Dental prosthesis arrangement

10543063 ยท 2020-01-28

Assignee

Inventors

Cpc classification

International classification

Abstract

A dental prosthesis arrangement includes a lower part assigned to a jaw implant and an upper part assigned to a superstructure. The lower part engages in the upper part along a central axis. The lower part is supported against the upper part at several contact faces. The lower part and the upper part are connected releasably to each other via a securing device which provides a retaining force against axial withdrawal of the upper part from the lower part. A first radially inwardly directed structure is provided on the lower part and a second radially outwardly directed structure is provided on the upper part for receiving a holding element that provides the retaining force. A fastener passing through the upper part and connected to the lower part can alternatively fix the upper part to the lower part.

Claims

1. A dental prosthesis system for connection of at least one jaw implant with a superstructure, the dental prosthesis system comprising: a lower part assigned to the jaw implant, an upper part assigned to the superstructure, and a first holding element, a second holding element, and a third holding element, wherein the lower part engages into the upper part along a center axis, wherein the lower part is supported against the upper part at multiple contact surfaces, wherein the lower part comprises a ring-shaped groove directed radially inward, wherein the upper part comprises a recess directed radially outward and an occlusal screw opening, the recess corresponding to the ring-shaped groove of the lower part, wherein the upper part further comprises: a transverse opening configured cylindrically, provided with an inside thread, and running along a line intersecting the center axis, or a tangential opening arranged tangentially with respect to a common center axis of the upper part and the lower part, wherein at least a first attachment possibility, a second attachment possibility, and a third attachment possibility are provided, wherein each of the first, the second, and the third attachment possibility is able to bring about a holding force that prevents the upper part from being axially pulled off the lower part using the first, the second, or the third holding element, respectively, wherein only one of the first, the second, and the third attachment possibilities is selected at a particular time, wherein the first attachment possibility uses a ring or a string as the first holding element, the ring or the string being provided between the ring-shaped groove and the recess, wherein the second attachment possibility uses: a screw as the second holding element, the screw being undertaken through the transverse opening and being brought into engagement with the ring-shaped groove, or a latch element as the second holding element, the latch element projecting through the tangential opening on the upper part and being brought into engagement with the ring-shaped groove, and wherein the third attachment possibility uses an occlusal screw as the third holding element, the occlusal screw being undertaken through the occlusal screw opening and being brought into engagement with an inside thread in the lower part.

2. The dental prosthesis system according to claim 1, wherein the ring comprises a rubber-elastic and/or elastically compressible material, and wherein the ring is configured to be elastically deformed radially.

3. The dental prosthesis system according to claim 1, wherein the latch element comprises a pin-shaped segment and a latch tip, and wherein the latch tip is configured to engage into the ring-shaped groove in an engagement position.

4. The dental prosthesis system according to claim 3, wherein the latch element is configured as an insertion latch, sliding latch, pivot latch, rotating latch or U-shaped bracket locking mechanism.

5. The dental prosthesis system according to claim 1, wherein the occlusal screw opening is an upward opening.

6. The dental prosthesis system according to claim 5, wherein the occlusal screw opening is surrounded by a cylindrical extension, which faces away from the lower part.

7. The dental prosthesis system according to claim 6, wherein the cylindrical extension is formed in a direction of the center axis.

8. The dental prosthesis system according to claim 6, wherein the cylindrical extension is angled relative to the center axis.

9. The dental prosthesis system according to claim 6, wherein the cylindrical extension and the upper part are structured in one piece or are welded to one another.

10. The dental prosthesis system according to claim 6, wherein the cylindrical extension is provided with a thread along its outer wall or inner wall, at least in certain sections.

11. The dental prosthesis system according to claim 1, wherein the holding force can be overcome without destruction of the upper part and the lower part, in order to release a connection between the upper part and the lower part.

12. The dental prosthesis system according to claim 11, wherein the holding force can be overcome without destruction of the respective first, second, or third holding element.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) In the following, some exemplary embodiments will be explained in greater detail, using the drawing. This shows:

(2) FIG. 1 a side view, partly in section, of a first embodiment of a dental prosthesis arrangement according to the invention,

(3) FIG. 2 a further side view of the dental prosthesis arrangement according to FIG. 1,

(4) FIG. 3 a further side view of the embodiment according to FIG. 1,

(5) FIG. 4(A) a further side view according to the embodiment according to FIG. 1,

(6) FIG. 4(B) a top view, partly in section, of the embodiment according to FIG. 4(A),

(7) FIG. 5 a further side view of the embodiment according to FIG. 1, and

(8) FIG. 6 a side view, partly in section, of a further embodiment.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

(9) In the figures, components that are the same or have the same functional effect are provided with the same reference symbols.

(10) In FIG. 1, a first embodiment of the dental prosthesis arrangement ZA according to the invention is shown schematically in a side representation, partly in section. A lower part UT is applied to a jaw implant, indicated schematically with the reference symbol PI, which part is covered by an upper part OT. The upper part OT can be used as a superstructure body for a dental prosthesis not shown in FIG. 1. The upper part OT and the lower part UT together form a connection segment VA, so that the lower part assigned to the jaw implant PI and the upper part assigned to the superstructure are connected with one another. The lower part UT engages into the upper part OT along a center axis MA. The lower part UT is supported against the upper part OT at multiple contact surfaces AF. The lower part UT and the upper part OT are releasably connected with one another by way of an attachment means that brings about a holding force to prevent the upper part OT from being axially pulled off the lower part UT.

(11) According to the invention, multiple different attachment means can be selected, which will be explained hereinafter, making reference to the different embodiments described below. In FIG. 1, only one embodiment of the attachment means is shown for the sake of simplicity. In the example shown in FIG. 1, the attachment means is formed on the lower part UT by means of a first structure and on the upper part OT by means of a second structure, which structures jointly accommodate a holding element HE. The first structure is directed radially inward on the lower part UT and configured in the form of a groove NU. The second structure is directed radially outward on the upper part OT and configured in the form of a recess AS. In the cavity created between the groove NU and the recess AS, space is therefore created for accommodating the holding element HE. It is advantageous if the recess AS and the groove NU are configured along the complete circumference on the lower part UT and on the upper part OT. Accordingly, it is possible to configure the holding element HE in the form of a ring, wherein, however, it is not excluded to form the corresponding structures, at least in part, on the inside or outside of the lower part or upper part.

(12) It is advantageous if the ring, as a holding element HE, comprises an elastic or elastically compressible material, and it should be radially elastically deformable, so that the ring can be set into the groove NU over the lower part UT. Then, the upper part OT would be guided over the elastically deformable ring as a holding element HE during assembly, so that on the basis of the deformation of the ring, reliable fixation in place of the lower part UT and the upper part OT occurs. In this regard, it must be possible to overcome the holding force caused by the holding element HE without destruction of upper part OT and lower part UT, in order to release the connection between upper part OT and lower part UT. It is also provided that the holding force can be overcome without destruction of the holding element HE itself.

(13) The holding ring HR as a holding element, which lies in the grooves NO and NU in the assembled state and brings about the holding force to prevent pull-off, can particularly consist of a plastic, which can also be understood to be an elastomer or a rubber material. Preferably, the groove NO in the upper part has a greater radial depth relative to the approximately conical surface KO than the groove NU does relative to the conical surface KU. Then, it is advantageous if the holding ring HR, in the state of the dental prosthesis arrangement in which the upper part is released from the lower part, lies in the groove NO of the upper part, as shown in FIG. 6, and can thereby be replaced outside of the mouth of the prosthesis wearer, if necessary, for example in order to be able to insert a new holding ring in the case of wear of the holding ring HR after the prosthesis body has been repeatedly reversibly set onto and released from of the implants, or in order to perform a comparison of different holding rings, one after the other, when trying out a holding force appropriate for the user.

(14) The holding force brought about by the ring as a holding element HE in the preceding examples can be designed both in a range for a removable prosthesis, with more frequent insertion and removal by the user himself/herself, and also for a conditionally removable prosthesis, with a typically greater holding force.

(15) The ring as a holding element HE can typically be configured also for a permanent connection of upper part OT and lower part UT, by means of configuration of its string cross-section and/or material in connection with the cross-sections of the groove NU and of the recess AS, and for this purpose, it can also be provided that although the connection can be released in a dentist's office, the ring might be destroyed when doing so.

(16) It is also possible to configure the ring, as a holding element HE, with non-round string cross-sections, wherein the ring can have a V-shaped string cross-section with two shanks, for example, which are pressed elastically toward one another when the upper part OT is set onto the lower part UT, and automatically are pressed apart again when the groove NU is reached. In this variant, release of the connection of the upper part OT from the lower part UT has the result that removal can take place only with increased force and typically with destruction of the ring as the holding element HE. The string cross-section of the holding ring does not have to remain the same over the entire circumference, but rather can be present only on multiple circumference segments.

(17) A further variant contains a wedge-shaped string cross-section of the ring as the holding element HE, in which a wedge tip is disposed facing away from the jaw-side end of the implant, and thereby an increased holding force to prevent the upper part OT from being pulled off the lower part UT exists. Depending on the configuration of the string cross-section and the selection of the material of the holding ring in detail, lifting of the upper part OT from the lower part UT can take place with destruction of the ring as the holding element HE or while maintaining it.

(18) It is advantageous if the string cross-sections of the ring as the holding element HE particularly bring about asymmetry of the forces between setting of the upper part OT onto the lower part UT and pulling of the upper part OT off the lower part UT, in the direction of the center axis MA.

(19) A further embodiment of the invention is shown in FIG. 2. FIG. 2 can be, for example, a representation that corresponds to a representation of the dental prosthesis arrangement ZA from FIG. 1, rotated along the center axis MA. In addition to the attachment means already created by means of the holding element HE, according to FIG. 2 a first opening EO is provided, which passes through the upper part. When a dental prosthesis is assembled, the possibility now exists to either use the attachment by means of the holding element HE, as shown in FIG. 2. Also, attachment of the lower part UT to the upper part OT can take place by way of the first opening EO, wherein the first opening EO is preferably configured to be cylindrical for this purpose, and is provided with an inside thread IG.

(20) Making reference to FIG. 3, it is shown that a screw SC, for example one configured as a headless screw, can be introduced into the first opening EO, wherein preferably, an outside thread of the screw SC is brought into engagement with the inside thread IG on the cylindrical inner wall of the first opening EO. If the holding element HE is now not used, the screw SC can be brought into engagement with the groove NU of the lower part UT, so that reliable attachment of the lower part UT to the upper part OT takes place. Accordingly, the screw SC is used to form a transversal screw connection.

(21) The dental prosthesis arrangement ZA therefore has alternative attachment possibilities, which can be used optionally. Accordingly, if the treating dentist or the wearer of the dental prosthesis decides in favor of a transversal screw connection, the embodiment according to FIG. 3 will be selected. If the holder of the upper part OT is supposed to be formed by way of the ring-shaped holding element HE, the embodiment according to FIG. 1 would be used. In this case, the first opening EO can also be sealed by means of a closure mass, if this opening will not be used later. Likewise, it is possible to introduce a blind screw, for example, that does not project all the way to the holding element HE in place of the screw SC, so that later, it would still be possible to use the transversal screw connection.

(22) A further embodiment of the invention is shown by making reference to FIG. 4(A). Here, a latch element RE is passed through the upper part OT in place of a transversal screw connection. The latch element, as shown in FIG. 4(A), can run approximately tangentially with reference to the center axis of the lower part UT, in the groove NU that was already described in connection with FIG. 1. Accordingly, in an engagement position, a pin-shaped segment of the latch element would run in the groove NU. However, it is also possible that a latch tip, for example, engages into the groove NU of the lower part, similar to a transversal screw connection.

(23) In FIG. 4(B), the latch element RE is shown once again in detail, in a top view. The latch element RE has the pin-shaped segment AB, wherein it is particularly provided that a reset element RS is configured in such a manner that the latch element RE remains in the engagement position.

(24) In this regard, a latch element RE can be displaced in a latch accommodation oriented predominantly radially relative to the center axis MA, in the direction of a latch axis, between an engagement position shown in FIG. 4(B) and a release position moved away from the center axis MA in the direction of the latch axis. The latch element RE engages into the groove NU of the lower part UT with a latch tip on the pin-shaped segment AB, and, in this engagement position, prevents the upper part OT from being lifted off the lower part UT. The latch element is pressed in the direction of the center axis MA under the establishment of a spring force, and thereby maintains the engagement position on its own. In the advantageous example shown, the spring force is applied in that an elastically deformable ring lies in a groove in the upper part OT that surrounds the latch axis, which ring is supported in the groove to prevent displacement in the direction of the latch axis, and interacts with a conical surface over the course of the latch element RE, narrowing away from the latch tip, in such a manner that a force on the locking element in the direction toward the center axis MA occurs.

(25) The ring can consist of elastic plastic material or also can exist as a metal ring, which can also be slit. A handle disposed outside of the latch guide allows manual retraction of the latch element RE from the engagement position shown in FIG. 4(B), and, accordingly, lifting of the upper part from the lower part. In this regard, the ring can be compressed by means of the said conical surface of the latch element and an increase in the reset force that acts on the latch element, or can be radially widened into a free space within the groove.

(26) In a further embodiment, a U-shaped bracket locking mechanism, particularly a wire bracket having lateral bracket shanks that run tangentially with reference to the center axis MA and radially at a distance from the latter, and a center segment of the U-shaped bracket that connects the two lateral shanks, is provided. The bracket can preferably be displaced between a holding position and a release position, manually or by means of a tool. The lateral bracket shanks can also be formed in deviation from a straight shape, in order to lie against the groove NU with elastic bias, and thereby to prevent unintentional sliding out of engagement. In this embodiment, of course, the second opening ZO must be configured accordingly, in order to be able to accommodate the bracket.

(27) As can be seen in FIG. 4(B), the latch element RE is thereby disposed within a second opening ZO, so that it can bring lower part UT and upper part OT into engagement. The second opening ZO can be disposed, for example, next to the first opening EO. This is particularly advantageous for the reason that in this way, a treating dentist can always access the dental prosthesis arrangement from the same side when selecting between an attachment means in the first opening EO and the second opening ZO. Within the scope of the invention, however, it is nevertheless possible to dispose the second opening, for example, at a 90 offset relative to the first opening, or opposite to it, or at any other desired locations of the upper part OT.

(28) A further attachment possibility will be explained below, making reference to FIG. 5. The upper part of the embodiment shown in FIG. 5 is provided with a third opening DO at its top, which opening is surrounded by a cylindrical extension ZF, which is formed along the center axis MA. The third opening DO thereby in turn makes available a possibility for using a further element that passes through the upper part and stands in connection with the lower part for fixation. In this case, a further screw SC2 is provided, which is applied to the upper part OT from above, as what is called an occlusal screw connection, and connects the upper part OT and the lower part UT with one another by way of a corresponding inside thread in the lower part UT. The second opening ZO and/or the first opening EO can be closed off, once again, as was already explained above, in the case of an occlusal screw connection, wherein it is also not necessary to affix the holding element between groove NU and recess AS, because upper part OT and lower part UT are now connected by way of the further screw SC2.

(29) Accordingly, the dental prosthesis arrangement according to the invention makes many different attachment means available, which can be selected depending on the application case, in order to make the optimal property available for the patient, in each instance when attaching upper part OT to lower part UT. All of these attachment means have in common that they can be released, so that the wearer of the dental prosthesis or a treating dentist can perform cleaning of the dental prosthesis arrangement ZA at regular intervals. In view of the implications mentioned initially, of the biofilm that is frequently present on dental prosthesis arrangements, this possibility is particularly important for maintaining the health of the patient.

(30) The embodiments described until now in connection with FIG. 1 to 5 have the cylindrical extension ZF on the top side, i.e. the side facing away from the jaw implant PI, in each instance. However, it is also possible to configure the top side of the upper part OT in closed manner, so that the upper part OT is configured in the form of a cap. The closed surface is indicated with the broken line in FIG. 5, as the cap KA.

(31) A further embodiment of the invention is shown in FIG. 6. Here, the cylindrical extension ZF is inclined relative to the center axis MA. The cylindrical extension ZF and the upper part OT, together with the occlusal screw connection by means of the screw SC2, can be structured in one piece, for example by way of a weld. Accordingly, the further screw SC2 is formed as a captive screw. A captive screw can also be implemented in the embodiments shown as FIGS. 1 to 5.

(32) The dental prosthesis arrangement according to FIG. 6 makes it possible to displace the cylindrical extension ZF that usually passes through the dental prosthesis and thereby forms a passage opening to a lateral position of the dental prosthesis, so that lower chewing forces, for example, can be in effect at that location. This makes it possible to be able to guarantee longer durability of the dental prosthesis.

(33) In a further embodiment, the cylindrical extension ZF is provided with a thread GE along its outer wall AW or inner wall IW, onto which thread the dental prosthesis can be screwed. Consequently, a connection of the dental prosthesis superstructure with the dental prosthesis arrangement ZA is created, which connection can be implemented in simple and flexible manner. The thread GE can also be implemented in the embodiments shown in FIGS. 1 to 5.

(34) The holding element HE, the latch element RE, and the transversal screw connection by means of the screw SC, as well as the occlusal screw connection by means of the further screw SC2, bring about an axial press-down force against a contact surface at the end of the connection segment between upper part OT and lower part UT that faces the jaw implant.

(35) The characteristics indicated above and in the claims, as well as those that can be derived from the figures, can be advantageously implemented both individually and in different combinations. The invention is not restricted to the exemplary embodiments described, but rather can be modified in many ways, within the scope of the ability of a person skilled in the art.