Prosthesis
09770313 · 2017-09-26
Assignee
Inventors
Cpc classification
A61C8/0012
HUMAN NECESSITIES
C04B2235/604
CHEMISTRY; METALLURGY
C04B2235/3244
CHEMISTRY; METALLURGY
A61L2202/21
HUMAN NECESSITIES
A61C2008/0046
HUMAN NECESSITIES
A61C13/01
HUMAN NECESSITIES
International classification
A61C8/00
HUMAN NECESSITIES
A61C13/01
HUMAN NECESSITIES
Abstract
A prosthesis that contains zirconia and supplements a defective portion of a natural bone, and that is changed to a color approximate to that of the natural bone by a heat treatment after a γ-ray sterilization treatment. The color approximate to that of the natural bone has an L* value of 60 to 90, an a* value of −5 to 10, and a b* value of −5 to 10 in the L*a*b* color space. The highest temperature in the heat treatment is 100° C. to 300° C. The prosthesis is a fixture of a dental implant embedded into and bonded to a natural bone, an abutment, an implant crown, and the like.
Claims
1. A method for producing a prosthesis containing zirconia and supplementing a defective portion of a natural bone, comprising: (1) sintering powder of zirconia to form the prosthesis, and then (2) γ-ray sterilizing the prosthesis, which is a formed article containing zirconia, and then (3) heat treating the prosthesis, thereby changing a color of the prosthesis a color approximate to that of the natural bone, wherein the sintering is performed at a temperature of 1500° C. or more.
2. The method for producing the prosthesis according to claim 1, wherein the color approximate to that of the natural bone has the following values in L*a*b* color space: L* value of 60 to 90, a* value of −5 to 10, and b* value of −5 to 10.
3. The method for producing the prosthesis according to claim 1, wherein the heat treatment has a highest temperature of 100° C. to 300° C.
4. The method for producing the prosthesis according to claim 1, wherein the prosthesis is an implant embedded into and bonded to a natural bone.
5. The method for producing the prosthesis according to claim 4, wherein the prosthesis is a dental implant.
6. The method for producing the prosthesis according to claim 5, wherein the prosthesis is a fixture of a dental implant.
7. The method for producing the prosthesis according to claim 5, wherein the prosthesis is an abutment of a dental implant.
8. The method for producing the prosthesis according to claim 5, wherein the prosthesis is an implant crown of a dental implant.
9. The method for producing the prosthesis according to claim 1, wherein the prosthesis is a filling to be embedded into a defective portion of a tooth.
10. The method for producing the prosthesis according to claim 1, wherein the prosthesis is a post crown to be mounted on a tooth root.
11. The method for producing the prosthesis according to claim 1, wherein the prosthesis is a bridge composed of an artificial tooth that serves as a substitute for a defective natural tooth, and a crown covering a natural tooth that is to be adjacent to the artificial tooth.
12. The method for producing the prosthesis according to claim 1, wherein the prosthesis is a plate denture.
13. The method for producing the prosthesis according to claim 1, wherein the prosthesis is an artificial bone.
14. The method for producing the prosthesis according to claim 1, wherein the prosthesis is a bone prosthetic material.
15. The method for producing the prosthesis according to claim 1, wherein, in step (2), the γ-ray sterilizing is irradiation performed with a γ-ray in a dose of 25 kGy or more.
16. The method for producing the prosthesis according to claim 1, wherein the color approximate to that of the natural bone has the following values in L*a*b* color space: L* value of 65 to 89, a* value of −2 to 6, and b* value of −1 to 8.
17. The method for producing the prosthesis according to claim 1, wherein the method further comprises, prior to step (2): after sintering the powder of zirconia to form the prosthesis, irradiating the prosthesis with a laser beam, thereby roughening a surface of the prosthesis, and then heating the prosthesis, thereby whitening the prosthesis.
Description
BRIEF DESCRIPTION OF DRAWINGS
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DESCRIPTION OF EMBODIMENTS
(12) The embodiments of the present invention will be described with reference to drawings. Various sizes and the like shown in the following description are only examples.
(13)
(14) A dental implant (implant, prosthesis) 5 is fixed to an alveolar bone (natural bone) 2.
(15) The implant 5 includes a fixture 10 to be fixed to an alveolar bone 2, an abutment body 8 that is detachable from the fixture 10, and an artificial crown 6 to be mounted on the abutment 8.
(16) A male screw 12 is formed on the outer peripheral surface of the fixture 10. By screwing the male screw 12 into a hole formed in an alveolar bone 2, the fixture 10 is fixed to the alveolar bone 2.
(17) The artificial crown 6 is mounted on the outer peripheral surface of the abutment (prosthesis) 8 by using an adhesive or the like.
(18) An artificial crown (prosthesis) 6 is called an upper structure or an implant denture.
(19) A contact section S between the fixture 10 and the abutment 8 is covered by a gum 4 or the alveolar bone 2. However, when the gum 4 is retracted, the contact section S between the fixture 10 and the abutment 8 is exposed in the oral cavity.
(20) The artificial crown 6 is always exposed in the oral cavity.
(21) The artificial crown 6, the abutment 8, and the fixture 10 are formed of ceramic containing zirconia as a main component.
(22) The artificial crown 6, the abutment 8, and the fixture 10 are respectively produced through the following process A.
(23) [The First Process A1: Press Sintering Treatment Process (Forming Process)]
(24) Powders of zirconia (PXA-200 type manufactured by TOSOH CORPORATION, or the like) are put into a mold having the form of an artificial crown 6 or the like with a cavity, and press molded. After that, the press-molded article is sintered at a temperature of, for example, 1500° C. or more.
(25) As a result, a formed article of an artificial crown 6, an abutment 8, and a fixture 10 is obtained.
(26) [The Second Process A2: γ-Ray Sterilization Treatment Process (Dark-Browning Process)]
(27) By the irradiation of the formed article of an artificial crown 6, an abutment 8, and a fixture 10 with a γ-ray, the formed article is sterilized. Irradiation is performed with a γ-ray in a dose of, for example, 25 kGy or more.
(28) As a result, the formed article of an artificial crown 6, an abutment 8, and a fixture 10 turns dark brown. The formed article of an artificial crown 6, an abutment 8, and a fixture 10 turns dark brown not only on the outside surface but also on the inside.
(29) [The Third Process A3: Heat Treatment Process (Whitening Process)]
(30) A formed article of an artificial crown 6, an abutment 8, and a fixture 10 is heated to 100° C. to 300° C. The highest temperature may be 100° C. to 300° C. The heating time, the retention time, and the like can be set arbitrarily.
(31) As a result, the dark-brown formed article is whitened, and colored to a color approximate to that of the natural tooth. That is, a prosthesis colored to a color approximate to that of the natural tooth (artificial crown 6, abutment 8, and fixture 10) is obtained.
(32) The artificial crown 6, the abutment 8, and the fixture 10 are colored to a color approximate to that of the natural tooth not only on the outside surface but also on the inside.
(33) Table 1 is a table showing colorimetric results of the prostheses S1 to S13 formed through the above-described production processes A (A1 to A3).
(34) TABLE-US-00001 TABLE 1 Lightness Hue Saturation L* (D65) a* (D65) b* (D65) SQRT (a*.sup.2 + b*.sup.2) Specimens S1 65.61 5.48 2.52 6.03 S2 75.23 2.39 5.88 6.35 S3 77.47 1.73 6.37 6.60 S4 80.29 0.63 6.61 6.64 S5 81.25 0.32 6.29 6.30 S6 81.60 −0.10 6.16 6.16 S7 83.10 −0.43 5.98 6.00 S8 83.35 −0.62 5.83 5.86 S9 84.18 −1.06 5.08 5.19 S10 84.58 −1.32 4.36 4.56 S11 84.98 −1.56 3.71 4.02 S12 88.22 −1.48 −0.04 1.48 S13 87.94 −1.37 −0.08 1.37 Comparative S21 86.88 −1.25 −0.74 1.45 examples S22 45.32 6.07 −0.17 6.07 S23 63.99 −1.11 7.77 7.85
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(36)
(37) Color system: Lab color system (CIE 1976 (L*, a*, and b*) color space (CIELAB), JIS Z 8729)
(38) Spectrophotometer: CM-1000 manufactured by KONICA MINOLTA, INC. (former Minolta Camera Co., Ltd.)
(39) Materials of prostheses S1 to S13, and comparative examples S21 and S22: PXA-233P manufactured by TOSOH CORPORATION
(40) Prosthesis S1: the highest temperature is set to 100° C. in the third process A3.
(41) Prosthesis S2: the highest temperature is set to 110° C. in the third process A3.
(42) Prosthesis S3: the highest temperature is set to 120° C. in the third process A3.
(43) Prosthesis S4: the highest temperature is set to 130° C. in the third process A3.
(44) Prosthesis S5: the highest temperature is set to 140° C. in the third process A3.
(45) Prosthesis S6: the highest temperature is set to 150° C. in the third process A3.
(46) Prosthesis S7: the highest temperature is set to 160° C. in the third process A3.
(47) Prosthesis S8: the highest temperature is set to 170° C. in the third process A3.
(48) Prosthesis S9: the highest temperature is set to 180° C. in the third process A3.
(49) Prosthesis S10: the highest temperature is set to 190° C. in the third process A3.
(50) Prosthesis S11: the highest temperature is set to 200° C. in the third process A3.
(51) Prosthesis S12: the highest temperature is set to 250° C. in the third process A3.
(52) Prosthesis S13: the highest temperature is set to 300° C. in the third process A3.
(53) Comparative example S21: passed through the first process A1 (omitted the second process A2 and the third process A3).
(54) Comparative example S22: passed through the first process A1 and the second process A2 (omitted the third process A3).
(55) Comparative example S23: a conventional artificial tooth (CEREC VITABLOCS MarkII manufactured by VITA).
(56) The prostheses S1 to S13 are changed to a color approximate to that of the natural bone by a heat treatment (the third process A3) after a γ-ray sterilization treatment (the second process A2). The highest temperature in the heat treatment (the third process A3) is 100° C. to 300° C.
(57) As shown in
(58) Prostheses S1 to S13 are whiter than the comparative example S22 that is dark brown, and browner than the comparative example S21 that is pure white. Therefore, the prostheses S1 to S13 are changed to a color approximate to that of the natural bone in the same manner as in the comparative example S23.
(59) As shown in
(60) As described above, it was confirmed that prostheses S1 to S13 were colored to a color approximate to that of the natural bone (the same color as that of the comparative example S23). In particular, by setting the highest temperature in a heat treatment (the third process A3) to 100° C. to 300° C., prostheses S1 to S13 having a color approximate to that of the natural tooth of a wearer were obtained.
(61) Therefore, since an artificial crown 6, an abutment 8, and a fixture 10 can be colored to a color approximate to that of the natural bone, the aesthetics in the oral cavity are not compromised. Even in a case where the artificial crown 6 and the like are worn, the inside is also colored to a color approximate to that of the natural bone; therefore, the aesthetics in the oral cavity are not compromised.
(62) The artificial crown 6, the abutment 8, and the fixture 10 can also be produced through the following process B.
(63) [The First Process B1: Press Sintering Treatment Process (Forming process)]
(64) Powders of zirconia (PXA-200 type manufactured by TOSOH CORPORATION, or the like) are put into a mold having the same shape as that of an artificial crown 6 or the like with a cavity, and press molded. After that, the press-molded article is sintered at a temperature of, for example, 1500° C. or more.
(65) As a result, a formed article of an artificial crown 6, an abutment 8, and a fixture 10 is obtained.
(66) The first process B1 is the same process as that of the first process A1.
(67) [The Second Process B2: Surface Treatment Process (Laser Processing Process)]
(68) By the irradiation of the formed article of an artificial crown 6, an abutment 8, and a fixture 10 with a laser beam, the surface of the formed article is roughened.
(69) As the laser beam, a Nd: YAG laser or YVO4 laser is used. For example, a fundamental wave of a Nd: YAG laser or YVO4 laser (solid-state laser: wavelength 1064 nm, and fiber laser: 1090 nm) can be used. The beam diameter (diameter) of the laser beam is, for example, 5 to 50 μm.
(70) [The Third Process B3: High Temperature Heat Treatment Process (Color Restoration Process)]
(71) A formed article of an artificial crown 6, an abutment 8, and a fixture 10 is heated to 700° C. The heating time, the retention time, and the like can be set arbitrarily.
(72) As a result, the changed (dark-brown) formed article is whitened by the irradiation with a laser beam. The artificial crown 6, the abutment 8, and the fixture 10 are whitened not only on the outside surface but also on the inside.
(73) [The Fourth Process B4: γ-Ray Sterilization Treatment Process (Dark-Browning Process)]
(74) By the irradiation of the formed article of an artificial crown 6, an abutment 8, and a fixture 10 with a γ-ray, the formed article is sterilized. Irradiation with a γ-ray in a dose of, for example, 25 kGy or more is performed.
(75) As a result, a formed article of an artificial crown 6, an abutment 8, and a fixture 10 turns dark brown. The formed article of an artificial crown 6, an abutment 8, and a fixture 10 turns dark brown not only on the outside surface but also on the inside.
(76) The fourth process B4 is the same process as that of the second process A2.
(77) [The Fifth Process B5: Heat Treatment Process (Whitening Process)]
(78) The formed article of an artificial crown 6, an abutment 8, and a fixture 10 is heated to 100° C. to 300° C. The highest temperature may be 100° C. to 300° C. The heating time, the retention time, and the like can be set arbitrarily.
(79) As a result, the dark-brown formed article is whitened, and colored to a color approximate to that of the natural tooth. That is, a prosthesis colored to a color approximate to that of the natural tooth (artificial crown 6, abutment 8, and fixture 10) is obtained.
(80) The artificial crown 6, the abutment 8, and the fixture 10 are colored to a color approximate to that of the natural tooth not only on the outside surface but also in the inside.
(81) The fifth process B5 is the same process as that of the third process A3.
(82) Table 2 is a table showing colorimetric results of the prostheses T1 to T13 formed through the above-described production processes B (B1 to B5).
(83) TABLE-US-00002 TABLE 2 Lightness Hue Saturation L* (D65) a* (D65) b* (D65) SQRT (a*.sup.2 + b*.sup.2) Specimens T1 74.15 2.71 0.03 2.71 T2 80.81 1.28 3.24 3.48 T3 83.92 −0.37 4.18 4.20 T4 84.99 −0.90 4.45 4.54 T5 85.75 −1.01 4.61 4.72 T6 85.86 −1.29 4.14 4.34 T7 86.36 −1.37 3.89 4.12 T8 87.19 −1.62 4.10 4.41 T9 86.71 −1.71 3.31 3.73 T10 87.51 −1.74 3.23 3.67 T11 88.13 −1.75 2.61 3.14 T12 88.07 −1.25 −0.41 1.32 T13 88.04 −1.12 −0.08 1.12 Comparative T21 68.70 3.30 3.14 4.56 examples T22 87.92 −1.20 −0.42 1.27 T23 66.04 1.88 −1.94 2.70 T24 63.99 −1.11 7.77 7.85
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(85)
(86) Color system: Lab color system (CIE 1976 (L*, a*, and b*) color space (CIELAB), JIS Z 8729)
(87) Spectrophotometer: CM-1000 manufactured by KONICA MINOLTA, INC. (former Minolta Camera Co., Ltd.)
(88) Materials of prostheses T1 to T13, and comparative examples T21 to T23: PXA-233P manufactured by TOSOH CORPORATION
(89) Prosthesis T1: the highest temperature is set to 100° C. in the fifth process B5.
(90) Prosthesis T2: the highest temperature is set to 110° C. in the fifth process B5.
(91) Prosthesis T3: the highest temperature is set to 120° C. in the fifth process B5.
(92) Prosthesis T4: the highest temperature is set to 130° C. in the fifth process B5.
(93) Prosthesis T5: the highest temperature is set to 140° C. in the fifth process B5.
(94) Prosthesis T6: the highest temperature is set to 150° C. in the fifth process B5.
(95) Prosthesis T7: the highest temperature is set to 160° C. in the fifth process B5.
(96) Prosthesis T8: the highest temperature is set to 170° C. in the fifth process B5.
(97) Prosthesis T9: the highest temperature is set to 180° C. in the fifth process B5.
(98) Prosthesis T10: the highest temperature is set to 190° C. in the fifth process B5.
(99) Prosthesis T11: the highest temperature is set to 200° C. in the fifth process B5.
(100) Prosthesis T12: the highest temperature is set to 250° C. in the fifth process B5.
(101) Prosthesis T13: the highest temperature is set to 300° C. in the fifth process B5.
(102) Comparative example T21: passed through the first process B1 and the second process B2 (omitted the third process B3 to the fifth process B5).
(103) Comparative example T22: passed through the first process B1 to the third process B3 (omitted the fourth process B4 and the fifth process B5).
(104) Comparative example T23: passed through the first process B1 to the fourth process B4 (omitted the fifth process B5).
(105) Comparative example T24: a conventional artificial tooth (CEREC VITABLOCS MarkII manufactured by VITA). The comparative example T24 is the same as the comparative example S23.
(106) The prostheses T1 to T13 are changed to a color approximate to that of the natural bone by a heat treatment (the fifth process B5) after a γ-ray sterilization treatment (the fourth process B4). The highest temperature in the heat treatment (the fifth process B5) is 100° C. to 300° C.
(107) As shown in
(108) Prostheses T1 to T13 are whiter than the comparative examples T21 and T23 that are dark brown, and browner than the comparative example T22 that is pure white. Therefore, the prostheses S1 to S13 are changed to a color approximate to that of the natural bone in the same manner as in the comparative example T24.
(109) As shown in
(110) As described above, it was confirmed that prostheses T1 to T13 are colored to a color approximate to that of the natural bone (the same color as that of the comparative example T24). In particular, by setting the highest temperature in a heat treatment (the fifth process B5) to 100° C. to 300° C., prostheses T1 to T13 having color approximate to that of the natural tooth of a wearer were obtained.
(111) Therefore, since an artificial crown 6, an abutment 8, and a fixture 10 can be colored to a color approximate to that of the natural bone, the aesthetics in the oral cavity are not compromised. Even in a case where the artificial crown 6, and the like are worn, the inside is also colored to a color approximate to that of the natural bone; therefore, the aesthetics in the oral cavity are not compromised.
(112)
(113) The prosthesis may be a surgical implant 30. The surgical implant (implant, prosthesis) 30 is embedded into a natural bone 31 that has been broken or the like. The surgical implant 30 is also used for fixing a natural bone that has been broken or the like.
(114) A heat treatment (the third process A3, or the fifth process B5) is also performed in the production process of a surgical implant 30, after a γ-ray sterilization treatment (the second process A2, or the fourth process B4).
(115)
(116) The prosthesis of the present invention may be a filling 40 (inlay, filling). The filling (prosthesis) 40 is embedded into a defective portion of a natural tooth (natural bone) 41.
(117) A heat treatment (the third process A3, or the fifth process B5) is also performed in the production process of a filling 40, after a γ-ray sterilization treatment (the second process A2, or the fourth process B4).
(118)
(119) The prosthesis of the present invention may be a post crown 50. The post crown (prosthesis) 50 is mounted on a tooth root (natural bone).
(120) A heat treatment (the third process A3, or the fifth process B5) is also performed in the production process of a post crown 50, after a γ-ray sterilization treatment (the second process A2, or the fourth process B4).
(121)
(122) The prosthesis of the present invention may be a bridge 60 (fixed partial denture, or crown bridge denture). The bridge (prosthesis) 60 is composed of an artificial tooth 61 (dummy, pontic) that serves as a substitute for a defective natural tooth, and a crown 62 covering a natural tooth 63 (abutment tooth) that is to be adjacent to the artificial tooth 61.
(123) A heat treatment (the third process A3, or the fifth process B5) is also performed in the production process of a bridge 60, after a γ-ray sterilization treatment (the second process A2, or the fourth process B4).
(124)
(125) The prosthesis of the present invention may be a plate denture 70 (dentures). The prosthesis may also be a full denture, or a partial denture.
(126) The plate denture (prosthesis) 70 is composed of a denture base 71 formed of resin, and an artificial tooth 72, and serves as a substitute for a defective natural tooth.
(127) A heat treatment (the third process A3, or the fifth process B5) is also performed in the production process of an artificial tooth 71, after a γ-ray sterilization treatment (the second process A2, or the fourth process B4).
(128)
(129) The prosthesis of the present invention may be an artificial bone 80. The artificial bone (prosthesis) 80 is, for example, a skull plate, or the like that is arranged on a defective portion of a skull (natural bone) 81.
(130) A heat treatment (the third process A3, or the fifth process B5) is also performed in the production process of an artificial bone 80, after a γ-ray sterilization treatment (the second process A2, or the fourth process B4).
(131) The prosthesis of the present invention is not limited to a case of having a specific shape as in an artificial bone 80. The prosthesis may be a bone prosthetic material (not shown) not having a specific shape.
(132) The prosthesis of the present invention is colored to a color approximate to that of the natural bone without using a coloring material. Therefore, the aesthetics in the oral cavity are not compromised. In the prosthesis of the present invention, a colored material is not used; therefore, there is no adverse effect on the human body.
(133) The technical scope of the present invention should not be limited to the above-described embodiments. Without departing from the gist of the present invention, the present invention also includes ones in which various changes have been added to the above-described embodiments. The specific materials, layer composition, and the like which have been mentioned in the embodiments are only examples, and can be changed appropriately.
(134) The prosthesis of the present invention is formed of a biocompatible ceramic material containing zirconia (zirconium oxide) as a main component. The prosthesis of the present invention may contain zirconia at the volume ratio of 50% or more.
(135) The material of the prosthesis of the present invention may be a zirconia composite material (a combination of zirconia and other ceramic materials). Examples of the other ceramic materials include alumina (aluminum oxide), yttrium oxide, hafnium oxide, silicone oxide, magnesium oxide, and cerium oxide.
(136) The material of the prosthesis of the present invention may be a combination of zirconia and a metal or alloy. Examples of the metal or alloy include copper, titanium, and a titanium alloy.
(137) The material of the prosthesis of the present invention may be a combination of zirconia, carbon, resin, glass, or the like.
(138) A heat treatment (the third process A3, or the fifth process B5) is performed in the production process of the prosthesis of the present invention, after a γ-ray sterilization treatment (the second process A2, or the fourth process B4).
(139) In the forming process (the first processes A1, or B1), an arbitrary production method and an arbitrary apparatus can be used.
(140) In the surface treatment process (the second process B2) and the high temperature heat treatment process (the third process B3), an arbitrary production method and an arbitrary apparatus can be used.
REFERENCE SIGNS LIST
(141) 2: alveolar bone (natural bone), 5: dental implant (implant, prosthesis), 6: artificial crown (prosthesis), 8: abutment (prosthesis), 10: fixture (prosthesis), 30: surgical implant (implant, prosthesis), 31: natural bone, 40: filling (prosthesis), 41: natural tooth (natural bone), 50: post crown (prosthesis), 51: tooth root (natural bone), 60: bridge (prosthesis), 70: plate denture (prosthesis), 80: artificial bone (prosthesis), and 81: skull (natural bone)