DUAL-FUNCTION SEAL
20230277281 · 2023-09-07
Inventors
Cpc classification
A61C8/006
HUMAN NECESSITIES
International classification
Abstract
Apparatus including a seal (100) is provided for use with a dental implant (200). The seal has a cross-section defining a high-load bearing portion (320) and a low-load bearing portion (340) angled in relation to each other, the high-load bearing portion being configured to apply a pressure that is greater than a pressure applied by the low-load bearing portion. A surface area of the high-load bearing portion is smaller than a surface area of the low-load bearing portion. Other applications are also described.
Claims
1. Apparatus for use with a dental implant, the apparatus comprising: a seal having a cross-section defining a high-load bearing portion and a low-load bearing portion angled in relation to each other, the high-load bearing portion being configured to apply a pressure that is greater than a pressure applied by the low-load bearing portion; wherein a surface area of the high-load bearing portion is smaller than a surface area of the low-load bearing portion.
2. The apparatus according to claim 1, wherein the high-load bearing portion is configured to apply pressure to the implant along a surface area of the implant that is smaller than a surface area of the implant to which the low-load bearing portion applies pressure to.
3. The apparatus according to claim 1, wherein the high-load bearing portion is configured to apply a pressure that is at least twice the pressure applied by the low-load bearing portion
4. The apparatus according claim 1, wherein the low-load bearing portion is configured to apply pressure to the dental implant along a surface area of the implant such that sealing material of the seal fills pores in the implant.
5. The apparatus according to claim 1, wherein a ratio between the surface area of the low-load bearing portion and the surface area of the high-load bearing portion is 2:1.
6. The apparatus according to claim 1, wherein a ratio between the surface area of the low-load bearing portion and the surface area of the high-load bearing portion is 3:2.
7. The apparatus according to claim 1, wherein a ratio between the surface area of the low-load bearing portion and the surface area of the high-load bearing portion is 4:3.
8. The apparatus according to claim 1, wherein the cross-section of the seal is L-shaped.
9. The apparatus according to claim 1, wherein the seal is sized and shaped to be accommodated between a dental implant and an abutment.
10. The apparatus according to claim 1, wherein the seal is sized and shaped to be accommodated between at least two parts of a dental implant.
11. The apparatus according to claim 1, wherein the seal is sized and shaped to be accommodated between at least two of: dental implants screws, abutments, supra structures or other dental implant parts.
12. The apparatus according to claim 1, wherein the seal is sized and shaped to be accommodated between at least two parts of a medical implant.
13. The apparatus according to claim 1, wherein the seal is sized and shaped to be accommodated between at least two of: medical implant screws, supra-structures, or other medical implant parts.
14. The apparatus according to claim 1, wherein the seal is sized and shaped to be accommodated between at least two implant parts connected by a screw.
15. The apparatus according to claim 1, wherein the seal is sized and shaped to be accommodated between at least two implant parts connected by friction.
16. The apparatus according to claim 1, wherein the seal is sized and shaped to be accommodated between at least two implant parts connected by a shape of connection selected from the group consisting of: an internal connection, an external connection, a hexagonal connection and a conical connection.
Description
BRIEF DESCRIPTION OF THE FIGURES
[0029]
[0030]
[0031]
[0032]
[0033]
[0034]
[0035]
[0036]
DETAILED DESCRIPTION
[0037]
[0038] In accordance with some applications of the present invention, seal 100 is configured for use with connectors and parts of all types. Seal 100 is configured for use with implant elements made of any type of material e.g., titanium, zirconia, titanium-zirconia or any other material or combination of materials.
[0039] In accordance with some applications of the present invention, seal 100 is configured for use with different connection interfaces between any two segments of implant 200, for example, between the implant head and any type of supra structure, and/or between each segment of the implant and an adjacent part such as a hexagonal, conical, and cage-shaped part.
[0040] In accordance with some applications of the present invention, seal 100 may be used with any external or internal connection interfaces between any two segments of implant 200, for example, between the implant head and any type of supra structure and/or between any implant part and the adjacent part such as internal hexagonal connection interfaces (internal hexagonal) and/or connection interfaces of external hexagonal, and/or conical or cube interfaces, or combination thereof.
[0041] In accordance with some applications of the present invention, seal 100 may be used with any connection interface between any two segments of the implant, for example, between the implant head and any type of supra-structures, and/or any part of implant 200 adjacent to it with any contact and/or grip between the parts. For example, connecting with friction in threaded connection and/or combination between friction and threaded connection in “click” between part and part, connection by means of a tightening screw between the parts and without a screw tightening between the parts.
[0042] For some applications, seal 100 is sized and shaped to be positioned between at least two implant parts connected by a screw (or any other connecting element). For some applications, seal 100 is sized and shaped to be positioned between at least two parts of implant 200 that are connected by friction. Typically, the functionality of seal 100 is generally not affected by a degree of tightness of the connection (e.g., a screw) between the implant segments.
[0043] In accordance with some applications of the present invention, seal 100 may be made of different materials or a compound of different materials. For some applications, seal 100 comprises a flexible, biocompatible polymeric material such as an elastomer (e.g., a deformable elastomer). Alternatively, or additionally, seal 100 comprises a shape memory alloy, e.g., nitinol. Further additionally, or alternatively, seal 100 may be applied together with additives e.g., agents applied locally, such as antibacterial supplements, an adhesive material, etc.
[0044] In accordance with some applications of the present invention, seal 100 may be shaped to define various geometric shapes such as circle or hexagon, and different cross section shapes. Additionally, or alternatively, seal 100 may vary in thickness, diameter, and height.
[0045] For some applications, seal 100 is shaped to define more than four surfaces. In accordance with some applications of the present invention, seal 100, shown in
[0046] Reference is now made to
[0047] For some applications, seal 100 comprises a high-load bearing portion 320 and a low-load bearing portion 340 angled in relation to each other.
[0048] As shown, a surface area of high-load bearing portion 320 is typically smaller than a surface area of the low-load bearing portion 340 (low-load bearing portion 340 having a surface area that is greater than the surface area of high-load bearing portion 320). In some applications, the surface area of the low-load bearing portion is at least 1.5, or 2 times the surface area of the high-load bearing portion.
[0049] As described hereinabove, seal 100 comprises a dual sealing functionality when deployed to seal the interface between two portions of dental implant 200. Typically, when seal 100 is deployed to seal the interface between two portions of dental implant 200, low-load bearing portion 340 applies relatively low pressure to the implant structure along a relatively large surface area such that the sealing material fills pores in the structures of implant 200 (e.g., the implant fixture and/or the abutment) surface. Additionally, when seal 100 is deployed to seal the interface between two portions of dental implant 200, high-load bearing portion 320 applies relatively high pressure to the structures of implant 200 along a relatively small surface area such that the sealing material is tightly compressed against the surface of structures of implant 200 (e.g., the implant fixture and/or abutment) over a relatively small surface area. This combination provides a tight and effective seal in multiple planes and axes of the interface between the two or more connected portions of dental implant 200.
[0050]
[0051] For some applications, seal 100 has a total width of 0.25-10 mm, e.g., 0.25-2 mm, 2-3 mm, 3-6 mm, or 6-10 mm. For some applications, a width Wl of low-load bearing portion 340 is less than a width Wh of high-load bearing portion 320. For example, a ratio between width Wh of high-load bearing portion 320 and width Wl of low-load bearing portion 340 is at least, or greater than, 3:2. For some applications, a ratio between width Wh of high-load bearing portion 320 and width Wl of low-load bearing portion 340 is at least, or greater than, 4:3.
[0052] It is noted that the above-mentioned ratios are maintained at various configurations and orientations of seal 100 (e.g., as shown in
[0053] Additionally, and optionally, seal 100 may have cut-outs 101 and/or 102 to facilitate an easy fit inside a pre-made groove to allow room for spreading of the seal under compressive forces when a connection of segments of the dental implant is tightened.
[0054] Reference is now made to
[0055] Reference is now made to
[0056] As shown in
[0057] Reference is now made to
[0058]
[0059] Reference is now made to
[0060]
[0061]
[0062]
[0063] It is noted that generally, the dual function of seal 100 is affected by the ratio between the surface area of the axial (low-pressure) sealing portion 340, and the surface area of the radial (high-pressure) sealing portion 320. For some applications, a ratio between the surface area of axial, low-load bearing portion 340 and the surface area of radial high-load bearing portion 320 is at least, or greater than, 3:2. For some applications, a ratio between the surface area of low-load bearing portion 340 and the surface area of high-load bearing portion 320 is at least, or greater than, 4:3. For some applications, a ratio between the surface area of low-load bearing portion 340 and the surface area of high-load bearing portion 320 is 2:1.
[0064] Reference is made
[0065] Additional factors affecting the dual function of seal 100, include the size and angle of these corner cuts, e.g., cut-out 101 at the edge of the axial (low-pressure) sealing surface (
[0066] Reference is again made to
[0067] In general, seal 100 is configured for use with any implant configuration. Typically, the shape and dimensions of seal 100 can be varied to accommodate use with a variety of implant configurations. Generally, it is easier and shorter in terms of times to make a change to the seal geometry or to produce some test templates, than to change the implant design. Therefore, the changes made in seal 100 itself, saves time and cost, rendering seal 100 cost effective and easy to use.
[0068] Generally, an L-shaped seal 100 as shown in
[0069] Reference is still made to
[0070] Seal 100 provided in accordance with some applications of the present invention, is generally indifferent to the gaped interface between the two parts of dental implant 200, which is sealed by seal 100. In other words, the seal is configured to seal the interface/gap between connected portions of the implant to seal any type, shape or size of gap between the connected portions.
[0071] In accordance with some applications of the present invention, groove and seal design are generally not affected by tightness of attachment between segments of the dental implant and ensure sealing under varied conditions.
[0072] In accordance with some applications of the present invention, seal 100 provides dual safety by radial and axial two-surface sealing between the implant parts.
[0073] In accordance with some applications of the present invention, seal 100 is generally not sensitive to the orientation of the two parts of the implant in relation to one another. In other words, seal 100 is configured to seal the connection between two portions of the dental implant regardless of the orientation of the dental implant portions with respect to one another.
[0074] In accordance with some applications of the present invention, seal 100 self-seals in place during attachment of the dental implant parts.
[0075] In accordance with some applications of the present invention, a high polish mold and low shore allows seal 100 to fill the gaps and the micro dents of the surface, thereby preventing infiltration and passage of microorganisms.
EXPERIMENTAL DATA
[0076] The experiments described hereinbelow were performed by the inventors in accordance with applications of the present invention and using the apparatus and techniques described herein.
[0077] A series of laboratory experimentations are described hereinbelow which may be used separately or in combination, as appropriate, in accordance with applications of the present invention. It is to be appreciated that numerical values are provided by way of illustration and not limitation. Typically, but not necessarily, each value shown is an example selected from a range of values that is within 10% of the value shown. Similarly, although certain steps are described with a high level of specificity, a person of ordinary skill in the art will appreciate that other steps may be performed, mutatis mutandis.
[0078] The experiments described hereinbelow with reference to Examples 1-2 were performed using the seal provided in accordance with some applications of the present invention.
Example 1: Pressure Test
[0079] In accordance with some applications of the present invention, a pressure test was conducted to test resilience of the seal following sterilization by Gamma radiation.
Results:
Burst After Gamma
[0080]
TABLE-US-00001 # Result 1 Held Up to 4 bar 12 min, connection broke 2 Held 3 bar for 15 min, connection broke 3 Held Up to 4 bar 5 min, connection broke 4 Held 3 bar for 11 min, connection broke 5 Held 3 bar for 13 min, connection broke
Conclusion:
[0081] No Burst was achieved, and the seal withstood the applied pressure. All failures, and broken connections occurred as a result of the air insertion interface. [0082] Gamma sterilization has little to no effect on the seal. [0083] In real life the pressure within the implant is generally low (<1.5 bar), so it is expected, and reasonable based on the results of this experiment that the seal should maintain its integrity when implanted.
Example 2: In Vitro Bacterial Leakage Tests
[0084] In accordance with some applications of the present invention, various experiments were performed to examine possible leakage from an interval (gap) between connected implant parts.
[0085] All of the experimental dental implants tested were MtDI—Ø3.75/L13.5 mm (Ti 6Al-4V Lot No. 131011)—modular dental implants with dental implant sealer apparatus: 03.75 L6.5 mm Apex, two Ø3.75 L3.5 mm Rings, mount and mount screw, supplied by Zeev Implants Ltd.
[0086] Both control experiments and experiments using seal 100, in accordance with applications of the present invention, as described hereinbelow.
Control Experiments:
[0087] Prior to the experiments testing the seal of the present invention, two types of control experiments were conducted.
[0088] 1) Control Experiment—Type 1:
[0089] Prior to the experiments testing the seal in accordance with applications of the present invention, a bacterial transfer test was performed in the dental implant. In this experiment no gaskets or seals were used to seal connections between the implant parts in order to confirm that bacterial leakage indeed occurs in the absence of any sealing elements. As expected, the results of these experiments showed that bacteria infiltrated and infected all of the implants tested in the absence of sealing elements.
[0090] 2) Control Experiment—Type 2:
[0091] Prior to the experiments testing the seal in accordance with applications of the present invention, an air leakage test was performed in the dental implant using a simple silicone ring as a seal. The inventors hypothesized that air leakage would be indicative of bacterial leakage in the implant. In this experiment a standard silicone O-RING ring was used as a gasket for sealing portions of the implant.
[0092] Air leakage experiment was performed by pressure air being introduced through a tube connected to the implant 1.8 bar 260N.
Results: After 45K cycles the experiment failed—the standard silicone ring did not seal the parts of the implant and air leaked between the parts due to implant deformity.
Conclusions: the standard silicone O-RING ring did not provide the necessary sealing to prevent air leakage, which is indicative that the standard silicone O-RING does not provide the sealing required for prevention of bacterial leakage in the implant.
Experiments Using Dual-Function Seal 100 in Accordance with Some Applications of the Present Invention:
[0093] The following experiments were performed to test the hypothesis that dual seal 100 will seal the interface between the implant parts, in accordance with some applications of the present invention.
[0094] First, two types of bacteria-free experiments were conducted in order to test the seal of the present invention: air leakage and paint leakage. These experiments are described below:
a) Bacteria-Free Test: Testing Air Leakage:
[0095] Experiments to test high-pressure air leakage into the implant, with/without the application of static and dynamic (cyclic) forces at an angular structure attached to the implant head.
Dynamic experiment—applying cyclic force to the implant with the current gasket (i.e., seal 100):
Purpose of the tests—To examine whether a variable force exertion has a change in sealing. [0096] 1. Checking 75K Cycles 1.5 bar 150N—There was no air leak. The examination saw a change in the orientation of the parts (showing that the orientation between the parts does not impair the sealing). After 75 cycles, there was a fracture in the JIG that gripped the implant. [0097] 2. Checking 84K cycles 1.5 bar 200N [0098] 3. Checking 92.7K cycles, 230N, 1.5 bar
* The difference between the tests is the force exerted on the system—a test with varying forces on the implant.
Results: None of the tests showed an air leak.
b) Bacteria-Free Test: Testing of Paint/Dye Leakage from Implant
[0099] Paint leakage from the implant was tested while using the seal of the present invention (seal 100), the occurrence of paint leakage being indicative of possible bacterial leakage from the implant. In the experiment, the central screw of the implant was removed, and 5 μl of Bromophenol blue paint material (3′, 3″, 5′, 5″-tetrabromophenolsulfonphthalein, BPB, albutest)) liquid dye was added into a small cavity at the bottom of the implant. The central screw was then put in place. For example, the liquid dye is disposed in the portion of the dental implant that is indicated by reference numeral 50 in
[0100] Results: following 5 minutes at room temperature—no leakage of dye was observed. In other words, the seal of the present invention provided sealing that prevented paint leakage from the implant.
[0101] In a parallel experiment, an implant without use of a gasket seal was tested for dye leakage. In this experiment dye leakage was observed immediately after inserting the color into the implant.
C. Bacteria Leak Test
[0102] Bacterial leakage from the dental implant was tested while using seal 100, in accordance with some applications of present invention. In this set of experiments, after the central screw was removed, bacteria were inserted into the implant and the central screw was replaced—in repeated tests for the duration of 30 days.
[0103] In one set of experiments, bacteria leakage out of the dental implant was tested in the absence of any force applied to the implant. In a second set of experiments, bacterial leakage from the implant was tested while applying force on the implant head. As will be described below, regarding these experiments, in all of these tests no bacterial leakage occurred between the implant parts when using seal 100 in accordance with some applications of the present invention.
[0104] In a parallel experiment, using same implant type without use of a gasket seal was tested for bacterial leakage. In this experiment bacterial leakage was observed after inserting bacteria into the implant.
1. Experimental Bacteria Loaded to the Implant Using Dual Function Seal 100 without Applying Force to the Implant.
[0105] Under aseptic conditions, five μl (1×107 colony forming unit, CFU) of an overnight of E. coli DH5α/pWSK29 Ampr (ampicillin resistance) were loaded into the lower void (portion of the dental implant that is indicated by reference numeral 50 in
[0106] The bacterial-loaded implants were placed into 0.2 ml test tube filled with 600 μl of saline and incubated at 37° C. for 35 days. At 1, 4, 10 and 30 days post bacterial loading (PBL), the saline was sampled and 50 μl from the solution immersing the implants was plated on LB agar plate supplemented with 100 μg/μl Amp plate for viable bacterial count.
[0107] None of the dental implant tested showed a bacterial leakage into the medium under static conditions at 37° C. To make sure that viable bacteria are still present in the implant after 30 days and that the absence of bacterial leakage is not the result of bacterial killing, 35 days post loading, three implants were disintegrated, their lower void (portion of the dental implant that is indicated by reference numeral 50 in
[0108] Summary and Conclusion for the Experiment of Bacteria Loaded to the Dental Implant Using Dual Seal 100 without Applying External Force to the Dental Implant:
[0109] Under static conditions at 37° C., no bacterial leakage was detected from the modular dental implants MtDI Apex6.5 mm to its immersing medium, despite the survival of the bacteria in the internal space of the implant.
[0110] The experiment was successful in all 29 implants that were tested. After 11 days of incubation, there was no bacterial leakage. After 35 days—the bacteria that were inserted into the graft were examined and found alive.
2. Experimental Bacteria Loaded to the Implant Using the Dual Function Seal and at an Applied
Continuous Static Force of 200 Newton Based on an Abutment Attached to the Implant Head at 25 Degrees.
[0111] Steps 1-4 below describe the experiment: [0112] 1. Exercise constant force on the gasket (seal 100) of about 200 Newtons. The force is applied by a deformed spring (
[0116] Results: None of the dental implant tested under constant force at 37° C. showed bacterial leakage into the medium. In order to confirm that viable bacteria are still present in the implant after 30 days and that the absence of bacterial leakage is not the result of bacterial death, 35 days post loading, three implants were disintegrated, their lower void (portion of the dental implant that is indicated by reference numeral 50 in
[0117] Hundreds of CFU were observed after 35 days in the implant, indicating that the absence of bacteria in the exterior saline solution is due to the lack of leakage from the implants, and not as a result of the bacteria dying in the implant.
[0118] Summary and Conclusion for the Experiment of Bacteria Loaded to the Implant Using the Dual Function Seal at an Applied Continuous Force:
[0119] Under constant pressure of 200 Newton at 37° C., no bacterial leakage was detected from the modular dental implants MtDI Apex 6.5 mm to its immersing medium, despite the survival of the bacteria in the internal space of the implant.
[0120] Reference is made to
[0121] It will be appreciated by persons skilled in the art that the present invention is not limited to what has been particularly shown and described hereinabove. Rather, the scope of the present invention includes both combinations and subcombinations of the various features described hereinabove, as well as variations and modifications thereof that are not in the prior art, which would occur to persons skilled in the art upon reading the foregoing description.