WO2017013302A1 - Systeme et procédé d'implantoplastie guidée - Google Patents

Systeme et procédé d'implantoplastie guidée Download PDF

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Publication number
WO2017013302A1
WO2017013302A1 PCT/ES2016/070559 ES2016070559W WO2017013302A1 WO 2017013302 A1 WO2017013302 A1 WO 2017013302A1 ES 2016070559 W ES2016070559 W ES 2016070559W WO 2017013302 A1 WO2017013302 A1 WO 2017013302A1
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WO
WIPO (PCT)
Prior art keywords
milling
implantoplasty
guided
implant
housing
Prior art date
Application number
PCT/ES2016/070559
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English (en)
Spanish (es)
Inventor
Pablo AVILES OSBORNE
Antonio TALON GRACIANI
Original Assignee
Aviles Osborne Pablo
Talon Graciani Antonio
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 Aviles Osborne Pablo, Talon Graciani Antonio filed Critical Aviles Osborne Pablo
Publication of WO2017013302A1 publication Critical patent/WO2017013302A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08—Machine parts specially adapted for dentistry
    • A61C1/082—Positioning or guiding, e.g. of drills
    • A61C1/084—Positioning or guiding, e.g. of drills of implanting tools
    • 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
    • A61C13/225—Fastening prostheses in the mouth
    • 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
    • A61C8/0089—Implanting tools or instruments

Definitions

  • the purpose of this application is to register a system and a guided implantoplasty procedure that incorporates notable innovations. More specifically, the invention proposes the development of a guided implantoplasty system and the procedure followed that allows the implantoplasty to be carried out precisely, homogeneously, quickly and safely, by means of milling and possible polishing directed and limited by a guide fixed to the proper implant.
  • Periimplantitis is a localized infection of the tissues surrounding an osteointegrated dental implant due to a biological complication, caused by the adhesion of bacteria on the rough surface of the implant and its consequent colonization. It is characterized by its rapid progression and by causing a continuous loss of supporting bone.
  • implantoplasty which consists in the removal of the rough surface of the implant and the spiral turns of the thread, where appropriate, thus eliminating the areas of adhesion and colonization of the bacteria.
  • the tools used for the removal of roughness and turns are rotary drills with a rod of high hardness materials, driven by a micromotor that supports the specialist.
  • This type of milling tool involves the following problems during implantoplasty:
  • - Milling is carried out by supporting and driving the tool by hand, which requires a high concentration of the specialist, significant risks of improper cuts and high milling execution times.
  • - Milling is not possible in the area closest to the bone of support, because the space is very small to allow access to the strawberry stem since the specialist has to hold it at a certain angle to the longitudinal axis of the implant.
  • the present invention has been developed in order to provide a guided implantoplasty system and procedure that resolves the aforementioned drawbacks, also providing additional advantages that will be apparent from the description that follows.
  • the word "cut” is to be understood as any action that allows to reduce, rough or eliminate a part of an implant.
  • the implant as well as its components, is not part of the object of the present invention.
  • a first object of the present invention is a guided implantoplasty system, which comprises an elongated milling body capable of rotating axially on its longitudinal axis, the milling body being provided with at least one roughing portion; an elongated guiding body capable of being positioned longitudinally in and partially protruding from the inside of a prosthetic fixing hole of an implant, the guiding body comprising fixing means linkable to the prosthetic fixing hole, in which the milling body and the guiding body are configured, at least partially, in a complementary manner to each other such that a tongue and groove relationship is defined between them in a condition of use.
  • implantoplasty is achieved with a milling directed and limited by the guiding body; Longitudinal and / or transverse movements of the milling body with respect to the implant are limited, depending on the particular needs.
  • the inconveniences of the prior art are avoided, such as the risk of improper cuts and high milling execution times, milling in the area closest to the bearing bone is possible because there is no risk of damaging it, and a surface is achieved homogenous and smooth implant end.
  • the system of the invention performs the milling directed by the guide, which eliminates the risks described, even without the need for direct vision by the specialist.
  • the runtime of implantoplasty is reduced. Thanks to the elimination of the risks during the cut, and to that the work is carried out directed by a guide, the times used in the application of the implantoplasty are reduced considerably.
  • the system of the invention allows implantoplasty to be performed without the need for a flap, thereby reducing the frequent postoperative problems.
  • implantoplasty of reproducible and predictable results is achieved.
  • the milling body can have at least partially a cylindrical configuration and the guiding body a rod configuration, the milling body comprising a first axial housing capable of receiving the guiding body.
  • the guiding body fixing means may comprise a first threaded portion complementary to a thread of the prosthetic fixing hole.
  • the fastening means of the guiding body may comprise a fastener provided with at least one rib capable of fitting into the thread of the prosthetic fastening hole, the fastener being manufactured in a elastic properties material.
  • the roughing portion of the milling body may be arranged on: a lateral surface of the first housing, on an advancing surface of the milling body and on a surface of the outer contour of the milling body, or the combination thereof.
  • the first housing may have at least two regions of different diameters from each other. In this way, one region may be responsible for limiting the lateral or frontal advance of the milling body with respect to the implant thanks to the guiding body, while the other region may have the roughing portion that allows the implant to be lowered.
  • the milling body may comprise a feed and an exhaust port, capable of supplying and evacuating coolant to and from the first housing; in which the feeding and exhaust holes communicate the first housing with the outside. Thanks to these characteristics, the temperature reached by the friction between the roughing portion and the implant can be controlled, as well as evacuate the possible shavings that are released by the roughing of the implant.
  • the milling body may additionally comprise a pin capable of traversing openings in the milling body, which communicate the first housing with the outside, in the that the openings are arranged perpendicularly and diametrically opposite each other.
  • the guiding body may comprise a longitudinally movable stop member relative to the rest of the guiding body.
  • the stopper element is a blind nut-like plug, screwed into a second threaded portion opposite the first portion, an annular protuberance having been provided between the first and second threaded portion and a locknut between the stopper element and the annular protuberance.
  • the guided implantoplasty system may additionally comprise an elongated polishing body capable of rotating on its longitudinal axis, the polishing body comprising a stem and a sleeve longitudinally linked to one end of the stem, the stem presenting a second axial housing communicated with a free passage of the sleeve, in which the sleeve, the second housing and the guiding body are configured, at least partially, in a complementary manner to each other such that a tongue and groove relationship is defined between the guiding element and a recess defined by the second housing and the free passage of the sleeve in a condition of use, the sleeve being manufactured with material suitable for polish metals Thanks to these characteristics, the surface previously milled by the milling body can be polished in a directed and limited manner, and a completely smooth implant surface is achieved that prevents the adhesion and colonization of bacteria, with the consequent reduction in the risk of recidivism of the periimplantitis
  • said milling body comprises an annular recess provided in the first housing, the annular recess being configured in such a way that it is capable of receiving in a complementary way to an implant neck, in a condition of use.
  • said milling body comprises at least one pair of elongated limbs arranged along the direction of the longitudinal axis of the milling body, in which a first end of the limb is pivotally connected to a leading surface and a second end comprises a roughing portion as a shoe .
  • Another object of the invention is a guided implantoplasty procedure, for application on an implant, with a guided implantoplasty system as described above, comprising the steps of:
  • implantoplasty can be performed with a milling directed and limited by the guiding body, reducing and optimizing the implantoplasty.
  • the milling of step d) can be carried out in the same direction as the longitudinal axis of the implant with the roughing portion disposed on an advance surface of the milling body.
  • milling of step d) can be carried out following a transverse direction with respect to the longitudinal axis of the implant with the roughing portion arranged on a lateral surface of the first housing of the milling body. Both milling in the transverse and longitudinal direction can be done in one or more milling phases.
  • the guided implantoplasty procedure after stage d), may further comprise the steps of:
  • the position of the stop element and the locknut can be displaced longitudinally with respect to the rest of the guiding body.
  • Figure 1 It is a schematic view of an example of the type of implant to which the present invention is linked;
  • Figures 2a-2b.- They are schematic views of two embodiments of a guiding body with different fixed lengths according to the present invention.
  • FIGS. 2c-2e are schematic views of a third embodiment of the guiding body of variable length
  • Figure 2f.- It is a schematic view of a fourth embodiment of the guiding body with a means of fixing by fitting;
  • Figure 3a It is a schematic view of a first embodiment of a milling body with two different diameters of the first housing according to the invention
  • Figure 3b It is a schematic perspective view of the milling body of Figure 3a with a partial section along line A-B of Figure 3a;
  • Figure 3c- It is a schematic perspective view of the milling body of Figure 3a without partial section;
  • Figure 3d. It is a schematic view in longitudinal section of a second embodiment of a milling body with a single diameter of the first housing .;
  • Figure 3e.- It is a schematic view of a third embodiment of a milling body with a roughing portion located on a surface of the outer contour of the milling body;
  • Figure 3f.- It is a schematic view of a fourth embodiment of a milling body with a pin
  • Figure 3g.- It is a schematic view of a fifth embodiment of a milling body with an axial irrigation channel
  • Figure 3h It is a schematic view of a sixth embodiment of a milling body with an annular recess
  • FIG. 3i.- A seventh embodiment of a milling body with legs linked thereto is a schematic view
  • Figure 4.- It is a schematic view in longitudinal section of an embodiment of a polishing body according to the invention.
  • Figures 5a-5i.- These are schematic views of the different stages of an implantoplasty procedure with the system of the present invention, for a two-phase transverse (lateral) milling;
  • Figures 6a-6i.- They are schematic views of the different stages of an implantoplasty procedure with the system of the present invention, for a two-phase frontal cut, using a guiding body of variable length;
  • Y
  • Figures 7a-7f.- They are schematic views in longitudinal section of the different stages of an implantoplasty procedure with the system of the present invention for a frontal cut in a single phase with a milling body provided with a first single diameter housing .
  • Figure 1 shows an implant 1 in elevation and plan showing, among others, a fixing hole of the prosthesis 1 1 (the implant prosthesis has not been represented for reasons of clarity), an external thread 12 for fixing in a patient bone and an implant neck 13.
  • the implant 1 is not part of the present invention and may also be another model not represented and present in the market.
  • the present implant model 1 is an example to explain the invention.
  • the present guided implantoplasty system comprises an elongated milling body 2 capable of rotating axially on its longitudinal axis E2.
  • This rotation would be driven by a commercially available drive unit (not shown) such as a micromotor; the milling body 2 would be linked to the drive unit through a connection end 28, configured with reliefs or recesses to engage as a head to a contra-angle with the drive unit, which would be operated by the user.
  • a commercially available drive unit such as a micromotor
  • the milling body 2 would be linked to the drive unit through a connection end 28, configured with reliefs or recesses to engage as a head to a contra-angle with the drive unit, which would be operated by the user.
  • the milling body 2 has in this embodiment a fundamental and generally cylindrical configuration, although it will be obvious to the person skilled in the art that instead of a circular section any other one may be present, which allows for a better grip, and in that case not Present a cylindrical configuration. And even different circular sections of different diameters may be present.
  • the milling body is also provided with at least one roughing portion 22, 23, 24, 216. The arrangement and characteristics of the roughing portion will be explained later.
  • the present system also comprises an elongated guide body 3, which is capable of being positioned longitudinally in and partially protruding from the inside of the prosthetic fixation hole 1 1 of an implant 1, as illustrated in Figures 5a-5c, 6a-6b , 7a-7b, for this purpose the guide body 3 comprises fixing means that can be connected to the prosthetic fixing hole 1 1.
  • the fixing means comprise a first threaded portion 31 complementary to the prosthetic fixing hole 1 1.
  • the dimensions of this first threaded portion 31, as well as the geometric configuration thereof, may be particularly adapted to each prosthetic fixation hole 1 1 of the market. This will ensure a firm and secure connection for guided implantoplasty.
  • the fixing means comprise a fastening element 33 provided with at least one rib 331 capable of fitting into the thread of the prosthetic fixing hole 1 1.
  • the clamping element 33 is preferably made of a material with elastic properties such as rubber or similar and with a substantially cylindrical configuration, although it may change. This configuration of material and shape allows a fixation by means of pressure adjustment, which gives the guiding body 3 greater adaptability to the different implant models 1.
  • the milling body 2 comprises a first axial housing 21 capable of receiving the elongated guide body 3 and preferably with a shank configuration.
  • a tongue and groove type connection can be achieved, in a condition of use, between the guiding body 3 and the milling body 2 (see for example Figures 5a-5c, 6a-6b, 7a-7b).
  • the first housing 21 may have at least two regions 21 1, 212 of different diameters from each other. For example, in the region 21 1 with a lower diameter located further away from the mouth of the first housing 21, the guiding body 3 is received. In the region 212 of a diameter greater than the previous one, a roughing portion 22 can be placed as will be seen. later.
  • the milling body 2 is provided with at least one roughing portion 22, 23, 24, 216.
  • the roughing portion 22, 23, 24, 216 may be arranged on a surface side of the bore 21, on a feed surface 29 of the milling body 2, on a surface of the outer contour of the milling body 2, on a pair of ends 215 or the combination thereof, depending on the particular needs of the area a try.
  • the roughing portion 24 is located on a surface of the outer contour of the milling body 2, it can even be used to lower a fixing bone.
  • the roughing portion 22, 23, 24, 216 may adopt a configuration, for example, by way of saw teeth, protuberances, roughness, edges, coatings, etc. which preferably can be made of high hardness materials such as tungsten carbide or diamond. These materials are chosen to work on implant 1.
  • the first housing 21 present the two regions 21 1, 212 of different diameters with each other, with the region 212 closest to the mouth of the first housing 21, of a diameter greater than that of the implant.
  • the present invention includes a pair of embodiments of the milling body 2 that prevent the cutting of said implant neck 13
  • the first of these embodiments is shown in Figure 3h, where it is appreciated that the milling body 2 comprises an annular recess 214 provided in the first housing 21, the annular recess 214 is configured such that it is capable of receiving complementary to an implant neck 13 in a condition of use.
  • the milling body 2 preferably comprises a pair of elongated ends 215 arranged along the direction of the longitudinal axis E2 of the milling body.
  • extremities 215 comprise a first end 215A which is pivotally connected with respect to the leading surface 29 and a second end 215B distal to the first end 215A, which in turn comprises the roughing portion 216 as a shoe.
  • the roughing portion 216 can be roughed in the direction of longitudinal advance of the milling body 2 and / or lateral thanks to the fact that it has a region of advance roughing 216A and a region of lateral roughing 216B.
  • the first end 215A may be provided with suitable joints (not shown), and the extremities 215 may be driven either manually with some type of tool suitable for this purpose or with some mechanism impeller (not shown).
  • the ends 215 are in solidarity with the rest of the milling body 2, and describe the tilting movement described above thanks to the configuration of the tip 215 itself, which can behave like a clamp thanks for example to the use of materials with memory of position. In this way, once the extremities 215 were tilted (diverging from one another) so as not to de-rough the implant neck 13, they would return themselves to their resting position (convergent with each other).
  • the milling body 2 preferably comprises a feed and exhaust port 26, capable of supplying and evacuating coolant to and from the first housing 21.
  • the feed holes and Exhaust 26 communicates the first housing 21 with the outside of the milling body 2, and in said feed and exhaust orifice 26, the cooling liquid will be irrigated, which in addition to cooling will allow cleaning of the working area of possible chips between the roughing portion 22, and the implant 1.
  • the milling body 2 comprises an axial irrigation channel 27 for supplying the coolant to the work area.
  • the present guided implantoplasty system may additionally comprise a pin 251 capable of traversing openings 25 in the milling body 2, which connect the first housing 21 with the outside, in which the openings 25 are arranged perpendicularly and diametrically opposite each other, as illustrated in figures 3a-3c and 3f.
  • the purpose of the pin 251 is to serve as a stop for the passage of the guiding body 3.
  • the guiding body 3 may comprise a longitudinally movable stop member 34 with respect to the rest of the guiding body 3.
  • the stop member 34 in this case is a plug as a blind nut, screwed into a second threaded portion 32 opposite to the first portion 31, an annular protuberance 35 having been provided between the first and second threaded portion 31, 32 and a locknut 36 between the stopper element 34 and the annular boss 35.
  • This locknut allows the stopper member 34 to be fixed in position to limit the relative advance of the milling body 2 with respect to the implant 1, with infinite possible travel distances, and thus the area to be treated of the implant 1.
  • the materials used in the different components of the present invention not mentioned so far, they may be whatever is suitable in the field of dentistry.
  • the guided implantoplasty system additionally comprises an elongated polishing body 4 capable of rotating on its longitudinal axis E4, similar to that described for the milling body 2.
  • an elongated polishing body 4 capable of rotating on its longitudinal axis E4, similar to that described for the milling body 2.
  • the polishing body 4 illustrated, among others in Figure 4 it comprises a stem 42 and a sleeve 43 longitudinally linked to one end of the stem 42, the stem 42 has a second axial housing 41 communicated with a free passage of the sleeve 43. It can be seen in Figure 4 that the second housing 41 and the free passage of the sleeve 43 are arranged form as if a continuation of the second housing 41 was defined.
  • the sleeve 43, the second housing 41 and the guiding body 3 are configured, at least partially, in a complementary manner to each other such that a tongue and groove relationship is defined between the guiding element and a recess defined by the second housing 41 and the free passage of sleeve 43 in a condition of use.
  • This condition of use can be seen by way of example in Figures 5g-5h.
  • the sleeve 43 is made of a material suitable for polishing metals, for example rubber or the like; However, it will be obvious to the person skilled in the art that depending on the material used, stem 42 and sleeve 43 may be integral with each other.
  • a guided implantoplasty procedure comprising the steps of: a) measuring the portion of the implant 1 to be treated.
  • the implant model 1 to be treated is determined and the length and thickness thereof required for milling is measured, in order to remove the rough surface colonized by the bacteria.
  • the technician decides the type of milling that will be performed to the implant 1, either using the frontal cut with the roughing region 23 on the feed surface of the body of milling 2, using the lateral cut with the roughing region 22 on the lateral surface of the bore 21, or using the roughing portion 216 with its corresponding forward roughing regions 216A or lateral 216B of the ends 215 for a lateral or frontal cutting respectively.
  • a combination of both will be necessary and even repeat the same type of cut with diameters of the first housing 21 different.
  • a diameter of the milling body 2 and a diameter and length of the guiding body 3 of cylindrical configuration are selected; b) positioning of a guide body 3 over the prosthetic fixation hole 1 1.
  • a guide body 3 with the appropriate fixing means will be adopted; c) complementary linking of the milling body 2 and the guiding body 3 to each other. Once the milling body 2 is attached to the contra-angle of the motor or micromotor unit (not shown), the milling body 2 is coupled to the guiding body 3; and d) milling by the milling body 2 on the implant portion 1 to be treated.
  • This milling stage will be detailed later with the description of three practical examples.
  • This milling can be carried out essentially in two variants: a first one following the same direction as the longitudinal axis E1 of the implant 1 with the roughing portion 23 disposed on a feed surface 29 or the feed roughing region 216A of the portion of roughing 216 of the milling body 2, and a second one following a transverse direction with respect to the longitudinal axis E1 of the implant 1 with the roughing portion 22 arranged on a lateral surface of the first housing 21 or the lateral roughing region 216B of the portion of roughing 216 of the milling body 2.
  • these variants for milling they can be carried out in one or more milling phases in a transverse and / or longitudinal direction with respect to the longitudinal axis E1 of the implant, in which one is used or more milling bodies 2, where in case of use of more than one milling body 2. its regions 212 have different diameters.
  • Step d) related to milling will be explained below with three examples to improve the understanding of the present invention. However, it will be evident to a person skilled in the art that the order and number of stages can be modified, as well as the dimensions and characteristics of the tools used.
  • milling is carried out in a lateral or perpendicular direction to the longitudinal axis E1 of the implant and in two phases.
  • the technician links a milling body with a roughing portion 22 located on the lateral surface of the first housing 21 ( Figure 5A).
  • the guiding body 3 in the form of a rod makes internal contact with the first housing 21 in the direction of the longitudinal axis E1, thus limiting the dimension parallel to the longitudinal axis E1 that the implant 1 has to be treated.
  • the milling body 2 is rotatably activated, and it is moved laterally and describing circles around the longitudinal axis E1 to perform a first roughing ( Figures 5b-5c).
  • the roughing portion 22 acts on the external thread 12 and the longitudinal axes E1 and E2 respectively of the implant 1 and the milling body 2 are spaced perpendicularly from each other; These lateral movements are possible thanks to the clearance defined above. It should be mentioned that once the guide body 3 is positioned on the fixation hole of the prosthesis 1 1, its longitudinal axes E1 and E3 can be considered to be coincident with each other.
  • the implant 1 has an implant surface after a first milling 1 A as illustrated in Figure 5d.
  • the external thread 12 and implant neck 13 have been lowered.
  • the technician exchanges the milling body 2 for another that has an inner diameter of the first housing 21 narrower than in the previous phase.
  • the lateral and circular movements described above are repeated ( Figure 5e) and an implant 1 with an implant surface is obtained after an additional milling 1 B.
  • a guiding body 3 on the implant 1 and already coupling a polishing body 4 (figure 5g).
  • the longitudinal axis E4 is coincident with the longitudinal axis E1.
  • the rotary activation of the polishing body 4 (figure 5h) is carried out until an implant 1 is achieved with an implant surface after polishing 1 C (figure 5i) according to the needs posed by the specialist to eliminate the rough surfaces that are prone to host harmful bacteria to the user.
  • Second milling example (figures 6a-6i)
  • milling is carried out in a frontal direction in line with the longitudinal axis E1 and in two phases, using a guiding body 3 of variable length.
  • the technician selects a milling body 2 with a roughing portion 23 located on the leading surface 29.
  • a guiding body 3 of which has an abutment element 34 adjustable in longitudinal direction with respect to the rest of the body is used. of guidance 3.
  • a guide body 3 of fixed length may be used.
  • the technician can choose to perform the milling in two phases, depending on the volume to be milled from the implant 1.
  • the guide body 3 is placed and the stop member 34 configured as a blind nut is displaced longitudinally.
  • the stopper element 34 is fixed in position with the lock nut 36.
  • the milling body 2 and the body of guided 3 so that the roughing portion 23 contacts the implant neck 13 ( Figure 6a).
  • the coupling of the stop member 34 and the first housing 21 does not allow lateral (perpendicular) movement of the milling body 2 with respect to the implant 1.
  • polishing body 4 (figures 6g and 6h) is also rotatably coupled and operated until an implant 1 is achieved with an implant surface after polishing 1 C which is presented in figure 6i.
  • Third milling example (figures 7a-7f)
  • FIG. 7a shows an illustration showing a link similar to that of Figure 6a, except that the guide body 3 has a configuration as illustrated in Figures 2a and 2b, that is to say with a fixed length.
  • the milling shown in Figure 7b has stopped when the rod-shaped guide body 3 internally contacts the inner end of the first housing 21. Again, since it is a milling in the frontal (longitudinal) direction, clearances in the transverse direction between the guiding body 3 and the milling body 2 are avoided.
  • the implant 1 is illustrated with an implant surface behind a first milling 1 A.
  • Figures 7d-7f illustrate procedures analogous to the previous examples except that a fixed-length guide body 3 is used.
  • the milling cutters that are currently used for implantoplasty require a high concentration of the technician during the cut to be done by hand, assuming significant risks due to excessive milling of the implant or even of cuts in unwanted areas. These risks are considerably increased in areas of difficult visibility.
  • the system of the invention performs the milling directed by the guiding body 3, which eliminates the described risks, even without the need for direct vision.
  • - Reduction in the execution time of implantoplasty Thanks to the elimination of the risks during the cut, to the use of tools that perform the cutting and polishing on a large surface simultaneously since the work is carried out directed by a guiding body 3, the times used in the application of the Implantoplasty are greatly reduced.
  • the front cut of the milling body 2 allows access without difficulty to the most angular areas of connection between the implant 1 and the support bone.
  • the system of the invention allows implantoplasty to be performed without the need for a flap, thus reducing the frequent postoperative problems.

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial 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)
  • Orthopedic Medicine & Surgery (AREA)
  • Prostheses (AREA)

Abstract

L'invention concerne un système d'implantoplastie guidée qui comprend un corps de fraisage pouvant tourner axialement sur son axe longitudinal, le corps de fraisage comprenant au moins une partie de dégrossissage ; un corps de guidage allongé pouvant être positionné dans le sens longitudinal dans un orifice de fixation prothétique d'un implant et pouvant dépasser partiellement de l'intérieur de celui-ci, le corps de guidage comprenant des moyens de fixation pouvant être reliés à l'orifice de fixation prothétique ; le corps de fraisage et le corps de guidage étant conçus de façon complémentaire l'un par rapport à l'autre de façon que soit définie une relation mâle-femelle entre ceux-ci en condition d'utilisation. Dans un autre aspect, l'invention concerne un procédé d'implantoplastie guidée.
PCT/ES2016/070559 2015-07-23 2016-07-22 Systeme et procédé d'implantoplastie guidée WO2017013302A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ES201531089A ES2553678B1 (es) 2015-07-23 2015-07-23 Sistema y procedimiento de implantoplastia guiada
ESP201531089 2015-07-23

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ES2553678B1 (es) * 2015-07-23 2016-09-08 Antonio TALÓN GRACIANI Sistema y procedimiento de implantoplastia guiada

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ES2553678A1 (es) * 2015-07-23 2015-12-10 Antonio TALÓN GRACIANI Sistema y procedimiento de implantoplastia guiada

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