DENTAL COMPONENT FOR A DENTAL RESTORATION AND METHOD FOR ASSEMBLING THE DENTAL COMPONENT
20190247150 · 2019-08-15
Inventors
- Thomas Kaup (Affoltern am Albis, CH)
- Roberto Carretta (Baar, CH)
- Jörg Weitzel (Rielasingen-Worblingen, DE)
- Piers Christiansen (Zürich, CH)
- Raquel Tschopp (Aarau Rohr, CH)
Cpc classification
A61C13/34
HUMAN NECESSITIES
A61C8/005
HUMAN NECESSITIES
A61C8/0001
HUMAN NECESSITIES
A61C8/0048
HUMAN NECESSITIES
International classification
A61C8/00
HUMAN NECESSITIES
A61C13/275
HUMAN NECESSITIES
Abstract
The present invention provides a dental component (20; 120) forming the basis for at least a part of a prosthetic dental arch and comprising at least two subcomponents (21, 22; 121, 122) and a connecting device (30; 130) for compensating an offset in position and/or orientation between the subcomponents (21, 22; 121, 122). Each subcomponent (21, 22; 121, 122) includes a mounting portion (25, 26; 125, 126) for mounting the dental component (20; 120) on at least one dental implant or at least one dental implant analogue (11, 12; 111). The connecting device (30; 130) comprises a rotary compensation means (50, 60; 150, 160) that connects the two dental subcomponents (21, 22; 121, 122).
Claims
1. A dental component forming the basis for at least a part of a prosthetic dental arch and comprising at least two subcomponents and a connecting device for compensating an offset in position or orientation between the subcomponents, wherein each subcomponent includes a mounting portion for mounting the dental component on at least one dental implant or at least one dental implant analogue, and wherein the connecting device comprises a rotary compensation means that connects the two dental subcomponents.
2. The dental component according to claim 1, wherein the rotary compensation means comprises a rotary joint.
3. The dental component according to claim 1, wherein the connecting device further comprises a linear compensation means for bridging a distance between the two dental subcomponents, the linear compensation means located between the two dental subcomponents.
4. The dental component according to claim 1, further comprising a bearing element for mounting one of the dental subcomponents to a dental implant or dental implant analogue, the bearing element having a bearing surface for interaction with a bearing surface of the dental subcomponent and a through hole in the apical-coronal direction.
5. The dental component according to claim 1, wherein each of the subcomponents comprises at least one hole in the apical-coronal direction for insertion of a dental screw.
6. The dental component according to claim 5, wherein the holes in the subcomponents form a part of the connecting device and are located so as to face each other in order to provide a through hole for insertion of a dental screw, wherein the apertures of the holes facing each other and the apical aperture of the hole of the subcomponent facing the dental implant or the dental implant analogue in an assembled state are each located within a rotary bearing surface.
7. The dental component according to claim 1, wherein the dental component comprises a third subcomponent and a second connection device, wherein the first and second subcomponents are coupled via the first connection device and the second and third subcomponents are coupled via the second connection device.
8. The dental component according to claim 1, further comprising at least one locking device for locking the connecting device in position or orientation.
9. A method for preassembling a dental component, the dental component including at least two elongated subcomponents, wherein the method comprises the steps of establishing a connection between the at least two subcomponents by assembling a first rotary joint of a connecting device and assembling a second rotary joint of the connecting device, wherein the assembled first and second rotary joints are maintained in an assembled state by bringing the rotary joints into engagement using a fastening element, a locking device or affixing means.
10. The method according to claim 9, wherein the fastening element is a dental screw engaging a bearing element of the second joint.
11. The method according to claim 9, further comprising the step of assembling a linear compensation means of the connecting device for adjusting the distance between the first rotary joint and the second rotary joint by bringing a first part including the first rotary joint into engagement with a second part including the second rotary joint, wherein the linear compensation means can be locked using a locking device.
12. A method for fitting a dental component to at least two dental implants or dental implant analogues for the production of a dental prosthesis, the method comprising the steps of obtaining a dental component comprising at least two subcomponents, the two subcomponents being coupled by a connecting device; mounting the subcomponents onto the dental implants or dental implant analogues; and adjusting the connecting device to compensate for an offset in position or orientation between the two dental implants or dental implant analogues.
13. The method according to claim 12, further comprising the step of retaining the adjustment of the connecting device using a locking device or affixing means, wherein the affixing means is a thermosetting polymer.
14. The method according to claim 12, further comprising: obtaining at least two, each transfer abutment corresponding to a dental implant and indicating the position or orientation of the dental implant, and creating a working model by attaching an implant analogue to each transfer abutment and fixing the at least two implant analogues in the working model by embedding the dental implant analogue in a moldable material.
15. The method according to claim 12, further comprising the step of producing a dental prosthesis on the basis of the dental component with the subcomponents being fixed in relative position and orientation to each other and attached to the dental implant analogues (11, 12; 111) using a temporary screw.
16. The method according to claim 15, further comprising the step of fixing the dental prosthesis including the dental component to at least one dental implant implanted into the mandible or maxilla of a patient using implant screws.
17. The dental component according to claim 2, wherein the rotary joint comprises a ball and socket joint.
18. The dental component according to claim 4, wherein the through hole comprising a thread.
19. The dental component according to claim 5, wherein the at least one hole comprises a slotted hole.
20. The dental component according to claim 13, wherein the thermosetting polymer is chosen from at least one of the following: wax, acrylic, resin.
Description
BRIEF DESCRIPTION OF THE FIGURES
[0064] The following figures illustrate preferred embodiments of the present invention. These embodiments are not to be construed as limiting but merely to enhance the understanding of the invention together with the following description. In these figures, same reference numerals are used for features that are identical or have an identical or similar function and/or structure. This also applies to reference numerals of features that are identical except for the first digit, which indicates the application of the feature in another embodiment. In the following a short description will summarize the content of these figures.
[0065]
[0066]
[0067]
[0068]
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
[0069] The dental component 20 shown in
[0070] Turning to
[0071] On the side of the through hole 15, 16 facing the dental implant or dental implant analogue 11, 12, i. e. the apical mouth of the through hole, the subcomponent 21, 22 may comprise an adapter portion (not shown) for engaging a dental implant or dental implant analogue 11, 12. For example, the adapter portion may be configured to engage a conical inner surface and/or indexing means of an implant 11, 12, the indexing means preventing a rotation between the implant 11, 12 and the dental subcomponent 21, 22.
[0072] In the exemplary embodiment of
[0073] However, if desired, a bearing element 140, as shown in
[0074] Nonetheless, in the embodiment of
[0075] Further, the through holes 25, 26 may be dimensioned to allow for a relative movement between the screw shafts of either of the dental screws 15, 16 and the corresponding subcomponent 21, 22 in a plane perpendicular to the longitudinal axis of the screws 15, 16. If a bearing element 140 (cf.
[0076] Preferably, the through hole 25, 26 is formed as a slotted hole, wherein the larger dimension of the hole's cross-section extends in the longitudinal direction of the corresponding subcomponent 21, 22. The dimension of the diameter or larger dimension of the through hole 25, 26 may be chosen as defined above.
[0077] Another possibility to allow for an increase in cross-section of a through hole 25, 26 is the usage of a washer as described in relation to
[0078] Further, the connecting device 30 of
[0079] As an alternative or an addition to the snap fit, at least one locking device 70 may be provided at the joints 50, 60. Preferably, the locking device 70 is engaged in order to keep the rotary joints 50, 60 assembled. This is preferably achieved by the engaged locking device 70 narrowing down the opening of the recess or concave bearing surface 23, 24 so that the convex bearing surface 33, 34 of the corresponding rotary joint 50, 60 is no able to exit this recess. Further engagement of the locking device may then lock the corresponding rotary joint 50, 60.
[0080] Since the bearing surfaces 23, 24 in the exemplary embodiment of
[0081] As already mentioned above, the connecting device 30 may also comprise a linear compensation means 35 in order to compensate for a distance between the dental subcomponents 21, 22 connected to the dental implants or dental implant analogues 11, 12. In
[0082] In any case, the linear compensation means can be preferably locked in position using a locking device 71, in particular to record an adjustment of the connecting device 30.
[0083] As already mentioned above, the dental component 20 may be pre-assembled at the production site since it can be produced as an off the shelf product. Naturally, preassembly may also take place in a dental lab or a dental office.
[0084] The preassembly is performed by assembling the bearing surfaces 23, 34 of the first rotary joint 50 and the bearing surfaces 24, 33 of the second rotary joint 60. Further, the locking devices 70 may be brought into engagement so that they are ready to lock the corresponding joint after an adjustment of the connecting device 30. In other words, a locking device 70 is preferably only engaged to such a degree that the rotary joints 50, 60 are coupled to each other still allow for a relative movement between the bearing surfaces.
[0085] If a linear compensation means 35 is provided, the two parts 31, 32 are connected and the locking device 71 is engaged to allow for a relative linear movement of the two parts 31, 32. In case of a linear sliding mechanism, the parts 31, 32 are preferably locked in position in relation to each other to keep the dental component 20 assembled.
[0086] The dental component 20 is installed preferably preassembled on at least two dental implants 11, 12. As shown in
[0087] In the next step, the adjustment of the connecting device 30 can be recorded by bringing the locking devices 70 of the rotary joints 50, 60 and, if available, the locking device 71 of the linear compensation means 35 into a locked position. Instead of using a locking device 70, 71, it is also possible to use an affixing means as described above to lock the adjustment of the connecting device 30. After being locked, the dental component 20 can be removed from the dental implants or dental implant analogues 11, 12 and can be easily and conveniently handled for further processing.
[0088] In the embodiment of a dental component 20 shown in
[0089] Turning to
[0090] As illustrated in
[0091] Preferably, the bearing element 140 is provided with an attachment mechanism for engaging a dental implant or a dental implant analogue in a detachable manner (not shown). The attachment mechanism of the bearing element 140 engages the dental implant or dental implant analogue 111 with a form-fit, preferably a snap-fit and/or a friction fit. This way, the attachment mechanism can provide a defined attachment of the fastening element to the dental implant or dental implant analogue 111, which is particularly advantageous for a fast testing of the dental component's fit. Such an attachment mechanism may also be provided to the dental component 20 illustrated in
[0092] The coronal bearing surface 142 of the bearing element 140 forms a second rotary joint 160 when being coupled or in contact to the apical bearing surface 123 of the subcomponent 122 in addition to the first rotary joint 150 being formed by the apical bearing surface 124 of the subcomponent 122 being in contact with the coronal bearing surface 133 of the subcomponent 121. Within the bearing surfaces 124 and 133 of the subcomponents 122 and 121 holes 126 and 125 are formed, respectively. The holes 125 and 126 extend through the subcomponents 121 and 122, respectively.
[0093] The holes 125 and 126 are arranged in the aforementioned bearing surfaces 122, 123, 133, 142 on top of each other so as to form a through hole 125, 126 for insertion of a fastening element 115, in particular an implant screw, and bringing the fastening element 115 into engagement with the dental implant or implant analogue 111. If a bearing element 140 is provided as part of the dental component 120, the implant screw 115 also passes through the through hole 141 of the bearing element 140 when being engaged with the dental implant or implant analogue 111. Further, if a thread 143 is provided in the through hole 141 of the bearing element 140, the implant screw 115 may also be engaged with the thread 143 after preassembly of the dental component 120, as will be explained in further detail below.
[0094] The through hole 126 is oversized in relation to the shaft of the fastening element 115 as already described above in more detail in relation to the through holes 15 and 16 (cf.
[0095] Further, if a bearing element 140 is provided on top of the implant or implant analogue 111, the through hole 125 is also oversized due to the same reason. In contrast, the through hole 141 of the bearing element 140 does not have to be oversized since its position relative to the dental implant or implant analogue 111 is constant. However, if a thread 143 is provided in the through hole 141 of the bearing element 140, the hole 141 and the thread 143 are configured so as to allow an engagement of implant screw 150. Nonetheless, if the through hole 141 is oversized, it allows for a compensation of a misplacement between the dental implant or implant analogue 111 and the dental component 120 as has already been described above in more detail.
[0096] The coronal bearing surfaces 142 of the bearing element 140 and/or the coronal bearing surface 133 of the subcomponent 121 is preferably bigger than the corresponding apical bearing surface 123 of the subcomponent 121 and the apical bearing surface 124 of the subcomponent 122 in order to allow a relative rotation.
[0097] Like the dental component 20 illustrated in
[0098] When attaching the preassembled dental component 120 to a dental implant or implant analogue 111, the thread of the fastening element 115 preferably disengages the thread 143 of the bearing element 140 before engaging a thread of the dental implant or dental implant analogue 111 (not shown).
[0099] As with the dental component 20, the adjustment of the dental component 120 in order to compensate for a misalignment and/or misplacement of the subcomponents 121 and 122 in relation to the dental implant or implant analogue 111 is simply achieved by attaching the preassembled dental component 120 to the dental implant or implant analogue 111. Although forming a unit, the preassembled dental component 120 is loose and allows for a relative movement of the subcomponents 121 and 122 and the bearing element 140 in relation to each other. Thus, the adjustment will automatically take place when attaching the dental component 120 to the dental implant or implant analogue 111 and tightening the screw 115.
[0100] In order to keep or record the adjustment when detaching the dental component 120 from the implant or implant analogue 111, preferably the aforementioned affixing means are applied in order to lock the subcomponents 121 and 122 as well as the bearing element 140 in position and orientation relative to each other. Like the dental component 20, this has the above noted advantages during further processing for producing the final dental restoration on the basis of the dental component 120. For example, the adjusted and locked dental component 120 may be attached to the dental implant or dental implant analogue 111 using, for example, a fastening element 115, such as an implant screw, in order to verify the precise fit of this arrangement. If a dental implant analogue 111 is used, the steps of the method may be executed on a model, which may be created as described further below, in a dental lab or in absence of the patient at a dental office.
[0101]
[0102] In
[0103] Nonetheless, in order to allow the usage of a dental screw having a flat apical bearing surface, like the screws 15 and 16 shown in
[0104] In the exemplary embodiment illustrated in
[0105] If a second washer 295 is provided in addition to the first washer 290, the coronal bearing surface 291 of the first washer 290 interacts with an apical bearing surface 296 of the second washer 295, which is placed coronally of the first washer 290. Said bearing surface 296 preferably has a shape that corresponds to the bearing surface 291 of the first washer 290. In the illustrated example, the bearing surface 291 is spherical just like the apical bearing surface 296 of the second washer 295. They preferably correspond to each other in order to provide a surface contact. The flat coronal bearing surface 297 of the second washer 295 allows for the use of a fastening element 215 having a flat apical bearing surface, like the fastening elements shown in
[0106] While the implant screw 215 is tilted within the through hole of the dental component 220, the bearing surface 296 of the second washer 295 rotates accordingly against the bearing surface 291 of the first washer 290
[0107] The adjustment of the dental component 220 in relation to the at least one washer can be enhanced by appropriately choosing the cross section of the dental component's and washer's through holes and/or the geometry of their bearing surfaces. As illustrated in
[0108] The first washer 290, in particular in combination with a second washer 295, can also be applied to dental component 20 in combination with a bearing element 140. As mentioned above, this is also the preferred configuration of an implant screw being located at an end of a subcomponent 121, 122 that is not connected to another subcomponent.
[0109] For producing a dental prosthesis on the basis of a dental component 20, 120, 220 according to the present invention, the dental component is in a first step preferably preassembled as described above. This may be done at a production plant as a well as in a dental lab or the dental clinic. In any case, the pre-assembly of the dental components 20, 120, 220 does not require any chair time of the patient.
[0110] In a subsequent step, the dental component 20, 120, 220 is adjusted in relation to the position and orientation of the dental implants or dental implant analogues 11, 12, 111. This can be done as previously described in relation to the dental components 20 and 120 either directly on implants 11, 12, 111 that have been previously implanted in the upper or lower jawbone of a patient or indirectly using a model of the patient's dental situation.
[0111] In the direct approach, the relative position and orientation in between at least two implants and preferably three implants 11, 12, 111 can be recorded by locking the adjusted dental component 20, 120, 220 as previously described so that the recorded position and orientation can be transferred to a model using in particular implant analogues as will be described in more detail in the following.
[0112] Instead of recording the position and orientation of an implant 11, 12, 111 in relation to a dental component 20, 120 directly, it is also possible to use a transfer abutment 80 for this task. Such a transfer abutment 80 is shown in
[0113] In case of using transfer abutments 80, each implant 11, 12, 111 receives a transfer abutment 80 that is preferably fastened using a screw inserted into a through hole of the transfer abutment 80 and being engaged with a thread of a dental implant 11, 12, 111. After attaching a transfer abutment 80 to each implant 11, 12, 111, the abutments are brought in contact with each other with transfer abutment connections 81 such as the bars shown in
[0114] The recording of the relative positions of the implants 11, 12, 111 by one of the previously described two methods subsequently allows for the creation of a model by connecting implant analogues 11, 12, 111 to the transfer abutments 80. The position and orientation of the implant analogues 11, 12, 111 is then fixed using common cast techniques for anchoring the analogues relative to each other. More specifically, the implant analogues are integral with a moldable material after this material has set or cured.
[0115] If the affixing means is applied to the dental component 20, 120, 220 after the adjustment of the dental component on a model, the dental component 20, 120, 220 may be removed and the adjustment may be verified by placing this arrangement on the implants 11, 12, 111 in the mouth of a patient and preferably fixing this arrangement with an implant screw 115. This is particularly advantageous in case of using transfer abutments 80 in order to prevent any misfit that may have occurred after fixing and removing the transfer abutments 80 during recording of the relative position and orientation of the at least two implants.
[0116] During such a test, intraoral jaw relation records for the vertical dimension of occlusion (VDO) and centric relation (CR) may be obtained to register the occlusal relationship of the opposite dental arch to the dental component 20 and, if already applied, the modelling wax.
[0117] During production of the dental prosthesis, preferably a temporary screw with a long head (not shown) serves as as fastening element 15, 16, 115, 215 and as negative form for creating a screw channel within the material of a dental prosthesis, for example by applying wax-up techniques. During the creation of the dental prosthesis in the lab, the through holes of a dental component 20, 120, 220 are preferably attached to a corresponding number of implant analogues 80 of the previously created model representing the dental situation of the patient.
[0118] After casting the model in order to fixate the implant analogues 11, 12, 111, the creation of a dental prosthesis 24 on top of the dental component 20 may begin or continue using common techniques such as wax-up techniques.
[0119] Once the prosthesis is finished, the recorded position is maintained by the material of the dental prosthesis surrounding the dental component 20, 120, 220 so that the dental prosthesis including the dental component 20, 120, 220 can be attached to the at least one implant in the oral cavity of the patient. For example, the dental prosthesis can be engaged or snapped into place and fixed using a dental screw as fastening means 15, 16, 115. Thus, the only chair time needed with the patient may be for the recording of the position and orientation of the dental implants 11, 12, 111 and the attachment of the finished dental prosthesis to the implants.
[0120] Further, without the compensating effect of the dental component 20, 120, 220 a misalignment would result in a poor support or contact between the implant 11, 12, 111 and the dental component 20, 120, 220. Also, tension might be introduced into the dental implant 11, 12, 111 or the dental component 20. However, since the dental component 20, 120, 220 is able to compensate such a misalignment such an adverse scenario can successfully be prevented.
[0121] The recording of the position and orientation of the dental implant or dental implant analogue 11, 12, 111 in relation to the dental component 20, 120, 220 reduces the number of dental impressions necessary for making a dental restoration fit. In fact, any dental impressions after implantation can be avoided if the recording is performed within the mouth of the patient using the preassembled dental component 20, 120, 220. The same effect is achieved with transfer abutments 80 with transfer connections 81 so that the dental situation can be easily reproduced based on the position and orientation of a dental implant 11, 12, 111 recorded by the at least one transfer abutment. As will be appreciated by the skilled person, this method provides the same accuracy of fit as highly customized dental restorations without requiring the number of dental impressions needed for these restorations.
[0122] In contrast to other techniques known from the prior art, there is no need for any dental impressions after implantation of the implants when applying a method of the present invention. Thus, the present invention provides the means and methods for producing or making a dental prosthesis and installing the dental prosthesis with a minimum of chair time, low cost and barely any inconvenience caused to the patient.
[0123] The person skilled in the art will appreciate that the configurations of the dental components described in relation to the aforementioned figures merely represent presently preferred embodiments of the present invention. There are multiple modifications possible as already explained in detail above in relation to preferred embodiments of the invention.
REFERENCE SIGNS
[0124] 11, 111 dental implant or implant analogue [0125] 12 dental implant or implant analogue [0126] 15, 115 fastening element, in particular dental screw [0127] 16 dental screws, in particular implant screws [0128] 20, 120 dental component [0129] 21, 121 first dental subcomponent [0130] 22, 122 second dental subcomponent [0131] 23, 123 rotary bearing surface (concave) of rotary compensation means [0132] 24, 124 rotary bearing surface (concave) of rotary compensation means [0133] 25, 125 through hole for dental screw [0134] 26, 126 through hole for dental screw [0135] 30, 130 connecting device [0136] 31, 131 first part of the connecting device [0137] 32, 132 second part of the connecting device [0138] 33, 133 rotary bearing surface (convex) of rotary compensation means [0139] 34 rotary bearing surface (convex) of rotary compensation means [0140] 35 linear compensation means [0141] 50, 150 first rotary joint [0142] 60, 160 second rotary joint [0143] 70, 71 locking device [0144] 80 transfer abutment [0145] 81 transfer abutment connections [0146] 140 bearing element [0147] 141 through hole for dental screw [0148] 142 coronal rotary bearing surface (convex) of rotary compensation means [0149] 143 thread [0150] 215 fastening element or implant screw [0151] 220 dental component [0152] 290 first washer [0153] 291 coronal bearing surface of the first washer [0154] 292 apical bearing surface of the first washer [0155] 295 second washer [0156] 296 coronal bearing surface of the second washer [0157] 297 apical bearing surface of the second washers