The present invention relates to dental implants.
As is known, when performing dental implants, pins are fixed onto the jaw or onto the upper jaw bone of the patient in predetermined positions. These implants are also provided at the top with a seat inside which stump pins or the like are fixed. There are cases where the thickness of the patient's bone in which the implant is to be performed is very small, for example from 2.5 mm to 6 mm, and in such cases insertion of the implant is very difficult since, in order to be able to insert the implant, it is required to perform complicated regenerative surgery using special bone grafts. Usually, a normal implant, which has a main body with a cylindrical cross-section, requires a thickness of the bone crest at least 2 mm greater than its diameter.
The object of the present invention is therefore to provide a dental implant which may be advantageously applied even in small-thickness zones of the bone crest of the patient, has limited volumetric dimensions, provides optimum anchoring in the bone, has a surface area similar to that of standard-size implants and ensures an excellent primary stability.
This object is achieved by the present invention by means of a dental implant, characterized in that it comprises a central body with a substantially conical or frustoconical shape and having, extending from the end with a larger cross-section, a connection seat able to receive a stump pin; this central body is provided with a blade positioned in a longitudinal mid-plane of said central body and having a length such as to protrude beyond the end of said central body which has a smaller cross-section; said central body, which is extremely thin also in the coronal part, and said blade are able to give the implant a substantially wedge-like form.
According to a further aspect of the present invention the present dental implant comprises at least on the front or rear surface of said central body and said blade at least one longitudinal guide rib projecting from said surface.
According to yet another aspect of the present invention said central body and said blade have an angle of conicity of about 1° or less so as to give the implant a substantially blade-like form.
The presence of the longitudinal rib and the substantially blade-like form of the present implant allow the latter to be inserted more easily and more precisely inside the patient's bone since this insertion step is performed along a predetermined insertion axis which is always maintained, without undesirable transverse displacements. The implant thus has an even greater primary stability, allowing perfect anchoring which prevents possible transverse movements. The substantially blade-like form ensures, moreover, even more efficient and simple insertion of said implant in bone zones with a small bone volume or in zones with atrophic crests. This rapid and simple insertion of the present implant decreases advantageously the surgery time, reducing therefore the risk of infection and bone trauma. Differently from the preceding implants with a blade-like form, this implant has the function of expanding the bone during insertion and has a width and volume which lie within the normal dimensions of a standard implant and each of these implants may therefore replace a single tooth.
Further objects and advantages of the present invention will be understood more clearly during the course of the following description which is provided by way of a non-limiting example with reference to the accompanying drawings in which:
With reference to the accompanying drawings and with particular reference to
The top end of the central body 1 with a larger cross-section has, formed therein, a connection seat 701 with a small angle A of conicity which may vary from about 1° to about 2° with respect to a generic cylindrical hole. A threaded cylindrical hole 801 is provided at the bottom of this connection seat 701: a stump pin for the present implant will be engaged inside this seat 701 and this threaded cylindrical hole 801. Owing to this small angle A of conicity a series of advantages may be obtained: the so-called cold welding together of the seat 701 of the implant and the stump pin which is to be inserted inside this seat, with a consequent and advantageous reduction in the internal space and therefore a reduction in the spaces which may favour the proliferation of bacteria: and a horizontal coronal zone which is useful as a zone for supporting the connecting tissues and bone.
The central body 1 and the blade 2 are preferably made of a titanium/aluminium/vanadium alloy, Ti—Al6—V4 (pure titanium or alloy of titanium, tantalum, zirconia, ceramic material, or using other materials which are biocompatible and/or suitable for bone grafts) and the site where the implant must be inserted is prepared preferably using a piezoelectric surgical technique and technology, i.e. “piezosurgery”, which is known per se, or using other technologies such as sonic technology, laser technology or manual instruments such as blades or osteotomes. The front and rear teeth 101 and 302 project from the surface of the conical body 1 and the blade 2 in the manner of saw teeth, namely are provided with inclined surfaces able to facilitate insertion of the implant in the patient's bone and, in combination with the grooves 301, ensure optimum anchoring and stability once the implant has been inserted in the patient's bone. These teeth may have different forms depending on different constructional versions.
According to the embodiment of the invention described above, the implant formed by the central body 1 and the blade 2 and having a substantially wedge-like shape may advantageously be fixed also in zones where the patient's bone has a small thickness; this wedge-like form allows expansion of both the cortical and the spongy bone, taking advantage of its viscoelastic properties. Therefore, the vestibular cortical bone may also expand with respect to the lingual/palatine bone after performing on the patient's bone a thin osteotomy or a cut, providing a thin site inside which this implant is introduced. From a biological point of view the difference between the conventional implants and the present implant is notable since, in conventional implants, it is required to remove from the bone crest all the volume necessary for insertion of the implant using suitable milling cutters; in the present implant only a thin cut, which may vary for example from 0.1 mm to 1 mm, is required, therefore maintaining a sufficient thickness of the vestibular and palatal bone walls even in the presence of thin bone crests.
Suitably shaped recesses 901 which improve further the stability of the implant are formed along the front and rear surface of the central body 1—see
A projecting longitudinal rib 3 designed to guide correctly the implant during its insertion inside the patient's bone is formed on each of the front and rear surfaces of said central body 1 and said blade 2, preferably in a central position. Each of these longitudinal ribs 3 helps facilitate insertion of the implant in the bone in such a way as to avoid damage to the bone itself and maintain constantly the predefined axis for insertion of the implant. These ribs 3 moreover increase the primary stability of the implant, allowing perfect anchoring which prevents possible transverse movements.
Preferably these longitudinal ribs 3 are identical and positioned so as to be diametrically opposite with respect to the main body 1 and to the blade 2, but in other embodiments they may also be single or asymmetric depending on the anatomical or biomechanical requirements. Each of these ribs 3 has a top end with a greater thickness in the top part of implant and a bottom end for connection to the blade 2. The thickness of the rib 3 therefore decreases from this top end towards this bottom end where the rib 3 is connected to the blade 2. According to other embodiments, these ribs may have thicknesses, forms and dimensions which are variable, continuous or with a sawtooth shape, in various constructional forms which are adapted to the anatomical variations of the available bone both with regard to height and thickness and in terms of density and quality.
The central body 1 and the blade 2 are designed so as to give the present implant a substantially blade-like form; in fact the angle of conicity B of the implant is in the region of 1° or less.
The blade-like form of this second embodiment of the present implant, which is therefore advantageously designed with a small thickness, allows the same to be used in a simple and efficient manner in bone zones with a very small bone volume or in zones with atrophic crests. The simplicity with which the present implant can be inserted also reduces advantageously the surgery time for installation of the implant, the possibility of infections and any undesirable damage to the bone.
The present implant is advantageously compatible with the stump pins of the most well-known implant manufacturers in the sector (31, SwissPlus, Branemark, Straumann, Zimmer) owing to an intermediate connection (between implant and stump) which may, in some cases, be separate from the implant and therefore be able to be added thereto during stages following that of implant insertion and, in other cases, may even already form part of the implant itself (thus forming a single piece), thereby creating a complete assembly which can already be combined with the other implant systems without further adaptation. This implant is also provided with an aesthetic finish on the neck and in the part emerging from the gums.
Moreover, despite the fact that the present implant has dimensional characteristics such that it may be inserted in thin crests, it has an excellent strength and standard-size surface area (bone contact area) and prosthetic connection, unlike the known implants where, following a reduction in the dimensions and in particular the diameter, both the bone contact area and the strength and dimensions of the prosthetic connection are reduced.
Number | Date | Country | Kind |
---|---|---|---|
GE2009A0097 | Dec 2009 | IT | national |
GE2010A0056 | May 2010 | IT | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
---|---|---|---|---|
PCT/EP2010/069003 | 12/6/2010 | WO | 00 | 6/8/2012 |
Publishing Document | Publishing Date | Country | Kind |
---|---|---|---|
WO2011/069978 | 6/16/2011 | WO | A |
Number | Name | Date | Kind |
---|---|---|---|
3729825 | Linkow et al. | May 1973 | A |
3905109 | Cohen et al. | Sep 1975 | A |
3950850 | Driskell et al. | Apr 1976 | A |
4177562 | Miller et al. | Dec 1979 | A |
4573922 | Bello | Mar 1986 | A |
4713003 | Symington et al. | Dec 1987 | A |
4762492 | Nagai | Aug 1988 | A |
4799886 | Wimmer | Jan 1989 | A |
4997383 | Weiss et al. | Mar 1991 | A |
5102336 | Linkow | Apr 1992 | A |
5116226 | Linkow | May 1992 | A |
6921264 | Mayer et al. | Jul 2005 | B2 |
7303396 | Abarno | Dec 2007 | B2 |
20030087217 | Coatoam | May 2003 | A1 |
20040038180 | Mayer et al. | Feb 2004 | A1 |
20040053196 | Mayer et al. | Mar 2004 | A1 |
20060216673 | Park | Sep 2006 | A1 |
20060292526 | Simmons | Dec 2006 | A1 |
20090061389 | Lomicka et al. | Mar 2009 | A1 |
Number | Date | Country |
---|---|---|
24 54414 | May 1975 | DE |
Entry |
---|
International Search Report for PCT/EP2010/069003 Dated Mar. 25, 2011. |
Written Opinion of the International Searching Authority for PCT/EP2010/069003 Dated Mar. 25, 2011. |
Number | Date | Country | |
---|---|---|---|
20120251977 A1 | Oct 2012 | US |