Patent Application
20220270253
The invention concerns a method of producing an abutment as well as a computer program product, a computer-readable storage medium, a computer-readable data carrier and a data carrier signal which transmits such a computer program product and a computer configured for carrying out one of the methods and/or for executing such a computer program product.
The term abutment (which can sometimes also be referred to as the “attachment”) is used in dentistry to denote the connecting element between a pin-shaped dental implant and a prosthetic fitting (for example a single tooth fitting, a bridge fitting, dentures and so forth). The connection to the prosthetic fitting can be effected directly or by way of a mesostructure.
An abutment can be found in EP 2 825 124 B1. The abutment disclosed in that document has a platform with a plate-like configuration of the coronally looking platform surface which promotes the growth of cells and allows support for the mesostructure or a prosthetic fitment on the coronally looking platform surface. The possibility of subsequent treatment of the abutment affords individualizability of the abutment for a given patient.
The term emergence profile is used in dental implant treatment to denote the three-dimensional configuration of the gingiva where the abutment is to be placed, in a coronally extending region from the dental implant to the gingiva line.
Besides prefabricated standard abutments which have to be manually retreated in the dental laboratory in a complicated and expensive procedure in order to adapt them to the specific factors at the treatment location in the jaw of the patient it is already known to produce directly patient-individualized abutments. That is effected by way of a three-dimensional computer module, readable by a computer, of the patient-individualized abutment to be produced. The three-dimensional computer model is either produced on the basis of an analog dental imprint of the jaw of the patient, which is digitized, or it is provided directly in digital form (for example using an intraoral scanner or laboratory scanner).
The gingiva configuration which is individual for the patient is defined by an operator (for example a dental technician or a dentist) or by an algorithm, where the abutment is to be placed.
In addition the three-dimensional geometry of the abutment above a preparation limit which is predetermined by the individual gingiva configuration is to be defined by the operator or an algorithm. Definition of the three-dimensional geometry of the abutment can include:
In addition the emergence profile of the abutment is to be defined by an operator of the computer or by an algorithm.
The emergence profile, i.e. the external geometry of the abutment beneath the preparation limit as far as the pin-shaped dental implant, was previously predetermined with a standard form and the region between the emergence profile and the screw passage was defined as a filled body so that the operator of the computer had no room for maneuver here at all. As a result a preparation limit which in itself extends too deeply was frequently adopted in practice in order to enlarge that region which could be selected or defined by the operator or the algorithm. That entails the problem that the so-called adhesive joint between the abutment and the prosthetic fitting is displaced in the direction of the dental implant and thus the jaw bone of the patient, which has destructive consequences for the gingiva and the jaw bone.
The object of the invention is to provide a method of producing a three-dimensional computer model of a patient-individual abutment intended for a patient for a dental implant by means of a computer and a method of producing such an abutment for a dental implant, in which the computer model or the abutment produced in accordance therewith is better compatible for the gingiva and the jaw bone of the patient.
In addition the invention seeks to provide a computer program product including commands for carrying out the method, a computer-readable storage medium and a computer-readable data carrier including such commands as well as a data carrier signal which transmits such a computer program product and a computer for carrying out one of the methods according to the invention and/or for executing the computer program product according to the invention.
The steps of the methods according to the invention are carried out outside of a body of the patient as the invention starts from an already existing three-dimensional representation of a jaw of the patient at least in that region of the jaw where the abutment is to be placed.
According to a first variant of the invention, a plate-like configuration of the coronally looking platform surface is provided beneath the preparation limit for the three-dimensional geometry of the platform, as known per se from EP 2 825 124 B1. The plate-like configuration has an adhesive joint, which is advantageously far away from the dental implant, between the abutment and the prosthetic fitting. Since it is further provided that a material thickness of the platform of the abutment is selected by an operator of the computer starting from the defined emergence profile, i.e. beneath the preparation limit, the operator of the computer no longer has any need to select a preparation limit which in itself extends too deeply, in order to increase his room for maneuver, as the invention allows the operator in advance to design the three-dimensional geometry of the abutment beneath the preparation limit. In order to avoid configurations which are detrimental here and which in the case of an abutment produced in accordance with the three-dimensional computer model provided by the computer could lead to a failure of the abutment the invention provides that the three-dimensional geometry of the abutment can be selected below the preparation limit by the operator only within a predetermined region saved in an electronic memory.
Per se a plate-like configuration of the coronally looking platform surface would be solely sufficient. Preferably however, there is also an underside of the platform, that is of a curved configuration in the coronal direction (the surface of the platform displaced from the coronally looking platform surface by the thickness of material).
The three-dimensional geometry of the abutment beneath the preparation limit can be selected by the operator at least to the extent that the operator, starting from the defined emergence profile, can select a material thickness for the platform of the abutment (i.e. the normal distance between the coronally looking platform surface and the platform surface remote therefrom).
In preferred embodiments, the invention provides that the three-dimensional geometry of the abutment beneath the preparation limit can be further selected by the operator to the extent that an operator of the computer selects
It should be noted that constant material thicknesses are preferred for the material thickness of the platform of the abutment and/or for the material thickness of the wall of the screw passage and/or for the material thickness of the base of the abutment. Basically however, a gradient would also be possible for one or more of those material thicknesses (variable material thickness). The gradient can be defined by predetermining one or more points of support.
Preferably, the respective range for the possible choice of the material thickness or the transition radius is selected in dependence on a material to be used for the abutment (for example ceramic, titanium, plastic or hybrid materials) and/or in dependence on the defined three-dimensional geometry of the abutment above the preparation limit.
The predetermined range saved in an electronic memory (to which the computer must naturally have access during execution of the method, at least during the corresponding step) can be respectively established on the basis of empirical values and/or on the basis of simulations and/or measurement series. For example, it can be provided that the material thickness
Preferably, the method and a corresponding computer program which in the execution of the program by a computer cause it to carry out the method, to directly provide a three-dimensional computer model for an abutment with a coronally looking platform surface of plate-like configuration starting from a provided three-dimensional representation readable by the computer of a jaw of the patient.
Alternatively, however, in a second variant of the invention it can be provided that firstly a three-dimensional start-computer-model of a patient-individual abutment is produced with a conventional method and a corresponding computer program. This abutment model is of such a form that a region extending radially between the screw passage of the abutment and the emergence profile of the abutment is represented as filled with material. The computer then carries out a transformation in accordance with the method pursuant to the invention or with a corresponding computer program pursuant to the invention in order to obtain from the three-dimensional start computer model the three-dimensional computer model. This three-dimensional model is provided beneath the preparation limit for the three-dimensional geometry of the platform with a plate-like configuration of the coronally looking platform surface and has the material thickness of the platform of the abutment, that is selected by an operator of the computer based on the defined emergence profile. The same additional optional features as discussed in relation to the first variant of the invention can be provided.
Preferably, an additive production method (for example laser sintering) in which powder (for example of ceramic, titanium, plastic or hybrid materials) is layer-wise hardened by the action of energy is proposed for the production of an abutment according to the invention for a dental implant using a material-reduced three-dimensional computer model of the patient-individualized abutment, said model being produced in accordance with a method according to at least one of the preceding embodiments.
In comparison with conventional machining or cutting methods for the production of an abutment additive production methods are distinguished by a reduced method operating time. In addition a machining or cutting method frequently requires a complicated re-clamping operation. A machining or cutting post-treatment may be required even when using an additive production method.
In all embodiments the screw passage can extend parallel to or at an angle relative to a central notional axis of the connecting structure of the abutment.
Embodiments of the invention are described with reference to the Figures in which:
A central notional axis Z of the connecting structure 5 of the abutment 2 can be seen here.
The procedure involves providing a three-dimensional representation 10, readable by the computer 3, of a jaw of the patient at least in that region of the jaw where the abutment 2 is to be placed. This three-dimensional representation can be produced in known manner either based on dental imprint of the jaw of the patient, that is digitized, or directly in digital form (for example using an intraoral scanner and/or a laboratory scanner).
In known manner selecting of a definition of a preparation limit in dependence on a gingiva configuration which is specific for the patient takes place where the abutment 2 is to be placed, by an operator of the computer 3 or by an algorithm.
A definition of a three-dimensional geometry of the abutment 2 above the preparation limit is implemented by an operator of the computer 3 or by an algorithm. The definition of the three-dimensional geometry of the abutment 2 can include:
A definition of the emergence profile E of the abutment is effected by an operator of the computer 3 or by an algorithm.
According to the invention, beneath the preparation limit for the three-dimensional geometry of the platform is a plate-like configuration of the coronally looking platform surface 6 provided.
An operator of the computer 3, based on the defined emergence profile E, within predetermined regions saved in an electronic memory 8 (see
The three-dimensional computer model 1 is provided by the computer 3, for example for the production of a patient-individual abutment 2 for a dental implant 12 using a three-dimensional computer model 1 produced in accordance with the above-described method, preferably by an additive production method.
The embodiment of
In
| Number | Date | Country | Kind |
|---|---|---|---|
| A 50767/2019 | Sep 2019 | AT | national |
| Number | Date | Country | |
|---|---|---|---|
| Parent | PCT/AT2020/060328 | Sep 2020 | US |
| Child | 17684953 | US |
