CN106667597A - Metal-ceramic oral implant - Google Patents

Metal-ceramic oral implant Download PDF

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Publication number
CN106667597A
CN106667597A CN201611230192.0A CN201611230192A CN106667597A CN 106667597 A CN106667597 A CN 106667597A CN 201611230192 A CN201611230192 A CN 201611230192A CN 106667597 A CN106667597 A CN 106667597A
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China
Prior art keywords
metal
section
ceramic
mouth cavity
planting body
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Granted
Application number
CN201611230192.0A
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Chinese (zh)
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CN106667597B (en
Inventor
汪昆
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First Affiliated Hospital of TMMU
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First Affiliated Hospital of TMMU
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Priority to CN201611230192.0A priority Critical patent/CN106667597B/en
Publication of CN106667597A publication Critical patent/CN106667597A/en
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Publication of CN106667597B publication Critical patent/CN106667597B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0012Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the material or composition, e.g. ceramics, surface layer, metal alloy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0018Means 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
    • A61C8/0037Details of the shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0018Means 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
    • A61C8/0037Details of the shape
    • A61C8/0045Details of the shape with a stepped body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • A61C8/0059Connecting devices for joining an upper structure with an implant member, e.g. spacers with additional friction enhancing means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • A61C8/0069Connecting devices for joining an upper structure with an implant member, e.g. spacers tapered or conical connection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0048Connecting the upper structure to the implant, e.g. bridging bars
    • A61C8/005Connecting devices for joining an upper structure with an implant member, e.g. spacers
    • A61C8/0074Connecting devices for joining an upper structure with an implant member, e.g. spacers with external threads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C2201/00Material properties

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Ceramic Engineering (AREA)
  • Dental Prosthetics (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses a metal-ceramic oral implant, which includes a ceramic part, a metal reinforcement portion and a plantation dental crown. The ceramic part has an integrated structure, and includes a repair part, a gum penetrating part and a taper part. The metal reinforcement portion is made of two symmetrical parts through welding, surrounds the outside of the taper part of the ceramic part, and has functions of limiting displacement such as rotation of crown parts and root parts of the ceramic part and boosting the strength of the whole implant. The plantation dental crown is fixed at the repair part of the ceramic part. The invention provides a metal-ceramic oral implant for overcoming the problem of low strength of an oral implant in the prior art. The implant has aesthetic advantages as a ceramic implant and good strength as a metal implant, and is an integrated body of aesthetics and strength.

Description

Metal-ceramic mouth cavity planting body
Technical field
The present invention relates to field of medical products, and in particular to a kind of metal-ceramic mouth cavity planting body.
Background technology
The aesthetic effect of anterior tooth deficiency plantation treatment is one of most important index of evaluation therapeutic effect, aesthetic drawback occurs Mean Endodontic failure to a certain extent.At present, most mouth cavity planting bodies are formed by titanium, titanic alloy machining, implantation body In metal black.Easily there is aesthetic problem after titanium metal implants implantation, when the absorption of bone regeneration around implant osseous tissue, gum tissue recession When, titanium implant cervical region can expose in black ribbon;In addition when patient's gum tissue is poor, through visible its lower black of gum tissue Metal neck.At present, still without the method for the above-mentioned aesthstic complication of energy effectively solving.In recent years, with ceramic material property Lifted, zirconium oxide, aluminium oxide ceramics mouth cavity planting body are occurred in that successively.Experiment confirms:Ceramic implant has good biology The compatibility, can realize preferable synosteosis with osseous tissue.The great advantage of ceramic implant is:Its color and natural tooth color phase Closely, the aesthetic problem that can effectively overcome titanium implant cervical region metallochrome to expose.However, compared with traditional titanium, ceramics itself The surface treatment such as low strength, machining, acid etching sandblasting can also reduce the intensity of ceramic implant, and these factors determine pottery The mechanical strength of porcelain implantation body is worse than titanium implantation body, it is easy to which the mechanics complication such as fracture, and its clinical practice is subject to certain Restriction.
The content of the invention
The technical problem that patent of the present invention is intended to solve is to provide a kind of oral cavity that can effectively overcome ceramic implant low intensity Implantation body, i.e. metal-ceramic mouth cavity planting body.On the one hand this implantation body has the aesthetic advantages of ceramic implant, on the other hand Again the good strength of simultaneous metal implants body, is the entity of aesthetics and intensity.
In order to solve above-mentioned technical problem, the present invention provides following technical scheme:Metal-ceramic mouth cavity planting body, including Ceramic part, metal rib and plantation corona, ceramic part includes repairing section, wears gum section and tapered section, plants corona and repairs section It is fixedly connected, metal rib is coated on outside tapered section and both are fixedly connected.
Using the metal-ceramic mouth cavity planting body of technical solution of the present invention, ceramic part as tooth implant main part, Plantation corona is adhesively fixed with section is repaired, and ceramic part has good biocompatibility, can realize preferable bone knot with osseous tissue Close, and its color is close with natural tooth color, the aesthetic problem that can effectively overcome titanium implant cervical region metallochrome to expose;At this After bright implantation osseous tissue, the edge for planting corona will be positioned at gum edge lower section, it is ensured that aesthetic effect.Tapered section refers to one end chi It is very little more than other end size, metal rib play a part of strengthen ceramic part intensity.
Advantages of the present invention is as follows:
First, instant invention overcomes the aesthetic problem that titanium implant cervical region metallochrome exposes.Second, due to the pottery of the present invention Porcelain portion does not carry out thread surface processing and process, therefore, its intensity is high, it is to avoid affect the mechanical strength of implantation body, it is to avoid plant The generation of the phenomenons such as implant fatigue break.
Further, described reparation section and tapered section is in round table-like, and the one end for wearing gum section connects with the bigger diameter end for repairing section Connect, wear the other end of gum section and be connected with the miner diameter end of tapered section;
It is described that to wear gum section cylindrical;
Described tapered section is gap cooperation with metal rib.
Repair section and accept plantation corona, repair to be connect under section and wear gum portion, be also when the absorption of bone regeneration around implant osseous tissue, gum group Knit when shrinking back, exposed to outside part.Tapered section, is connected with metal rib gap, and tapered section is that upper end is little, lower end Big is round table-like, with the inner chamber of its metal rib for coordinating be that upper end is little, that lower end is big is round table-like, first, cone match connects Connect, connection is tightr, more firmly;Second stress point disperses, it is to avoid damage ceramic part.
Further, described reparation section side is provided with anti-rotation face.Avoid planting corona and repair section generation rotation, anti-rotation The setting for turning face causes connection more firm.
Further, the outer wall of described metal rib is the rough surface through acid etching blasting treatment, and outer wall is provided with Screw thread.Screw thread design can increase the contact area of implantation body and osseous tissue, and can effectively disperse bite stress, at rough surface Reason is conducive to the healing rate of interface osseous tissue, increases the bone contact ratio of implantation body and bone interface.
Further, described reparation section is formed with the junction for wearing gum section and repairs shoulder, the described lower end for planting corona Terminate at reparation shoulder.Repair shoulder and as repair section and the junction for wearing gum section, wear the straight with diameter greater than reparation section of gum section Footpath, after implantation tooth implant, repairs shoulder and is higher by bone surface 2.0mm, so plant corona edge will below gum edge, Aesthetic effect is ensure that, is organized when shrinking back to root side when bone regeneration around implant osseous tissue occurs absorption, gum, hat edge can more and more connect Nearly gum edge, gum edge is even higher by, at this moment, planting the aesthetic effect of hat can become negatively affected.Now, can be beaten using dental sewing machine needle Mill repairs shoulder so as to which position moves down, and is located at again under gum, and plantation corona is made again, can obtain preferable aesthetic.
Further, described reparation section basal diameter d1=3.9mm~5.2mm, is highly 3.5~6.0mm, and taper angle is 4 °~8 °;
The described height for wearing gum section is 3.0~4.0mm, diameter d2=4.7mm~6mm;
3~the 4.6mm of diameter of described tapered section miner diameter end, taper angle is 2~4 °, is highly 5.0~7.0mm.
According to Clinical design, the aesthetic effect of Dental Implant is optimal during above parameter and intensity highest of ceramic part.
Further, the screw thread of described metal rib outer wall, its pitch is that thread segment is between 0.8~1.25mm Triangle, the high 0.2mm of thread.
Further, the width for repairing shoulder is 0.4mm.The width for repairing shoulder is most suitable, makes again beneficial to polishing and plants Plant corona.
Further, described metal rib outer wall is in cylinder, outer diameter d3With wear gum section diameter d2It is identical, i.e. d3= d2=4.7~6mm, inner chamber is in round table-like, and the taper angle of round platform is 2~4 °;The bottom wall thickness of metal rib is 1.0mm, golden The minimum thickness of category rib side wall is located at the tapered section bottom surface level of ceramic part, the minimum 0.5mm of this thickness.External cylinder It is easy to, in plantation, metal rib is implanted into into osseous tissue, its conjugation is higher;The taper of inner chamber is consistent with tapered section, it is ensured that Both are connected in gap, and bottom wall thickness ensures the enough intensity of metal rib.
Further, described metal rib is welded by left part and right part.It is easy to process.
Description of the drawings
Fig. 1 is the schematic diagram of metal-ceramic mouth cavity planting body embodiment one of the present invention;
Fig. 2 is the ceramic part schematic front view in the embodiment of the present invention one;
Fig. 3 is the view that the embodiment of the present invention one is implanted in alveolar bone;
Wherein:Ceramic part 1, metal rib 2, plantation corona 3, repair shoulder 4, gingiva 5, bone 6, repair section 11, wear gum Section 12, tapered section 13.
Specific embodiment
One~embodiment of metal-ceramic mouth cavity planting body embodiment of the present invention three, its repair section, wear gum section, tapered section and The dimensional parameters of metal rib are as shown in table 1:
Table 1
Now illustrated with embodiment one, illustrate the structure and its clinical manipulation of metal-ceramic mouth cavity planting body of the present invention Method.
Embodiment one:
As shown in Figure 1, Figure 2 and Figure 3, metal-ceramic mouth cavity planting body of the present invention, including ceramic part 1, metal rib 2 With plantation corona 3, including repairing section 11, wearing gum section 12 and tapered section 13, it is in round platform to repair section 11 and tapered section 13 to ceramic part 1 Shape, repairs the basal diameter d of section 111=3.9mm, is highly 3.5mm, and taper is 4 °, repairs the side of section 11 and is provided with anti-rotation face, is resisted The surfaces of revolution is a plane, certainly, if anti-rotation face be arranged at the projection of side also can, the height for wearing gum section 12 is 3.0mm, A diameter of 4.7mm, one end for wearing gum section 12 is connected with the bigger diameter end for repairing section 11, and repairs section 11 and wear the junction of gum section 12 Formed and repair shoulder 4, the width for repairing shoulder 4 is 0.4mm, the lower end of plantation corona 3 is located at repairs at shoulder 4, wears gum section 12 The other end be connected with the miner diameter end of tapered section 13, it is cylindrical to wear gum section 12, and tapered section 13 is round table-like, the path of tapered section 13 A diameter of 3.4mm at end, taper is 2 °, is highly 5.0mm, and tapered section 13 and metal rib 2 are gap cooperation, Dental Implant Hat 3 is fixedly connected with section 11 is repaired, and, in cylinder, metal rib 2 is by left part and right part welding for the outer wall of metal rib 2 Into inner chamber is in round table-like, and the taper of round platform is 2 °;The bottom wall thickness of metal rib 2 is 1.0mm, outside metal rib 2 Wall is the rough surface through acid etching blasting treatment, and outer wall is provided with screw thread, and pitch is 0.8mm, and thread segment is triangular in shape, spiral shell The high 0.2mm of stricture of vagina tooth, metal rib 2 is coated on outside tapered section 13 and both are fixedly connected.
In clinical manipulation, cut edentulous region gum tissue, dig Mucoperiosteal flap, with little round bur position, then with bone drill by Level row plantation nest preparation, until its diameter is consistent with the diameter of metal rib 2, connects spanner, by the present invention using implantation body The metal-ceramic mouth cavity planting body of embodiment screws in plantation nest, plants the preparation of nest depth and the determination of implant implantation depth:Implantation Afterwards the reparation shoulder 4 of ceramic part 1 is higher by the surface 2.0mm of bone 6 (determination of this implantation depth with reference to bone regeneration around implant soft tissue Biological width).Research shows that the height of alveolar ridge crest (surface of bone 6) to gum bottom of trench is constant, about 2.0mm, is claimed For biological width.The hat side of this biological width is free gingival groove (height about 1.0mm), clinically hat edge is placed in into gum Reparation aesthetic effect is can reach in ditch.After the implantation of this implantation body, it is repaired shoulder 4 and is higher by the surface 2.0mm of bone 6, that is, mean Repair shoulder 4 and plantation corona 3 edge is located in free gingival groove (under gum).When patient's gingiva 5 is belittled, implantation depth also can phase Should increase, that is, the distance of the shoulder 4 apart from the surface of bone 6 of repairing of ceramic part 1 is less than 2.0mm after being implanted into.
After implantation body is in place, gingiva 5 is closed in suture, and operation terminates.When the primary stability after implantation body's implantation is high, can Consideration makes temporary crown, and reference and the adjustment temporary crown form of the occluding relation to jaw tooth, temporary crown is stung in suitably low Conjunction state, it is to avoid excessive gmatjpdumamicss bear in implantation body, heals beneficial to its bone 6.
3 months after operation patient's further consultation, checks the healing state of implantation body's bone 6, temporary crown is removed, from the reparation section 11 of implantation body Horizontal delivery, makes permanent all-ceramic crown, and selects a time and wear, and treatment is completed.If receiving Guided Bone Regeneration during the 1st operation of patient Art, then again capable above-mentioned delivery, system are preced with, wear process to answer postoperative 6 months.It is as shown in Figure 3 that implantation body's reparation is finally completed state.
Embodiment two, embodiment three, its structure, clinical manipulation method are consistent with embodiment one.
For a person skilled in the art, on the premise of without departing from present configuration, some changes can also be made Shape and improvement, these should also be considered as protection scope of the present invention, and these are all without the effect and patent for affecting the present invention to implement Practicality.

Claims (10)

1. metal-ceramic mouth cavity planting body, it is characterised in that including ceramic part, metal rib and plantation corona, ceramic part bag Include reparation section, wear gum section and tapered section, plantation corona is fixedly connected with section is repaired, metal rib is coated on tapered section outward and two Person is fixedly connected.
2. metal-ceramic mouth cavity planting body according to claim 1, it is characterised in that:Described reparation section and tapered section It is in round table-like, the one end for wearing gum section is connected with the bigger diameter end for repairing section, the miner diameter end of the other end and tapered section of wearing gum section connects Connect;
It is described that to wear gum section cylindrical;
Described tapered section is gap cooperation with metal rib.
3. metal-ceramic mouth cavity planting body according to claim 1, it is characterised in that:Described reparation section side is provided with Anti-rotation face.
4. metal-ceramic mouth cavity planting body according to claim 1, it is characterised in that:Outside described metal rib Wall is the rough surface through acid etching blasting treatment, and outer wall is provided with screw thread.
5. the metal-ceramic mouth cavity planting body according to claim 1 ~ 4 any one, it is characterised in that:Described reparation Section is formed with the junction for wearing gum section and repairs shoulder, and the lower end of described plantation corona is terminated at reparation shoulder.
6. metal-ceramic mouth cavity planting body according to claim 5, it is characterised in that:Described reparation section basal diameter d1 =3.9mm~5.2mm, is highly 3.5~6.0mm, and taper angle is 4~8 °;
The described height for wearing gum section is 3.0~4.0mm, diameter d2=4.7mm~6mm;
3~the 4.6mm of diameter of described tapered section miner diameter end, taper angle is 2 ~ 4 °, is highly 5.0~7.0mm.
7. metal-ceramic mouth cavity planting body according to claim 5, it is characterised in that:Described metal rib outer wall Screw thread, its pitch be 0.8~1.25mm between, thread segment is triangular in shape, the high 0.2mm of thread.
8. metal-ceramic mouth cavity planting body according to claim 5, it is characterised in that:Repair shoulder width be 0.4mm。
9. the metal-ceramic mouth cavity planting body according to claim 6 ~ 8 any one, it is characterised in that:Described metal Rib outer wall is in cylinder, outer diameter d3With wear gum section diameter d2It is identical, i.e. d3= d2=4.7~6mm, inner chamber in round table-like, And the taper angle of round platform is 2 ~ 4 °;The bottom wall thickness of metal rib is 1.0mm, and the minimum thickness of metal rib side wall is located at The tapered section bottom surface level of ceramic part, the minimum 0.5mm of this thickness.
10. metal-ceramic mouth cavity planting body according to claim 9, it is characterised in that:Described metal rib is by a left side Portion and right part are welded.
CN201611230192.0A 2016-12-27 2016-12-27 Metal-ceramic oral implant Active CN106667597B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018119666A1 (en) * 2016-12-27 2018-07-05 中国人民解放军第三军医大学第一附属医院 Metal-ceramic oral implant

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1557264A (en) * 2004-02-06 2004-12-29 吴大怡 Titanium ceramet collar composite teeth implant
CN201192385Y (en) * 2008-03-27 2009-02-11 宝元科技股份有限公司 Artificial tooth root
CN102715961A (en) * 2012-07-11 2012-10-10 唐志辉 Individualized anatomical type tooth root implant
CN102805668A (en) * 2007-07-27 2012-12-05 精工爱普生株式会社 Method for manufacturing dental abutment
CN202892117U (en) * 2012-05-31 2013-04-24 浙江工业大学 Natural tooth root-imitation multi-tooth root implant

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1557264A (en) * 2004-02-06 2004-12-29 吴大怡 Titanium ceramet collar composite teeth implant
CN102805668A (en) * 2007-07-27 2012-12-05 精工爱普生株式会社 Method for manufacturing dental abutment
CN201192385Y (en) * 2008-03-27 2009-02-11 宝元科技股份有限公司 Artificial tooth root
CN202892117U (en) * 2012-05-31 2013-04-24 浙江工业大学 Natural tooth root-imitation multi-tooth root implant
CN102715961A (en) * 2012-07-11 2012-10-10 唐志辉 Individualized anatomical type tooth root implant

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018119666A1 (en) * 2016-12-27 2018-07-05 中国人民解放军第三军医大学第一附属医院 Metal-ceramic oral implant

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