The invention relates to an enossal single tooth implant for a fixed dental prosthesis with the features of claim 1.
In a single tooth implant as is known from DE 40 28 855 C2 and is also the subject matter of DE 195 09 762.9-32, anti-rotation protection is provided in that the base body form-fitting elements are provided on the base of the annular recess of the base body and the spacer sleeve form-fitting elements which are complementary thereto, on the front end for the centring collar of the spacer sleeve. In manufacturing terms such form-fitting elements are relatively difficult to produce, wherein in some cases it is not particularly beneficial that the full depth of the annular seat/centring collar is not available for centring, fixing and securing the spacer sleeve relative to the base body.
In another dental implant as well, as is proposed in DE 37 35 378, similar problems also occur due to the fact that there too the form-fitting elements of the base body are at a distance from its coronal front edge within a blind hole of the base body.
From DE 41 27 839 A1 an implant base body is known, the central annular recess of which has a form-fitting element which directly adjoins the coronal front edge of the base body, wherein the form-fitting element is groove-like and the retaining component to be inserted into the base body body is of a form complementary thereto. A separate implant post is not envisaged.
From DE 195 34 979 C1 an implant base body is known in which the form-fitting elements of the base body are arranged in direct connection to its coronal front edge with corresponding arrangement and configuration of the complementary abutment form-fitting elements. As the entire depth of the annular recess of the base body is available for the centring and guiding of the abutment, there should be considerably improved stability of the connection between the spacer sleeves and base body in connection with greater design flexibility in terms of the type of separation and design of the form-fitting elements.
From WO 2013083125 an enossal single tooth implant for a fixed dental prosthesis is known which has a base body with an annular recess with a form-fitting section, an abutment insertable into the recess of the base body, wherein complementary form-fitting elements are provided on the base body and abutment and designed in the form of a male component-female component connection.
Although the enossal single tooth implant known from aforementioned WO 2013083125 already provides very good anti-rotation protection, the present invention further develops the implant known from the prior art in that with the same guiding and centring of the abutment in the base body and simplified manufacturing, particularly secure screwing of the base body into the jaw bone is assured, even in the case of difficult conditions for the implantologist.
In accordance with the invention the task of further developing an enossal single tooth implant of this type is solved by way of the combination of features of claim 1. Special forms of embodiment of the invention are the subject matter of the sub-claims.
The single tooth implant according to the invention thus comprises a base body, an abutment which can be inserted into a base body and the retaining screw penetrating through the base body and abutment which determines the position of the abutment with regard to the base body and is screwed into a threaded section provided at the apical end of the base body.
The base body has an annular recess into which the abutment can be inserted. The annular recess comprises a guide section at the apical end of the annular recess, a form-fitting section which can be cylindrical or conical, and a coronal section to which the corresponding sections of the abutment are matched to be complementary in size.
In order to allow secure screwing of the base body into the jaw bone of the patient wherein even in the case of a not precisely matched diameter or angle of the boring in the jaw bone, an adequate torque can be applied to the base body, in one of the three sections of the base body, in addition to the form-fitting elements in the form-fitting section form-fitting screw-in elements, hereinafter referred to as screw-in elements in short, are provided, which after insertion of the screw-in tool, such as a screw-in bit with matched tool head, produce the form-fit between the screw-in element on the base body and the screw-in element on the screw-in tool, for example in the form of a male-female component connection, and thus allow the base body to be screwed into the jaw bone.
After screwing the base body into the jaw bone and removing the screw-in tool, the abutment can be inserted and aligned in the base body, wherein the form-fitting elements on the base body and abutment, at least one pair in the form of a male-female connection, can be brought into engagement with each other and thereby attach the base body and abutment to each other. The base body and abutment are then fixed in the relative position with regard to each other by the retaining screw.
In this way, due to its design according to the invention, the base body can be screwed with screw-in elements into the jaw bone by means of a tool engaging in the screw-in elements with a torque that is increased in relation to the embodiments of the prior art. Although the screw-in elements can be provided in each of the three sections (centring/guiding section on the apical end of the annular recess, the form-fitting section and the coronal end section), the screw-in elements are preferably arranged in the form-fitting section, which can be cylindrical or conical, between the apical guide section and the coronal end section A conical form-fitting section increases the diameter of the guide section to the diameter of the end section and is formed on the base body in the manner of a hollow truncated cone, to which a truncated cone on the abutment corresponds. In principle the form-fitting section on the base body can be in the form of a hollow cylinder, wherein then the at least one form-fitting element and the at least one screw-in element can lie on different planes.
In the area of the form-fitting section the screw-in elements are arranged on the base body in the circumferential direction, preferably between form-fitting elements on the base body which can be brought into engagement with the form-fitting elements on the abutment, and preferably in an alternating manner. The screw-in elements are then preferably designed so that with the screw-in tool applied there is only a form-fit between the screw-in elements on the base body and screw-in tool, so that the form-fitting elements on the base body cannot be damaged by the screw-in tool.
Accordingly, in this form of embodiment the form-fitting elements on the abutment and the screw-in elements on the base body are designed so that with the abutment inserted there is no contact between the form-fitting elements on the abutment and the screw-in elements on the base body and therefore no damage to the form-fitting elements on the abutment is possible.
With regard to the screw-in elements, arrangement of the male component(s) on the base body and the female component(s) on the screw-in tool or vice-versa is possible, wherein the embodiment with the male component(s) arranged on the screw-in tool and the female component(s) on the base body is preferred. The screw-in elements can each be designed in the form of a recess on the base body and, on the screw-in tool, a nose or projection engaging in the recess. The provision of at least one, more particularly two to six recess(es) in the form-fitting section on the base body is preferred. The recesses can also be designed as polygonal surfaces on the base body and screw-in tool in the manner of an inner-outer pair as a triangle, square or hexagon as in an Allen key. Here the provision of an inner triangle on the base body and a complementary outer triangle on the screw-in tool is of particularly advantage as on the base body circumferentially between the inner triangle surfaces three form-fitting elements can be alternately arranged, more particularly as tongue bars, designed for form-fitting with the grooves on the abutment.
Thus, in the form-fitting section recesses and base body-abutment form-fitting elements, the latter as anti-rotation protection, can be arranged so that circumferentially in the form-fitting section screw-in elements and basic body-abutment form-fitting elements can be provided, preferably in a form fitting manner.
For example, on the base body, two to six, more particularly three or four recesses or inner polygonal surfaces are provided as screw-in elements, with one base body form-fitting element between each two screw-in elements. Provided on the abutment to correspond with the base body form-fitting elements are form-fitting elements preferably in a quantity allowing alignment of the abutment. In the case of two, three or four base body form-fitting elements on the base body, correspondingly on the abutment for example just as many form-fitting elements or a whole number multiple thereof, such as two, three, four, six, eight, nine or more form-fitting elements can be provided.
A preferred form of embodiment of the invention is thus a single tooth implant for a fixed dental prosthesis, with, as defined above, a base body, abutment and retaining screw, wherein the base body and abutment each have a guide section, form-fitting section and end section complementary to each other, wherein the form-fitting section has two to six inner polygonal surfaces on the base body for the engagement of a screw-in tool, and, preferably alternately thereto, one, two to six tongue bars complementing each other as form-fitting elements on the base body and just as many grooves or a whole-number multiple thereof as form-fitting elements on the abutment. In the form-fitting section the screw-in elements and the tongue bars can be provided alternately on one plane or in two or more planes in the form-fitting section.
In accordance with the invention the form-fitting section of the base body and the form-fitting section of the abutment are matched to each other in shape so that the abutment can be inserted into the base body in such a way that the relevant form-fitting elements can be brought into engagement with each other and thus prevent a movement in the circumferential direction. Each of the form-fitting sections can be designed as hollow truncated cone-like or hollow cylindrical sections of the annular recess or boring, including with sections of different diameters, in the base body, and corresponding outer cylindrical section, or sections, of the abutment. The following description of the element of the invention applies for all forms of embodiment unless otherwise stated.
The guide section in the base body adjoins the threaded section for the retaining screw in the apical end of the base body. Arranged in the coronal direction thereto is the form-fitting section, in which at least one, more particularly two to six, more particularly three or four screw-in elements and at least two, three or four base body-abutment form-fitting elements are provided. Arranged further in the coronal direction is the end section in which a sealing element can be provided between the base body and the abutment. The sealing element can be designed in the form of an elastic seal which is arranged in a groove of the base body and abutment.
The axial lengths of the guide section, form-fitting section and end section are dimensioned so that guiding and form-fitting are ensured and the base body and abutment are sealed with regard to each other, by a cone or seal for example. The guide section and end section can both be longer than the form-fitting section. The sum of the axial lengths of the guide section and the form-fitting section is preferably greater than the length of the end section. The axial length of the guide section can be smaller than, equal to or greater than the axial length of the end section. If the guide section is longer than the end section the guide section has the primary guide function.
In accordance with the invention the, preferably cylindrical sections (guide section and end section), provided axially on both sides of the form-fitting section, allow reliable and stable fixation of the abutment in the base body through the retaining screw, as the abutment and base body are assembled in the form of a pipe-in-pipe mounting via the guide section and end section. The radial inner diameters of the guide section and end section in the base body, and accordingly also of the outer diameter in the abutment are selected so that the wall thickness in the base body is sufficient to prevent deformation of the base body walls in the event of lateral or angular stressing of the implant through the chewing process when the implant is inserted in the jaw bone. The wall thickness of the base body in the area of the annular recess can be 30% to 50% of the inner diameter in the guide section and 10 to 20% of the inner diameter in the end section.
In one form of embodiment according to the invention the form-fitting section of the base body can be designed as a hollow truncated cone. In this case the form-fitting section of the abutment is configured as a truncated cone corresponding to the hollow truncated cone.
In this form of embodiment the form-fitting section of the base body is in the form of a hollow truncated cone with a circular surface with a smaller diameter (cover surface) and with a circular surface of a larger diameter (base surface), wherein the longitudinal axis of the hollow truncated cone is arranged coaxially to the longitudinal axis of the base body, the circular surfaces define the hollow truncated cone and circular surface with the larger diameter faces the coronal end of the base body.
Due to the design according to the invention of the base body with the screw-in elements, the base body can be screwed into the jaw bone by means of a tool engaging in the screw elements with increased torque compared with the prior art and after insertion into the base body the abutment is reliably secured against rotation.
In accordance with the invention the complementary form-fitting elements on the basic body and abutment are each configured in the form of a male-female connection, wherein the male component(s) is/are preferably arranged on the base body. As result of the thus selected arrangement, due to the avoidance of a reduction in the wall thickness of the base body, precise force transmission is possible even in the case of ceramic materials and the use of a fully or partially ceramic base body and/or abutment is made possible in addition the known metals and alloyed materials. However, it is also possible for the male component(s) to be arranged on the form-fitting section of the abutment and the corresponding female components on the base body.
According to the invention the male form-fitting element can have the form of a tongue bar extending in parallel to the longitudinal axis of the base body and engaging in a corresponding female element on the other component secured against rotation. The form-fitting elements can be produced through mechanical machining, such as milling, drilling etc. from the components base body and abutment.
The form-fitting section can be designed cylindrically or preferably conically. In a cylindrical embodiment the form-fitting section on the abutment is configured in the form of a cylindrical section which with its outer diameter is matched in length and diameter to the hollow cylindrical boring on the base body.
In the embodiment of the form-fitting sections as a hollow truncated cone on the base body and truncated cone on the abutment, the at least one tongue bar can be designed so that depending on the arrangement on the base body or abutment, the tongue bar is radially raised around the longitudinal axis of the base body or abutment and extends axially thereto in a wedge-like manner in the direction of the larger diameter of the truncated cone or hollow truncated cone and does not increase the diameter of the larger circular surface closing the truncated cone. The radial height of the tongue bar thus maximally corresponds to the difference in the radii of the circular surfaces closing the truncated cone or hollow truncated cone less a clearance.
According to the invention such a tongue bar can be in the form of a pin held in a blind hole (retaining boring), wherein the blind hole is provided coaxially to the longitudinal middle axis of the base body in the conical area of the hollow truncated cone or truncated cone, depending on relative length of the male and female component, in the base body or in the abutment up to the area parallel to the threaded section. Due to the conical surface on the hollow cone/truncated cone, each pin is guided at least partially in a groove with a cross-section decreasing towards the end opposite the retaining boring, which results in a type of wedge shape of the tongue bar. In order to make the wall thickness in the form-fitting section as thick as possible, depending on the relative length of the male and female component in the base body or in the abutment, the blind hole for receiving the pin or groove is arranged in such a way that the circumferential line of the boring tangentially contacts the circumferential line of the circular surface at the apical end or the boring is partially arranged in the circular surface at the apical end.
The pins can each have a preferably circular, or regular or irregular polygonal cross-section, from which a cross-section segment projects from the groove in the conical wall radially to the direction of the longitudinal middle axis of the base body or abutment, depending on the relative length of the male and female component, and can form the tongue bar beyond the maximum axial length of the form-fitting section. In the simplest form a pin can have a cylindrical shape and be produced in a wire-drawing machine. It is possible to produce the pin of a material with a greater strength than the material of the abutment or base body.
To secure the pin axially, each pin can be fitted/inserted into the blind hole by press fitting.
In accordance with the invention, of particular advantage is the embodiment in which the screw-in elements and form-fitting elements can be produced from the base body by mechanical machining, such as milling, and the internal polygonal surfaces and tongue bars produced in this way.
In order to allow the insertion of the abutment in circumferentially different positions, the form-fitting elements can have an angular degree division in relation to the circumference of the abutment and base body allowing the insertion of the abutment into the base body in various positions, such as a 15, 30, 45, 60, 90, 120 or 180 degree division. Additionally, the number of female form-fitting elements can be equal to or greater than, for example double or triple, depending on the sub-division, that of the male form-fitting elements. Preferred is the combination of one form-fitting element such as a pin on the base body with one to six form-fitting elements such a groves on the abutment, or correspondingly, two form-fitting elements on the base body and two, four or six form-fitting elements on the abutment, three form-fitting elements on the base body and three or six form-fitting elements on the abutment, or four form-fitting elements on the base body and four or eight form-fitting elements on the abutment, wherein the form-fitting elements are each regularly spaced around the circumference.
In one embodiment according to the invention in the form-fitting section the abutment can have a support collar for the pins of the base body. On inserting the abutment into the base body the pins can with their coronal ends at least partially rest on the support collar the width of which can maximally correspond to the diameter, but in particular approximately the radius of a pin, and on turning the abutment for radially aligning the abutment as specified by the implantologist can engage in the form-fitting grooves
As stated above, on the abutment side sealing means such as an O-ring can be provided in a circumferential groove in the end section in order, after insertion of the implant in the patient to prevent the penetration of foreign bodies and fluid into the hollow spaces of the implant. If required, additionally or alternative sealing means such as an O-ring can also be arranged in a groove on the base body side wherein the latter is less preferred.
For the implant post/retaining screw an inner thread can be provided in the blind hole apically of the form-fitting and centring section of the base body, wherein the retaining screw can also completely traverse the abutment.
The invention also relates to a base body and abutment as individual components of an implant according to the invention, which are overall designed according to the embodiment details for the implant.
It is an essential aspect of the present invention that as functional the elements, the elements for screwing in the implant and the form-fitting elements for fixing the position of the base body and abutment relative to each other are separate from each other and the form-fitting elements are not also configured for screwing the base body into the jaw bone. In addition the present invention makes it possible that in addition to simplified mechanical machining of the components base body and abutment, which are each produced with corresponding form-fitting elements in the form of the above-described groove-tongue connection in a centring and guiding section, a balanced mechanical stability can be achieved when inserting the implant into the jaw bone and during its use during the chewing process, which is not the case in systems known from the prior art. At the same time, compared with the solutions known in the prior art, the processing of base body and abutment blanks is considerably simplified and more cost-effective.
Examples of embodiment of the single tooth implant according to the invention and its components are explained in detail below with the aid of the schematic drawings. In these:
In more detail:
As shown in
The annular recess 16 has a guide section 18 coronally adjoining the internal thread 14. Adjoining the guide section 18 of the annular recess 16 in the coronal direction is a form-fitting section 20 which has an internal diameter increasing in the coronal direction with regard to the guide section 18 and a conical inner wall with—in the form of embodiment according to
In the coronal direction an end section 22 adjoins the form-fitting section 20 with a coronal front edge 28. The end section 22 has an inner wall corresponding to the outer diameter of the sealing section 58 of the abutment 50. In the end section 22, on the area facing the form-fitting section 20 a band can be provided on which a collar provided on the abutment can come into contact. As a height stop for the abutment, the front edge 28 can also be envisaged for the sealing collar 60 of the abutment.
In
The base body 10 can be simply produced through mechanical machining of a blank. Advantageous for this is the design of the tongue bars as cylinder pins 24 each arranged in a retaining groove boring in the form-fitting section 20 of the base body 10. Before producing the form-fitting section, borings can be bored coaxially to the blind hole 12 up to the wall 32 in the guide section 18 of the base body 10 and during milling of the form-fitting section 20 with a bevel cutter formed as retaining groove borings in the form-fitting section 20 and the wall 32.
Even though the use of cylinder pins is advantageous in production terms, it is also possible to use pins with a regular or irregular polygonal cross-section and a retaining groove boring with a matching cross-section and matching form-fitting groove 52.
Via the securing head 66, an abutment 50 shown in
On insertion of the abutment 50, which is provided with an axial longitudinal boring, the inner diameter of which corresponds to approximately the outer diameter of the retaining screw [(70) in
The end section 58 of the abutment 50 can be arranged to fit snugly in the end section 22 of the base body 10. The tongue bars 26 engage in the form-fitting grooves 52, while the sealing collar 60 comes into contact on the front edge 28. In this way the abutment 50 is fastened to the base body 10 in a tight and form-fitting manner, protected against rotation.
By means of the retaining screw 70 which traverses the abutment 50 and can be screwed into the internal thread 14 of the base body 10, the abutment 50 can be securely connected to the base body 10. To facilitate the removal of the abutment 50 from the base body 10, in the boring traversing the abutment an internal thread, which is not shown in
Depending on the division or division ratio of the base body 10 and abutment 50, the abutment 50 can be inserted into the base body 10 in different rotational positions, for example in a degree division of 30°, 45°, 60°, 90°, 120° or 180°, through which the treating doctor has a number of configuration options available. The number of abutment form-fitting elements 52 can preferably be greater than the number of base body form-fitting elements 26. Thus, advantageous in accordance with the invention are embodiments of two tongue bars 26 as pins in the base body 10 and two, four, six, eight, ten or twelve form-fitting grooves 52 on the abutment 50or, in particular of three tongue bars 26 as pins 24 in the base body 19 and three, six, nine or twelve form-fitting grooves 52 on the abutment 50.
In the form-fitting section 56, the form of embodiment shown in
Instead of the collar (60) shown in
As shown in
The annular recess 16 has a guide section 18 coronally adjoining the internal thread 14. Adjoining the guide section 18 of the annular recess 16 in the coronal direction is a form-fitting section 20 which has a coronally increased inner diameter compared to the guide section 18 and has a conical inner wall with—in the form of embodiment according to
In
In a similar manner to
On insertion of the abutment 50, which is provided with an axial longitudinal boring, the inner diameter of which corresponds to approximately the outer diameter of the retaining screw [(70) in
The end section 58 of the abutment 50 can fit snugly in the end section 22 of the base body 10. The tongue bars 26 engage in the form-fitting grooves 52, while the sealing collar 60 comes into contact on the front edge 28. In this way the abutment 50 is fastened to the base body 10 in a tight and form-fitting manner, protected against rotation.
By means of the retaining screw 70 which traverses the abutment 50 and can be screwed into the internal thread 14 of the base body 10, the abutment 50 can be securely connected to the base body 10. To facilitate the removal of the abutment 50 from the base body 10, in the boring traversing the abutment an internal thread, which is not shown in
The form of embodiment of the abutment 50 with securing head 56 shown in
Similarly to
In the top view on the right,
10 Base body
12 Boring
14 Inner thread
16 Annular recess
18 Guide section
20 Form-fitting section
22 End section
24 Pin
26 Tongue bar
28 Front edge
30 Screw-in element/recess/inner edge surface
32 Wall
34 Flute
50 Abutment
52 Form-fitting grove
54 Guide section
56 Form-fitting section
58 End section
60 Sealing collar
62 Support collar
64 Conical band
65 Conical section
66 Securing head
68 Conical band
70 Retaining screw
72 Thread
80 Screw-in tool
82 Screw-in element/polygonal surface
84 Tool guide section
86 Hexagon
88 Inner boring
Number | Date | Country | Kind |
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10 2013 114 170.6 | Dec 2013 | DE | national |
Filing Document | Filing Date | Country | Kind |
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PCT/DE2014/100449 | 12/16/2014 | WO | 00 |