The present invention relates to an attachment device for an overdenture, and more specifically to a ball-type attachment device for an overdenture, in which the exposed distal end of an abutment is formed to a ball shape, and a method of producing an overdenture to which attachments are applied.
An implantation procedure originally refers to a medical replacement procedure which recovers a tissue of a human body when the tissue is lost, and refers to a procedure which implants an artificial tooth root, i.e., the root of a tooth, in the field of dentistry. A dental implantation procedure is an advanced medical procedure which places an artificial tooth root made of titanium or the like, not generating an adverse reaction in a human body, in the portion of an alveolar bone from which a tooth has been lost in order to act as a substitute for the tooth root of the lost tooth and then attaches an artificial tooth thereto, thereby recovering the function of the tooth. Although a dental prosthesis or denture damages surrounding teeth and bones over time, an implant does not damage surrounding tooth tissues, has the same function and shape as a natural tooth, and is not prone to tooth decay, thereby providing the advantage of being used semi-permanently.
However, the dental implantation procedure is disadvantageous in that, since a number of teeth equal to the number of lost teeth are planted in principle, a high cost and a long period of time are required to replace a large number of lost teeth when the number of lost teeth is large, and is also disadvantageous in that it is difficult to apply the dental implantation procedure when the amount of remaining alveolar bone is insufficient.
Recently, in order to overcome the disadvantages of the dental implantation procedure, an implant-supported overdenture procedure (hereinafter referred to as “implant overdenture procedure”) has attracted great attention.
The implant overdenture procedure is a dental procedure which generally places two or more implants in the low jaw and four or more implants in the upper jaw and then separably fastens an overdenture by using various maintaining devices, such as bars, magnets, or the like. This implant overdenture procedure compensates for the disadvantage of a common denture procedure which does not provide sufficient maintaining and supporting force due to the absence of a structure capable of supporting masticatory force except for gums. The implant overdenture procedure has secured its position as an alternative to the high-cost dental implantation procedure in the case where the dental implantation procedure cannot be applied.
Referring to
Meanwhile, bar-, magnet-, and ball joint-type attachments, etc. are known as methods of selectively mounting and demounting an overdenture on and from gums, i.e., methods of coupling and separating the exposed distal end of an abutment to and from a retainer, in an attachment device for an overdenture.
A conventional ball-type attachment device to which the ball joint-type one of the above attachments is applied generally includes an abutment configured to have a ball-shaped exposed distal end and a retainer configured to be fastened to an overdenture by adhesive resin or the like. In this case, the retainer includes a retainer body formed to have a space accommodating the exposed distal end of the abutment and made of a metallic material, and an O-ring configured to be mounted inside the retainer body and provide force maintaining coupling with the abutment. However, the conventional ball-type attachment device having the above-described configuration is a structure requiring the O-ring in order to maintain the coupling between the abutment and the retainer. Accordingly, the conventional ball-type attachment device is problematic in that the structure of the retainer is complex, and is also problematic in that interference attributable to the O-ring occurs in the process of inserting the exposed distal end of the abutment into the retainer, and thus it is difficult for the abutment and the retainer to be coupled to each other and maintained in various directions or at various angles. Furthermore, the conventional ball-type attachment device is problematic in that it is difficult to increase the diameter of the neck of the abutment due to the space occupied by the O-ring, and thus stress concentration on the neck increases and applied force cannot be stably transferred.
In order to overcome the above-described problems of the conventional ball-type attachment device, the present inventor developed a ball-type attachment device to which a retainer formed in a simple structure and made of an elastically deformable material in order to facilitate the coupling and separation of an overdenture was applied, and obtained a registration under Korean Utility Model Registration No. 20-0470574. However, in this ball-type attachment device, the retainer is made of an elasticity plastic material, and thus the external surface of the retainer is slightly pushed and returned to its original position in response to the mounting and demounting of the overdenture. When this is repeated, a resin, applied to the external surface of the retainer in order to bond and fasten the retainer to the overdenture, and the retainer are slightly separated from each other. Accordingly, there occurs a problem in which a foreign material is caught between the resin and the retainer or the retainer is separated from the overdenture and a problem in which the masticatory sensation of a user is reduced due to the unavoidably excessive elasticity of the retainer.
Meanwhile, in order to produce an overdenture to which ball-type attachments are applied (hereinafter simply referred to as the “overdenture”), it is natural that ball-type attachment-based implants, to which abutments can be coupled, have been placed in a recipient in advance and the gums of the recipient have been stabilized. An important point is that the angles, directions, depths, or the like at, in, to, or the like which the implants are placed are not made uniform due to the state and shape of the upper or low jaw bone of the recipient (a non-uniform implantation feature).
A conventional overdenture has been produced by the following method:
Of intermediate structures obtained during the process of producing an overdenture, a structure having the same phase (a positive shape) as gums of a recipient and an abutment is referred to as a model, and a structure having the opposite phase (a negative shape) is referred to as an impression.
{circle around (1)} Acquisition of impression: An impression is acquired from gums of a recipient by using a predetermined impression material (e.g., rubber, silicon or the like) in the state in which the impression coping of implant fixtures, or abutments and the impression copings of the abutments are mounted on the gums of the recipient. In this case, the impression copings of the fixtures or the impression copings of the abutments are contained inside the impression, and a negative recession is formed due to the impression copings (there is a case where the impression coping of a fixture is not contained in an impression and only forms a negative recession in the impression according to the type thereof).
{circle around (2)} Formation of model: In a dental laboratory, fixture analogs or abutment analogs are inserted into the internal recessions of the impression copings inserted into the impression, and a working model is formed of an appropriate material (plaster or the like) by using the impression as a template. In this case, when only the fixture analogs have been inserted into the impression, the working model is formed in the state in which only the fixture analogs have been inserted, and thus the abutment analogs having the same height as that in the oral cavity is additionally attached to the impression. When the abutment analogs have been inserted into the impression, the working model is formed in the state in which the abutment analogs have been inserted.
{circle around (3)} Formation of wax denture: The mounting of an overdenture frame, the arrangement of teeth, and the formation of a wax denture are performed using the working model, into which the abutment analogs have been implanted, as a template according to a common method. Coupling recessions are formed by enlarging a space, into which the abutment analogs had been inserted, to an appropriate size so that retainers can be slightly comfortably inserted thereinto. The wax denture formed as described above is applied to the oral cavity of the recipient, and then accuracy checking and partial modification are performed.
{circle around (4)} Formation of pre-overdenture: Once the wax denture has been completed, a pre-overdenture (a structure in which retainers are not fitted into coupling recessions) is formed by replacing wax with resin according to a common method.
{circle around (5)} Completion of overdenture: The retainers are coupled to the abutments of the recipient, an appropriate amount of bonding agent is applied to the coupling recessions of the pre-overdenture, and the pre-overdenture is mounted in the oral cavity of the recipient or on the model when the bonding agent is slightly set so that the retainer is bonded and coupled to the coupling recessions of the pre-overdenture in an integrated manner, thereby completing an overdenture. Since the size and shape of the coupling recessions do not correspond to those of the retainers, it is impossible to bond and couple the retainers to the couplings recession first.
Meanwhile, according to this conventional technology, the angles and directions of placed implants are not uniform, and this is incorporated into the angles and directions of overdenture retainers. Accordingly, the coupling angles of implant attachment-overdenture retainer pairs are different from each other, and thus it is not easy to selectively insert and remove (attach and detach) the overdenture. Furthermore, a specific attachment-retainer pair is subjected to excessive pressure, and thus the implant is deformed, the uneven wear of the abutment occurs in the attachment, or the early wear of retainer plastic is caused over a long period of time.
Moreover, according to the conventional technology, the amount of bonding agent applied to bond and couple the retainers to the coupling recessions of the pre-overdenture cannot be accurately determined. Accordingly, when the amount of bonding agent is insufficient, the retainers are separated and bonding work is performed again. In contrast, when the amount of bonding agent is excessive, the attachments and the retainers adhere to each other or the overdenture and gums of the recipient adhere to each other, with the result that a long period of time is required and pain is caused so as to separate them.
An object of the present invention is to provide a ball-type attachment device which can keep an abutment and a retainer bonded using a fitting method while maintaining a ball-type structure without requiring the use of an O-ring and which can prevent the retainer and resin from being separated from each other despite repeated use.
Another object of the present invention is to provide a ball-type attachment device in which elasticity is provided by not only a physical property (a material's own elasticity) of a retainer but also the structure of the retainer, thereby preventing a masticatory sensation from being degraded due to excessive elasticity and also improving a mounting and demounting sensation or a snap sensation related to an overdenture.
Still another object of the present invention is to provide a ball-type attachment device in which a retainer includes a cushion part and a fastening part, which enables the cushion part to be easily inserted into the fastening part during the process of coupling the cushion part and the fastening part to each other, and which enables the cushion part to be stably fastened to the fastening part without being separated from the fastening part in the state in which one end of the cushion part has been inserted.
Still another object of the present invention is to provide a method which enables an overdenture, to which ball-type attachments are applied, to be stably and easily inserted and separated by making the angles and directions of overdenture retainers uniform, and which enables the overdenture to be accurately and rapidly produced.
According to the present invention, some of the above-described objects are achieved by a ball-type attachment device for an overdenture, the ball-type attachment device including an abutment configured such that a ball-shaped coupling protrusion is formed at the exposed distal end thereof, and a retainer configured to be separably fitted over the coupling protrusion by a fitting method, wherein the retainer includes: a cushion part made of an elastically deformable material, and configured such that a coupling recession having a shape corresponding to the ball shape of the coupling protrusion is formed therein so as to allow the coupling protrusion to be separably inserted and fitted into the cushion part; and a fastening part configured to be fastened to the overdenture, and configured such that an accommodation recession configured to accommodate the cushion part is formed therein so as to allow the cushion part to be inserted and fitted into the fastening part.
Furthermore, according to the present invention, some of the above-described objects are achieved by 11. A method of producing an overdenture to which ball-type attachments are applied, the method including: acquiring a negative impression from gums of a recipient; forming a positive working model, to which abutment analogs are fastened, by using the impression; fitting retainer analogs over abutment balls of the working model, and filling spaces between the retainer analogs and gums of the working model with a predetermined molding material and fixing the spaces in the state in which directions of all the retainer analogs have been made uniform; forming a wax denture by using the working model as a template, and modifying the wax denture; forming a pre-overdenture by replacing wax of the modified wax denture with resin (in which case a plurality of retainer coupling recessions have been formed in the pre-overdenture); and inserting and bonding retainers into the coupling recessions of the pre-overdenture, wherein an appropriate amount of adhesive is applied to the coupling recessions of the pre-overdenture formed by the retainer analogs and the retainers are bonded into the coupling recessions of the pre-overdenture, thereby completing an overdenture.
In accordance with the ball-type attachment device for an overdenture according to the present invention, the retainer is configured to have a dual material and a dual structure including the elastic material part and the inelastic material part. Accordingly, the abutment and the retainer are coupled and maintained using a fitting method without requiring an O-ring, and thus the advantage of omitting an O-ring part is achieved and the retainer and the resin can be prevented from being separated despite repeated use. The attachment and separation of the overdenture are facilitated without degrading a masticatory sensation. Moreover, even when an elasticity reduction phenomenon attributable to repeated use occurs, the overall retainer does not need to be replaced, but only the elastic material part of the retainer can be simply replaced, thereby providing the convenience of the maintenance of the overdenture.
Furthermore, in accordance with the ball-type attachment device for an overdenture according to the present invention, the fastening protrusion having a structure in which one or more parts are eliminated or open is formed on the fastening part of the retainer, so that the retainer is configured to include the cushion part and the fastening part, the cushion part can be easily inserted into the fastening part during the process of coupling them, and the cushion part can be stably fastened into the fastening part without being separated from the fastening part in the state in which one end of the cushion part has been inserted.
Furthermore, in accordance with the method of producing an overdenture according to the present invention, an overdenture is produced with the directions of all retainers made uniform, so that the insertion and separation of the overdenture are facilitated, and so that the attachment-retainer pairs are subjected to uniform pressure, thereby preventing the deformation of the implants, the uneven wear of the abutments in the attachments, and the early wear of retainer plastic.
Moreover, in accordance with the method of producing an overdenture according to the present invention, the coupling recessions are formed to accurately meet the sizes of the retainers during the production of an overdenture, and thus the retainers can be inserted and bonded by applying an appropriate amount of adhesive (bonding agent), thereby preventing additional work or time consumption which may occur due to the inappropriateness of the amount of adhesive.
In order to fully understand the present invention, the operating advantages of the present invention, and objects achieved by the practice of the present invention, reference should be made to the accompanying drawings illustrating preferred embodiments of the present invention and descriptions given in the accompanying drawings.
The present invention will be described in detail below by describing the preferred embodiments of the present invention with reference to the accompanying drawings. However, in the description of the present invention, a description of a well-known function or configuration will be omitted in order to make the gist of the present invention clear.
Referring to
The abutment 20 functions to stably support an overdenture worn on a patient's gums, and is generally made of a metallic material, such as stainless steel (SUS), titanium, or the like. In this case, the abutment 20 may be applied in the configuration of being inserted into gums of a patient and engaged with a fixture implanted into the patient's alveolar bone, or in the configuration of being integrated with a fixture. For reference, the abutment 20 shown in
Referring to
The retainer 10 is fitted over the coupling protrusion 21 of the abutment 20 by a fitting method upon wearing of an overdenture, as in a snap fastener, in the state of being fastened into the overdenture by adhesive resin or the like.
Referring to
As shown in
The cushion part 11 of the retainer 10 according to the present invention is characterized by being made of an elastically deformable material in order to simplify a fitting structure and facilitate fitting and separation when being fitted and maintained over the coupling protrusion 21 of the abutment 20 by a fitting method. In this case, although the “elastically deformable material” is preferably a plastic material, the “elastically deformable material” does not exclude a metallic material.
Meanwhile, a half or more portion of the ball of the coupling protrusion 21 of the abutment 20 is preferably inserted into the inside of the cushion part 11 of the retainer 10, and thus the coupling recession 11a of the cushion part 11, into which the coupling protrusion 21 of the abutment 20 is inserted and accommodated, is preferably formed to have an approximately recessed hemispherical shape (For reference, if the shape of the coupling recession 11a is a protruding exact hemisphere, only an exact half of the ball of the coupling protrusion 21 is inserted. In order to allow a half or more portion of the ball to be inserted, the shape needs to be an intermediate shape between a recessed “hemisphere” and a recessed “sphere” in practice. Accordingly, the term “approximately” is used to represent the shape). In other words, as shown in
As shown in
Furthermore, as shown in
Referring to
By the configurations of the cushion part 11 and fastening part 12 of the retainer 10, a case where the location of the fastening part 12 itself fastened to an overdenture is changed or the surface of the cushion part 11 is damaged due to the application of excessive force in the process of assembling the retainer 10, i.e., the process of inserting and fastening the cushion part 11 into the fastening part 12, can be prevented from occurring.
Meanwhile, the fastening part 12 of the retainer 10 is preferably made of a hard metallic material or plastic material having little elasticity and high hardness in order to prevent the fastening part 12 from being replaced due to a problem, such as abrasion or the like, within the life span of an overdenture.
The retainer 10 according to the present invention pursues the ease of fitting and separation through the application of the cushion part 12, made of an elastically deformable material, to coupling with the coupling protrusion 21 of the abutment 20 based on a fitting method. However, coupling with and separation from the coupling protrusion 21 of the abutment 20 are performed in the state in which the cushion part 12 made of an elastic material has been accommodated and confined inside the hard fastening part 11 made of a metallic material or the like. Accordingly, the elasticity of the cushion part 12 is not sufficiently utilized, and thus excessive force is applied to separate the overdenture, with the result that inconvenience may be caused. In order to prevent such inconvenience from being caused, in the retainer 10 according to the present invention, the cushion part 11 and the fastening part 12 preferably have a predetermined gap between the opposite surfaces thereof near the exposed distal end (entrance) of the retainer 10. Due to the formation of the gap, when the coupling protrusion 21 of the abutment 20 is inserted into the entrance of the coupling recession 11a of the cushion part 11, the entrance of the coupling recession 11a can be elasticity pushed to the outside, and thus the elasticity of the cushion part 12 can be sufficiently utilized during the process of coupling the abutment 20 and the retainer 10 each other. Meanwhile, although a gap (portions represented by the dotted lines in
Another method of enhancing the elasticity of the cushion part 11 of the retainer 10 is to impart more elasticity to the outside end of the cushion part 11 opposite to the entrance thereof, i.e., the distal end of the external protruding hemisphere by cutting a portion of the end, for example, in a horizontal direction, as shown in
A method of producing an overdenture to which ball-type attachments are applied according to the present invention is described with reference to
In the present invention, the term “fixture analog” or “abutment analog” refer to an “analog” which has the same size and shape as the fixture or abutment of an implant or whose at least the portion exposed from gums to the outside has the same size and shape as the corresponding portion of the fixture or abutment of an implant. The size and shape of the portion not exposed to the outside may be determined as desired, and the material of the portion may be selected from among various materials.
In the present invention, the term “retainer analog” refers to an analog which can be selectively fitted into and separated from an abutment ball, like a retainer, whose appearance is similar to that of a retainer and has no curve, and whose appearance size is somewhat larger than that of the retainer in the strict sense.
As described above, the present invention relates to a method of producing an overdenture to which ball-type attachments are applied, which includes the steps of: (A) acquiring a negative impression from gums of a recipient; (B) forming a positive working model, to which abutment analogs are fastened, by using the impression; (C) forming a wax denture by using the working model as a template, and modifying the wax denture; (D) forming a pre-overdenture by replacing the wax of the modified wax denture with resin (in which case a plurality of retainer coupling recessions have been formed in the pre-overdenture); and (E) completing an overdenture by inserting and bonding retainers into the coupling recessions of the pre-overdenture. In
Before the impression is acquired at step (A), the gums of the recipient have been stabilized because the wounds attributable to implantation have healed up, and impression copings of one or more implant fixtures, or abutments and the impression copings of the abutments have been mounted. Once the impression has been acquired, fixtures or the impression copings of abutments are inserted into the inside of the impression, and negative recessions are formed in the impression by the impression copings (see
Thereafter, the positive working model is formed using the impression at step (B) (see
Meanwhile, although not considered in the conventional technology, the attachment and detachment of the overdenture can be smoothly performed, a snap sensation can be provided, and resistance and pressure can be uniformly distributed during the attachment and detachment of the overdenture and mastication, only when the directions of insertion and separation and the directions of the retainers are uniform in the completed overdenture. Accordingly, according to the present invention, in order to make the directions of the retainers uniform, when the working model into which the abutment analogs have been inserted is prepared before the step of forming the wax denture (between step (B) and step (C)), step (F) of mounting retainer analogs on the abutment balls of the working model and fixing uniform directions is performed (see
In the present invention, the directions of the retainer analogs may be made uniform by using various tools and methods. For example, “auxiliary parallel coupling tools” may be placed on the retainer analogs, and then the directions of the retainer analogs may be made uniform.
As an example, each of the auxiliary parallel coupling tool may include an inverted funnel-shaped coupling part configured to receive an external surface of a corresponding one of the retainer analogs, and a vertical pole part (a parallel pin). The process of mounting and fastening retainer analogs on and to a working model by using the above auxiliary parallel coupling tools is as follows. First, the inverted funnel-shaped coupling parts are inserted over the external surfaces of retainer analogs, directions are adjusted such that all the vertical pole parts are parallel (see
As another example, each of the auxiliary parallel coupling tools may include a magnet part configured to be coupled to a top surface of a corresponding one of the retainer analogs, and a vertical pole part (a parallel pin) (not shown). When this type of auxiliary parallel coupling tools are used, the magnet parts are attached to the top surfaces of retainer analogs, and then the retainer analogs are fastened using a method identical to the above-described method.
Once the working model to which the retainer analogs are fastened has been completed, the wax denture is formed using the working model as a template at step (C) (see
The wax denture is formed, for example, in the sequence in which an overdenture frame is formed using working model (or the second working model) and then teeth are arranged, as in a common method. After the wax denture has been formed, the wax denture is tentatively applied to the recipient, and then accuracy checking and partial modification are performed.
Thereafter, the pre-overdenture is formed by replacing the wax of the modified wax denture with, for example, resin according to a common method at step (D) (see
Finally, an overdenture is completed by inserting and bonding retainers into the coupling recessions of the pre-overdenture at step (E) (see
The present invention is not limited to the above-described embodiments, and it will be apparent to those having ordinary knowledge in the art that various modifications and alterations can be made without departing from the spirit and scope of the present invention. Accordingly, such modifications and alterations should be construed as falling within the claims of the present invention.
The present invention is applicable to industries related to an attachment device used for the procedure of an implant-supported overdenture and a method of producing an overdenture to which the attachment device is applied.
Number | Date | Country | Kind |
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10-2015-0033273 | Mar 2015 | KR | national |
10-2015-0131374 | Sep 2015 | KR | national |
10-2015-0141775 | Oct 2015 | KR | national |
Filing Document | Filing Date | Country | Kind |
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PCT/KR2015/012233 | 11/13/2015 | WO | 00 |