WO1988003391A1 - Implant intra-alveolaire - Google Patents
Implant intra-alveolaire Download PDFInfo
- Publication number
- WO1988003391A1 WO1988003391A1 PCT/SE1987/000517 SE8700517W WO8803391A1 WO 1988003391 A1 WO1988003391 A1 WO 1988003391A1 SE 8700517 W SE8700517 W SE 8700517W WO 8803391 A1 WO8803391 A1 WO 8803391A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- implant
- root
- analogue
- alveolus
- tooth
- Prior art date
Links
- 239000007943 implant Substances 0.000 title claims abstract description 53
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 22
- 210000003456 pulmonary alveoli Anatomy 0.000 claims abstract description 21
- 238000002513 implantation Methods 0.000 claims abstract description 5
- 239000000463 material Substances 0.000 claims description 10
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 6
- 239000010936 titanium Substances 0.000 claims description 5
- 229910052719 titanium Inorganic materials 0.000 claims description 5
- 229910052751 metal Inorganic materials 0.000 claims description 4
- 239000002184 metal Substances 0.000 claims description 4
- 239000000919 ceramic Substances 0.000 claims description 3
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 2
- 229910052588 hydroxylapatite Inorganic materials 0.000 claims description 2
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 claims description 2
- 210000000332 tooth crown Anatomy 0.000 description 6
- 230000035876 healing Effects 0.000 description 5
- 210000004872 soft tissue Anatomy 0.000 description 5
- 125000006850 spacer group Chemical group 0.000 description 5
- 230000007812 deficiency Effects 0.000 description 4
- 230000012010 growth Effects 0.000 description 4
- 230000010354 integration Effects 0.000 description 4
- 210000002808 connective tissue Anatomy 0.000 description 3
- 210000000981 epithelium Anatomy 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 230000007774 longterm Effects 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 210000004400 mucous membrane Anatomy 0.000 description 2
- NIXOWILDQLNWCW-UHFFFAOYSA-M Acrylate Chemical compound [O-]C(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-M 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 239000010410 layer Substances 0.000 description 1
- 210000004379 membrane Anatomy 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 229940058401 polytetrafluoroethylene Drugs 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 239000002344 surface layer Substances 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000008467 tissue growth Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0018—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
- A61C8/0036—Tooth replica
Definitions
- the present invention relates to an implant for implantation into tooth alveoli.
- elements can be implanted by operation e.g. into jawbones so as to serve as permanent supports for artificial tooth crowns, tooth bridges, and tooth prostheses.
- prefabricated, often cylindrical implants commonly are used, which can be provided with one or more surface layers most often of a sintered material, comprising small spheres which together with the cavities defined by the spheres form undercuts for the growth of surrounding tissue thereinto and thus are considered to optimize the retention between the implant and the tissue.
- the cylindrical implants can also have threads, so-called screw implants, which can be implanted by means of surgical instruments and surgical technique which allow a very accurate and careful boring and threading of the bone tissue involved.
- the implant materials vary from ceramics of different kinds to metals.
- the implant system which is far most satisfactorily proved in the literature and has the longest follow-up time, is based on the utilization of a screw type titanium implant, developed by Prof. Per Ingvar Branemark and his collaborators in Gothenburg. This implant system demonstrates very good long-term results and is used by routine in clinical work.
- the purpose of the present invention is to provide an implant which can be implanted without utilizing the extra-alveolar region outside the walls of the tooth alveolus involved. As a consequence thereof no surgical intervention has to be made in the bone tissue surrounding the alveolus.
- the implant of the invention has obtained the characterizing features according to claim 1. This avoids discrepancy between the implant surface and the surrounding bone tissue (alveolar walls) and makes possible to optimize osseous integration (healing of the bone against the implant surface without intervening soft tissue) . Since the implant is made as a very accurate tooth root analogue, it can very easily be inserted into the alveolus immediately after the extraction (removal) of the tooth or tooth root involved and an optimal, stable fixation can immediately be obtained, which is very essential in order to obtain the osseous integration mentioned above. This is further secured by the alveolus being accurately checked and if necessary being scraped to be cleaned from root membrane residues.
- FIG. 1 is a vertical sectional view of an implanted root analogue before this has been provided with a build-up
- FIG. 2 is a view similar to that of FIG. 1 after the implanted root analogue having been provided with an artificial tooth crown, and FIG. 3 in a corresponding manner discloses another embodiment.
- the implant indicated at 10 in the drawings preferably consists of pure titanium, but it can also consist of a titanium alloy or another metal or ceramic, or it can be coated on the surface thereof with hydroxy apatite or another suitable material.
- the implant can have undercuts 11 on the surface thereof for improved retention by growth of bone tissue
- the undercuts can comprise knots, spheres (sintered metal) or cavities of other types or can comprise ribs which can be curved or can have acute, right, or obtuse angles. These surface variations preferably should be limited to include primarily the alveolar region but can extend somewhat above the bone alveolus so as to allow growth of the connective tissue
- the unique shape of the implant (with the external contour accurately adapted to the wall of the alveolus involved) is obtained when the implant is made - e.g. of pure titanium - by a specific electroerosion technique.
- the shape of the root analogue is varied in relation to the original root (or the alveolus) and is shaped, e.g. in such a way that there is provided apically, in the lower portion of the root, such a volume that the root analogue presses slightly against the walls of the alveolus.
- the primary fixation will be improved, which is essential for an undisturbed healing without growth of soft tissue 13, 1 inbetween the implant and the wall of the alveolu .
- the implant can be provided in the cervical portion thereof (i.e. at the neck of the implant or root analogue) with a collar 15 which can consist of a titanium net or a titanium structure perforated in another manner, or of a net or perforated structure of another material, e.g. polytetrafluoro ethylene, which has been expanded and contains pores of a suitable size.
- the collar can also consist of polyester or another suitable tissue-consistent material such as polyurethane.
- the collar can consist of a resorptive material, possibly combined with a non-resorptive material of the kinds referred to.
- the resorptive material e.g. can consist of polydioxanon.
- the collar is shaped, such that it connects to the neck of the root analogue completely sealing against the neck, and forms a baffle between the soft tissue layer (connective tissue 13 and epithelium 14) and the bone tissue 12.
- the soft tissue layer connective tissue 13 and epithelium 14
- bone deficiencies 16 associated with the alveolus will be covered by the collar 15 which by separating the bone tissue 12 from the connective tissue 13 stimulates cells from the bone tissue to migrate into the bone deficiency 16 and to fill such deficiency with bone tissue (cfr. FIG. 2) and thus improve the fixation of the root analogue to the bone.
- the implanted root analogue is shaped such that it can be implanted with complete mucous membrane coverage, i.e. the mucous membrane is sutured over the root analogue located in the alveolus.
- the suture is indicated at 14'.
- the root analogue has, therefore, in connection with the electroerosion been cut at the highest bone level in the alveolus by means of e.g. laser technique which provides a junction having an extraordinarily good fit.
- the analogue forms a threaded central hole 17.
- the analogue When the analogue is to be implanted, it is provided with a cover screw 18 which is screwed into the threaded hole.
- This cover screw can also function as an attachment for the collar 15 which is intended to contribute to guidance of the bone tissue growth into bone deficiencies possibly existing around the alveolus.
- stage 2 of the operation is effected, which means that the cover screw 18 is uncovered by incision, the cover screw being removed and being replaced by a fastening screw 19 which connects a cut-off apertured 5 spacer 20 which in turn is exactly adapted to or alternatively forms the core of the tooth crown 21 involved.
- the tooth crown preferably is made of acrylate.
- the cover screw 18 mounted on the root analogue in connection with the implantation thereof can consist of the cover screw already used in the implant system
- the end surface of the root analogue facing the cover screw in this case is shaped as the end surface in said system, having a central threaded hole dimensioned as in this system.
- cover screw such as cover screw, spacer, spacer screw, and fastening screw
- fastening screw can be used for connecting the tooth crown involved to the tooth analogue.
- the root analogue can be connected also to a coupling element (Swedish patent
- the central threaded hole 17 of the root analogue can be a through hole and extend over the total length of the root
Landscapes
- Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
- Dental Prosthetics (AREA)
Abstract
Un implant destiné à être implanté dans les alvéoles dentaires comprend un analogue de racine (10) dont la forme externe est sensiblement adaptée à la forme de la racine à remplacer, afin que l'analogue de racine, une fois implanté dans l'alvéole dentaire, soit en concordance avec les parois osseuses de cette dernière.
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
KR1019880700779A KR890700015A (ko) | 1986-11-06 | 1987-11-05 | 치조내의 이식조직편 |
NO883010A NO883010L (no) | 1986-11-06 | 1988-07-05 | Intraalveolaert implantat. |
DK374188A DK374188A (da) | 1986-11-06 | 1988-07-05 | Intraalveolaert implantat |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SE8604757-8 | 1986-11-06 | ||
SE8604757A SE459152B (sv) | 1986-11-06 | 1986-11-06 | Intraalveolaert implantat |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1988003391A1 true WO1988003391A1 (fr) | 1988-05-19 |
Family
ID=20366206
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/SE1987/000517 WO1988003391A1 (fr) | 1986-11-06 | 1987-11-05 | Implant intra-alveolaire |
Country Status (4)
Country | Link |
---|---|
KR (1) | KR890700015A (fr) |
AU (1) | AU8233787A (fr) |
SE (1) | SE459152B (fr) |
WO (1) | WO1988003391A1 (fr) |
Cited By (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4988298A (en) * | 1989-01-23 | 1991-01-29 | Implant Innovations, Inc. | Precision abutment base |
FR2653990A1 (fr) * | 1989-11-09 | 1991-05-10 | Propper Robert | Implant endosseux a implanter dans un alveole frais de machoire humaine. |
EP0522222A1 (fr) * | 1991-07-09 | 1993-01-13 | Harald E. Nordin | Implant dentaire |
DE4223153A1 (de) * | 1991-07-15 | 1993-01-21 | Straumann Inst Ag | Zur befestigung eines zahnersatzes am kiefer dienendes implantat |
US5281140A (en) * | 1991-01-02 | 1994-01-25 | Core-Vent Corporation | Multi-part, multi-positionable abutment for use with dental implants |
DE4232511A1 (de) * | 1992-09-29 | 1994-03-31 | Uwe Dr Blunck | Verfahren und Vorrichtung zur Implantation künstlicher Zahnwurzeln |
EP0670699A1 (fr) * | 1992-11-27 | 1995-09-13 | COATOAM, Garry, W. | Procede d'implantation dentaire |
WO1997031586A1 (fr) * | 1996-03-01 | 1997-09-04 | Robinson Dane Q | Procede et appareil de croissance de maxillaire utilisant un systeme de support et de fixation de plaque de regeneration tissulaire guidee |
WO1998034561A1 (fr) * | 1997-02-10 | 1998-08-13 | Jacques Vidalens | Procede de realisation d'un implant de prothese dentaire et implants ainsi obtenus |
US6287117B1 (en) | 1999-04-22 | 2001-09-11 | Sulzer Dental Inc. | Endosseous dental implants including a healing screw and an optional implant extender |
US6913666B1 (en) | 1997-03-21 | 2005-07-05 | Woodwelding Ag | Process for anchoring connecting elements in a material with pores or cavities and connecting elements therefor |
US6921264B2 (en) | 2002-08-23 | 2005-07-26 | Woodwelding Ag | Implant to be implanted in bone tissue or in bone tissue supplemented with bone substitute material |
WO2005079696A1 (fr) | 2004-02-20 | 2005-09-01 | Woodwelding Ag | Implant a implanter dans un tissu osseux, procede de fabrication et d'implantation |
US6955540B2 (en) | 2002-08-23 | 2005-10-18 | Woodwelding Ag | Preparation for being fastened on a natural tooth part or tooth and corresponding fastening method |
DE4107606B4 (de) * | 1991-03-09 | 2006-02-02 | Friadent Gmbh | Vorrichtung zur Sicherung der Knochenanlagerung an enossale Implantate |
US7160405B2 (en) | 1999-06-18 | 2007-01-09 | Woodwelding Ag | Integral joining |
WO2007038817A1 (fr) | 2005-10-05 | 2007-04-12 | Wolfgang Pirker | Implant dentaire |
US7335205B2 (en) | 2001-03-02 | 2008-02-26 | Woodwelding Ag | Implants, device and method for joining tissue parts |
US7491058B2 (en) | 2002-06-27 | 2009-02-17 | Nobel Biocare Services Ag | Dental implant spacer and adapter assembly |
US7922488B2 (en) | 1998-02-26 | 2011-04-12 | Institut Straumann Ag | Method and apparatus for isolating a work object |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SE468500B (sv) * | 1990-01-18 | 1993-02-01 | Nobelpharma Ab | Laekhaetta foer ett dentalt implantat |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3576074A (en) * | 1968-07-15 | 1971-04-27 | Sidney D Gault | Dental endosseous root implant |
DE2729969A1 (de) * | 1976-07-09 | 1978-01-12 | Silvano Michieli | Zahnimplantat |
US4178686A (en) * | 1977-07-23 | 1979-12-18 | Guido Reiss | Artificial tooth with implantable tooth root |
EP0053903A1 (fr) * | 1980-12-08 | 1982-06-16 | Medical Biological Sciences, Inc. | Prothèse buccale et son procédé de fabrication |
-
1986
- 1986-11-06 SE SE8604757A patent/SE459152B/sv not_active IP Right Cessation
-
1987
- 1987-11-05 KR KR1019880700779A patent/KR890700015A/ko not_active Withdrawn
- 1987-11-05 AU AU82337/87A patent/AU8233787A/en not_active Abandoned
- 1987-11-05 WO PCT/SE1987/000517 patent/WO1988003391A1/fr unknown
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3576074A (en) * | 1968-07-15 | 1971-04-27 | Sidney D Gault | Dental endosseous root implant |
DE2729969A1 (de) * | 1976-07-09 | 1978-01-12 | Silvano Michieli | Zahnimplantat |
US4178686A (en) * | 1977-07-23 | 1979-12-18 | Guido Reiss | Artificial tooth with implantable tooth root |
EP0053903A1 (fr) * | 1980-12-08 | 1982-06-16 | Medical Biological Sciences, Inc. | Prothèse buccale et son procédé de fabrication |
Cited By (32)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4988298A (en) * | 1989-01-23 | 1991-01-29 | Implant Innovations, Inc. | Precision abutment base |
FR2653990A1 (fr) * | 1989-11-09 | 1991-05-10 | Propper Robert | Implant endosseux a implanter dans un alveole frais de machoire humaine. |
GB2237744A (en) * | 1989-11-09 | 1991-05-15 | Robert Howard Propper | Oral endosteal implants and a process for preparing and implanting them |
US5281140A (en) * | 1991-01-02 | 1994-01-25 | Core-Vent Corporation | Multi-part, multi-positionable abutment for use with dental implants |
DE4107606B4 (de) * | 1991-03-09 | 2006-02-02 | Friadent Gmbh | Vorrichtung zur Sicherung der Knochenanlagerung an enossale Implantate |
EP0522222A1 (fr) * | 1991-07-09 | 1993-01-13 | Harald E. Nordin | Implant dentaire |
DE4223153A1 (de) * | 1991-07-15 | 1993-01-21 | Straumann Inst Ag | Zur befestigung eines zahnersatzes am kiefer dienendes implantat |
DE4232511A1 (de) * | 1992-09-29 | 1994-03-31 | Uwe Dr Blunck | Verfahren und Vorrichtung zur Implantation künstlicher Zahnwurzeln |
EP0670699A4 (fr) * | 1992-11-27 | 1995-12-27 | Garry W Coatoam | Procede d'implantation dentaire. |
EP0670699A1 (fr) * | 1992-11-27 | 1995-09-13 | COATOAM, Garry, W. | Procede d'implantation dentaire |
WO1997031586A1 (fr) * | 1996-03-01 | 1997-09-04 | Robinson Dane Q | Procede et appareil de croissance de maxillaire utilisant un systeme de support et de fixation de plaque de regeneration tissulaire guidee |
US5839899A (en) * | 1996-03-01 | 1998-11-24 | Robinson; Dane Q. | Method and apparatus for growing jaw bone utilizing a guided-tissue regeneration plate support and fixation system |
WO1998034561A1 (fr) * | 1997-02-10 | 1998-08-13 | Jacques Vidalens | Procede de realisation d'un implant de prothese dentaire et implants ainsi obtenus |
FR2759283A1 (fr) * | 1997-02-10 | 1998-08-14 | Jacques Vidalens | Procede de realisation d'un implant de prothese dentaire et implant ainsi obtenu |
US6913666B1 (en) | 1997-03-21 | 2005-07-05 | Woodwelding Ag | Process for anchoring connecting elements in a material with pores or cavities and connecting elements therefor |
US7922488B2 (en) | 1998-02-26 | 2011-04-12 | Institut Straumann Ag | Method and apparatus for isolating a work object |
US6287117B1 (en) | 1999-04-22 | 2001-09-11 | Sulzer Dental Inc. | Endosseous dental implants including a healing screw and an optional implant extender |
US7815409B2 (en) | 1999-06-18 | 2010-10-19 | Woodwelding Ag | Integral joining |
US7160405B2 (en) | 1999-06-18 | 2007-01-09 | Woodwelding Ag | Integral joining |
US9216083B2 (en) | 2001-03-02 | 2015-12-22 | Woodwelding Ag | Implants for creating connections to tissue parts, in particular to skeletal parts, as well as device and method for implantation thereof |
US9924988B2 (en) | 2001-03-02 | 2018-03-27 | Woodwelding Ag | Implants for creating connections to tissue parts, in particular to skeletal parts, as well as device and method for implantation thereof |
US7335205B2 (en) | 2001-03-02 | 2008-02-26 | Woodwelding Ag | Implants, device and method for joining tissue parts |
US9615872B2 (en) | 2001-03-02 | 2017-04-11 | Woodwelding Ag | Implants for creating connections to tissue parts, in particular to skeletal parts, as well as device and method for implantation thereof |
US8932337B2 (en) | 2001-03-02 | 2015-01-13 | Woodwelding Ag | Implants for creating connections to tissue parts, in particular to skeletal parts, as well as device and method for implantation thereof |
US8945192B2 (en) | 2001-03-02 | 2015-02-03 | Woodwelding Ag | Implants for creating connections to tissue parts, in particular to skeletal parts, as well as device and method for implantation thereof |
US7491058B2 (en) | 2002-06-27 | 2009-02-17 | Nobel Biocare Services Ag | Dental implant spacer and adapter assembly |
US7008226B2 (en) | 2002-08-23 | 2006-03-07 | Woodwelding Ag | Implant, in particular a dental implant |
US6955540B2 (en) | 2002-08-23 | 2005-10-18 | Woodwelding Ag | Preparation for being fastened on a natural tooth part or tooth and corresponding fastening method |
US6921264B2 (en) | 2002-08-23 | 2005-07-26 | Woodwelding Ag | Implant to be implanted in bone tissue or in bone tissue supplemented with bone substitute material |
WO2005079696A1 (fr) | 2004-02-20 | 2005-09-01 | Woodwelding Ag | Implant a implanter dans un tissu osseux, procede de fabrication et d'implantation |
US8287279B2 (en) | 2005-10-05 | 2012-10-16 | Wolfgang Pirker | Tooth implant |
WO2007038817A1 (fr) | 2005-10-05 | 2007-04-12 | Wolfgang Pirker | Implant dentaire |
Also Published As
Publication number | Publication date |
---|---|
SE8604757L (sv) | 1988-05-07 |
SE459152B (sv) | 1989-06-12 |
SE8604757D0 (sv) | 1986-11-06 |
KR890700015A (ko) | 1989-03-02 |
AU8233787A (en) | 1988-06-01 |
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