Patent Application
20170252130
THIS invention relates to an overdenture retention implant and to an apparatus for installing the implant.
The term “overdenture” refers to replacement teeth which are retained in the mouth of an edentulous person by means of implants permanently fixed to the upper or lower jawbone. In a typical overdenture retention system, each threaded implant is screwed into an implant receiving hole drilled or reamed in the jawbone. An abutment, which is connected to the proximal, i.e. outer end of each implant, projects from the gum and the denture itself is attached in either a permament or removable manner to the abutments.
Conventional implants used for overdenture retention are straight, with the abutment aligned on the axis of the implant. This type of arrangement is acceptable in cases where the teeth of the eventual denture are generally aligned with the jawbone in which the implant is installed. However the straight nature of the known implants renders them somewhat unsuitable for the retention of overdentures used to replace teeth at the sides of the upper jaw. This is because the bone at the sides of the upper jaw is generally somewhat inclined relative to the median plane of the mouth, making proper alignment of the overdenture more difficult and compromising the overall aesthetics of the overdenture installation.
The present invention seeks to provide a solution to the misalignment problem noted above.
According to one aspect of the present invention there is provided an overdenture retention implant comprising:
Preferably, the acute angular inclination of the axis of the end structure relative to the axis of the body is similar to the acute angle which sides of an upper jawbone make with a median plane of the mouth. The angular inclination is typically in the range 8° to 24°, and may be approximately 12°.
The boss of the implant end structure of the implant should be configured to be engaged in threaded manner in a threaded socket of an overdenture retention member, thereby to retain the overdenture on the implant.
According to another aspect of the invention there is provided the combination of an overdenture retention implant as summarized above and an apparatus for installing the implant, the apparatus comprising:
In the preferred combination, the fixture mount socket has a central axis inclined relative to a central axis of the fixture mount by an angle which is the same as the angle by which the implant end structure is inclined relative to the central axis of the implant body. This angle may be in the range 8° to 24° and is preferably approximately 12°.
Typically a mouth of the fixture mount socket lies in a plane normal to the central axis of the fixture mount socket.
The fixture mount socket may include an internal shoulder and the anchoring device may comprise a cap which has a threaded cap socket for threaded engagement with the boss of the implant end structure of the implant, a mouth of the cap socket being arranged to abut the internal shoulder of the fixture mount socket when the cap socket is threaded onto the boss, thereby to anchor the fixture mount in engagement with the tool engagement portion of the implant end structure of the implant.
Preferably a mouth of the fixture mount socket bears on an external shoulder of the implant when the mouth of the cap socket abuts the internal shoulder of the fixture mount. The cap may have a tool engagement socket at an end thereof opposite to the cap socket.
Yet another aspect of the invention an installation apparatus for installing the overdenture retention implant, the apparatus comprising:
Other features of the apparatus are as summarized above.
Aspects of the invention will now be described in more detail, by way of example only, with reference to the accompanying drawings in which:
The implant 10 seen in the drawings has an externally threaded implant body 12. The body 12 has a proximal end 12.1 and a distal end 12.2. The body extends at its proximal end 12.1 from an implant end structure 14 that includes a tool engagement portion 14.1 of hexagonal cross-section and an externally threaded boss 14.2. The body 12 and end structure 14 are typically machined in one piece from a suitable grade of titanium or ceramic.
The implant body 12 has a central axis 20. The implant end structure 14 has a central axis 22 which is common to the tool engagement portion 14.1 and the boss 14.2. The axes 20 and 22 are inclined relative to one another at an acute angle of inclination 24, and intersect at a point 26. More is said subsequently about the angle 24.
The implant end structure 14 also includes a circumscribing shoulder 14.3 between the tool engagement portion 14.1 and the implant body 12. The shoulder lies in a plane 28 normal to the central axis 22 of the implant end structure.
Referring also to
The fixture mount includes an inclined passage or recess 48 which is part-circular in cross-section. The recess is axially aligned with and leads to the socket 40 as illustrated in
An opposite, second end 52 of the fixture mount is non-round in cross-section so as to be engagable in a rotation transmitting manner by a suitable tool (not shown). In the illustrated case, the end 52 has a hexagonal cross-section and is suitable for engagement by, for example, a spanner.
A further component of the installation apparatus is an anchoring device in the form of a locking cap 60 which has an internally threaded cap socket 62 at one end and a tool engagement socket 64 at the opposite end. The thread of the cap socket 62 is complemental to the thread on the boss 14.2 of the implant end structure 14. The tool-engagement socket 64 has a non-round cross-section, in the illustrated case a hexagonal cross-section, enabling it to be engaged in a rotation-transmitting manner by a cap engaging tool (not shown).
Referring to
The fixture mount is moved towards the proximal end of the implant 10 such that the socket 40 passes over the threaded boss 14.2 and onto the tool-engagement portion 14.1 as seen in
The cap 60 is then moved along the passage 48 such that the boss 14.2 is received in the cap socket 62. The cap engaging tool mentioned above is now engaged with the cap socket 64 and is used to screw the cap onto the boss.
When tight, the mouth of the socket 62 bears on the internal shoulder 50 of the fixture mount. This prevents the socket 40 from being detached from the tool-engagement portion 14.1 of the implant end structure, so the fixture mount is effectively locked or anchored on the implant, forming the assembly 80 seen in
With the angular relationships described above, the central axis 20 of the implant body 12 is aligned and coaxial with the central axis 46 of the fixture mount 30. The axes 22 and 42 are also aligned and coaxial.
The assembly can now be taken to the patient's mouth where the distal tip 90 of the implant body 12 is inserted into the preformed hole in the jaw bone. The spanner or other tool mentioned above can now be engaged with the end 52 of the fixture mount. Manipulation of the tool to rotate the fixture mount in the appropriate sense is transmitted to the implant such that the implant body 12 is screwed into the hole.
When the implant body 12 has been tightly screwed into the hole, the tool is disengaged from the fixture mount and the locking cap 60 is unscrewed from the boss 14.2, allowing the fixture mount 30 to be detached from the implant body 10.
An overdenture retention cap 100 can now be screwed onto the boss 14.2. The retention cap 100 may be entirely conventional and, in the illustrated case, has a threaded socket 102 to be screwed onto the boss 14.2 and an enlarged head 104, possibly of elliptical shape, onto which the overdenture itself (not shown) can be engaged, for example by a clipping action.
An advantage of the implant 10 described above is the fact that the central axis 22 of the threaded boss is inclined relative to the central axis 20 of the implant body 12 at the angle 24. The importance of this is described with reference to
It will accordingly be understood that the angle 24 is selected to be similar to the acute angle which the lateral regions of the upper jaw bone make with the median plane 200. In the illustrated example, the angle 24 is typically in the range 8° to 24° and may, for example, be 12°, corresponding to a normal inclination of an upper jaw bone relative to the median plane.
The installation of the inclined implant 10 is considerably facilitated by the use of the installation apparatus consisting of the fixture mount 30 and locking cap 60.
It will be understood that this apparatus makes it possible for the implant body and fixture mount to have aligned axes when assembled together, thereby enabling a conventional tool to be used to screw the implant body 12 into the bone.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2014/05274 | Jul 2014 | ZA | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/IB2015/055278 | 7/13/2015 | WO | 00 |
