DENTAL PROSTHESIS
20210161624 · 2021-06-03
Inventors
Cpc classification
A61C8/0075
HUMAN NECESSITIES
International classification
Abstract
Dental prosthesis comprising a dental implant comprising an external thread for screwing the dental implant into a jawbone and an internal thread arranged inside the dental implant. The dental prosthesis further comprises a superstructure having an internal bore and a screw for fastening the superstructure to the dental implant. The screw has a screw head with a cylindrical or conical lateral surface and a shank which adjoins a lower end of the screw head and on which an external thread is arranged. In an assembled state of the dental prosthesis, the screw is inserted through the internal bore of the superstructure into the dental implant and the external thread of the screw engages the internal thread of the dental implant. The screw head comprises a convexly rounded chin between the cylindrical or conical lateral surface and its lower end, with which chin the screw abuts the superstructure in the internal bore in the assembled state of the dental prosthesis.
Claims
1. Dental prosthesis, comprising: a dental implant having a first external thread and an internal thread; a superstructure having an internal bore; and a screw that is configured to fasten the superstructure to the dental implant, wherein the screw comprises a screw head having a cylindrical or conical lateral surface and a shank which adjoins a lower end of the screw head and on which a second external thread is provided, wherein, in an assembled state of the dental prosthesis, the screw is inserted through the internal bore of the superstructure into the dental implant and the second external thread engages the internal thread of the dental implant, and wherein the screw head comprises a convexly rounded chin that is arranged between the cylindrical or conical lateral surface and a lower end of the screw head, wherein, in the assembled state of the dental prosthesis, the convexly rounded chin of the screw head abuts the superstructure in the internal bore.
2. Dental prosthesis according to claim 1, wherein the superstructure directly abuts the dental implant in the assembled state of the dental prosthesis.
3. Dental prosthesis according to claim 1, wherein the chin of the screw head has a round cross-section.
4. Dental prosthesis according to claim 3, wherein the round cross-section has a radius of 0.5 mm.
5. Dental prosthesis according to claim 1, wherein the cylindrical or conical lateral surface of the screw head abuts the superstructure in the internal bore.
6. Dental prosthesis according to claim 1, wherein the shank comprises, in an upper region adjacent the lower end of the screw head, a non-threaded cylindrical portion that abuts the dental implant in the assembled state of the dental prosthesis.
7. Dental prosthesis according to claim 6, wherein the cylindrical portion of the shank has a diameter equal to a nominal diameter of the second external thread.
8. Dental prosthesis according to claim 1, wherein the screw head has its largest diameter in a region of the cylindrical or conical lateral surface.
9. Dental prosthesis according to claim 1, wherein the superstructure comprises a ceramic material.
10. Dental prosthesis according to claim 1, wherein the superstructure is manufactured on a milling machine using a 3D model.
11. Dental prosthesis according to claim 1, wherein the screw head comprises at the lower end an abutment surface which is oriented transversely to a longitudinal axis of the screw and abuts a mating abutment surface of the superstructure in the assembled state of the dental prosthesis.
12. Dental prosthesis according to claim 11, wherein the abutment surface adjoins the convexly rounded chin.
13. Dental prosthesis according to claim 11, wherein the abutment surface is of annular shape.
14. Dental prosthesis according to claim 11, wherein the abutment surface is oriented orthogonally to the longitudinal axis of the screw.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0044]
[0045]
[0046]
[0047]
[0048]
[0049]
[0050]
[0051]
[0052]
[0053]
DESCRIPTION OF PREFERRED EMBODIMENTS
[0054]
[0055] The dental prosthesis 100 comprises a dental implant 10 to which a superstructure 20 (artificial tooth crown) is attached by means of a screw 30. Unlike conventional dental prostheses of this type, the superstructure 20 is directly connected to the dental implant 10 without an abutment arranged in between. The underside of the superstructure 20 therefore directly abuts the upper side of the dental implant 10.
[0056] The screw 30 is inserted into the dental implant 10 through an internal hole 12 in the superstructure 20. This hole 12 is preferably designed as a through hole, which is closed again after the superstructure 20 is connected to the dental implant 10. The screw 30 comprises a screw head 14, at the lower end of which a shank 16 adjoins. An external thread 18 is arranged at the lower edge of the shank 16, which external thread engages in a corresponding internal thread 22 arranged in the dental implant 10 in the assembled state of the dental prosthesis 100. A tool engagement 24 arranged in the screw head 14 is used to tighten the screw 30 by means of a suitable tool wrench.
[0057] The dental implant 10 comprises an external thread 26 on its outer side, by means of which the dental implant 10 can be screwed into a patient's jawbone. Therefore, the dental implant 10 is typically first mounted in the patient's jawbone before the superstructure 20 is attached to the dental implant 10 using the screw 30. Then, the top of the hole 12 is closed and sealed so that neither moisture nor dirt can enter the interior of the superstructure.
[0058] The dental implant 10 is typically made of titanium or zirconium oxide. The superstructure 20 is usually made of ceramic, although in principle it can also be made of titanium or zirconium oxide. The screw 30 is preferably also made of titanium or, alternatively, steel. All three components 1, 20, 30 are preferably manufactured automatically by means of a CAD data set by milling, particularly preferably by means of a ball milling cutter.
[0059] To create a particularly rigid and stable connection, the screw 30 has a special shape that is adapted to the respective parts of the superstructure 20 and the dental implant 10 against which the screw 30 rests.
[0060] The screw head 14 comprises a cylindrical lateral surface 28 which, in the assembled state of the dental prosthesis 100, abuts the inner wall of the internal bore 12. At this position, the internal bore 12 comprises an inner wall portion 32 which is also cylindrical and serves as an abutment surface for the cylindrical lateral surface 28 of the screw head 14.
[0061] According to an alternative embodiment not explicitly shown here, the lateral surface 28 and the inner wall portion 32 can also be slightly conical in shape.
[0062] Below the cylindrical or conical lateral surface 28, the screw head 14 comprises a convexly rounded chin 34. This chin 34 is arranged in the region of the lower end of the screw head 14. The chin 34 forms, so to speak, the transition between the cylindrical or conical lateral surface 28 and the shank 16 of the screw 30.
[0063] Corresponding to the convexly rounded chin 34, the internal bore 12 is also rounded at this position. The internal wall of the bore 12 has a concavely rounded internal wall portion 36 at this position. The screw head 14 of the screw 30 thus preferably rests with its cylindrical or conical lateral surface 28 against the internal wall section 32 as well as with its convexly rounded chin 34 against the concave internal wall section 36. This leads to an optimum transmission of force from the screw 30 to the superstructure 20. In particular, due to the convexly rounded chin 34 of the screw head 14, undesirable shear forces that could, for example, lead to the formation of cracks within the superstructure 20 can be avoided. The force is applied in a radial direction relative to the outside of the screw head, so that a uniform application of force is achieved without undesirable stress peaks occurring at different contact points.
[0064] The chin 34 of the screw head 14 is preferably exactly round. Particularly preferably, the chin 34 has a radius of 0.5 mm. Such a round chin 34 with a radius of 0.5 mm can be manufactured very easily with the ball burs with a diameter of 1 mm typically used for manufacturing this dental prosthesis 100.
[0065] Above the external thread 18, i.e. between the screw head 14 and the external thread 18, the shank 16 of the screw 30 comprises a cylindrical portion 38 without a thread. A part of this cylindrical portion 38 abuts the dental implant 10 in the assembled state of the dental prosthesis 100. More specifically, this cylindrical portion 38 preferably lies flat against the inner wall of the bore 40 arranged in the dental implant 10, in which bore the internal thread 22 is arranged. Correspondingly, the inner wall of the bore 40 arranged in the dental implant 10 also comprises a cylindrical portion 42 without a thread. This cylindrical portion 42 is arranged above the internal thread 22. The contact of the cylindrical portion 38 of the screw shank 16 with the cylindrical portion 42 of the dental implant 10 creates a very stable connection between the screw and the dental implant 10. The screw is thus supported like a kind of post. This is particularly advantageous when relatively soft materials are used for the superstructure 20, as this improves the overall stability of the dental prosthesis 100.
[0066] The cylindrical portion 38 of the screw shank 16 has a diameter that is preferably equal to the nominal diameter of the external thread provided further down the screw shank 16. The nominal diameter denotes the largest diameter of the thread geometry.
[0067] The dental implant 10 extends substantially along a longitudinal axis 48, which may also be referred to as central axis (see
[0068] The dental implant 10 comprises an interface 50 (hereinafter also referred to as “first interface 50”) at the upper front end. This interface 50 serves to attach the superstructure 20 to the dental implant 10. The interface 50 so to speak forms the contact surface with which the dental implant 10 contacts the superstructure 20 in the assembled state.
[0069] A feature of the interface 50 is that, due to its shape and configuration, it allows the superstructure 20 to be attached directly to the dental implant 10 (without the use of an interposed abutment).
[0070] In the embodiment shown in
[0071] The interface 50 comprises a curvature 56 and a support surface 58 surrounding the curvature 56. The curvature 56 essentially serves to absorb forces in the radial direction 54, whereas the support surface 58 serves as an axial support which essentially absorbs forces in the longitudinal direction, i.e. along the longitudinal axis 48. In the assembled state, the superstructure 20 is supported both by the curvature 56 and by the support surface 58.
[0072] The curvature 56 is convex, i.e. curved outwards. The curvature 56 is rounded, i.e. not angular. The curvature 56 extends over an angular range of at least 90° around the longitudinal axis 14. In the embodiments shown in
[0073] In this embodiment, the curvature 56 is not rotationally symmetrical. Viewed in cross-section (see
[0074] The outer edge 60 and the inner edge 62 of the curvature 56 preferably lie on a circular line. In the top view shown in
[0075] Preferably, the curvature 56 directly adjoins to the bore 40. In the embodiment shown in
[0076] As can further be seen from
[0077]
[0078] To form a connection between the dental implant 10 and the superstructure 20 that is as stable as possible, a tangent 78 to the outer edge 60 of the curvature 56 is preferably oriented orthogonally to the support surface 58 or the annular portion 64 (see
[0079] When comparing
[0080]
[0081] In the second embodiment shown in
[0082] Another significant difference to the first embodiment is that the tangent 78 runs parallel to the annular portion 64 of the support surface 58. More specifically, the annular portion 64 of the support surface 58 transitions tangentially into the convex curvature 56 (see
[0083] In the embodiment shown in
[0084]
[0085] In the assembled state, the support surface 58 of the dental implant 10 abuts the support surface 72 of the superstructure 20, the convex curvature 56 abuts the concave curvature 74, and the surfaces 82, 84 abut the surfaces 86, 88. Again, the interfaces 50, 70 allow only a single defined orientation of the dental implant 10 and the superstructure 20 relative to each other.
[0086] Finally, it should be noted that the two embodiments of the dental implant 10 shown herein represent only two of many possible embodiments. It goes without saying that various features of these two embodiments can be easily modified without leaving the spirit and scope of the present disclosure. It is also understood that various features of these two embodiments can be combined and/or exchanged without leaving the spirit and scope of the present disclosure.
[0087]
[0088] The main difference to the first embodiment shown in
[0089] The screw head 14 comprises an abutment surface 90 at its lower end, which is oriented transversely, preferably at an angle greater than 60°, particularly preferably orthogonally to the longitudinal axis 94 of the screw 30. Since the longitudinal axis 48 of the dental implant 10 coincides with the longitudinal axis 94 of the screw 30 in the assembled state of the dental prosthesis 100, the abutment surface 90 is thus also oriented transversely or, particularly preferably, orthogonally to the longitudinal axis 48 of the dental implant 10.
[0090] The abutment surface 90 is configured as an annular surface. It directly adjoins the convexly rounded chin 34 of the screw head 14. However, it is also possible that the abutment surface 90 is separated from the convexly rounded chin 34, for example, by an undercut.
[0091] In the assembled state of the dental prosthesis 100, the abutment surface 90 abuts an equivalently shaped mating abutment surface 92 of the superstructure 20. This enables direct transmission of forces in the axial direction. The resulting pull-down of the superstructure ensures an extremely stable connection between superstructure 20 and dental implant 10.
[0092] It is to be understood that the foregoing is a description of one or more preferred exemplary embodiments of the invention. The invention is not limited to the particular embodiment(s) disclosed herein, but rather is defined solely by the claims below. Furthermore, the statements contained in the foregoing description relate to particular embodiments and are not to be construed as limitations on the scope of the invention or on the definition of terms used in the claims, except where a term or phrase is expressly defined above. Various other embodiments and various changes and modifications to the disclosed embodiment(s) will become apparent to those skilled in the art. All such other embodiments, changes, and modifications are intended to come within the scope of the appended claims.
[0093] As used in this specification and claims, the terms “for example,” “e.g.,” “for instance,” “such as,” and “like,” and the verbs “comprising,” “having,” “including,” and their other verb forms, when used in conjunction with a listing of one or more components or other items, are each to be construed as open-ended, meaning that the listing is not to be considered as excluding other, additional components or items. Other terms are to be construed using their broadest reasonable meaning unless they are used in a context that requires a different interpretation.