Arrangement for increasing the stress resistance of implants and one such implant

Abstract

An arrangement and an implant are provided for increasing the stress resistance of the implant arranged in an upper jaw bone. The implant has access via parts to the sinus cavity. At these parts, the implant is arranged with a convex or rounded front surface which, upon access, lifts the sinus mucous membrane, without piercing the latter, and thus forms a closed space between the parts and the underside of the mucous membrane. The implant is provided, at least at these parts, with growth-stimulating substance or substances which interact with cell-containing body fluid which penetrates or has penetrated into the space, so that new bone is formed around these parts of the implant.

Claims

1. An implant for insertion into an upper jaw bone of a patient in need thereof, the implant comprising: a tip having a convex or rounded frontmost surface being designed to cooperate with a sinus mucous membrane in a sinus, via an underside of the sinus mucous membrane, to form an enclosed space between the implant and the underside of the sinus mucous membrane, the implant being coated with at least one growth-stimulating substance (GSS), wherein at least the frontmost surface and parts of the implant penetrating into the sinus are arranged to interact with cell-containing body fluid to form new bone around the frontmost surface and the parts of the implant penetrating into the sinus, wherein the implant comprises at least one outer thread, wherein the GSS is coated only on a side of the tip of the implant, wherein the convex or rounded frontmost surface of the tip of the implant is a polished surface, and wherein the tip is designed with contiguous sides having a porous layer, which porous layer functions as a reservoir for layers of GSS.

2. The implant of claim 1, wherein the porous layer is a porous oxide layer.

3. A kit comprising the implant of claim 1 and a membrane separation instrument for forming an initial stage of the enclosed space between the underside of the sinus mucous membrane and the implant, wherein the membrane separation instrument is insertable through a jaw bone hole adjacent to the sinus mucous membrane, and wherein the membrane separation instrument is rotatable in the jaw bone hole so as to separate the sinus mucous membrane from the surface of the upper jaw bone thereby forming the initial stage of the enclosed space.

4. The implant according to claim 1, further comprising: an anchor for securing the implant to the upper jaw bone, and at least one screw for fastening the anchor to the upper jaw bone.

5. The implant according to claim 1, further comprising: a second screw which is screwed into an inner threaded hole of the implant to secure the anchor to the implant.

6. An implant for insertion into an upper jaw bone of a patient in need thereof, the implant comprising: a tip having a convex or rounded frontmost surface being designed to cooperate with a sinus mucous membrane in a sinus, via an underside of the sinus mucous membrane, to form an enclosed space between the implant and the underside of the sinus mucous membrane, wherein at least the frontmost surface and parts of the implant penetrating into the sinus are coated with at least one growth-stimulating substance (GSS) arranged to interact with cell-containing body fluid to form new bone around the frontmost surface and the parts of the implant penetrating into the sinus, and wherein the convex or rounded frontmost surface of the tip is a polished surface and is designed with contiguous sides having a porous layer, which porous layer functions as a reservoir for layers of GSS.

7. The implant of claim 6, wherein the implant is made of titanium or ceramic.

8. The implant of claim 6, further comprising an anchor configured to secure the implant to the upper jaw bone.

9. The implant of claim 6, wherein the GSS is a member selected from the group consisting of matrix molecules, growth factors, differentiation factors, and growth-stimulation peptides or a mixture thereof.

10. The implant of claim 6, wherein the porous layer is a porous oxide layer.

11. A kit comprising the implant of claim 6 and a membrane separation instrument for forming an initial stage of the enclosed space between the underside of the sinus mucous membrane and the implant, wherein the membrane separation instrument is insertable through a jaw bone hole adjacent to the sinus mucous membrane, and wherein the membrane separation instrument is rotatable in the jaw bone hole so as to separate the sinus mucous membrane from the surface of the upper jaw bone thereby forming the initial stage of the enclosed space.

12. The implant of claim 6, further comprising: an anchor for securing the implant to the upper jaw bone, and at least one screw for fastening the anchor to the upper jaw bone.

13. The implant of claim 12, further comprising: a second screw which is screwed into an inner threaded hole of the implant to secure the anchor to the implant.

14. An implant for insertion into an upper jaw bone of a patient in need thereof, the implant comprising: a tip having a convex or rounded frontmost surface which is designed to cooperate with a sinus mucous membrane in a sinus, via an underside of the sinus mucous membrane, to form an enclosed space between the implant and the underside of the mucous membrane; an anchor for securing the implant to the upper jaw bone; and, at least one screw for fastening the anchor to the upper jaw bone, wherein at least the frontmost surface and the parts of the implant penetrating into the sinus are coated with at least one growth-stimulating substance (GSS) arranged to interact with a cell-containing body fluid to form new bone around the frontmost surface and parts of the implant penetrating into the sinus, wherein the convex or rounded frontmost surface of the tip of the implant is a polished surface, and wherein the tip is designed with contiguous sides having a porous layer, which porous layer functions as a reservoir for layers of GSS.

15. The implant of claim 14, further comprising: a second screw which is screwed into an inner threaded hole of the implant to secure the anchor to the implant.

16. The implant of claim 14, wherein the implant further comprises one or more outer threads.

17. A kit comprising the implant of claim 14 and a membrane separation instrument for forming an initial stage of the enclosed space between the underside of the sinus mucous membrane and the implant, wherein the membrane separation instrument is insertable through a jaw bone hole adjacent to the sinus mucous membrane, and wherein the membrane separation instrument is rotatable in the jaw bone hole so as to separate the sinus mucous membrane from the surface of the upper jaw bone thereby forming the initial stage of the enclosed space.

18. The implant of claim 14, wherein the implant is made of titanium or ceramic.

19. The implant of claim 14, wherein the GSS is a member selected from the group consisting of matrix molecules, growth factors, differentiation factors, and growth-stimulation peptides or a mixture thereof.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) The invention will now be described with reference to the drawings wherein:

(2) FIG. 1 shows, in vertical section, an implant which is fitted in a hole in the upper jaw bone and whose front parts have passed into the sinus and cooperate with the mucous membrane, at the underside thereof, so that a closed space for production of new bone is created,

(3) FIG. 2 shows, in a vertical view, and enlarged in relation to FIG. 1, the configuration of the front surface of the implant and parts penetrating into the sinus,

(4) FIG. 3 shows, in vertical section, and enlarged in relation to FIG. 2, parts of the front surface with applied growth-stimulating substance or substances,

(5) FIG. 4 shows, in vertical section, other parts of the implant's side surfaces which are coated with layers of growth-stimulating substance or substances, which outer sides can comprise one or more threads,

(6) FIG. 5 shows, in a vertical view, a second embodiment of the front surface of the implant,

(7) FIG. 6 shows, in vertical view, a third embodiment of the front surface of the implant, and

(8) FIG. 7 shows, in vertical section, members or instruments which, before lifting of the mucous membrane of the sinus, are intended to free the latter from the inner surface of the sinus.

DESCRIPTION OF THE PREFERRED EMBODIMENTS OF THE INVENTION

(9) In FIG. 1, an upper jaw bone is represented by 1. A hole 2 with an internal thread has been formed in the jaw bone. An implant 3 has been fitted in the hole in the jaw bone, its front parts 4 passing into a sinus 5. The insertion in this case is such that the front parts 4 have lifted the mucous membrane 6 of the sinus by means of the implant's front parts 4 cooperating with the mucous membrane at the underside 6a thereof. It is important here that the lifting is done in such a way that the mucous membrane 6 is not pierced by the implant or is not damaged in a way which would involve a risk of its later becoming pierced. The lifting of the mucous membrane 6 results in an enclosed space 7 being formed between the underside 6a of the mucous membrane and the outer surface 4a of the outer parts. Body fluid 8 passes into the enclosed space from the body tissue in accordance with arrows 9 and 10. At least said front parts 4 of the implant are provided, on said outer surface 4a, with growth-stimulating substance or substances which interact with said body fluid 8. The substance or substances are initially applied in a specific amount and concentration on said surface 4a, and said interaction from said layer is represented in the figure by arrows 10. In FIG. 1, the formation of new bone has been symbolized by 11. Two stages have been indicated in the figure. In the first stage (see to the left of the front parts 4), the body fluid accumulation and the initial interaction are indicated. In the second stage (see to the right of the front parts 4), the completed formation of new bone is indicated. The figure also shows an inner surface 1a of the upper jaw bone, against which inner surface the underside 6a of the mucous membrane 6 bears before lifting. The implant can be of the self-tapping type or of the type fitted in a previously formed thread in the jaw bone hole 2. In FIG. 1, parts of an outer thread on the implant 3 have been indicated by 3a. Other parts of the implant can also be provided with amounts or concentrations of growth-stimulating substance or substances lying on the outside. Application of GSS to the implant 3 can be carried out in different ways, and with variations as regards the extent of the substance or substances along the length and circumference of the implant. The implant has a length L in accordance with the above. The height or length L of the dentine can vary as a function of the patient, jaw bone status, etc. The degree of insertion of the implant, i.e. L-L, is dependent inter alia on the length or height L. If the length or height is small, it may be important to increase stability by means of the new bone formation in the closed space 7, which in such a case entails a greater degree of insertion of the front parts 4 of the implant. The implant can be anchored to the jaw bone 1 temporarily or permanently using a mechanical securing arrangement 12, for example a stiff membrane, which is secured with screws 13 in the jaw bone, at the outer surface 1b thereof. Alternatively, or in addition to this, the membrane or reinforcement can be secured by a screw 12 which is screwed into an inner threaded hole threaded hole 12 in the implant. The design of the implant itself can be of a type known per se, and in this connection reference may be made to the Brnemark system.

(10) FIG. 2 is an enlarged view showing the configuration of the front surface 4a in FIG. 1. The surface of front parts 4 is designed with an evenness which avoids mechanical impact on the mucous membrane when the implant is inserted into the sinus. The surface of front parts 4 can have a polished part 14 and, if appropriate, can be designed with a surface roughness or porous layer 14a at the sides. The surface roughness or porous layer in this case functions as a reservoir for layers of GSS. The parts 4 contiguous to the front surface 4a can also be provided with said surface roughness or porous layer and can be charged with said GSS.

(11) FIG. 3 shows the surface roughness 14 on the front surface 4a in an enlarged view compared to FIG. 2. A layer of GSS applied to the surface roughness is indicated by 15 and a layer of GSS applied to the front part designed with an evenness is indicated by 15.

(12) In accordance with the above, the rest of the implant 3 can be coated completely or partially with GSS of a chosen amount and concentration 17. The thickness of the applied GSS can, for example, lie in the range of, for example, a few Angstrom to a few micrometers, a few nanometers. In the example according to FIG. 4, a coating has been applied to an outer thread 16 with a GSS amount or GSS concentration 17. In the figures, the GSS has been symbolized by broken lines 15 and 17.

(13) In accordance with FIG. 5, the front parts 4 can be designed in different ways. The front surface can be substantially planar or form an only slightly rounded front surface 18 which, at its periphery, has been provided with bevels 18a, 18b so as not to cause damage to the aforementioned mucous membrane 6.

(14) FIG. 6 shows a further embodiment of the front parts 4, which in this case has the basic shape of a sphere 19.

(15) In accordance with FIG. 7, the mucous membrane 6 can, at its underside 6a, be more or less firmly attached to or in the inner surface 1a of the upper jaw bone 1. In this case it is advantageous to use a certain release function. The purpose of the release function is to free the mucous membrane 6 from the inner surface 1a before the lifting in accordance with FIG. 1 is carried out. Said release can be done with the aid of an instrument or member 20 which at its front part has a blade-shaped part 21. After passing through the jaw bone hole 2, said part 21 can be driven in between the inner surface 1a of the jaw bone and the underside 6a of the mucous membrane 6 so as to effect a release function between the jaw bone and the mucous membrane. FIG. 7 shows this initial stage. The member 20 can be given a rotation movement 22 about its longitudinal axis 23, which results in the mucous membrane 6 being freed from the inner surface 1a around the mouth 2a where the jaw bone hole opens into the sinus. In FIG. 7, an initial stage for formation of the space 7 in FIG. 1 has commenced. The initial space which has been created with the member 20 in the stage shown in FIG. 7 has been indicated by 7. It will be appreciated that the member 20 and its insertion and releasing parts 21 can be designed in different ways. Thus, the member 20 can be provided with several parts 21. The parts can be arranged to be resilient relative to the longitudinal part 24 of the member. The part or parts 21 can be provided with rounded surfaces cooperating with the mucous membrane 6 so that the latter is not damaged by the member 20 during the initial release. The invention has been described above such that the mucous membrane 6 is considered as belonging to the sinus, like any space between the underside 6a of the mucous membrane and the top surface 1a of the jaw bone.

(16) The invention is not limited to the embodiment shown above by way of example, and instead it can be modified within the scope of the attached patent claims and the inventive concept.

(17) Reference may be made here to patent applications submitted to the Swedish patent office on the same day as the present patent application and by the same Applicant and inventor. Said applications have the following titles: a) Arrangement for using osteoinductive or bioactive material to induce bone and/or increase the stability of implants in the jaw bone, and an implant intended for this purpose. b) Arrangement for using bioactive or osteoinductive material to build up a bone-based lateral support for implants in the jaw bone. c) Arrangement for implants bearing growth-stimulating substance or substances, and one such implant. d) Arrangement of two or more implants provided with growth-stimulating substance(s).

(18) It is understood that the foregoing description is that of the preferred embodiments of the invention and that various changes and modifications may be made thereto without departing from the spirit and scope of the invention as defined in the appended claims.