WO2019054734A1 - Procédé de production d'une prothèse d'implant temporaire de recouvrement de gencive préopératoire - Google Patents

Procédé de production d'une prothèse d'implant temporaire de recouvrement de gencive préopératoire Download PDF

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Publication number
WO2019054734A1
WO2019054734A1 PCT/KR2018/010655 KR2018010655W WO2019054734A1 WO 2019054734 A1 WO2019054734 A1 WO 2019054734A1 KR 2018010655 W KR2018010655 W KR 2018010655W WO 2019054734 A1 WO2019054734 A1 WO 2019054734A1
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WO
WIPO (PCT)
Prior art keywords
model
abutment
temporary
oral cavity
implant
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PCT/KR2018/010655
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English (en)
Korean (ko)
Inventor
이태경
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이태경
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Application filed by 이태경 filed Critical 이태경
Publication of WO2019054734A1 publication Critical patent/WO2019054734A1/fr

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    • 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
    • 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
    • A61C13/0001—In-situ dentures; Trial or temporary dentures
    • 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
    • A61C13/20—Methods or devices for soldering, casting, moulding or melting
    • 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
    • A61C13/34—Making or working of models, e.g. preliminary castings, trial dentures; Dowel pins [4]
    • 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
    • A61C2008/0084—Provisional implants or abutments

Definitions

  • the present invention relates to a dental implant temporary prosthesis, and a method of manufacturing a temporary denture implant temporary prosthesis for temporary use during a period of time until the fixture is stably osseointegrated in the alveolar bone during the dental implant procedure will be.
  • a dental implant refers to a prosthesis or procedure used to replace a severely damaged tooth and includes a fixture (artificial root) made of a special material (mainly titanium or a titanium alloy or porcelain) After the fusion between the alveolar bone tissue and the fixture occurs and the bone is firmly bonded, the artificial crown is inserted into the abutment on the fixture to form the artificial tooth.
  • a fixture artificial root
  • a special material mainly titanium or a titanium alloy or porcelain
  • a dental implant (hereinafter referred to as " implant ”) inherently has almost the same sensation as its own teeth, can perform daily life, does not damage surrounding teeth except for teeth requiring surgery, Since beauty is not much different from the original natural teeth, a considerable number of procedures have been performed in recent years.
  • Successful implantation can be expected when there is sufficient osseointegration between the alveolar bone and fixture and the fixture is firmly fixed.
  • a bone-forming inducer or artificial alveolar bone may be used to secure sufficient bone fusion.
  • Patent Document 1 can be referred to as a conventional technique for manufacturing a denture using a replica frame.
  • An object of the present invention is to provide a method of manufacturing a dental implant temporary prosthesis, which can be manufactured inexpensively and which can secure sufficient occlusion accuracy.
  • a method of manufacturing a dental implant temporary prosthesis according to the present invention includes the steps of preparing a model of a mouth which is simulated to include abutment placed in a mouth of a patient, combining a temporary crown with each abutment, And applying a curable resin on the oral cavity model to join the temporary crown with one body; And separating the provisional crown-containing temporary prosthesis from the oral cavity model after the curable resin is hardened.
  • the oral cavity model is prepared before the procedure of placing the fixture in the oral cavity of the patient.
  • the oral model is prepared based on the digital data of the implant procedure plan established computationally for the patient.
  • the mouth model can be integrally manufactured up to the abutment using a 3D printer or a rapid prototyping machine.
  • the oral cavity model can be produced by implanting the intraoral tissue of the patient or fixing the abutment to an impression model made using the 3D printer or the rapid prototyping machine.
  • the above-mentioned pulling model is provided with an insertion hole to be combined with the above abutment, based on the digital data of the implant procedure plan established on the abovementioned computational image, or to be integrally formed when the insertion hole is made using the 3D printer or the rapid prototyping machine do.
  • a temporary crown part requiring high occlusion precision is combined with an abutment placed on the basis of digital data of a computer-
  • the precision of the gauges is not required.
  • the gauges requiring adjustment on the oral model are made by hand, the production cost is low, but the occlusion accuracy is high It is possible to satisfy conditions that are incompatible with each other.
  • the gingiva implant-type temporary prosthesis manufacturing method of the present invention can be prepared in advance of the implant procedure based on the digital data of the implant operation plan established on the computer, it is possible to reduce the number of patient visits, It is possible to apply it immediately and improve the patient's satisfaction.
  • FIG. 1 is a view schematically showing a series of steps of manufacturing a dental implant-type temporary prosthesis according to the present invention.
  • FIG. 1 is a view schematically showing a series of steps of manufacturing a dental implant-type temporary prosthesis according to the present invention.
  • Fig. 2 shows another embodiment for preparing the oral cavity model shown in Fig. 1 (a).
  • FIG. 3 shows another embodiment for preparing the oral cavity model shown in Fig. 1 (a).
  • first, second, A, B, (a), and (b) may be used. These terms are intended to distinguish the constituent elements from other constituent elements, and the terms do not limit the nature, order or order of the constituent elements.
  • FIG. 1 is a schematic view showing a series of steps of manufacturing a dental implant temporary prosthesis (hereinafter referred to as "temporary dental prosthesis") according to the present invention, and the present invention will be described in detail with reference to the drawings.
  • the oral model 10 is a model in which an implant temporary prosthesis 100 is to be used and a model in which an intraoral tissue (a whole tissue forming the inside of the mouth including a tooth, a gingiva, a palate, etc.) ).
  • an intraoral tissue a whole tissue forming the inside of the mouth including a tooth, a gingiva, a palate, etc.
  • the abutment is a component of an implant that is attached to the head of a fixture that is placed in the alveolar bone and is interposed between the fixture and the artificial crown on which the artificial crown is engaged.
  • the abutment 20 provided in the illustrated oral model 10 is not only completely identical in shape and size to the abutment to be practiced in the patient's mouth but also simulated to the direction (angle) to be performed.
  • the orientation of the abutment is dependent on the orientation of the fixture. Since the present invention prepares the oral model 10 based on the digital data of the implant procedure plan that is established for the patient on a computer basis, It is possible to predetermine the shape and size of the abutment in advance (as determined mechanically by the specification of the abutment to be performed), as well as the direction, with considerable accuracy prior to placement of the butt.
  • the software that can establish the implant procedure plan by computer is presently introduced several products.
  • the applicant of the present invention has already registered a prior patent of Patent Document 2 related to such software, and develops, sells, and uses software having a trade name of "Platon TM" as an actual product.
  • the software for implant procedure planning based on the patient's oral CT image, the size, length, and depth and orientation of the fixture are all determined, and the abutment suitable for the fixture to be placed is also specified, and the fixture and abutment Digital data can also be merged and stored in the CT image data.
  • the implant temporary prosthesis 100 of the present invention in advance. If the implant temporary prosthesis 100 is prepared in advance of the implant procedure, it is possible to immediately reduce the number of patient visits and immediately apply the fixture. Thus, it can greatly contribute to improving the patient's satisfaction.
  • the temporary crown 30 corresponding to each abutment 20 is engaged as shown in Figs. 1 (b) and 1 (c).
  • the temporary crown 30 refers to an artificial crown to be used only for a predetermined period of time after the fixture's osseointegration is sufficiently formed and finally the artificial crown is engaged. Therefore, the temporary crown 30 need not be made of expensive material, and the adjacent temporary crown 30 may be made of one body. Also, since it is to be used temporarily, it is not necessary to precisely process it, and it is also possible to determine the standard size for each tooth in advance and prepare it in advance as a mass product, and to rearrange or adjust only the occlusal surface later.
  • the curable resin 40 is manually applied onto the oral cavity model 10 so that the temporary crown 30 is joined to one body 1 (d) ⁇ .
  • the curable resin 40 acts as a binder for connecting one temporary crown 30 to the other crown 30 and forms a temporary implant prosthesis 100. In addition, .
  • the curable resin 40 may be a resin suitable for a living body generally used in the field of dental prosthesis, and may be flexible at the time of coating, but has a property of being cured so as to exhibit a certain strength when exposed to heat or ultraviolet rays after manual operation.
  • the temporary prosthesis 100 including the temporary crown 30 is separated from the oral cavity model 10, whereby the implant temporary prosthesis 100 to be used in the fixture- do.
  • the temporary crown 30 portion requiring high occlusion accuracy is transferred to the abutment 20 placed on the basis of the digital data of the implantation plan established on the computerized image So that it is difficult to manufacture due to the relatively complicated shape and high precision.
  • the gingiva portion requiring adjustment on the oral model 10 is made by hand, the manufacturing cost is low However, it is possible to satisfy conditions that are incompatible with the occlusion accuracy.
  • the mouth model 10 shown in FIG. 1 shows an embodiment in which a model manufactured integrally up to the abutment 20 is manufactured using a 3D printer or a rapid prototyping machine. Since the intraoral tissue of the patient is obtained as digital data of the CT image and the information about the abutment 20 is generated through the software for the implant procedure planning, the abutment 20 can be obtained by using a 3D printer or a rapid prototyping machine. It is possible to manufacture the oral cavity model 10 integrally.
  • an oral model 10 may be manufactured by making an impression model 10 'based on the intraoral tissue of a patient and fixing the abutment 20 thereon.
  • the impression model 10 ' that is, the abutment 20 can be made of a gypsum model using an impression material, the mouth model 10 not made as an integral part.
  • the impression model 10 ' may be made of a 3D printer or a rapid prototyping machine. However, if a 3D printer or a rapid prototyping machine is used, it is more efficient to integrate the abutment 20 into the impression model 10' Making it more affordable and more cost effective.
  • the implantation model 10 ' is provided with an insert hole 12 to which the abutment 20 is engaged, based on the digital data of the implantation procedure plan established on the basis of the computation, and an abutment 20, the mouth model 10 substantially identical to that of FIG. 1 is completed.
  • the abutment 20 coupled to the impression model 10 ' may be an actual abutment or an abutment replica made from cheap materials by simulating it. Since the abutment 20 on the mouth model 10 merely serves as a fixing part for inserting the temporary crown 30, it is not necessary to use expensive real abutment, and a model can be used.
  • the impression model 10 'of FIGS. 2 and 3 has a slight difference.
  • the impression model 10' of FIG. 2 includes a guide for guiding the perforation operation, which punctures the alveolar bone,
  • the impression model 10 'used for preparing the template is recycled.
  • FIG. 3 is different from the impression model 10' prepared separately for manufacturing the implant temporary prosthesis 100.
  • the insertion hole 12 to which the abutment is coupled may be processed later, Alternatively, it is also possible to collectively form the insertion holes 12 in the process of manufacturing using the advantages of a 3D printer or a rapid prototyping machine. That is, when the 3D printer or the rapid prototyping machine is used to collectively form the insertion hole 12, the impression model 10 'provided immediately to the next insertion hole 12 is skipped It is also possible to put out.
  • the guide template refer to a guide template for implant surgery of Korean Patent Application No. 10-2016-0036619 (filed on March 28, 2016) developed and filed by the present applicant.
  • a bushing for embedding the bushing into the impression model 10 'for temporarily fixing the drilling depth is provided while guiding the traveling direction of the drilling drill, (See Fig. 2). Since the position and direction of the hole correspond to the placement position and direction of the fixture and further the arrangement of the abutment 20, it is possible to recycle the impression model 10 'used for manufacturing the guide template, So that it is advantageous that it is very easy to re-insert into the insertion hole 12 for fixing the abutment 20.
  • the present invention is suitable for manufacturing an implant temporary prosthesis for temporary use until the fixture is stably attached to the alveolar bone in the dental implant procedure.

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

Abstract

L'invention concerne un procédé de production d'une prothèse d'implant temporaire de recouvrement de gencive, comprenant : une étape de préparation d'un modèle de cavité buccale copié de manière à inclure des butées implantées dans la cavité buccale d'un patient ; une étape d'accouplement respectif de couronnes temporaires aux butées ; une étape d'application d'une résine durcissable sur le modèle de cavité buccale de sorte que les couronnes temporaires sont accouplées d'un seul tenant ; et une étape de séparation d'une prothèse temporaire comprenant les couronnes temporaires, du modèle de cavité buccale après durcissement de la résine durcissable.
PCT/KR2018/010655 2017-09-12 2018-09-12 Procédé de production d'une prothèse d'implant temporaire de recouvrement de gencive préopératoire WO2019054734A1 (fr)

Applications Claiming Priority (2)

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KR1020170116266A KR101871117B1 (ko) 2017-09-12 2017-09-12 수술 전의 치은 피개형 임플란트 임시 보철물 제작방법
KR10-2017-0116266 2017-09-12

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101871117B1 (ko) * 2017-09-12 2018-06-25 이태경 수술 전의 치은 피개형 임플란트 임시 보철물 제작방법

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5049075A (en) * 1987-12-23 1991-09-17 Marc Barrut Dentures, as well as temporary dentures, and process for their fabrication
US20030157461A1 (en) * 2002-02-15 2003-08-21 Ivoclar Vivadent Ag Method for producing dental restoration elements
US20090047630A1 (en) * 2007-08-13 2009-02-19 Biomet 3I, Inc. Method for forming a dental prosthesis
US20160135931A1 (en) * 2013-12-27 2016-05-19 James R. Glidewell Dental Ceramics, Inc. Apparatus and methods of making denture devices
KR101694475B1 (ko) * 2015-10-08 2017-01-10 (주)카이노스메덴텍 볼 및 소켓 타입 어태치먼트가 적용된 오버덴처 제작방법
KR101871117B1 (ko) * 2017-09-12 2018-06-25 이태경 수술 전의 치은 피개형 임플란트 임시 보철물 제작방법

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3373849A1 (fr) * 2015-11-09 2018-09-19 Cendres + Métaux SA Structure à motif pour la formation d'une prothèse dentaire comprenant des montants et procédé de fabrication d'une telle structure à motif

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5049075A (en) * 1987-12-23 1991-09-17 Marc Barrut Dentures, as well as temporary dentures, and process for their fabrication
US20030157461A1 (en) * 2002-02-15 2003-08-21 Ivoclar Vivadent Ag Method for producing dental restoration elements
US20090047630A1 (en) * 2007-08-13 2009-02-19 Biomet 3I, Inc. Method for forming a dental prosthesis
US20160135931A1 (en) * 2013-12-27 2016-05-19 James R. Glidewell Dental Ceramics, Inc. Apparatus and methods of making denture devices
KR101694475B1 (ko) * 2015-10-08 2017-01-10 (주)카이노스메덴텍 볼 및 소켓 타입 어태치먼트가 적용된 오버덴처 제작방법
KR101871117B1 (ko) * 2017-09-12 2018-06-25 이태경 수술 전의 치은 피개형 임플란트 임시 보철물 제작방법

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