Dental implant system
09833300 · 2017-12-05
Assignee
Inventors
- Mahesh Verma (New Delhi, IN)
- Naresh Bhatnagar (New Delhi, IN)
- Abhinav Sood (New Delhi, IN)
- Farukh Faraz (New Delhi, IN)
- Kshitij Sharma (New Delhi, IN)
- Gedela V. Rao (New Delhi, IN)
- Palani S. Kumar (New Delhi, IN)
- Shankar Iyer (Elizabeth, NJ, US)
Cpc classification
A61C8/006
HUMAN NECESSITIES
A61C8/0078
HUMAN NECESSITIES
A61C8/005
HUMAN NECESSITIES
A61C8/0001
HUMAN NECESSITIES
International classification
Abstract
A screw type dental implant system (1), having a dental implant fixture (2), a multifunctional component (3) and an abutment screw (4). The screw shape dental implant fixture has an external surface having buttress threads on the body and micro threads at the collar. This combination provides the advantages of: improved biomechanics at the implant abutment interface, self-tapping nature to the implant, and minimizing the stresses at the crest of the bone leading to decrease resorption of crestal bone. The multifunctional component serves the purposes of implant mount, impression analog and final abutment and has a single prosthetic platform so one component is compatible with different implant dimensions, which minimizes the inventory needed for the implant system and allows easy handling of the system. The multifunctional component also has an external concave transmucosal portion for enhancing the emergence profile and internal threads for securing the abutment screw.
Claims
1. A dental implant system for supporting a prosthetic device wherein the stress values generated by the implant on a jaw bone lie within the physiological limits (1-60 MPa) of bone remodeling, said implant system comprising: a dental implant fixture having buttress threads on a body and microthreads on a collar, the dental implant fixture being configured to fix into a bore hole drilled in the jaw bone; and a dental multifunctional component configured to be inserted in the dental implant fixture and secured on the dental implant fixture by a dental abutment screw comprising a long internal hex channel in a head portion; such that the dental multifunctional component is configured for use as an implant mount, as an impression post and as a final abutment; wherein the multifunctional component comprises a medialised implant abutment junction having a concave transmucosal surface extending away from an end of the dental implant fixture and wherein the dental implant and the multifunctional component are configured and adapted so that the medialised implant abutment junction is substantially surrounded by soft tissues when the dental implant and the multifunctional component are assembled together, wherein the concave transmucosal surface contacts soft tissue when the dental implant and the multifunctional component are assembled together to gain a greater volume of soft tissues during healing and a better maintenance of integration with the jaw bone.
2. A dental implant system according to claim 1 wherein the dental multifunctional component comprises: an internal threaded portion for securing the abutment screw.
3. A dental implant system according to claim 1 wherein the dental implant fixture comprises: a) an upper part having a cylindrical shape with parallel sides and a constant diameter ranging between 5-10% of a total length of the dental implant fixture; b) a middle part having a cylindrical shape with parallel sides and a constant diameter ranging between 20-25% of the total length of the dental implant fixture; and c) a lower part having a conical shape with tapered sides and a decreasing diameter apically ranging between 60-75% of the total length of the dental implant fixture.
4. A dental implant system according to claim 1 wherein the dental implant fixture has a length in the range of 8-15 mm and a maximum outer diameter of 3.5-6 mm.
5. A dental implant system according to claim 1 wherein the dental implant fixture has a crestal module having a height of 2-3 mm and a top wide flat surface.
6. A dental implant system according to claim 1 wherein the dental implant fixture has a crestal module having a height of 2-3 mm and a surface treated non-threaded collar having a height ranging from 0.4 mm-0.8 mm.
7. A dental implant system according to claim 1 wherein the dental implant fixture has a crestal module with circumferential micro threads, the micro threads having a depth in the range of 50-100 μm, a pitch in the range of 100-150 μm, and a height of 1.2 mm-1.6 mm.
8. A dental implant system according to claim 1 wherein the dental implant fixture has a single lead threaded profile on a middle part and an apical part, the threaded profile covering 70%-90% of a surface of the dental implant fixture.
9. A dental implant system according to claim 1 wherein the dental implant fixture has buttress threads having an upper surface making an angle of 80°-100° to a long axis of the dental implant fixture and a lower bevel surface making an angle of about 110°-135° to the long axis of the dental implant fixture.
10. A dental implant system according to claim 1 wherein the dental implant fixture has buttress threads with a depth in the range of about 0.275-0.375 mm, a pitch in the range of 0.5-0.85 mm and a pitch surface in the range of 100-150 μm.
11. A dental implant system according to claim 1 wherein the dental implant fixture-has an apical part comprising an apical end with a rounded shape and a longitudinal apical recess.
12. A dental implant system according to claim 1 wherein the dental implant fixture has an internal portion extending from a crestal module portion up to a middle portion of the dental implant fixture for connecting the dental implant fixture with the dental multifunctional component and comprising: a) a leading internal bevel having an angle of 10-20 degrees; b) an internal hexagonal shape chamber-with a height in the range of 1-2 mm; and c) a threaded channel of about 2-3 mm.
13. A dental implant system according to claim 1 wherein the dental multifunctional component is capable of functioning as: a) an implant mount to transfer the dental implant fixture from a container to the bone site; b) an impression post to make an implant level impression; and c) a final abutment to place the prosthesis.
14. A dental implant system according to claim 1 wherein the dental multifunctional component has a length to diameter ratio of 3:2.
15. A dental implant system according to claim 1 wherein the dental multifunctional component has a single diameter and a length for different diameters of the dental implant fixture.
16. A dental implant system according to claim 1 wherein the dental multifunctional component has a diameter that is smaller than a top surface of the dental implant fixture, thus medialising an implant-abutment junction.
17. A dental implant system according to claim 1 wherein the dental multifunctional component comprises: a) an upper portion which is 10-20% of a total length of the dental multifunctional component; b) a middle portion which is 60-70% of the total length of the dental multifunctional component; and c) a lower portion which is 20-30% of the total length of the dental multifunctional component.
18. A dental implant system according to claim 17 wherein the dental multifunctional component has an internal channel of decreasing diameter of 3.5 mm to 1.85 mm from the upper portion, to the middle portion and to the lower portion.
19. A dental implant system according to claim 1 wherein the dental multifunctional component comprises an upper portion having a square shaped head configured to engage a hand ratchet while screwing the implant fixture into the bone and a perpendicular flange having an undercut surface for the retention of impression material.
20. A dental implant system according to claim 1 wherein the dental multifunctional component has an upper portion configured to be cut during the preparation or customized milling of the final abutment from the multifunctional component.
21. A dental implant system according to claim 1 wherein the dental multifunctional component has a middle portion comprising annular grooves and horizontal lines.
22. A dental implant system according to claim 1 wherein the dental multifunctional component is having middle portion consisting of flat cut surface with the window shape design, the base which is parallel to one of the side of the hexagonal shaped internal chamber of the implant fixture, thus determines the proper orientation of the implant during surgery and aids in prosthetic procedures.
23. A dental implant system according to claim 1 wherein the dental multifunctional component has a lower portion consisting of a concave transmucosal part which gives an esthetical emergence profile to a prosthesis placed over the dental multifunctional component.
24. A dental implant system according to claim 1 wherein the dental multifunctional component is having an additional threaded portion in the lower part of the internal channel which helps in securing the abutment screw and prevents screw loosening and prevents the falling of abutment screw in an oral cavity while getting it disengaged from the implant fixture internal channel in the initial prosthetic procedures.
25. A dental implant system according to claim 1 wherein the dental abutment screw has a length ranging from 11-19 mm and comprises: a) an upper head portion having a length that is 25% to 40% of the total length of the dental abutment screw; b) a middle shaft portion having a length that is 30% to 60% of the total length of the dental abutment screw; and c) a lower threaded portion having a length that is 15% to 30% of the total length of the dental abutment screw.
26. A dental implant system according to claim 1 wherein the dental abutment screw is having has upper, middle and lower portions in the ratio of 25%: 60%: 15% respectively.
27. A dental implant system according to claim 1 wherein the dental abutment screw has an internal portion with a hexagonal channel, the hexagonal channel has-size 0.70-0.80 mm wide and 4-5 mm deep.
28. A dental implant system according to claim 1 wherein the said implant system yields stresses in the range of 18-39 MPa, at an implant abutment junction, a crestal area and a cortico-cancelous junction of the implant system, under compression type of forces of 450N.
29. A dental implant system according to claim 1, wherein the said implant system yields stresses in the range of 18-39 MPa, at an implant abutment junction, a crestal area and a cortico-cancelous junction of the implant system, under tension type of forces of 450N.
30. A dental implant system according to claim 28 or 29, wherein the stresses are calculated using finite element analysis.
31. A dental implant system according to claim 1, wherein the dental implant fixture is configured to be screwed into a bore drilled into a tooth less-site in a maxilla or mandible jaw bone, on which the dental multifunctional component is inserted and fixed by the dental abutment screw.
32. The dental implant system of claim 1, wherein the implant fixture includes an internal portion that the multifunctional component partially fits into, wherein the internal portion includes a leading internal bevel, wherein the multifunctional component includes a beveled surface that mates with the leading internal bevel of the implant fixture, wherein the concave transmucosal surface extends upward from the beveled surface of the multifunctional component, wherein concave transmucosal surface flushly emanates from the internal portion of the implant fixture.
33. A method of supporting a prosthetic device on a dental implant system, comprising the steps of: fixing a dental implant fixture having buttress threads on a body and micro threads on the collar into a bore hole drilled in a jaw bone; inserting a dental multifunctional component in the dental implant fixture; securing the dental multifunctional component in place by a dental abutment screw having a long internal hex channel in a head portion; and supporting the prosthetic device on the dental multifunctional component wherein the multifunctional component comprises a medialised implant abutment junction having a concave transmucosal surface extending away from an end of the dental implant fixture and wherein the dental implant and the multifunctional component are configured and adapted so that the medialised implant abutment junction is substantially surrounded by soft tissues when the dental implant and the multifunctional component are assembled together, wherein the concave transmucosal surface contacts soft tissue when the dental implant and the multifunctional component are assembled together to gain a greater volume of soft tissues during healing and a better maintenance of integration with the jaw bone.
Description
BRIEF DESCRIPTION OF DRAWINGS
(1) In the drawing accompanying this specification:
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DETAILED DESCRIPTION OF THE INVENTION
(25) The terminologies used here in above and to be used further in the description of the invention are merely to explain the embodiments of the dental implant and are not intended to limit the scope of the invention.
(26) To state: the implant body is the part of the dental implant which is implanted in the drilled bore in jaw bone, the lower end/apical end/lower portion of the said implant body is the end which is directed towards the bone and upper end is the one which receives the abutment for crown attachment and remains aligned with the crest of the bone or to the gingival and so on. It is to be understood that each terminology used includes all equivalent terminologies, which operate in a similar manner to accomplish similar functions.
(27) The present invention will be described in details with respect to the accompanying drawings when taken in conjunction with the detailed description thereof and these and other objects will be more apparent hereinafter.
(28) In the accompanying figures of drawings there is shown various views of a dental implant system (1) consisting of dental implant fixture (2), abutment/multifunctional component (3) and abutment screw 4.
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(30) Referring to
(31) The implant fixture has a long axis (10) parallel to the three parts of the implant. The body of the implant (11) consists of the second part and third part of the implant fixture (2), has conical and cylindrical shape, which helps in easy insertion during implant fixture (2) placement and in acquiring the primary stability for better osseointegration respectively. The tapering structure also helps the implant fixture (2) in avoiding impingement on the anatomical structures.
(32) The implant fixture (2) has a length in the range 8-15 mm depending on the clinical situation and a maximum outer diameter of 3.5-6 mm. The various combinations of length and diameter cover most of the anatomical variations of the alveolar bone for implant placement. The axial extent of the first part/crestal module (5) is 5-10% of the total length of the implant fixture (2), the axial extent of the second part/middle part (7) is 20-25% of the total length of the implant fixture (2) and the axial extent of the third part/apical part (8) is 60-75% of the total length of the implant (1). Thus the implant is made up of ⅔.sup.rd lower conical part with tapering sides and ⅓.sup.rd upper cylindrical part with parallel sides as a whole.
(33) The first part/crestal module (5) of the implant has flat platform (12) on the top and consist of two portions, the surface treated non-threaded collar (13) and the roughened micro threaded area (14). The surface treated non-threaded collar (13) has paralleling sides (6) with rough surface and has length of 0.4-0.8 mm. This enhances better soft tissue and bone integration around the implant fixture (2). The micro threaded area (14) covers about 1.2-1.6 mm of the implant fixture (2) surface. This enhances the surface area of the crestal module (5) which favorably distributes the forces at the critical area of alveolar bone crest.
(34) The cylindrical shape second part/middle part (7) starts from the crestal module (5), which has circumferential roughness due to screw thread profile. The screw thread profile is formed by single lead thread (15), which extends apically from the junction between the first and second sections. The tips of the screw threads (16) over the cylindrical intermediate section (7) all lie on common plane, which is parallel to the main long axis (10) of the implant fixture (2), and thus circumscribe the circumference of the cylindrical intermediate section (7). This gives the cylindrical intermediate section (7) its constant diameter.
(35) The conical shaped apical part (8) starts from the second part coronally (7) and ends at the apical end (17). It has a screw thread profile, which is formed by single lead thread (15) design. The conical apical part has tapering sides (9), thus the implant body (11) does not have constant diameter in this portion. The tips of the screw threads (16) over the conical apical portion (8) all lie on common plane, which is not parallel to the main long axis (10) of the implant fixture (2).
(36) There is a particular type of threads (15) in the intermediate (7) and apical portion (8) (implant body 11) of the implant fixture (2) thus covering more than ⅔ portion of the implant (2). This enhances the surface area of the implant fixture (2) and thus its osseointegration with the bone.
(37) One of the preferred embodiments of the implant fixture (2) with tapering apical part (8) having rounded apical end (17) which prevents damage to vital structures even if the implant is placed in close vicinity or pressing against it. The embodiment also shows a vertical apical recess (18) which allows the collection of the bone chips as the implant is self-tapping and the borehole preparation is lesser than the diameter of the implant fixture (2).
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(39) The threads (15) have a buttress shape, with flat top surface and tapering lower surface. The top surface (21) makes 90° angulation with the long axis (10) of the implant fixture (2). The lower surface anglulation (obtuse) (22) with the long axis (10) of the implant fixture (2) falls in the range of about 110°-135° degrees. Threads (15) have a depth (23) in the range of about 0.275-0.375 mm, pitch (24) in the range of 0.5-0.85 mm, and pitch surface (25) in the range of 100-150 um. Buttress threads (15) are incorporated in the implant fixture (2) to have self-tapping nature for easy insertion into the bone and better primary stability, while producing moderate amount of forces at the crest under different type of forces with comparable shearing component of the axial load at implant bone interface.
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(44) The multifunctional component (3) has three external parts upper portion (30) which is 10-20% of the total length, middle portion (31) which is 60-70% of the total length and the lower portion (32) which is 20-30% of the total length.
(45) The upper portion (30) consist of square shape head (33) for engaging the hand ratchet while screwing the implant into, the bone prepared site, flange (34) perpendicular to the square head (33) and the undercut surface (35) for the retention of the impression material to the multifunctional component (3) while making the impression. The upper portion (30) is cut during the fabrication of final abutment from the multifunctional component (3).
(46) The middle portion (31) comprises the main body of the multifunctional component (3) and starts at the undercut surface (35) of the upper portion (30). The top part (36) of the middle portion (31) consists of smooth surfaces (37) with parallel sides (38) divided by the three annular grooves (39). The annular grooves (39) give retention to the impression material while impression making. However the annular grooves (39) serve as reference lines for ease in milling and preparing the multifunctional component (3) as an abutment. This leads to reduction in the height of multifunctional component (3) to accommodate the prosthesis. The lower part (40) of the middle portion (31) consists of smooth surface (41) with the tapering sides (42) towards the top part (36). The smooth surface (41) has a flat cut surface (43) with the window shape design. The base (43) of the flat cut surface (43) is parallel to one of the side of the hexagonal shape internal chamber (28) of the implant fixture (2), thus determines the proper orientation of the multifunctional component to the buccal aspect of the implant (2). The lower part (40) of the middle portion (31) contains horizontal markings (44), which helps in preparation of finish line on abutment for the prosthesis placement.
(47) The lower portions (32) of the multifunctional component (3) consist of the concave transmucosal part (45), which is surrounded by the soft tissues after the multifunctional component (3) is placed over the implant fixture (2). Transmucosal part (45) gives an esthetical emergence profile to prosthesis placed over the abutment. The lower portion (32) comprises the beveled surface (46) and the hexagonal chamber corresponding part (47) that fits to the leading internal bevel (27) and the hexagonal chamber (28) of the internal portion (26) of the implant fixture (2) respectively. They are the corresponding attaching parts of the internal type of connection between multifunctional component (3) and the implant fixture (2).
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DISCLOSURE OF THE INVENTION
(53) The upper portion of the external surface of implant is the region surrounded by the crest of bone. The mechanical stresses falling at the crest play a critical role in its resorption. Both the inadequate forces (no stimulating factor due to stress shielding effect) and excessive forces (shearing forces) lead to bone resorption. There are different types of crestal module of the implant depending upon the shape (cylindrical, tapered, reverse tapered), size (long, medium, short), and surface texture (smooth, polished, rough). However none have showed the ability of modulating the stresses at the crestal region, which can decrease the resorption of the bone. In the present invention microthreads are incorporated at the crestal module which enhances the roughened surface. This leads to effective mechanical loading of surrounding bone and reduction of the shearing stresses at the crestal level of alveolar bone. Thus better remodeling and preservation of alveolar bone takes place during function of implant.
(54) In the present invention the unique combination of Buttress threads at the implant body with microthreads in the crestal module of particular dimensions are added to the implant design for 1) reducing the insertion stresses (self tapping) at the bone implant interface, 2) reducing the functional stresses at the alveolar crest bone, 3) reducing the stresses at implant abutment weak junction thus improving the biomechanics at the implant abutment interface.
(55) Prior art has shown external and internal type of connection between implant and abutment. The internal portion of the implant has the chamber and the channel to secure the abutment and its screw. However in the present invention a leading internal bevel is introduced, which helps in easy insertion and alignment of the abutment with the implant.
(56) Abutment is secured on the implant by the abutment screw, which passes through the internal channel of the abutment and fits into the implant internal channel. While removing the abutment from the implant screw has to be loosened carefully from the internal channel of the implant. However, in doing so, the screw can fall out from the abutment. Prior art shows no mechanism of securing the screw in the abutment after loosening from the implant channel. The present invention overcame this by introducing a threaded portion in the lower part of the abutment channel.
(57) The abutment screw internally secures the implant abutment connection. The fabrication of the prosthesis on the abutment needs modification of the abutment height, width and shape. In the process of shortening the abutment height for the prosthesis accommodation, the abutment screw also gets reduced and loose its inner grooves required for tightening. However in the present invention the abutment screw head is of longer dimension, which have the grooves throughout its head length. Thus the tightening properties of the abutment screw can still be maintained even after the abutment and the screw is reduced for accommodating the prosthesis.
(58) Dental implant system consists of many inventories like implant mount, impression analog, and implant analog and abutment for placing the prosthesis on the implant fixture. The present implant systems have separate abutment for each implant diameter size. This also increases the inventory and makes difficult for the operator in understanding and handling the implant system. However, the present invention introduces the multifunctional component in the dental implant system. The multifunctional component of the system serves the purpose of implant mount, impression analog and final abutment. In addition the multifunctional component is designed with single prosthetic platform so one component is compatible with different implant dimensions. Thus the multifunctional component minimses the inventory needed for the implant system and allows easy handling of the system.
(59) The early bone loss at the crest of alveolar bone often lost to the first thread, after the loading of implants is a common clinical observation. This loss of bone is contributed by many factors. However one of the factors considered is the implant abutment interface. In the prior art the size of the implant platform coincides with the diameter of the abutment. This type of implant and abutment interface is broader and near to the crest of bone thus resulting in faster bone loss due to bacterial contamination and micromovement at the interface (microgap). In the present invention the implant abutment interface is medialised (radially inward) by using smaller diameter abutment on the bigger implant platform, which keeps the interface away from the crest of alveolar bone, thus reducing the insult of crestal bone from bacterial contamination and micro movements.
(60) Esthetics is an important aspect in designing the abutment of implant system. The shape of the abutment determines the emergence profile of the prosthesis placed on the implant fixture. There are various shapes of the transmucosal portion of the abutment like cylindrical, oblong, convex etc. However these shapes of the abutment don't provide an esthetical emergence profile to the prosthesis. Thus to overcome this, the present invention developed a concave shape of the lower transmucosal part of the abutment to have an better emergence profile of the prosthesis placed on the abutment simulating the natural tooth anatomy.
(61) Current implant systems available, apart from the high cost of equipment and the fixtures, offer a wide gamut of prosthetic options, which requires a high input for inventory management and complicates the treatment planning. This is a major factor due to which this treatment option is yet to reach the masses. Hence there is a need to develop a new convenient and economical dental implant system that has more universal and streamlined numbers of components without compromising the basic tenets of implant design.
(62) A better understanding of the present invention is provided by the following examples which is set forth to illustrate, but is not to be construed to limit, the present invention.
Example 1
Finite Element Study in Support of the Present Invention
(63) Finite Element Analysis (FEA) is a computer based numerical technique for solving wide range of engineering problems. It can be used to calculate deflection, stress, strain, vibration response, buckling behavior and many other phenomena. It can also used to analyze wide range of material models such as isotropic, orthotropic, anisotropic etc., FEA is be used to simulate the wide range of material response such as linear/non-linear response, elastic and plastic deformation and also time independent/dependent material responses. The computer is required because of the considerable number of numerical calculations required to analyze the structure behavior for the given external loads. A mesh is needed in FEA to divide the whole domain into elements.
(64) Discretization of a Domain
(65) It is the process of creating a mesh, elements and their respective notes and defining boundary conditions. In the Finite Element method, a structure is discretized into many small simple blocks or elements. The behavior of the each element can be described using a relatively simple set of equations. Just as a set of elements can be joined together to build a whole structure, likewise the equations describing the behavior of individual elements are joined into an extremely large set of equations that describe the behavior of the whole structure. From the solution, the computer extracts the behavior of individual elements. From this it can calculate the stress and deflection of all the parts of the structure.
(66) Derivation of Element Equations
(67) Finite Element (FE) model generated as a solid model with the solid element mesh of individual elements and perform the pre-process, solution and post processing to calculate the stresses and strains.
(68) The study of solid mechanics is concerned with the equations of the equilibrium, strain-displacements relations and the constitutive law. It is well known that the assumption of the strains being infinitesimal leads to a linear analysis, while the use of generalized Hooke's law between stress and strain give rise to a linear elastic-plastic analysis, viscoelastic or viscoplastic models can be incorporated by using appropriate constitutive modeling. Retaining the higher order terms in strain displacement relations can simulate geometric nonlinear effects in solid mechanics.
(69) For linear elastic analysis, the FEA program sets up stiffness matrix and load vector and then solves for displacement vector at equilibrium position, thereby producing displacement results for each node. These displacements will then be used to calculate strains and these strains are further used to calculate stress using Hook's law.
(70) Stress and strain relation of a linearly elastic and isotropic material is given by:
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where ε.sub.x and ε.sub.y are normal strains in x and y directions respectively, υ.sub.xy is the shear strain in x-y plane, σ.sub.x and σ.sub.y are normal stresses in x and y directions respectively, τ.sub.xy is shear stress in x-y plane, E is the elastic modulus, ‘υ’ is Poisson's ratio, and ‘G’ is the shear modulus,
G=E/(1+υ). The last column vector contains initial strains (described below). Abbreviated, equation is written as:
. . . γσ+ε.sub.0
(72) This equation is solved for the stress vector σ, we have
. . . γε.sub.0+σ.sub.0
in which σ.sub.0=−ε.sub.0
Equation for Plane Stress and Plain Strain Under Mechanical Load
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Equation for Plane Stress and Plain Strain Under Thermal Load
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where ‘u’ and ‘v’ are the nodal displacements in ‘x’ and ‘y’ direction respectively.
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where ‘N.sub.i’ is separate shape polynomials and ‘N’ is the shape function matrix
where i=1, 2, 3, 4 . . .
ε=Bd, and σ=EBd
where, ‘B’ is called as strain-displacement matrix.
(76) The potential energy (Π) of an elastic body is defined as sum of total strain energy (U) and the work potential (WP) and is given as:
Π=U+WP
where ‘U’ is the strain energy and ‘WP’ is the work potential
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(78) Assembly of element equations, element equations is assembled and boundary equations are introduced. Equations are computed by using Gaussian Elimination technique.
(79) Finally, equations are solved for displacements at nodal points and strains/stresses are calculated from the stress ‘B’ Matrix. Matrix symbolization for the set of equations is given where ‘K’ is Global stiffness matrix derived from element stiffness
(80) ‘R’ is the Global load vector
(81) ‘D’ is the Global displacement at nodes
(82) Equation for the stress is given by Hook's law as;
E=σ/ε, or σ=εE
Assumptions Made for Simplification of Bone Implants Characteristics
(83) The difficulty in mechanical characterization of bone due to its complex structure and its interaction with the implant systems has led the investigators to make certain major simplifications. Contrary to the earlier studies where the trabecular pattern of the bone was ignored due to the lack of understanding of the trabecular pattern, most of the investigators have reached a consensus that the cortical bone is neither homogenous nor isotropic. However for the sake of ease of calculation in FE analysis without oversimplifying the bone structure, the bone is considered as transversely isotropic. Therefore, there exist different values for ultimate strain and modulus of elasticity when bone is tested in compression as compared within tension.
(84) Material & Methods
(85) Model Design
(86) A computer aided design (CAD) of Two-Dimensional and Three-Dimensional solid model of a single osseointegrated implant with straight abutment in a segment of bone was generated. We used the ABAQUS V6.5 Finite Element analysis programmed to generate the solid model, create the mesh of individual elements and perform the post processing to calculate the stresses and strains. In the model titanium implants were designed using tapered shape, threaded design, and 1 mm coronal collar. Straight abutment of 9 mm height, square head with taper was screwed on the implant. Bone was modeled as a cancellous core/soft core surrounded by 2 mm of cortical/hard bone. Implant was opposed by cortical bone in crestal region (collar & threaded portion) where as the cancellous bone opposes remainder of threaded implant body surface.
(87) Material Properties
(88) All materials used in the models were considered to be isotropic, homogenous and linearly elastic. We modeled cortical and cancellous bone as homogenous material with transverse isotropy. A transversely isotropic material behaves identically in all planes perpendicular to the axis of symmetry. In our transversely base model, the axis of symmetry for bone, is in the mesodistal direction (Sagittal section).
(89) The elastic properties used were taken from the literature:
(90) TABLE-US-00001 Elastic Properties Ascribed to Materials Used In the Models Poisson's Material name Young's/Shear Modulus (GPa) ratio Cortical bone E.sub.1 = 126.0; E.sub.2 = 19.4; E.sub.3 = 12.6, υ.sub.12 = 0.055 G.sub.12 = 4.85; G.sub.13 = 4.85; G.sub.23 = 5.7 υ.sub.13 = 0.322 υ.sub.23 = 0.01 Cancellous E.sub.1 = 114.8; E.sub.2 = 21.0; E.sub.3 = 1.148, υ.sub.12 = 0.3 bone G.sub.12 = 0.068; G.sub.13 = 0.068; G.sub.23 = υ.sub.13 = 0.253 0.434 υ.sub.23 = 0.253 Titanium E = 110 υ = 0.3
(91) Interface Condition: We assumed complete or 100% osseointegration at the implant/bone interface and we modeled the restoration and abutment as a seamless/continuous unit.
(92) Elements and Nodes: Models were meshed with 4-node solid linear tetrahedron elements (C3D4). A finer mesh was generated at the material interface to ensure accuracy of force transfer. The number of elements and nodes in each model is taken as an average i.e. elements 1, 38,121 and nodes 29,877.
(93) Constraints and Forces: Models were constrained in all directions and on inferior border of bone at the nodes. The magnitude of force remained constant i.e. 450 N in each model however the direction of forces were changed.
(94) Solution: Analysis for each model was performed by means of ABAQUS V6.5 software programme. The calculation time (average) for each model was about 2 hrs. The von Mises Stresses was used to display the stresses in the implant system and bone.
(95) From the results of the FEA with regards to the thread designs under a load of 450 N the following data was extrapolated.
(96) Comparing Buttress, Reverse Buttress, and V-Shape Thread Designs
(97) Under Compression At the abutment implant interface the maximum stress (on the implant) was seen in the Classical V (41.4 MPa), followed by reverse buttress (36.51 MPa), and with the least in Buttress (30.94 MPa). At the crestal level maximum stress was seen in Buttress (27.15 MPa), followed by Classical V (18.34 MPa), and with the least in Reverse Buttress (11.94 MPa). At the Cortico cancellous interface maximum stress was seen in Buttress (85.33 MPa), followed by Classical V (30.44 MPa), and with the least in Reverse Buttress (24.39 MPa).
(98) Under Tension At the abutment implant interface the maximum stress was seen in the Classical V (40.7 MPa), followed by Reverse buttress (37.57 MPa), and with the least in Buttress (33.95 MPa). At the crestal level maximum stress was seen in Reverse Buttress (44.38 MPa), followed by Buttress (27.15 MPa), and with the least in Classical V (18.34 MPa). At the Cortico cancellous interface maximum stress was seen in Buttress (85.33 MPa), followed by Reverse Buttress (63.34 MPa), and with the least in Classical V (30.99 MPa).
(99) Under Moment At the abutment implant interface the maximum stress was seen in the Classical V (425.34 MPa), followed by Reverse buttress (421.62 MPa), and with the least in Buttress (278.94 MPa). At the crestal level maximum stress was seen in Classical V (227.03 MPa), followed by Buttress (139.97 MPa), and with the least in Reverse Buttress (120.68 MPa). At the Cortico cancellous interface maximum stress was seen in Buttress (30.39 MPa), followed by Classical V (9.59 MPa), and with the least in Reverse Buttress (9.18 MPa).
Comparing Buttress with Microthreads and Buttress Thread Designs
(100) To improvise upon the Buttress design, microthreads were added on the collar of implant. The comparison of Buttress with microthread design against Buttress design was done
(101) Under Compression At the abutment implant interface the Buttress with microthread showed slightly higher stresses (38.49 MPa), as compared to Buttress (30.94 MPa). At the crestal level Buttress with microthreads showed less stresses (18.48 MPa) as against Buttress (27.15 MPa). At the Cortico cancellous interface less stress were seen in Buttress with microthreads (18.15 MPa) as compared to Buttress (85.33 MPa).
(102) Under Tension At the abutment implant interface the Buttress with microthreads showed slightly higher stress (38.44 MPa) as compared to Buttress (33.95 MPa). At the crestal level Buttress with microthreads showed lesser stresses (18.48 MPa) than Buttress (27.15 MPa). At the Cortico cancellous interface Buttress with microthread (22.29 MPa) showed lesser stress than Buttress (85.33 MPa).
(103) Under Moment At the abutment implant interface the Buttress with microthreads showed higher stress (3968.09 MPa) as compared to Buttress (278.94 MPa). At the crestal level Buttress with micro threads showed lesser stresses (70.27 MPa) than Buttress (139.97 MPa). At the Cortico cancellous interface Buttress with micro thread (8.57 MPa) showed lesser stress than buttress (30.39 MPa).
Inference
(104) From the above comparison made between the different thread designs under compression, tension and moment it was deduced that: a. Buttress thread design was least detrimental in terms of the von Mises stresses generated at the implant abutment interface. Maximum number of failures takes place at the implant abutment interface, therefore to reduce the stresses at this interface, Buttress design is best suited. Moreover there is a better self-tapping nature of Buttress design, which further reinforces our selection. b. Incorporation of micro threads into the collar of the implant with buttress design led to a dramatic reduction of stress in the bone at both the crestal and cancellous level. c. Further the comparison of buttress with micro thread design against all other thread design (Classical V and Reverse Buttress), as seen in FEA models showed wider and more even distribution of von Mises stresses under compression, tension and moment forces.
Example 2
(105) Initially an FEA model (
(106) After the analysis of the FEA model, the von misses stresses generated in the abutment at the top portion are in the range of 10-38 MPa, at the middle portion in the range of 4-29 MPa and at the lower, portion in the range of 13-32 MPa.
(107) After the analysis of the FEA model, the von misses stresses generated in the implant fixture on the external surface at the crestal module are in the range of 10-48 MPa, in the middle threaded portion in the range of 5-22 MPa, and in the apical area in the range of 1.5-10 MPa. The internal portion of the implant fixture generated 10-35 MPa of stresses where as the top platform has the stresses in the range of 14-44 MPa.
(108) After the analysis of the FEA model, the von misses stresses generated in the cortical bone at crestal level are in the range of 14-44 MPa.
(109) After the analysis of the FEA model, the von misses stresses generated in the cancellous bone at crestal level are in the range of 3-31 MPa.
Example 3
(110) An FEA model was generated to determine the stresses developed in the implant fixture having different types of threads i.e. Buttress, Reverse buttress, Buttress with microthreads and V shape under 450N of tensile type of load/forces. The FEA model shows the perspective view of the implant fixture under tensile forces.
(111) In the FEA model of the implant fixture with the Buttress threads
(112) In the FEA model of the implant fixture with the Reverse Buttress threads
(113) In the FEA model of the implant fixture with the Buttress threads and microthreads [
(114) In the FEA model of the implant fixture with the Classical V shape threads [
(115) The comparison of FEA model of the implant fixture with the different thread design shows that the Buttress threads with microthreads shows the most uniform and the lowest amount of von misses stresses. Buttress thread design shows the lowest amount of stresses at the crest when compared to reverse buttress and classical V design. When microthreads are added to the buttress thread design the stresses at the crestal module become even lesser. Thus another advantage of this design is the lowest amount of stresses at the crestal module, which is the most prone area of the failure of implant (due to fracture or crestal bone loss).
(116) After the initial FEA analysis consisting of the different components of the implant system, surrounding bone and implant fixture with the different thread shapes, an FEA model of the complete implant system (including implant fixture and multifunctional component) with the surrounding cortical and cancellous bone. At first a raw model was designed (
(117) Thereafter an FEA model (
(118) Later the FEA model (
Example 4
(119) The FEA model generated for the complete implant system (including implant fixture with the buttress threads and multifunctional component) with the surrounding cortical and cancellous bone was used for evaluating the effect of compression type of force of about 450 N on the smallest (diameter 3.5 and length 10 mm) and the largest dimension (diameter 5 mm and length 13 mm) of the implant fixture included in the implant system. The evaluation was based on the magnitude and location of von misses stresses at different levels of the implant fixture having the Buttress thread design.
(120) In the FEA model, the implant system of the smallest [
Example 5
(121) The FEA model generated for the complete implant system (including implant fixture with the buttress threads and multifunctional component) with the surrounding cortical and cancellous bone was used for evaluating the effect of tension type of force of about 450 N on the smallest (diameter 3.5 and length 10 mm) and the largest dimension (diameter 5 mm and length 13 mm) of the implant fixture included in the implant system. The evaluation was based on the magnitude and location of von misses stresses at different levels of the implant fixture having the Buttress thread design.
(122) In the FEA model, the implant system of the smallest [
(123) In comparison the largest dimension implant has uniform stresses but higher von misses stresses at the implant abutment junction, whereas in smallest dimension implant corticocancellous interface has the higher stresses. The von misses stresses generated under tension forces mainly concentrate on the upper portion of the implant system and goes on decreasing in the apical direction.
Example 6
(124) The FEA model generated for the complete implant system (including implant fixture with the buttress threads and multifunctional component) with the surrounding cortical and cancellous bone was used for evaluating the effect of moment type of force of about 450 N on the smallest (diameter 3.5 and length 10 mm) and the largest dimension (diameter 5 mm and length 13 mm) of the implant fixture included in the implant system. The evaluation was based on the magnitude and location of von misses stresses at differ ent levels of the implant fixture having the Buttress thread design.
(125) In the FEA model, the implant system of the smallest (
(126) The Example 3, Example 4, and Example 5 showed that Buttress thread design with smallest to the largest dimension implant had developed favorable stress generated in the implant system and the surrounding bone after the application of different type of forces i.e. compression, tension and moment.
(127) The comparison between the smallest (diameter 3.5 and length 10 mm) and the largest dimension (diameter 5 mm and length 13 mm) of the implant fixture in relation to the von misses stresses generated at the different locations of the implant system under compression, tension, and moment type of forces of 450 N, as given in Examples 4, Example 5, and Example 6 is summarized in the Table 1.
(128) The above mentioned table showed that the smallest and the largest dimension implant system under occlusal forces (compression and tension forces) of 450 N yield stresses in the range of 11-37 MPa at the different location of implant abutment assembly (implant system). These stresses generate micostrains in the bone which leads to the favorable bone remodeling as these stresses and strain are in the physiological limits.
(129) TABLE-US-00002 TABLE 1 Largest Smallest dimension dimension S. NO. FORCES & LOCATION (5 × 13 mm) (3.5 × 10 mm) 1 COMPRESSION (N/mm.sup.2) (N/mm.sup.2) A) Implant Abutment interface 36.51 30.94 B) Crestal bone level 11.94 27.15 C) Cortico-cancellous interface 22.59 25.33 2. TENSION A) Implant Abutment interface 36.59 33.95 B) Crestal bone level 22.51 27.15 C) Cortico-cancellous interface 22.59 25.33 3. MOMENT A) Implant Abutment interface 317.16 278.94 B) Crestal bone level 153.8 139.97 C) Cortico-cancellous interface 51.7 30.99
Example 7
(130) The FEA model generated for the complete implant system including implant fixture having different types of thread design (Buttress, Reverse Buttress, Classical V shape and Buttress with micro threads) and multifunctional component with the surrounding cortical and cancellous bone. The model was used for evaluating the effect of compression type of force of about 450 N on the implant system of diameter 3.5 mm and length 10 mm. The evaluation was based on the magnitude and location of von misses stresses at different levels of the implant system.
(131) In the FEA model (
(132) When the compression force was applied on the implant system with the Revrese buttress threads [
(133) When the compression force was applied on the implant system with the Buttress threads [
(134) When the compression force was applied on the implant system with the Buttress threads and microthreads [
(135) When the compression force was applied on the implant system with the Classical V threads [
Example 8
(136) The FEA model generated for the complete implant system including implant fixture having different types of thread design (Buttress, Reverse Buttress, Classical V shape and Buttress with micro threads) and multifunctional component with the surrounding cortical and cancellous bone. The model was used for evaluating the effect of tension type of force of about 450 N on the implant system of diameter 3.5 mm and length 10 mm. The evaluation was based on the magnitude and location of von misses stresses at different levels of the implant system.
(137) In the FEA model (
(138) When the tension force was applied on the implant system with the Revrese buttress threads (
(139) When the tension force was applied on the implant system with the Buttress threads [
(140) When the tension force was applied on the implant system with the Buttress threads and microthreads [
(141) When the tension force was applied on the implant system with the Classical V threads [
Example 9
(142) The FEA model generated for the complete implant system including implant fixture having different types of thread design (Buttress, Reverse Buttress, Classical V shape and Buttress with micro threads) and multifunctional component with the surrounding cortical and cancellous bone. The model was used for evaluating the effect of moment type of force of about 450 N on the implant system of diameter 3.5 mm and length 10 mm. The evaluation was based on the magnitude and location of von misses stresses at different levels of the implant system.
(143) In the FEA model (
(144) When the moment force was applied on the implant system with the Revrese buttress threads [
(145) When the moment force was applied on the implant system with the Buttress threads [
(146) When the moment force was applied on the implant system with the Buttress threads and microthreads [
(147) When the moment force was applied on the implant system with the Classical V threads [
(148) The comparison between the different thread shapes in relation to the von misses stresses generated at the different locations of the implant system under compression, tension, and moment type of forces (450 N), as given in Examples 7, Example 8, and Example 9 is summarized in the Table 2.
(149) The above mentioned table showed that the Buttress thread and microthread combination under occlusal forces (compression and tension forces) of 450 N yield stresses in the range of 18-39 MPa at the different location of implant abutment assembly (implant system). These stresses generate micostrains in the bone which leads to the favorable bone remodeling as these stresses and strain are in the physiological limits.
(150) TABLE-US-00003 TABLE 2 Comparison of different thread types under compression, Tension and moment S. PARAMETER & Classical Reverse Buttress & No. LOCATION V Buttress Buttress Microthreads I) COMPRESSION Units-Mpa A) Implant Abutment 41.49 36.51 30.94 38.49 interface B) Crestal bone level 29.71 11.94 20.46 18.48 C) Cortico-cancellous 30.44 24.39 27.25 18.85 interface I) TENSION A) Implant Abutment 40.47 37.57 33.95 38.44 interface B) Crestal bone level 29.73 44.38 20.44 18.48 C) Cortico-cancellous 30.99 63.34 27.25 22.29 interface III) MOMENT A) Implant Abutment 425.34 421.62 278.94 396.09 interface B) Crestal bone level 227.03 120.68 139.97 70.27 C) Cortico-cancellous 9.59 9.18 30.39 8.57 interface
Advantages
(151) Advantages of the different components of the implant are as follows:
(152) Dental Implant Fixture is screw shaped with external surface having buttress threads on the body and micro threads at the collar of particular dimensions gives the advantage of improved biomechanics at the implant abutment interface, self-tapping nature to the implant and minimizes the stresses as supported by FEA, at the crest of the bone leading to decrease resorption of crestal bone during the implant functioning thus ensuring long-term implant stability increased surface area which enhances osseointegrated bone implant contact level, have lower stress-shielding effect thus induces better remodeling of bone around implants, favorably transforms and distributes the shearing forces at the bone implant interface and better primary stability. having upper cylindrical portion and lower tapering portion gives the advantage of self-tapping, easy insertion in the bone, no excessive pressure at the implant bone junction, simulation of the natural anatomy of the root portion of the tooth, and avoiding injury to anatomical structures.
(153) Multifunctional Component has a single prosthetic platform so one component is compatible with different implant dimensions minimizes the inventory needed for the implant system and allows easy handling of the system medialised implant abutment junction concave transmucosal profile for better esthetics; and an additional internal threaded portion for securing abutment screw
(154) Abutment Screw having internal type interface with medialized implant abutment junction allowing better maintenance of crestal bone level having external concave transmucosal portion enhancing the emergence profile having additional internal threads for securing the loosened abutment screw. having long internal channel can be adjusted according to the height of abutment without loosing its fastening property.