Superstructure support having special inner and outer geometry
11311353 · 2022-04-26
Inventors
Cpc classification
A61C8/006
HUMAN NECESSITIES
International classification
Abstract
The invention relates to a superstructure support (20) as part of a prosthetic tooth replacement (1) between an implant body (10) and a superstructure, comprising a hollow implant post (23), a hollow implant pin (50), and an implant flange (31) lying therebetween. The cavity zones (67, 62) of the implant post (23) and of the implant pin (50) transition into each other. The cavity zones have respective center lines (69, 63), which include an angle of 60 to 86 angular degrees. The cavity zone (62) of the implant pin (50) has a screw head seat surface (65) that widens toward the implant flange. At least some areas of the implant flange form a supporting enveloping surface (37), which is oriented toward the implant post (23) and the outer edge (33) of which spans a reference plane (38), which is perpendicularly intersected by the center line (69) of the post-side cavity zone (67). The center lines of the implant post (23) and of the implant pin (50) intersect or cross below the reference plane (38). By means of the invention, a superstructure support (20) for the prosthetic tooth replacement is improved in such a way that a secure and lasting screwed connection to the implant body is ensured.
Claims
1. A superstructure support for forming part of a prosthetic tooth replacement between an implant body and a superstructure, comprising: a hollow implant post; a hollow implant pin; and an implant flange arranged between the hollow implant post and the hollow implant pin, wherein the hollow implant post has an outer surface that extends between the implant flange and a top of the superstructure support, wherein the outer surface of the hollow implant post is circumferentially closed along its entire extension, wherein a cavity zone of the implant post and a cavity zone of the implant pin transition into each other to conduct and receive a screw connecting the superstructure support and the implant body, wherein the cavity zone of the implant post has a centerline which intersects or crosses a centerline of the cavity zone of the implant pin at an angle of 160 to 186 angular degrees, wherein the cavity zone of the implant pin has a screw head seat space that widens towards the implant flange for supporting a screw that can be inserted through the hollow implant post into the hollow implant pin, wherein at least some areas of the implant flange form a support enveloping surface oriented towards the implant post, an outer edge of which spans a reference plane that is cut perpendicularly by the centerline of the cavity zone of the implant post, and wherein both centerlines intersect or cross below the reference plane.
2. The superstructure support according to claim 1, wherein the support enveloping surface either lies in the reference plane or is a truncated cone shell surface of a truncated cone, a cone angle of which is between 180 and 165 angular degrees, and a larger end surface of which represents the reference plane.
3. The superstructure support according to claim 2, wherein the screw head seat space is curved in a conical, spherical, or ellipsoid manner.
4. The superstructure support according to claim 3, wherein the screw head seat space is arranged below the reference plane.
5. The superstructure support according to claim 3, wherein a first intersection point between the reference plane and the centerline of the cavity zone of the implant post is spaced apart from an intersection point between an opening surface along an upper edge of an area of a contact surface against which the screw rests and the centerline of the cavity zone of the implant pin by a distance, a length of which amounts to at least 50 percent of an average diameter of the lower cavity zone.
6. The superstructure support according to claim 2, wherein the screw head seat space changes its cross-section transverse to an axis of rotation of the screw head seat space.
7. The superstructure support according to claim 1, wherein each half-sided longitudinal section of the superstructure support, with which a section plane is spanned by the centerlines of the implant pin and the implant post, does not include a measuring circle, a diameter of which is greater than 25 percent of an average diameter of an implant cone.
8. The superstructure support according to claim 7, wherein the cavity zones of the superstructure support harmonically transition into each other.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1)
(2)
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DETAILED DESCRIPTION
(8)
(9) The implant body (10) is, according to
(10) The third zone (17) is a threaded hole that receives the hexagon head screw (90) holding the superstructure support (20) during assembly. Behind the end of the, for example, 2.9 mm-long M 1.6 internal thread (18), there is, for example, a short cylindrical thread outlet.
(11) The superstructure support (20), which is e.g. 7.67 mm long, has the primary task—sitting in the implant body (10)—of serving as the base for the artificial tooth crown (120). It has an area (51) facing the implant body (10) and an area (21) that receives the tooth crown (120) or the superstructure, as the case may be, see
(12) The area (51) facing the implant body (10) is the hollow implant pin (50). This consists of an implant neck (52) that is, for example, 1.04 mm long on average, with an outer cone (53) that is, for example, 0.94 mm long, an outer hexagon (54) that is, for example, 1.5 mm long, of the spanner gap of 2.1 mm, and a short cylinder projection, if present. The latter is not shown here.
(13) The outer cone (53) and the outer hexagon (54) fit exactly in the recess (13) of the implant body (10). In the axial direction pointing towards the tip of the implant body (10), the end surfaces of the outer hexagon socket (54) and the short cylinder projection (if present) do not contact the recess (13).
(14) Above the implant cone (53), for example, a plate-like implant flange (31) is connected; this, for example, emerges from the implant neck (52) with a continuous transition, see
(15) The outer edge (33) of the implant flange (31) has a distance to the centerline (29) that may be variable. In the illustrated example, it is constant. It amounts to, for example, 2.23 mm. Thereby, the edge (33) is the outer boundary of the reference plane (38) or the end surfaces (77) according to
(16) Above the implant flange (31), the area (21) of the superstructure support (20) extends in the form of an implant post (23).
(17) The hollow implant post (23), which is e.g. 4.03 mm high, has the shape of a hexagonal straight truncated pyramid. The truncated pyramid here has six long pyramid edges, in the area of which the studs (26) are arranged. The outer surfaces (27), which are oriented in a manner radially outward, of the studs (26) are partial surfaces of a conceived enveloping surface (28) in the form of, for example, a straight truncated cone shell. Thereby, the outer surfaces (27) can lie on, below or above the theoretical pyramid edges. The overhang or recess can amount to up to 0.2 mm. The taper angle of the enveloping surface (28) usually measures 5 to 12 angular degrees. Here, the taper angle amounts to, for example, 7.36 angular degrees. The truncated cone shell-shaped enveloping surface (28) tapers with increasing distance from the implant flange (31).
(18) In
(19) The implant post (23) ends at the top with an upper side (24), which may also serve as a bearing surface. The latter, see
(20) The implant post (23) has, for example, a rounded transition area (34) towards the implant flange (31). Around the transition area (34), the implant flange (31) has a flange upper side (37) forming a plane (38), as shown in
(21) The rounded transition area (34) can also be deepened in an axial direction parallel to the centerline (29) by up to 0.2 mm, such that a circumferential channel (35), for example, is formed between the flat flange upper side (37) and the implant post (23), see
(22) In addition, the superstructure support (20) is equipped with a titanium nitride coating at least above the implant flange (31). Its layer thickness amounts to, for example, 1 to 4 μm. Alternatively, thin-walled ceramic or copolymer coatings can also be applied there.
(23) According to
(24) According to
(25) The upper cavity zone (67), which extends in the implant post (23), is a cylindrical hole whose diameter measures, for example, 2.42 mm with a length of 3.7 mm. It is used to insert the screw (90) and guide the tool used to tighten the screw (90). Its centerline (69) is, for example, aligned in a manner concentric with the centerline (29) of the implant post (23) oriented to the outer wall. The hole (67) ends, for example, approximately 0.33 mm in front of the reference plane (38) of the implant flange (31).
(26) In the embodiment, both centerlines (63) and (69) intersect in the central cavity zone (64) at an intersection point (71) connecting the upper (67) and lower (62) cavity zones. The central cavity zone (64) is a curved recess in which the hole (67) and the inner cone (65) are connected to each other, for example in edge-free tangential transitions. Thereby, the interface (71) is located at a distance (72) below the reference plane (38). The distance here amounts to, for example, 0.22 mm. In addition, the intersection point between the reference plane (38) and the centerline (69) is spaced apart from the intersection point between the opening surface along the top edge (66) of the screw head seat space (65) and the centerline (63) by a distance, the length of which amounts to at least 17 percent of the average diameter of the lower cavity zone (62). All of this enables a screw (90) to be seated deep in the superstructure support (20). The latter is thus located in the lower half of the superstructure support (20).
(27)
(28) According to
(29) The superstructure support (20) is a slim, thin-walled component that has only slight wall thickness fluctuations over large areas. Individual above-average accumulations of material are structurally avoided. According to
(30) In the illustrated example, an adhesive body (100) is glued or cemented onto the superstructure support (20), see
(31) The adhesive body (100) essentially has a sleeve-shaped (for example, largely rotationally symmetrical) shape. Its inner wall (105) is adapted at least in some areas—in the radial direction—to the enveloping surface (28) of the implant post (23). An exception is the anti-twist device (41) arranged between the adhesive body (100) and the superstructure support (20).
(32) The adhesive body (100) has a widened (for example, circumferential) edge area (107), with which, on the one hand, it is supported—in the axial direction—on the flange upper side (37) of the superstructure support (20) and with which, on the other hand, it provides an axial support, at least in some areas, for the crown (120) itself.
(33) The assembly clearance between the supporting superstructure support (20) and the attachable adhesive body (100) amounts to, for example, 30 to 50 μm, such that the adhesive body (100) can be supported over a large area on the implant post (23) of the superstructure support (20) with the interposition of an adhesive (113).
(34) In order to be able to sit on the superstructure support (20) in a rotationally fixed manner, the adhesive body (100) has a groove (108) in its, for example, conical recess (106), for example in the lower area, on the flanks of which the anti-twist bar (41) of the superstructure support (20) is supported. In the area of its upper side (102), it has a hole-like recess (106) that, when the prosthesis is mounted, represents an extension of the hole (67) of the implant post (23). After tightening the screw (90), the recess (106) can be filled with a filling material (8) if necessary.
(35) The hexagon head screw (90) is divided into three areas: a head area (91), a shaft area (96) and a thread area (97), see
(36) The head section (92) ends in an outwardly curved, conical head section end surface (93), the cone angle of which amounts to, for example, 160 angular degrees. An integrally formed tool recipient (94), which represents a spherical outer hexagon for a spanner gap of 1.45 mm, sits on the head section end surface (93). The outer hexagon has six adjacent bearing flanks, each consisting of three surface sections. Each of the upper and lower surface sections (85, 86) extends over, for example, 0.4 mm of the tool recipient height. Both surface sections are flat and include, for example, an angle of 11.5 angular degrees with the screw centerline (89). The upper ends of the upper surface sections (85) incline toward the screw centerline (89) like the lower ends of the lower surface sections (86). Between each of the two planar surface sections (85, 86) arranged one above the other, a surface section (87) curved outwards in an arched manner is arranged. Its curvature oriented transversely to the screw centerline (89) has a radius of, for example, 0.9 mm.
(37) To tighten the screw (90), a tube wrench with an inner hexagon socket can be attached to the tool recipient (94). Due to the special assembly of the upper and lower surface sections (85, 86), the tube wrench does not experience any reaction force along its longitudinal expansion during the transmission of torque. The front end face of the tube wrench rolls off on the truncated cone shell-shaped head section end surface (93) of the screw head (92) with low friction and no interference.
(38) The conical area of the head section (92) is connected, for example tangentially connected, to the second area, i.e. the shaft area (96). The expansion screw-like shaft area (96) consists of a concave rotationally symmetrical midsection, which has its smallest diameter (for example, 1.3 mm) in the screw center area, for example 3.5 mm from the free end of the head area (91). The average curvature of the outer contour of the midsection has a radius of, for example, 4.44 mm in the section according to
(39) The third area is the thread area (97). It has, for example, a rolled M1.6 thread, the usable length of which amounts to, for example, 2.6 mm.
(40) According to the illustrated example, the tooth crown (120) sits on an adhesive body (100). Accordingly, the inner wall (125) of the tooth crown (120) is adapted to the outer wall (101) of the adhesive body (100). Here as well, the clearance between the outer wall (101) and the inner wall (125) is between 30 and 50 μm. The adhesive body (100) and the tooth crown (120) are designed in the area of the edge (132) of their adhesive joint (131) in such a manner that the last tenths of a millimeter meet the common prosthesis outer surface (2) at an angle of 90±10 angular degrees. In the area of the edge of its adhesive joint (131), the outer surface (121) of the tooth crown (120) and the outer surface (101) of the adhesive body (100) merge into one another tangentially or at least almost tangentially. If a kink is provided at that point, its included angle lies in an area that is smaller than 180 and larger than 175 angular degrees.
(41) Thus, according to
(42) Typically, the implant neck (52) and the lower side (32) of the implant flange (31) are in contact with the gum (not shown here). The combination of the adhesive body (100) and the artificial tooth crown (120) sits on the implant flange (31) by means of gluing.
(43) Several text passages, according to which planes are intersected perpendicularly (for example, by centerlines), are mentioned in the printed text. In such cases, angular deviations of ±2 angular degrees are to still be considered as perpendicular.
LIST OF REFERENCE SIGNS
(44) 1 Tooth replacement, prosthetic 2 Prosthesis outside surface 8 Cement, adhesive, filling material 9 Measuring circle 10 Implant body 11 External thread 12 Implant shoulder 13 Recess, stepped 14 Inner cone, first zone, cone, conical seat 15 Inner hexagon socket, second zone, counter profile 17 Threaded hole, third zone 187 Internal thread 19 Centerline of (10) 20 Superstructure support, part of a hybrid abutment 21 Area turned towards the tooth crown 23 Implant post 24 Upper side, bearing surface 26 Stud 27 Outer surface, radial 28 Enveloping surface 29 Centerline of (23) 31 Implant flange 32 Lower side, surface turned towards the gum 33 Edge 34 Transition area, bucket 35 Channel 37 Flange upper side, support enveloping surface 38 Plane, reference plane 41 Anti-twist bar, anti-twist device 50 Implant pin 51 Area turned towards the implant body 52 Implant neck 53 Implant cone, outer cone 54 Anti-twist profile, outer hexagon 59 Centerline of (50) 61 Cavity, kinked; screw insertion recess 62 Lower cavity zone; hole, cylindrical 63 Centerline of (62) 64 Central cavity zone 65 Screw head seat space, inner cone, cavity zone 66 Top edge of (65) 67 Upper cavity zone; hole, cylindrical 69 Centerline of (67) 71 Intersection point 72 Distance between (38) and (71) 73 Contact surface between (65) and (92) 74 Edge, top; of (73) 75 Truncated cone shell surface, support enveloping surface; curved upwards 76 Truncated cone shell surface, support enveloping surface; curved downwards 77 End surface, size of (75) or (76) 78 Taper angle of (75) or (76) 85, 86 Surface sections of (94), flat 87 Surface sections of (94), curved 89 Screw centerline 90 Hexagon head screw, screw 91 Head area 92 Head section, conical; screw head 93 Head section end surface 94 Tool recipient; outer hexagon, spherical 96 Shaft area, midsection, shaft 97 Thread area, thread 100 Adhesive body, part of a hybrid abutment 101 Outer wall, outer surface 102 Upper side 105 Inner wall, inner surface 106 Recess, truncated cone shell-shaped 107 Edge area 108 Groove 111 Adhesive joint between (23) and (100) 113 Adhesive 120 Tooth crown, artificial, superstructure 121 Outer wall, outer surface 125 Inner wall, inner surface 131 Adhesive joint between (100) and (120) 132 Adhesive joint edge 133 Adhesive