The need to replace lost teeth for the most varied reasons has meant that dental implants have developed various implant systems and many types of connections that are screwed onto these implants with the purpose of fastening the prosthesis (denture), said connections being referred to as “prosthetic components”.
Prosthetic components used in implants are elements that when screwed onto the implant enable the prosthesis to be fastened. Some of the criteria that must be observed when choosing these components are: gum tissue, interocclusal space, slant of the implants, whether the prosthesis will be cemented or screwed, unitary or multiple and at the end; the set that will best result in a plausible aesthetic that is closest to the original set of teeth.
The analysis of certain factors, such as those above, will indicate to the professional in the field which type of restoration is most suitable for each case.
The present Utility Model refers to the development of a prosthetic component, for unitary or multiple restoration, called “SCREWED ANGLED TRUNNION”, idealized for the MT (Morse Taper), EH (External Hexagon) and IH (Internal Hexagon) fittings which are the systems most used today, among others already developed. The objective of this patent is to provide the professional with the option of screwing and/or gluing/cementing the prosthesis, in this angled trunnion, whereby filling the gap existing in the form of fastening for this type of pillar, which today only exists for the gluing/cementing option.
It can be made of grade 1, 2, 4, and 5 titanium or of any other material as may be used in the generation of dental prosthesis components.
The object of the present application is the development of the angled trunnion with an inner thread in its upper part, details “A”, “B” and “C” in
Traditionally, angled trunnions are utilized in cases where the purpose is to correct the angulation of the implant which for some reason is not positioned suitably for placing the prosthesis (tooth or set of teeth).
The angled trunnions existing today are solely fastened by cementing (glued with cement) or fastened with another type of adhesive.
Gluing by cementing as a means of fastening ultimately limits re-utilization of the prosthesis, when the need arises for maintenance thereof.
Today, in most cases, during the maintenance process, it is commonplace, due to the difficulty thereof, to lose the prosthesis and the original trunnion, bringing serious inconvenience for the patient, leaving no other alternative to correct said problem than to replace said angled trunnion cemented for another equivalent one and in such cases ultimately result in major hardship in positioning and adjustment of this new trunnion.
Such situation triggers financial losses and major discomfort to the patient undergoing treatment.
Observing the problems referred to has given rise to the development of the “SCREWED ANGLED TRUNNION”, the objective of which is to meet the need of professionals to have the option of screwing the prosthesis.
Numerous studies and much research have been carried out to detect the ideal minimum angle necessary for making an inner thread in the upper part of the angled trunnion, making it possible to screw the prosthesis element.
The “SCREWED ANGLED TRUNNION” can be made with the MT (Morse Taper), EH (External Hexagon) and IH (Internal Hexagon) fitting, as described in
Its bottom base is manufactured such that it can be adapted to the type of implant utilized (CM, EH and IH), the form of fitting the “SCREWED ANGLED TRUNNION” in the implant may be produced such that it makes the prosthesis element on the implant rotational or anti-rotational. Its diameters are relative to the laying platforms of the implants, which may be commercialized in the following sizes: 3.5 mm; 4.0 mm; 4.5 mm and 5.0 mm, which are the most common, and may also adapt to other platform diameters as may be needed and/or developed.
The thread of the fastening screw of the “SCREWED ANGLED TRUNNION” on the 3.5 mm platform implants may be M1.8 and for 4.0 mm and 5.0 mm implants they may be M2.0, these being the sizes most utilized, though they may vary according to each project.
Some reasons are essential in analyzing the option for a “SCREWED ANGLED TRUNNION” when compared to the cemented angled trunnion and will be explained ahead.
After placing/performing maintenance on the prosthesis, the need may arise to make certain adjustments, for example: replace the prosthesis, or some prosthesis element. A screwed prosthesis enables replacement by simple withdrawal of the screws and replacing the already repaired element. When the prosthesis is cemented, the difficulty to repair is much greater, and furthermore may lead to the loss of the prosthetic element, as mentioned previously.
Another important benefit of the screwed prosthesis, is the decrease in the risk of losing the implant by contamination. During the process of cementing or any other type of gluing, this cement or glue may penetrate into the region of the soft tissue (gums), and may induce inflammation and consequently cause the loss of the implant.
Other notable characteristics of the “SCREWED ANGLED TRUNNION” are:
We shall now describe the prosthetic component called “SCREWED ANGLED TRUNNION” for improved understanding as a whole:
The coupling of the prosthesis to the “SCREWED ANGLED TRUNNION” is shown in the assembly sequence in
As already mentioned, “THE SCREWED ANGLED TRUNNION” is made of grade 1, 2, 4, or 5 titanium, and can also be produced of any other material as may be used in a dental prosthesis component in the production process. The main difference in relation to the angled trunnions used is the existence of an “inner thread” in the upper part of the trunnion, as described in
The process of choosing and placing the prosthesis element begins once the implant is placed and in accordance with the choice of the specialist who may await bone bonding of the implant before installing “THE SCREWED ANGLED TRUNNION” or place it on the same day as the implant. In
In
Number | Date | Country | Kind |
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20 2020 012753.0 | Jun 2020 | BR | national |
Filing Document | Filing Date | Country | Kind |
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PCT/BR2021/050260 | 6/15/2021 | WO |