prostheses has become widespread.
  • An object of the present invention is to provide an implant in which the periphery of an alveolar bone to which an abutment is fixed is suppressed from being absorbed.
  • Another object of the present invention is to provide an implant that does not cause ischemia in the gingiva, suppresses absorption of the thickness of the mucous membrane, and prevents bacteria from entering between the periphery of the abutment and the mucosa.
  • the purpose is to do.
  • the dental implant of the present invention is characterized by the following.
  • Item 1 Implant fixture embedded in the patient's alveolar bone, A dental implant having an abutment secured to the distal end of the fixture, and a dental prosthetic crown secured to the top of the abutment, A hole for inserting and fixing the base of the abutment to the fixture is formed, and the width of the base of the abutment is 1/2 to 1/10 of the width of the upper part of the fixture Dental implant.
  • Item 2 The dental implant according to item 1, wherein the width of the base of the abutment is 1/3 to 1/10 of the width of the upper part of the fixture.
  • Item 3 The dental implant according to Item 1, wherein the width of the base of the abutment is 0.3 to 2.0 mm.
  • Item 4 The dental implant according to Item 1, wherein the width of the base of the abutment is 0.5 to 1.5 mm.
  • Item 5 The dental implant according to Item 1, wherein the abutment is made of an alloy of titanium and zirconium.
  • Item 6 The dental implant according to Item 1, wherein the abutment includes a base portion having a screw portion fixed to the distal end portion of the fixture and an upper portion having a head portion fitted to the base portion.
  • Item 7 The dental implant according to Item 1, wherein a region where the abutment is not in contact is formed on the distal end surface of the fixture.
  • Item 8 The dental implant according to Item 1, wherein threads are formed around the fixture, and the pitch of the thread at the base is larger than the pitch of the thread at the tip of the fixture.
  • Item 9 An abutment that is fixed to the tip of an implant fixture that is implanted in the alveolar bone of a patient, A hole for inserting and fixing the base of the abutment to the fixture is formed, and the width of the base of the abutment is 1/3 to 1/10 of the width of the upper part of the fixture Abutment.
  • Item 10 The abutment according to item 9, wherein the abutment is made of an alloy of titanium and zirconium.
  • Item 11 The abutment according to item 9, wherein the width of the base of the abutment is 0.3 to 2.0 mm.
  • Item 12 The abutment according to item 9, wherein the width of the base of the abutment is 0.5 to 1.5 mm.
  • Item 13 The abutment according to item 9, wherein the abutment includes a base portion having a screw portion fixed to a distal end portion of the fixture, and an upper portion having a head portion fitted to the base portion.
  • the dental implant of the present invention a hole for inserting and fixing the base portion of the abutment to the fixture is formed, and the width dimension of the base portion of the abutment is 1 of the width dimension of the upper portion of the fixture.
  • the force acting on the abutment from the prosthesis does not press the alveolar bone, jawbone and gingiva. That is, by forming the base of the abutment as thin as possible, the abutment does not compress the alveolar bone, the jawbone, and the gingiva, so that their blood flow is not inhibited. Therefore, there is little occurrence of absorption of alveolar bone, absorption of mucous membranes and the like.
  • the abutment can be processed finely and the strength can be increased. Further, by forming the base of the abutment thin, the contact area with the gingiva is reduced, so that it is difficult for bacteria to enter the space between the base of the abutment and the gingiva.
  • the region where the abutment is not in contact is formed on the distal end surface of the fixture, the distance between the plaque adhering to the implant and the interface is increased, and the risk of infection is reduced.
  • FIG. 1 is a schematic cross-sectional view showing an implant according to an embodiment of the present invention.
  • FIG. 6 is a schematic sectional view showing an implant according to another embodiment of the present invention.
  • (a) And (b) is the schematic of the fixture and abutment by the other Example of this invention.
  • FIG. 6 is a schematic sectional view showing an implant according to still another embodiment of the present invention. It is a schematic sectional drawing which shows the state which attached the cap to the fixture.
  • (a) And (b) is sectional drawing of the neck part of a cap, respectively.
  • It is a schematic sectional drawing which shows the implant by a prior art example.
  • an artificial dental root 10 is inserted into an alveolar bone 11 and fixed in an approximately cylindrical shape, and an implant fixture 12 is installed at the distal end portion of the implant fixture 12 to surround the gingiva. And abutment 14 with which 13 abuts.
  • the implant fixture 12 is inserted and fixed in an insertion hole 11a formed by drilling or the like in the alveolar bone 11 of the missing tooth portion.
  • the fixture 12 is made of a titanium metal having good biocompatibility and relatively high hardness.
  • the alveolar bone 11 is composed of an internal cancellous bone and an external cortical bone. In each figure, the boundary between the cancellous bone and the cortical bone is indicated by a one-dot broken line.
  • a round is formed around the upper end of the fixture 12.
  • a thread 12 a is formed around the fixture 12.
  • the pitch of the thread 12a is set so that the pitch of the thread 12a at the base is larger than the pitch of the thread 12a at the tip of the fixture 12. That is, the pitch of the thread 12a is formed so that the tip end portion of the fixture 12 is densely formed and gradually increases toward the base portion of the fixture 12.
  • a screw hole 12b for inserting the base portion 14a of the abutment 14 is formed at the distal end portion of the fixture 12.
  • the abutment 14 has a base portion 14a configured to be installed at the distal end portion of the implant fixture 12, and an upper portion 14b to which the dental prosthetic crown 18 is fitted.
  • the base portion 14a includes at least the vicinity of the upper end portion of the fixture 12 and a portion that contacts the gingiva.
  • the abutment 14 is formed in an elongated rod shape, and the width dimension of the base portion 14a of the abutment 14 is set to 1/2 to 1/10 of the width dimension of the upper portion of the fixture 12.
  • the width dimension of the base portion 14a of the abutment 14 is 1/3 to 1/10 of the width dimension of the upper portion of the fixture 12.
  • the width dimension of the base portion 14a of the abutment 14 is preferably 0.3 to 2.0 mm, and more preferably 0.5 to 1.5 mm.
  • the width dimension of the base portion 14a of the abutment 14 is too larger than the above range, the alveolar bone, jawbone, and gingiva around the abutment 14 may be compressed.
  • the abutment 14 is preferably made of an alloy of titanium and zirconium. By configuring the abutment 14 with such an alloy, the desired fineness and strength can be imparted.
  • the abutment 14 can also be formed of ceramic or zirconium. Furthermore, the abutment 14 may have a multi-layer structure, and a metal core having a high rigidity may be passed through the center, and a coating layer formed of the above-described titanium or titanium alloy may be provided therearound.
  • the abutment 14 includes a base portion 14a having a screw portion fixed to the distal end portion of the fixture 12, and an upper portion 14b having a head portion fitted to the base portion 14a. You may comprise. Further, as shown in FIG. 3B, a through hole 14c may be formed in the abutment 14, and the abutment 14 may be fixed to the fixture 12 by a screw portion 15 through which the through hole 14c passes.
  • the abutment 14 By configuring the abutment 14 in the shape as described above, when the abutment 14 is fixed to the distal end portion of the fixture 12, the region 17 where the abutment 14 is not in contact with the distal end surface of the fixture 12 is formed. It is formed.
  • the abutment 14 is usually formed in a circular cross section, but the cross section is not limited to a circular shape.
  • the fixture 12 and the abutment 14 can be manufactured using a CAD / CAM device, CT, or MR scan device.
  • a CAD / CAM apparatus it can be implemented using a conventionally known method. For example, using a special camera that captures the patient's oral cavity from various angles and directly inputs the intraoral data to the CAD / CAM system, and uses a system that represents the impression type on the computer display be able to. Alternatively, the shape can be measured with a plaster mold or the like, and the data can be input to a CAD / CAM system and created on a computer. For example, it can be carried out as follows.
  • the patient's jaw region is recorded by a 3D recording device, preferably a scanner.
  • the value measured by the scanning operation is converted into basic data by the EDP device.
  • the EDP device can also be integrated into a CAD device, a CAM device, or a CAD / CAM device. These basic data are used for all subsequent calculations and automatic processing operations. From the basic data, implant tilt, implant diameter, implant depth and position can be determined. Also, data defining the shape and position of the fixture 12 and the abutment 14 can be obtained from the implant data. Thereafter, the individual fixtures 12 and abutments 14 are manufactured with CAD / CAM equipment by metal cutting, such as grinding or milling.
  • the fixture 12 and the abutment 14 can be produced according to the shape of the patient's bone. That is, the optimal width and length of the fixture 12, the pitch of the thread 12a, and the like can be selected in accordance with the shape and state of the patient's jawbone. In general, it is preferable that the pitch of the base thread is larger than the pitch of the thread 12 a at the tip of the fixture 12.
  • the insertion hole 11a is formed in the alveolar bone 11 of the missing tooth portion of the patient by a drill or the like, and the fixture 12 is inserted into the insertion hole 11a.
  • the base portion 14 a of the abutment 14 is fixed to the distal end portion of the fixture 12.
  • a male screw formed in the base portion 14a of the abutment 14 may be screwed into the female screw hole 12b of the fixture 12.
  • the prosthetic crown 18 to be fitted to the upper part 14b of the abutment 14 is manufactured, and the prosthetic crown 18 is fitted to the upper part 14b of the abutment 14 with cement or the like.
  • the upper portion 14b of the abutment 14 is fixed on the base portion 14a of the abutment 14 with an adhesive (adhesive cement) or the like.
  • the prosthetic crown 18 may be fitted to the upper portion 14b of the abutment 14 with cement or the like.
  • the central axis of the dental prosthetic crown 18 is inclined with respect to the central axis of the fixture 12 inserted into the alveolar bone 11, the CAD / CAM device, CT or MR scan device was used.
  • An abutment 14 in which the central axis of the upper portion 14b is inclined at a predetermined angle with respect to the central axis of the fixture 12 is used. Thereafter, the dental prosthetic crown 18 is bonded and fixed to the upper portion 14 b of the abutment 14.
  • FIG. 4 shows another embodiment of the present invention.
  • the upper part of the screw hole 12 b formed inside the upper part of the fixture 12 has a conical shape, and the abutment 14 is provided with a bulging part 22 that fits into the conical part 21. 14 is provided with a screw portion 14c.
  • the bulging portion 22 of the abutment 14 is fitted into the conical portion 21.
  • the surface of the bulging portion 22 of the abutment 14 and the surface of the fixture 12 are substantially flush with each other.
  • the upper part 14b of the abutment can be fitted to the upper part of the abutment 14 with cement or the like, and the prosthetic crown 18 can be fitted to the upper part 14b with cement or the like.
  • a is the diameter of the upper end of the upper part
  • b is the diameter of the upper lower end
  • c is the height of the upper part
  • d is the degree of taper of the upper part
  • the diameter a is 0.3 to 7.0 mm
  • the diameter b is 0.5.
  • the height c is preferably 1.0 to 20.0 mm and the upper taper degree d is preferably 1 to 45 degrees.
  • 5 and 6 show a cap 40 for temporarily securing the abutment 14 to the fixture 12 as described above.
  • the cap 40 having substantially the same shape as the abutment is temporarily fixed to the fixture 12, and after a predetermined period, the thickness of the mucous membrane is measured by a memory formed around the neck portion 43 of the cap 40, and according to the memory.
  • An abutment 14 having a size is produced and fixed to the fixture 12.
  • the cap 40 has a base 41 inserted into the screw hole 12b of the fixture 12, a neck 43 having a memory around it, and a head 42 formed at the tip of the neck 43.
  • the cross-sectional shape of the neck portion 43 can be formed into a non-circular shape, that is, a quadrangular shape or an oval shape as shown in FIG.
  • the abutment 14 can be stably fixed to the fixture 12 by fitting with the conical shape portion 21 and the bulging portion 22 of the fixture 12.
  • the screw hole 12b is not contaminated with bacteria.
  • the diameter of the neck portion of the abutment 14 is very small, the stress acting on the abutment 14 is unlikely to act on the surrounding gingiva and alveolar bone.
  • the surface area of the abutment 14 is small, bacteria can be prevented from entering the inside from between the periphery of the abutment 14 and the gingiva.
  • a conventional abutment 14 can be used by using the fixture 12.
  • the bulging portion 22 formed in the abutment 14 is further extended to form an extending portion 23, a screw hole 24 is formed in the upper end portion of the extending portion 23, and the prosthetic crown 18 is attached to the abutment with a screw. This is fixed to the ment 14.
  • a through hole 25 is formed in the abutment 14, and the abutment 14 is fixed to the fixture 12 with a screw 26 passed through the through hole 25.
  • a female screw 27 is formed in the upper portion of the through hole 25, and the prosthetic crown 18 is fixed to the abutment 14 by the screw 28.
  • a trapezoidal portion 28 is provided integrally or separately at the upper end portion of the abutment 14.
  • the prosthetic crown 18 is attached to the trapezoidal portion 28 with cement or screws.
  • the prosthetic crown 18 is attached to the fixture 12 at an angle.
  • an inclined portion 29 is integrally projected from the bulging portion 22 of the abutment 14, and a screw hole 31 is formed from the inclined surface 30 of the inclined portion 29 toward the base portion 14a.
  • the abutment 14 is fixed to the fixture 12 by a screw 35 passed through the screw hole 31.
  • a screw hole 33 is formed in the upper part of the inclined portion 29 of the abutment 14, and the prosthetic crown 18 is fixed to the abutment 14 by screws.
  • FIG. 12 shows an attachment angle L12 of the abutment 14 with respect to the fixture 12.
  • L1 is the diameter of the fixture
  • L2 is the diameter of the abutment
  • L3 is a semicircular top surface of the fixture
  • L4 is the degree of taper of the fixture
  • L5 is inserted into the fixture of the abutment.
  • the degree of taper of the part is the range of the thread with the fine fixture
  • L7 is the range of the thread with the large fixture
  • L8 is the distance between the threads of the fixture
  • L9 is the depth of the thread of the fixture
  • L10 is the depth of the abutment
  • L11 indicates the length of the upper structure mounting portion and the degree of taper
  • L11 indicates the length of the portion inserted into the fixture of the abutment
  • L13 indicates the length of the taper fitting between the fixture and the abutment.
  • the fixture diameter L1 is 2.0-10.0 mm
  • the abutment diameter L2 is 0.2-5.0 mm
  • the radius of curvature of the semicircle L3 on the upper surface of the fixture is 4.0-20.0 mm
  • the taper degree L4 of the fixture is vertical.
  • the taper degree L5 of the portion inserted into the fixture of the abutment is 0 to 30 degrees with respect to the vertical line
  • the range L6 of the fine thread of the fixture is 0 to 5.0 mm
  • the fixture is large.
  • the thread range L7 is 0 to 20.0 mm
  • the distance L8 between the fixture threads is 0 to 2.0 mm
  • the fixture thread depth L9 is 0 to 2.0 mm
  • the length and taper of the abutment superstructure mounting part The degree L10 is 1.0 to 20.0 mm
  • the length L11 of the portion to be inserted into the fixture of the abutment is 0 to 10.0 mm
  • the placement of the taper fitting length L13 is preferably 1.0 ⁇ 6.0 mm.
  • the present invention is particularly suitable for an abutment made exclusively for individuals for simulation of dental implant placement.

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Prosthetics (AREA)

Abstract

La présente invention concerne un implant capable d'empêcher la force appliquée à une butée d'agir aisément sur une partie d'extrémité supérieure d'une fixation d'implant et en conséquence capable de supprimer une ischémie dans les gencives lorsqu'il est utilisé chez un patient. La présente invention concerne spécifiquement un implant dentaire (10) qui comprend une fixation d'implant (12) imbriquée dans un os alvéolaire d'un patient, une butée (14) fixée à une partie d'extrémité de la fixation (12), et une couronne prosthétique dentaire (18) fixée à une partie supérieure (14b) de la butée (14). La fixation (12) a un trou (12b) dans lequel une base (14a) de la butée (14) est ajustée et fixée, et la largeur de la base (14a) de la butée (14) mesure de la moitié à un dixième de celle de la partie supérieure de la fixation (12).
PCT/JP2011/001883 2010-04-07 2011-03-29 Implant dentaire WO2011125309A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2012509304A JPWO2011125309A1 (ja) 2010-04-07 2011-03-29 歯科用インプラント

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2010089071 2010-04-07
JP2010-089071 2010-04-07

Publications (1)

Publication Number Publication Date
WO2011125309A1 true WO2011125309A1 (fr) 2011-10-13

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PCT/JP2011/001883 WO2011125309A1 (fr) 2010-04-07 2011-03-29 Implant dentaire

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JP (1) JPWO2011125309A1 (fr)
WO (1) WO2011125309A1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014083912A1 (fr) * 2012-11-29 2014-06-05 株式会社ジーシー Procédé de fabrication d'un implant dentaire d'une seule pièce
WO2016112211A1 (fr) 2015-01-07 2016-07-14 Bicon, Llc Piliers intégrés d'implant dentaire
JP2017205405A (ja) * 2016-05-20 2017-11-24 京セラ株式会社 歯科インプラント用キャップおよび歯科インプラントシステム

Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3579831A (en) * 1969-03-05 1971-05-25 Irving J Stevens Bone implant
JP2000504593A (ja) * 1996-02-02 2000-04-18 インプラント・イノヴェーションズ・インコーポレーテッド 組み合わせた癒合アバットメント及び印象上型(impression coping)を有する応急プロファイル装置
JP2005518898A (ja) * 2002-03-07 2005-06-30 デビー、エルエルシー 骨内インプラント及びアバットメントのその類似体に対する相対位置を再現するための方法及び装置
JP2005270334A (ja) * 2004-03-24 2005-10-06 Shoichi Saito 歯科用インプラント
JP2008079782A (ja) * 2006-09-27 2008-04-10 Gc Corp 歯科インプラントフィクスチャー用のアバットメントコーピング
JP2008513094A (ja) * 2004-09-14 2008-05-01 オラティオ ビー.ブイ. 審美的インプラント・アバットメントを備えたセラミックの歯科用インプラントの製造及び装着方法
WO2008128757A2 (fr) * 2007-04-23 2008-10-30 Nobel Biocare Services Ag Implant dentaire
JP2008539809A (ja) * 2005-03-21 2008-11-20 フリアデント ゲーエムベーハー 歯科インプラント用のアバットメントセット
JP2009082170A (ja) * 2007-09-27 2009-04-23 Gc Corp 歯科インプラント用アバットメント
JP2010046153A (ja) * 2008-08-19 2010-03-04 Nanto Precision Co Ltd 歯科用インプラント
JP2010136943A (ja) * 2008-12-12 2010-06-24 Nihon Univ インプラント
JP2011072592A (ja) * 2009-09-30 2011-04-14 Gc Corp 歯科用インプラント

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3579831A (en) * 1969-03-05 1971-05-25 Irving J Stevens Bone implant
JP2000504593A (ja) * 1996-02-02 2000-04-18 インプラント・イノヴェーションズ・インコーポレーテッド 組み合わせた癒合アバットメント及び印象上型(impression coping)を有する応急プロファイル装置
JP2005518898A (ja) * 2002-03-07 2005-06-30 デビー、エルエルシー 骨内インプラント及びアバットメントのその類似体に対する相対位置を再現するための方法及び装置
JP2005270334A (ja) * 2004-03-24 2005-10-06 Shoichi Saito 歯科用インプラント
JP2008513094A (ja) * 2004-09-14 2008-05-01 オラティオ ビー.ブイ. 審美的インプラント・アバットメントを備えたセラミックの歯科用インプラントの製造及び装着方法
JP2008539809A (ja) * 2005-03-21 2008-11-20 フリアデント ゲーエムベーハー 歯科インプラント用のアバットメントセット
JP2008079782A (ja) * 2006-09-27 2008-04-10 Gc Corp 歯科インプラントフィクスチャー用のアバットメントコーピング
WO2008128757A2 (fr) * 2007-04-23 2008-10-30 Nobel Biocare Services Ag Implant dentaire
JP2009082170A (ja) * 2007-09-27 2009-04-23 Gc Corp 歯科インプラント用アバットメント
JP2010046153A (ja) * 2008-08-19 2010-03-04 Nanto Precision Co Ltd 歯科用インプラント
JP2010136943A (ja) * 2008-12-12 2010-06-24 Nihon Univ インプラント
JP2011072592A (ja) * 2009-09-30 2011-04-14 Gc Corp 歯科用インプラント

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014083912A1 (fr) * 2012-11-29 2014-06-05 株式会社ジーシー Procédé de fabrication d'un implant dentaire d'une seule pièce
WO2016112211A1 (fr) 2015-01-07 2016-07-14 Bicon, Llc Piliers intégrés d'implant dentaire
EP3242626B1 (fr) * 2015-01-07 2020-08-05 Bicon, LLC Piliers intégrés d'implant dentaire
EP3777754B1 (fr) * 2015-01-07 2023-06-07 Bicon, LLC Piliers intégrés d'implant dentaire
JP2017205405A (ja) * 2016-05-20 2017-11-24 京セラ株式会社 歯科インプラント用キャップおよび歯科インプラントシステム

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