DENTAL SCREW

Abstract

The invention relates to a screw, which is used specifically in the field of oral dental surgery. The screw consists of a bioresorbable material and comprises a drive that can be broken off by means of a predetermined breaking point and/or has a thickened shaft below the contact surface of a cap of the head of the screw.

Claims

1. A screw for fixing an implant, whereby the screw consists of a bioresorbable material, whereby the screw comprises a thread for screwing it into the bone, whereby the screw comprises a head with a cap and a drive, whereby the cap comprises a preferably essentially flat contact surface for the implant, and whereby a predetermined breaking point is present between the drive and the cap.

2. The screw according to the preceding claim, characterised in that the predetermined breaking point is designed as a constriction, preferably as a constriction whose smallest diameter is smaller than the smallest diameter of the shaft, in particular a constriction comprising a diameter that is 0.70 to 0.99 times, preferably 0.90 to 0.99 times, the diameter of the shaft.

3. The screw according to any one of the preceding claims, characterised in that the cap is provided to be plate-shaped, preferably in that the cap comprises a maximum height up to the predetermined breaking point of less than 2 mm, more preferably of less than 1 mm and particularly preferably of less than 0.8 mm.

4. The screw according to any one of the preceding claims, characterised in that the screw comprises a shaft, whereby the smallest diameter of the shaft is at most as large as the core diameter of the thread, in particular in that the smallest diameter of the shaft is equivalent to the core diameter of the thread.

5. The screw according to any one of the preceding claims, characterised in that the thread has a self-tapping tip.

6. The screw according to any one of the preceding claims, characterised in that the cap has a diameter of 1 to 6 mm, preferably of 2 to 4 mm and/or in that the diameter of the cap is 1.5 to 5 times, preferably 2 to 4 times the diameter of the shaft and/or core of the thread and/or in that the pitch of the thread is 0.5 to 1.6 mm and/or in that the teeth of the thread are designed to be flat on the outside and/or in that the teeth of the thread are designed appropriately such that the tooth base merges rounded into the tooth flanks and/or in that the screw comprises a centring tip.

7. The screw according to any one of the preceding claims, characterised in that the screw consists of magnesium or of a magnesium alloy, in particular a magnesium alloy containing yttrium, zinc, manganese and/or calcium.

8. The screw according to any one of the preceding claims, characterised in that the screw comprises a coating, in particular a coating made of magnesium fluoride.

9. A screw, in particular a screw according to any one of the preceding claims, whereby the screw consists of a bioresorbable material, whereby the screw comprises a thread for screwing it into the bone, whereby the screw comprises a head with a cap and a drive, whereby the cap comprises a preferably essentially flat contact surface for the implant, whereby a shaft of the screw thickens towards the cap.

10. The screw according to the preceding claim, characterised in that the shaft comprises a cone-shaped, in particular truncated cone-shaped, section adjacent to the head.

11. The screw according to the preceding claim, characterised in that the angle of the cone-shaped section becomes steeper in a transition region towards the cap, with respect to a central axis, in particular in that the transition region is designed as a radius.

12. The screw according to the preceding claim, characterised in that the transition region has a length of 0.5 to 2 mm.

13. The screw according to any one of the claims 9 to 12, characterised in that the screw comprises, below the cap, a cone-shaped section which is at an angle of 20 to 40, preferably of 35 to 45, with respect to the central axis of the screw, and/or which has a length of 0.2 to 10 mm, preferably of 0.4 to 0.6 mm.

14. A kit including at least one screw according to any one of the preceding claims and an implant, in particular an implant designed as a sheet-like structure.

15. The kit according to the preceding claim, further comprising a pilot drill, which preferably has approximately the same diameter as the shaft of the screw, and/or an adapter for holding a screw, whereby the adapter comprises a coupling for connection to a handpiece or to a dental drill, and/or a holder for a plurality of screws.

Description

SHORT DESCRIPTION OF THE DRAWINGS

[0075] The invention shall be illustrated in more detail in the following through reference being made to exemplary embodiments based on the drawings FIG. 1 to FIG. 9.

[0076] FIG. 1 is a side view of a first embodiment of a screw, which is designed in particular for oral surgery, in particular for attaching sheet-like structures, such as collagen membranes or magnesium foils.

[0077] FIG. 2 is a top view onto the tip of the screw.

[0078] FIG. 3 is a sectional view along A-A according to FIG. 2.

[0079] FIG. 4 is a sectional view along B-B of FIG. 1.

[0080] FIG. 5 is a sectional view of another exemplary embodiment of a screw. This is designed to be longer and in particular for attachment of blocks that are used to fill bone defects.

[0081] FIG. 6 is a magnified view of FIG. 5.

[0082] FIG. 7 schematically shows how an implant can be attached with one of the screws.

[0083] FIG. 8 and FIG. 9 show an embodiment of a screw that can be hammered in.

[0084] FIG. 10 and FIG. 11 show an adapter for one of the screws that can be coupled to a dental drill or a manual screwdriver.

DETAILED DESCRIPTION OF THE DRAWINGS

[0085] FIG. 1 is a side view of a screw 1 according to a first exemplary embodiment of the invention.

[0086] In general, the screws are preferred to have a total length (including head 2 with drive 7) of 3 to 20 mm. The shorter version shown here by comparison to FIG. 5 and FIG. 6 is preferred to have a total length of 5 to 10 mm.

[0087] The screw 1 comprises a head 2, which consists of the cap 5 and the drive 7. Adjacent to the head 2, there is a shaft 4 which merges directly into the thread 3 in the present exemplary embodiment.

[0088] The cap 5 is designed to be plate-shaped and is rounded at the top 9 in the present embodiment.

[0089] The bottom side forms a preferably flat contact surface 6 which secures the implant when used as intended.

[0090] The drive 7 is adjacent to the cap 9.

[0091] The drive 7 can be used to insert the screw 1 into a handling tool (not shown). The drive 7 is preferably secured by the handling tool such that it cannot fall out.

[0092] Between the top side 9 of the cap 5 and the drive 7, there is a constriction that forms a predetermined breaking point 8.

[0093] The diameter of the screw 1 is the smallest in the region of the predetermined breaking point 8.

[0094] In particular, the predetermined breaking point 8 can comprise a diameter that is 5 to 10% smaller than the thinnest point of the shaft 4 or of the diameter of the root of thread of thread 3.

[0095] The breaking point 8 is located directly adjacent to the cap 5 such that only the cap 5, which is then flat, remains after the drive 7 is broken off.

[0096] From the predetermined breaking point 8, which may be designed in particular as a radius, the diameter of the screw 1 increases in the direction of the drive 7, in this embodiment in the form of a truncated cone in the region 21 with a point angle of for example 40 to 80.

[0097] The thread 3 is designed to be single-flight. The thread flight 16 preferably runs less than 10, particularly preferably less than 6, times around the core. This allows the screw 1 to be screwed in by few turns.

[0098] The tip 17 of the screw 1 is designed to be self-tapping on the one hand and is provided with the blade 14. The thread flights are made in the bone by means of the blade 14 when the screw 1 is being screwed into a pre-drilled drill hole.

[0099] Moreover, the tip 17 has a centring cone 13 which has a surface line in the present exemplary embodiment that has a steeper angle with respect to the central axis 23 of the screw 1 than the cutting edge 22 of the blade 14.

[0100] The cutting edge 22 can, in particular, have an angle of 10 to 30 with respect to the central axis 23.

[0101] In the present exemplary embodiment, the thread 3 extends almost to the head 2 of the screw 1. In the present exemplary embodiment of a screw 1, the cone-shaped section 10 of the shaft 4 is directly adjacent to the thread 3.

[0102] Adjacent to the bottom side, i.e. the contact surface 6 of the cap 5, the diameter of the shaft 4 increases originating from the thread 3 in the direction of the cap 5.

[0103] The present exemplary embodiment provides a cone-shaped section 10, which preferably has a surface line with an angle of 20 to 40 with respect to the central axis 23.

[0104] The diameter of the shaft 4 increases in the region of the cone-shaped section 10, preferably to be 1.2 to 1.7 times the smallest diameter of the shaft 4 and/or of the core diameter of the thread 3.

[0105] The transition area 11 from the cone-shaped section 10 of the shaft toward the head 2 is designed as a radius in this embodiment.

[0106] In the transition area 11, which can have a radius, in particular, of 0.1 to 0.5 mm, the diameter increases abruptly such that the screw 1 is stopped at the latest by said transition area 11 when it is being screwed in.

[0107] The thread-side transition area 12 of the cone-shaped section 10 is preferably designed to be rounded.

[0108] As a result, in particular during the attachment of flexible sheet-like structures such as collagen membranes or films, the contact surface 6 is prevented from pressing onto the implant in a manner leading to punching.

[0109] The diameter of the cap 5 preferably is 2 to 4 mm, the diameter of the shaft preferably is 0.6 to 1.5 mm.

[0110] The centring cone 13 can comprise a point angle of 70 to 110.

[0111] The thread of the bone screw according to the invention preferably has a length of 2 to 18 mm, in the present embodiment of a short screw preferably of 2 to 5 mm.

[0112] Preferably, the thread flight 16 runs less than five, particularly preferably less than four times about the screw 1. Accordingly, the screw can be screwed in with just a few turns.

[0113] FIG. 2 shows a top view onto the tip of the screw 1.

[0114] FIG. 3 is a detail view of a section along the line A-A of FIG. 2.

[0115] It is evident herein that the thread flights 16 are designed as rounded depressions whose flanks 18 preferably have a flank angle of 90 to 150. The thread teeth 15 are preferably designed to be flat, in particular, these have an axial length of 0.2 to 0.5 mm.

[0116] The thread 3 is designed in this exemplary embodiment as a single-flight trapezoidal thread with rounded tooth base.

[0117] The width b1 of a thread tooth 15 can be at least 0.5 times the width b2 of the tooth base (including tooth flanks).

[0118] The thread teeth 15 do not form a tip, since a tip would initially be exposed to high corrosion and thus the strength of the screw connection would diminish too quickly.

[0119] FIG. 4 is a sectional view along the line B-B of FIG. 1.

[0120] The drive 7 is designed in this embodiment to be triangular in cross-section with rounded tips. It shall be understood, however, that the geometry of the drive 7 is quite arbitrary. It only has to ensure the transmission of sufficient torque. Thus, for example, a hexagonal or a star-shaped embodiment is conceivable as well (not shown).

[0121] FIG. 5 is a side view of an alternative embodiment of a screw that is longer than the screw shown in FIG. 1 to FIG. 4. It has a total length of preferably more than 8, particularly preferably of more than 12 mm.

[0122] The screw 1 comprises a head 2 comprising the drive 7 and the flat cap 5 in this exemplary embodiment as well.

[0123] The shaft 4 of the screw 1 that is not provided with a thread in this exemplary embodiment is at least twice, preferably at least three times as long as the thread 3. Shaft 4 and thread 3, taken together, preferably are between 8 and 18 mm in length.

[0124] Otherwise, the screw is designed similar to the screw shown with reference to FIG. 1 to FIG. 4, and also comprises, in particular, the cone-shaped section 10 at the head end of the shaft 4 as well as the tip 17 with a blade 14.

[0125] FIG. 6 is a detail view of FIG. 5 from which is evident that the long version of a screw 1 shown therein is essentially equivalent in terms of design to the shorter version according to the drawings of FIG. 1 to FIG. 4.

[0126] However, the shaft 4 of the screw 1 as well as the core diameter of the thread 3 are preferred to be somewhat thicker. It has a diameter, in particular, of 1.0 to 1.3 mm.

[0127] It has been evident that even a constriction with a slightly smaller diameter than the shaft 4, in particular a diameter smaller by 0.01 to 0.05 mm, leads to a sufficiently secure predetermined breaking point 8.

[0128] The tip 17 is also designed according to FIG. 1 and comprises a blade 14 for introducing the thread flights as well as a centring cone 13 without blade.

[0129] FIG. 7 is a schematic view of an implant 19 that is designed as a sheet-like structure, for example as collagen film. Same is placed on the wound for covering, for example, a bone defect. Subsequently, a drill is used to introduce drill holes 20, which essentially correspond to the diameter of the shaft of the screw and/or the diameter of the thread core.

[0130] Subsequently, the implant 19 is attached with at least one screw.

[0131] In this context, the screw is rotated into the drill hole 20 until the rotation is stopped at the end of the cone-shaped section (10 in FIG. 1 and FIG. 6).

[0132] The drive then breaks off either because of the torque while the screw is being screwed in, when the head of the screw comes into contact with the implant and/or the bone. But the user can just as well break off the drive by snapping it off.

[0133] The screws preferably consists of a magnesium alloy. In the case of using a magnesium foil as an implant 19, the voltage difference being no more than small, there is no increased corrosion such that both implant 19 as well as the screw degrade only after healing.

[0134] FIG. 8 and FIG. 9 show an alternative embodiment of a screw 1, which can be hammered in as well.

[0135] As shown in FIG. 8, the self-tapping tip 17 extends to the front end of the screw 1. The self-tapping tip 17 has a cone angle of less than 45, preferably of less than 40. A separate centring cone with a different cone angle (13) in FIG. 1) is not provided.

[0136] Moreover, the thread 8 is designed to be multi-flight, in particular double-flight, and has a greater pitch than the thread of the embodiments according to FIG. 1 to FIG. 6.

[0137] FIG. 9 is a sectional view along the line B-B of FIG. 8. The drive 7 has a different geometry than the drive according to FIG. 1 to FIG. 6, namely the geometry of a circular cylinder sectioned on one side. However, it is obvious that the drive can just as well comprise the geometry shown in FIG. 4.

[0138] Otherwise, the screw shown in FIG. 8 and FIG. 9 is essentially equivalent to the exemplary embodiment according to FIG. 1.

[0139] FIG. 10 is a sectional view of an adapter 24 for a screw which can be placed onto a dental drill or manual screwdriver (not shown).

[0140] For this purpose, the adapter 24 comprises a coupling 26 that can be connected to the dental drill or manual screwdriver and can be of any design such as to be adapted to the drill or screwdriver used in this context.

[0141] Moreover, the adapter, in particular similar to a bit holder, comprises a holder 25 for the drive of a screw.

[0142] As is evident from the top view onto the front face according to FIG. 11, the geometry of the holder 25 in the present exemplary embodiment is adapted to the geometry of the drive of the screw shown in FIG. 4.

[0143] Preferably, the drive of the screw can be jammed or snapped in within the holder 25. Once the screw is screwed in fully, the broken-off drive remains in the holder 25.

[0144] According to one embodiment (not shown), the drive can then be ejected by means of a handling organ, e.g. by a pin that can be axially displaced in the adapter 24 and pushes the drive out, or by release of a latching mechanism.

[0145] The invention provides for simple and reliable attachment, in particular of dental implants.

LIST OF REFERENCE NUMBERS

[0146] 1 Screw [0147] 2 Head [0148] 3 Thread [0149] 4 Shaft [0150] 5 Cap [0151] 6 Contact surface [0152] 7 Drive [0153] 8 Predetermined breaking point [0154] 9 Top side [0155] 10 Cone-shaped section [0156] 11 Transition area [0157] 12 Transition area [0158] 13 Centring cone [0159] 14 Blade [0160] 15 Thread tooth [0161] 16 Thread flight [0162] 17 Tip [0163] 18 Flank [0164] 19 Implant [0165] 20 Bore hole [0166] 21 Region [0167] 22 Cutting edge [0168] 23 Central axis [0169] 24 Adapter [0170] 25 Holder [0171] 26 Coupling