System for the In Situ Cleaning of Dental Implants
20170265968 · 2017-09-21
Inventors
Cpc classification
A61C8/006
HUMAN NECESSITIES
A61C17/00
HUMAN NECESSITIES
A61C19/063
HUMAN NECESSITIES
A61C8/0007
HUMAN NECESSITIES
A61N1/325
HUMAN NECESSITIES
International classification
A61C8/00
HUMAN NECESSITIES
A61C17/02
HUMAN NECESSITIES
A61C17/00
HUMAN NECESSITIES
Abstract
Disclosed herein is a cleaning system (30) for a dental implant part (2) that has been introduced into the jaw bone of a patient. For this purpose, in an advantageous embodiment of the invention, a securing element, which is adapted on the end side to connect to a corresponding connection element in the dental implant part, particularly preferably which can be screwed into a thread of the dental implant part by the end side, and to which a distribution element for a cleaning fluid as well as an electrical contact element can be attached, which distribution element can be connected to an external media reservoir via a media channel, and via which electrical contact element, a power source that is connectable to an external power source can be electrically connected to the dental implant part.
Claims
1. A cleaning system (30) for a dental implant part (2) that has been introduced into the jaw bone of a patient, having a securing element (32), which is adapted on its connection end to a corresponding connection element in the dental implant part (2), to which a distribution element (52) for a cleaning fluid as well as an electrical contact element (50) can be attached, which distribution element (52) can be connected to an external media reservoir via a media channel (66), and via which electrical contact element (50), a power supply line (54) that is connectable to an external power source can be electrically connected to the dental implant part (2).
2. The cleaning system (30) of claim 1, whose securing element (32) includes an electrically conductive, preferably metallic, base body (34), which is provided with an electrically insulating surface coating (42).
3. The cleaning system (30) of claim 1, whose distribution element (52) includes a media ring channel (62) having a number of media outlet openings (64), which is connectable on the media side to the media channel (66).
4. The cleaning system (30) of claim 1, whose distribution element (52) includes an electrically insulating external housing (60).
5. The cleaning system (30) of claim 1, in whose media channel (66) a power cable (124) is integrated.
6. The cleaning system (30) of claim 1, whose distribution element (52) and/or contact element (50) is designed as a throw-away product.
7. The cleaning system (30) of claim 1, the channel surface of whose media channel (66) and/or media ring channel (62) is provided with a metallic sacrificial coating (70), preferably comprising magnesium and/or aluminum.
8. The cleaning system (30) ofclaim 1, wherein the external housing (60) of the distribution element (52) includes a detent collar (108) which can be attached to a corresponding peripheral bead (40) of the securing element (32).
9. The cleaning system (30) of claim 1, whose electrical contact element (50) includes a contact clamping ring (82) which is connected in an electrically conductive manner with the power supply line and which is provided with a number of contacting points.
10. The cleaning system (30) of claim 1, whose contact element (50), distribution element (52) and/or securing element (32) are provided totally or partially with a water-soluble external coating (72), preferably made from sugar.
1. A cleaning system (30) for a dental implant part (2) that has been introduced into the jaw bone of a patient, having a securing element (32), which is adapted on its connection end to a corresponding connection element in the dental implant part (2), to which a distribution element (52) for a cleaning fluid as well as an electrical contact element (50) can be attached, which distribution element (52) can be connected to an external media reservoir via a media channel (66), and via which electrical contact element (50), a power supply line (54) that is connectable to an external power source can be electrically connected to the dental implant part (2).
2. The cleaning system (30) of claim 1, whose securing element (32) includes an electrically conductive, preferably metallic, base body (34), which is provided with an electrically insulating surface coating (42).
3. The cleaning system (30) of claim 1 or 2, whose distribution element (52) includes a media ring channel (62) having a number of media outlet openings (64), which is connectable on the media side to the media channel (66).
4. The cleaning system (30) of any of claims 1 to 3, whose distribution element (52) includes an electrically insulating external housing (60).
5. The cleaning system (30) of any of claims 1 to 4, in whose media channel (66) a power cable (124) is integrated.
6. The cleaning system (30) of any of claims 1 to 5, whose distribution element (52) and/or contact element (50) is designed as a throw-away product.
7. The cleaning system (30) of any of claims 1 to 6, the channel surface of whose media channel (66) and/or media ring channel (62) is provided with a metallic sacrificial coating (70), preferably comprising magnesium and/or aluminium.
8. The cleaning system (30) of any of claims 1 to 7, wherein the external housing (60) of the distribution element (52) includes a detent collar (108) which can be attached to a corresponding peripheral bead (40) of the securing element (32).
9. The cleaning system (30) of any of claims 1 to 8, whose electrical contact element (50) includes a contact clamping ring (82) which is connected in an electrically conductive manner with the power supply line and which is provided with a number of contacting points.
10. The cleaning system (30) of any of claims 1 to 9, whose contact element (50), distribution element (52) and/or securing element (32) are provided totally or partially with a water-soluble external coating (72), preferably made from sugar.
Description
[0029] An exemplary embodiment of the invention is explained in detail by means of a drawing, in which
[0030]
[0031]
[0032]
[0033]
[0034]
[0035]
[0036]
[0037] Identical parts are marked with the same reference numbers in all figures.
[0038] The dental implant system 1 according to
[0039] In order to make it possible, after suitably securing the denture piece or the prosthesis on the abutment or second dental implant part 4, to anchor it in the post part or first dental implant part 2 with high mechanical stability, a connection stud 10 is moulded onto the second dental implant part 4, which connection stud 10 can be pushed into an associated receiving channel 12 provided in the first dental implant part 2. By pushing the connection stud 10 into the receiving channel 12, the implant parts 2, 4 are mechanically coupled with each other. To ensure a high mechanical stability, the outer contour of the connection stud 10 is adapted to the inner contour of the receiving channel 12, it being possible that both of them are of conical shape, viewed in longitudinal direction.
[0040] Furthermore, the outer contour of the connection stud 10—and in according adaptation, the inner contour of the receiving channel 12—can be designed in cross-section with a multiple symmetry, so that, when joining the above-mentioned components, a rotational locking gear is created and thus, a reliable rotational orientation of the abutment relative to the post part can be adjusted.
[0041] The dental implant system 1 is provided with connection means for connecting the implant parts 2, 4 with each other. These connection means can in general be any connection means suitable for this purpose, such as, for example, a bayonet catch or the like. In view of currently common constructions of dental implants, a screw connection is provided in the exemplary embodiment as such connection means, in the manner of a particularly preferred embodiment. For this purpose, a connecting screw 18 is provided, which engages into a screw thread 20 provided inside the first dental implant part 2. With regard to the choice of their material, the implant parts 2, 4 are suitably adapted to the intended application and are in particular made of a suitably chosen metal, such as, for example, titanium.
[0042] In general, dental implant systems, in particular also two-part implant systems of the above-described type, present the problem that inflammations or inflammation focuses may arise due to a penetration of bacteria or germs into the tissue region near the place of insertion, in particular in the region of the external thread 6 cut into the jaw. Such inflammations, in particular also as a consequence of a so-called periimplantitis, may lead to a serious deterioration of the tissue and the bone in the region of the place of insertion, especially when they are able to develop and take hold over a long period.
[0043] Without suitable countermeasures, these deteriorations may lead to the necessity to remove the entire implant system, i.e. in particular also the already inserted post part or first dental implant part 2, from the bone and to replace it by another prosthetics. This most undesirable effect caused by the periimplantitis may, therefore, lead to a total loss of the implant system, so that renewed surgical measures, such as, for example, scraping out the afflicted region in the jaw bone and treatment with a new implant system might become necessary. Such a removal may, furthermore, entail a loss of bone or other loss of tissue substance, which in the extreme case may even make a new treatment with another implant impossible. Such a necessity of a new treatment caused by a periimplantitis may occur even after relatively long periods after the first insertion of the implant system of, for example, up to several years or even decades.
[0044] The germs or bacteria observed in connection with a periimplantitis may in principle colonize the inside of the post part 2, but, as a rule, they preferably adhere directly on the surface of the post part 2 inserted into the jaw bone, in the region of contact with the surrounding tissue or bone material, i.e. in particular in the region of the external thread 6. In the region of the latter, the surface of the post part 2 can be provided with a roughening or the like, in order to particularly promote the growing-in into the tissue or the bone and to support the healing-in of the post part 2 after its insertion. Especially in the region of such a roughening of the surface, actually considered as particularly favorable for the implant system, however, the colonization by germs or bacteria may take place increasedly, the roughness making a specific removal of the existing germs or bacteria even more difficult.
[0045] Therefore, suitable countermeasures are urgently required, in order to be able, in case of a beginning or already existing periimplantitis and under preservation of the already inserted implant system, i.e. in particular of the already inserted post part 2, to efficiently combat the inflammation focus and to kill the germs that have penetrated, so that afterwards, sound tissue or sound bone substance can develop again in the region around the external thread 6. For this purpose, it is desirable, in addition to a specific killing of the germs or bacteria in the afflicted region, to also reliably remove their material residues and fragments from the spatial region concerned, so that then, the afflicted region can be filled again by sound tissue or bone material and an intimate connection between the outer surface of the post part 2 and the surrounding tissue or bone material can develop again. In addition, the biofilm formed by the bacteria layer, including the organic residues of killed bacteria, should reliably be removed.
[0046] For this purpose, i.e. for killing germs or bacteria in the insertion region of the post part 2 and in particular also for subsequently rinsing, removing and carrying away the residues of tissue and material of the killed bacteria, a treating or cleaning system 30 is provided, as is shown in
[0047] For this purpose, the cleaning system 30 is of a multi-part design, as can be seen in
[0048] To make it easier to screw the securing element 32 into the screw thread 20, a peripheral bead or annular bead 40 is arranged on the base body 34, which can be used as a handling aid for screwing in. To enable the electrical contacting of the post part intended for the purpose of applying current for the actual treatment of the post part or first dental implant part 2, the base body 34 of the securing element 32 is made from an electrically conductive material, in the exemplary embodiment a metallic material, and its exposed external surfaces are provided with an electrically insulating surface coating 42.
[0049] As for the rest, the securing element 32 is substantially free from further components, so that thanks to the simple construction, it is in particular possible to screw the securing element 32 into the screw thread 20 in a particularly easy way, without the interference of any bulky components. The securing element 32 serves in the assembled state for securing the further, active components of the cleaning systems 30, which can be attached to the securing element 32 for assembly in axial direction, as viewed from the base body 34. These components can, therefore, be mounted under avoidance of any turning or rotating movements, so that current or media lines exiting from the respective components interfere with the assembly or disassembly only slightly or not at all.
[0050] As active components for carrying out the cleaning properly speaking, an electrical contact element 50 and a distribution element 52 for a cleaning fluid are provided, both of which can be attached to the securing element 32 for a particularly simple assembly. In the exemplary embodiment, the contact element 50 and the distribution element 52 are designed as separate components; if needed and depending on the application in question, however, one integrated component could be provided, which contains these two elements in a common unit.
[0051] The electrical contact element 50 is connected to a power supply line 54 that can be connected to an external power source, which power supply line 54, in turn, can be connected via contact tongues, not shown in detail, which are suitably arranged in the contact head 56, with the metallic, electrically conductive base body 34 of the securing element 32 while the contact element 50 is attached on the securing element 32. In this way, an electrically conductive connection can be established from the external power source to the post part or first dental implant part 2 via the power supply line 54, the contact element 50 and the base body 34 of the securing element 32, while the securing element 32 is screwed into the post part 2 and the contact element 50 is attached to the latter.
[0052] The distribution element 52 is designed for delivering a cleaning fluid fed by an external media reservoir into the spatial vicinity of the post part 2 to be treated and for rinsing the latter's surface. Furthermore, the intended application of current during the treatment of the post part 2 shall be effected making use of the liquid column of the cleaning fluid as an electrical conduction element. For this purpose, the distribution element 52 comprises an electrically insulating external housing 60, which in the exemplary embodiment is made from a synthetic material. In the external housing 60, an annular media ring channel 62 is arranged, which includes a number of media outlet openings 64 arranged along the ring periphery in a distributed manner. The ring-channel structure is chosen in the exemplary embodiment in particular for the reason that the media ring channel 62 arranged in the housing 60 can be pushed onto the base body 34 of the securing element 32, so that in the assembled state of the cleaning system 30, the cleaning fluid can be efficiently applied to the external surface of the first dental implant part 2 over the entire periphery of the inserted post part 2.
[0053] As can be seen in
[0054] The media ring channel 62 is connected on the media side to a media channel 66 which, in turn, can be connected to the external media reservoir, possibly under insertion of pump arrangements or the like. The media ring channel 62 is, therefore, on the one hand, meant for the function of distributing the inflowing cleaning fluid around the post part or first dental implant part 2 as uniformly as possible, by means of the outlet openings 64 arranged in the periphery in a distributed manner. In view of the design concept of the cleaning system 30, namely that the post part or first dental implant part 2 shall be treated by a combined treatment through the cleaning fluid, on the one hand, and a current flow through its surface, on the other hand, the media-channel system for the cleaning fluid, comprising the media channel 66 and the media distribution ring 62, is, in addition, also designed for constituting the counter-electrode for the post part or first dental implant part 2. In the end region of the media supply, i.e. in particular in the region of the outlet openings 64, the current flow shall be made possible due to the electrical conductivity of the cleaning fluid itself. In order to design the required electrical contacting in a particularly reliable and also efficient manner, the media-channel system can additionally be designed in the manner of an electrode. For this purpose, a power cable may be integrated, on the one hand, into the media channel 66, the exposed, electrically conductive end of which can be positioned in the region of the media distribution ring 62. Alternatively or additionally, the inner surface of the media channel 66 and/or of the media distribution ring 62 is executed so as to be electrically conductive, for example metallic, in order to assist the electrode function of the media system in a particularly efficient way. In view of a desired high biocompatibility, particularly promoting the use in the treatment of patients, the media distribution ring 62 is preferably made from titanium grade 5.
[0055] Furthermore, the media channel 66 and in particular also the media distribution ring 62 are provided on their inner surfaces with a metallic coating 70, which in the exemplary embodiment is made from aluminium and/or magnesium. This coating 70 offers, on the one hand, in a particularly reliable manner the desired electrical conduction properties for the media-supply system, so that the latter can be used in a particularly simple and reliable manner as a counter-electrode. In order to particularly promote, in addition, also the execution of the distribution element 52 as a through-away product, the metallic coating 70 is designed as a metallic sacrificial coating, for example by suitably choosing the thickness of the coating. This design means that during use of the distribution ring 52, i.e. the feeding of the cleaning fluid and, at the same time, electrical charging with current in operation, the metallic components of the sacrificial coating electrochemically dissove in the cleaning fluid fed, thus enriching the latter with metal ions which particularly promote the process of cleaning the post part or first dental implant part 2 and charging it with current.
[0056] As soon as this metallic coating 70 designed as a sacrificial coating has been removed as a consequence of this electrochemical dissolution due to the treatment, only the basic material of the fluid distribution ring 62 or of the media channel 66 is in contact with the cleaning fluid carried therein, and the electrochemical activity of the system is considerably reduced. If the operating parameters (for example current density, temperature, composition of the cleaning fluid) are suitably chosen, the distribution element 52 can, therefore, no longer be used after complete removal of the sacrificial coating, and, therefore, the distribution element 52 can be designed in a particularly favorable manner for a one-time use for the treatment of a patient.
[0057] The cleaning system 30 is particularly preferably provided for a treatment of the dental implant part 2 using a cleaning fluid, as it is known, with regard to its components and variants, from DE 10 2012 022 593. Particularly good and, therefore, advantageous cleaning results can be achieved by a combined application of such a cleaning fluid with additional charging of the dental implant part 2 with current. Due to the execution of the metallic coating as a sacrificial coating, in which a corresponding input of ions into the electrolyte fed is effected, a cleaning fluid designed in the manner of an in-situ generation during the process control properly speaking can be generated. In a particularly preferred use of the cleaning system 30, which is considered as independently inventive, an electrolyte comprising citric acid, lactic acid, malic acid and/or ethanoic acid, is supplied to the distribution element 52. This particularly preferred combined use of the electrolyte with the cleaning system 30 creates, through the input of ions from the sacrificial coating into the electrolyte, the treating and cleaning fluid, which is actually effective in the inserted region of the implant 2 and which compirses, in addition to the above-mentioned fractions of acids, the fraction of ions from magnesium, aluminium, manganese, zinc, and/or copper, and is known, with regard to its components and variants, from DE 10 2012 022 593. Especially a cleaning fluid comprising these components has surprisingly turned out to be particularly reliable and effective in the treatment of the inserted implant part. Preferably, the electrolyte supplied to the distribution element 52 can also contain from the start additional fractions of a metal salt comprising magnesium, aluminium, potassium and/or calcium ions.
[0058] In principle, the components of the cleaning system 30 which are intended for carrying current are in the exemplary embodiment made from titanium, preferably pure titanium (grade 1 to 4), as basic material, because this can be applied for the above-mentioned purposes in a particularly reliable manner, thanks to its high biocompatibility. In order to guarantee in this case in a simple manner a particularly high safety of operation, also in view of the preferably provided execution as a through-away product, these components are in addition provided with a water-soluble outer coating 72, made, for example, of sugar, in the manner of an encapsulated design, which outer coating 72 dissolves when it gets into contact with the cleaning fluid or a body fluid, exposing the electrode material properly speaking. The outer coating 72 is applied in this case directly on the basic material or, if necessary, also on the metallic coating 70 provided thereon, in the manner of a stack of layers.
[0059] The inner structure of the contact element 50 is clearly recognizable in the representations of
[0060] As can be seen in the cross-sectional view of
[0061] In order to further promote the use as a through-away product, the central upper region 90 of the housing head 80 is designed as a penetratable seal. This design is based on the concept that the cleaning system 30 shall be assembled in such a manner that first of all, the securing element 32 is screwed onto the post part or first dental implant part 2 and then the distribution element 52 and the contact element 50 are attached thereto in an engaging manner. When disassembling the cleaning system 30, the seal located in the central upper region 90 of the housing head 80 shall then be penetrated by a suitable tool, for example a screw driver, so that the tool can engage into a corresponding groove 92 in the head region of the base body 34 of the securing element 32.
[0062] In this way, the securing element 32 together with the component contact element 50 attached thereto and the distribution element 52 can be screwed out of the thread 20 of the post part by means of the tool. The penetration of the seal necessary for this purpose ensures that the contact element 50 is suited for a one-time use only and is thus executed as a through-away product. In order to further promote this design, the distribution element 52 is in the exemplary embodiment also a multi-component part, as can be seen in
[0063] As can be seen in the cross-sectional view of
[0064] A fluid distributor 120, preferably made from an electrically conductive material, shown in
LIST OF REFERENCE NUMBERS
[0065] 1 Dental implant system
[0066] 2, 4 Dental implant part
[0067] 6 External thread
[0068] 8 Apical end
[0069] 10 Connection stud
[0070] 12 Receiving channel
[0071] 18 Connecting screw
[0072] 20 Screw thread
[0073] 30 Cleaning system
[0074] 32 Securing element
[0075] 34 Base body
[0076] 36 End of the base body 34
[0077] 38 External thread of the base body 34
[0078] 40 Annular bead
[0079] 42 Electrically insulating surface coating
[0080] 50 Contact element
[0081] 52 Distribution element
[0082] 54 Power supply line
[0083] 56 Contact head
[0084] 60 External housing of the distribution element 52
[0085] 62 Media ring channel/media distribution ring/ring channel
[0086] 64 Media outlet opening of the media ring channel 62
[0087] 66 Media channel
[0088] 70 Metallic coating
[0089] 72 External coating
[0090] 80 Housing body
[0091] 82 Contact clamping ring
[0092] 86 End face
[0093] 88 Plug element
[0094] 90 Central upper region of the housing head 80
[0095] 92 Groove
[0096] 100 Housing cap of the distribution element 52
[0097] 102 Cylinder jacket of the housing cap 100
[0098] 104 Cover ring of the cylinder jacket 104
[0099] 106 External cylinder jacket
[0100] 108 Detent collar of the external cylinder jacket 106
[0101] 110 Passage opening of the ring channel 62
[0102] 120 Fluid distributor
[0103] 122 Notches of the fluid distributor 120
[0104] 124 Power cable