WO2018234247A1 - Ensemble de restauration dentaire - Google Patents
Ensemble de restauration dentaire Download PDFInfo
- Publication number
- WO2018234247A1 WO2018234247A1 PCT/EP2018/066133 EP2018066133W WO2018234247A1 WO 2018234247 A1 WO2018234247 A1 WO 2018234247A1 EP 2018066133 W EP2018066133 W EP 2018066133W WO 2018234247 A1 WO2018234247 A1 WO 2018234247A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- healing
- assembly
- healing element
- removable support
- implant
- Prior art date
Links
- 230000000295 complement effect Effects 0.000 claims abstract description 16
- 239000004053 dental implant Substances 0.000 claims abstract description 8
- 230000035876 healing Effects 0.000 claims description 289
- 239000007943 implant Substances 0.000 claims description 91
- 210000004195 gingiva Anatomy 0.000 claims description 29
- 239000003550 marker Substances 0.000 claims description 23
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- 229920003229 poly(methyl methacrylate) Polymers 0.000 claims description 3
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- 230000029663 wound healing Effects 0.000 abstract 2
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- 210000000214 mouth Anatomy 0.000 description 15
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- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 4
- 210000004513 dentition Anatomy 0.000 description 4
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- 229910052719 titanium Inorganic materials 0.000 description 4
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- 238000010883 osseointegration Methods 0.000 description 3
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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
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0062—Catch or snap type connection
-
- 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
- A61C8/008—Healing caps or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C9/00—Impression cups, i.e. impression trays; Impression methods
- A61C9/004—Means or methods for taking digitized impressions
- A61C9/0046—Data acquisition means or methods
- A61C9/0053—Optical means or methods, e.g. scanning the teeth by a laser or light beam
Definitions
- the present invention relates to a dental restoration assembly.
- the dental restoration makes it possible to perform an artificial dentition for a partially or totally edentulous patient. It is based on the integration of one or more implants in the bone structure, made by incision of the gum to reach the bone structure and pierce it. Next, a healing element is generally attached to an implant and this assembly remains untouched until the implant is secured to the bone structure by osseointegration and healing of the gingiva around the healing element.
- Dental restoration can be finalized by attaching a restoration abutment to the implant, to which the dental prosthesis is attached. The abutment and the dental prosthesis are personalized, adapted to the anatomy of the patient and the tooth to be replaced, to reach a result as close as possible to the ideal natural dentition. For this, the precise volume of the space to be restored is generally taken into account, by taking an impression, which allows the personalized manufacture of the dental prosthesis.
- the existing methods of dental restoration face all or some of the following technical problems: in many existing methods, a new intervention on the gingiva is performed after its healing after the implant pause, to realize the footprint, material or digital, of the space to restore, while having a view of the implant and the gum to take into account precisely all of this geometry, in order to build a pillar and a prosthesis of precise forms: this approach is naturally traumatic;
- a general object of the invention is a dental restoration solution which does not include all or part of the disadvantages of the state of the art.
- a first object of the invention is a dental restoration solution that minimizes trauma to the patient during the restoration process.
- a second object of the invention is a dental restoration solution that allows a restoration as appropriate as possible to the patient's anatomy.
- a third object of the invention is a dental restoration solution as universal as possible, suitable for any implant and any restoration.
- the invention relates to a dental restoration assembly
- a dental restoration assembly comprising a healing element suitable for a connection with a dental implant, having a lateral surface for integration within a gingiva to shape the gingiva during its healing, and an end surface forming with a portion of said lateral surface an emergent surface, intended to remain out of the gingiva, which is asymmetrical with respect to at least one perpendicular median plane, characterized in that said assembly comprises a removable support of a prosthesis comprising a reception part of an upper prosthesis and a connecting part capable of cooperating with a complementary bonding zone defined in a through opening in said healing element.
- parts of the emergent surface intended respectively for positioning oriented towards the inside and towards the outside of the mouth have a different shape
- a transverse section of the lateral surface or a projection on a parallel plane of the emergent surface has a substantially trapezoidal shape or a substantially polygonal, or triangular, or square, or rectangular, or ovoid shape, or a substantially polygonal shape with angles rounded;
- a transverse section of the lateral surface or a projection on a parallel plane of the emergent surface has a part intended for an outwardly oriented positioning of the mouth of greater dimension than a part intended for positioning oriented towards the inside;
- the end surface and / or the emergent surface has a non-planar, curved surface and / or a convex surface and / or a surface without asperity;
- the healing element is a cap which comprises an opening in a surface opposite to the end surface;
- the connecting portion comprises in particular at a free end, a fastening element such as a first clipping member or a threaded portion which is capable of cooperating with said connecting zone in order to achieve a mechanical connection;
- connection zone comprises a second clipping member including a groove defined in a wall of the through opening, which is provided to cooperate with a first clipping member;
- connection zone comprises a threaded portion defined in a wall of the through opening provided to cooperate with a threaded portion of the fastening element of the connecting portion;
- the receiving part of the removable support comprises a first component provided with an inner face capable of covering all or part of the emergent surface and a second component projecting from an outer face of the first component;
- the connecting portion projects from the inner face of the first component
- the inner face comprises a cavity defined around the connecting portion having a shape complementary to all or part of the emergent surface with which it is likely to be in contact;
- the receiving part of the removable support comprises a first component connecting a second component of this receiving part with the connecting part;
- the first component is provided with a frustoconical portion cooperating with a conical bearing surface of the healing element to seal an interface between the healing element and the removable support and to reduce to zero any play in translation between the element of healing and removable support;
- the connecting part is provided with an anti-rotational element for a good holding of the removable support on the healing element;
- the removable support comprises a hollow body being provided with a through hole extending longitudinally in this body from one end to the other of the removable support;
- the upper dental restoration assembly comprises a locking element whose first end comprises a threaded portion which is adapted to cooperate with the support receiving part, in particular with a wall of a through hole defined at a second component of the receiving part which is wholly or partially tapped;
- the upper dental restoration assembly comprises a locking element whose second end is adapted to cooperate with the connection portion of the support, in particular with a first clipping member;
- a second component of the receiving portion comprises an outer surface having a plurality of retention element of a connecting element of the crown prosthesis on this surface including glue;
- each retention element is a marker providing information on a maximum height of retouching of the crown prosthesis
- the removable support is made from a polymer material, in particular from a material "PEEK”, "PMMA” or
- the removable support is manufactured according to a process of machining and / or molding and / or adding material
- a longitudinal axis of the support extending over its entire length coincides with axes of revolution of the first and second components of the receiving part and the connecting part;
- the removable support comprises a longitudinal axis along its entire length adapted to align with an axis of the healing element; and or
- the removable support is a one-piece piece.
- FIGS. 1A, 1B and 1C respectively represent perspective views of a dental restoration assembly comprising a healing element, an implant and a removable support of a prosthesis provided with a receiving portion of a prosthesis according to a first embodiment of the invention
- FIGS. 1D and 1E respectively represent longitudinal sectional views of dental restoration assemblies represented in FIGS. 1A to 1C provided with a first variant of a locking element, according to the first embodiment of FIG. invention
- - Figure 1F is a perspective view of the removable support of a prosthesis, according to the first embodiment
- - Figure 1 G is a longitudinal sectional view of the removable support of a prosthesis, according to the first embodiment of the invention
- FIG. 1H represents a perspective view of the first variant of the locking element, according to the first embodiment
- FIGS. 11 and 1 J respectively represent longitudinal sectional views of dental restoration assemblies represented in FIGS. 1A to 1C provided with a second variant of the locking element, according to the first embodiment of FIG. invention
- FIG. 2A shows a perspective view of a dental restoration assembly comprising a healing element, an implant and a removable support of a prosthesis provided with a receiving part of a crown prosthesis according to a second embodiment of FIG. the invention
- Figure 2B is a longitudinal sectional view of the dental restoration assembly shown in Figure 2A according to the second embodiment of the invention.
- FIG. 3A shows a perspective view of a dental restoration assembly comprising a healing element, an implant and a removable support of a prosthesis provided with a receiving portion of an upper prosthesis according to a third embodiment of FIG. the invention
- Figure 3B is a longitudinal sectional view of the dental restoration assembly shown in Figure 3A according to the third embodiment of the invention.
- FIGS. 4A, 4B and 4C respectively represent perspective views of a dental restoration assembly comprising a healing element, an implant and a removable support of a prosthesis provided with a receiving part of a crown prosthesis according to a fourth embodiment of the invention
- Figure 4D is a longitudinal sectional view of the dental restoration assemblies shown in Figures 4A-4C according to the fourth embodiment of the invention
- FIGS. 5A, 5B and 5C respectively show perspective views of a dental restoration assembly comprising a healing element, an implant and a removable support of a prosthesis provided with a receiving portion of a crown prosthesis according to a fifth embodiment of the invention
- Figure 5D shows a longitudinal sectional view of the dental restoration assemblies shown in Figures 5A-5C according to the fifth embodiment of the invention
- FIGS. 5E, 5F and 5G respectively show perspective views of dental restoration assemblies shown in FIGS. 5A-5C with the removable support of a prosthesis which is disassembled from the healing element according to the fifth embodiment of FIG. invention;
- Figure 5H is a longitudinal sectional view of the dental restoration assemblies shown in Figures 5F-5G according to the fifth embodiment of the invention.
- FIGS. 5i, 5J, 5K, 5L and 5M respectively represent perspective views of the removable support of a prosthesis comprising the reception part of the crown prosthesis according to the fifth embodiment of the invention
- FIG. 6A shows a perspective view of a dental restoration assembly comprising a healing element, an implant and a removable support of a prosthesis provided with a receiving part of a crown prosthesis and a locking element. according to a sixth embodiment of the invention
- Figure 6B shows a longitudinal sectional view of the dental restoration assembly shown in Figure 6A according to the sixth embodiment of the invention
- Figure 6C shows a perspective view of the dental restoration assembly shown in Figure 6A with the removable support of a prosthesis which is disassembled from the healing element according to the sixth embodiment of the invention
- Figure 6D shows a longitudinal sectional view of the dental restoration assembly shown in Figure 6C according to the sixth embodiment of the invention
- FIGS. 6E, 6F, 6G and 6H respectively represent perspective views of the removable support of a prosthesis comprising the reception part of the crown prosthesis according to the sixth embodiment of the invention.
- Figs. 61 and 6J show a perspective view of the dental restoration assembly of Figs. 6A-6D, including the healing element, the implant and a variant of the removable support having a receiving portion of a top prosthesis and a locking element according to a sixth embodiment of the invention;
- Figures 6k to 6M each show a longitudinal sectional view of the dental restoration assembly shown in Figures 61 and 6J according to the sixth embodiment of the invention
- Figs. 8 and 9 respectively show perspective views from below and from above of a healing element according to any one of the first to sixth embodiments of the invention.
- Figs. 10A to 10C and 11A to 11C are top and bottom perspective views respectively of a series of healing elements according to any one of the first to sixth embodiments of the invention
- Figs. 12A-12C, 13A-13C and 14A-14C show side, top and bottom views, respectively, of a series of healing elements according to any one of the first to sixth embodiments of the invention.
- Figs. 12A-12C, 13A-13C and 14A-14C show side, top and bottom views, respectively, of a series of healing elements according to any one of the first to sixth embodiments of the invention. ;
- Figure 15 illustrates a sectional view of a healing element disposed in an implant according to any one of the first to sixth embodiments of the invention
- Fig. 16 illustrates a side view of a healing element disposed in an implant according to any one of the first to sixth embodiments of the invention
- Figure 17 shows a sectional view of an implant according to any one of the first to sixth embodiments of the invention.
- Figure 18 illustrates a sectional view of a healing element fixed to an implant by a screw according to any one of the first to sixth embodiments of the invention
- Figures 19 and 20 show respectively a side view and a sectional view of an intermediate phase of association of an implant with a healing element and with a screw according to any one of the first to sixth embodiments of the invention
- Figure 21 illustrates a sectional view of a healing assembly comprising a healing element surrounded by the gingiva and fixed in an implant according to any one of the first to sixth embodiments of the invention
- Figures 22, 23 and 24 show two schematic views of a sectional gingiva within which is fixed a healing element according to any one of the first to sixth embodiments of the invention;
- Fig. 25 shows the lower and upper teeth in plan view;
- Fig. 26 shows a view of the teeth in a gingival section
- Fig. 27 shows a horizontal section of the just-gingival dentition and the corresponding healing elements retained according to any one of the first to sixth embodiments of the invention
- Figures 28 to 30 show sectional views through a vertical median plane according to any one of the first to sixth embodiments of the invention.
- the dental restoration assembly 1a, 1b, 1c, 1d, 1e, 1f comprises a healing element, suitable for at a connection with a dental implant 60 (which will be called more simply implant 60), and a removable support of a prosthesis, in particular a top prosthesis 25, 25 '.
- a dental restoration set participates in the implementation of a second phase of a dental restoration process which may comprise three phases:
- a first so-called healing phase during which one or more implant (s) are integrated into the osseointegration of the patient's bone structure, and during which the particular healing element is used, as will be detailed hereinafter;
- a third phase of restoration as such, during which a final 25 'final prosthesis is placed on the implant (s) via a restoration pillar or directly on the healing element (s) via the removable support.
- the second phase can be implemented during the first phase.
- the so-called temporary prosthetic prosthesis 25 may have characteristics adapted to a definitive use and in this case the third phase is merged with the second phase.
- the healing element must necessarily be adapted for use alone in the mouth, either during the first phase or during the first two phases, but also be suitable for situations for which the addition of a prosthesis is preferred, in first, second or third phase.
- the healing element may occupy a first configuration in which it receives the removable attachment of a prosthesis support, and a second configuration in which it is fixed alone on an implant, without the addition of a prosthesis, or no other component.
- the implant 60 comprises an overall envelope of cylindrical or frustoconical shape and a longitudinal axis L forming an axis of revolution of this global envelope.
- Implant 60 includes a means anchoring in the bone structure of the patient.
- This anchoring means may be a set of threads disposed on an outer periphery of the implant and comprising a variable thread pitch.
- a lower portion of the implant, i.e., a portion of the implant at the bottom of the bone structure, may comprise wider threads while an upper portion of the implant, i.e.
- the implant comprises an opening on the side of its upper end and along the longitudinal axis L inside which there is a connection device with a healing element 10.
- the connection device comprises a threaded opening 21, an opening of hexagonal section 22 in the extension of the threaded opening and a conical bearing surface opening on an upper face of the implant.
- the threaded opening 21, the hexagonal section opening 22 and the conical bearing surface are adjacent, coaxial with the longitudinal axis L and arranged so that the threaded opening 21 is on the lower side of the implant 60, the conical bearing surface. is on the upper side of the implant 60 and the hexagonal opening 22 is between the threaded aperture 21 and the tapered scope.
- the healing element 10 otherwise called "cap” is a one-piece piece, that is to say it consists of a single piece and preferably from a single material. It has the function of being lodged within the incised gingiva, after fixation of the implant, by direct or indirect fixation, preferably removable, to the implant.
- the healing element 10 comprises an upper part 31 intended to be in contact with the gingiva and a lower part 32 intended to be introduced into the opening of the implant to cooperate with the device. connection.
- the healing element comprises a through opening 1 1 oriented along an axis and intended to receive a screw 40 screwed into the threaded opening 21 of the implant.
- the healing element 10 comprises in particular an opening in a surface opposite to a terminal surface 14, which will be specified later.
- the healing element 10 is therefore intended to be fixed directly on the implant via the screw 40.
- the axis of the through opening 1 1 is confused with the longitudinal axis L of the implant. This assembly is particularly illustrated by FIGS. 18 and 21.
- the opening 1 1 through is of generally cylindrical shape and comprises, at one end of the side of the upper part, a conical seat 33.
- This conical seat 33 is intended to cooperate with a conical seat of a screw head 41 of shape complementary to form a sealed interface.
- the conical bearing surface 33 and the screw head 41 therefore have a sealing cone function.
- the healing element 10 comprises at least one thread 34 disposed at the opening 11 and capable of cooperating with a threaded portion of the screw 40 to prevent dissociation between the screw 40 and the healing element 10 by a only translational movement.
- the screw 40 comprises a non-threaded cylindrical portion between the threaded portion and the screw head 41.
- the threaded portion is intended to collaborate with the threaded opening 21 of the implant to lock in position the healing element.
- the cylindrical portion of the screw is intended to be positioned along the opening 1 1 of the healing element.
- the screw is designed so that, when the screw head 41 is in support on the conical bearing surface 33 of the healing element, the at least one thread 34 is opposite the cylindrical part of the screw.
- the threaded portion of the screw 40 can not be simultaneously engaged with the at least one thread 34 and the threaded opening 21 of the implant.
- Such an assembly of the screw also called “captive” avoids mistakenly dissociating a healing element of the screw associated with it, for example this assembly makes it possible to avoid dropping the screw by manipulating the element. healing.
- the healing element and the screw can thus be delivered pre-assembled which reduces the amount of handling for the dentist.
- the at least one thread 34 also constitutes a point of attachment of the healing element that may be used during a subsequent removal of the healing element.
- the dentist can then partially unscrew the screw so as to dissociate its threaded portion of the threaded opening 21 of the implant while retaining a catch of the threaded portion on the at least one thread 34 of the element. healing.
- the dentist can then easily grasp the screw head and pull on it to disassemble the healing element without transmitting effort to the implant and without embarrassment to the patient.
- this healing element 10 can be removably attached to a pillar base which is connected to the implant 60.
- the implant 60 is secured to the bone part, the base of pillar is fixed on the implant 60, so that its collar is positioned at the border between the bone and the gum.
- the healing element covers the abutment base to the collar, so that the gingiva is almost exclusively in contact with the healing element 10.
- the assembly formed by the assembly of the healing element on the abutment this pillar base thus corresponds to a set of healing previously described.
- the removable support for receiving a prosthesis is distinct from the healing assembly, that is to say, the two or the only component it contains.
- the removable medium does not participate in a fingerprinting function, digital or not. It is the only healing assembly, after removal or in the absence of removable support of prosthesis, which is used for the impression taking, in particular the digital impression by scanner.
- the healing element 10 comprises at its lower end and on an outer periphery a portion of hexagonal section 35, adapted to cooperate with the hexagonal section opening 22 of the implant. The interface thus formed makes it possible to ensure a fixation of the single-direction healing element 10, without rotation of the healing element around the implant 60.
- the hexagonal section portion 35 and the hexagonal section opening 22 are anti-rotation elements that could be replaced by any other equivalent anti-rotation elements.
- the healing element also comprises on the outer periphery of its lower portion 32 a frustoconical portion 36 or substantially frustoconical, adapted to cooperate with the conical bearing surface 23 of the implant to form a sealed interface between the implant and the implant. healing element.
- the frustoconical portion 36 comprises a boundary between the lower portion 32 and the upper portion 31 of the healing element.
- the conical bearing surface 23 and the frustoconical portion 36 have a sealing cone function and also a unique positioning function of the healing element with respect to the implant.
- the assembly of the conical bearing surface 23 with the frustoconical portion 36 constitutes a pivot connection of axis coincident with the longitudinal axis L.
- a connection reduces to zero any translational clearance between the healing element and the implant along the longitudinal axis L or any axis perpendicular to the longitudinal axis L.
- the connection between the healing element and the implant is a particularly rigid connection.
- the upper part of the healing element comprises an end face 14 through which opens the conical bearing surface 33 of the opening 11 and a lateral surface 13 around which the gingiva is intended to heal.
- the tapered scope is oriented towards the inside of the healing element so that the screw head 41 is embedded in the healing element.
- the screw head 41 does not protrude from the end face 14.
- the screw head 41 is arranged so as to close the opening 1 1 of the end face, while extending its surface to make a final surface Continuous, as is particularly visible in Figure 18.
- Existing implants may have different shapes including different connection devices. There may be as many different healing elements as different connection devices, in order to have, for each existing implant, a healing element with a connection device that is adapted.
- the healing element 10 has the function of being lodged within the incised gingiva, after fixation of an implant.
- the final configuration is shown in Figure 21.
- the implant 60 is secured to the bone structure 62 and emerges weakly from the bone portion in the gingiva 63.
- the healing element 10 is attached to the implant 60 so that the gingiva is almost exclusively in contact with the healing element 10.
- the healing element participates, preferably temporarily, in a restoration process, allowing the healing and the smooth production of the prosthesis final 25 'final.
- the gingiva thus heals around the lateral surface 13 of the healing element 10.
- this lateral surface 13 is chosen to best correspond to the patient's oral medium.
- the end surface 14 of the healing element is intended to remain visible above the gingival surface 64 of the gingiva, since the gingiva 63 remains in full contact with the lateral surface 13 of the healing element.
- the upper part of the lateral surface 13 and the end surface 14 thus form an emergent surface of the healing element.
- This emergent surface is particularly illustrated by FIGS. 22 to 24.
- healing elements of different height can be provided to adapt to different configurations of the oral geometry. As exemplary embodiments, three different standard heights allow a good adaptation to all situations. This height is advantageously between 3 and 10 mm.
- Staining of the screw can quickly identify the height of the healing element. For example, a blue colored screw may be associated with the small healing element. A green colored screw may be associated with the intermediate size healing element. A red colored screw may be associated with the large healing element.
- a blue colored screw may be associated with the small healing element.
- a green colored screw may be associated with the intermediate size healing element.
- a red colored screw may be associated with the large healing element.
- the shape of the healing element is specifically chosen to promote the healing of the gingiva, according to an anatomical form corresponding best to the tooth to be replaced and therefore also to the future prosthetic vertex intended to occupy this oral space.
- This shape is particularly characterized by the flat section of its lateral surface 13, this section being a transverse section by a perpendicular plane P to the lateral surface 13, shown in FIG. 18, and substantially parallel to the end surface 14.
- this section is substantially reproduced by the shape of the end surface 14, or more precisely by the projection of this end surface 14 on such a perpendicular plane, that is to say substantially parallel to the gingival surface 64.
- FIG. 25 illustrates a top view of the upper and lower teeth
- FIG. 26 illustrates a sectional view at the level of the right-gapping plane PJ of a dentition, shown in FIG. 21, at the level of the root of emergence of teeth.
- These figures show that the teeth have sections of different shapes, which can be simplified by rectangular shapes and / or square and / or triangular, but more precisely trapezoidal.
- FIG. 27 thus shows a top view of the sections of all the teeth and a top view of healing elements 10 associated with each tooth.
- the shapes of the different series of teeth numbered from 1 1 to 18, from 21 to 28, from 31 to 38 and from 41 to 48 in this figure, these numbers should not be confused with the numerical references used elsewhere on the other Figures for designating the features of the invention are all approached through four different healing elements, referenced A to D.
- several healing elements among the healing elements A to D, appear suitable.
- the healing elements A are adapted to treat the restoration of the upper lateral incisors and all the lower incisors.
- the healing elements B are suitable for the restoration of the canines and premolars
- the healing elements C are suitable for restoring the intermediate molars
- the healing elements D are suitable for the restoration of the largest molars.
- the series of healing elements 10 could comprise an entirely different number of different healing elements, for example three or five different healing elements.
- healing element A is particularly illustrated by FIGS. 10A to 14A, the healing element B by Figures 10b to 14b and the healing element C in Figures 10c to 14c.
- the numerical references are not reproduced on all the healing elements of these figures, however, all these healing elements have the same characteristics, which will be described.
- the end surfaces 14 of these healing elements 10 are substantially flat and intended for positioning parallel to a plane.
- horizontal parallel to the plane of gravity PJ, between 1 and 2 mm inclusive above this plane
- They are slightly curved, however, having a central portion 145, more particularly visible in Figures 12A to 12C, intended to rise beyond the gum that its peripheral portions 146.
- the transverse section of the healing element by a plane P perpendicular to its lateral surface 13, as explained above, which gives the final shape to the gingiva after healing, is substantially reproduced by the end surface 14 of the healing element (especially its projection on a plane P), which comes in its extension.
- the sections of all the healing elements all have a substantially trapezoidal shape. They comprise a large side 141, which will be arranged on the outside side of the mouth (vestibular side), a small parallel opposite side 142, which will be arranged on the side of the inside of the mouth (lingual side), connected by two sides 143, 144. The crossing of the diagonals of the trapezium makes it possible to define a center 15.
- this center 15 thus defined is located on the axis of the through opening 1 1 of the healing element.
- this center 17 of the opening 1 1 at the lower end of the healing element in the alternative of a restaurant set in several distinct elements, substantially circular, it is possible defining a central axis 18 of the healing element, passing through the two central points 15, 17.
- This axis 18 of the healing element 10 is perpendicular to the end surface 14.
- the axis 18 of the Healing element whether monoblock or not, coincides with the axis of the through opening 1 1 and the longitudinal axis L of the implant.
- the three types of healing elements 10, A, B and C therefore differ in particular by the trapezoidal shape of the cross section of their Lateral surfaces 13.
- the trapezoidal shape may approach a triangular shape or a rectangular shape, or even a square shape.
- FIGS. 14A to 14C give orders of magnitude of the dimensions of these healing elements, in millimeters.
- each healing element has, with the exception of the opening 11, a continuous surface, without reliefs, and / or without hollow portion, and / or without groove, and / or without stop , and / or without asperity. This surface is convex. This stepless geometry is good for oral hygiene, reduces food buildup and plaque deposition. As a remark, when the healing element is fixed alone on an implant by means of a screw 40, the head 41 of the screw completes the end surface 14, which becomes substantially continuous, even at the level of the opening 1 1.
- this surface closed by the screw head then has substantially the property of continuous surface, without relief, and / or without hollow portion, and / or without groove, and / or without stop, and / or without asperity.
- This architecture makes optimal the use of a healing element alone.
- the seal is provided at the interface between the head 41 of screw 40 and the end surface 14.
- the series of healing elements could comprise a different number of different geometries, for example at least two.
- a single form of healing element could be suitable for all teeth.
- the transverse section of an element It may approach any polygon, such as a polygon with three, five or six sides.
- this form comprises at least one center or point perfectly defined geometrically to define a center 15, or possibly a possible axis 18 of the healing element.
- This transverse section is obtained by a cutting plane substantially parallel to the plane justogingival.
- the geometry of the visible emergent surface of the healing element on the side of the inside of the mouth differs from the geometry on the outside, to take into account the curvature of the gingiva.
- This form of the emergent surface of the healing element is therefore asymmetrical with respect to a median plane containing the tangent T to the gingiva, shown in FIGS. 13A to 13C, and more specifically in FIG. 25, considering a tooth 50 to restore.
- This median plane, called the tangent plane T is parallel to the tangent T at the gingiva, perpendicular to the justogingival plane PJ, passes in the middle of a healing element.
- the geometry of the visible emergent surface of the healing element on the side of the inside of the mouth differs from the geometry on the outside, to take into account the curvature of the gingiva or the natural form. teeth.
- the height along the longitudinal axis of the healing element on the lingual side that is to say on the side of the inside of the mouth, may be greater than the height of the healing element on the side. from outside the mouth.
- the shape of the emergent surface of the healing element is therefore asymmetrical with respect to a plane parallel to the longitudinal axis and passing through the center 1 13 of the end surface 1 1 1.
- this asymmetry can be characterized by different forms of the healing element on either side of said plane by considering a projection of the healing element on a plane perpendicular to the longitudinal axis.
- this asymmetry can be characterized by different heights of the healing element on both sides of the plane. An example of such asymmetry is particularly visible in Figure 21.
- a circular shape for the section of a healing element is unsuitable. More generally, any plane curve having a symmetry around a point or an axis is little or not suitable for the aforementioned section of the healing element, because on the one hand, it would not be adapted to the anatomy mouth and, on the other hand, its circular orientation around this axis would no longer be identifiable. For the same reasons, the emergent and visible surface of the healing element is therefore not symmetrical with respect to at least one or even several planes parallel to its axis 18, and / or comprising this axis 18.
- perpendicular median plane is not symmetrical with respect to at least one or more planes perpendicular to the emergent surface and passing through its center 15 or including the axis 18, which we call perpendicular median planes.
- perpendicular median plane is then any plane perpendicular to the plane P and passing in the center of the geometry considered of the healing element.
- a median plane perpendicular can be defined as any plane containing the axis 18 of the healing element.
- This emergent surface of a healing element can finally take any identifiable three-dimensional shape, making it possible to recognize the healing element used and possibly to know its orientation, to fulfill a second function which will be detailed later.
- the end surfaces 14 of the healing elements are extended from their periphery 146 by the lateral surface 13 around which the gingiva heals, and which thus gives the shape of gingiva adapted to the future prosthetic vertex.
- This lateral surface 13 has several surfaces 131, 132, 133, 134, which are substantially flat, possibly slightly curved, extending in a direction substantially parallel to the axis 18 of the healing element and / or parallel to the longitudinal axis.
- L of the implant respectively extending the different sides 141, 142, 143, 144 of the end surface 14 of the healing element.
- the interfaces between the end surface 14 and these different parts of the lateral surface 13 are formed by rounded, smooth surfaces, in particular convex surfaces.
- the healing element can be in plastic material, compatible with medical use, and pink, white or cream.
- the healing element can be made from a polymer material, in particular from a "PEEK" material.
- it may be metal, for example titanium, or may be zirconia.
- this healing element 10 may be made of titanium with a surface treatment made from zirconia nitride in order, in particular, to improve the visibility of this element 10 by oral scans and this, while being biocompatible.
- the healing element can be manufactured by machining and / or molding and / or adding material, in other words by 3D printing.
- healing elements thus makes it possible to promote ideal healing of the gingiva in the context of a dental restoration process because of its geometry designed in phase with the oral anatomy.
- this healing element can alternatively be totally subgingival and invisible, then made visible by intervention on the gingiva. In this case, the extreme part of the healing element will always be misnamed emergent part.
- the emergent surface of the healing element 10, formed by the end surface 14 and possibly the upper part of the lateral surface 13, can advantageously comprise at least two informative markers enabling the identification of at least two characteristics of the healing element 10 and / or indirectly the abutment base and / or the dental implant 60.
- the arrangement of such informative markers on the healing element 10 makes it possible not to resort to a technique of traditional impression taking on the implant and to reduce the time required and the complexity to then develop either the dental restoration abutment which will replace the healing element 10 and on which will be arranged the final prosthesis or the final 25 'final prosthesis which will replace the temporary prosthesis 25 temporary.
- markers are optional, because according to an alternative embodiment, the single form of the emergent surface of the healing element will be sufficient for the automatic identification of the same information, due to the specific asymmetrical shape of this emerging surface. It is therefore important to differentiate the solution with a marker in relation to the non-use of the marker:
- a marker is defined as a symbol or a form specific, dedicated to its recognition, whose only function is this recognition; the marker is typically designed specifically to be easily recognized by a scanner. It generally has no impact or negative impact on the primary healing function of the healing element;
- the alternative of the invention consists in not using a marker, but in recognizing the particular shape of the healing element, in particular its end portion, in order to deduce a desired information from it.
- the recognized form has first and foremost a main technical function of anatomic healing.
- the invention takes advantage of this anatomical nature to dispense with the marker. Recognition is more difficult with this alternative, but it has the advantage of not deteriorating the ideal form designed for healing, for the secondary purpose of forming an indicator.
- the solution of this alternative without a marker, or with less marker (compared to a solution based solely on markers), is therefore advantageous and preferred.
- the characteristics identified by the informative markers comprise one or more of: the height of the healing element 10,
- the shape of the healing element 10 in particular the shape and the dimensions of the transverse section of its lateral surface 13 or of the projection on a parallel plane of the emergent surface,
- said at least two informative markers comprise a first type of informative marking of a first characteristic of the healing element and a second type of informative marking of a second characteristic of the healing element.
- first and second characteristics related to the healing element 10 are in particular the height of the healing element 10 and / or the shape of the healing element 10, in particular the shape and the dimensions of the transverse section. its lateral surface 13 or the projection on a parallel plane of the emergent surface.
- a marker can be used to derive information on the abutment base when there is one and possibly on the implant, such as their orientation, which may be related to the orientation of the healing element.
- each informational marker belongs in particular to one of the following types:
- a negative informative marker in particular recessed in one of the surfaces of the healing element 10, particularly on its emergent surface
- a positive informative marker in particular in relief on one of the surfaces of the healing element 10, particularly on its emergent surface
- an informative marker of particular and identifiable shape formed in one of the surfaces of the healing element 10, in particular of polygonal or line shape,
- an informative marker consisting of a readable numerical value or a legible identification code such as a barcode and / or a datamatrix code.
- This marker can be composed of numbers and / or letters and / or any symbol and / or colors and / or laser markings;
- an informative means consisting of an RFID chip.
- this dental restoration set 1 a to 1 f comprising a healing element 10 suitable for connection with a dental implant 60, comprises the removable support 2 a to 2 g of a prosthesis, which we will call also sometimes simply "support".
- This removable support 2a to 2g comprises a receiving portion 4 of a temporary crown prosthesis 25 (visible in FIG. 4B) and / or a final 25 'final prosthesis (visible in FIG. 5A).
- the receiving part 4 is provided with a first and a second component 7a, 7b, and a connecting part 5, particularly visible in FIGS. 1F and 1G.
- This connecting part 5 is capable of cooperating with each other. with a corresponding connecting zone 6 defined in the through opening 1 1 formed in the healing element 10.
- such a connecting portion 5 which removably mechanically links the support 2a to 2g to the element of FIG. scarring 10, especially comprises at a free end, a fastening element 8 such as a first clipping member including a male clipping member, or a threaded portion.
- a fastening element 8 such as a first clipping member including a male clipping member, or a threaded portion.
- the connecting portion 5 comprises the first clipping member
- the latter is then adapted to cooperate with a connecting zone 6 such as a groove / groove defined in the wall of the through opening 1 1 of the healing element 10 to achieve this mechanical connection.
- the removable support 2a is a one-piece piece provided with a generally cylindrical central through hole 19 extending longitudinally in this body from one end to the other. other of the removable support 2a.
- the first component 7a of the receiving portion 4 is provided with inner and outer faces 9a, 9b and an essentially rounded peripheral wall connecting these faces 9a, 9b to each other.
- the second component 7b protrudes at a central region of the outer face 9b of the first component extending longitudinally along an axis A3 which is substantially perpendicular to a plane P1 comprising this outer face 9b.
- This second component has an essentially frustoconical or cylindrical shape and comprises an outer surface provided with a plurality of retention elements 24 of a connecting element of the crown prosthesis 25, 25 'on the receiving part 4 and therefore on this surface.
- this connecting element is for example glue
- each retention element 24 may be a cavity, a groove, a hole or an asperity.
- each retention element 24 may also be a marker providing information on a maximum height of retouching of the crown prosthesis and / or the support.
- a portion of the through hole 19 of the removable support 2a, defined at the level of this second component 7b, comprises a wall which is wholly or partially tapped.
- the connecting portion 5 projects in a central region of the inner face 9a of the first component 7a.
- This connecting portion 5 is in particular designed to be inserted into the through opening 1 1 of the healing element 10 when the removable support 2a is assembled to this healing element 10.
- This connecting portion 5 comprises a frustoconical portion or substantially frustoconical, adapted to cooperate with the conical bearing surface 33 of the healing element 10 to form a sealed interface between the removable support 2a and the healing element 10.
- Such a connecting portion 5 comprises at its free end the fastening element 8 such as the first clipping member.
- this first clipping member is included at one end of the through hole 19 of this removable support 2a, and comprises a plurality of flexible fins, here two, three or four, arranged around the axis of the through hole 19, to its lower end. These fins are spaced from each other by a substantially similar difference resulting from a matter of course. Such fins are capable of passing from a rest position to a stress position when they are displaced substantially radially. These fins each have a shape that is complementary to the connecting zone 6 such as the groove with which they are likely to cooperate to achieve this fixing by clipping.
- the inner face 9a of the first component 7a is in particular designed to cover all or part of the emergent surface of the healing element 10 and in particular preferably the entire end surface 14 and part of the lateral surface 13 adjacent this end surface 14, as can be seen in FIGS. 1 1 and 1 J.
- the inside face 9a comprises a cavity 26 defined around the connecting portion 5 which has a shape complementary to that of all or part of the emergent surface with which it is likely to be in contact.
- the dental restoration assembly 1a may comprise a locking member 20a, 20b for stiffening the removable support 2a, comprising a body provided with first and second ends and having a generally cylindrical shape.
- this locking element 20a, 20b may for example be a screw 20a, comprising a head and a rod.
- the head is then included in the first upper end of the body of this locking member 20a and comprises a threaded portion which is adapted to cooperate with the receiving portion 4, in particular with an inner wall of the through hole 19 defined at the level of the second component 7b which is wholly or partially tapped.
- this locking element 20a, 20b may be a rod 20b, a portion of the body protruding from the through-hole 19 at the level of the second component 7b of the receiving portion 4 when this rod is arranged in the dental restoration assembly 1 a.
- Such a locking element 20a, 20b is intended to be inserted into the dental restoration assembly 1a through the through hole 19 of the removable support 2a and into the through opening 11 of the healing element 10, in order to actuate the flexible fins of the first clipping member so that they move from the rest position to the stress position.
- the body this locking element 20a, 20b is then included between the flexible fins which are held in the fixing position by clipping.
- this locking element 20a, 20b corresponds to the screw 20a shown in Figure 1H
- its first upper end is included in the through hole 19 and its second lower end is located in the through opening 1 1 of the scarring element 10, in particular in the housing defined in the screw head 41 of the screw 40 mechanically connecting the healing element 10 to the implant 60.
- the removable support 2b unlike the support of the first embodiment, which is monobloc, comprises two separate parts.
- the first piece corresponds to the first component 7a of the receiving portion 4 which is provided with inner and outer faces 9a, 9b and an essentially rounded peripheral wall connecting these faces 9a, 9b therebetween. It also comprises a central opening in which may be inserted the second part defining the second component 7b and the connecting portion 5 of the removable support 2b.
- This second component 7b has an essentially frustoconical or cylindrical shape and has an outer surface provided with a plurality of retention elements 24 of a connecting element of the crown prosthesis on the receiving part 4 in a manner similar to the first embodiment. It will be noted that each retention element 24 may also be a marker providing information on a maximum height of retouching of the crown prosthesis and / or the support.
- the connecting portion 5 projects in a central region of the inner face 9a of the first component 7a.
- This connecting portion 5 is in particular intended to be inserted into the through opening 11 of the healing element 10 when the removable support 2b is assembled to this healing element 10.
- Such a connecting portion 5 comprises at its free end the fastening element 8 here a threaded portion.
- This threaded portion is adapted to cooperate with the threaded portion defined in the wall of the through opening January 1 for the realization of this mechanical connection between removable support 2b and the healing element 10.
- the inner face 9a of the first component 7a is in particular intended to cover all or part of the emergent surface of the healing element 10 and in particular preferably the entire end surface 14 and part of the lateral surface 13 adjacent to this end surface 14.
- the inner face 9a comprises a cavity 26 defined around the opening central and thus the connecting portion 5, which has a shape complementary to that of all or part of the emergent surface with which it is likely to be in contact.
- the end of this removable support 2b comprises a housing defined at the second component 7b which is adapted to receive a suitable tool such as a screwdriver to ensure the screwing of the second part defining the second component 7b and the connecting part 5, in the through opening 11 of the healing element 10 for mounting this removable support 2b with the healing element 10.
- the removable support 2c, 2d unlike the support of the first embodiment which is monoblock, comprises two separate parts.
- the first piece corresponds to the receiving portion 4 of the removable support 2c, 2d.
- This receiving portion 4 is provided with a generally cylindrical central bore extending longitudinally in this body from one end to the other of this receiving portion 4.
- This receiving portion 4 also comprises the first and second components 7a, 7b with the first component 7a which is provided with inner and outer faces 9a, 9b and a peripheral wall connecting these faces together.
- the second component 7b protrudes at a central region of the outer face 9b of the first component 7a extending longitudinally along an axis A3 which is substantially perpendicular to a plane P1 comprising this outer face 9b.
- This second component 7b has an essentially frustoconical or cylindrical shape.
- the connecting portion 5 is constituted by the second piece.
- This connecting portion 5 is a screw provided with a head and a rod, which can be inserted into the bore formed in the receiving part 4 when mounting the removable support 2c, 2d on the element 10.
- this connecting portion 5 projects in a central region of the inner face 9a of the first component 7a.
- the head of the screw forming this connecting portion 5 is then arranged in the bore and one end of the rod in the through opening 11 of the healing element 10.
- this connecting portion 5 is in particular provided. to be inserted into the through opening 1 1 of the healing element 10 when the removable support 2c, 2d is assembled to this healing element 10.
- Such a connecting portion 5 comprises at its free end a threaded portion. This threaded portion is adapted to cooperate with the connection zone 6, here the threaded portion defined in the wall of the through opening 1 1 for the realization of this mechanical connection between the removable support 2c, 2d and the healing element 10 .
- this threaded portion is defined in the wall of the through opening 11 included in the upper portion 31 of the healing element 10 while in the fourth embodiment, this threaded portion is defined in FIG. the wall of the through opening 11 included in the lower part 32 of the healing element 10.
- the bore of the receiving portion 4 comprises a bearing which is intended to cooperate with a bearing surface of the complementary shaped screw head so as to form an interface waterproof.
- the scope of the bore and the screw head therefore have a sealing function.
- the threaded portion of the connecting portion 5 is simultaneously engaged with the threaded portion 37 of the wall of the central opening and the threaded opening 21 of the implant 60.
- the dental restoration assembly 1d comprises a single screw formed by the connecting portion 5, for interconnecting the removable support 2d, the healing element 10 and the implant 60.
- the bore of the receiving portion 4 comprises a conical bearing which is intended cooperating with a conical bearing surface of the complementary shaped screw head so as to form a sealed interface.
- the tapered seat and the screw head therefore have a sealing cone function.
- this screw formed by the connecting portion 5 is designed so that, when the screw head 41 bears on the conical bearing surface of the bore, the at least one thread 34 of the wall of the through opening 1 1 included in the lower part 32 of the healing element 10 is vis-à-vis with the screw.
- the threaded portion of this screw can not be simultaneously engaged with the at least one thread 34 and the threaded opening 21 of the implant 60.
- Such an assembly of the screw also called “captive” allows to avoid by mistake dissociating a healing element 10 of the screw, here the connecting portion 5, which is associated with it, for example this assembly makes it possible to avoid dropping the screw by manipulating the healing element 10.
- the inner face 9a of the first component 7a is in particular provided to cover all or part of the emergent surface of the healing element 10 and in particular preferably the entire end surface 14 and part of the lateral surface 13 adjacent to this end surface 14.
- the inner face 9a comprises a cavity 26 defined around the bore and therefore the connecting portion 5, which has a shape complementary to that of all or part of the emergent surface with which it is likely to be in contact.
- this second component 7b has a substantially cylindrical shape and has an outer surface that can be provided with or without several elements for retaining a connecting element of a crown prosthesis on the receiving part 4, similarly to the first embodiment.
- the head of the screw forming the connecting portion 5 comprises a housing which is adapted to receive a suitable tool such as a screwdriver for ensuring the screwing of this connecting portion 5 in the through opening 1 1 of the healing element 10 for mounting this removable support 2c, 2d with the healing element 10.
- the removable support 2e is a single piece.
- the first component 7a of the receiving portion 4 connects the second component 7b to the connecting portion 5.
- the second component 7b extends longitudinally along an axis A3.
- This second component 7b has a substantially cylindrical shape and has an outer surface provided with a plurality of retention elements 24 of a connecting element of the crown prosthesis on the receiving portion 4 in a manner similar to the first embodiment.
- each retention element 24 can also be a marker providing information on a maximum height of editing of the prosthetic and / or support.
- the first component 7a is provided with a frustoconical portion cooperating with the conical bearing surface 33 of the healing element 10 to seal an interface between the healing element 10 and the removable support 2e and to reduce zero any play in translation between the healing element 10 and the removable support 2e.
- the connecting part 5 of this removable support 2e is in particular designed to be inserted into the through opening 11 of the healing element 10 when the removable support 2e is assembled to this healing element 10.
- This connecting part 5 comprises moreover the fastening element 8, formed by the first clipping member comprising two flexible fins according to this embodiment. These two fins are spaced from each other by a gap resulting from a matter of course. Such fins are able to move elastically from a rest position to a stress position when they are displaced substantially radially. These fins each have a shape that is complementary to the connecting zone 6 with which they are likely to cooperate in order to achieve fixation by clipping.
- This connecting part 5 further comprises an anti-rotational element 1 6 for a good holding of the removable support 2e in the healing element 10.
- This anti-rotational element 1 6 is defined on a part of a peripheral wall of this connecting portion 5 which is facing the wall of the through opening 11 of the healing element 10 above the connecting zone 6 comprising the second element of clipping, when the removable support 2e is assembled to the healing element 10.
- the removable support 2f, 2g is substantially similar to that of the fifth embodiment.
- the only difference between these two embodiments is related to the presence of a through hole 19 in the removable support 2f, 2g of this sixth embodiment.
- the removable support 2f, 2g is a one-piece piece provided with the generally cylindrical central through hole 19 extending longitudinally in the body from one end to the other of the removable support 2f, 2g.
- Part of this through hole 19 of the removable support 2f, 2g defined at the level of the second component 7b comprises a wall which is wholly or partially tapped.
- the dental restoration assembly 1 f may comprise a locking member 20a for stiffening the removable support 2f, 2g, comprising a body having first and second ends and having a generally cylindrical shape.
- This locking element 20a may for example be a screw comprising a head and a rod which is substantially similar to the locking member 20a illustrated in Figures 1H, 6C, 6D and 6K to 6M.
- this locking element 20a is then included in the first end of the body of this locking element 20a and comprises a threaded portion which is adapted to cooperate with the receiving portion 4, in particular with a wall of the through hole 19 defined in FIG. level of this second component 7b which is wholly or partially tapped.
- this wall of the through hole 19 may comprise at least one thread 42a, 42b, more precisely in a first variant of the support member 2f this wall comprises a single thread 42a defined in a lower portion 39a of the second component 7b and in a second variant of this support 2g, the wall comprises two threads 42a, 42b respectively arranged in the lower part 39a and in an upper part 39b of this second component 7b.
- the remaining portion 42c of this wall of the through hole 19 is not threaded.
- a locking member 20a is provided to be inserted into the dental restoration assembly 1 f through the hole 19 of the removable support 2f, 2g and the through opening 11 of the healing element 10 to actuate the teeth.
- flexible fins of the first clipping member so that they move from the rest position to the stress position. By being thus in the position of stress, a greater part of these fins is then arranged in the groove defined in the wall of the through opening 1 1 causing a locking of the assembly of the removable support 2f, 2g with the element 10 or even with the healing assembly formed by the implant 60 and the healing element 10.
- this locking element 20a only the removal of this locking element 20a from the through hole 19 and the through opening 1 1 allows to allow a partial disengagement of the fins of said groove.
- the locking member 20a is inserted into the through hole 19 until its second end which also passes through the through opening 11 of the healing element 10 is arranged in a housing defined in the head of the screw 41 of the screw 40 mechanically connecting the healing element 10 to the implant 60.
- the body of this element of lock 20a is then between the fins hoses that are held in the stress position.
- this locking element 20a corresponds to the screw illustrated in Figures 1H, 6C, 6D, 6K to 6M
- its first end is included in the through hole 19 and its second end is located in the through opening 1 1 of the healing element 10, in particular in the housing defined in the screw head 41 of the screw 40 mechanically connecting the healing element 10 to the implant 60.
- the through hole 19 includes a scope conical which is intended to cooperate with a conical bearing surface of the complementary shaped screw head so as to form a sealed interface.
- the tapered seat and the screw head therefore have a sealing cone function.
- an arrangement of the screw head of the screw forming this locking element 20a, at the non-threaded part 42c of the wall of the through hole 19 of the second variant of the support removable 2g corresponds to an assembly of the screw called “captive” which avoids mistakenly dissociating the removable support 2g of the screw associated with it, for example this assembly makes it possible to avoid dropping the screw by manipulating it. removable support 2g.
- the removable support 2a to 2g of these embodiments comprises the longitudinal axis A1 which extends over its entire length and which coincides with axes of revolution A2, A3, A4 of the first and second components 7a, 7b of the receiving portion 4 and the connecting portion 5.
- This axis A1 of the removable support 2a to 2g is also coincident with the axis L of the implant 60 and the axis 18 of the healing element 10.
- the removable support 2a to 2g can be made of plastic material, compatible with medical use.
- this support 2a to 2g can be made from a polymer material, in particular from a material such as "PEEK”, “PMMA” or even “POM” to facilitate retouching and bonding the top prosthesis 25, 25 'on the receiving part 4.
- a material such as "PEEK”, "PMMA” or even “POM” to facilitate retouching and bonding the top prosthesis 25, 25 'on the receiving part 4.
- it may be metal, for example titanium, or may be zirconia or ceramic.
- the removable support 2a to 2g may be manufactured by machining and / or molding and / or adding material, in other words by 3D printing.
- the locking element 20a, 20b may also be made of a polymeric material such as "PEEK" material or metal, for example titanium.
- the invention offers the possibility of making a temporary crown prosthesis in an oral cavity of a patient during the time of performing a dental restoration comprising an implant and in particular the time of healing associated with the implementation of such a restoration and this, from the support 2a to 2g which can be removably mounted on the healing element from a fastening mechanism by screwing or clipping easy enough to implement, to facilitate all operations relating to the realization of temporary and / or permanent top prostheses.
- the support 2a to 2g can be easily removed from the patient's oral cavity so that retouching or polishing operations of the crown prosthesis and / or of this support 2a at 2g can be performed or else that other operations relating to the production of final crown prostheses such as impression taking can be performed.
- this removable character allows the sole removal of the support, the healing element remaining in the mouth, fixed on an implant.
- the link between the support and the healing element may be different.
- the healing element preferably comprises a female connection part (in particular within its opening 1 1), and the support a corresponding male connection part.
- a male bonding portion on the healing element would form a terminal surface poorly adapted to remain alone in the mouth.
- the support is distinct from the healing element.
- it is suitable for direct attachment to this healing element.
- such a support 2a to 2g, and a top prosthesis 25, 25 'supported, being arranged in a jaw of a patient contributes to maintaining the adjacent teeth in position by acting as a stay between these teeth, to prevent them from converging, especially during the osseointegration phase of the implant.
- the prosthesis 25, 25 'advantageously has an opening for access to this locking element.
- such a removable support 2a to 2g makes it possible to prevent any damage to the emergent surface of the healing element, while allowing the production of a crown prosthesis.
- This is particularly advantageous in that it allows the implementation of the last dental restoration phase comprising a step of automatically identifying the geometry of the restoration pieces to be formed by means of the shape of the emerging surface of the healing element, the asymmetrical nature of which can automatically deduce information on its positioning and indirectly on the positioning and orientation of the implant.
- the removable support 2a to 2g makes it possible to preserve the epithelial attachment of the soft tissues to the transmucosal part of the healing element 10 which would otherwise be damaged by other methods implemented in the state of the technique for producing such a prosthetic vertex in the context of dental restoration implementing an implant.
- the assembly formed by a healing element 10, a support and a top prosthesis fixed on this support can also be advantageously used for the fixation of a final prosthesis.
- the invention is not limited to the embodiments described, and comprises for example combinations of components of the embodiments described above.
- the invention also relates to a restoration system, which implements the aforementioned restoration method.
- This system comprises a dental restoration assembly as described above, an impression taking element, in particular digital impression taking by scanner, and at least one calculator that uses the images from the impression taking for a recognition automatic, based on the anatomical shape of the healing assembly or alternatively by the recognition of markers, the type of healing element and indirectly the healed space and positioning of the implant.
- this system uses the restoration set in a second configuration in which a prosthesis mounted on a removable support is removed: the oral space with the only healing assembly is digitized.
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Abstract
Description
Claims
Priority Applications (9)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
MA49439A MA49439B1 (fr) | 2017-06-20 | 2018-06-18 | Ensemble de restauration dentaire |
AU2018286880A AU2018286880B2 (en) | 2017-06-20 | 2018-06-18 | Assembly for dental restoration |
ES18730016T ES2965217T3 (es) | 2017-06-20 | 2018-06-18 | Conjunto de restauración dental |
CN201880052281.1A CN110996839A (zh) | 2017-06-20 | 2018-06-18 | 牙修复装置 |
KR1020207000522A KR102612186B1 (ko) | 2017-06-20 | 2018-06-18 | 치아 복원용 조립체 |
EP18730016.5A EP3641692B1 (fr) | 2017-06-20 | 2018-06-18 | Ensemble de restauration dentaire |
US16/624,847 US20210282901A1 (en) | 2017-06-20 | 2018-06-18 | Assembly for dental restoration |
IL271490A IL271490B1 (en) | 2017-06-20 | 2018-06-18 | Dental restoration assembly |
BR112019027315-8A BR112019027315B1 (pt) | 2017-06-20 | 2018-06-18 | Conjunto e sistema para a restauração dentária |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
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FR1755618A FR3067586B1 (fr) | 2017-06-20 | 2017-06-20 | Ensemble de restauration dentaire temporaire |
FR1755618 | 2017-06-20 | ||
FR1760122A FR3067588B1 (fr) | 2017-06-20 | 2017-10-27 | Ensemble de restauration dentaire |
FR1760122 | 2017-10-27 |
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WO2018234247A1 true WO2018234247A1 (fr) | 2018-12-27 |
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PCT/EP2018/066133 WO2018234247A1 (fr) | 2017-06-20 | 2018-06-18 | Ensemble de restauration dentaire |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2021127627A1 (fr) * | 2019-12-19 | 2021-06-24 | Direzze Arnaldo | Butée et système d'implant dentaire pour l'installation d'une prothèse dentaire |
US20210220095A1 (en) * | 2018-05-16 | 2021-07-22 | Valoc Ag | Gingiva former, bite support and dental healing system |
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WO1997017907A1 (fr) * | 1995-11-17 | 1997-05-22 | Wade Curtis K | Systemes d'implants dentaires et procedes correspondants |
US5810592A (en) * | 1996-05-06 | 1998-09-22 | Daftary; Fereidoun | Anatomical restoration dental implant system with healing abutment member and matching abutment member |
WO2008120877A1 (fr) * | 2007-03-30 | 2008-10-09 | Sang Jik Lee | Appareil d'implant dentaire |
US20130196290A1 (en) * | 2011-05-16 | 2013-08-01 | Biomet 3I, Llc | Healing Abutment Assembly With Combination Of Scanning Features |
WO2014081843A1 (fr) * | 2012-11-20 | 2014-05-30 | Advanced Implant Intellectual Properties, Llc | Système et procédés d'adaptateur d'alignement universel |
FR3027792A1 (fr) | 2014-10-29 | 2016-05-06 | Armand Stemmer | Element de cicatrisation pour une restauration dentaire |
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WO1997017907A1 (fr) * | 1995-11-17 | 1997-05-22 | Wade Curtis K | Systemes d'implants dentaires et procedes correspondants |
US5810592A (en) * | 1996-05-06 | 1998-09-22 | Daftary; Fereidoun | Anatomical restoration dental implant system with healing abutment member and matching abutment member |
WO2008120877A1 (fr) * | 2007-03-30 | 2008-10-09 | Sang Jik Lee | Appareil d'implant dentaire |
US20130196290A1 (en) * | 2011-05-16 | 2013-08-01 | Biomet 3I, Llc | Healing Abutment Assembly With Combination Of Scanning Features |
WO2014081843A1 (fr) * | 2012-11-20 | 2014-05-30 | Advanced Implant Intellectual Properties, Llc | Système et procédés d'adaptateur d'alignement universel |
FR3027792A1 (fr) | 2014-10-29 | 2016-05-06 | Armand Stemmer | Element de cicatrisation pour une restauration dentaire |
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Publication number | Priority date | Publication date | Assignee | Title |
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US20210220095A1 (en) * | 2018-05-16 | 2021-07-22 | Valoc Ag | Gingiva former, bite support and dental healing system |
WO2021127627A1 (fr) * | 2019-12-19 | 2021-06-24 | Direzze Arnaldo | Butée et système d'implant dentaire pour l'installation d'une prothèse dentaire |
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