The present invention relates inter alia to a method for a ceramic substrate which is included in or forms a unit which can consist, for example, of an implant, spacer, crown, etc., in a dental installation. The invention also relates to an arrangement in the form of a ceramic substrate of said type.
It is already known in dentistry to produce implants, crowns, spacers, etc., made of titanium with porous surface layers which have advantages when applied in or to bone substance, in dental installations, etc. It has been proposed that the porous surface layers be arranged mainly on structures made of titanium, and reference may be made in this connection, inter alia, to patents SE 514202 and SE 516282 obtained by the same Applicant as is filing the present patent application.
Reference is also made to the technique which is now generally known on the open market where the products provided by the same Applicant go under the trade name TiUnite, and which indicate possibilities of creating and using layers with excellent porosity on titanium components in dentistry. Examples which may be mentioned are crater-like structures with porosities of the order of 2-15 μm, for example 3-6 μm. The porosity can be used as a depot for different kinds of substances, for example growth-stimulating substances, anti-inflammatory substances, etc. The porosity per se is also advantageous for the actual incorporation of the implant in the jaw bone.
There is a particular need for ceramic products to be able to be produced with the same excellent porosity on the surfaces, for example on implant surfaces and spacer surfaces, and also on threads of the implant or spacer. However, there have been serious technical difficulties in being able to obtain porosities on ceramic products which, correspond to those found on metal products and which, for example, are intended to withstand the forces and moments which are formed or arise, for example, when screwing implants into holes formed in the jaw bone. In the case of crowns, for example, there is also a need to use cement to obtain considerable retention or fixing between the actual components of the installation. The present invention has the object of solving these problems, among others.
It is also important to be able to vary the thicknesses of the porous layers and their extents across the actual surface and the composition of the actual dental product. It is also desirable to be able to vary the degree of porosity and the distribution of the pores forming the porosity across the extent of the respective surface. The invention provides a solution to this problem too.
It should be noted that it is generally already known, outside the field of dentistry, to provide ceramic substrates with porous outer layers. However, it has been found that the technique used outside the field of dentistry cannot be transposed to the dental field without extensive rethinking, mainly on account of the demand for high porosity and precision in dentistry. Thus, for example, it is already known to produce porous ceramic layers in which ZrO2 is used with Y2O3 in casting processes. Three different particles can be used to form pores, namely graphite, PMMA and NiO particles. The first two types of particles can be easily burnt off, while NiO has to be leached with acid. Reference may be made to the article “Synthesis of highly porous yttria-stabilized zirconia by tape casting methods”.
Another technique used outside the dental field is to form porous ceramic products with starch compositions, so-called starch forming. In these compositions, use is made of the possibility that the starch filled with water and moisture swells when it is heated above a certain temperature. The swelling forces the formation of a porous network, which creates a certain stability in the material. When the material is burned, a porous body is obtained. The starch particles can also be used as pore formers in accordance with the above. This method relates mainly to porosities extending completely through the product, which in general are not relevant in dentistry. The method is described in, inter alia, J. Am. Ceram. Soc. 86[3] 395-400 (2003); and “Processing of porous ceramics by a new direct consolidation technique”, J. Eur. Ceram. Soc. 1998, 18, 131-140.
A completely different technique used outside the dental field for the purpose of forming porous material would be to use zirconium parts with a large particle size. The greater the particle size, the larger the space obtained between the particles. A subsequent sintering thus will not be able to eliminate all pores when the ceramic particles are chosen with a large size. The porosity in the substrate preferably has a smaller size and the sintering will therefore eliminate the last-mentioned porosity.
That which can principally be regarded as characterizing a method according to the invention is, inter alia, that the substrate, at least at a portion bearing a surface, is provided with a first porosity, and that, in order to form a ceramic layer with a second porosity having pore sizes and/or pore numbers preferably exceeding the first porosity, a dispersion (suspension) of a preferably low-viscosity liquid is applied to the surface, said liquid having the ability to be sucked by capillary force into the first porosity or pore formation and, in a first stage, to retain on or against the surface material and/or liquid particles which do not penetrate into this first porosity and which contribute to the continued construction of the layer. The invention is also characterized in that, in a second stage, the substrate is subjected to sintering in which the particles finally forming the layer are held together with intermediate spaces which consist of or are included in the second porosity, the spaces being formed either by the fact that material and liquid particles separate from the particles finally forming the layer are driven off during the sintering and/or by the fact that the particles forming the layer are chosen with a particle size which means that the last-mentioned particles are held together after the sintering despite the intermediate spaces.
In one embodiment of the inventive concept, the particles are allocated a size and/or shape determining the pore formation, and the particles thus forming as pore formers are chosen to be or are insoluble in the liquid included in the dispersion. The particles for forming the dispersion are dispersible in the liquid with or without dispersants, and the particles can be easily driven off, by means of a removal function, for example burning in a furnace and/or etching and/or leaching and/or smelting and/or sublimation and/or dissolving. The particles are arranged or chosen to show a low residual degree of impurity after the removal function has been performed.
In a proposed embodiment, use is made of polycrystalline zirconia, alumina and/or hydroxyapatite mixed into the dispersion. As pore formers, it is possible to use particles of, for example, graphite with sizes in the range of 0.1-100 μm, preferably in the range of 0.3-50 μm. The range of 0.5-10 μm is of special interest. In addition, or alternatively, starch with particle sizes in corresponding ranges can be used. Said graphite and starch particles thus form the particles which are separate from the particles forming the layer. The substrate can be presintered to form the first porosity, and an emulsion used can be an acrylic polymer emulsion with liquid particles which are driven off in said second stage. In a further alternative, particles, for example of zirconia, alumina and/or hydroxyapatite can be admixed with the dispersion, these having a particle size which, after sintering, gives residual porosity. Water-soluble ammonium sulfate or polycarboxylate can be used for example as dispersant. Water and/or alcohol for example can be used as the low-viscosity liquid. The thickness, extent and composition of the layer can be varied within wide limits. Further embodiments are set out in the dependent claims relating to the novel method.
That which can principally be regarded as characterizing an arrangement according to the invention is that the substrate/arrangement, at least at a portion bearing a surface, has the ability to exhibit in an initial stage a first porosity or pore formation, and in that the surface bears a ceramic layer applied by means, inter alia, of sintering and with a second porosity having larger and/or more pores than in the first porosity. The last-mentioned porosity is arranged, before sintering of the layer, to have the ability to receive, by capillary force, a low-viscosity liquid and at the surface to cause the retention of particles dispersed in the liquid which contribute to the formation of the layer. In addition, the arrangement is characterized in that the construction of the layer is based on driving off by means of sintering the particles forming intermediate spaces, or in that the particles which form the layer have a particle size permitting the formation of intermediate spaces despite the sintering. In one embodiment, the last-mentioned particles can be of the same type as the substrate.
By means of what has been proposed above, dental products can be produced. The products in question can, for layer application, be immersed in a dispersion and, after the immersion, the product/blank/structure can be worked in order to remove excess. After drying, the coated cylinders or implants can be sintered with the layers thus applied. Even threaded implants can be coated and treated in a corresponding manner. This shows that said presintering gives advantageous results with good layer coating. The presintering can take place, for example, at 1200° C., for, for example, 2 hours before the layer coating is started. In the case of spacers and crowns, for example, the second porosity increases the base for cementing intended to hold the components in the installation together.
Presently proposed embodiments of a method and an arrangement according to the invention will be described below with reference to the attached drawings, in which:
a show different constructions of porous layers which have been produced by different methods, and
In
The different pore formers produced different porosities, as can be seen from
b show a slurry with 50% by volume of graphite particles, and a particle content of 5% by volume.
a show cases of layer formation on a threaded implant.
The components can be sintered in the production and the implants in a furnace. A sintering cycle is shown in
Components according to the invention have been produced and tested in accordance with the following examples.
Reference is made to
After the immersion, the cylinder was rotated at 4500 rpm so that the excess of dispersion was removed from its surface. Subsequent sintering at 1500° C. and for 2 hours in an air atmosphere gave a porous layer with a thickness of ca. 20 μm.
Reference is made to
Immersion and the sintering method according to Example 1 gave a porous layer with a thickness of ca. 13 μm, cf.
Reference is made to
Immersion and the sintering method according to Example 1 gave a porous layer with a thickness of ca. 15 μm.
Reference is made to
Immersion and the sintering method according to Example 1 gave a porous layer with a thickness of ca. 40 μm.
Reference is made to
After the immersion, the threaded implant was rotated at 4500 rpm so that the excess of dispersion was removed from its surface. Subsequent sintering at 1500° C. and for 2 hours in an air atmosphere gave a porous layer with varying thickness; in the thread parts the thickness was ca. 30 μm, while the layer thickness at the thread crests was only a few micrometers. Between top and bottom, the thickness was ca. 5 μm. Compare also
Reference is made to
The immersion and sintering method according to Example 1 gave a porous layer with a thickness of ca. 25 μm in the thread parts, while the crests had a thickness of ca. 5 μm.
A modification of the above method is to use, for formation of a ceramic layer, a substrate whose surface is of such a nature that it lacks the ability to suck liquid up by capillary force. Such a surface can be obtained, for example, by sintering of the abovementioned pre-sintered substrates. Application of the earlier suspension, with graphite as pore former for example, can be carried out, for example, by dripping, spraying and/or immersion. Since in these cases it is not possible to use a capacity of the liquid to penetrate in order to create the ceramic layer, the liquid phase in the dispersion must be removed in some other way, for example by drying.
The invention is not limited to what has been described above by way of example, and instead modifications can be made within the scope of the attached patent claims and the inventive concept.
Number | Date | Country | Kind |
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0302539-2 | Sep 2003 | SE | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/SE2004/001279 | 9/7/2004 | WO | 00 | 4/15/2008 |