Method for producing a dental restoration
10842599 ยท 2020-11-24
Assignee
Inventors
Cpc classification
C04B2235/3225
CHEMISTRY; METALLURGY
C04B2235/604
CHEMISTRY; METALLURGY
C04B2237/582
CHEMISTRY; METALLURGY
B32B18/00
PERFORMING OPERATIONS; TRANSPORTING
C04B2235/72
CHEMISTRY; METALLURGY
A61C13/09
HUMAN NECESSITIES
C04B2235/3217
CHEMISTRY; METALLURGY
C04B2235/3272
CHEMISTRY; METALLURGY
A61C13/0004
HUMAN NECESSITIES
A61C13/0022
HUMAN NECESSITIES
International classification
Abstract
The invention relates to a method for the production of a dental restoration from a blank, which has regions or layers of ceramic materials with differing compositions, under use of the method steps, filling of the ceramic materials into a mold, pressing of the ceramic materials to form a blank, removal of the blank from the mold, temperature treatment of the blank, wherein the ceramic materials are filling into the mold in such a way that layers and/or regions after temperature treatment have a profile that is available as a digital set. There is then a virtual contouring of the dental restoration taking shrinkage into account, a virtual representation of the blank, positioning of the virtually represented dental restoration in the virtually represented blank taking into account the material characteristics of the layers and/or regions, determination of the data for the blank which correspond to the position of the virtually arranged dental restoration or the mold in the blank, as well as transfer of the data to a machine to produce the dental restoration from the blank.
Claims
1. A method for the production of a dental restoration from a blank, which has regions or layers of ceramic materials with differing compositions, comprising: a) filling of a first layer of a first ceramic material in pourable condition into a mold, b1) structuring the first layer in such a way that the first layer when viewed across its surface differs from region to region in its height, and then as a second layer filling into the mold a second ceramic material in pourable condition with a composition that is different from that of the first layer, or b2) after filling of the first layer, filling a further layer of a further ceramic material in pourable condition into the mold, which differs from the first ceramic material, mixing material of the first layer with the material of the further layer to form an intermediate layer, and then filling a second ceramic material into the mold, or b3) after filling the first layer forming of at least one first open cavity in the first layer and then filling a second ceramic material into the at least one first open cavity, wherein the ceramic materials contain zirconium dioxide doped with yttrium oxide (Y.sub.2O.sub.3), calcium oxide (CaO), magnesium oxide (MgO) and/or cerium oxide (CeO.sub.2), and wherein the material of the first layer (14) differs from the material of the second layer (24) in terms of color and proportions of stabilized crystal forms present at room temperature, c) pressing of the ceramic materials to form a blank, d) removal of the blank from the mold, e) temperature treatment of the blank, wherein in accordance with the method steps a)+b1), or a)+b2), or a)+b3) the ceramic materials are filled into the mold and/or treated in the mold in such a way that layers and/or regions after the temperature treatment exhibit a pre-determined course that is available as a digital data set, f) virtual designing the dental restoration or a form that corresponds to the dental restoration taking shrinkage into account, g) virtual representation of the blank, positioning of the virtually represented dental restoration or the form in the blank, taking into consideration the material properties of the layers and/or regions, h) determining data for the blank that corresponds to the position of the virtually arranged dental restoration or the form in the blank, i) transferring data to a machine to derive the dental restoration or the form from the blank.
2. The method according to claim 1, wherein several first open cavities are formed in the layer of the first ceramic material, and the second ceramic material is filled into said cavities.
3. The method according to claim 1, wherein at least some of the plurality of the first open cavities have differing internal geometries.
4. The method according to claim 1, wherein at least the second ceramic material is colored with at least one coloring oxide of elements from the group Pr, Er, Tb, Fe, Co, Ni, Ti, V, Cr, Cu, Mn, preferably Fe.sub.2O.sub.3, Er.sub.2O.sub.3 or Co.sub.3O.sub.4.
5. The method according to claim 1, wherein the material used for the first and/or second ceramic material is one in which the percentage of yttrium oxide in the first material is 7.0 wt % to 9.5 wt % and/or the percentage of yttrium oxide in the second and/or further ceramic material is 4.5 wt % to 7.0 wt %, wherein the percentage of yttrium oxide in the first ceramic material is higher than that in the second or further ceramic material.
Description
BRIEF DESCRIPTION OF THE DRAWINGS FIGURES
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DETAILED DESCRIPTION OF THE INVENTION
(26) The teaching according to the invention is described by reference to the Figures, in which the same elements are essentially provided with the same reference symbols. On the basis of this teaching, in particular, dental restorations are produced from a ceramic material which has a monolithic structure such that an immediately usable, monolithic tooth replacement is available.
(27) For this purpose, the invention provides for a blank to be produced which has regions of ceramic materials with differing compositions and thus properties, through which, in particular optical and mechanical properties, as required for the restoration, can be obtained. Thus, offering the possibility of using the monolithically produced dental tooth replacement immediately after complete sintering, without the need, for example, to apply an incisal edge by hand and firing.
(28) It is also possible to achieve desired strength values in the regions in which high loads occur. Desired optical properties are achievable, as well.
(29) The production of a blank from which a dental restoration can be produced, in the example embodiment, a tooth is described with reference to
(30) Thus, a pourable granular material in the form of a first ceramic material 14, which is, in particular, an yttrium oxide-stabilized zirconium dioxide, which may have the following composition in percentage by weight, is initially filled into a mold 10 of a pressing tool 12:
(31) TABLE-US-00003 HfO.sub.2 <3.0 Al.sub.2O.sub.3 <0.3 Y.sub.2O.sub.3 7.0 to 9.5 Color-imparting oxides: 0-1.5 Technically caused unavoidable 0.2 (such as SiO.sub.2, F.sub.2O.sub.3, Na.sub.2O) components ZrO.sub.2 100 (Y.sub.2O.sub.3 + Al.sub.2O.sub.3 + HfO.sub.2 + color-imparting oxides + technically caused unavoidable components)
(32) A binding agent may also be added and is not taken into consideration in the above percentage by weight values.
(33) In particular, however, it is provided that the composition does not contain color-imparting oxides or contains them only in small quantities, e.g. s 0.5% by weight, since the first ceramic material 14 is used as the incisor material so that a high translucency is desired. The relatively high percentage of yttrium oxide ensures that the tetragonal crystal phase fraction is only 50 to 60% in the prepared mold part, i.e. the dental restoration, and the remainder is the cubic and monoclinic crystal phase.
(34) Then an open cavity 18 is formed by means of a press plunger 16 in a material 14 or the layer formed by it. By means of the press plunger, the material 14 is displaced or slightly compressed. After the cavity 18 is formed (
(35) TABLE-US-00004 HfO.sub.2 <3.0 Al.sub.2O.sub.3 <0.3 Y.sub.2O.sub.3 4.5 to 7.0 Color-imparting oxides: 0-1.5 Technically caused unavoidable 0.2 (such as SiO.sub.2, F.sub.2O.sub.3, Na.sub.2O) components ZrO.sub.2 100 (Y.sub.2O.sub.3 + Al.sub.2O.sub.3 + HfO.sub.2 + color-imparting oxides + technically caused unavoidable components)
(36) A coloring oxide or oxides fraction should be present to a degree that a desired tooth color results, since the dentin of the tooth to be produced is formed from the second ceramic material 20. The relatively low content of Y.sub.2O.sub.3 also ensures that the fully sintered tooth replacement has a high tetragonal phase content of at least 85%, preferably of at least 90%, so that a high strength results.
(37) After filling the second ceramic material 20 into the cavity 18 (
(38) With regard to the materials 14, 20, these should have a bulk density between 1 g/cm.sup.3 and 1.4 g/cm.sup.3. After pressing the density is approximately 3 g/cm.sup.3.
(39) The representation of
(40) As can be seen from
(41) In the cavity 18, which is open on the bottom side, and filled completely with the material 20 it is however, according to
(42) Irrespective of whether the second cavity 26 is present or not, following pressing a pre-sintering of the blank 28 is carried out at a temperature, in particular in the range between 800 C. and 1000 C., for a period of time between 100 minutes and 150 minutes. In the process, debinding takes place first, followed by pre-sintering. The density of the blank 28 after pre-sintering is about 3 g/cm.sup.3. The fracture strength of the pre-sintered blank 28 should be between 10 MPa and 60 MPa.
(43) The blank 28 is provided with a holder 30 to fix the blank 28 to, for example, a milling or grinding machine to obtain derive a dental restoration, such as a tooth, from the blank 28, as described with reference to
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(45) On the basis of the teaching according to the invention, it is possible to form a blank 48 with a plurality of regions 52, 54, 56 (
(46) As can be seen in particular from
(47) The base region 35, or the base surface delimiting it on the bottom side, merges flush with the underside or bottom surface 33 of the first region 32.
(48) To produce the blank sections 52, 54, 56, also referred to as nests, corresponding open cavities are required in the layer produced from the first material 14 and designated as the first region 50, with the filling of the pourable second ceramic material 20 into the cavities in the manner previously described, followed by pressing of the materials 14, 20 together, i.e. compacting them.
(49) With regard to the physical properties of the materials 14, 20, in addition to a different translucency and strength, they should also have thermal expansion coefficients which differ from one another. In particular, the invention provides that after complete sintering, the first ceramic material 14 has a coefficient of thermal expansion which is 0.2 m/m*K to 0.8 m/m*K lower than the second region 38, 52, 54, 56 formed from the second ceramic material 20. As a result, a compressive stress is produced in the first region 50, i.e. in the incisor material, which leads to an increase in the strength.
(50) The blanks 28, 48, can have a cuboid shape, for example with the dimensions 181525 mm, or a disk shape, for example with a diameter of 100 mm, without thereby limiting the teaching according to the invention. Thereby, as described with reference to
(51) The position of one or more second regions 52, 54, 56, i.e. the nests, which may have different geometries, are known and can be stored as a data set. Then, the restorations to be produced, which are present as CAD data sets, are positioned relative to and in the blank sections so that the tooth replacement can be derived from the blank by milling and/or grinding.
(52) The following method is provided according to the teaching of the invention, explained in more detail with reference to
(53) A blank is shown in
(54) The profile of the regions or layers 32, 34 and the cavity 26 in the blank 28 is known on the basis of the method steps carried out and previously defined so that the profile and the position of the layers 32, 34 is stored in a data set on the basis of which the blank 28 can be displayed virtually.
(55) The data of the tooth 144, which has been designed three-dimensionally by using a suitable software, a so-called CAD program, are also known. To produce the tooth 144 from the blank 28, the virtual model 244 of the tooth 144 is positioned in the virtual model 228 of the blank 28, as shown in
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(57) In other words, from the knowledge of the profile of the real regions 32, 34 in the blank 28, the virtual model 228 is generated in which the virtually generated tooth 244 is placed such that in the example embodiment the incisal and dentin regions extend in the regions or layers of the virtual blank and thus real blank in the production of the tooth 144, so that the incisal and dentin regions of the tooth 144 produced meet requirements, for example in terms of translucency and strength to the degree required.
(58) A monolithic restoration is made available on the basis of the teaching according to the invention which in principle does not require post-processing, in particular not the veneers required in the incisal region according to the prior art.
(59) Corresponding to the teaching according to the invention, restorations can also be produced from a blank which, as shown in
(60) However, it is also possible, by way of departure from the method described above, to produce blanks which have layers or regions that have differing compositions to achieve desired properties such as translucency or strength. Thus, it is possible to fill a first layer into a mold, which surface is then structured before a second layer is filled which has a composition different to that of the first layer. The materials themselves are, in particular, those which have been described with respect to
(61) An alternative possibility is that, after the first layer has been filled, a further layer of a ceramic material is filled into the mold which differs from the ceramic material of the first layer. The material of the first layer is then mixed with that of the further layer to form an intermediate layer.
(62) Subsequently, a layer which similarly differs in composition from that of the first layer and preferably corresponds to the material used for the further layer is then laid onto the intermediate layer thus formed.
(63) With regard to the materials, reference is also made to previous descriptions.
(64) The production of corresponding blanks is now explained in more detail with reference to
(65) According to
(66) TABLE-US-00005 HfO.sub.2 <3.0 Al.sub.2O.sub.3 <0.3 Technically caused unavoidable 0.2 (such as SiO.sub.2, F.sub.2O.sub.3, Na.sub.2O) components Y.sub.2O.sub.3 4.5 to 7.0 Color-imparting oxides: 0-1.5 ZrO.sub.2 = 100 (Y.sub.2O.sub.3 + Al.sub.2O.sub.3 + HfO.sub.2 + unavoidable components + color-imparting oxides)
(67) Subsequently, a second layer 324 is filled into the mold 310 (
(68) TABLE-US-00006 HfO.sub.2 <3.0 Al.sub.2O.sub.3 <0.3 Technically caused unavoidable 0.2 (such as SiO.sub.2, F.sub.2O.sub.3, Na.sub.2O) components Y.sub.2O.sub.3 7.0 to 9.5 Color-imparting oxides: 0-1.5 ZrO.sub.2 = 100% (Y.sub.2O.sub.3 + Al.sub.2O.sub.3 + HfO.sub.2 + unavoidable components + color-imparting oxides)
(69) The materials of the layers are naturally interchangeable, i.e. the material of the first layer described above can be that of the second and vice versa.
(70) The color-imparting oxides are in particular those from the group Pr, Er, Fe, Co, Ni, Ti, V Cr, Cu, Mn, Tb, preferred Fe.sub.2O.sub.3, Er.sub.2O.sub.3 or CO.sub.3O.sub.4.
(71) If the first layer 314 preferably has a height which corresponds to half the total height H of the first and second layers 314, 324, then the height of the first layer 314 can also be H to H and thus that of the second layer 324 H to H.
(72) The smoothed surface is then structured according to step b). For this purpose, for example, a disk-shaped, plate-shaped or web-shaped element 316 is used, which in the example embodiment has a toothed geometry on the layer side, so that a corresponding negative structure is formed in the surface 318 of the layer 314 by displacing material. This structure presents as concentric-extending elevations with surrounding valleys. The distance between elevation (peak) and the valley (depression), i.e. the clear distance between the projection 320 and the valley bottom 322 according to
(73) In particular, it is provided that the structure is formed in such a way that the volume of the elevations is equal to, or approximately equal to, the volume of the depressions or valleys.
(74) Since the material of the second layer 324 penetrates into the bases of the valleys 326 in the surface 318 of the layer 314, there is a continuous transition between the properties of the layer 314 and the layer 324, after the layers 324, 314 have been pressed according to
(75) The layer 324 consists of a material that is different to that of the layer 314. The difference in particular lies in the color additives and in the percentage of yttrium oxide. This is selected such that the proportion of the cubic crystal phase in the layer 324 after the pre-sintering is significantly greater than that in the layer 314. In the layer 314, the tetragonal crystal phase fraction is more than 85%, while the cubic crystal phase fraction in layer 324 is between 30% and 49%. The remainder is essentially the tetragonal crystal phase.
(76) These different crystal phase fractions are due to the fact that the yttrium oxide percentage is between 4.5% and 7% in the layer 314 and between 7 wt % and 9.5 wt % in the layer 324, whereby the percentage in the first layer 314 is less than in the second layer 324.
(77) The color oxide content in the layer 324 is reduced compared to the layer 314, and should be in the range between 0.0 and 0.5 wt %, preferably between 0.005 and 0.5 wt %. As a result of this measure, there is a continuous color transition between the layers 314 and 324. Due to the higher yttrium oxide content, the layer 324 has a lower flexural strength and also a higher translucency than the layer 314.
(78) The layer 314 has the highest strength, where the heavily loaded regions of the dental replacement to be derived from the blank are located in the case of bridges in particular the connector undersides, as shown in
(79) The layers 314, 324 are pressed by means of a punch 330, wherein the pressing takes place at a pressure between 1000 bar and 2000 bar.
(80) The pourable material, i.e. in that state in which it is filled into the mold 310, has a bulk density of between 1 g/cm.sup.3 and 1.4 g/cm.sup.3. After pressing, the density is approximately 3 g/cm.sup.3.
(81) The structuring yields a density of up to 2 g/cm.sup.3 in the transition region between the non-mixed regions of the first and second layers 314, 324 before the layers 314 and 324 are compressed. The transition region can also be referred to as middle layer 328.
(82) After pressing, the produced blank 333 is ejected from the mold 310 and pre-sintered in the customary manner at a temperature of between 800 C. and 1000 C. over a period between 100 minutes and 150 minutes. A corresponding blank is also shown in
(83) If a tooth replacement is milled from the blank 333, in the example embodiment a bridge 334, the milling program is designed in such a way that the lower region of the bridge 334 extends, in particular, in the region of the connector bases 336 into the layer 314 with the highest flexural strength. The incisal region 340 of the bridge, on the other hand, extends in the layer 324.
(84) In the transition region, i.e. in the middle layer 328, in which the quasi-continuous or continuous transition between the layers 314 and 324 takes place, there is the transition between dentin and incisor. The dentin extends in the region 314.
(85) The substantial features of the teaching according to the invention are again described with reference to
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(87) Measurements of fully sintered layers 314 and 324 in accordance with DIN ISO 6872 have shown that the flexural strength GB in layer 314, in which more than 80% of the tetragonal crystal phase of zirconium dioxide is present, is approximately 1000 MPa. In contrast, the flexural strength in the layer 324, in which 30 to 49% cubic crystal phase is present, is approximately 660 MPa.
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(89) With reference to
(90) Thus, according to