The present invention relates to a try-in implant for verifying the position and angulation of a pilot hole.
When installing dental implants, the positioning of the implant is extremely important to obtain a good aesthetic and functional result. The positioning of the implant to a large extent determines the choice of prosthetic components. In order to provide guidance for the surgeon during the installation of an implant, various types of so-called surgical guide rails have traditionally been used. These guide rails are mainly produced under laboratory conditions and can be made in a number of different designs. As aids during the surgical intervention it is also possible to use so-called directional sensors.
U.S. Pat. No. 5,208,845 discloses a radiographic depth gauge for positioning dental implants in a jaw bone. The gauge is formed of a material, which is x-ray visible, and is an elongated member with distance markings. The gauge both shows the depth and angulation of the drill hole relative to other holes and existing dentition.
U.S. Pat. No. 5,842,859 discloses an indication device for marking and forming one or more attachment points for one or more fixtures, which can be fitted into a receiving hole in which it bears via a bearing part. At least one indicating part is interconnected with the protruding part and has a free end extending away from the existing hole, where a location of the new hole to be used as an attachment point is established at a position substantially adjacent to an exterior surface of the free end of the indicating part.
However, the devices known up to now have the disadvantage that the surgeon has no visual impression of the dental prosthesis after implantation.
The present invention provides a try-in implant for indicating the position of a dental prosthesis and which is easy and safe to handle.
In one embodiment, the try-in implant comprises a body portion to be received in a pilot hole, a neck portion formed above said body portion, whereby said neck portion has a sufficient length to project through mucosal tissue above said pilot hole, and an attachment portion formed above said neck portion. The attachment portion includes a crown-like cap, which is mounted on the attachment portion by a snap fit assembly.
The try-in implant indicates the geometry of the implant's prosthetic portion together with the mounted crown. Due to the visual identity or similarity of the try-in implant and the tooth prosthesis, meaning the final implant and the mounted crown, the surgeon has during the surgical intervention a visual impression of the situation after implantation and restoration. A mounted crown can be a rudimentary minimal (a crown framework) or like the final crown (a final porcelain veneering crown of average/generic shape). This enables an easier decision regarding the implant to be selected. Possible implants are one-part implants or two-part implants, they may have a straight or angulated mounting part and the length and/or diameter of the implants to be selected may also be determined.
The facial-lingual and mesial-distal, corona-apical and apical-incisal position as well as the distance to adjacent teeth and implants can be verified with a try-in implant according to the present invention. Functional and aesthetic long-term results can be predicted due to the use of such a try-in implant.
As the crown-like cap of the present invention is a separate component, which is mounted on the attachment portion by a snap fit assembly, it is possible to mount different forms of crown-like caps on the attachment portion in order to determine the optimal shape of the crown.
In a further embodiment of the present invention the crown-like cap comprises a handle to ensure easy and safe handling of the try-in implant. The handle is preferable integrated on the top of the crown-like cap. The handle on the crown-like cap ensures that the try-in implant can easily be inserted in the pilot hole, which means the first receiving hole or drill hole, by hand or by tweezers without being lost in the patient's mouth, thereby ensuring a safe handling.
In a further embodiment of the present invention the crown-like cap has a partly or fully gripping surface to ensure that the try-in implant cannot slip away during the handling procedure in the patient's mouth.
In another preferred embodiment of the present invention the handle or the crown-like cap comprises an opening. This opening allows for the secure retaining of the try-in implant, especially inside the patient's mouth, to prevent aspiration of the try-in implant. A thread or floss may be inserted through the opening and held outside a patient's mouth. In addition, the thread or floss can be used to assist in removing the try-in implant.
Depending on the pilot hole it may be necessary to select an implant with a straight or an angled abutment. Due to the fact that the try-in implant may have a straight or angled attachment portion, the surgeon may have a visual impression of both implant types. Therefore, the selection of the optimal implant is easier.
Preferably, the try-in implants have the same diameters as the implants. That means that that the body portion of the try-in implant has a diameter from 1.0 to 8.0 mm, preferably consisting of the group of 2.2 mm, 2.8 mm, 3.0 mm, 3.5 mm, 4.2 mm, 5 mm and 5.5 mm. Especially preferred are those having a diameter from 2.0 to 3.0 mm, for example 2.2 mm and 2.8 mm.
In order to predict the optimal length of the implant, the body of try-in implant may have different lengths, preferably a length of 6 mm to 8 mm. It is also possible that the try-in implants include a height indicator, designed with horizontal or lacuna markings. Such a height indicator makes it possible to decide whether an adjustment of the pilot hole is necessary, and which implant length should be selected.
Preferably the try-in implants have depending on their diameter and size, a specific color, which serves as a color code. Alternatively they have a tooth-like colour to support the visual impression.
In one embodiment of the present invention the try-in implant comprises mainly a metal selected from the group consisting of titanium, zirconium, and stainless steel; preferably the try-in implant is titanium or stainless steel. Alternatively the implants comprise an alloy of metals selected from the group consisting of cobalt, chromium, titanium, zirconium, niobium, hafnium and tantalum. Most preferred are 316 stainless steel, Ti6Al4V, Ti6Al7Nb and a Cr—Co alloy.
In another embodiment of the present invention the try-in implant is made of a synthetic material. The synthetic material is selected from the group consisting of ceramic, such as aluminum oxide or zirconium oxide, composite materials, as well as polymers, especially biocompatible USP Class 6 compliant polymers, such as PEEK (polyetheretherketone), POM (polyoxymethylene), Grilamid TR 70 LX of EMS, PEI of Sulzer Medica (polyethylene imine), PTFE (polytetrafluorethylene), PP (polypropylene), PMP (polymethylpentene), PPSU (polyphenylsulfone), PE (polyethylene), and PC (polycarbonate). Preferably the implant is made of PEEK or POM.
Typically, a series of x-rays are taken in order to determine where and how to position the implants in the jaw bone without damaging surrounding structures such as the nerves in the lower jaw bone and the sinuses adjacent the upper jaw bone. Based on said x-ray the pilot hole is drilled in the jaw bone. If, according to a further embodiment of the present invention, the try-in implant is made of a metal or synthetic material, which is X-ray visible, a further x-ray can be taken to determine the angulation of the pilot hole relative to existing dentition and the depth of the pilot hole relative to anatomical restriction. A possible synthetic material, which is X-ray visible, is BaSO4 containing PEEK or ZrO2 itself. X-ray visibility of the try-implant permits optimal selection of the implant (one-part vs. two-part, straight or angled abutment as well as length of the implant) as well as the precision placement of implants to their maximum depth in the jaw bone to assure a maximum strength for supporting one or more dental restorations.
In one embodiment of the present invention the try-in implants can be sterilized and therefore be used several times. Alternatively, it is possible to produce the try-in implants made of a synthetic material as a single-use product guaranteeing a sterile product; this may be highly desired by consumers due to infection risks such as HIV or hepatitis.
The invention is explained below on the basis of figures and illustrative embodiments, without in any way limiting the invention to the embodiments shown. The drawings show the following:
Number | Date | Country | Kind |
---|---|---|---|
EP 07010 034.2 | May 2007 | EP | regional |