WO2017139842A1 - Procédé et système dentaire - Google Patents

Procédé et système dentaire Download PDF

Info

Publication number
WO2017139842A1
WO2017139842A1 PCT/AU2017/050131 AU2017050131W WO2017139842A1 WO 2017139842 A1 WO2017139842 A1 WO 2017139842A1 AU 2017050131 W AU2017050131 W AU 2017050131W WO 2017139842 A1 WO2017139842 A1 WO 2017139842A1
Authority
WO
WIPO (PCT)
Prior art keywords
attachment
releasable
fitting
releasable fitting
attaching
Prior art date
Application number
PCT/AU2017/050131
Other languages
English (en)
Inventor
Jeffrey Albert
Original Assignee
ALBERT, Michelle
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
Priority claimed from AU2016900516A external-priority patent/AU2016900516A0/en
Application filed by ALBERT, Michelle filed Critical ALBERT, Michelle
Publication of WO2017139842A1 publication Critical patent/WO2017139842A1/fr

Links

Classifications

    • 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
    • A61C13/0013—Production methods using stereolithographic techniques
    • 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
    • A61C13/265—Sliding or snap attachments
    • A61C13/2653—Sliding attachments
    • 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
    • A61C13/275—Fastening prostheses in the mouth removably secured by using bridging bars or rails between residual teeth
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C2201/00—Material properties
    • A61C2201/005—Material properties using radio-opaque means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C9/00—Impression cups, i.e. impression trays; Impression methods
    • A61C9/004—Means or methods for taking digitized impressions

Definitions

  • This invention relates to a method of preparing a patient's mouth for the insertion of a prosthetic tooth and a system adapted for use in preparing a patient's mouth for the insertion of a prosthetic tooth as part of implant therapy.
  • dental implants are used to support prosthetic teeth in patients that have lost teeth or whose teeth have been removed for a variety of reasons.
  • Essix Stent which is a clear vacuum-formed stent which supports artificial (typically acrylic) teeth in the spaces where the original teeth were located;
  • Another problem with existing implant procedures relates to the fact that, when a tooth is extracted, the gum and bone at the site of the tooth before it was removed now remodel and shrink. This gives rise to a challenge to the dentist in trying to recreate the appearance of the gum prior to the extraction, especially if this is near the front of the mouth and visible when the patient smiles or talks. it is an object of the present invention to ameliorate disadvantages of the prior art, or to provide a useful alternative thereto.
  • a method of preparing a patient's mouth for the insertion of a prosthetic tooth in a space defined between two existing structures in the mouth including: providing two attachment components, each attachment component having a respective first attachment formation;
  • a releasable fitting having two second attachment formations disposed at opposite sides of the releasable fitting, each second attachment formation being complementary to a respective one of the first attachment formations;
  • At least one of said two existing structures is an existing tooth.
  • the releasable fitting includes a mounting jig.
  • the step of releasably attaching the releasable fitting to said attachment components occurs before the step of attaching the attachment components to respective surfaces of the two existing structures.
  • the method includes taking a three- dimensional (3D) digital scan of said mouth using a CAD-CAM or 3D printer scanning device.
  • the method includes making at least one of a surgical stent and a Computer Guided Surgical Stent (CGSS) using CAD-CAM technology or 3D printer technology based on information presented by the 3D scan.
  • CGSS Computer Guided Surgical Stent
  • the method includes taking a CT Scan of a portion of the mouth, said portion including the radiographic stent. Then, preferably, the method further includes making at least one of a surgical stent and a CGSS using CAD-CAM technology or 3D printer technology based on information presented by the CT scan.
  • the step of releasably attaching a releasable fitting for each first attachment formation and corresponding complementary second attachment formation that are attached to each other, one of the respective first attachment formation and respective second attachment formation defines a slot, and the other of the respective first attachment formation and respective second attachment formation includes an engagement formation that is complementary to, and slidable along, the respective slot.
  • the space is a void left by an extracted tooth.
  • the step of providing two attachment components includes fabricating the attachment components at a first location at which the patient is situated, and the step of attaching the attachment components to respective surfaces of the existing structures is preferably carried out at the first location.
  • the step of providing said releasable fitting includes fabricating the fitting.
  • the step of providing said releasable fitting includes fabricating the fitting at said first location.
  • the step of providing a releasable fitting includes selecting said releasable fitting from a plurality of different releasable fittings.
  • the plurality of different releasable fittings includes at least one of a group of fittings including a temporary dental bridge, a radiographic stent, a surgical stent, a computer guided surgical stent, and a dental prosthesis, wherein at least two fittings from the groups are available to be selected.
  • the releasable fitting in the step of releasably attaching the releasable fitting, includes a temporary dental bridge.
  • the method includes, subsequent to the step of attaching the first releasable fitting which includes a temporary dental bridge, of
  • the method includes, subsequent to the step of attaching the releasable fitting which includes a radiographic stent, of
  • the method includes, subsequent to further repeating the step of attaching the releasable fitting which includes the temporary dental bridge, of removing the releasable fitting which includes the temporary dental bridge from the two existing structures by disengaging the second attachment formations from the first attachment formations; and
  • the method includes, subsequent to repeating the step of attaching a releasable fitting wherein the releasable fitting includes a surgical guide, of inserting at least one dental implant in the mouth, using the surgical guide to guide the positioning of the at least one implant.
  • the method includes, subsequent to the step of inserting at least one dental implant, of
  • the method includes, subsequent to said step of yet further repeating the step of attaching the releasable fitting which includes the temporary dental bridge, of inserting at least one dental prosthesis in the mouth such that the dental prosthesis is supported by the at least one implant.
  • the method further includes, prior to the step of attaching the attachment components to respective surfaces of two existing structures, the step of removing another tooth from the mouth to create said space.
  • the step of attaching the attachment components to respective surfaces of two existing structures includes effecting such attaching using dental cement or bonding agent.
  • the step of releasably attaching the releasable fitting to said two existing structures includes attaching the second attachment formations of the releasable fitting to the first attachment formations using temporary dental cement.
  • each second attachment formation being complementary to a respective one of the first attachment formations
  • each attachment component has a first attachment formation; and a plurality of different releasable fittings each having two second attachment formations, the second attachment formations being disposed at opposite sides of the respective releasable fitting and being complementary to a respective one of the first attachment formations;
  • the releasable fittings of the plurality of releasable fittings are each adapted to be releasably attached, one at a time, to the two existing structures by engagement of each of the second attachment formations of the respective releasable fitting with a respective one of the first attachment formations such that the releasable fitting extends in the space between the two existing structures.
  • Figure 1 is a schematic buccal view of teeth and a portion of a patient's gums in the patient's mouth, and components for use in a method according to an embodiment of the invention
  • Figure 2 is a schematic front view of a radiographic stent for use in a method according to an embodiment of the invention
  • Figure 3 is a schematic front view of a temporary artificial tooth for use in a method according to an embodiment of the invention.
  • Figure 4 is a schematic incisal view of teeth in the patient's mouth, and components for use in a method according to an embodiment of the invention.
  • Figure 5 is a schematic incisal view, similar to that of Figure 4, in which a mounting jig is shown attached as an assembled unit with attachment components for use in a method according to an embodiment of the invention, with other features shown in dashed lines.
  • An important aspect of the procedure for placing an implant in a patient's mouth, in order to support a "final" prosthetic tooth in place of a lost natural tooth, is to provide the patient with a temporary prosthetic tooth.
  • a temporary tooth can provide a solution to minimise potential embarrassment and discomfit of the patient which may arise due to the unsightliness of the gap or space left by the missing tooth, during the various stages required for placing the implant before the final prosthesis can be inserted.
  • a temporary bridge This is a temporary tooth or combination of teeth, preferably of acrylic or composite material, which can be supported on two teeth on either side of the space where the natural tooth was located before it was extracted or otherwise removed.
  • a radiographic stent This type of stent is typically radio-opaque.
  • the stent shows on the scan result (image) as a prominent component to facilitate identifying the position and orientation of other features in the image.
  • a surgical stent This is a guide, preferably of acrylic, which is placed in the patient's mouth prior to implant surgery. It is adapted to guide the dentist's instruments as they are used, and to guide components of the implant as these are inserted, so as to achieve appropriate positioning and orientation of these items.
  • CGSS Computer Guided Surgical Stent
  • a typical procedure for placing a dental implant may be carried out according to the following example, described, in simplified terms, in relation to a series of appointments attended by the patient with the dentist.
  • impressions of relevant portions of the patient's mouth, teeth and gums can be taken to serve as a basis to make a temporary prosthesis in the form of a temporary denture, Essix stent or temporary adhesion bridge.
  • Second Appointment At a second appointment, typically a few days to a week after the first appointment, after the temporary prosthesis has been made, a tooth extraction to create a space between two teeth (adjacent teeth) on either side of the extracted tooth can be carried out, unless the tooth was already removed from the mouth, thereby creating that space.
  • the temporary prosthesis can then be installed in the space by cementing the temporary prosthesis to the two adjacent teeth.
  • the temporary prosthesis can be removed, followed by insertion of a radiographic stent.
  • a CT scan can then be taken of relevant portions of the patient's mouth, teeth and gums. After the CT scan is completed, the radiographic stent can be removed. A surgical stent or CGSS can then be made utilising information from the CT Scan.
  • a surgical procedure for inserting a dental implant can be performed. Typically, this will necessitate again removing the temporary prosthesis as described above, otherwise the temporary prosthesis would constitute an obstacle hindering access to the surgical site.
  • the surgical procedure may be performed with or without a surgical stent or computer guided surgical stent (CGSS). If such a stent is used, it is inserted after the temporary prosthesis is removed. After the surgical procedure is completed, typically involving the application of sutures to the wound formed by the procedure, the temporary prosthesis can be reinserted as described above, after removing the surgical stent if it was used.
  • CGSS computer guided surgical stent
  • the temporary prosthesis can again be removed as described above, and an impression of relevant portions of the patient's mouth, teeth, and gums taken for use in the manufacture of a final dental prosthesis which is to be secured by means of the inserted implant.
  • the temporary prosthesis can once more be removed as described above, and the final prosthesis inserted using the implant.
  • FIG. 1 and 4 there is shown part of the patient's mouth 10, including two structure in the form of teeth 12 in the mouth, and a space 14 bordered and defined by the two teeth, in which space another tooth (not shown) was previously located, before being removed from the mouth.
  • the two teeth 12 are connected to, and a protrude from, the patient's gums 16.
  • Embodiments of the invention are envisaged for use in a situation where a patient (not shown) is to be provided with one or more dental implant (not shown), which is inserted into the patient's gums 16 and underlying bone material, for the attachment and support of a prosthetic tooth (not shown).
  • a three-dimensional (3D) visual digital scan using CAD-CAM ("computer aided design”-"computer aided manufacturing”) or 3D printer/scanner technology is taken of relevant portions of the patient's mouth 10, in order to obtain a three-dimensional digital image of the two teeth 12, the gums 16 and the space 14, and the relative positioning of these features.
  • CAD-CAM computer aided design
  • 3D printer/scanner technology 3D printer/scanner technology
  • This technology includes the use of computers and computerised machines (not shown) running software, which are adapted to enable computerised design of components such as the mounting jig 18, based on the three- dimensional image of the patient's mouth 10 obtained using the 3D digital scan, and performing a manufacturing process on a suitably sized blank to form the mounting jig.
  • the same blank or remainder thereof might be used for forming other components as discussed below.
  • the computer aided design of the mounting jig 18 is carried out in conjunction with the computer aided design of a pair of attachment components 20, as described further, below.
  • Each of the attachment components 20 includes a tooth-abutting surface 22 and defines an elongate first attachment formation 24 (see Figure 4).
  • the first attachment formation 24 of each of the attachment components 20 is in the form of a slot running along the respective attachment component.
  • the first attachment formations 24 are thus referred to below as slots.
  • Each slot 24 has a relatively narrow neck region 24.1 , and a broader internal region 24.2, as best seen in Figure 4.
  • the mounting jig 18 includes a main body portion 26 and two second attachment formations 28 at opposite sides of the main body portion.
  • Each of the second attachment formations 28 is elongate, and has a profile, when viewed from the top, which includes a relatively narrow neck portion 28.1 and a broader obstruction portion 28.2 as best seen in Figures 2 and 3.
  • each second attachment formation 28 together constitute a rail, and therefore, each second attachment formation is referred to as such, below.
  • each of the two rails 28 is complementary to the profile of the respective one of the two slots 24, also as best seen in Figure 4.
  • Each of the attachment components 20, when it is fabricated, is fabricated together with an integrally attached guide wing 30, as shown in dashed lines in Figures 1 and 4.
  • Each guide wing 30 includes a curved brace portion 32, and a thin connection portion 34, which connects the guide wing 30 to the remainder of the respective attachment component 20.
  • the mounting jig 18 and two attachment components 20 are fabricated, the mounting jig and attachment components are assembled in relation to each other, by sliding the two rails 28 of the mounting jig along the respective slots 24 of the attachment components into the position as shown in Figure 5.
  • the design of the mounting jig 18 and attachment components 20 is controlled by the CAD-CAM software and is based on the digital scan, so that the dimensions of these components, once they are assembled as described above, is such that the tooth abutting surfaces 22 of the two attachment components 20 are spaced apart from each other, and configured, so as to be complementary to inner surfaces 12.1 of the two teeth 12 which face into the space 14.
  • the distance between the two tooth abutting surfaces 22 is such that they can be attached to the respective inner surfaces 12.1 with the mounting jig 18 extending in the space 14 between the two attachment components 20 and between the teeth 12.
  • the mounting jig 18 and two attachment components 20 form an assembled unit, generally referenced 36 (see Figure 5).
  • the guide wings 30 are configured such that anterior regions 38 of the brace portions 32 abut against the buccal surfaces 12.2 of the two teeth 12, to limit movement of the assembled unit 36 relative to the teeth. Accordingly, with the two guide wings 30 abutting the buccal surfaces 12.2 of the two teeth 12, the assembled unit 36 is suitably dimensioned, orientated and positioned such that the tooth abutting surfaces 22 are in close and conforming engagement with the inner surfaces 12.1 of the two teeth 12.
  • dental bonding agent is applied to the tooth abutting surfaces 22 and/or to the tooth inner surfaces 12.1 , so that when the assembled unit is positioned as described, the attachment components 20 can be cemented to the teeth, as shown in Figure 4.
  • the guide wings 30 can be removed (e.g. by drilling, flicking them off, etc) from the remainder of the respective attachment components.
  • the mounting jig 18 can be removed from the two attachment components, by sliding the rails 28 of the mounting jig from the slots 24.
  • guide wings 30 are used to suitably position the two attachment components 20 relative to the two teeth 12, to facilitate attaching the attachment components to the teeth.
  • a temporary bridge 40 (see Figure 3), which can be supported on the two teeth 12 and which is used for spanning the space 14.
  • a radiographic stent 42 (see Figure 2).
  • the stent 42 has a through hole 42.1 with openings 42.2, the openings allowing the through-hole to be filled with radio-opaque material such as composite resin or gutta-percha.
  • the whole stent is radio-opaque.
  • the ability of the radio-opaque (or partially radio-opaque) stent 42 to facilitate identifying the position and orientation of other features in the CT scan image can assist a dentist to visualize on the CT scan image where a prosthetic tooth needs to be placed relative to the bone underlying the gum.
  • a surgical stent (not shown). This is a guide, preferably of composite material, which is placed in the patient's mouth prior to implant surgery. This stent is adapted to guide the dentist's instruments as they are used, and to guide components of the implant as these are inserted, so as to achieve appropriate positioning and orientation of these items.
  • CGSS Computer Guided Surgical Stent
  • Each of the above releasable fittings is provided with a pair of rails conforming in profile to the rails 28 of the mounting jig 18, and is fabricated so as to be suitably sized and configured to engage the slots 24 of the attachment components 20 when the attachment components are cemented to the two teeth 12, in a similar engagement to that of the mounting jig 18 as described above.
  • each of the rails and its neck portion and obstruction portions of these releasable fittings is referenced with the same reference numerals as those of the mounting jig 18.
  • the various releasable fittings are adapted to be attached to and removed from the attachment components 20 in the same manner as for the mounting jig 18. Therefore, where reference is made to such attachment and removal of such fittings, it is to be understood accordingly.
  • a method in accordance with an embodiment of the invention will now be described, in terms of a series of appointments that a patient may have with a dentist.
  • the description of the method in relation to the appointments, and the timing of the appointments are provided by way of example only, and the method may be carried out according to different timing.
  • a visual digital scan can be taken by means of a 3D digital scanner using CAD-CAM technology or by means of 3D printing/scanning technology. Using the digital scan, all the of the relevant components that will be used, except for the surgical stent or CGSS, can be fabricated, including the attachment components 20, and the releasable fittings including the mounting jig 18, temporary bridge 40, and radiographic stent 42.
  • the first appointment may also be used for extracting one or more teeth from the patient's mouth 10 to create the space 14, for example, in an emergency appointment following a dental trauma suffered by the patient. Alternatively, the patient's tooth or teeth may be extracted as a pre-planned procedure at an earlier appointment.
  • the attachment components 20 can be attached to the remaining two teeth 12 using the mounting jig 18 as described above.
  • the mounting jig 18 can be removed as described above, and the temporary dental bridge 40 can be inserted in its place, by sliding the rails 28 of the temporary dental bridge into the slots 24.
  • the temporary bridge 40 as well as the final prosthetic tooth, can be designed to be of substantially the same shape as the removed natural tooth. Where the process incudes extracting that tooth, or where the removed natural tooth is otherwise available, the shape of the temporary bridge 40 can include a portion 40.1 of the same shape as the root of the removed tooth (as shown in dashed lines in Figure 3).
  • the temporary bridge 40 once inserted, can serve as a root "scaffold" around which the gum 10 can heal. This can assist in preserving as much as possible of the original gingival architecture that existed prior to the natural tooth being removed.
  • the temporary bridge 40 can be secured in place with temporary dental cement.
  • the temporary dental bridge 40 can be removed from the attachment components 20, and the radiographic stent 42 can be inserted in its place.
  • a CT Scan can then be performed of relevant portions of the patient's mouth 10, in order to obtain a three-dimensional image of the two teeth 12, the gums 16 and the space 14, and the relative positioning of these features. Then, the radiographic stent 42 can be removed and the temporary bridge 40 reinserted to cover the space.
  • the temporary bridge 40 can be removed again as described above, and either the standard surgical guide or a surgical guide in the form of a CGSS inserted in its place using the same insertion process.
  • the surgical procedure of inserting the implant can then be carried out, with the instruments used by the dentist performing the procedure, and the position and orientation of the implant components, being guided by the inserted surgical guide.
  • the implant can be placed at the same appointment as the extraction.
  • a CGSS can be manufactured at that appointment to facilitate accurate implant placement.
  • the surgical guide can be removed and the temporary bridge 40 reinserted in its place.
  • the sutures may be removed. This may be preceded by removing the temporary bridge 40 and taking another 3D Visual Scan of the implant. From the information provided by this scan, the final prosthesis can be made utilizing CAD-CAM or 3D printer technology. Alternatively, an impression of a portion of the mouth 10 that includes the two teeth 12 and the portion of the patient's gum 16 adjacent to the two teeth can be taken and sent to a dental laboratory for manufacture of the final prosthesis. After this visual digital scan is taken, the temporary dental bridge 40 can be reinserted as described above.
  • CAD-CAM technology used for designing and fabricating the attachment formations 20 and various releasable components described above can also be used for designing and fabricating the final prosthetic tooth (not shown) which is to be supported by implant.
  • the method and components used according to embodiments of the invention can facilitate the streamlining of the dental implant process when compared with the conventional approach, from the initial stage of extraction of a tooth and digital scanning to the final stage of placing the final prosthetic tooth using the implant.
  • a potentially important advantage of embodiments of the invention is that they involve placing of no or minimal pressure on the newly inserted implant and surrounding soft tissue or graft. This can facilitate the healing process which in turn can be critical to the success of the implant procedure and resulting aesthetic outcome.
  • embodiments of the invention may facilitate the recreation of the soft tissue contours that had previously been established by the natural tooth that was removed and which is to be replaced by the new dental prosthesis.
  • the modular nature of the components used in accordance with embodiments of the invention needed for each stage of the procedure can be manufactured before that stage, and indeed even before a CT scan is taken or a tooth is extracted.
  • the attachment components 20 once the attachment components 20 are bonded to the two teeth 12, the other components can simply be slotted into place as they are required by means of the respective rails 28 and slots 24, and then simply removed once that stage has been completed.
  • the modularity of the components can provide desirable flexibility to the dentist performing the procedures.
  • embodiments of the invention employ CAD-CAM technology can be beneficial in reducing time and cost for performing various stages of the implant procedure.
  • the dentist that performs the procedures has suitable equipment such as CAM apparatus or 3D printers available on site, this may obviate the need to have the various components described above manufactured at a laboratory remote from the dentist's premises.
  • such equipment can be used to fabricate the components rapidly, even while the patient is present.
  • Embodiments of the present invention provide a way to achieve such detachment and reattachment of the temporary bridge 40 rapidly and easily and with minimal, if any, detriment to the bridge itself or other components or features in the patient's mouth 10.
  • a mini-implant (not shown) can be inserted in place of the other tooth 12 adjacent to that position, so that the mini-implant and existing tooth 12 define the space 14 between them.
  • the components and method of the embodiments of the invention can then be used as described above.
  • the attachment components 20 including the slots 24, as well as the mounting jig 18, temporary bridge 40, radiographic stent 42 and their respective rails 28, can be configured differently or have different shapes to those shown in the drawings, depending, for example, on the ease or requirements of manufacture, or aesthetic considerations.

Landscapes

  • 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)
  • Engineering & Computer Science (AREA)
  • Manufacturing & Machinery (AREA)
  • Dental Prosthetics (AREA)

Abstract

L'invention concerne un procédé de préparation de la bouche (10) d'un patient pour l'insertion d'une dent prothétique dans un espace (14) ménagé entre deux dents existantes (12). Le procédé comprend l'utilisation de deux éléments de fixation (20) et d'une ou plusieurs montures détachables qui peuvent être fixées aux éléments de fixation. La monture détachable peut être un gabarit de montage qui peut être utilisé pour positionner les formations de fixation par rapport aux dents. La monture détachable peut également comprendre d'autres montures sélectionnables, notamment un pont dentaire provisoire, une endoprothèse radiographique, une endoprothèse chirurgicale, une endoprothèse chirurgicale guidée par ordinateur et une prothèse dentaire. Le procédé consiste à fixer la monture détachable à la fixation avec des éléments de fixation qui sont fixés aux deux dents existantes avec la monture détachable s'étendant à travers l'espace. L'invention concerne en outre un système destiné à être utilisé dans la préparation de la bouche d'un patient pour l'insertion d'une dent prothétique.
PCT/AU2017/050131 2016-02-15 2017-02-15 Procédé et système dentaire WO2017139842A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AU2016900516A AU2016900516A0 (en) 2016-02-15 Dental method and system
AU2016900516 2016-02-15

Publications (1)

Publication Number Publication Date
WO2017139842A1 true WO2017139842A1 (fr) 2017-08-24

Family

ID=59624661

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/AU2017/050131 WO2017139842A1 (fr) 2016-02-15 2017-02-15 Procédé et système dentaire

Country Status (1)

Country Link
WO (1) WO2017139842A1 (fr)

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1297561A (en) * 1918-03-16 1919-03-18 Samuel G Supplee & Co Attaching means for dentures.
US1591155A (en) * 1924-12-10 1926-07-06 John M Craigo Attachment for teeth
US5967777A (en) * 1997-11-24 1999-10-19 Klein; Michael Surgical template assembly and method for drilling and installing dental implants
WO2006132464A1 (fr) * 2005-06-10 2006-12-14 Oh-Dal Kwon Prothese dentaire et procede de fabrication correspondant
US20080176187A1 (en) * 2006-10-10 2008-07-24 Stumpel Lambert J Surgical guide for dental implant and methods therefor
US20090287332A1 (en) * 2006-07-06 2009-11-19 Prasad Adusumilli System and method for manufacturing full and partial dentures
KR20120013611A (ko) * 2010-08-05 2012-02-15 박숙규 치과용 어태치먼트
US20120046914A1 (en) * 2010-08-20 2012-02-23 Fei Gao Hybrid method for dental implant treatment planning
AU2013206255B2 (en) * 2012-06-11 2015-09-10 Heraeus Kulzer Gmbh Production of individual dental prostheses via CAD/CAM and rapid manufacturing / rapid prototyping based on data of the situation in the mouth obtained by digital means

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1297561A (en) * 1918-03-16 1919-03-18 Samuel G Supplee & Co Attaching means for dentures.
US1591155A (en) * 1924-12-10 1926-07-06 John M Craigo Attachment for teeth
US5967777A (en) * 1997-11-24 1999-10-19 Klein; Michael Surgical template assembly and method for drilling and installing dental implants
WO2006132464A1 (fr) * 2005-06-10 2006-12-14 Oh-Dal Kwon Prothese dentaire et procede de fabrication correspondant
US20090287332A1 (en) * 2006-07-06 2009-11-19 Prasad Adusumilli System and method for manufacturing full and partial dentures
US20080176187A1 (en) * 2006-10-10 2008-07-24 Stumpel Lambert J Surgical guide for dental implant and methods therefor
KR20120013611A (ko) * 2010-08-05 2012-02-15 박숙규 치과용 어태치먼트
US20120046914A1 (en) * 2010-08-20 2012-02-23 Fei Gao Hybrid method for dental implant treatment planning
AU2013206255B2 (en) * 2012-06-11 2015-09-10 Heraeus Kulzer Gmbh Production of individual dental prostheses via CAD/CAM and rapid manufacturing / rapid prototyping based on data of the situation in the mouth obtained by digital means

Similar Documents

Publication Publication Date Title
US9649178B2 (en) Devices and methods for enhancing bone growth
US20180055608A1 (en) Integrated support device for providing temporary primary stability to dental implants and prosthesis, and related methods
US20130209961A1 (en) Dental Implant Assembly, Implant, and Prosthesis to Replace a Nonfunctional Natural Tooth and Related Methods
US9707058B2 (en) Patient-specific implants with improved osseointegration
US9801699B2 (en) Paired templates for placing dental implants and enhancing registration for denture prosthetics attached to the implants
RU2625280C2 (ru) Зубной штифт для обеспечения опоры для зубных протезов и способ его изготовления
US20180049849A1 (en) Digital full arch apparatus and method for immediate definitive dental prostheses
Finelle et al. Guided Immediate Implant Placement with Wound Closure by Computer-Aided Design/Computer-Assisted Manufacture Sealing Socket Abutment: Case Report.
US10299895B2 (en) Fabrication and installation of a dental implant
US11540900B2 (en) Dental ridge augmentation matrix with integrated dental implant surgical drill guide system
EP0498923B1 (fr) Prothèse dentaire supportée par des implants
WO2012003517A2 (fr) Appareil et méthodologie numérique pour la préparation d'un site chirurgical d'implant dentaire pour favoriser un sillon émergent souhaité
Liaropoulou et al. Reverse impression technique: A fully digital protocol for the fabrication of the definitive fixed prosthesis for completely edentulous patients
EP2873389A1 (fr) Procédé d'élaboration d'une gouttière de correction dentaire et gouttière ainsi obtenue
US20160062346A1 (en) System and Method for Customized Anatomical Implant Prosthetic Pieces
RU2393814C2 (ru) Способ временного протезирования на период остеоинтеграции корневой части внутрикостного имплантата
WO2017139842A1 (fr) Procédé et système dentaire
CN210541887U (zh) 一种个性化骨嵴再生钛网的精确种植牙修复手术钛网装置
Conejo et al. Digital Implant Therapy for the Edentulous Patient.
KR101360797B1 (ko) 치과 임플란트 어버트먼트의 주문인상트레이와 그 제공방법
WO2013124260A2 (fr) Ensemble implant dentaire, implant, prothèse destinée à remplacer une dent naturelle non fonctionnelle, dispositif de support intégré pour conférer une stabilité primaire temporaire aux implants et prothèses dentaires, et procédés afférents
WO2019054734A1 (fr) Procédé de production d'une prothèse d'implant temporaire de recouvrement de gencive préopératoire
KR20180091263A (ko) 맞춤형 임플란트의 안정성을 위한 보호 기구
Ewers et al. and Angelo Perpetuini
KR20180132592A (ko) 맞춤형 임플란트의 안정성을 위한 보호 기구

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 17752567

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

32PN Ep: public notification in the ep bulletin as address of the adressee cannot be established

Free format text: NOTING OF LOSS OF RIGHTS PURSUANT TO RULE 112(1) EPC, EPO FORM 1205A DATED 11.12.18

122 Ep: pct application non-entry in european phase

Ref document number: 17752567

Country of ref document: EP

Kind code of ref document: A1