The present invention relates to a denture base and a method of manufacturing the same, an artificial tooth and a method of manufacturing the same, and a denture and a method of manufacturing the same.
In dentures made by conventional methods, in which a curable resin is poured into a gypsum mold configured from an upper mold and a lower mold and then the curable resin is cured (e.g., photopolymerized, thermopolymerized, etc.), artificial teeth have been embedded in and fixed to resin portions of a denture base (see JP 2008-289839 A and JP 3,064,138 U).
Furthermore, in dentures made by CAD/CAM, artificial teeth are fitted into, adhered to, and fixed to socket portions of a denture base cut by CAD/CAM (see JP 2014-155878 A).
In both denture bases obtained by conventional methods and denture bases obtained by CAD/CAM, the artificial teeth are embedded in the denture base to fix the artificial teeth. Patients who require dentures have alveolar ridges of various different heights. Particularly in a denture for a patient with a high alveolar ridge, sometimes the thickness of the denture base cannot be sufficiently ensured in regard to the areas directly under the artificial teeth to achieve a balance between fitting feeling and occlusal feeling. However, if the thickness of the denture base is reduced, there is a concern that collar portions of the artificial teeth (i.e., the portions embedded in the denture base) will end up touching the alveolar ridge of the patient. Consequently, it has been necessary to cut the collar portions beforehand, resulting in a greater denture manufacturing burden.
In view of the above circumstances, it is an object of an embodiment of the present invention to provide a denture base whose manufacturing burden can be reduced, an artificial tooth embedded therein, and a denture equipped with these.
The solution to the problem includes the following aspects.
<1> A denture base comprising:
a base portion;
a socket that is demarcated by a step portion from a gingival area of the base portion and to which an artificial tooth is to be attached; and
interdental papilla areas of the gingival area, which are positioned at both ends of the socket along a tooth row and which correspond to interdental papillae between adjacent teeth,
wherein, in a state in which the socket is facing upward:
a plurality of sockets are formed adjacent to each other in the base portion, and
a socket having the basal surface is at least one of the plurality of sockets.
<6> A method of manufacturing a denture base comprising a cutting step of cutting a denture base material to obtain the denture base according to any one of <1> to <5>.
<7> The method of manufacturing a denture base according to <6>, wherein the cutting step includes a step (a CAD/CAM step) of using a CAM system unit to form a design that has been designed by a CAD system unit.
<8> The method of manufacturing a denture base according to <7>, wherein the socket is formed in the CAD/CAM step.
<9> A method of manufacturing a denture base comprising a forming step of forming, by 3D printing, the denture base according to any one of <1> to <5>.
<10> An artificial tooth whose basal surface that is to be adhered to a socket of a denture base has a valley-shaped basal surface apex portion interconnecting both ends of the artificial tooth along a tooth row and is configured by a surface that is concave overall when an occlusal surface of the artificial tooth is facing upward,
wherein each of a labial-side surface and a lingual-side surface of the artificial tooth is formed as a continuous surface whose lower end edge is visible even after the artificial tooth is attached to the socket.
<11> The artificial tooth according to <10>, wherein the basal surface at a labial surface side from the basal surface apex portion is formed in a concave shape that slopes downward toward the labial side.
<12> The artificial tooth according to <11>, wherein the basal surface at a lingual surface side from the basal surface apex portion is also formed in a concave shape that slopes downward toward the lingual side.
<13> The artificial tooth according to <12>, further comprising a recessed portion in a central portion of the basal surface apex portion.
<14> The artificial tooth according to <10>, wherein the basal surface is matable with the socket of the denture base according to <1> or <5> dependent from <1>.
<15> The artificial tooth according to <11>, wherein the basal surface is matable with the socket of the denture base according to <2> or <5> dependent from <2>.
<16> The artificial tooth according to <12>, wherein the basal surface is matable with the socket of the denture base according to <3> or <5> dependent from <3>.
<17> The artificial tooth according to <13>, wherein the basal surface is matable with the socket of the denture base according to <4> or <5> dependent from <4>.
<18> The artificial tooth according to any one of <10> to <17>, wherein the basal surface apex portion is visible from a lateral direction of the artificial tooth.
<19> A method of manufacturing an artificial tooth comprising a forming step of obtaining, by injection molding, the artificial tooth according to any one of <10> to <18>.
<20> A method of manufacturing an artificial tooth comprising a cutting step of cutting an artificial tooth material to obtain the artificial tooth according to any one of <10> to <18>.
<21> A method of manufacturing an artificial tooth comprising a forming step of forming, by 3D printing, the artificial tooth according to any one of <10> to <18>.
<22> A denture comprising the denture base according to <1> and the artificial tooth according to <10> attached to the socket of the denture base.
Furthermore, a denture comprising the denture base according to <2> and the artificial tooth according to <11> attached to the socket of the denture base.
Furthermore, a denture comprising the denture base according to <3> and the artificial tooth according to <12> attached to the socket of the denture base.
Furthermore, a denture comprising the denture base according to <4> and the artificial tooth according to <13> attached to the socket of the denture base.
<23> The denture according to <22>, wherein a plurality of sockets are formed adjacent to each other in the base portion, and artificial teeth that are attached to each of the sockets are interconnected.
<24> A method of manufacturing a denture comprising: a cutting step of cutting a denture base material to obtain the denture base according to <1>; and an attachment step of attaching the artificial tooth according to <10> to the socket of the denture base.
Furthermore, a method of manufacturing a denture comprising: a cutting step of cutting a denture base material to obtain the denture base according to <2>; and an attachment step of attaching the artificial tooth according to <11> to the socket of the denture base.
Furthermore, a method of manufacturing a denture comprising: a cutting step of cutting a denture base material to obtain the denture base according to <3>; and an attachment step of attaching the artificial tooth according to <12> to the socket of the denture base.
Furthermore, a method of manufacturing a denture comprising: a cutting step of cutting a denture base material to obtain the denture base according to <4>; and an attachment step of attaching the artificial tooth according to <13> to the socket of the denture base.
Moreover, any of these methods of manufacturing a denture base, wherein a plurality of sockets are formed adjacent to each other in the base portion, and a socket having the basal surface is at least one of the plurality of sockets.
<25> A method of manufacturing a denture comprising: a step of obtaining, by 3D printing, the denture base according to <1>; and an attachment step of attaching the artificial tooth according to <10> to the socket of the denture base.
Furthermore, a method of manufacturing a denture comprising: a step of obtaining, by 3D printing, the denture base according to <2>; and an attachment step of attaching the artificial tooth according to <11> to the socket of the denture base.
Furthermore, a method of manufacturing a denture comprising: a step of obtaining, by 3D printing, the denture base according to <3>; and an attachment step of attaching the artificial tooth according to <12> to the socket of the denture base.
Furthermore, a method of manufacturing a denture comprising: a step of obtaining, by 3D printing, the denture base according to <4>; and an attachment step of attaching the artificial tooth according to <13> to the socket of the denture base.
Moreover, any of these methods of manufacturing a denture base, wherein a plurality of sockets are formed adjacent to each other in the base portion, and a socket having the basal surface is at least one of the plurality of sockets.
An embodiment of the present invention is configured as described above, so there can be provided a denture base whose manufacturing burden can be reduced, an artificial tooth embedded therein, and a denture having these. Specifically, for example, the area where the artificial tooth is to be embedded in the denture base is small, so the step of cutting the artificial tooth can be significantly reduced or eliminated even in a denture for a patient with a high alveolar ridge. Furthermore, the area of adhesion to the artificial tooth is increased because the basal surface of the denture base has a convex shape, and the fixing force of the artificial tooth can be raised.
Embodiments of the present invention will be described below with reference to the drawings. Throughout all the drawings referred to below, the same reference signs denote the same members.
As shown in
As shown in
As shown in
Furthermore, interdental papilla areas 114, at which the gingival area 110 is higher by an amount corresponding to the height of the step portions 112, are formed on both ends of each of the sockets 120 along the tooth row. The interdental papilla areas 114 include areas that form interdental papillae between the artificial teeth 200 that are to be attached to the sockets 120 and adjacent teeth. What are here called adjacent “teeth” means adjacent artificial teeth 120, but if the denture 300 is a partial denture, there are also cases where the adjacent teeth are natural teeth to which the partial denture is adjacent.
Each of basal surfaces 130, which are surfaces of the sockets 120 to which the artificial teeth 200 are to be fixed, has a ridge shape interconnecting the interdental papilla areas 114 positioned on both ends of the corresponding socket 120. These ridge-shaped areas are referred to as socket apex portions 138. In other words, the socket apex portions 138 are the highest parts of the basal surfaces 130 of the sockets 120. The expression “ridge-shaped” in relation to the socket apex portions 138 refers to a state in which the sockets 120 are facing upward as in the drawings. Consequently, in a case where the denture base 100 has actually been inserted into the oral cavity as part of the denture 300, the “ridges” are in the lowest position in the case of a denture 300 for a maxilla and conversely are in the highest position in the case of a denture 300 for a mandible.
Each of the basal surfaces 130 of the sockets 120 is configured by a surface that is convex overall including the socket apex portion 138. Here, the expression “surface that is convex overall” means that basically the overall surface has a three-dimensional shape that is convex, and means that it is desirable for the overall surface to be formed as a convexly curved surface but that it is alright if the overall surface includes a flat surface in a part thereof or if the overall surface is formed in a convex shape by a combination of plural flat surfaces.
As shown in
As shown in
Here,
The height of the apex portions 116 of the interdental papilla areas 114 that are seen from the labial side in a state in which the artificial teeth 200 are attached to the sockets 120 will be specifically described using
In
In
That the height of the socket apex portions 138 and the height of the apex portions 116 of the interdental papilla areas 114 that are seen from the labial side in a state in which the artificial teeth are attached to the sockets are the same means that, in
Although in the present embodiment a case is described where the socket apex portions 138 are substantially the same height as the apex portions 116 of the interdental papilla areas 114 that are seen from the labial side in a state in which the artificial teeth are attached to the sockets 120, the socket apex portions 138 may also be in a higher position than the apex portions 116 of the interdental papilla areas 114, that is, in a position where D3<D2 in
Furthermore, as for the shape of the sockets of the denture base 100, all the sockets may be formed as sockets having the socket apex portion 138 and having the basal surface 130 configured by a surface that is convex overall such as shown in
The material of the denture base 100 serving as the denture base material is not particularly limited. However, acrylic resin is preferred because it is suited for manufacture using a CAD/CAM system (a manufacturing system equipped with a CAD (Computer Aided Design) system unit and a CAM (Computer Aided Manufacturing) system unit) as described later and because it has excellent adhesion to resin teeth made of commercially available acrylic resin.
Here, the acrylic resin is a polymer including at least one type selected from a group comprising a structural unit derived from acrylic acid, a structural unit derived from methacrylic acid, a structural unit derived from esters of acrylic acid, and a structural unit derived from esters of methacrylic acid.
That is, the acrylic resin in the present specification is a polymer obtained by polymerizing a monomer component including at least one type (hereinafter also referred to as an “acrylic monomer”) selected from a group comprising acrylic acid, methacrylic acid, esters of acrylic acid, and esters of methacrylic acid.
The acrylic monomer that is at least a part of the raw material of the acrylic resin may be a monofunctional acrylic monomer or may be a polyfunctional acrylic monomer.
Examples of monofunctional acrylic monomers include acrylic acid, methacrylic acid, esters of acrylic acid including at least one acryloyl group in one molecule, and esters of methacrylic acid including at least one methacryloyl group in one molecule.
Examples of polyfunctional acrylic monomers include esters of acrylic acid including two or more acryloyl groups in one molecule and esters of methacrylic acid including two or more methacryloyl groups in one molecule.
As the esters of acrylic acid, alkyl esters of acrylic acid are preferred. Among them, alkyl esters of acrylic acid in which a carbon number of the alkyl group included in the site of the alkyl ester is 1 to 4 are more preferred, methyl acrylate and ethyl acrylate are even more preferred, and methyl acrylate is particularly preferred.
As the esters of methacrylic acid, alkyl esters of methacrylic acid are preferred. Among them, alkyl esters of methacrylic acid in which a carbon number of the alkyl group included in the site of the alkyl ester is 1 to 4 are preferred, methyl methacrylate and ethyl methacrylate are more preferred, and methyl methacrylate is particularly preferred.
Furthermore, it is preferred that the acrylic resin is a polymer obtained by polymerizing a monomer component including a monofunctional acrylic monomer from a viewpoint of reactivity and productivity.
It is more preferred that the acrylic resin is a polymer obtained by polymerizing a monomer component including 50 mass % or more (preferably 80 mass % or more, more preferably 90 mass % or more, and even more preferably 95 mass % or more) of a monofunctional acrylic monomer.
As the acrylic resin, particularly preferred is a polymer including a structural unit derived from methyl methacrylate, and most preferred is a homopolymer of methyl methacrylate (polymethyl methacrylate (PMMA)).
The acrylic resin may also include rubber from the viewpoint of impact resistance.
Examples of types of the rubber include acrylic rubber, butadiene rubber, butadiene-acrylic rubber, butadiene-styrene rubber, and silicone rubber.
In a case where the acrylic resin includes rubber, it suffices to select the rubber type in consideration of appropriate physical properties, but butadiene rubber or butadiene-acrylic rubber is preferred in consideration of a balance in physical properties such as hardness and impact resistance.
The denture base 100 may be colored to a color tone close to that of gingiva from an aesthetic viewpoint. It suffices to use a pigment, dye, or coloring matter, for example, to color the denture base 100.
The denture base 100 may be a denture base for a complete denture or may be a denture base for a partial denture.
Furthermore, the denture base 100 may be a denture base for a maxillary denture, or may be a denture base for a mandibular denture, or may be a set of a maxillary denture and a mandibular denture.
Next, a method of manufacturing the denture base 100 will be described.
In the manufacture of the denture base 100, as an example, a CAD/CAM system can be used. The manufacturing step resulting from the CAD/CAM system is referred to as a “CAD/CAM step.”
The CAD system unit designs and creates, on the basis of 3D surface profile information of an oral cavity and 3D profile information of artificial teeth 200, profile information of the denture base 100 as digital data using a computer. In the present embodiment, the digital data also includes profile information of the sockets 120.
The CAM system unit has, for example, a milling machine. The CAM system unit acquires the profile information that has been formed by the CAD system unit and forms, with the milling machine, the denture base 100. That is, the milling machine cuts, on the basis of the profile data of the denture base 100 that has been input, a resin block formed of the denture base material, whereby the denture base 100 is obtained.
In this way, in the method of manufacturing the denture base of the present embodiment, at least a part of the step of forming the denture base 100 includes a cutting step (e.g., cutting by the milling machine described above). Thereby, a step of forming the sockets 120 by hand, for example, can be eliminated, or modification of the shape of the sockets 120 by hand, for example, can be minimized.
In particular, by forming the sockets 120 by cutting, the sockets 120 can be formed with a high degree of precision.
In the system for manufacturing the denture base 100, the profile information of the denture base 100 that has been obtained by the CAD system unit is included. On the basis of this profile data, the CAM unit forms the material of the denture base 100 to manufacture the denture base 100. Thereby, the denture base 100 with the desired shape can be formed efficiently and with a high degree of precision.
In particular, in the present embodiment, the profile information of the denture base 100 also includes the profile information of the sockets 120. Consequently, the denture base 100 having the sockets 120 may also be formed only by the CAD/CAM step using the milling machine.
Note that a manual work by a worker may be included as a part of the cutting step.
Furthermore, in the manufacture of the denture base 100, a manufacturing system having a 3D printer may also be used instead of the milling machine of the manufacturing system described above. In this kind of manufacturing system, the CAM system unit acquires the profile information that has been formed by the CAD system unit, and the denture base 100 is formed by 3D printing using the 3D printer that is a part of the CAM system unit. The 3D printer forms the denture base 100 by layering the denture base material one layer at a time on the basis of the profile data of the denture base 100 that has been input. The 3D printer may employ any of stereolithography, selective laser sintering, fused deposition modeling, and inkjet printing.
In particular, in the present embodiment, the profile information of the denture base 100 also includes the profile information of the sockets 120. Consequently, for example, the denture base 100 having the sockets 120 may also be formed only by the CAD/CAM step using the 3D printer.
In this way, in the step of forming the denture base 100 by 3D printing, the denture base 100, including also the shape of the sockets 120, can be formed only with the 3D printer. Thereby, a step of forming the sockets 120 by hand, for example, can be eliminated, or modification of the shape of the sockets 120 by hand, for example, can be minimized.
As the system for manufacturing the denture base 100, it suffices for the CAM unit to have at least one of a milling machine and a 3D printer, and the CAM unit may also have both.
As shown in
The basal surface 230 of the artificial tooth 200 is configured by a surface that is concave overall so as to correspond to the basal surface 130 of the corresponding socket 120. Here, the expression “surface that is concave overall” means that basically the overall surface has a three-dimensional shape that is concave, and means that it is desirable for the overall surface to be formed as a concavely curved surface, but in a case where part or all of the basal surface 130 of the socket 120 is formed by a flat surface, as long as the overall surface is formed in a concave shape, the basal surface 230 may also be configured by a flat surface as a part corresponding to that flat surface.
The area—corresponding to the socket apex portion 138—of the basal surface 230 of the artificial tooth 200 configured as a surface that is concave overall is in the highest position, and this area is referred to as a basal surface apex portion 238 (see
As shown in
Each of a labial-side surface 204 (see
In the present embodiment, when the plurality of artificial teeth 200 are to be disposed in the sockets 120 formed adjacent to each other in the base portion 102 of the denture base 100, these adjacent artificial teeth 200 may also be connected to each other. Specifically, for example, in the case of disposing the artificial teeth 200 in the denture base 100 as in
In the present embodiment, it is preferred that the artificial tooth 200 be configured so that the basal surface apex portion 238 is visible from lateral directions of the artificial tooth. For example, as shown in
The material used for the artificial tooth 200 is appropriately selected from resin material normally used as dental material such as, for example, ceramic material such as feldspar, quartz, silica, alumina, and zirconia, or composite resins that include polymethyl methacrylate (PMMA) or dimethacrylate as a matrix resin and also include an inorganic filler, and acrylic resin. Examples of dimethacrylate include bisphenol A-glycidyl methacrylate (Bis-GMA), triethylene glycol dimethacrylate (TEGDMA), and urethane dimethacrylate (UDMA).
In order to improve the aesthetic quality of the artificial tooth 200, materials with different color tones of two or more colors for the enamel layer and the dentin layer may also be used, separated into plural layers, and layered. Furthermore, two different materials that have different color tones may be prepared and combined, or materials that are the same but have different color tones may also be prepared and used.
Examples of the artificial tooth 200 include an acrylic resin tooth, an acrylic hard resin tooth, and ceramic tooth. Here, an acrylic resin tooth and hard resin tooth are preferred from the viewpoint of strengthening adhesion to the denture base 100.
As for the method of forming the artificial tooth 200, the artificial tooth 200 may be formed by compression molding, injection molding, or injection press molding, or may be cut and formed by CAD/CAM, for example, from a block of the artificial tooth material, or may be layered and formed by a 3D printer, for example.
As shown in
Specifically, the denture base 100 can be obtained by a cutting step of cutting the denture base material as described above or by a 3D printing step as described above. All the artificial teeth 200 are fixedly attached by an attachment step of attaching the artificial teeth 200 to the sockets 120 of the denture base 100, whereby the denture 300 shown in
Here, when sockets 520 are recessed as in a conventional example as in a denture 700 of a comparative example shown in
In contrast, in the present embodiment, as is also apparent from
Thereby, according to the present embodiment, there can be provided a denture base whose manufacturing burden can be reduced, an artificial tooth embedded therein, and a denture equipped with these. For example, as mentioned above, the thickness of the denture base does not need to be reduced and collar portions of the artificial teeth do not need to be cut beforehand. More specifically, for example, according to the present embodiment, the areas where the artificial teeth are to be embedded in the denture base are small, so the step of cutting the artificial teeth even in a denture for a patient with a high alveolar ridge can be significantly reduced or eliminated. Furthermore, the area of adhesion to the artificial teeth is increased because each of the basal surfaces of the denture base has a convex shape, and the fixing force of the artificial teeth can be raised.
The attachment step is also a step of adhering the artificial teeth 200 to the denture base 100, that is, an adhesion step. As the adhesive (resin) for adhering the artificial teeth 200 to the denture base 100, for example, acrylic resin can be used. The acrylic resin is not particularly limited as long as it is capable of principal adhesion between the denture base 100 and the artificial teeth 200, and commercially available products may be used. That is, it is preferred that the adhesion step be a step (hereinafter referred to as a “principal adhesion step”) of principally adhering the artificial teeth 200 to the denture base 100 using acrylic resin. What is here called principal adhesion between the denture base 100 and the artificial teeth 200 means that the artificial teeth 200 are fixedly attached to the denture base 100 to an extent that the denture base 100 and the artificial teeth 200 are capable of being used as the denture 300.
Examples of the acrylic resin used in the principal adhesion step include resin that is polymerized at a normal temperature (0° C. to 35° C.), resin that is polymerized by heat, and resin that is polymerized by light. Examples of the resin that is polymerized at a normal temperature (0° C. to 35° C.) or the resin that is polymerized by heat include acrylic resin whose polymerization progresses at a relatively low temperature (0° C. to 70° C.) and acrylic resin whose polymerization progresses at 70° C. or higher. Hereinafter, acrylic resin whose polymerization progresses at a relatively low temperature (preferably 0° C. to 70° C.) is referred to as “specific acrylic resin.”
As the acrylic resin, an acrylic resin comprising a mixture of a polymer powder and a monomer solution may be used. When injecting the acrylic resin into the interstices between the sockets 120 and the artificial teeth 200, injection is easy if the acrylic resin is in a low-viscosity state just after mixing. Examples of the polymer powder include acrylic resin such as polymethyl methacrylate, and examples of the monomer solution include esters of methacrylic acid such as methyl methacrylate and ethyl methacrylate. Furthermore, the acrylic resin may also include other components such as, for example, a diffusion-promoting monomer such as 4-META (4-methacryloxyethyl trimellitate anhydride), a normal-temperature polymerization initiator (or a thermal polymerization initiator) such as TBB (tri-n-butylborane), a polymerization inhibitor, and a colorant.
Furthermore, examples of commercially available acrylic resin include ACRON (manufactured by GC Corporation), PalaXpress ultra (manufactured by Heraeus Kulzer), and Re-fine Bright manufactured by Yamahachi Dental Mfg., Co.
The adhesion step may also include a step (hereinafter also referred to as a “preliminary adhesion step”) of preliminarily adhering the artificial teeth 200 to the denture base 100. What is here called preliminary adhesion means attaching the artificial teeth to the denture base to the extent that the positional relationship between the artificial teeth 200 and the denture base 100 is maintained, and being able to modify the positional relationship or easily cancel the state of adhesion as needed.
Examples of methods of preliminary adhering the artificial teeth 200 to the denture base 100 include a method where dental composite resin or acrylic resin is used, the resin (dental composite resin or acrylic resin) is injected into the interstices between the artificial teeth 200 and at least some of the sockets 120, and the injected resin is polymerized at a normal temperature (0° C. to 35° C.), polymerized by heat, or polymerized by light (e.g., visible light).
Examples of the resin used in the preliminary adhesion step include dental composite resin or acrylic resin. Examples of the acrylic resin used in the preliminary adhesion step include the same examples as those for the acrylic resin used in the principal adhesion step, but among them the specific acrylic resin (acrylic resin whose polymerization progresses at a relatively low temperature (preferably 0° C. to 70° C.)) is preferred. The dental composite resin will be described later.
When the adhesion step has the preliminary adhesion step, in a case where there are artificial teeth 200 for which it is necessary to modify the arrangement or adjust the shape of the artificial teeth 200 before polymerization of the resin used in the preliminary adhesion progresses (e.g., before photocuring ends in the case of a photocurable resin), removal of those artificial teeth 200, for example, can be performed.
Furthermore, it is preferred that the preliminary adhesion step be a step of preliminarily adhering the artificial teeth 200 to at least some of the sockets 120 of the denture base 100 from the viewpoint of more appropriately adjusting the amount of resin used in the principal adhesion.
The dental composite resin is not particularly limited as long as it can preliminarily adhere the artificial teeth 200 and the denture base 100 to each other; for example, a composite resin (restorative material) such as a mold restorative material, a crown prosthesis material, or a dental filler, or a self-adhesive cement can be used.
The composite resin may include, for example, dimethacrylate as a matrix resin and also include an inorganic filler, a silane coupling agent, and so forth. Examples of dimethacrylate include bisphenol A-glycidyl methacrylate (Bis-GMA), triethylene glycol dimethacrylate (TEGDMA), and urethane dimethacrylate (UDMA).
The self-adhesive cement may include polymethyl methacrylate (PMMA) or the aforementioned dimethacrylate as a matrix resin and may also include an adhesive substance, a filler, and so forth.
Furthermore, examples of the composite resin include flowable types that have a low viscosity and a low elasticity and paste types that have a high viscosity and a high elasticity, but in view of the fact that each of the sockets 120 of the denture base 100 is configured by a surface that is convex overall, paste types that have a certain viscosity and elasticity are preferred.
Furthermore, using a photopolymerizable composite resin is preferred because it more appropriately enables positional adjustment of the artificial teeth 200. By using a photopolymerizable composite resin, the composite resin that has been injected into the socket portions of the denture base is not cured before being exposed to light, so handling is excellent and it is easy to perform positional adjustment of the artificial teeth with good precision. Furthermore, by using a photopolymerizable composite resin, the adhesive strength of the adhesion (preliminary adhesion) after curing is relatively weak, so the artificial teeth 200 can be easily removed from the denture base 100, and after the artificial teeth 200 are removed it is easy to apply the composite resin to the sockets 120 of the denture base 100 and re-adhere (preliminarily adhere) the artificial teeth 200 to the denture base 100. Thereby, in a case where the shade (color tone) of the artificial teeth 200 is wrong or in a case where the positions of the artificial teeth 200 are misaligned during the curing, the artificial teeth 200 can be easily removed from the denture base 100 even after curing, so it is easy to perform positional adjustment by re-adhering (preliminarily adhering) the artificial teeth 200.
The photopolymerizable composite resin may include, for example, a polymerizable compound such as an ester of acrylic acid or an ester of methacrylic acid, an inorganic filler, and a photopolymerization initiator, and may further include a polymerization accelerator.
Furthermore, examples of commercially available composite resin include Beautifil II (manufactured by Shofu Inc.) and Revotek (manufactured by GC Corporation).
Before attaching the artificial teeth 200 to the denture base 100 with the adhesive in the attachment step (adhesion step), the artificial teeth 200 may also be temporarily fixed to the denture base 100 using a temporary fixing material. This temporary fixing also temporarily fixes the artificial teeth 200 to the denture base 100 to the extent that the positional relationship between the artificial teeth 200 and the denture base 100 is maintained. After the temporary fixing, the principal adhesion may be performed, without the preliminary adhesion being performed, as the attachment step.
In the case of using a temporary fixing material, an adhesive material that deforms at 25° C. (normal temperature), for example, can be used as the temporary fixing material. Examples of the adhesive material include resin such as urethane resins, acrylic resins, silicone resins, vinyl chloride resins, vinyl alcohol resins, vinyl alkyl ether resins, or acrylamide resins, and rubber such as natural rubber, silicone rubber, or styrene-butadiene copolymer elastomer. Moreover, putty (e.g., model putty, dental putty), tack label, wheat flour clay, and adhesive metal foil tape, for example, may also be used as the adhesive material.
Putty is a material used to fill depressions, cracks, and holes. Putty usually includes a pigment, a resin (a non-volatile vehicle), and a volatile substance.
Examples of putty include one-component (one-part) or multi-component (two-part, etc.) putty such as epoxy putty, polyester putty, silicone putty, or a modified putty of these, lacquer putty, instant adhesive putty, gypsum putty, calcium carbonate putty, or photocurable putty.
Tack label is a label where an adhesive material is provided on the back side of a base material, and is used by disposing the side with the adhesive material on the place to be temporarily fixed (e.g., near the boundary between the tooth crown and the tooth root).
The material for the base material is not particularly limited. Examples of the pressure-sensitive adhesive material provided on the back side of the base material include the above-mentioned resins and the above-mentioned rubbers.
Furthermore, as the metal foil tape, known adhesive metal foil tapes can be used.
Among the adhesive materials, from the perspective of little residual sticking to the denture 300 after removal of the temporary fixing material, putty is preferred, dental putty is more preferred, and dental silicone putty is even more preferred. In particular, when dental putty (preferably dental silicone putty) is used, there is little reversion during deformation, so positional adjustment of the artificial teeth 200 can be easily performed. Furthermore, the positional relationship between the artificial teeth 200 and the denture base 100 during temporary fixing is easily maintained.
For the pressure-sensitive adhesive material, one type may be used by itself or two or more types may be used in combination.
The shape of the temporary fixing material is not particularly limited as long as it is a shape by which the artificial teeth 200 can be temporarily fixed to the denture base, and a variety of shapes can be employed.
In the present embodiment, as shown in
That is, in the present disclosure, the “surface that is convex overall” in relation to the basal surface 130 of the socket 120 also includes a surface where there is a concave shape such as the recessed portion 160 in part of the basal surface 130 of the socket 120 as shown in
However, as shown in
Furthermore, as shown in
In other words, the projecting portion 240 of the artificial tooth 200 has a size that does not extend beyond straight line d that passes through the lower end edge 208 of the labial-side surface 204 and the lower end edge 208 of the lingual-side surface 206 of the artificial tooth 200 when the artificial tooth 200 is attached to the denture base 100. Likewise, the recessed portion 160 of the basal surface 130 of the socket 120 has a size that does not extend beyond straight line d that passes through the lower end edge 208 of the labial-side surface 204 and the lower end edge 208 of the lingual-side surface 206 of the artificial tooth 200 when the artificial tooth 200 is attached to the denture base 100.
Two or more of the recessed portions 160 may also be provided in the basal surface 130 of the socket 120, and two or more of the projecting portions 240 may also be provided in the basal surface 230 of the artificial tooth 200. However, as described above, all the recessed portions 160 and all the projecting portions 240 have a size that does not extend beyond straight line d that passes through the lower end edge 208 of the labial-side surface 204 and the lower end edge 208 of the lingual-side surface 206 of the artificial tooth 200 when the artificial tooth 200 is attached to the denture base 100.
Of course, as shown in
The denture 300 of a second embodiment is the same in terms of its configuration, material, and method of manufacture as the denture 300 of the first embodiment except that, as shown in
When attaching the artificial tooth 200 to the denture base 100, the protruding portion 122 of the denture base 100 is fitted into the recessed portion 202 of the artificial tooth 200 and, as in the first embodiment, the basal surface 130 of the socket 120 and the basal surface 230 of the artificial tooth 200 are adhered to each other.
In this denture 300, the protruding portion 122 of the denture base 100 mates with the recessed portion 202 of the artificial tooth 200 as shown in the sectional view of
The denture 300 of a third embodiment is the same as that of the second embodiment in that, as shown in
When attaching the artificial tooth 200 to the denture base 100, the protruding portion 122 of the denture base 100 is fitted into the recessed portion 202 of the artificial tooth 200, the raised portion 140 of the artificial tooth 100 is simultaneously fitted into the cutout portion 210 of the artificial tooth 200, and, as in the first embodiment, the basal surface 130 of the socket 120 and the basal surface 230 of the artificial tooth 200 are adhered to each other.
In this denture 300, as shown in the sectional view of
The denture 300 pertaining to a fourth embodiment is a partial denture as shown in
The present invention is applicable to a denture base, an artificial tooth, and a denture comprising a combination of these.
Number | Date | Country | Kind |
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2017-037173 | Feb 2017 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2018/006809 | 2/23/2018 | WO | 00 |