The present invention relates to implant and bar-supported or bar-retained dentures. More particularly, the present invention relates to a bar reference and registration system to place a bar in a CAD/CAM manufactured denture.
In the field of dentures a metal bar on implants is used to stabilize the denture in the mouth and to strengthen the denture structure to avoid breakage.
In the traditional denture manufacturing process an impression is made of a patient's implants and edentulous or partially edentulous ridges. The impression is used to construct a plaster model of the patient's edentulous ridges and implants. A metal bar is manufactured to fit exactly on the plaster model, and to align with the patient's implants according to the implant analogs in the plaster model. The metal bar is installed on the plaster model and the denture structure is then built around the bar in wax. Artificial teeth are placed in the wax resulting in a complete wax up of the denture with the bar incorporated on top of a plaster model. Traditionally, the next step is to investment cast the wax into acrylic resin.
For example, with reference to
More recently, dentures have been made using CAD/CAM technology, such as by milling or 3D printing. With CAD/CAM technology, the denture is made directly without using wax and plaster models, thus no plaster model having implant analogues is available to align and position the bar. Consequently, a cavity must be cut in the denture and the bar fitted into the cavity. However, the bar is often complex in shape and difficult to precisely and securely fit in the denture. For example, small discrepancies will occur if the full shape of the bar is used for reference and registration.
Furthermore, even if such a plaster model were made to assist with aligning and positioning the bar in the cavity, the fitting of the denture onto the bar is difficult and often imprecise because it is difficult to preserve the proper registration of the bar with respect to the denture while they are mated and the bar disconnected from the plaster model, particularly if the model impedes access to the cavity in the denture. Moreover, the production of such a model introduces unwanted delay and expense.
Thus, there exists a need for an improved reference and registration system to position the supporting bar in a denture made using CAD/CAM technology.
In accordance with various aspects of the present invention, an improved denture bar reference and registration system is provided. In accordance with an exemplary embodiment, an improved support bar comprising a plurality of implant interfaces and reference posts is inserted into an improved denture base having an oversize cutout and a corresponding cutout, wherein the corresponding cutout is configured to interface with the reference posts.
In one exemplary embodiment, any remaining opening between the bar and the denture is filled with denture resin.
In accordance with another exemplary embodiment, an improved support bar is accurately referenced and registered with respect to an improved denture base, yet is also readily removable, for example, by snap-fitting the base onto the bar.
A more complete understanding of the present invention may be derived by referring to the detailed description and claims when considered in connection with the Figures, where like reference numbers refer to similar elements throughout the Figures, and:
The following description is of various exemplary embodiments only, and is not intended to limit the scope, applicability or configuration of the present disclosure in any way. Rather, the following description is intended to provide a convenient illustration for implementing various embodiments including the best mode. As will become apparent, various changes may be made in the function and arrangement of the elements described in these embodiments without departing from the scope of the appended claims.
For the sake of brevity, conventional techniques for manufacturing and construction may not be described in detail herein. Furthermore, the connecting lines shown in various figures contained herein are intended to represent exemplary functional relationships and/or physical couplings between various elements. It should be noted that many alternative or additional functional relationships or physical connections may be present in a practical method of construction.
In accordance with various aspects of the present invention, an improved denture bar reference and registration system is provided. In accordance with an exemplary embodiment, an improved support bar comprising a plurality of implant interfaces and reference posts is inserted into an improved denture base having an oversize cutout and a corresponding cutout, wherein the corresponding cutout is configured to interface with reference posts, and as a result, securing the denture base or providing for easy positioning of the denture bar relative to the denture base and the system relative to the patient's edentulous ridges.
Securing the denture base, may in some example embodiments have multiple meanings or configurations. For example, “securing” can mean retaining the denture components, such as a denture system, a denture bar, or a denture base. Alternatively, “securing” may mean stabilizing the denture components, such as a denture system, a denture bar, or a denture base. Furthermore, “securing” may mean aligning the denture components, such as a denture system, a denture bar, or a denture base. Still furthermore, “securing” may mean reinforcing the denture or denture bar or denture base. In some embodiments “securing” may mean any combination of these meanings and configurations.
With reference to
Support bar 202 may be placed in oversize cutout 502. Reference post 206 may interface with corresponding cavity 510 so that support bar 202 is held in substantially fixed position, or is maintained, or otherwise coupled or retained in communication with the artificial denture base 506 or to otherwise secure the denture base 506 or providing for easy positioning of the denture bar 202 relative to the denture base 506 and the system relative to the patient's edentulous ridges.
With reference to
Support bar 202 may further comprise an implant interface 204 for connecting support bar 202 to a patient's implants 404. In one exemplary embodiment, a support bar 202 may comprise four implant interfaces 204. In another example embodiment, a support bar 202 may comprise six implant interfaces 204, or five implant interfaces 204, or three implant interfaces 204, or two implant interfaces 204, or one implant interface 204. In one embodiment, support bar 202 comprises implant interfaces 204 located at the joint of each segment of support bar 202. Alternatively, support bar 202 may comprise implant interfaces 204 spaced evenly along support bar 202. Still further, alternatively, support bar 202 may comprise implant interfaces 204 located at places corresponding to suitable sites along a patient's edentulous ridges for the installation of implants. Support bar 202 may comprise any number or configuration of implant interfaces 204 adapted to support an improved denture system 600. With momentary reference to
Support bar 202 may also comprise a plurality of reference posts 206. In one exemplary embodiment, each reference post 206 will extend into a corresponding cavity. For example, with momentary reference to
Reference posts 206 may be any size or shape adapted to retain the support bar 202 in substantially fixed position relative to the artificial denture base 506. For example, with reference to
For example, in one embodiment, a fully constrained position of the support bar 202 is achieved by constraining the support bar 202 in a 3-2-1 registration by the interfacing of reference posts 206 and corresponding cavities 510. In this embodiment, the shape and position of the reference posts 206 create a plane, a line, and a point so that the support bar 202 is fully constrained in unique fixed position with reference to the artificial denture base 506. Alternatively, a fully constrained position of the support bar 202 may be achieved by constraining the support bar 202 in an RPS registration by the interfacing of reference posts 206 and corresponding cavities 510. In this embodiment, the shape and position of the reference posts 206 create numerous points so that the support bar 202 is fully constrained in unique fixed position with reference to the artificial denture base 506. Furthermore, best-fit registration, or any registration may be utilized that achieves a fully constrained position of the support bar 202 in unique fixed position with reference to the artificial denture base 506. Furthermore, in some embodiments, further alternative registration configurations may be utilized to achieve a unique fixed position of the support bar 202 with reference to the artificial denture base 506.
In one exemplary embodiment, a support bar 202 may be constrained by one reference post 206. In another example embodiment, a support bar 202 may be constrained by two reference posts 206, or may be constrained by three reference posts 206, or may be constrained by four reference posts 206, or may be constrained by a reference post 206 located at the joint of each segment of support bar 202. Alternatively support bar 202 may comprise reference posts 206 spaced evenly along support bar 202. Still further, alternatively, support bar 202 may comprise reference posts 206 located at places corresponding to suitable sites along the support bar 202 to avoid interfering with the location of implant interfaces 204. Support bar 202 may comprise any number or configuration of reference posts 206 adapted to fully constrain support bar 202 in unique substantially fixed position with reference to the artificial denture base 506. In some embodiments, the support bar 202 is overconstrained, for example, by using additional reference posts 206. In other embodiments, the support bar 202 is not overconstrained due to the potential for reduced stability of an overconstrained support bar 202 due to manufacturing tolerances among the overconstraining reference posts 206. However, in other exemplary embodiments, the support bar 202 is overconstrained without problem due to the sufficiently tight manufacturing tolerances. For example, with reference to
Various materials may be used to manufacture support bar 202. In one exemplary embodiment, support bar 202 may comprise metal, such as titanium, aluminum or stainless steel, though it may alternatively comprise numerous other materials configured to provide support, such as, for example, carbon fiber, a Kevlar-brand material, Dynema-brand material, Aramid-brand material, alloy, glass, binder, epoxy, polyester, acrylic, or any material or combination of materials having a desired strength, stiffness, or flexibility sufficient to reinforce said denture. In one example embodiment, reference posts 206 are made of different material than support bar 202. For example, a support bar 202 may be titanium and reference posts 206 may be anodized titanium. In one embodiment, the reference posts 206 are manufactured separately from the support bar 202 and are utilized in conjunction with the support bar 202 according to the principles described herein.
In some embodiments, a support bar 202 may comprise multiple materials, or any material configuration suitable to enhance or reinforce the resiliency and/or support of the denture when subjected to wear in a wearer's mouth or to satisfy other desired chemical, physical, or biological properties. Furthermore, a support bar 202 may comprise materials with differing grain structures or grain direction or with similar grain structures or grain direction or any grain structure or direction suitable for achieving desired properties in the denture; for example, resiliency under torsional loads.
Now, having described various components of an improved denture system 600, the assembly of an improved denture system 600 may be appreciated with reference to
Thus, any configuration for connecting reference post 206 and corresponding cavity 510 can be implemented, such as sonic welding, or gluing, or quick-release fittings, or embedding, or any other techniques suitable to accomplish a connection between reference post 206 and corresponding cavity 510. In one embodiment, with reference to
In one exemplary embodiment, a greater number of corresponding cavities 510 is provided than reference posts 206, for example, so that support bar 202 may optionally be installed in multiple positions or orientations relative to denture base 506. In another example embodiment, a greater number of reference posts 206 than corresponding cavities 510 is provided, for example, so that support bar 202 may be optionally installed in multiple orientations or positions with respect to denture base 506 and the unused reference posts 206 removed. However, any number or configuration of reference posts 206 and corresponding cavities 510 suitable for connecting support bar 202 in proper orientation and position relative to denture base 506 is contemplated.
One exemplary embodiment comprises a support bar 202 joined to an artificial denture base 506 via reference posts 206. Support bar 202 lies in oversize cutout 502 and reference posts 206 protrude into corresponding cavities 510. With momentary reference to
Now, having described various components of an improved denture system 600 and their assembly, an improved denture may be manufactured according to
For example, with reference to
Turning to
While improved referencing and positioning can be addressed in other embodiments, it would be further advantageous if the support bar 202 were accurately referenced and registered, but also removable via snap-fitting, for example, in order to permit patients to clean their dentures more readily. With reference to
Snap-fit portion 802 of reference post 206 may be permanently installed in corresponding cavities 510 in improved denture base 506, by press fitting. Alternatively, snap-fit portion 802 may be installed by sonic welding, or gluing, or embedding any other mechanism suitable for retaining snap-fit portion 802 of reference posts 206 in corresponding cavities 510.
According to
Still further alternatively, according to
Furthermore, support bar 202 may comprise any number or configuration of fixed portions 804, as disclosed herein. In some embodiments, fixed portion 804 may be cylindrical, or may be oval, or may be asymmetrical or may be any other shape suitable for interfacing with snap-fit portion 802 whereby support bar 202 is held, maintained, or otherwise coupled or retained in communication with artificial denture 506.
In one example embodiment, snap-fit portion 802 further comprises a liner or coating whereby the frictional interface between fixed portion 804 and snap-fit portion 802 may be enhanced. In other embodiments, such a liner or coating may produce an audible click when the fixed portion 804 and snap-fit portion 802 are interfaced, or alternatively snap-fit portion 802 and fixed portion 804 may be configured to produce an audible click when the fixed portion 804 and snap-fit portion 802 are interfaced without need for a liner or coating.
Now, having described various components of an improved denture system wherein the denture base 506 snap-fits onto bar 202, with reference to
An improved denture may be configured to be semi-permanently installed in a patient's mouth, or may be removable. For example, in one embodiment, support bar 202 is snap fit into the improved denture. The support bar 202 may be rigidly affixed to implants in the patient's mouth, so that the denture may be snapped in and out while the support bar 202 remains installed in the patient's mouth. Alternatively, in one exemplary embodiment, the support bar 202 may be permanently affixed to artificial denture base 506, for example, by embedding in optional second material 806, so that the base 506 is configured to be semi-permanently installed in a patient's mouth.
The various components of an improved denture system 600 may be made of various different materials. For example, various materials may be used to manufacture artificial denture base 506. In one exemplary embodiment, a hardened polymethyl methacrylate (PMMA) material is used. However, the denture base 506 may comprise any material having sufficiently low porosity so as to be hygienic for extended placement in a wearer's mouth. For example, the denture may be made of a plastic, ceramic, metal, or acrylic, including for instance, a polymer, monomer, composite, or alloy.
Furthermore, the denture base 506 and any other components of a denture system 600 may be formed according to a process and system for molding or forming products from thermosetting plastics. Such a system may utilize a deformable container that is placed within the cavity of a housing of a mold with resins and initiator mixed therein. As a piston slides into the cavity, the upper edges of the container may engage between the housing and the piston to seal the housing from leakage. The pressure of the piston along with heat on the housing may enable the curing process to be controlled to maximize compression and minimize porosity. Exemplary processes and systems disclosed in U.S. patent application Ser. No. 13/369,238, PROCESSES AND SYSTEMS FOR MOLDING THERMOSETTING PLASTICS are incorporated by reference.
The present disclosure has been described with reference to various embodiments. However, one of ordinary skill in the art appreciates that various modifications and changes can be made without departing from the scope of the present disclosure. Accordingly, the specification is to be regarded in an illustrative rather than a restrictive sense, and all such modifications are intended to be included within the scope of the present disclosure. Likewise, benefits, other advantages, and solutions to problems have been described above with regard to various embodiments. However, benefits, advantages, solutions to problems, and any element(s) that may cause any benefit, advantage, or solution to occur or become more pronounced are not to be construed as a critical, required, or essential feature or element of any or all the claims.
As used herein, the terms “comprises,” “comprising,” or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Also, as used herein, the terms “proximate,” “proximately,” or any other variation thereof, are intended to cover a physical connection, an electrical connection, a magnetic connection, an optical connection, a communicative connection, a functional connection, and/or any other connection. When language similar to “at least one of A, B, or C” is used, the phrase is intended to mean any of the following: (1) at least one of A; (2) at least one of B; (3) at least one of C; (4) at least one of A and at least one of B; (5) at least one of B and at least one of C; (6) at least one of A and at least one of C; or (7) at least one of A, at least one of B, and at least one of C.
This application is a Continuation of U.S. patent application Ser. No. 14/013,295, filed on Aug. 29, 2013, entitled “DENTURE REFERENCE AND REGISTRATION SYSTEM,” which is hereby incorporated by reference.
Number | Date | Country | |
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Parent | 14013295 | Aug 2013 | US |
Child | 14698649 | US |