The present invention relates to a method for the production a prosthetic article.
The prosthetic articles may be, for example, fixed dentures, when prosthetic articles are permanently cemented or screwed on natural and/or artificial teeth, or removable dentures (false teeth).
An endo-osseous implant which is normally used for the production of a prosthetic article includes a portion emerging from the gum, named abutment, being the support of the superior structure that replicates the natural tooth with the article, for example the crown of a single element, and a part that can be coupled to a screw associated to the gum.
The abutment-screw fixation, in bi-component systems, is realized by cementing or by screwing with a suitable fastening screw, also called retention screw.
On the other hand, there is a category of reduced-diameter implants (mini-implants), normally less than 3 mm, wherein the abutment is an integral part of the endo-osseous screw.
At the state of the art, in order to make a fixed or removable dental prosthesis, the investment casting of a metal, which is usually a dentistry alloy (gold, palladium-chromium and/or cobalt-based) is performed in order to form abutments of the implants that will be subsequently covered with resins and technical material moulded to obtain the artificial teeth.
This technique, although reliable and well-established, requires a long time (from four to six hours of continuous work) with high labour costs.
Furthermore, due to the fusion, twists and micro-porosity can form on the prosthetic article.
Also known is a faster process, therefore less expensive than the above-described known art, which involves the construction of a main model, also called “master” model, normally in refractory material, on which the screw-shaped portions of the implants are implanted and fixed by means of self-curing resins.
The implants are then detached from the base of the “master” model to avoid damaging the same model with the following operations. In fact, the emerging part of such implants is covered with an appropriate technical material, such as for example composite and light-curing material and polymers, including artificial teeth, which is appropriately shaped to obtain the artificial teeth of the prosthesis, thus rigidly associated to each other by welding of the metal bars at the emerging part of the same implants, making the implant-bar structure exceptionally solid and unchangeable.
Once the last finishing operation is completed, the implants are again mounted on the “master” model and the abutments and the bridge are filled with a cosmetic filler, so as to shape the artificial teeth, and welded between them.
The problem arising in this production method is linked to the risk of positioning errors that occur when the implant is removed from the “master” model and then re-assembled on the same after heavy mechanical machining, often giving rise to serious inaccuracies, with remarkable consequences from the medical and/or economic point of view.
To prove that, after final repositioning of the abutments on the “master” model, the operator always performs a control to verify the positioning accuracy.
The aim of the invention is to eliminate the above-described drawbacks in known types of methods for the production of a prosthetic article that is more convenient compared to the known art in terms of time and cost.
Within the above aim, an object of the present invention is to provide a method for the production of a prosthetic article, which is able to overcome the problems related to execution precision, so as not to cause problems during assembly of the implant in the patient's mouth.
Another object of the present invention is to obtain a resistant prosthesis having excellent aesthetic features.
Another object of the invention is to provide a method for the production of a prosthetic article, by using readily commercially available means and commonly used materials, so that the method is even more economically competitive.
This aim, these objects and other objects, which will become more apparent hereinafter, are achieved by a method for the production of a prosthetic article according to the invention, characterized in that it comprises the steps consisting in:
Further features and advantages of the invention will be more apparent from the description of a preferred but not exclusive embodiment of the method for the realization of a prosthetic article, illustrated by way of non-limiting example with the aid of the accompanying drawings, wherein:
With reference to
For processing with finishing means, such as rotary instruments (micro-motor) and/or with metal cutters, the soldered article (implants 2 and 3 and wire 6) can be removed from model 9 then replaced to be modelled with the cosmetic filler.
The fusion between the ends of the wire 6 and the abutments 12 and 13 takes place by soft soldering, namely melting at less than 450° C., wherein the molten metal binds by capillarity with the heated abutment (methodi-cal soft soldering).
Technical material, known per se, is related to composite and light-curing material and polymers, including artificial teeth.
Advantageously, the material used for the model 9 is plaster, suitable for soldering operations that are prepared for the realization of the model by the process according to the invention.
Advantageously, a set of metallic wires 6, 6′, 6″, 6″ can be subtended between the first and the second abutment 13, one after another, to form a wire bundle 16 (
This means that, in the case where there is the need to add other metallic wires, for example if the wires forming the bundle are four (6, 6′, 6″, 6′″), as illustrated in
The third bridge will be obtained by welding one end of the wire 6″ to the heated first abutment 12, straining the same wire 6″ between abutments 12 and 13 following the profile 10 and then welding the other end of the wire 6″ to the heated second abutment 13.
The fourth bridge, as usual, will be obtained by welding one end of the wire 6″ to the heated first abutment 12, straining the same thread 6″ between abutments 12 and 13 following the profile 10 and then welding the other end of the wire 6″ to the heated second abutment 13.
With four bridges made, it will be sufficient to melt together wires 6, 6′, 6″ and 6′″ with one another in order to form bar 26, having a predetermined diameter section (
Practically, a set of metallic wires 6, 6′, 6″ and 6′″ are subtended, each interposed between two abutments 12 and 13 emerging from the respective implants 2 and 3 supporting the prosthetic article 1 and positioned in succession with respect to one another along the profile of the model 9.
Preferably, the metallic wires 6, 6′, 6″ and 6′″ of the bundle 16 are melted, and then heated to the melting temperature, to form a bar 26 having a predetermined diameter section (
Advantageously, the sum of the diameters of the metallic wires 6, 6′, 6″ and 6′″ constituting the bundle 16 is substantially equal to the predetermined diameter of the bar 26 obtained from the fusion of the metallic wires 6, 6′, 6″ and 6′″.
Preferably, the metallic wires 6, 6′, 6″ and/or 6′″ are of a dental alloy. If the prosthetic support 1 is supported by more implants 2, 3, 4 and 5, in series with each other, as shown in
With reference to
The soldered article (complete with implants 2, 3, 4 and 5 and wires 6, 7 and 8) is finished with finishing means (rotary instruments and/or metal cutters).
For this operation, it can be removed from the model 9 and then repositioned for modelling with the cosmetic filler.
At this point, it will be possible to model the technical material with the abutments 12, 13, 14 and 15 and such bridges without removing the implants 2, 3, 4 and 5 from the model 9 so that they can be processed with the cosmetic filler and thus form the artificial teeth of the prosthetic article 1 (
Obviously, by changing the number “n” of implants of the set, it will be necessary to subtend a number of wires “n−1” each between a pair of abutments in succession.
The process just described can be applied to articles having any number of implants; however, changing the number of implants (and thus of abutments) the inventive concept remains unchanged having to do, in fact, with a technically equivalent procedure to that described to this point.
In another embodiment, shown in
Even in this case, the model 109 is advantageously made of plaster, a material which, as mentioned, is suitable for the machining (soldering) necessary to the implementation of the model by means of the method according to the invention.
Advantageously, stretching at least another set of metallic wires 107, 107′, 107″ and 107′″ is involved, so as to form at least a second wire bundle 117, and then melting together such metallic wires 107, 107′, 107″, 107′″ of the second bundle 117 to form a second bar 126.
Preferably, the steps involving stretching of a set of metallic wires 106, 106′, 106″, 106′″, 107, 107′, 107″, 107′″ 108, 108′, 108″ and 108′″ are to be repeated in order to form metallic wire bundles 116, 117 and 118 (
Advantageously, each of the bars 126, 127 and 128 has a section of predetermined diameter.
Once the structure formed by implants 102, 103, 104 and 105 and bars 126, 127 and 128 is realized, it will be possible to model the abutments 112, 113, 114 and 115 and the bars 126, 127 and 128 emerging from the model 109 with technical material, so that they can be machined with the cosmetic filler to form the artificial teeth of prosthetic article 101.
The procedure in question therefore involves that, once implants 102, 103, 104 and 105 have been mounted, they are heated to melt the first ends of each of the metallic wires 106, 106′, 106″ and 106′″ to the abutment 112 and the second ends of these wires to the abutment 113 so that the wire bundle 116 is subtended between these two abutments 112 and 113. Similarly, the second set of wires 107, 107′, 107″, 107′″ will be subtended between the abutments 113 and 114. Similarly, the third set of wires 108, 108′, 108″, 108′″ will be subtended between the abutments 114 and 115. To subtend the wires 106, 106′, 106″, 106′″, 107, 107′, 107″, 107′″ 108, 108′, 108″ and 108′″, they must be heated below the melting point in order to shape the bridges, so that their development line is substantially parallel to the profile of the model 109 at each point.
After forming the bridges and the bars 126, 127 and 128, the soldered article, namely the implants 102, 103, 104 and 105 with the respective abutments 112, 113, 114 and 115, as well as the bars 126, 127 and 128, is finished by using finishing means, for example rotary instruments and/or metal cutters.
Next, it is possible to model the abutments 112, 113, 114 and 115 with technical equipment without removing them from the model 109 and thus forming the artificial teeth of prosthetic article 101.
Preferably, for the finishing, the soldered article can be removed from the model 109 and then repositioned on it for modelling with the cosmetic filler.
The process just described can be applied to articles having any number of implants; however, changing the number of implants (and thus of abutments) the inventive concept remains unchanged having to do, in fact, with a technically equivalent procedure to that described to this point.
From the above description, it is thus evident that the invention achieves the proposed aim and objectives and, in particular, it is highlighted that a method is provided for making a prosthetic article, which is more convenient, in terms of time and costs, compared to the known art.
For example, the working time of four or five hours required by the known art for a prosthesis is reduced to less than ten minutes.
In particular, the realization of the entire structure in the usual and only model, therefore without assembling and disassembling the implant from a “master” model to other models, guarantees absolute precision, hence with no issues during the implant procedure in the patient's mouth.
Another advantage of the manufacturing method according to the invention is given by the fact that, since investment casting is avoided, the risk of twists and material micro-porosity are prevented.
Another advantage of the invention is the fact that, by choosing a suitable number of metallic wires (and then a corresponding number of bridges) to make the bundle of metallic wires which form the bar allows the dental technician to fabricate highly resistant implants.
Furthermore, another advantage of the invention is given by the fact that, since the finishing is done on the model and not within the oral cavity, as for example happens with laser welding, surpluses of composites or resins are avoided, ensuring superior hygienic conditions.
Not least, the use of readily commercially available means and common materials makes the method economically competitive.
The so-designed invention is susceptible of numerous modifications and variations, all of which fall within the scope of the inventive concept.
Obviously, by changing the number of wires and/or the number of abutments (and therefore of installations), the inventive concept remains unchanged, having to do, in fact, with a technically equivalent procedure to that described hitherto.
Furthermore, all the details may be replaced by other technically equivalent features.
In practice, the materials employed, as well as the dimensions, may be different according to necessities, provided that they are consistent with the realization purpose.
Number | Date | Country | Kind |
---|---|---|---|
AR2015A000008 | Apr 2015 | IT | national |
Filing Document | Filing Date | Country | Kind |
---|---|---|---|
PCT/IB2016/000442 | 4/6/2016 | WO | 00 |