The technique disclosed herein relates to a dental prosthesis system and a dental prosthesis used in the dental prosthesis system.
Patent Literature 1 describes an overdenture. An overdenture is a dental prosthesis that can be self-worn by a user, and refers to a denture that has a support structure using an implant and the like planted in an alveolar bone. An example of a maxillary overdenture is shown in
Patent Literature 1: JP 5566525 B1
It has been long thought that the overdenture shown in
The description herein provides a dental prosthesis system that further improves wearing comfortability and a dental prosthesis used in the dental prosthesis system.
A dental prosthesis system disclosed herein is configured to be detachably worn by a user, and comprises a dental prosthesis including prosthetic teeth that resemble outer appearances of natural teeth. This dental prosthesis is a complete dental prosthesis for an edentulous jaw, and includes an incurved contact surface configured to contact a gingiva of the user when the dental prosthesis is arranged inside an oral cavity of the user. Following relationships are established in first reference cross-sections including first reference lines, which are lines connecting a middle point of a line that connects centers of left and right first molars in a plan view and centers of the respective prosthetic teeth: for at least one prosthetic tooth in an incisal portion, a distance d1 between a first point and an outer edge of the dental prosthesis on a lingual side satisfies d1≤20 mm, wherein the first point is an intersection of the incurved contact surface and a line connecting the center of the one prosthetic tooth and a position that is offset, in a direction parallel to the first reference lines, to the lingual side by 3 mm from a base end point of a tooth surface of the one prosthetic tooth on a labial side; and for at least one prosthetic tooth in a occlusal portion, a distance d2 between a second point and the outer edge of the dental prosthesis on the lingual side satisfies d2≤20 mm, wherein the second point is an intersection of the incurved contact surface and a line connecting the center of the one prosthetic tooth and a position that is offset, in the direction parallel to the first reference lines, to the lingual side by a/2 (a being a buccolingual diameter of the one prosthetic tooth in the corresponding first reference cross-section) from a base end point of a tooth surface of the one prosthetic tooth on a buccal side.
As described earlier, the overdenture shown in
A “plan view” herein means to see the dental prosthesis along a direction perpendicularly intersecting a horizontal surface in a state where the dental prosthesis is attached to an articulator placed on the horizontal surface.
Further, “a center of a prosthetic tooth (in the plan view)” herein means a center of an incisal edge (tipmost end portion of crown) for the incisal portion (first to third teeth), and means a center of an occlusal surface for the occlusal portion (fourth to seventh teeth). Here, the “center of the incisal edge” is defined as a middle point of a line connecting a middle point of a lingual-side line of the incisal edge and a middle point of a labial-side line thereof. Further, the “center of the occlusal surface” is defined as a middle point of a line on the occlusal surface, where the line connects a widthwise middle point of a lingual-side line of the occlusal surface (which is a line on the lingual side extending from a boundary with an adjacent prosthetic tooth on a mesial side (in a direction approaching a midline) to a boundary with an adjacent prosthetic tooth on a distal side (in a direction separating away from the midline)) and a widthwise middle point of a buccal side thereof (which is a line on the buccal side extending from the boundary with the adjacent prosthetic tooth on the mesial side to the boundary with the adjacent prosthetic tooth on the distal side). Here, the “width direction” means a direction parallel to a plane perpendicularly intersecting a plan view direction.
Further, the “first reference cross-sections” herein are defined as cross sections that include the first reference lines and are parallel to the plan view direction.
Further, the “base end point of the tooth surface” herein means an uppermost end portion of the tooth surface on a facial side in a maxillary dental prosthesis and means a lowermost end portion of the tooth surface on the facial side in a mandibular dental prosthesis in the first reference cross-sections and in second reference cross-sections to be described later.
Further, the description herein discloses another novel dental prosthesis system that can solve the aforementioned technical problem. This dental prosthesis system is configured to be detachably worn by a user, and comprises a dental prosthesis including prosthetic teeth that resemble outer appearances of natural teeth. This dental prosthesis is a partial dental prosthesis, and includes an incurved contact surface configured to contact a gingiva of the user when the dental prosthesis is arranged inside an oral cavity of the user. Following relationships are established in second reference cross-sections including second reference lines which pass through centers of the respective prosthetic teeth: in a case where the dental prothesis includes an incisal portion, for at least one prosthetic tooth in the incisal portion, a distance d3 between a third point and an outer edge of the dental prosthesis on a lingual side satisfies d3≤20 mm, wherein the third point is an intersection of the incurved contact surface and a line connecting the center of the one prosthetic tooth and a position that is offset, in a direction parallel to the second reference lines, to the lingual side by 3 mm from a base end point of a tooth surface of the one prosthetic tooth on a labial side; and in a case where the dental prosthesis includes a occlusal portion, for at least one prosthetic tooth in the occlusal portion, a distance d4 between a fourth point and the outer edge of the dental prosthesis on the lingual side satisfies d4≤20 mm, wherein the fourth point is an intersection of the incurved contact surface and a line connecting the center of the one prosthetic tooth and a position that is offset, in the direction parallel to the second reference lines, to the lingual side by b/2 (b being a buccolingual diameter of the one prosthetic tooth in the corresponding second reference cross-section) from a base end point of a tooth surface of the one prosthetic tooth on a buccal side. This dental prosthesis system can also improve the wearing comfortability.
The “second reference lines” herein are each defined as a line connecting the middle point of the lingual-side line of the incisal edge and the labial-side line thereof for the incisal portion, and as a line connecting the widthwise middle point of the lingual-side line of the occlusal surface and the widthwise middle point of the buccal-side line thereof for the occlusal portion.
Further, the “second reference cross-sections” are defined as cross sections that include the second reference lines and are parallel to the plan view direction.
Further, the description herein discloses a novel dental prosthesis that can solve the aforementioned technical problem. This dental prosthesis is configured to be detachably worn by a user, and comprises prosthetic teeth that resemble outer appearances of natural teeth. The dental prosthesis is a complete dental prosthesis for an edentulous jaw, and comprises an incurved contact surface configured to contact a gingiva of the user when the dental prosthesis is arranged inside an oral cavity of the user. Following relationships are established in first reference cross-sections including first reference lines, which are lines connecting a middle point of a line that connects centers of left and right first molars in a plan view and centers of the respective prosthetic teeth: for at least one prosthetic tooth in an incisal portion, a distance d1 between a first point and an outer edge of the dental prosthesis on a lingual side satisfies d1≤20 mm, wherein the first point is an intersection of the incurved contact surface and a line connecting the center of the one prosthetic tooth and a position that is offset, in a direction parallel to the first reference lines, to the lingual side by 3 mm from a base end point of a tooth surface of the one prosthetic tooth on a labial side; and for at least one prosthetic tooth in a occlusal portion, a distance d2 between a second point and the outer edge of the dental prosthesis on the lingual side satisfies d2≤20 mm, wherein the second point is an intersection of the incurved contact surface and a line connecting the center of the one prosthetic tooth and a position that is offset, in the direction parallel to the first reference lines, to the lingual side by a/2 (a being a buccolingual diameter of the one prosthetic tooth in the corresponding first reference cross-section) from a base end point of a tooth surface of the one prosthetic tooth on a buccal side.
Further, the description herein discloses another novel dental prosthesis that can solve the aforementioned technical problem. This dental prosthesis is configured to be detachably worn by a user, and comprises prosthetic teeth that resemble outer appearances of natural teeth. The dental prosthesis is a partial dental prosthesis, and comprises an incurved contact surface configured to contact a gingiva of the user when the dental prosthesis is arranged inside an oral cavity of the user. Following relationships are established in second reference cross-sections including second reference lines which pass through centers of the respective prosthetic teeth: in a case where the dental prothesis comprises an incisal portion, for at least one prosthetic tooth in the incisal portion, a distance d3 between a third point and an outer edge of the dental prosthesis on a lingual side satisfies d3≤20 mm, wherein the third point is an intersection of the incurved contact surface and a line connecting the center of the one prosthetic tooth and a position that is offset, in a direction parallel to the second reference lines, to the lingual side by 3 mm from a base end point of a tooth surface of the one prosthetic tooth on a labial side; and in a case where the dental prosthesis comprises a occlusal portion, for at least one prosthetic tooth in the occlusal portion, a distance d4 between a fourth point and the outer edge of the dental prosthesis on the lingual side satisfies d4≤20 mm, wherein the fourth point is an intersection of the incurved contact surface and a line connecting the center of the one prosthetic tooth and a position that is offset, in the direction parallel to the second reference lines, to the lingual side by b/2 (b being a buccolingual diameter of the one prosthetic tooth in the corresponding second reference cross-section) from a base end point of a tooth surface of the one prosthetic tooth on a buccal side.
Further, another dental prosthesis system disclosed herein is configured to be detachably worn by a user, and comprises a dental prosthesis including prosthetic teeth that resemble outer appearances of natural teeth. In this dental prosthesis system, the dental prosthesis is a complete dental prosthesis for an edentulous jaw. Further, in a case where the dental prosthesis is arranged inside an oral cavity of the user and is in a centric occlusion or a centric relation, at least a part of a mandibular occlusal portion contacts a maxillary occlusal portion while mandibular central and lateral incisors do not contact maxillary central and lateral incisors, and upon when a mandible starts to move forward from a state of being in the centric occlusion or the centric relation, at least the part of the mandibular occlusal portion moves forward in a state of maintaining contact with the maxillary occlusal portion. In this dental prosthesis system, an occlusal pressure is distributed over plural prosthetic teeth, and an excessive occlusal pressure acting on a particular prosthetic tooth can be suppressed.
Further, another dental prosthesis system disclosed herein is configured to be detachably worn by a user, the system comprising a dental prosthesis including prosthetic teeth that resemble outer appearances of natural teeth. In this dental prosthesis system, the dental prosthesis is a partial dental prosthesis. Further, in a state where the dental prosthesis is arranged in an oral cavity of the user and a mandible moves laterally by which a mandibular canine contacts a maxillary canine, at least a part of a mandibular occlusal portion on a moving direction side contacts a maxillary occlusal portion on the moving direction side. With this dental prosthesis system as well, the occlusal pressure is distributed over plural prosthetic teeth in the dental prosthesis system, and an excessive occlusal pressure acting on a particular prosthetic tooth can be suppressed.
Firstly, features of embodiments to be described below will be listed. The features listed herein are each independently useful.
(Feature 1) In a dental prosthesis system disclosed herein, in a case where a dental prosthesis is arranged in an oral cavity of the user and is in a centric occlusion or a centric relation, at least a part of a mandibular occlusal portion may contact a maxillary occlusal portion while mandibular central and lateral incisors do not contact maxillary central and lateral incisors, and upon when a mandible starts to move forward from a state of being in the centric occlusion or the centric relation, at least the part of the mandibular occlusal portion may move forward in a state of maintaining contact with the maxillary occlusal portion.
Conventionally, upon when the mandible starts to move forward from the centric occlusion or the centric relation, it had been considered as that a favorable occlusal includes a molar disocclusion (phenomenon in which the mandibular occlusal portion separates away from the maxillary occlusal portion) caused by anterior guidance. In this configuration, the central and lateral incisors of both jaws become primary contact surfaces during the forward movement of the mandible, thus there has been a problem that a large occlusal pressure is applied to the central and lateral incisors. However, in the configuration disclosed herein, the molar disocclusion does not occur upon when the mandible starts to move forward from the state of being in the centric occlusion or the centric relation, and the movement continues forward while at least a part of the mandibular occlusal portion maintains contact with the maxillary occlusal portion. Due to this, the occlusal pressure in the forward movement of the mandible can be received by contact surfaces of the occlusal portions of both jaws as well. According to this configuration, the occlusal pressure acting on the central and lateral incisors can significantly be reduced, and the occlusal pressure burden can be distributed to respective teeth. As such, a member configuring the dental prosthesis system can be suppressed from being damaged due to the large occlusal pressure. Further, the dental prothesis can be suppressed from becoming unbalanced or detached (tip over) upon the forward movement of the mandible.
The technique described in Feature 1 may be applied independently to other dental prosthesis systems (such as conventionally-known dental prosthesis systems (overdenture, false teeth, and the like)). By applying the technique described in Feature 1 to the conventional dental prosthesis systems, the occlusal pressure acting on the dental prosthesis can be reduced, and damages to the dental prosthesis can be suppressed.
(Feature 2) In the dental prosthesis system disclosed herein, in a state where the dental prosthesis is arranged in the oral cavity of the user and a mandible moves laterally by which a mandibular canine contacts a maxillary canine, at least a part of a mandibular occlusal portion on a moving direction side may contact a maxillary occlusal portion on the moving direction side.
In a conventional canine guidance, there has been a problem that a large occlusal pressure acts on the canines since only the canines of both jaws contact upon when the mandible moves laterally while the occlusal portions are separated. However, in the configuration disclosed herein, at least a part of the mandibular occlusal portion contacts the maxillary occlusal portion in a state where the mandible moves laterally and the canines of both jaws are in contact. Due to this, the occlusal pressure in the state where the mandible moves laterally and the canines of both jaws are in contact can be reduced by the contact surfaces of the occlusal portions of both jaws as well. According to this configuration, the occlusal pressure acting on the canines can significantly be reduced, and the occlusal pressure burden can be distributed to respective teeth. As such, a member configuring the dental prosthesis system at a canine portion can be suppressed from being damaged due to the large occlusal pressure. Further, the dental prothesis can be suppressed from becoming unbalanced or tipped over upon the lateral movement of the mandible.
Similar to Feature 1, the technique described in Feature 2 may be applied independently to other dental prosthesis systems (such as the conventionally-known dental prosthesis systems (overdenture, false teeth, and the like)). By applying the technique described in Feature 2 to the conventional dental prosthesis systems, the occlusal pressure acting on the dental prosthesis can be reduced, and damages to the dental prosthesis can be suppressed.
(Feature 3) In the dental prosthesis system disclosed herein, at least a portion of the dental prosthesis where the incurved contact surface is to be provided may be constituted of a material having Young's modulus of 70 to 267 kgf/mm−2. According to this configuration, the portion where the incurved contact surface is to be provided has a relatively high elasticity. Due to this, when external force acts on the dental prosthesis. this portions warps to suitably absorb the occlusal pressure. As a result, the occlusal pressure transmitted to other members configuring the dental prosthesis system can be reduced, and durability of these members can be improved.
(Feature 4) The dental prosthesis system disclosed herein may further comprise a fixture planted in an alveolar bone; and an abutment. The abutment may be connected to the fixture and may include an exposed part that is exposed from a gingiva covering an alveolar bone. A dental prosthesis may include an engagement hole to which the exposed part of the abutment is configured to engage, and the dental prosthesis may be configured to be attached to and detached from the abutment by the exposed part being engaged with the engagement hole and disengaged therefrom by the user. First and second reference cross-sections as described earlier are not defined for a prosthetic tooth corresponding to a position where the fixture is planted.
(Feature 5) The dental prosthesis system disclosed herein may further comprise an implant. The implant may comprise a fixture section planted in an alveolar bone, and an abutment section configured integrally with the fixture section and including an exposed part that is exposed from the gingiva covering the alveolar bone. The dental prosthesis may include an engagement hole to which the exposed part of the abutment section is configured to engage, and the dental prosthesis may be configured to be attached to and detached from the abutment section by the exposed part being engaged with the engagement hole and disengaged therefrom by the user.
(Feature 6) The dental prosthesis system disclosed herein may further comprise an attachment attached to a natural dental root and including an exposed part that is exposed from the gingiva covering the alveolar bone. The dental prosthesis may include an engagement hole to which the exposed part of the attachment is configured to engage, and the dental prosthesis may be configured to be attached to and detached from the attachment by the exposed part being engaged with the engagement hole and disengaged therefrom by the user.
(Feature 7) The dental prosthesis system disclosed herein may comprise a partial dental prosthesis, and this partial dental prosthesis may further comprise a prosthetic or natural abutment tooth. The dental prosthesis may include one of a clasp, a wing, and an outer crown for Konus to be engaged with the abutment tooth, and the dental prosthesis may be configured to be attached to and detached from the abutment tooth by one of: engaging one of the clasp and the wing to the abutment tooth and detaching the clasp or the wing therefrom, and engaging the outer crown to an inner crown provided in the abutment tooth and detaching the outer crown therefrom.
A dental prosthesis system 1 according to a first embodiment will be described with reference to
As shown in
The dental prosthesis 12 is provided with fourteen prosthetic teeth 30 to 56 and a base 58. The prosthetic teeth 30 to 56 are constituted of porcelain. The prosthetic teeth 30 to 56 resemble outer appearances of natural teeth, and are arranged in accordance with an arrangement of the natural teeth. Specifically, first prosthetic teeth 30, 44 from a midline L1 function as central incisors, second prosthetic teeth 32, 46 function as lateral incisors, third prosthetic teeth 34, 48 function as canines, fourth prosthetic teeth 36, 50 function as first premolars, fifth prosthetic teeth 38, 52 function as second premolars, sixth prosthetic teeth 40, 54 function as first molars, and seventh prosthetic teeth 42, 56 function as second molars.
The base 58 is constituted of a polyamide-based material, such as nylon. Nylon has high durability, light weight, and high elasticity, and has a Young's modulus of 70 to 267 kgf/mm−2. The base 58 resembles an outer appearance of a natural gingiva, and is bonded to lower portions of the prosthetic teeth 30 to 56 (that is, on an alveolar bone 22 side). The base 58 is provided with four engagement holes 59 that are to be engaged with the exposed parts 20 at positions corresponding to the exposed parts 20 of the abutments 18. More specifically, the engagement holes 59 are respectively provided in the base 58 located below the canines 34, 48 and in the base 58 located below the first molars 40, 54. In other words, the respective fixtures 16 are planted in the alveolar bone 22 located below the canines 34, 48 and in the alveolar bone 22 located below the first molars 40, 54. By engaging the exposed parts 20 to the engagement hole 59, the dental prosthesis 12 is arranged inside an oral cavity of a user (more specifically, the dental prosthesis 12 is fixed to the gingiva 24). In this state, a lower surface 58a of the base 58 contacts a surface 24a of the gingiva 24 (hereinbelow, the lower surface of the base 58 will be termed a “contact surface”). The dental prosthesis 12 is configured to be attached to and detached from the abutments 18 by the exposed parts 20 being engaged with and disengaged from the engagement holes 59 by the user.
As a structure to engage the exposed parts 20 and the engagement holes 59, a known structure may be employed. For example, structures such as a structure described in JP 5566525 B1, a ball attachment, an O-ring attachment, a magnet attachment, and a locator attachment may be exemplified. The material of the prosthetic teeth 30 to 56 is not limited to porcelain, and may be zirconia, hybrid, hard resin, polyamide-based material (such as nylon) may be used. Further, the material of the base 58 is not limited to the polyamide-based material, and materials having durability, being relatively light-weight, and having elasticity (typically, having a Young's modulus of 70 to 267 kgf/mm−2) may suitably be used. Further, the material used in the base may not necessarily have the aforementioned elasticity, and for example, a material with inferior elasticity than the aforementioned material (such as sulfone, resin material such as acrylic resin, or metallic material such as titanium, cobalt, gold-platinum alloy) may be used. In a case where a material with excellent elasticity is used as the base, an occlusal pressure can thereby be reduced, so an occlusal technique described below may not necessarily be employed.
The dental prosthesis 14 has a substantially identical configuration as the dental prosthesis 12. That is, the dental prosthesis 14 is provided with fourteen prosthetic teeth 60 to 86 and a base 88. Names of the prosthetic teeth counting from the midline L1 are same as the prosthetic teeth 30 to 56 of the dental prosthesis 12. The base 88 is bonded to upper portions of the prosthetic teeth 60 to 86 (that is, on an alveolar bone 24 side). The base 88 is provided with four engagement holes 89 that are to be engaged with the exposed parts 20 respectively in the base 88 located above the canines 64, 78 and the base 88 located above the first molars 70, 84. By engaging the exposed parts 20 to the engagement hole 89, the dental prosthesis 14 is fixed to the gingiva 28. In this state, an upper surface 88a of the base 88 contacts an upper surface 28a of the gingiva 28. The dental prosthesis 14 is configured to be attached to and detached from the abutments 18 by the exposed parts 20 being engaged with and disengaged from the engagement holes 89 by the user. The positions for providing the engagement holes 89 (that is, the positions for planting the fixtures 26) may not correspond to the positions for providing the engagement holes 59. Further, the positions for providing the engagement holes 59, 89 and numbers thereof are not limited to the above configuration, and may be determined by taking user's occlusal force into consideration.
As shown in
A method of identifying the centers of the incisal edges and the occlusal surfaces will be described with reference to
Hereinbelow, lines connecting a middle point C1 of a line connecting the center P2 of the occlusal surface 40a of the first molar 40 and a center P3 of an occlusal surface 54a of the first molar 54 and respective centers of incisal edges and the occlusal surfaces of the respective prosthetic teeth 30 to 56 will be termed “first reference lines”. Further, cross sections that include the first reference lines and are parallel to the plan view direction will be termed “first reference cross-sections”. A line L3 in
The base 58 on the lingual side will be described in further detail with reference to
In this embodiment, a position of the outer edge of the base 58 is designed so that a distance d1 between the points P7 and P8 satisfies 0 mm<d1≤20 mm. This stands true also, among the five other teeth in the incisal portion, in the first reference cross-sections of the prosthetic teeth except for the prosthetic teeth located above the base 58 where the engagement holes 59 are provided. That is, the above stands true in the first reference cross-sections of the prosthetic teeth 30, 44, 46 except for the canines 34, 48.
Further, as shown in
In this embodiment, the position of the outer edge of the base 58 is designed so that a distance d2 between the points P12 and P13 is satisfies 0 mm<d2≤20 mm. This stands true also, among the seven other teeth in the occlusal portion, in the first reference cross-sections of the prosthetic teeth except for the prosthetic teeth located above the base 58 where the engagement holes 59 are provided. That is, the above stands true in the first reference cross-sections of the prosthetic teeth 36, 42, 50, 52, 56 except for the first molars 40, 54.
In this embodiment, position of the outer edge of the base 58 is designed so that d1 in the first reference cross-sections of the incisal portion satisfies 0 mm<d1≤20 mm and d2 in the first reference cross-sections of the occlusal portion satisfies 0 mm<d2≤20 mm. By setting 0 mm<d1 and 0 mm<d2, the dental prosthesis 12 can suitably be fixed to the gingiva 24. Further, by setting d1≤20 mm and d2≤20 mm, discomfort upon wearing the dental prosthesis can be significantly reduced as compared to a configuration in which at least one of d1 and d2 is greater than 20 mm. Shorter distances d1, d2 are more preferable. The distances d1, d2 may be set to any value so long as their upper limit values are equal to or less than 20 mm, and may for example be set in a range of 20 mm to 5 mm. By setting the upper limit values of d1 and d2 to be equal to or greater than 5 mm, contact surface areas between the bases 58, 88 and the gingivae 24, 28 can be ensured to some degree, and force acting on the dental prosthesis system can be distributed. Due to this, the upper limit values of d1 and d2 may be set to any one of 19 mm, 18 mm, 17 mm, 16 mm, 15 mm, 14 mm, 13 mm, 12 mm, 11 mm, 10 mm, 9 mm, 8 mm, 7 mm, 6 mm, and 5 mm. The upper limit values of d1 and d2 may be different from one another.
A broken line B1 in
As shown in
Next, occlusion of the dental prostheses 12, 14 will be described with reference to
When a mandible moves forward from this state as shown in
Especially, in this embodiment, the dental prostheses 12, 14 configure a complete dental prosthesis for edentulous jaws. Due to this, the dental prostheses 12, 14, the fixtures 16, and the abutments 18 can be suppressed from being damaged due to a large occlusal pressure acting on the incisors 30, 32, 44, 46, 60, 62, 74, 76. Further, since the mandible moves forward in the state where the occlusal portions are in contact with each other, the dental prosthesis 12 and the dental prosthesis 14 press each other at the contact surfaces in the occlusal portions upon the forward movement of the mandible. Due to this, the dental prostheses 12, 14 can be suppressed from becoming unbalanced or detached (tip over) upon the forward movement of the mandible. In this embodiment, an example that improves the occlusion when the mandible moves forward from the centric occlusion, with the centric occlusion as a reference, is described, however, the technique disclosed herein is not limited to such an example. For example, with a centric relation as the reference, occlusion upon when the mandible moves forward from the centric relation may be improved.
Further, as shown in
Especially, in this embodiment, the dental prostheses 12, 14 configure the complete dental prosthesis for the edentulous jaws. Due to this, the dental prosthesis 12 and the dental prosthesis 14 press each other at the contact surfaces in the occlusal portions upon leftward movement of the mandible. Thus, the dental prosthesis 12 can be suppressed from becoming unbalanced or tipped over upon the movement of the mandible. Further, in this embodiment, the fixtures 16 are planted in the alveolar bones 22, 26 at the portions corresponding to the canines 34, 64. Due to this, with the occlusal pressure acting on the canines 34, 64 being reduced, a large occlusal pressure can be suppressed from acting on the fixtures 16 and the abutments 18 corresponding thereto, and durability thereof can be improved.
The right canines 48, 78 are also configured with a milder tilt in the incisal edges, similar to the left canines 34, 64. Due to this, the molar disocclusion does not occur even in a state where the mandible moves rightward and the canine 48 comes into contact with the canine 78, and at least one or more of the molars 50 to 56 is in contact with the molars 80 to 86. In this case as well, same effect as the above configuration is achieved.
In this embodiment, the mandible is moved forward or laterally in the state of having the dental prostheses 12, 14 arranged inside the oral cavity of the user, however, a moving method of the mandible is not limited to the above. For example, a moving method in which the dental prostheses 12, 14 are attached to an articulator, and the dental prosthesis 12 is moved relative to the dental prosthesis 14 may be employed.
An advantageous effect of the dental prosthesis system 1 according to the first embodiment will be described. Conventionally, an overdenture was considered as a limit of a size of the dental prosthesis on the lingual side. However, as a result of a keen study conducted by the inventor, it has been found that the size of the dental prosthesis (bases 58, 88) on the lingual side can further be reduced. Specifically, in a study conducted regarding the wearing comfortability by gradually shortening lengths of d1 and d2 in first reference cross-sections, it has been found that the comfortability significantly improves when d1 and d2 are 20 mm. The dental prosthesis system 1 is designed so that the position of the outer edge of the base 58 on the lingual side and the position of the outer edge of the base 88 on the lingual side satisfy 0 mm<d1≤20 mm and 0 mm<d2≤20 mm. Due to this, as compared to the conventional overdenture (see
Further, the dental prosthesis system 1 according to the first embodiment constitutes the bases 58, 88 respectively having the contact surfaces 58a, 88a by nylon. Nylon has a relatively high elasticity. Due to this, when the occlusal pressure acts on the prosthetic teeth, the occlusal pressure can suitably be absorbed by the bases 58, 88 being thereby warped. As a result, the occlusal pressure transmitted to the fixtures 16 and the abutments 18 can be reduced, and the durability of these members can be improved.
An occlusal scheme which the dental prosthesis system 1 according to the first embodiment employed is an occlusal scheme for the case where the mandible moves laterally or forward from the centric occlusion, however, occlusal schemes disclosed herein is not limited thereto. In addition to the occlusal scheme employed in the first embodiment, a smooth contact that is distributed over plural teeth in the mandible and with minimal interference may be achieved in cases where the incisal and occlusal portions are at an edge-to-edge occlusion, or reach an anterior overbite by going further therebeyond (that is, upon various occlusal motions in a movable range of the mandible). Due to this, the dental prostheses 12, 14 (so-called superstructures) of the dental prosthesis system 1 may be stabilized on both upper and lower sides, whereby they become resistant against tip-over and breakage, and the occlusal pressure on a specific fixture 16 (which may be a remaining tooth or an abutment tooth in a case where there exists such a remaining tooth or an abutment tooth) may be reduced.
In the dental prosthesis system 1 according to the first embodiment as described above, seven prosthetic teeth are arranged on each of left and right sides of the maxilla, and seven prosthetic teeth are arranged on each of left and right sides of the mandible, however, the technique according to the description herein is not limited to such an example. For example, depending on a situation within the oral cavity of the user, the prosthetic teeth arranged on each of left and right sides of the maxilla and the mandible may be set to a number that is less than seven. That is, six or five prosthetic teeth may be arranged on each of left and right sides of the maxilla and the mandible.
(Variant 1)
A variant 1 will be described with reference to
(Variant 2)
In the first embodiment, the fixtures 16 are planted as prosthetic dental roots in the alveolar bones 22, 26. However, the dental prostheses 12, 14 may be arranged in an oral cavity of edentulous jaws in which a natural dental root remains. As an example thereof, in the variant 2, a magnet attachment is attached to a natural dental root. The magnet attachment simply needs to have at least a surface thereof exposed from the gingiva. A magnet is attached in the engagement hole of the dental prosthesis. The dental prosthesis is configured to be attached to and detached from the magnet attachment by connecting the exposed part of the magnet attachment to the magnet in the engagement hole by magnetic force and detaching the same by the user. According to such a configuration as well, similar effect as the first embodiment can be achieved. A known structure may be employed as the magnet attachment. Further, a locator attachment may be used instead of the magnet attachment.
Next, a dental prosthesis system 201 according to a second embodiment will be described with reference to
As shown in
A point P14 and points P18 to P20 in
In this embodiment, a position of the outer edge of the lateral incisor 232 on the lingual side is designed so that a distance d1 between the points P20 and P21 (see
According to this configuration as well, similar effect as the first embodiment can be achieved. That is, in this embodiment, a position of an outer edge of the dental prosthesis 212 on the lingual side (that is, the positions of the outer edges of the prosthetic teeth 230 to 256 on the lingual side) and a position of an outer edge of the dental prosthesis 214 on the lingual side (that is, the positions of the outer edges of the prosthetic teeth 260 to 286 on the lingual side) are designed to satisfy 0 mm<d1≤20 mm and 0 mm<d2≤20 mm. Due to this, the wearing comfortability can be improved significantly as compared to the conventional overdenture (see
Further, the dental prostheses 212, 214 of this embodiment can be used especially in a case where absorbed degrees of the alveolar bones 22, 26 are light (case where heights of the alveolar bones 22, 26 are high). That is, the alveolar bones 22, 26 are absorbed by aging and tooth extraction, and their heights become lower (which is in other words, tilts of alveolar borders thereof become moderate). In such a case, lengths from an alveolar ridge (apex of the alveolar border) to occlusal surfaces become longer, and a base becomes necessary underneath the prosthetic teeth. Further, when the tilts of the alveolar borders are moderate, sizes of the bases on the lingual side need to be increased by a corresponding amount. However, in this embodiment, since the heights of the alveolar bones 22, 26 are high, and lengths from the alveolar ridge to the occlusal surfaces do not change so much from lengths of the natural teeth, and bases do not need to be provided underneath the prosthetic teeth. Further, since the tilts of the alveolar borders are steep, by which the sizes of the dental prostheses can be reduced. In such a case, since cosmetic superiority is not required so much on the lingual side, the dental prosthesis may be configured by the prosthetic teeth instead of the base. On the other hand, a base for a cosmetic purpose is provided on the facial side to account for the cosmetic superiority. That is, according to the configuration of the present embodiment, the sizes of the dental prostheses 212, 214 on the lingual side can further be reduced.
In this embodiment, the prosthetic teeth are constituted of nylon, however, no limitation is made to this configuration. For example, upper portions of the prosthetic teeth 230 to 256 (portions on the incisal edge and occlusal surface sides) may be constituted of porcelain, and lower portions thereof (portions on a base end side) may be constituted of nylon. The same applies to the prosthetic teeth 260 to 286. In other words, so long as the contact surfaces 258a, 288a of the dental prostheses 212, 214 are constituted of a material having a relatively high elasticity (typically, a material having a Young's modulus of 70 to 267 kgf/mm−2), other portions may be constituted of another material suitable for the prosthetic teeth. Further, the implant 119 in the variant 1 may be applied to this embodiment.
A dental prosthesis system 301 will be described with reference to
The dental prosthesis 312 is provided with a lateral incisor 332, a canine 334, a first premolar 336, a second premolar 338 as its four prosthetic teeth, and a base 358 adhered beneath the prosthetic teeth. Centers of incisal edges 332a, 334a and occlusal surfaces 336a, 338a of the prosthetic teeth 332 to 338 can be identified similar to the first embodiment. A line L5 in
In this embodiment, a position of an outer edge of the base 358 is designed so that a distance d3 between the points P30 and P31 (see
A dental prosthesis system 401 according to a fourth embodiment will be described with reference to
According to this configuration as well, similar effect as the third embodiment can be achieved. Further, the present embodiment fixes the dental prosthesis 412 only by the clasps 490a, 490b on the respective ends, however, no limitation is made to this configuration. For example, an engagement hole may be provided in the dental prosthesis 412, and an exposed part of the abutment may be engaged therewith to further increase fixing force of the dental prosthesis 412. Further, the base 458 may be configured to include only one of the clasps 490a, 490b. Further, the abutment tooth may be a prosthetic crown (the same applies to fifth and sixth embodiments).
A dental prosthesis system 501 according to a fifth embodiment will be described with reference to
According to this configuration as well, similar effect as the third embodiment can be achieved. Further, an engagement hole may be provided in the dental prosthesis 512, and an exposed part of the abutment may be engaged therewith to further increase fixing force of the dental prosthesis 512. Further, the base 558 may be configured to include only one of the wings 558b, 558c.
A dental prosthesis system 601 according to a sixth embodiment will be described with reference to
Specific examples of the present invention have been described in detail, however, these are mere exemplary indications and thus do not limit the scope of the claims. The art described in the claims includes modifications and variations of the specific examples presented above.
For example, the feature in the occlusion described with reference to
Further, in the dental prosthesis systems of the aforementioned embodiments, the distance d of the dental prosthesis (specifically, d1, d2, d3, and d4) is configured to be equal to or less than 20 mm for each of the prosthetic teeth, however, the dental prosthesis system disclosed herein is not limited to such configurations. For example, as shown in
Alternatively, as in a dental prosthesis system 801 shown in
Technical features described in the description and the drawings may technically be useful alone or in various combinations, and are not limited to the combinations as originally claimed. Further, the art described in the description and the drawings may concurrently achieve a plurality of aims, and technical significance thereof resides in achieving any one of such aims.
Number | Date | Country | Kind |
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PCT/JP2016/067058 | Jun 2016 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2017/007942 | 2/28/2017 | WO | 00 |