Dental / Prosthetic Implant
20180036053 ยท 2018-02-08
Inventors
- Elisandro R. Toscano (Orange, CA, US)
- Michael B. Frankel (Valley Village, CA, US)
- Yahya Mansour (Dallas, TX, US)
- Malek K, Mansour (Irvine, CA, US)
- Saam Zarrabi (Fort Worth, TX, US)
Cpc classification
A61C8/0012
HUMAN NECESSITIES
A61F2310/00023
HUMAN NECESSITIES
A61C8/0001
HUMAN NECESSITIES
A61B5/686
HUMAN NECESSITIES
A61C8/0053
HUMAN NECESSITIES
A61F2/4455
HUMAN NECESSITIES
A61B5/4836
HUMAN NECESSITIES
A61F2002/3085
HUMAN NECESSITIES
A61B5/24
HUMAN NECESSITIES
A61F2002/4666
HUMAN NECESSITIES
International classification
A61B17/86
HUMAN NECESSITIES
A61C8/00
HUMAN NECESSITIES
A61B5/11
HUMAN NECESSITIES
A61B5/00
HUMAN NECESSITIES
Abstract
Improvements in a dental/prosthetic implant is disclosed. The implant includes interior and exterior threaded surfaces. The use of both interior and exterior expanding threaded surfaces for integrations of the insert and a prosthetic with the same implant. The implant is immediately usable under load and promotes rapid integration with bone growth. The expanded insert essentially makes contact with the tapped bone surfaces where loads can be immediately applied so a person can utilize the prosthetic implant. The implant can further include security devices GPS, ID with medical records making removal of the implant difficult to extract. A cushioning member may be further integrated. The implant/abutment can include a surface with a plurality of contacts with sufficient gold contact points to attach residual nerve endings, during implanting surgery to provide nerve identification, send, receive, target so as to exploit proprioceptive memory or retraining.
Claims
1. A dental implant comprising: a wire threaded insert; a tapped hole in a bone; a dental implant having an abutment; said abutment having a first end that is threaded and an opposing second end with a tapped hole; said dental implant further includes a threaded fastener configured to engage in said tapped hole in said abutment, and said dental implant further a tapered hole.
2. The dental implant according to claim 1 wherein said wire threaded insert being fabricated from titanium.
3. The dental implant according to claim 2 wherein said titanium is nanostructured.
4. The dental implant according to claim 1 further includes a second wire threaded insert.
5. The dental implant according to claim 1 wherein said wire threaded insert is at least partially coiled and threaded into said tapped hole.
6. The dental implant according to claim 5 wherein said wire threaded insert expands with said tapped hole.
7. The dental implant according to claim 1 wherein said abutment is tapered to match said tapered hole in said dental implant.
8. The dental implant according to claim 1 wherein wire in said wire threaded insert is square in cross-section.
9. The dental implant according to claim 1 wherein said wire threaded insert is square or tapers.
10. The dental implant according to claim 1 wherein said abutment is selected from a group consisting of an aesthetic abutment, an angled contoured abutment, a ball attachment abutment, a casting abutment, a full contour abutment, a gold castable abutment, a plastic castable abutment, a global positioning satellite (GPS) abutment, a RFID abutment, an ID with medical records abutment, a miniature transceiver abutment, an angled abutment, a healing abutment, a locator abutment, a lab analogs abutment, a multi-unit abutment, a plastic non-engaging castable abutment, a plastic temporary abutment, a screw receiving abutment, an angled screw receiving abutment, a straight contoured Zirconia or Titanium abutment, a straight snap-on abutment and a transfer abutment.
11. A prosthetic implant comprising: a wire threaded insert; a tapped hole in a bone; said prosthetic implant having an abutment; said abutment having a first end that is threaded and an opposing second end with a tapped hole; said prosthetic implant further includes a threaded fastener configured to engage in said tapped hole in said abutment, and said prosthetic implant further a tapered hole.
12. The prosthetic implant according to claim 11 wherein said wire threaded insert being fabricated from titanium.
13. prosthetic implant according to claim 13 wherein said titanium is nanostructured.
14. The prosthetic implant according to claim 11 further includes a second wire threaded insert.
15. The prosthetic implant according to claim 11 wherein said wire threaded insert is at least partially coiled and threaded into said tapped hole.
16. The prosthetic implant according to claim 15 wherein said wire threaded insert expands with said tapped hole.
17. The prosthetic implant according to claim 11 wherein said abutment is tapered to match said tapered hole in said prosthetic implant.
18. The dental/prosthetic implant according to claim 11 further includes a contact plate having a plurality of contacts configured for contacting nerves.
19. The dental/prosthetic implant according to claim 18 contacting nerves include a group selected from send, receive, muscle control, temperature, fatigue, angle, and touch.
20. The prosthetic implant according to claim 11 wherein said abutment is selected from a group consisting of an aesthetic abutment, an angled contoured abutment, a ball attachment abutment, a casting abutment, a full contour abutment, a gold castable abutment, a plastic castable abutment, a global positioning satellite (GPS) abutment, a RFID abutment, an ID with medical records abutment, a miniature transceiver abutment, an angled abutment, a healing abutment, a locator abutment, a lab analogs abutment, a multi-unit abutment, a plastic non-engaging castable abutment, a plastic temporary abutment, a screw receiving abutment, an angled screw receiving abutment, a straight contoured Zirconia or Titanium abutment, a straight snap-on abutment and a transfer abutment.
Description
BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWING(S)
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DETAILED DESCRIPTION OF THE INVENTION
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[0043] It's established and proposed advantages are numerous including but not limited to wire threaded inserts are stronger and longer lasting especially when mating materials of different media. A mechanically tapped hole 21/22 in general, will exhibit a surface roughness eight times more than the surface of a wire threaded insert 30, 31 which will overcome surface contact disparity via very tight tolerances and increased clamping action including self-adjustment when receiver medium (i.e. bone) deteriorates.
[0044] A medical grade titanium wire threaded insert dental implant is mostly inert, anti-corrosive, anti-magnetic, withstands extremes of pressure, temperature, acidity, and stress as is typical of wire threaded insert behavior in general. Such conditions are resident in the human/animal mouth. Bolt failure and thread stripping is reduced due to torque, resident and progressive pitch angle errors, pressure, stress and movement.
[0045] Typical thread clamping is up to 70% at the two threads at the collar leaving the tolerances fit highly diminished over the majority of the threads length. Pitch errors and rough contact greatly exacerbates the problem which continues to increase due to said forces, of stress, pressure, movement, temperature variance, material deterioration (i.e. bone). wire threaded insert 30, 31 stretch compensates for these variables and distributes loading and clamping more evenly even when progressive pitch error occurs which can be expected in bone. Radial and axial elasticity actually allows the shearing load threshold (and bolt failure) to be converted to advantage by transformation to an advantageous radial load fit (hoop stress) evenly distributing the loading over the entire length of the threads. Bolt breakage, cracking, thread shearing is virtually eliminated though bone tissue in the mouth can be expected to exert conditions which become problematic in a typical dental implant causing the wire threaded insert 30, 31 to respond so as to improve the fit.
[0046] Medical grade titanium is known to osseo integrate further enhancing improved and self-adjusting fit of a dental implant using said material achieving tremendously improved integration via all the aforementioned advantages of properly engineered wire threaded insert 30, 31. This is an extraordinary phenomenon in which intrinsic problems with current dental implant can be overcome via wire threaded insert 30, 31 advantages and osseo integration in combination.
[0047] Metal medical devices which reside in the body must be inert and not react to conditions in the body. Metal grade titanium alloys are the metal of choice. Developments in metallurgy seek to improve the inert characteristics of titanium via nanostructuring eliminating possible aged material leaking of toxic alloyed metals. Under certain diagnostic conditions a thin coating of zirconium oxide could be applied to the wire threaded insert 30, 31 in a specialized wire threaded insert 30, 31 where alloyed metals leakage might be a concern, environmental sensitivities, allergies, compromised immune systems, etc. The use of nanotechnology to alter granularity at nanoscale specifically to produce inert medical grade titanium wire thread insert excluding toxic alloys without and improving behavior characteristics and weight. In some cases, bone to metal osseointegration of implants between bone and metal is with a glue with a thickness of about a molecule. In a sense, a wire threaded insert 30, 31 is a storehouse of potential energy as expressed as function of a linear spring as described in the below equation:
U(x)kx.sup.2
[0048] Measured as an SI (derived energy potential) micro joule (the millijoule (mJ) is equal to one thousandth (103) of a joule.) It is this potential energy which makes the wire threaded insert 30, 31 dental implant a dynamic self-adjusting, self-correcting, self-integrating, semi-permanent prosthetic device as to opposed to a standard dental implant which is a static prosthetic and in a given difficult environment (the mouth) problematic conditions arise or given enough time (life span of device) will itself become problematic and or fail necessitating replacement. Such quantitative measurements when related to the diagnostic properties of healthy and compromised bone will determine the spring strength to be chosen when choosing and implementing a wire threaded insert 30, 31 dental implant as an allopathic prosthetic virtually establishing a highly tuned relationship between the implant and the bone.
[0049] Where bone 20 is severely compromised or too thin walled a threaded bushing can be used instead of a wire threaded insert 30, 31 which would give strength and support but only when the bone mass is insufficient to receive the tiniest wire threaded insert 30, 31 which remains the preferred choice as bushings retain the same problems as a standard implant, though function as a prosthetic at least.
[0050] In these figures, the tooth or teeth are extracted. A hole is drilled to the minor diameter for the wire threaded insert 30, 31 to a desired depth. The drilled hole is tapped using a bottom tap. The wire threaded insert 30, 31 is threaded into the tapped hole 21/22. If a tang is present in the wire threaded insert 30, 31, the driving tang is broken off or otherwise removed. The wire threaded insert 30, 31 is installed to a depth within the jaw bone 20.
[0051] In
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[0053] Wire threaded inserts such as Spirallock have a wedge ramp design that has been produced in wire thread inserts to offer the same vibration resistance and reusability while bringing higher strength and clamp load capability to titanium. The wire thread inserts are available in two styles: tanged and Drive Notch engineered with no tab. They are particularly effective in application for aerospace, electronics and medical industries.
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[0055] Numerous security devices GPS, RFID, ID with medical records, miniature transceivers in hi risk and targeted individuals as well as military hostile environment field work could be more securely attached to bone, Difficult to detect extract.
[0056] Implant technology has advanced significantly over the past years, there are ongoing issues with the loosening and fracture of implant screws. The load on the back teeth has been shown to be 50 to 80 kilograms, particularly for those who habitually grind their teeth. This application of high loads over prolonged periods has led to the failure of the implant screws, so improved fracture resistance would provide significant benefits for people who sometimes struggle with the maintenance of their implants.
[0057] Resorbable Implants
[0058] There is huge interest in biodegradable or bio-resorbable implants that gradually dissolve during the healing process, reducing the risks of inflammation and eliminating the need for repeat surgeries to replace or remove implants. Magnesium is a prime candidate for such resorbable implants as it is entirely biocompatibleand many people actually have a magnesium deficiency. Magnesium can dissolve too fast.
[0059] Research is assessing the advances that can be achieved in a range of metals when subjected to this processsome anticipated, such as increased strength, others unexpected, such as greater corrosion resistance and increased biocompatibility.
[0060] Metals are actually made of small crystallites, or grains. Applying mechanical load to deform the metal in specially designed processes breaks these into smaller and smaller fragments, down to a nanoscale granularity, while maintaining the material's overall structure. The more times the metal is pushed through the die, the smaller the grains become. The smaller the grains, the stronger the material, although there is a natural limit to both the reduction in grain size and the improved strength.
[0061] Titanium screws fixed into the jaw to hold artificial teeth, which have become a popular alternative to dentures. The screws are currently made of a titanium alloy that includes aluminium and vanadium to provide additional strength, but both elements are considered by some to be potentially toxic. Pure titanium is more biocompatible, but it doesn't have the strength of the alloy. However, we can take commercially pure titanium and use nanostructuring to give the material o extra strength. This leaner, cleaner and stronger titanium compensates for the loss of the alloying elements.
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[0065] A stable attachment for bone-anchored prosthesis is attached without using a socket, thereby ensuring stability. This also allows for the benefit of requiring a minimal time to attach the prosthesis.
[0066] amputation, but osseointegration is currently the best cosmetic option. Other alternatives are toe-to-finger transfer or the surgical creation of a thumb using the index finger.
[0067] Implant Surgery
[0068] The treatment consists of two operations with a three- to four-month interval. In the first operation, a specially constructed titanium screw (fixture) is installed in the residual bone. The period of hospitalisation is usually about two to four days.
[0069] In the second operation, an abutment is added to the fixture. The abutment protrudes through the skin. The period of hospitalisation is approximately two to four days and you will only be able to undertake limited exercise according to your training programme in the following weeks, thereby allowing the skin to heal.
[0070] Rehabilitation
[0071] When it comes to above-elbow amputation, loading of the bone can start (using a short training prosthesis) after the skin penetration area has healed, which is approximately three to six weeks after the second operation.
[0072] Everyday exercise is based on loads on the prosthesis on a standard set of scales. By gradually increasing the load, the strength of the bone will improve. Approximately twelve weeks after the second operation, a prosthesis can be fitted. In the case of below-elbow and thumb amputees, the movement of adjacent joints is exercised until the prosthesis is fitted.
[0073] There is normally a four- to six-month interval between stages one and two for transhumeral and transradial patients and four months for thumb patients. In a few selected cases where there is good bone quality, stages one and two have been performed simultaneously.
[0074] When it comes to transhumeral patients, a short training prosthesis is used three to six weeks after stage two, with increasing weights and loading until the patient reaches the weight of the final prosthesis. It could be a myo-clectric, bodypowered or cosmetic prosthesis. No short training prosthesis is used for transradial or thumb patients.
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[0079] It is contemplated that a conductive plate with a plurality of contacts can be brought in contact with nerves in the remaining limb or spine. The plurality of contacts can be monitored and processed by a computer and then using a microcontroller or VLSI to convert the data from the plurality of contacts to operate mechanical muscles. VLSI circuit programmed to convert analog neurological electrical impulses into a digital protocol for activating a robotic prosthetic. A standardized source code OS is public access as befits the numerous neurorobotic prosthetics and products extending even into cybernetic enhancement, zero-gravity, cosmetic animatronic jewelry, 3D tattoos, entertainment costuming etc. Sensors on the replacement prosthetic can also send signals back through the plurality of contacts to provide feedback to the nervous system to the brain of a person 90.
[0080] A static rigid bolted mounted receiver wire thread insert and abutment for a standard prosthetic. An internal/external abutment which allows for surrounding residual muscle to be attached and used to activate mechanical prosthetic appendage. An internal/external abutment containing, a contact plate with sufficient gold contact points to attach residual nerve endings, during implanting surgery with assist from Nerveana by Medivison Ventura, Calif. nerve identification, send, receive, target so as to exploit proprioceptive memory or retraining.
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[0083] Soft Robotics which imitate biological tissue and function is capable of said function(s) which rigid structure cannot achieve.
[0084] The growing need for robots in service tasks, in unstructured environments, in contact with humans, is leading to release the basic assumption of rigid parts in robotics. The role of soft body parts appears clear in natural organisms, to increase adaptability and robustness. Compliance, or softness, are also needed for implementing the principles of embodied intelligence, or morphological computation, a modern view of intelligence, attributing a stronger role to the physical body and its interaction with the environment. One simple example would imitate and octopus tentacle or tadpole tail.
[0085] The Micro-Nano-Bio Systems and Targeted Therapies Lab has the mission of studying phenomena at the Mill-, Micro- and nanoscale, to invent new solutions and to engineer processes at such scales, in order to develop advanced technological components and the enable minimally invasive therapies. A high level of interdisciplinary features the group, whose research efforts are at the edge between robotics micro-mechanics, materials science and molecular biology. The limb replacement in this figure has a base control module 122 with a replacement arm 121, wrist 122 and digits 124. This robotic forearm can lift and sense a load 123 to provide the proper grasp force. Sensory inputs on the fingers 124 provide feedback on grip force and can further provide sensory information regarding temperature and surface texture.
[0086] There are a number of organizations such as, but not limited to Meridan which is a European Commission through the Seventh Framework Programme that is working with carbon-based biomimetics interfaces for innovative neuroprosthetics. Organizations working in this area with a goal to optimize novel electrode technologies, using nanobiology and cellular physiology, integrated within nanodiamond materials processing towards a new generation of high-resolution chronic implants, with high stability and low biofouling. The application of diamond technology innovated the current bionic devices and provides them with advanced functionalities, better performance and higher market impact towards preclinical stage testing.
[0087] Integrated knowledge on nano-materials, electrode design, and electronics are used to design devices operating in vivo, with sensory and motor neural signals for bi-directional biomimetic interfaces. This works towards advanced voluntary control prosthetics and nerve regeneration.
[0088] The drive is towards high degrees of freedom prosthetic actuators in man-machine interfaces, using the developed devices in combination with minimally-invasive surgery. The goal is a high-resolution ENG and neuromuscular amplification.
[0089] There is further reduced discomfort such as heat, sweating and chafing. Patients experience improved sensory feedback because the phenomenon of sensation through the bone (Osseo perception) is present. This type of integration is adaptable to thumb amputation where no other integration provides the Osseo perception to the hand and wrist.
[0090] Thus, specific embodiments of a dental/prosthetic implant have been disclosed. It should be apparent, however, to those skilled in the art that many more modifications besides those described are possible without departing from the inventive concepts herein. The inventive subject matter, therefore, is not to be restricted except in the spirit of the appended claims.