The present invention generally relates to dentures and, more particularly, to manners of adding aesthetic features to a denture to facilitate a more natural appearance.
The aesthetics of a dental prosthesis should harmonize with the soft tissues that surround the dentition, especially in the anterior region. This desire is primarily so that the prosthetic is as undetectable as possible during use by the wearer. Materials such as polymethylmethacrylate have proven to be very successful base materials for dentures. Other materials, such as conventional acrylic denture resins, offer more limited aesthetics because they do not have the natural appearance of healthy gingiva. A healthy looking gingiva is the result of the combination of a bone structure covered by a somewhat transparent, veined pinkish gingival tissue. And while the aesthetics of the tooth surfaces of a denture are important, the gingival surfaces are often more easily detected as being prosthetic. One method of making these surfaces look more realistic is to utilize shaded composite pastes, liquids and fibers to build up and model the visible gingival surfaces. Composite pastes are used primarily to add texture and dimension to the gingival surfaces of the prosthetic, while liquid modifiers are used to vary the coloration to look more like natural gingival tissues. Short fibers and colorants are also added to represent small gingival veins just below the surface. The final surface is then typically ground and polished. While the results of this buildup and bonding process can provide very good results, the technique of manually sculpting and brushing these various layers of materials, which includes multiple curing/bonding steps, is quite time-consuming and highly dependent on the artistic abilities of the technician.
Although various products are available to a dental technician to perform a layering buildup on gingival surfaces of a restoration to provide aesthetics more similar to natural gingival tissues, industry would find advantage in new methods and materials which simplify this process and provide more consistent results. It would therefore be desirable to provide composite products, systems and manners for achieving a highly authentic, realistic gingival surface for a denture that are less time consuming and/or less dependent on specialized technician artistry or skills.
Generally, a chemically bondable composite facing material is provided for adding texture and color to the gingival area of a denture base structure. This may take the form of a three-dimensionally stable, malleable facing material applied to a dentine/bone-like substructure of the denture. The facing material may include anatomical features such as replicas of gingival veins formed beneath, within and/or on an outer surface thereof, as well as various shades of coloration. These replica veins may, for example, include fibers incorporated on the outside surface of the facing material, within the facing material or beneath the facing material or in any combinations of these locations. Any other features may be added to make the denture more life-like. The facing material may be easily cut, bonded to and hand worked on the gingival surface of the denture or restoration base, then trimmed and finished with appropriate features such as the gingival line and interdental papilla. Liquid modifiers (e.g., stains) may be used for enhanced characterization resembling the natural gingiva. “Characterization” is defined as modifications to the form and/or coloring/shading to achieve a more life-like appearance. Finally, the facing material may be cured, such as by using visible light, to a final hardness and then polished as necessary. Any other manner of curing the facing material may be used depending on the formulation of the material (e.g., the initiator used). As non-limiting examples, the facing material may be self-curing, heat-curing, moisture-curing, electron beam curing or any combination of curing types. All of this is completed without an onerous layering process of pastes or similar materials, or extensive hand and tool forming of gingival features.
In an illustrative embodiment, the invention provides a composite flat facing material for adding aesthetic features to a denture base. The composite includes a flexible, flat facing material capable of being molded to gingival surfaces of a denture base and retained on the denture base, the facing material further being capable of being trimmed and then cured to a hardened state. As examples, the facing material may be formed as a flat strip of material, a flat sheet of material or rolled forms of flat material such as these.
The facing material may be formed at least in part from a polymeric material. A specific example for the material is provided below in the Example section. As more general examples, the following material compositions may be used:
The facing material is chemically bonded to the denture base. An adhesive may be provided for chemically bonding the facing material to the gingival surfaces of the denture base. The adhesive may be applied to the facing material prior to bonding the facing material to the gingival surfaces of the denture base and/or the adhesive may be separate from the facing material. Alternatively, or in addition, the denture base material and the facing material may be designed to facilitate a chemical bond therebetween. The facing material may be light-curable and may be at least partially translucent. The facing material may be packaged as a flat strip (e.g., a flat rectangular shape), a flat sheet of any shape or in a rolled condition similar to a roll of tape. The packaging should maintain the facing material protected from light and mechanical damage. Other packaging precautions may be taken based on the needs of the material. For example, if the material is moisture-curable, the packaging should impart moisture-proof conditions. The flat facing material may be textured on its surface(s) during manufacture, if desired.
In another illustrative aspect, a denture is provided and includes a denture base, a flexible, flat facing material molded to gingival surfaces of the denture base and retained on the denture base to provide the look of natural gingival surfaces. The facing material may be formed at least in part from a polymeric material. The denture may further include an adhesive located between the denture base and the facing material for bonding the facing material to the gingival surfaces of the denture base. The adhesive may be applied to the facing material prior to bonding the facing material to the gingival surfaces of the denture base, and/or the adhesive may be separate from the facing material. Other manners of chemical bonding may be used too. The facing material may be light-curable and may be at least partially translucent. The denture may further include fibers for replicating a vein structure of gingival tissue and may include liquid modifiers to provide coloring to the facing material.
In another illustrative aspect, the invention further provides a method of adding aesthetic features to a denture base. The method includes applying a flexible, flat facing material to gingival surfaces of the denture base, trimming the facing material to conform to the gingival surfaces of the denture base and curing the facing material into a hardened condition. The facing material may be formed at least in part from a polymeric material. The method may further include using an adhesive to bond the facing material to the gingival surfaces of the denture base. For example, the method may further include applying an adhesive to the gingival surfaces of the denture base to bond the facing material to the gingival surfaces of the denture base. Alternatively, or in addition, the method may include using an adhesive applied to the facing material to bond the facing material to the gingival surfaces of the denture base. The step of curing the facing material further may include using light to cure the strip. Any other alternative curing methods such as, but not limited to, electron beam, self-curing, heat induced polymerization or others are applicable. Fibers may be used to replicate a vein structure of gingival tissue and liquid modifiers may be used to provide characterization to the facing material.
Additional features and advantages of the inventive aspects will become more apparent upon review of the following detailed description taken together with accompanying drawings of the illustrative and exemplary embodiments.
An illustrative embodiment of the invention relates to a three-dimensionally stable, biocompatible dental facing material that has sufficient strength to maintain its shape as a three-dimensionally stable, flat material during transportation and storage, yet has sufficient malleability to be subsequently formed or molded, such as by hand, into a final shape on the gingival surfaces of the denture base and then hardened and polished. This material may be used as a veneer to improve the aesthetics of the gingival portion of a removable dental prosthetic or denture. The facing material is preferably comprised of a curable composite formed at least partially of a polymeric material. Any shape other than the relatively narrow strip shape shown in
The shape and size of the facing material, with or without the need for cutting to size by the technician, will facilitate its use as a gingival veneer, being generally rectangular in shape, and the facing material thickness will range from about 0.5 mm to about 2 mm. The width of a useful strip of this material may range from about 10 mm to about 25 mm. Length of the strip may be sufficient to cover the gingival surfaces of a full denture, e.g., up to about 100 mm. Sheets of facing material may alternatively be formed and then cut out to individual shapes and sizes for use. Such sheets may be sized in any useful dimension(s). The length may also be considered unlimited, such as where a strip of the facing material is provided on a roll like a roll of tape. In this form, the technician will cut desired lengths of the strip of material from the roll.
The facing material may be pre-formed during manufacture with coloring in various shades of pink to red, which are then selected for the shade most similar to natural gingiva desired for a particular patient. The coloring may be partially translucent, translucent and/or opaque. The facing material is then cut and trimmed to the approximate length and width of the area to be covered. The area on the denture base to receive the facing material is cleaned, then the facing material is applied onto the desired location such as with the use of a bonding agent. Additional trimming and forming is completed as needed (such as at the gingival line and interdental papilla) to mimic the natural gingiva. Liquid modifiers may be used to enhance the life-like characterization of the acing material, and once the technician is pleased with the aesthetics of the gingival portion of the denture, the facing material is cured to full hardness. The prosthetic or denture may then be polished as needed and delivered to verify fit and aesthetics for the patient.
Referring to
As shown in
As further shown schematically in
As further shown in
An illustrative and preferred formulation of the facing material is comprised of:
The formulation presents a Flexural Strength of 99 MPa and a Flexural Modulus of 4,400 MPa for the strip of material.
One illustrative and preferred strip size is: 70 mm (length)×10 mm (width)×2.5 mm (thickness).
There may be various translucent, semi-translucent and opaque shades of the facing material. Any of these may include different levels of veining provided, such as by using fibers (which may or may not be formed into a fibrous material or mat) incorporated within the facing material and/or applied on the facing material. The coloring or shading may be various shades of pink and/or red.
A modifier liquid stain may be formed using the same formulation as above, but with 25% less Pyrogenic Silica in Red, Brown, Black, Blue, Yellow and Dark Pink. Special attention should be given to the possibility to characterize underneath the “protecting” overlayed composite facing material, which provides a protection to the aesthetics of the facing material.
An illustrative and preferred bonding formulation applied to the denture base before applying the strip is comprised of:
While the present invention has been illustrated by the description of specific embodiments thereof, and while the embodiments have been described in considerable detail, it is not intended to restrict or in any way limit the scope of the appended claims to such detail. The various features discussed herein may be used alone or in any combination within and between the various embodiments. Additional advantages and modifications will readily appear to those skilled in the art. The invention in its broader aspects is therefore not limited to the specific details, representative apparatus and methods and illustrative examples shown and described. Accordingly, departures may be made from such details without departing from the scope or spirit of the general inventive concept.
This application is a continuation of PCT Application No. PCT/US2022/052332 filed Dec. 9, 2022, which claims the priority of U.S. Provisional Patent Application Ser. No. 63/361,275 filed on Dec. 13, 2021, the disclosures of which are incorporated herein by reference in their entirety.
Number | Date | Country | |
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63361275 | Dec 2021 | US |
Number | Date | Country | |
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Parent | PCT/US22/52332 | Dec 2022 | US |
Child | 18128455 | US |