Dental membrane
10105198 ยท 2018-10-23
Assignee
Inventors
Cpc classification
A61C8/0031
HUMAN NECESSITIES
International classification
Abstract
A dental membrane disposed in a deficient region of an alveolar bone to form a space for regeneration of the alveolar bone or to surround a bone graft, wherein the dental membrane is fixed by an insert inserted and fixed in the alveolar bone and a cover member combined to the insert, the dental membrane including: an upper portion surrounding a top surface of the deficient region of the alveolar bone; and a side bending portion bended downward from the upper portion and surrounding a side surface of the deficient region of the alveolar bone, wherein the upper portion includes: a combined portion combined to the insert and the cover member to be fixed; and a protruding portion extending and protruding upward from the combined portion.
Claims
1. A dental membrane for being disposed in a deficient region of an alveolar bone to form a space for regeneration of the alveolar bone or to surround a bone graft, wherein the dental membrane includes an insert for being inserted and fixed in the alveolar bone and a cover member that is combined to the insert, the dental membrane comprising: an upper portion for surrounding a top surface of the deficient region of the alveolar bone; and a side bending portion bended downward from the upper portion for surrounding a side surface of the deficient region of the alveolar bone, wherein the upper portion comprises: a combined portion combined to the insert and the cover member, wherein the combined portion is fixed to the insert and the cover member; and a protruding portion extending and protruding upward from the combined portion, wherein the protruding portion surrounds at least a part of a side surface of the cover member.
2. The dental membrane of claim 1, wherein the combined portion is ring shaped, has a center, and has a through hole at the center.
3. The dental membrane of claim 1, wherein the protruding portion has a shape corresponding to an outer shape of the cover member.
4. The dental membrane of claim 3, wherein the protruding portion contacts a side surface of the cover member.
5. The dental membrane of claim 3, wherein the protruding portion is spaced apart from the side surface of the cover member.
6. The dental membrane of claim 1, wherein an uppermost end of the protruding portion is disposed on a same location as a top surface of the cover member.
7. The dental membrane of claim 1, wherein the protruding portion protrudes from the combined portion in a range from 0.1 mm to 5 mm.
8. The dental membrane of claim 1, wherein the protruding portion has a cylindrical shape.
9. The dental membrane of claim 1, wherein at least one hole is formed in the protruding portion.
10. The dental membrane of claim 1, wherein the protruding portion comprises: a first extending portion connected to the combined portion and extending upward; and a second extending portion horizontally extending from the first extending portion.
11. The dental membrane of claim 1, wherein the dental membrane comprises two side bending portions that are respectively disposed on two sides of the upper portion.
12. A dental membrane for being disposed in a deficient region of an alveolar bone to form a space for regeneration of the alveolar bone or to surround a bone graft, wherein the dental membrane includes an insert for being inserted and fixed in the alveolar bone and a cover member that is combined to the insert, the dental membrane comprising: an upper portion for surrounding a top surface of the deficient region and comprising a combined portion fixed by contacting the insert and a protruding portion extending and protruding upward from the combined portion; and a side bending portion bending downward from the upper portion, wherein the protruding portion surrounds at least a part of a side surface of the cover member.
13. The dental membrane of claim 12, wherein the combined portion is ring shaped, has a center, and has a through hole at the center.
14. The dental membrane of claim 12, wherein the protruding portion has a shape corresponding to an outer shape of the cover member.
15. The dental membrane of claim 14, wherein the protruding portion contacts a side surface of the cover member.
16. The dental membrane of claim 14, wherein the protruding portion is spaced apart from the side surface of the cover member.
17. The dental membrane of claim 12, wherein an uppermost end of the protruding portion is disposed on a same location as a top surface of the cover member.
18. The dental membrane of claim 12, wherein the protruding portion protrudes from the combined portion in a range from 0.1 mm to 5 mm.
19. The dental membrane of claim 12, wherein at least one hole is formed in the protruding portion.
20. The dental membrane of claim 12, wherein the protruding portion comprises: a first extending portion connected to the combined portion and extending upward; and a second extending portion horizontally extending from the first extending portion.
21. The dental membrane of claim 12, wherein the dental membrane comprises two side extending portions that are respectively disposed on two sides of the upper portion.
22. The dental membrane of claim 21, wherein at least one of the side extending portions is bendable downward from the upper portion.
Description
DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
(38) Hereinafter, a dental membrane according to one or more embodiments of the present invention will be described in detail with reference to accompanying drawings.
(39) A dental membrane 100 according to an embodiment of the present invention is disposed in a deficient region of an alveolar bone B to form a space for the alveolar bone B to be regenerated or surround a bone graft BG, and thus is a shielding film preventing the surrounded bone graft BG from deviating from the dental membrane 100. A location of the dental membrane 100 may be fixed by an insert 140 inserted and fixed in the alveolar bone B, and a cover member 150 combined to the insert 140. In detail, since the dental membrane 100 is inserted into a human body, the dental membrane 100 may be formed of a material harmless to the human body. Also, the dental membrane 100 may be somewhat elastic so as to be transformable according to a shape of the alveolar bone B. Meanwhile, since a plurality of holes H are formed in the dental membrane 100, blood may circulate through the dental membrane 100 during bone grafting, thereby facilitating the bone grafting.
(40) The dental membrane 100 may have a flat shape and may be bent by an operator at the spot of the dental treatment if required, but alternatively, the dental membrane 100 may be pre-formed in three-dimensions according to the shape of the alveolar bone B by a manufacturer and provided to the operator.
(41) The dental membrane 100 may include an upper portion 110 and a side bending portion 120.
(42) The upper portion 110 surrounds a top surface of the deficient region of the alveolar bone B. In detail, the upper portion 110 covers a deficient region where the bone graft BG is filled in the deficient region, while surrounding a top surface of the deficient region.
(43) The upper portion 110 includes a combined portion 111 and a protruding portion 112.
(44) A location of the combined portion 111 is fixed by being combined to the insert 140 and the cover member 150. The combined portion 111 has a ring shape in an overall flat plate shape, and has a through hole 111a at the center through which the insert 140 or the cover member 150 is inserted and penetrated. A top surface of the combined portion 111 may contact a bottom surface of the cover member 150, and a bottom surface of the combined portion 111 may contact a top surface of the insert 140.
(45) The protruding portion 112 protrudes upward from the combined portion 111. In detail, the protruding portion 112 surrounds at least a part of the cover member 150 and may have a shape corresponding to an outer shape of the cover member 150. For example, in the current embodiment, since the cover member 150 has a circular plate shape, the protruding portion 112 may have a cylindrical shape. Here, the protruding portion 112 may closely contact a side surface of the cover member 150. When the protruding portion 112 closely contacts the side surface of the cover member 150 as such, a space may be reduced, thereby preventing pollutants filled in the space. Alternatively, the protruding portion 112 may be spaced apart from the cover member 150 by a predetermined distance. In this case, a space to which a removing tool for removing the cover member 150 is to be combined may be prepared.
(46) Meanwhile, an uppermost end of the protruding portion 112 may be disposed lower than or on a same location as a top surface of the cover member 150, and in detail, may be disposed at a same height as the top surface of the cover member 150. When the uppermost end of the protruding portion 112 is on the same height as the cover member 150 as such, a space between the dental membrane 100 and a gingiva G may be decreased.
(47) In detail, the protruding portion 112 may protrude from the combined portion 111 in a range from 0.1 mm to 5 mm. When a height of the protruding portion 112 is lower than 0.1 mm, the space is increased, and when the height of the protruding portion 112 is higher than 5 mm, the protruding portion 112 may protrude further upward than the cover member 150.
(48) The protruding portion 112 includes a first extending portion 112a having a cylindrical shape and connected to the combined portion 111, and a second extending portion 112b extending horizontally from the first extending portion 112a. Here, the second extending portion 112b is connected to the side bending portion 120.
(49) At least one hole H may be formed in the protruding portion 112.
(50) The side bending portion 120 bends downward from the upper portion 110 while surrounding a side surface of the deficient region of the alveolar bone B, and has a plurality of holes H. The side bending portion 120 bends from the upper portion 110 in a gradual round shape while a bottom of the side bending portion 120 is retracted inward, thereby preventing the bone graft BG therein from flowing out as much as possible. The side bending portion 120 may be disposed on each side of the upper portion 110. However, alternatively, the side bending portion 120 may be disposed on only one side of the upper portion 110.
(51) Meanwhile, reference numerals 140 and 150 respectively denote an insert and a cover member. A location of the insert 140 is fixed by being inserted into the alveolar bone B, and the insert 140 may include a fixture 141 and an abutment 142 combined to the fixture 141. The fixture 141 has a cylindrical shape in overall, wherein a screw thread 141a is formed on an outer circumference of the fixture 141 to be combined to the alveolar bone B, and a blind hole 141b is formed downward from a top of the fixture 141.
(52) The abutment 142 is inserted into the blind hole 141b of the fixture 141, and protrudes from the fixture 141 such that an additional space in which the bone graft BG is to be filed in is obtained by the protruding height. A combining projection 142a protruding upward is prepared on a top of the abutment 142. A male screw thread is formed on the combining projection 142a.
(53) The cover member 150 is combined to the abutment 142, and in detail, a groove 151 to be combined to the combining projection 142a is formed at a bottom of the cover member 150. The dental membrane 100 according to the current embodiment is fixed between the cover member 150 and the abutment 142.
(54) The dental membrane 100 according to the current embodiment has the following effects.
(55) First, referring to
(56) Also, an amount of the alveolar bone B generated as the bone graft BG is filled in a space newly generated by the protruding portion 112 may be increased. According to the increased amount of the alveolar bone B, the fixture 141 may be more strongly fixed in the alveolar bone B in comparison to related technology. Also, by deleting a part of the alveolar bone B, an alveolar process having an arch shape may be easily formed. For example, a desired alveolar process may be easily obtained, without having to additionally perform osteoanagenesis, by deleting the alveolar bone B prepared in the space formed by the protruding portion 112 to a desired shape.
(57) The dental membrane 100 according to the current embodiment may be modified as follows.
(58) In the above embodiment, the side bending portion 120 around the upper portion 110 bends downward, but alternatively, a side extending portion 120 may be disposed around an upper portion 110 as shown in
(59) The side extending portion 120 may itself be used in the alveolar bone B, but if required, the side extending portion 120 may be bent according to the alveolar bone B by the operator. Meanwhile, an insert including a fixture 141 and an abutment 142, a cover member 150, a first extending portion 112a, and a second extending portion 112b of
(60) Also in the above embodiment, the insert 140 includes the fixture 141 and the abutment 142 combined to the fixture 141, but the structure of the insert 140 is not limited thereto. For example, as shown in
(61) Alternatively, an insert may only include a fixture. For example, the insert may only include a fixture shown in
(62) Accordingly, in overall, an insert may include a combination of a fixture and an abutment (a shape of
(63) In the above embodiment, a protruding portion has a shape corresponding to a cover member, but alternatively, the protruding portion may recede away from the cover member upward from a combined portion (i.e., a distance between the protruding portion and the cover member is increased). For example, when the cover member has a circular plate shape, the protruding portion may have a conical shape. In this case, an alveolar process may be easily formed. In other words, an amount of an alveolar bone to be deleted to form the alveolar process from the alveolar bone may be reduced.
(64) In particular, the protruding portion may be designed to have a shape corresponding to the alveolar process to be regenerated. In this case, the alveolar process may have been formed without having to delete the alveolar bone.
(65) Also in the above embodiment, a protruding portion has a cylindrical shape, but alternatively, the protruding portion may be disposed in at least one of a tongue side, an adjacent tooth side, and a lip side of an alveolar bone.
(66) Also, in the above embodiment, a dental membrane is disposed between an insert and a cover member, but alternatively, a groove may be prepared in the insert along a circumferential direction and the dental membrane may be inserted and combined to the groove. Here, a protruding portion may have a shape corresponding to an upper portion of the insert protruding from the dental membrane.
(67) A dental membrane having a papilla forming portion inducing forming of a papilla will now be described.
(68) A dental membrane 10 according to an embodiment of the present invention induces regeneration of an alveolar bone 80 by surrounding a bone graft 82 filled in a deficient region of the alveolar bone 80. In detail, the dental membrane 10 covers the bone graft 82, such as autogenous bone or artificial bone, filled in the deficient region of the alveolar bone 80, thereby preventing the bone graft 82 from deviating from the deficient region during osteoanagenesis and stably inducing regeneration of the alveolar bone 80 by removing mobility of the bone graft 82 filled in the deficient region.
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(70) The dental membrane 10 according to the current embodiment is manufactured by pre-performing trimming and bending in three-dimensions by using a predetermined bending device instead of having an operator immediately perform trimming and bending according to a patient before a surgical procedure. Thus, the dental membrane 10 is pre-formed in a three-dimensional curved shape in a direction of the alveolar bone 80 to be regenerated according to a shape of the alveolar bone 80.
(71) The dental membrane 10 includes an upper portion 20, a side bending portion 30, an upper extending portion 40, an upper wing portion 50, a side wing portion 60, and a side extending portion 70.
(72) The upper portion 20 covers a top surface of a deficient region of the alveolar bone 80 where the bone graft 82 is filled in, and includes a center portion 21 and a papilla forming portion 22.
(73) Here, the center portion 21 is disposed at a location corresponding to a location where an implant insert is inserted into, and is combined to the implant insert. The center portion 21 includes a center hole 211 through and into which the implant insert is penetrated and inserted.
(74) The papilla forming portion 22 is disposed to surround at least a part of the center portion 21 and protrude upward from the center portion 21, and induces a papilla to be formed on the alveolar bone 80 to be regenerated. A cross-section of the papilla forming portion 22 generally has an arch shape. The papilla forming portion 22 is disposed adjacent to the center portion 21 in an overall ring shape to surround the center portion 21.
(75) Here, referring to
(76) Also, the papilla forming portion 22 is spaced apart from the center portion 211 by a predetermined distance. In detail, a shortest distance between the center hole 211 and the papilla forming portion 22 may be in a range from 1 mm to 10 mm. Here, the shortest distance denotes a distance from a location of the center hole 211 nearest to the papilla forming portion 22 to a starting location of the papilla forming portion 22. As such, a papilla may be definitely formed, as the papilla forming portion 22 is spaced apart from the center portion 211 by the predetermined distance.
(77) A plurality of first minute holes 23 are formed on the upper portion 20. The first minute hole 23 may be somewhat smaller than the center hole 211, and in detail, may have a size from 0.1 mm to 0.2 mm. The first minute holes 23 are used to activate a physiological reaction of blood between the bone graft 82 filled in the deficient region and surrounding osseous tissues such that osseous integration is stably and strongly performed between the bone graft 82 and the osseous tissues. The size of the first minute hole 23 is set as above such that blood is smoothly circulated.
(78) The side bending portion 30 bends downward from the upper portion 20 to surround a side surface of the deficient region of the alveolar bone 80 where the bone graft 82 is filled in. The side bending portion 30 bends from the upper portion 20 to have a shape of , and has a plurality of second minute holes 33.
(79) The side bending portion 30 includes a first bending portion 31 bending away from the upper portion 20, and a second bending portion 32 bending closer to the upper portion 20. Here, the second minute hole 33 of the first bending portion 31 may have a diameter from 0.8 mm to 2.0 mm, and the second minute hole 33 of the second bending portion 32 may have a diameter from 0.1 mm to 0.7 mm. Here, first minute holes at a lowermost end of the first bending portion 31 each have a crescent or half moon shape. In other words, the first minute holes at the lowermost end are arranged along a concave line. The first holes have a concave dish shape in correspondence with the concave line so that there is no local protrusion in some regions during bending by naturally forming a bending line. Also, the diameter of the second minute hole 33 of the second bending portion 32 is smaller than that of the first bending portion 31 so that the side bending portion 30 smoothly bends even when a radius of curvature is high, thus increasing flexibility during a bending process.
(80) The upper extending portion 40 surrounds the bone graft 82 by extending from the upper portion 20, and in detail, bends downward by extending in a direction opposite to an extending direction of the side bending portion 30. A plurality of third minute holes 41 are formed on the upper extending portion 40, wherein osseous integration is increased as blood is circulated through the third minute holes 41. The upper extending portion 40 may be pre-formed three-dimensionally according to a final shape of the alveolar bone 80 to be regenerated.
(81) The upper wing portion 50 extends and protrudes from two sides of the upper portion 20, and bends downward. In detail, the upper wing portion 50 bends downward to surround the bone graft 82. The upper wing portion 50 may protrude from a part of a side edge of the upper portion 20, and thus bending may be easily performed. In detail, the upper wing portion 50 covers an upper media or distal region of the alveolar bone 80. A plurality of fourth minute holes 51 are formed on the upper wing portion 50. By forming many minute holes, i.e., first through fourth minute holes 23, 33, 41, and 51, overall flexibility is increased and bending may be easily performed.
(82) The side wing portion 60 bends inward by extending from two sides of the side bending portion 30. The bone graft 82 is prepared in the side wing portion 60, and the side wing portion 60 protrudes from two edges of the side bending portion 30 and bends towards the bone graft 82. The side wing portion 60 surrounds a buccal side of the deficient region, wherein a distance from the side bending portion 30 gradually increases from top to bottom and is uniformly maintained from the middle. The side wing portion 60 is integrally formed throughout a side surface of the side bending portion 30, and thus is easily detached from the deficient region after the osseous integration.
(83) A plurality of fifth minute holes 61 are formed on the side wing portion 60, wherein a diameter of the fifth minute hole 61 may be smaller than that of the second minute hole 33. For example, the diameter of the fifth minute hole 61 may be from 0.1 mm to 0.7 mm. Also, the fifth minute holes 61 may be more closely arranged than the second minute holes 33, so that more holes are formed on the side wing portion 60 in a same area. In other words, a total area per unit area of the fifth minute holes 61 on the side wing portion 60 may be larger than that of the second minute holes 33 on the side bending portion 30. As such, by closely arranging the fifth minute holes 61 having a small size, overall flexibility of the side wing portion 60 may be increased and the side wing portion 60 may be easily taken out from the alveolar bone 80 without damaging the surroundings. Also, as the side wing portion 60 is flexible, bending may be easily performed.
(84) The side extending portion 70 bends inward by extending from a bottom of the side bending portion 30. A plurality of sixth minute holes 71 are formed in the side extending portion 70. Here, a diameter of the sixth minute hole 71 may be smaller than that of the second minute hole 33, and thus sufficient flexibility may be obtained and the side extending portion 70 may be easily taken out from the alveolar bone 80 after osseous integration. Also, the sixth minute holes 71 prevent a surface of the side extending portion 70 from being sharpened during a trimming process, thereby preventing surrounding gingivae from being damaged.
(85) Meanwhile, a tin coating layer or an anodizing coating layer may be formed on a surface of the dental membrane 10. In this case, the overall dental membrane 10 may seem black, thereby arousing an aesthetic sense.
(86) The dental membrane 10 according to the current embodiment of the present invention has the following effects.
(87) First, before attaching the dental membrane 10 to the alveolar bone 80, an implant insert 90 including a fixture 91 and an abutment 92 is inserted into the alveolar bone 80, and the bone graft 82 is filled in the deficient region. Then, the dental membrane 10 that is pre-formed in three-dimensions with respect to the implant insert 90 is combined to the implant insert 90. In detail, the implant insert 90 is inserted into the center hole 211 of the upper portion 20. After combining the dental membrane 10 to the implant insert 90 as such, the location of the dental membrane 10 is fixed to a top of the bone graft 82 by using a separate membrane fixing cover. Next, the dental membrane 10 is covered by gingivae 81, and the gingivae 81 are sutured.
(88) Meanwhile, the dental membrane 10 may include the papilla forming portion 22 so that a protruding region bulging upward may be formed on the alveolar bone 80 that is regenerated. Here, the gingivae 81 covering the dental membrane 10 may also protrude upward according to the shape of the alveolar bone 80 for an aesthetic sense.
(89) As such, a dental membrane according to an embodiment of the present invention may form a papilla while an alveolar bone is regenerated, and thus an operator may avoid having to unnecessarily cut or delete an alveolar bone to form a papilla.
(90) Also, since the dental membrane is customized and pre-formed in three-dimensions, the operator may only need to perform minimum trimming and bending at the spot of dental treatment during a surgical procedure, or the operator may not need to perform any trimming or bending at all. In particular, since the dental membrane has a pre-customized shape and is not locally bent, the dental membrane may be formed without any protruding region, and a puckering phenomenon (for example, a creasing and wrinkling phenomenon) that can typically occur during bending of the dental membrane at the spot of the dental treatment may be prevented. As a result, the dental membrane may be prevented from locally protruding at the spot of the dental treatment, and a separate locking screw may not be required while locking the dental membrane to an implant insert.
(91) Also, by varying sizes of minute holes according to regions to increase flexibility of a region that is to be largely bent, bendability may be increased. Accordingly, spot workability may be increased even when local bending of the dental membrane is required at the spot of the dental treatment.
(92) Also, by configuring a side wing portion to have high flexibility, not only is bendability increased, but also the dental membrane may be easily removed from a bone graft.
(93) A dental membrane according to an embodiment of the present invention may be modified as follows.
(94) First, in
(95) Also, in the above embodiment, the dental membrane 10 includes the upper portion 20, the side bending portion 30, the upper extending portion 40, the upper wing portion 50, the side wing portion 60, and the side extending portion 70, but as shown in
(96) Also, the dental membrane 10 of
(97) Also, the dental membrane 10 of
(98) Also, the dental membrane 10 of
(99) Also, according to the dental membrane 10 of
(100) Alternatively, as shown in
(101) The dental membrane 10 of
(102) Also, the dental membrane 10 may be bent to a predetermined shape, unlike the example shown in
(103) Alternatively, as shown in
(104) Alternatively, the dental membrane 10 may be bent in a predetermined shape as shown in