A DENTAL IMPLANT IMPLANTABLE WITHOUT A PREVIOUS PERFORATION OF BONE

20230404717 ยท 2023-12-21

    Inventors

    Cpc classification

    International classification

    Abstract

    A dental implant has a shank-shaped body with a truncoconical shape having a first distal end and a second proximal end; a housing for inserting and coupling a prosthetic element at the second proximal end; a tip at the first distal end; a helical threading having a cutting profile with a series of spiral turns about the shank-shaped body; a series of recesses each realised at a portion of a respective turn of a series of spiral turns of the helical threading. The helical threading starts directly from the end of the tip such that a first turn of the helical threading winds and extends about the tip and each recess has an entirely concave surface without corners or edges so that the recesses form a groove having a concave profile along the threading.

    Claims

    1. A dental implant implantable without a previous perforation of bone, comprising: a shank-shaped body having a truncoconical shape or a conical shape and having a first distal, or apical, end, and a second proximal, or coronal, end; a housing for inserting and coupling a prosthetic element, at the second proximal end; a tip, at the first distal end; a helical threading having a cutting profile which winds with a series of spiral turns about the shank-shaped body; a series of recesses, each, respectively, at a portion of a respective turn of a series of spiral turns of the helical threading, wherein the helical threading is realised starting directly from the end of the tip in such a way that a first turn of the helical threading winds and extends about the tip and wherein each recess of the series of recesses is realised in such a way as to have an entirely concave surface without corners and/or edges so that the recesses of the series of recesses form a groove having a concave profile along the threading.

    2. The dental implant of claim 1, wherein the recesses (5, 6) of the series of recesses are realised in such a way as to comprise a first series of recesses defining a first groove along the threading and a second series of recesses defining a second groove along the threading, wherein the first groove and the second groove extend, starting from the tip towards the second proximal end, bilaterally along the threading with respect to the vertical axis of the body.

    3. The dental implant of claim 2, wherein the first groove and the second groove extend, starting from the tip towards the second proximal end, bilaterally along the threading with respect to the vertical axis of the body and according to respective straight pathways.

    4. The dental implant of claim 2, wherein the first groove and the second groove extend, starting from the tip towards the second proximal end, bilaterally along the threading with respect to the vertical axis of the body according to respective spiral-shaped pathways.

    5. The dental implant of claim 4, wherein the first groove and the second groove extend, starting from the tip towards the second proximal end, bilaterally along the threading with respect to the vertical axis of the body [RN] according to spiral-shaped pathways in an anticlockwise direction.

    6. The dental implant of claim 1, wherein the recesses of the series of recesses are realised starting from a portion of a first turn of the threading at the tip, up to in proximity of the second proximal end of the body, without affecting, and therefore leaving intact and whole, at least the last two turns of the threading.

    7. The dental implant of claim 1, wherein the recesses of the series of recesses are realised in such a way as to have a growing depth, starting from a first turn of the threading at the tip up to a turn of the threading situated in a median position along the body and so as to have, from the turn of the threading situated in a median position along the body, a decreasing depth towards the second proximal end.

    8. The dental implant of claim 1, wherein the recesses of the series of recesses are realised in such a way as to have a growing width, starting from a first turn of the threading at a tip up to a turn of the threading situated in a median position along the body and so as to have, from the turn of the threading situated in a median position along the body, a decreasing width towards the second proximal end.

    9. The dental implant of claim 1, wherein the recesses of the series of recesses (5, 6) are realised in such a way as to have a depth and a width that grow, starting from a first turn of the threading at the tip up to a turn of the threading situated in a median position along the body and so as to have, from the turn of the threading situated in a median position along the body, a depth and a width that are decreasing towards the second proximal end.

    Description

    BRIEF DESCRIPTION OF THE DRAWINGS

    [0037] The features of preferred, but not exclusive, embodiments of the dental implant of the present invention will be described in the following with reference to the appended tables of drawings, in which:

    [0038] FIG. 1, already mentioned in the foregoing, schematically illustrates the dental implant of the prior art described in document US2019/0021823;

    [0039] FIG. 2A is a schematic perspective view a possible preferred embodiment of the dental implant of the invention;

    [0040] FIG. 2B illustrates, schematically and in a perspective view rotated by 90, the dental implant of FIG. 2A;

    [0041] FIG. 3A illustrates the dental implant of FIG. 2A in a frontal view;

    [0042] FIG. 3B is the view along section plane I-I of FIG. 3A;

    [0043] FIG. 4A illustrates, according to a frontal view, the dental implant of FIG. 3A following a rotation by 90 about the relative vertical axis;

    [0044] FIG. 4B is the view along section plane II-II of FIG. 4A;

    [0045] FIG. 4C illustrates detail (K) of FIG. 4B in larger scale;

    [0046] FIG. 5A illustrates, in a frontal view, the dental implant of the present invention in a possible preferred embodiment;

    [0047] FIG. 5B illustrates, again in a frontal view, the dental implant of FIG. 5A following a rotation by 90 about the relative vertical axis;

    [0048] FIG. 5C illustrates, again in a frontal view, the dental implant of FIG. 5A following a rotation by more than 90 and less than 180 about the relative vertical axis;

    [0049] FIG. 5D illustrates, again in a frontal view, the dental implant of FIG. 5A following a rotation by 180 about the relative vertical axis;

    [0050] FIG. 6A illustrates the dental implant of FIG. 5A in a schematic perspective view;

    [0051] FIG. 6B illustrates the dental implant of FIG. 5A in another perspective view taken from another angle;

    [0052] FIG. 7 is a plan view from below in a plan view from below of the dental implant of FIG. 5A;

    [0053] FIG. 8 is a view according to a section plane transversal and perpendicular to the vertical axis of the dental implant of FIG. 5A.

    DESCRIPTION OF THE PREFERRED EMBODIMENTS

    [0054] With reference to the accompanying tables of drawings, reference numeral (100) denotes the dental implant implantable without a previous perforation of bone, object of the present invention, in its entirety.

    [0055] The dental implant (100) is made in such a way as to comprise a shank-shaped body (1) having a truncoconical shape or possibly a conical shape and having a first distal, or apical, end (11), which is destined to be implanted in an internal position in the bone, and a second proximal, or coronal end (12), destined to be positioned at the gum tissue, once the dental implant has been implanted in the bone.

    [0056] The dental implant (100) further comprises a housing (2), at the second proximal end (12), which is conformed for inserting and coupling a prosthetic element (not illustrated), such as for example an artificial tooth, and a tip (3), which is at the first distal end (11).

    [0057] It is also provided with a helical threading (4) having a cutting profile which winds with a series of spiral turns (40) about the shank-shaped body (1), and a series of recesses (5, 6), each realised, respectively, at a portion of a respective turn (40) of a series of spiral turns (40) of the helical threading (4). The special characteristics of the dental implant (100) of the present invention consist in the fact that: [0058] the helical threading (4) is realised starting directly from the end of the tip (3) in such a way that a first turn (41) of the helical threading (4) winds and extends about the tip (3), preferably starting from the end thereof, [0059] and in that each recess (5, 6) of the series of recesses (5, 6) is realised in such a way as to have an entirely concave surface without corners and/or edges so that the recesses (5, 6) of the series of recesses (5, 6) form a groove (50, 60) having a concave profile along the threading (4).

    [0060] Owing to the fact of having the initial part of the threading (4) directly at the tip (3), with a first turn (41) of the helical threading (4) winding and extending about the tip (3), and preferably starting from the end thereof, it is sufficient to position the tip (3) at the point on the bone tissue where it is intended to insert the dental implant and then set the dental implant in rotation so that it begins immediately to penetrate into the bone.

    [0061] The rotation of the dental implant is such that the turns of the threading penetrate immediately into the bone, generating corresponding mechanical coupling grooves for gripping and holding on the bone.

    [0062] In substance, the dental implant, owing to the presence of the threading already at the tip, performs both a self-drilling action and a self-tapping action, and it is not necessary to carry out any pressure or compression action thereon, but it is sufficient only to rotate it to enable the helical turns, by penetrating into the bone, to draw the implant into the bone, up to positioning it completely inserted into the bone with the relative second proximal (or coronal) end (12) positioned at the gum tissue.

    [0063] The truncoconical shape, or possibly conical shape, of the body (1) enables expanding the hole that is forming during the inserting and screwing-in of the dental implant into the bone and, at the same time, compacting the surrounding bone and expanding the bone in a horizontal direction.

    [0064] Possibly, for an optimal positioning of the tip of the dental implant at the point where it is to be implanted, and in order to define the inserting and screwing-in direction, a micro-hole can be performed which functions as a lead-in for the tip, or when the superficial part of the bone (known as cortical) is too hard and it is not possible to penetrate it.

    [0065] The fact that the recesses are realised in such a way as to have an entirely concave surface, i.e. without corners or edges (such as for example illustrated in FIG. 8), enables defining, along the threading, a sort of concave groove able to accommodate, internally thereof, the bone residues which form during the perforation and rotation of the implant, i.e. during the penetration of the cutting edges of the threading in the bone tissue.

    [0066] The creation, in the threads, of recesses having an entirely concave surface, with no corners or edges, further enables, in an entirely advantageous way, eliminating the onset of any friction or resistance forces present towards rotation of the implant, as there are no points constituting an abutment for the accumulation of bone residues, as occurs with the dental implant of the prior art described in document US2019/0021823 and illustrated in FIG. 1.

    [0067] Further, the concave profile of the recesses, and thus of the groove that the recesses form along the groove, does not have any cutting edge which might damage or compromise the shape of the grooves which are made in the bone by the turns of the threading during the rotation of the dental implant.

    [0068] Further, having eliminated almost 50% of the turn by the creation of the recesses, the surface of the turn and therefore the friction thereof during the penetration-perforation is reduced, further facilitating the screwing-in.

    [0069] Other advantageous characteristics of the dental implant of the invention are described in the following.

    [0070] In a preferred aspect, the recesses (5, 6) of the series of recesses (5, 6) are realised in such a way as to comprise a first series of recesses (5) defining a first groove (50) along the threading (4) and a second series of recesses (6) defining a second groove (6) along the threading (4).

    [0071] In particular, the first groove (50) and the second groove (60) extend, starting from the tip (3) towards the second proximal end (12), bilaterally along the threading (4) with respect to the vertical axis of the body (1) (see for example FIGS. 2A and 2B which are views of the dental implant rotated by 90 to illustrate the two grooves).

    [0072] In this preferred embodiment, the first series of recesses (5) and the second series of recesses (6) are realised in such a way as to form a first groove (50) and a second groove (60) which extend, starting from the tip (3) towards the second proximal end (12), bilaterally along the threading (4) with respect to the vertical axis of the body (1) and second respective straight pathways.

    [0073] In another possible preferred embodiment, the first series of recesses (5) and the second series of recesses (6) can be realised in such a way as to form a first groove (50) and a second groove (60) which extend, starting from the tip (3) towards the second proximal end (12), bilaterally along the threading (4) with respect to the vertical axis of the body (1) according to respective spiral-shaped pathways.

    [0074] This preferred embodiment is illustrated in figures from 5A to 5D which show views of the dental implant rotated by different rotation angles in order to highlight the presence of the two grooves, as also in FIGS. 6A and 6D.

    [0075] The first series of recesses (5) and the second series of recesses (6) can preferably be realised in such a way as to form a first groove (50) and a second groove (60) which extend, starting from the tip (3) towards the second proximal end (12), bilaterally along the threading (4) with respect to the vertical axis of the body (1) according to respective spiral-shaped anticlockwise pathways.

    [0076] In this regard, see in particular FIG. 7, where the anticlockwise spiral-shaped extension of the two grooves formed by the two series of recesses realised in the turns of the threading is clearly visible.

    [0077] This particular aspect, i.e. the spiral-shaped extension in the anticlockwise direction of the two grooves, as the dental implant is screwed into the bone by a rotation in the clockwise direction (right-turn), enables creating and defining volumes or empty spaces which follow the rotation of the turns of the threading and inside which, without being subjected to any friction force or resistance, the bone residues that form following the penetration of the cutting edges of the turns inside the bone can accumulate.

    [0078] In a preferred further aspect, the recesses (5, 6) of the series of recesses (5, 6) are realised starting from a portion of a first turn (41) of the threading (4) at the tip (3), up to in proximity of the second proximal end (12) of the body (1), without affecting, and therefore leaving intact and whole, at least the last two turns (42, 43) of the threading (4).

    [0079] This enables avoiding, once the dental implant has been completely screwed-in and inserted in the bone, with the relative second proximal (or coronal) end (12) positioned at the gum tissue, the presence of any passages or crevices in communication with the outside, since the two last turns (42, 43), which have remained whole, i.e. which have no recesses, constitute a sort of barrier.

    [0080] With the aim of further facilitating the penetration of the dental implant into the bone during the rotation thereof, of accumulating the bone residues and not creating an insurgence of any resistant force or friction, the recesses (5, 6) of the series of recesses (5, 6) can be realised in such a way as to have a growing depth, starting from a first turn (41) of the threading (4) at the tip (3) up to a turn of the threading (4) situated in a median position along the body (1) and so as to have, from the turn of the threading (4) situated in a median position along the body (1), a depth and a width that are decreasing towards the second proximal end (2) (this characteristic is for example visible in FIG. 3B).

    [0081] In a further aspect, the recesses (5, 6) of the series of recesses (5, 6) can be realised in such a way as to have a depth and a growing width, starting from a first turn (41) of the threading (4) at the tip (3) up to a turn of the threading (4) situated in a median position along the body (1) and so as to have, from the turn of the threading (4) situated in a median position along the body (1), a depth and a width that are decreasing towards the second proximal end (12) (this aspect is for example visible in FIG. 2A or in FIG. 6A).

    [0082] Still more advantageously, the recesses (5, 6) of the series of recesses (5, 6) can be realised in such a way as to have a depth and a width that grow, starting from a first turn (41) of the threading (4) at the tip (3) up to a turn of the threading (4) situated in a median position along the body (1) and so as to have, from the turn of the threading (4) situated in a median position along the body (1), a depth and a width that are decreasing towards the second proximal end (12).

    [0083] The dental implant is preferably made of titanium which is the most biocompatible material for bone tissue, being able to integrate with the surrounding bone, thus facilitate osteointegration and over time maintain its bond with the bone.

    [0084] The surface of the turns, as well as the surface of the shank-shaped body, in the parts thereof between the turns, can preferably be treated, wholly or in part, in such a way as to make them corrugated, so as to increase the capacity thereof to bond with the surrounding bone.

    [0085] The shank-shaped body can have a truncoconical shape with two degrees of conicity.

    [0086] The housing (2) in the second proximal end (12) can be conformed, not only to be able to receive a prosthetic element in a coupling, including for enabling the introduction therein of an instrument or tool utilisable for setting the dental implant in rotation and thus enable the inserting thereof by screwing-in the dental implant to the bone.

    [0087] The second proximal end (12) can be realised in such a way as to have a cylindrical shape.

    [0088] The threading (4) can be made in such a way as to have a pitch (a) of preferably 0.8 mm, with a variation comprised between 0.5 and 2 mm.

    [0089] The pitch of the threading can be constant along the whole body of the implant, or can vary.

    [0090] The threading can have one or more leads, for example two leads.

    [0091] The depth (b) of the threads is variable, and is preferably 0.6 mm for the turns in proximity of the second proximal end (12), 0.8 mm in the median part of the body (1) and 0.3 mm in proximity of the first end (11), i.e. in proximity of the tip (3).

    [0092] The depth of the turns can have a variation comprised between 0.1 and 1 mm. The angle () between the turns (40) of the threading (4) is of about 20 degrees, and can have a variation comprised between 10 and 30.

    [0093] The first turn (41) of the threading (4) is preferably located at 0.2-1 mm from the end of the tip (3).

    [0094] The diameter of the first turn (41) is preferably 1 mm and can be comprised between 0.5 mm and 2 mm.

    [0095] The diameter of the first distal end (11) in a tip shape (3) is preferably 0.6 mm, and can vary from 0.1 to 2 mm.

    [0096] The particular shape of the shank-shaped body, as well as the threading with the presence of the series of recesses enables the dental implant to self-screw inside the bone and to expand the bone itself during the insertion, as the bone is shifted laterally by the wedge effect of the truncoconical shape, or conical shape, of the body.

    [0097] The dental implant is self-drilling and self-tapping and enables the turns of the threading to make the grooves in the bone (i.e. to create the thread) during the rotation and inserting thereof into the bone.

    [0098] Thus, in substance, the dental implant creates, at the same time, a piercing, a threading and a screwing.

    [0099] This leads to a significant reduction in the inserting and positioning time of the implant.

    [0100] The implant can also be inserted in very slim bone crests, and enables the expansion of the bone crest to be obtained during the positioning thereof.

    [0101] As the dental implant is made of a biocompatible and osteo-integratable material, such as for example titanium, it can attain a high degree of bond with the surrounding bone and enables long-term functional load.

    [0102] It can therefore function both as a crest expander and as a permanent support root of the dental prosthesis.

    [0103] With its self-drilling and self-tapping properties, the dental implant enables maintaining the bone in the implant site without removing it.

    [0104] In this way the quantity and density of the bone surrounding the implant can be increased once completely inserted, thus accelerating healing and increasing the stability of the implant, so as to reduce healing times and not to have to subject the patient to more surgical operations.

    [0105] With the dental implant of the invention it is possible to obtain a compacting of the maxilla bone even in cases in which the bone density is poor or insufficient, and thus in any case obtain excellent implant stability once completely inserted.

    [0106] As the dental implant of the invention can be inserted and screwed directly into the bone without the prior use of instruments for realising a hole, and therefore without removal of bone from the site in which the implant is to be implanted, it enables maintaining the whole bone present in the bone structure.

    [0107] During the inserting-screwing-in of the dental implant of the invention, the bone is accumulated and strengthened by the rotation of the helical turns all about the surface of the body between the various threads and internally of the series of recesses (i.e. inside the grooves along the threading), thus determining an increase in the bone density precisely in the zone surrounding the implant.

    [0108] This leads to an increase in implant stability, also measurable by measuring instruments of the pair of screwing force.

    [0109] For this reason it is possible to reduce the times necessary for attaining bone healing and osteointegration, and therefore the waiting times for then positioning the prosthetic element (artificial tooth) in the housing of the second proximal end of the implant.

    [0110] Another advantage of the present invention consists in sparing the patient the terrible experience of drilling into the maxilla bone using drill bits.

    [0111] In fact, the maxilla bone is encased in the cranial bones and for this reason the patient undergoing drilling is subject to a sensation of drilling into the cranium itself.