Intraosseous dental implant
10939982 ยท 2021-03-09
Assignee
Inventors
Cpc classification
A61C8/006
HUMAN NECESSITIES
A61C2008/0046
HUMAN NECESSITIES
International classification
Abstract
Intraosseous dental implant comprising a shaft (11) provided with a first end (12), a second end (13) opposite the first end (12), and at least one threading (14) made on the external surface of the shaft (11).
Claims
1. Intraosseous dental implant comprising a shaft provided with a first end, a second end opposite the first end, and at least one threading made on the external surface of said shaft, wherein said shaft is defined by a first portion which extends from the first end toward the inside of said shaft, and by at least a second portion which extends from the first portion toward the second end, said first portion and said second portion each having a truncated cone shape with different angles of taper from each other, and said threading being provided on the first portion and on at least part of the second portion, wherein between said first portion and said second portion there is a shoulder that defines a discontinuity of the connection diameters between said first portion and said second portion, wherein said first portion, in the connection zone with said second portion, has a first diameter, wherein said second portion, in said connection zone with said first portion, has a second diameter, bigger than said first diameter, wherein said threading comprises a first portion of threading provided in said first portion, and a second portion of threading provided in said second portion, wherein said first portion of threading has a constant height of the crests of the threads, and wherein the height of the threads of said second portion of threading is greater in correspondence with said connection zone between said first portion and said second portion, and decreases as it moves toward said second end.
2. Dental implant as in claim 1, wherein said shoulder is defined by at least part of a thread of said threading.
3. Dental implant as in claim 2, wherein said part of a thread defines a helicoidal inclined plane with an angular amplitude less than a round angle.
4. Dental implant as in claim 1, wherein said first portion has a first taper angle and said second portion has a second taper angle, which has an amplitude smaller than that of said first taper angle.
5. Dental implant as in claim 4, wherein said first taper angle is comprised between 5 and 15, and said second taper angle is comprised between 1 and 10.
6. Dental implant as in claim 1, wherein said threading extends continuously from said first end into at least part of said second portion.
7. Dental implant as in claim 1, wherein the first portion of threading and the second portion of threading, in the connection zone between the first portion and the second portion, have the same external diameters.
8. Dental implant as in claim 7, wherein the threads of said first portion of threading have a triangular cross section, and wherein the threads of said second portion of threading have a cross section with a trapezoid shape.
9. Dental implant as claim 1, wherein said first portion has a length which is comprised between 55% and 80% of the length of said shaft, and wherein said second portion has a length comprised between 20% and 45% of the length of said shaft.
10. Dental implant as in claim 1, wherein said second portion is provided, in correspondence with said second end, with connection elements configured to allow the connection of accessory elements.
11. Dental implant as in claim 1, wherein the threading has a constant pitch along its entire development.
12. Dental implant as in claim 1, wherein the second portion of threading has an external diameter that is substantially constant along the longitudinal extension of the coronal portion.
13. Dental implant as in claim 1, wherein in the threading at least one groove is made that develops transversely to the development of the threads of the threading and defines a discharge channel.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) These and other characteristics of the present invention will become apparent from the following description of some embodiments, given as a non-restrictive example with reference to the attached drawings wherein:
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(7) To facilitate comprehension, the same reference numbers have been used, where possible, to identify identical common elements in the drawings. It is understood that elements and characteristics of one embodiment can conveniently be incorporated into other embodiments without further clarifications.
DETAILED DESCRIPTION OF SOME EMBODIMENTS
(8) We will now refer in detail to the various embodiments of the present invention, of which one or more examples are shown in the attached drawings. Each example is supplied by way of illustration of the invention and shall not be understood as a limitation thereof. For example, the characteristics shown or described insomuch as they are part of one embodiment can be adopted on, or in association with, other embodiments to produce another embodiment. It is understood that the present invention shall include all such modifications and variants.
(9) Embodiments described here using
(10) The shaft 11 can be made of biocompatible metal material, for example titanium.
(11) The shaft 11 has an oblong development along a longitudinal axis Z.
(12) The shaft 11 has an axial-symmetric shape to allow it to be screwed in.
(13) The shaft 11 can have a length G which, by way of example only, can be comprised between 5 mm and 25 mm, preferably between 6 mm and 21 mm.
(14) The shaft 11 is provided with a first end 12, hereafter also called apical end, and a second end 13, hereafter also called coronal end, which is opposite the apical end 12.
(15) Moreover, the shaft 11 is provided on its external surface with at least one threading 14 which extends for at least part of the length of the shaft 11, as described hereafter.
(16) In practice the shaft 11 defines the core diameter of the threading 14. From the shaft 11, therefore, the ridges of the threads of the threading 14 protrude, which is made in a single body with the shaft 11.
(17) The threading 14 can have a single start threading.
(18) It is not excluded that in possible solutions the threading 14 has two, as shown in
(19) According to a possible embodiment, the threading 14 has a constant pitch P along its entire development. In the case of a threading 14 with several starts, the pitch P of each of the starts are equal to each other.
(20) By way of example only, the pitch P of the threading 14 can be between 0.8 mm and 1.5 mm.
(21) The apical end 12 can have, in its end part, a tip portion 15 suitable to facilitate the insertion and screwing of the shaft 11 into the bone part of a patient.
(22) The threading 14 extends from the tip portion 15 and extends toward the coronal end 13.
(23) The tip portion 15 can have, by way of example only, a conical shape, with an angle of aperture of the cone y which, by way of example only, can be comprised between 100 and 130. This range of values allows to give the tip portion 15 sufficient resistance to the stresses to which it will be subjected during use.
(24) The tip portion 15 can have a length comprised between about 0.5 mm and about 2 mm, preferably between about 0.5 mm and about 1.5 mm.
(25) According to one aspect of the present invention, the shaft 11 is defined by a first portion 16, also referred to hereafter as apical portion, which extends from the apical end 12 toward the inside of the shaft 11, and by at least a second portion 17, hereafter also called coronal portion, which extends from the apical portion 16 toward the coronal end 13.
(26) In some embodiments, the apical portion 16 has a length L1 which is comprised between 55% and 80% of the length G of the shaft 11.
(27) In other embodiments, the coronal portion 17 has a length L2 which is comprised between 20% and 45% of the length G of the shaft 11.
(28) The apical portion 16 and the coronal portion 17 each have a truncated cone shape, in which the taper of the apical portion 16 is different from the taper of the coronal portion 17.
(29) Moreover, the threading 14 extends continuously from the apical end 12 into at least part of the coronal portion 17.
(30) In particular, the apical portion 16 has a first taper angle while the coronal portion 17 has a second taper angle , with a width smaller than that of the first taper angle .
(31) In particular, the apical portion 16 has a taper which opens, that is, widens from the apical end 12 toward the inside of the shaft 11, while the coronal portion 17 has a taper which opens from the connection zone with the coronal portion 17 toward the coronal end 13.
(32) This characteristic allows to equally distribute the torsion stresses which arise during the screwing of the shaft 11, both in the apical portion 16 and also in the coronal portion 17.
(33) Moreover, the difference in the taper also allows to obtain a threading 14 with a depth of the crests of the thread differentiated between the apical portion 16 and the coronal portion 17, as described below. This characteristic allows to increase the action of adhesion of the threading 14 on the bone part, distributing the screwing stresses thereof.
(34) The tapers of the apical portion 16 and of the coronal portion 17 are determined with respect to the longitudinal axis Z, that is, they are defined by the angle comprised between the apothem of the truncated cone and the longitudinal axis Z.
(35) According to one embodiment, the first taper angle is between about 5 and about 15, preferably between 5 and 10.
(36) According to a possible embodiment, the second taper angle is comprised between about 1 and about 10, preferably between 1.5 and 6.
(37) According to possible solutions, between the apical portion 16 and the coronal portion 17 there is a shoulder 18 which defines a discontinuity of the connection diameters between the apical portion 16 and the coronal portion 17.
(38) In particular, it can be provided that the apical portion 16, in the connection zone with the coronal portion 17, has a first diameter D1 of its core, and that the coronal portion 17, in the connection zone with the apical portion 16, has a second diameter D2 of its core, greater than the first diameter D1 defined above.
(39) By way of example only, the ratio between the first diameter D1 and the second diameter D2 can be comprised between 0.5 and 0.9, preferably between 0.6 and 0.8.
(40) According to possible solutions, the shoulder 18 is located in direct continuity with the apical portion 16 and the coronal portion 17.
(41) In accordance with a possible solution of the present invention, the shoulder 18 can be defined by at least part of a thread 19 of the threading 14. This configuration allows to define a continuity of the threading 14 between the apical portion 16 and the coronal portion 17, and therefore allows to have screwing continuity between the apical portion 16 and the coronal portion 17.
(42) In the case of a threading 14 with several starts, the shoulder 18 can be defined by several parts of thread 19 of each start of threading 14.
(43) Moreover, the at least one part of thread 19 makes it possible to increase the resistance to stresses of the zone comprised between the apical portion 16 and the coronal portion 17. This allows to increase the clamping torque of the dental implant 10 to the bone of the patient.
(44) In accordance with a possible solution, the part of thread 19 defines a helical inclined plane with an angular amplitude of less than a round angle, merely by way of example comprised between 270 and 340. This allows to increase the anchoring action of the implant and prevents the stresses which the coronal portion 17 has to bear from being transmitted also toward the apical portion 16. In this way a homogeneous distribution of stresses is obtained.
(45) In accordance with possible solutions, the threading 14 comprises a first threading portion 20 which is provided in the apical portion 16 and a second threading portion 21 which is provided in the coronal portion 17.
(46) The first threading portion 20 and the second threading portion 21 can comprise one or more threading starts as defined above.
(47) The first threading portion 20 and the second threading portion 21 can each have at least two threading pitches along their longitudinal extension.
(48) According to a possible solution, the first threading portion 20, provided in the apical portion 16, has an external diameter which is variable in a conical manner along the longitudinal extension of the apical portion 16.
(49) The taper angle of the first threading portion 20 can be substantially the same as the first taper angle .
(50) According to this embodiment, the height of the crests of the threads, which protrude from the apical portion 16, of the first threading portion 20, is constant. In this way the apex has a spiral with a conical profile which facilitates the insertion of the dental implant 10. Furthermore, the first threading portion 20 thus obtained accentuates the self-threading effect of the dental implant 10 itself.
(51) In accordance with possible solutions, the threads of the first threading portion 20 have a height H between comprised 0.8 mm and 1.2 mm.
(52) In accordance with possible embodiments (
(53) The triangular profiles of the threads of the first threading portion 20 can have an angle at the vertex E which is comprised between about 10 and about 40.
(54) According to a possible solution, the second threading portion 21 has an external diameter which is substantially constant along the longitudinal extension of the coronal portion 17.
(55) In this way, since the coronal portion 17 has a truncated cone shape, the height of the threads of the second threading portion 21 is greater in correspondence with the connection zone between the apical portion 16 and the coronal portion 17 and decreases as it moves toward the coronal end 13. In this way, the spiral is progressive, guaranteeing a better distribution of the occlusal load when the dental implant 10 is osseointegrated.
(56) In accordance with a possible solution, shown in
(57) The trapezoidal shape allows to transfer the anchoring action of the dental implant 10 deep into the bone part.
(58) The sides of the trapezium defining the sides of the thread are inclined with respect to an axis orthogonal to the longitudinal axis Z by an angle comprised between about 20 and about 40.
(59) According to a possible solution, the first threading portion 20 and the second threading portion 21, in the connection zone between the apical portion 16 and the coronal portion 17, have the same external diameters. The first threading portion 20 and the second threading portion 21 therefore develop continuously, that is, without sudden variations in the external diameters, along the longitudinal extension of the shaft 11.
(60) On the external surface of the shaft 11, at least one groove 22 (
(61) The groove 22 can have a spiral development with a pitch of the helix greater than that of the threading 14, for example equal to or greater than 5 times the pitch P of the threading 14.
(62) According to possible solutions, the coronal portion 17 is provided with a cylindrical zone 23 located in correspondence with the coronal end 13 and without the threading 14.
(63) The cylindrical zone 23 can have a diameter D comprised between 3 mm and 6 mm.
(64) The cylindrical zone 23 is then followed by the truncated cone shape defined above for the coronal portion 17.
(65) According to possible solutions, the coronal portion 17 is provided, in correspondence with the coronal end 13, with connection elements 24 (
(66) According to possible solutions, the connection elements 24 comprise a connection seating 25 which extends substantially parallel to the longitudinal axis Z.
(67) The connection seating 25 is made open toward the coronal end 13 and develops toward the inside of the shaft 11.
(68) The connection seating 25 is provided with at least a threaded portion 26 configured to allow the screwing, for example with threaded elements, of the abutment.
(69) The connection seating 25 is also provided with a positioning portion 27 having a polygonal cross section shape, for example octagonal, or hexagonal.
(70) The positioning portion 27 allows both to act with screwing tools on the shaft 11 to provide for the screwing of the latter, and also allows to position the abutment according to a very precise angular position with respect to the longitudinal axis Z.
(71) In particular, the stump can also be provided with a mating positioning portion configured to be inserted in the positioning portion 27 of the connection seating 25.
(72) The positioning portion 27 is particularly effective when inclined stumps are used.
(73) The connection seating 25 can be provided with a truncated cone portion 28 located between the positioning portion 27 and the coronal end 13 and configured to allow to position the stump.
(74) The truncated cone portion 28 can have a taper angle comprised between 10 and 25.
(75) The threaded portion 26 is disposed in a more internal position with respect to the positioning portion 27 and to the truncated cone portion 28, and the positioning portion 27 is interposed between the threaded portion 26 and the truncated cone portion 28.
(76) According to another aspect of the present invention, the coronal end 13 has an end surface 29 which is substantially flat and is disposed orthogonal to the longitudinal axis Z.
(77) An annular recess 30, located recessed in the thickness of the shaft 11, is made in the end surface 29.
(78) The annular recess 30 is coaxial with the longitudinal axis Z and with the connection seating 25.
(79) The annular recess 30 can have a thickness comprised between 0.2 mm and 1 mm.
(80) The annular recess 30 allows to increase the surface available for regeneration of the bone and/or of the tissue by about 30%.
(81) The annular recess 30 generates a free space in proximity to the connection which is filled by a coagulum so as to recreate a reshaped bone tissue and not a fibrous tissue or connective gingival tissue, as shown, for example, by histologies of implants positioned juxta-crestal in the upper jaw.
(82) It is clear that modifications and/or additions of parts can be made to the dental implant 10 as described heretofore, without departing from the field and scope of the present invention.
(83) By way of example, it can be provided that the transition zone between the apical portion 16 and the coronal portion 17 does not have the shoulder 18, for example by providing that, in the connection zone between the apical portion 16 and the coronal portion 17, the maximum diameter of the apical portion 16 corresponds with the minimum diameter of the coronal portion 17.
(84) It is also clear that, although the present invention has been described with reference to some specific examples, a person of skill in the art shall certainly be able to achieve many other equivalent forms of dental implant 10, having the characteristics as set forth in the claims and hence all coming within the field of protection defined thereby.
(85) In the following claims, the sole purpose of the references in brackets is to facilitate reading: they must not be considered as restrictive factors with regard to the field of protection claimed in the specific claims.