Nothing Special   »   [go: up one dir, main page]

US20150140510A1 - Components for permanent removable and adjustable dentures and bridges - Google Patents

Components for permanent removable and adjustable dentures and bridges Download PDF

Info

Publication number
US20150140510A1
US20150140510A1 US14/610,735 US201514610735A US2015140510A1 US 20150140510 A1 US20150140510 A1 US 20150140510A1 US 201514610735 A US201514610735 A US 201514610735A US 2015140510 A1 US2015140510 A1 US 2015140510A1
Authority
US
United States
Prior art keywords
cap
implant
rounded
connecting cap
extending
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US14/610,735
Inventor
Bernard Weissman
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to US14/610,735 priority Critical patent/US20150140510A1/en
Publication of US20150140510A1 publication Critical patent/US20150140510A1/en
Priority to US14/826,795 priority patent/US20150351881A1/en
Abandoned legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00Dental tools or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/225Fastening prostheses in the mouth
    • A61C13/265Sliding or snap attachments
    • A61C13/2656Snap attachments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/0003Making bridge-work, inlays, implants or the like
    • A61C13/0006Production methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/01Palates or other bases or supports for the artificial teeth; Making same
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/08Artificial teeth; Making same
    • A61C13/081Making teeth by casting or moulding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/225Fastening prostheses in the mouth
    • 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
    • A61C8/0001Impression means for implants, e.g. impression coping
    • 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
    • A61C8/0016Means 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 polymeric material
    • 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
    • A61C8/0022Self-screwing
    • 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
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/225Fastening prostheses in the mouth
    • A61C13/275Fastening prostheses in the mouth removably secured by using bridging bars or rails between residual teeth
    • 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
    • A61C8/0093Features of implants not otherwise provided for
    • A61C8/0095Total denture implant

Definitions

  • the present invention relates to further improvements in dental implant structures, and in particular to adjustable and/or modular, removably secured dentures and dental bridges. i.e., oral, or dental prosthetics.
  • a detailed background for this invention is provided in related International Publication number WO 02/28304 A2, published on 11 Apr. 2002 (hereinafter the “Prior Case) and number WO2004/060189 A3, (hereinafter the “Prior Case II”), by the same inventor and applicant, the complete disclosures of which are incorporated herein by reference, including the specification and drawings.
  • FIG. 1 of the Prior Cases it is well known to firmly attach dentures to hard dental tissue, such as the jawbone 14 or tooth stubs by an implanted support, via prosthetic dental bridges 10 ; foundations 12 for such bridges 10 are known.
  • the dental bridge 10 may be securely mounted to implanted screw posts 16 , or other known securing mechanisms.
  • Such foundations 12 are also described, for example, in U.S. Pat. Nos. 5,575,651 and 5,788,492.
  • Other, more readily removable, dentures secured to implanted supports are shown, for example in U.S. Pat. Nos. 5,567,155 and 3,514,858.
  • Such a system should provide components for mounting such prosthesis, which can be firmly secured to the hard dental tissue, such as the jawbone, in a relatively short time, but which can be adjusted or removed to be prophylactically cleaned or repaired at a later date, and which are readily adaptable to the natural variations in the size and shape of ridges in jaw bones, so as to provide for more comfortable use of any dentures secured on such components, and which allows for multiple fittings and adjustments without damage to even the slender implants.
  • the existing or new denture prosthesis can be retrofitted with the advantageous system of this invention.
  • the prosthesis can be removed from the mouth by the patient to be prophylactically cleaned daily, but is primarily is intended for fitting or refitting of the prosthesis without damage to the implant posts, by the dentist.
  • the improvement of this invention is to be primarily used in denture systems comprising anchoring implants and indexing guide pins that are permanently implanted, bi-laterally, at the most posterior parts of the jaw.
  • the channel forming the concave underside of a full, or partial, denture, for either the upper or lower jaw, can be lined with a resilient material, covering the hard denture form, and thus more effectively maintain the denture in the correct position while cushioning the patient's dental ridge.
  • a denture lining is intended to provide for an improved grip on implants, and can be readily resurfaced.
  • a chairside prosthesis foundation is also provided for securing to a plurality of anchored dental implants, in accordance with the Prior Cases.
  • Each implant useful in that situation has an intermediate platform portion and an interconnectable top distal from the, preferably threaded, implanted portion.
  • the foundation can comprise modular components, which can be supported by the intermediate implant platforms, but which can be locked together by being encased in a resin, in a permanent relative juxtaposition. The locked together components can be removably connected to the implants, to enable subsequent adjustment of the prosthesis to fit a range of jaw ridge sizes or for cleaning or repair.
  • such modular components are secured in the jaw efficiently and relatively easily, and can be adjusted at a later date, to conform to the many variations in the size or shape of ridges in the jaw, rendering the prostheses more comfortable to the wearer.
  • the modular components can be interconnected while secured to the implants and are then reinforced and locked together by being encased by a cured, or hardened, resin composition, such as any of the self-curing dental resins well known to dentists.
  • Both types of foundations each referred to as a “splint”, provides a base upon which tooth forms/synthetic teeth can be supported.
  • temporary tooth forms can be created at chairside by a dentist, once a splint is in place, to provide a patient with a prompt replacement of missing teeth, which are firmly but replaceably connected to the implants.
  • the splint serves to index the implanted screws so that they are maintained in position without movement, to aid in the healing process with the jawbone, by allowing the bone to firmly grow around the implants.
  • each implant shaft has a polygonal top driving portion, engaging an indexing member which fits around and is held in a desired juxtaposition by the polygonal top.
  • the preferred indexing member has paired arms extending outwardly therefrom, forming slots there between.
  • Connecting bars, or flexible bands extend through the slots on each indexing member from the first of a series of such implants to the last of the series, thus interconnecting the indexing members and thus anchoring the group of implanted screws together, to support each other in the desired juxtaposition.
  • Each indexing member is in turn releasably secured to its respective implant shaft by a locking cap.
  • the bars and the indexing members are encased in a resinous material, thus forming a unitary rigid structure, which can be separated as a unit from the series of implants.
  • the locking cap by forming the locking caps from a material which is relatively soft compound to the implant posts, and non-adherent to the encasing dental resin, such as silicone or other polymeric non-adherent material, such as the polyacetal Delrin, the locking cap can be readily and safely unscrewed from the implant, so that the foundation splint structure can be removed from the implants, once the implants are firmly set, i.e., fully healed to the bone, or earlier, if necessary. Any of the temporary or longer term dentures can be thus supported on, and connected to the splint.
  • a material which is relatively soft compound to the implant posts and non-adherent to the encasing dental resin, such as silicone or other polymeric non-adherent material, such as the polyacetal Delrin
  • the retaining implants as improved by this invention preferably have a spheroidal head or an ovoidal head, extending above the gum line, and a platform substantially at the gum line and connected to the spheroidal or ovoidal head by a slender neck.
  • a spheroidal head is one having a generally circular shape from a top view
  • an ovoidal head is one having a generally elongated, or ellipsoidal, shape from a top view.
  • the ovoidal head allows a secure fit for dentures for use on patients having very narrow, so-called “knife-edge”, gum ridges.
  • the concavity on the inner surface of the dentures for such patients must be molded to have an especially narrow opening in order to obtain a firm fit over such narrow gum ridges.
  • the use of the ovoidal head on the implants permits firm and secure fitting for even the narrowest ridge, by aligning the major axis of the ovoidial head with the ridge.
  • a denture for a wider ridge may be equally firmly supported by aligning the ovoidal head transversely, or perpendicularly, to the gum ridge.
  • the ovoidal head provides the most versatile use covering a wide range of denture sizes.
  • the non-adherent locking cap is formed of a polymer and has a skirt portion at one end, and a dome-shaped portion at another end, having a spheroidal or ovoidal shape.
  • the skirt portion is preferably an annulus, concentric with the dome portion, and having an internal diameter sufficient to surround any elements secured on the intermediate platform, but not greater than that of the platform diameter, so that the skirt bottom presses against the top surface of the platform.
  • a non-circular or polygonal, top driving portion is supported on the platform and in turn supports the threaded connector.
  • two elongated circumferential apertures are provided through the skirt, with relatively narrow skirt wall portions separating the two apertures.
  • the apertures are preferably symmetrical about the circumference.
  • the locking cap is threadedly secured to the interconnectable top of the implant.
  • the externally threaded interconnectable top mates with the internal threaded portion of the cap.
  • the cap is locked in place using a curable resin, which is inserted into the internal space within the skirt annulus in the locking cap.
  • the resin is preferably one that will cure and harden quickly after the cap is screwed onto the implant, and is non-adherent to the locking cap. This hardened resin, portions of which extend into the apertures, will further secure the locking cap from rotational movement, which might otherwise cause it to loosen by surrounding, for example, the polygonal driving portion.
  • the resin can be selected from among common curable dental resins, such as a polyacrylic or an epoxy polymer.
  • common curable dental resins such as a polyacrylic or an epoxy polymer.
  • the hardened resin in the apertures will tear the narrow strips of polymer forming the intermediate strips between the apertures, when the torque is applied to the caps.
  • These resins may be auto-curing or light-curing, both of which are commonly used in dentistry. Generally, these are non-adherent to many dental polymers, such as Delrin.
  • the cap By providing cured resin through the apertures, the cap is locked in place, but the cap can be readily torn at the ends of the apertures, under applied torque, thus, removing the lock without dislodging or moving the implant part before healing is complete.
  • the material between the apertures can be made more likely to split in response to an applied torque by reducing the cross-sectional thickness of the material at those intermediate portions.
  • the apertures extend, in toto, at least about 50% of the circumference, and most preferably at least about 80% of the circumference.
  • a thin, non adherent sleeve can be placed over the apertures and around the skirt portion. The sleeve can hold the resin in place during curing.
  • the sleeve is most preferably non-adherent to the resin filling in the cap, such as a silicone, and also can have a slight elasticity to improve holding and simplify removal after hardening.
  • an auto-cure or light-cure resin is inserted into the inner cup of the skirt of the locking cap.
  • the cap is firmly tightened in place utilizing a U-shaped driver which fits within the aperture in the locking cap.
  • the apertures extend around and down the sides of the cap, and the U-shaped driver can conform to the downwardly extending side slots.
  • a standard straight or cruciform slot across the top of the dome is provided, to allow a screwdriver to be used, or a polygonal indentation, for use, for example by an Allen wrench-type of driver.
  • any excess curable resin material is forced outwardly, or upwardly, out of the cap, and can be easily wiped away before the resin hardens.
  • a silicone sleeve placed around the apertures can be removed after the resin hardens.
  • the locking cap thus is held against rotation by the hardened resin surrounding the polygonal driver part on the implant and extending into the apertures of the skirt portion.
  • the lower skirt portion, between the apertures, can be lifted out, or broken-up when exposed.
  • the hardened resin in the skirt will fracture the skirt wall portions, separating the apertures allowing, and the internally threaded portion of the cap and the skirt will separate at the apertures, allowing it to be easily unscrewed from the implant.
  • an interim prosthesis lined with the silicone material serves to lock the implants in place while providing an interim tooth replacement for the patient. That interim prosthesis will be removed once healing is complete. This procedure may need to be repeated a number of times during the healing, and the following trials and fittings of the final customized prosthesis.
  • This final prosthesis can be constructed with the components described in, for example, U.S. Pat. No. 6,685,473 B2. After removal of the cap with the separated bottom section, a new cap must be secured in place in the same manner, when the interim prosthesis is replaced after the fitting.
  • the non-adhesive locking cap of this invention is especially useful during the repeated fitting operations, because it is far less likely to stress or damage the thread of the, e.g., titanium, implant when being installed onto the implant, or being removed therefrom.
  • a central opening extends through the cap, regardless of the shape of the head, so that it is open at both ends; this permits excess resin to escape out the top, as the cap is being screwed down, while being held in place onto the threaded portion.
  • This central opening can be provided regardless of the shape of the cap head.
  • FIG. 1 illustrates, on a jaw model, a series of indexing and holding implants having the desired spheroidal head of this invention and banded necks;
  • FIG. 1 a illustrates, on the jaw model of FIG. 1 , a series of indexing and holding implants having the desired spheroidal head of this invention without the neck bands;
  • FIG. 2 illustrates, the jaw model of FIG. 1 with insert covers over the indexing implants
  • FIG. 3 illustrates, the jaw model of FIG. 1 ; wherein the holding implants are covered by a half sheath;
  • FIG. 4 illustrates a detailed perspective view of the half sheath shown in FIG. 3 ;
  • FIG. 5 illustrates a top plan view of the spheroidal head of the holding implants of FIG. 1 ;
  • FIG. 6 illustrates, the jaw model of FIG. 3 , wherein the holding implants are covered by a half sheath which is in turn covered by a metal reinforcing frame;
  • FIG. 7 illustrates an elevation view of a spheroidal-headed implant for the present invention, as shown in FIG. 1 ;
  • FIG. 8 illustrates a front view of a splint being applied to the jaw, over the holding implants.
  • FIGS. 9A-I illustrate the procedure for forming a completed splint or dental prosthetic bridge in accordance with the present invention.
  • FIG. 10 illustrates a locking screw cap made of a structural, nonadherent polymer, such as the polyacetal Delrin, to secure the prosthesis to the implant;
  • FIG. 11 illustrates a single tooth prosthesis anchored to an implant
  • FIG. 12 illustrates the skeleton of a prosthesis foundation which is threadedly connected to the implants
  • FIG. 13 is an exploded perspective view of a threaded dental implant and internally threaded upper locking cap.
  • FIG. 14 is a perspective view of a threaded implant wherein the cap is threadedly connected to the implant and is in the process of being secured thereto utilizing a curable resin.
  • FIG. 15 is an elevational view of a spheroidal headed locking cap.
  • FIG. 16 is a partial cut away view of the locking cap of FIG. 15 , taken along lines 16 - 16 .
  • FIG. 17 is a top plan view of the spheroidal headed locking cap.
  • FIG. 18 A-C are elevational front and side views, respectively, and a top view, of an ovoidal locking cap.
  • the various rigid structural components shown in the drawings are fabricated from, for example, titanium, stainless steel, and/or any other suitable dental implant material which can withstand functional loads and support crowns, bridge segments, or the complete replacement of teeth with tooth forms/synthetic teeth/artificial teeth.
  • FIGS. 1 and 1 a A model of a patient's jaw ridge R is shown in FIGS. 1 and 1 a , including implanted into the jawbone ridge a pair of the guide, or indexing, pins 2 in the posterior-most portions of the model, and a series of implant screw type retention pins 5 .
  • Each of the retention pins in this embodiment has a flattened dome-shaped, or spheroidal, head 9 , and a narrower neck 10 and threaded shank 20 , extending into the jawbone.
  • a flange 22 Intermediate the shank and neck is a flange 22 having a distally facing platform 22 A.
  • the combination of the neck 10 and head 9 provides an undercut surface for retention and the platform 22 A a firm support for the denture.
  • a removable elastic band 7 which can be utilized to vary the degree of any undercut effect by reducing or increasing the effective diameter of the shank to the needs of the patient.
  • the spheroidal or ovoidal headed implant caps can be used for a single tooth prosthesis ( FIG. 11 ) or as part of a bridge denture, with other such implants.
  • FIG. 12 another preferred embodiment of the holding implant screw 94 , 18 has, at one end, a relatively long self-tapping threaded shaft 20 .
  • an opening is made through any soft dental tissue, e.g., gums, overlying the jawbone, and the implant screw 18 is screwed into the hard dental tissue.
  • the implant screw 18 has various advantageous features, such as a flange having a flat surface 22 A on a first side adjacent to which modular components are positioned and supported, and having a tapered smooth portion 22 B on a second side facing the dental tissue from which the threaded shaft 20 extends.
  • the threads preferably do not extend the full length of the shaft 20 , such that a substantially smooth, unthreaded portion is preferably present immediately adjacent the tapered portion 22 B.
  • this embodiment of the implant screw 18 includes a driving portion 24 which, in this example, is a flat polygonal extension, having a rectangular longitudinal cross-section.
  • the driving portion 24 is adapted to engage a tool, such as a socket wrench bit. This is more fully set out in the Prior Case, incorporated herein. It is understood that the driving portion need not be in the specific shape shown, and may be polygonal concavity or extension, to engage compatible tools known in the art.
  • the preferred embodiment of the slender holding implant screw 94 includes at the protruding longitudinal end, prosthesis connecting member 26 , for attaching modular prosthesis components thereto.
  • the prosthesis connecting member 26 is externally threaded for receiving an internally threaded cap 109 ; for removably but rigidly connecting the implant screw to the splint.
  • a preferred embodiment of the implant screw 8 has at one end a relatively long self-tapping threaded shaft 20 and an adjacent shorter smooth cylindrical shaft 21 .
  • a flange 22 is provided longitudinally adjacent the smooth portion of the shaft 21 , distal of the threaded portion, and includes a smooth tapered portion immediately adjacent the shaft flowing outwardly to a flat surface substantially perpendicular to the axis of the shaft and facing away from the shaft.
  • a driving portion having a substantially polygonal cross-section extends longitudinally from the flat flange surface portion 22 .
  • An externally threaded prosthesis connecting member 26 extends axially from the driving portion 24 in a direction away from the shaft 20 .
  • the non-adherent locking screw cap 109 of this invention is shown in a position in FIG. 13 adjacent the threaded connector 26 , and in FIG. 14 screwed onto the threaded connector 26 .
  • the locking cap 109 comprises an annular, open-ended skirt portion 129 , having a generally cylindrical outer circumferential surface. A pair of circumferential apertures 110 are formed therethrough, so as to extend completely through the wall of the skirt 129 .
  • a substantially spheroidal head portion 119 having radial, transversely extending slots 120 formed at diametrically opposed edges of the circumference of the spheroidal head.
  • a narrower neck portion 116 is located intermediate the top of the skirt portion 129 which is defined by a relatively flat surface 121 , and the spheroidal head 119 .
  • a central opening, defined by an internally threaded wall surface 115 extends completely through the spheroid head 119 and the neck portion 116 , to the interior of the skirt portion.
  • FIGS. 18 A-C An alternative locking cap 209 is shown in FIGS. 18 A-C.
  • a substantially ovoidal head portion 219 having slots 120 preferably extending along the major circumference of the ovoidal head, as shown.
  • the remaining aspects of this cap are as described above.
  • the locking caps 109 , 209 of this invention are preferably molded from a polymer of the types commonly used for placement in the mouth, by dentists, such as the polyacetal resin Delrin, utilizing either co-polymer grades or homo-polymer grades.
  • Other useful materials include dental grades of nylon or polysulfone.
  • Other suitable dental resins having the desired mechanical strength may also be utilized.
  • the relatively soft locking cap 109 made of a polymeric material is preferably used at least during the preliminary period after the implant is first affixed, when it is desired to provide an immediate replacement or splint to both hold a plurality of such implants in place and to provide the patient with at least an immediate replacement for the missing teeth, even though it is not one that may be maintained on a permanent basis. After the implants and bone have healed and become firmly secured, the permanent prosthesis can then be fitted. As the fitting of a permanent prosthesis often requires several trials, when the prosthesis must be removed, refitted and replaced, the use of a hard metal cap during this period could result in some damage to the metal implants. By utilizing the relatively soft resin cap, the likelihood of an) damage occurring to the implant, from a cross threading or the like, is greatly reduced, if not wholly eliminated.
  • the caps can be initially filled with a curable dental resin in the cup formed by the skirt, preferably of the auto-cure or light cure type, and the cap is then applied to the threaded top portion of the implant and screwed down, while the excess resin from the skirt portion is squeezed out the top of the cap through the opening defined by the surface 115 .
  • the apertures 110 can be covered by a removable silicone sleeve 130 during curing, having sufficient elasticity to be able to be readily removed after the resin is set, if desired.
  • the dental resin is generally not adherent to the silicone so the resin does not interfere with the removal of the sleeve. Any excess uncured resin which exudes from the top of the cap during the process of its being screwed on to the implant can be readily wiped-off before it hardens.
  • the resin in the skirt When the resin in the skirt is hardened, it surrounds the polygonal drive member 24 and extends into the apertures. This prevents inadvertent rotation of the cap when subjected to various stresses in the mouth.
  • the cap and resin are subjected to torque by the application of e.g., the U-shaped driver, on the slots 120 , 220 , the hardened resin in the apertures will press against the narrow portions 117 separating the apertures; these narrow portions in the skirt 117 are relatively weak, so that when torque is applied to the head of the resin cap the narrow portions with rupture.
  • the cured dental resin, within the apertures of the skirt, pressing against these narrow portions between the apertures, will cause them to rupture upon the application of a reasonable torsional force, e.g.
  • the intermediate wall portions 117 can be further weakened by machining out some material so they are not as thick in cross-section as the remaining portion of the skirt wall 129 .
  • the top portion of the cap can be removed when it is unscrewed.
  • the lower skirt surrounding the driving portion 24 can be readily lifted out and removed, exposing the exposed threaded connection 26 , for attaching a new cap when the prosthesis is replaced by the dentist. This process can be repeated several times as needed during the trials and fittings of a customized prosthesis, without likelihood that the implant will be damaged.
  • a mold of the mouth showing the locations of the upper ends of the implants and their shape, together with any indexing element 80 present on each implant, is made using the usual dental impression material.
  • a denture prosthesis can be prepared from this mold, by known procedures, which will locate the implant tops extending through the dental prosthesis.
  • the concavity formed by the posterior indexing implants should be expanded to a larger opening to leave room for the jacket insert to be attached to the denture.
  • This initial foundation, formed from a relatively hard dental resin is then treated to remove material from the concave portion formed around the jaw ridge, to permit the molding and/or insertion of a softer more resilient dental resin liner, if desired.
  • caps of this invention does not interfere with conventional molding techniques for dentures and, thus, allows dentists and dental laboratories to continue with their usual practice when forming a permanent denture prosthesis.

Landscapes

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

Abstract

A locking cap for dental implants embedded in hard dental tissue, such as tooth stubs or bones. The locking caps are ovoidal in plan view and may be formed of materials, such as non-adherent polymers, that are rigid, but softer than the material of the dental implant.

Description

  • This application is a continuation of U.S. patent application Ser. No. 11/419,801, flied May 23, 2006, entitled Improvements in Components for Permanent Removable and Adjustable Dentures and Bridges (and also claims the benefit of the filing date of provisional application having Ser. No. 60/685,640, which was filed on May 27, 2005 and U.S. pending patent application Ser. No. 10/746,674, which was filed on Dec. 24, 2003).
  • FIELD OF THE INVENTION
  • The present invention relates to further improvements in dental implant structures, and in particular to adjustable and/or modular, removably secured dentures and dental bridges. i.e., oral, or dental prosthetics. A detailed background for this invention is provided in related International Publication number WO 02/28304 A2, published on 11 Apr. 2002 (hereinafter the “Prior Case) and number WO2004/060189 A3, (hereinafter the “Prior Case II”), by the same inventor and applicant, the complete disclosures of which are incorporated herein by reference, including the specification and drawings.
  • BACKGROUND OF THE INVENTION
  • As shown in FIG. 1 of the Prior Cases, it is well known to firmly attach dentures to hard dental tissue, such as the jawbone 14 or tooth stubs by an implanted support, via prosthetic dental bridges 10; foundations 12 for such bridges 10 are known. In particular, the dental bridge 10 may be securely mounted to implanted screw posts 16, or other known securing mechanisms. Such foundations 12 are also described, for example, in U.S. Pat. Nos. 5,575,651 and 5,788,492. Other, more readily removable, dentures secured to implanted supports are shown, for example in U.S. Pat. Nos. 5,567,155 and 3,514,858.
  • The use of relatively slender implants to support foundations, described in the first two patents identified above, and in the Prior Cases, were originally considered suitable primarily as short term devices for use until the larger, “permanent” implants healed. One aspect of the present invention continues the earlier development and further understanding that the slim implants can be used for substantially permanent, but removable denture prostheses of various types. The devices and procedures of the present invention avoid many of the problems of earlier systems when worn for extended periods, which included the lack of capability for easy removal and replacement, and potential irritation to the patient because of the difficulty of obtaining a proper fit to the jawbone and opposing teeth and gums, or to soft dental tissue.
  • Thus, a need continued to exist for a system which would permit the placement of a long-lasting dental prosthesis in a patient's mouth by chairside techniques available to the family dentist. Such a system should provide components for mounting such prosthesis, which can be firmly secured to the hard dental tissue, such as the jawbone, in a relatively short time, but which can be adjusted or removed to be prophylactically cleaned or repaired at a later date, and which are readily adaptable to the natural variations in the size and shape of ridges in jaw bones, so as to provide for more comfortable use of any dentures secured on such components, and which allows for multiple fittings and adjustments without damage to even the slender implants.
  • SUMMARY OF THE INVENTION
  • In accordance with a first aspect of the present invention, The existing or new denture prosthesis can be retrofitted with the advantageous system of this invention. The prosthesis can be removed from the mouth by the patient to be prophylactically cleaned daily, but is primarily is intended for fitting or refitting of the prosthesis without damage to the implant posts, by the dentist.
  • The improvement of this invention is to be primarily used in denture systems comprising anchoring implants and indexing guide pins that are permanently implanted, bi-laterally, at the most posterior parts of the jaw. The channel forming the concave underside of a full, or partial, denture, for either the upper or lower jaw, can be lined with a resilient material, covering the hard denture form, and thus more effectively maintain the denture in the correct position while cushioning the patient's dental ridge. Such a denture lining is intended to provide for an improved grip on implants, and can be readily resurfaced.
  • A chairside prosthesis foundation is also provided for securing to a plurality of anchored dental implants, in accordance with the Prior Cases. Each implant useful in that situation has an intermediate platform portion and an interconnectable top distal from the, preferably threaded, implanted portion. The foundation can comprise modular components, which can be supported by the intermediate implant platforms, but which can be locked together by being encased in a resin, in a permanent relative juxtaposition. The locked together components can be removably connected to the implants, to enable subsequent adjustment of the prosthesis to fit a range of jaw ridge sizes or for cleaning or repair. As explained in the Prior Cases, such modular components are secured in the jaw efficiently and relatively easily, and can be adjusted at a later date, to conform to the many variations in the size or shape of ridges in the jaw, rendering the prostheses more comfortable to the wearer. As also explained in the Prior Cases, the modular components can be interconnected while secured to the implants and are then reinforced and locked together by being encased by a cured, or hardened, resin composition, such as any of the self-curing dental resins well known to dentists.
  • Both types of foundations, each referred to as a “splint”, provides a base upon which tooth forms/synthetic teeth can be supported. When the screw shafts are implanted, temporary tooth forms can be created at chairside by a dentist, once a splint is in place, to provide a patient with a prompt replacement of missing teeth, which are firmly but replaceably connected to the implants. Immediately after placing the implants, the splint serves to index the implanted screws so that they are maintained in position without movement, to aid in the healing process with the jawbone, by allowing the bone to firmly grow around the implants.
  • In one embodiment, shown in the Prior Case and Prior Case II, each implant shaft has a polygonal top driving portion, engaging an indexing member which fits around and is held in a desired juxtaposition by the polygonal top. The preferred indexing member has paired arms extending outwardly therefrom, forming slots there between. Connecting bars, or flexible bands, extend through the slots on each indexing member from the first of a series of such implants to the last of the series, thus interconnecting the indexing members and thus anchoring the group of implanted screws together, to support each other in the desired juxtaposition. Each indexing member is in turn releasably secured to its respective implant shaft by a locking cap. To further enhance the rigidity and support provided by the overall splint structure, the bars and the indexing members are encased in a resinous material, thus forming a unitary rigid structure, which can be separated as a unit from the series of implants.
  • In accordance with the improvement of the present invention, by forming the locking caps from a material which is relatively soft compound to the implant posts, and non-adherent to the encasing dental resin, such as silicone or other polymeric non-adherent material, such as the polyacetal Delrin, the locking cap can be readily and safely unscrewed from the implant, so that the foundation splint structure can be removed from the implants, once the implants are firmly set, i.e., fully healed to the bone, or earlier, if necessary. Any of the temporary or longer term dentures can be thus supported on, and connected to the splint. The retaining implants as improved by this invention, preferably have a spheroidal head or an ovoidal head, extending above the gum line, and a platform substantially at the gum line and connected to the spheroidal or ovoidal head by a slender neck. A spheroidal head is one having a generally circular shape from a top view, and an ovoidal head is one having a generally elongated, or ellipsoidal, shape from a top view.
  • The ovoidal head allows a secure fit for dentures for use on patients having very narrow, so-called “knife-edge”, gum ridges. The concavity on the inner surface of the dentures for such patients must be molded to have an especially narrow opening in order to obtain a firm fit over such narrow gum ridges. The use of the ovoidal head on the implants permits firm and secure fitting for even the narrowest ridge, by aligning the major axis of the ovoidial head with the ridge. Alternatively, a denture for a wider ridge may be equally firmly supported by aligning the ovoidal head transversely, or perpendicularly, to the gum ridge. This allows the ovoidal head to extend fully across even the widest denture concavity and provide the required firm support. The widest dentures would be supported by aligning the major axis perpendicularly to the gum ridge, thus, the ovoidal head provides the most versatile use covering a wide range of denture sizes.
  • In accordance with the invention, damage during removal of the locking caps is further eased, while lessening the possibility of unduly stressing or damaging the implant foundation, during the initial fitting period. In this invention, the non-adherent locking cap is formed of a polymer and has a skirt portion at one end, and a dome-shaped portion at another end, having a spheroidal or ovoidal shape. The skirt portion is preferably an annulus, concentric with the dome portion, and having an internal diameter sufficient to surround any elements secured on the intermediate platform, but not greater than that of the platform diameter, so that the skirt bottom presses against the top surface of the platform. Preferably, a non-circular or polygonal, top driving portion is supported on the platform and in turn supports the threaded connector. Most preferably, at best, two elongated circumferential apertures are provided through the skirt, with relatively narrow skirt wall portions separating the two apertures. The apertures are preferably symmetrical about the circumference. These non-adherent locking caps are especially useful during the initial fitting period, when the fittings and these caps must be removed from the implants several times.
  • The locking cap is threadedly secured to the interconnectable top of the implant. When fitting the locking cap onto an implant, the externally threaded interconnectable top mates with the internal threaded portion of the cap. To reduce the chances of unintentional loosening of the cap, the cap is locked in place using a curable resin, which is inserted into the internal space within the skirt annulus in the locking cap. The resin is preferably one that will cure and harden quickly after the cap is screwed onto the implant, and is non-adherent to the locking cap. This hardened resin, portions of which extend into the apertures, will further secure the locking cap from rotational movement, which might otherwise cause it to loosen by surrounding, for example, the polygonal driving portion. The resin can be selected from among common curable dental resins, such as a polyacrylic or an epoxy polymer. When the locking cap is to be removed, the usual torque level is applied by the driving tool; the hardened resin in the apertures will tear the narrow strips of polymer forming the intermediate strips between the apertures, when the torque is applied to the caps. These resins may be auto-curing or light-curing, both of which are commonly used in dentistry. Generally, these are non-adherent to many dental polymers, such as Delrin.
  • By providing cured resin through the apertures, the cap is locked in place, but the cap can be readily torn at the ends of the apertures, under applied torque, thus, removing the lock without dislodging or moving the implant part before healing is complete. The material between the apertures can be made more likely to split in response to an applied torque by reducing the cross-sectional thickness of the material at those intermediate portions. Preferably the apertures extend, in toto, at least about 50% of the circumference, and most preferably at least about 80% of the circumference. To avoid extrusion of the resin beyond the apertures, before hardening, a thin, non adherent sleeve can be placed over the apertures and around the skirt portion. The sleeve can hold the resin in place during curing. The sleeve is most preferably non-adherent to the resin filling in the cap, such as a silicone, and also can have a slight elasticity to improve holding and simplify removal after hardening.
  • In use, an auto-cure or light-cure resin is inserted into the inner cup of the skirt of the locking cap. The cap is firmly tightened in place utilizing a U-shaped driver which fits within the aperture in the locking cap. Preferably, the apertures extend around and down the sides of the cap, and the U-shaped driver can conform to the downwardly extending side slots. Alternatively, a standard straight or cruciform slot across the top of the dome is provided, to allow a screwdriver to be used, or a polygonal indentation, for use, for example by an Allen wrench-type of driver. As the cap is screwed down, any excess curable resin material is forced outwardly, or upwardly, out of the cap, and can be easily wiped away before the resin hardens. A silicone sleeve placed around the apertures can be removed after the resin hardens.
  • The locking cap thus is held against rotation by the hardened resin surrounding the polygonal driver part on the implant and extending into the apertures of the skirt portion. The lower skirt portion, between the apertures, can be lifted out, or broken-up when exposed.
  • When it is desired to remove the cap, by applying sufficient torque to the caps e.g. with the U-shaped driver in matching slots, the hardened resin in the skirt will fracture the skirt wall portions, separating the apertures allowing, and the internally threaded portion of the cap and the skirt will separate at the apertures, allowing it to be easily unscrewed from the implant.
  • During the healing period, an interim prosthesis lined with the silicone material serves to lock the implants in place while providing an interim tooth replacement for the patient. That interim prosthesis will be removed once healing is complete. This procedure may need to be repeated a number of times during the healing, and the following trials and fittings of the final customized prosthesis. This final prosthesis can be constructed with the components described in, for example, U.S. Pat. No. 6,685,473 B2. After removal of the cap with the separated bottom section, a new cap must be secured in place in the same manner, when the interim prosthesis is replaced after the fitting.
  • The non-adhesive locking cap of this invention, is especially useful during the repeated fitting operations, because it is far less likely to stress or damage the thread of the, e.g., titanium, implant when being installed onto the implant, or being removed therefrom.
  • In a preferred embodiment, a central opening extends through the cap, regardless of the shape of the head, so that it is open at both ends; this permits excess resin to escape out the top, as the cap is being screwed down, while being held in place onto the threaded portion. This central opening can be provided regardless of the shape of the cap head.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIG. 1 illustrates, on a jaw model, a series of indexing and holding implants having the desired spheroidal head of this invention and banded necks;
  • FIG. 1 a illustrates, on the jaw model of FIG. 1, a series of indexing and holding implants having the desired spheroidal head of this invention without the neck bands;
  • FIG. 2 illustrates, the jaw model of FIG. 1 with insert covers over the indexing implants;
  • FIG. 3 illustrates, the jaw model of FIG. 1; wherein the holding implants are covered by a half sheath;
  • FIG. 4 illustrates a detailed perspective view of the half sheath shown in FIG. 3;
  • FIG. 5 illustrates a top plan view of the spheroidal head of the holding implants of FIG. 1;
  • FIG. 6 illustrates, the jaw model of FIG. 3, wherein the holding implants are covered by a half sheath which is in turn covered by a metal reinforcing frame;
  • FIG. 7 illustrates an elevation view of a spheroidal-headed implant for the present invention, as shown in FIG. 1;
  • FIG. 8 illustrates a front view of a splint being applied to the jaw, over the holding implants; and
  • FIGS. 9A-I illustrate the procedure for forming a completed splint or dental prosthetic bridge in accordance with the present invention.
  • FIG. 10 illustrates a locking screw cap made of a structural, nonadherent polymer, such as the polyacetal Delrin, to secure the prosthesis to the implant;
  • FIG. 11 illustrates a single tooth prosthesis anchored to an implant;
  • FIG. 12 illustrates the skeleton of a prosthesis foundation which is threadedly connected to the implants;
  • FIG. 13 is an exploded perspective view of a threaded dental implant and internally threaded upper locking cap.
  • FIG. 14 is a perspective view of a threaded implant wherein the cap is threadedly connected to the implant and is in the process of being secured thereto utilizing a curable resin.
  • FIG. 15 is an elevational view of a spheroidal headed locking cap.
  • FIG. 16 is a partial cut away view of the locking cap of FIG. 15, taken along lines 16-16.
  • FIG. 17 is a top plan view of the spheroidal headed locking cap.
  • FIG. 18 A-C are elevational front and side views, respectively, and a top view, of an ovoidal locking cap.
  • DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
  • As described herein, the various rigid structural components shown in the drawings are fabricated from, for example, titanium, stainless steel, and/or any other suitable dental implant material which can withstand functional loads and support crowns, bridge segments, or the complete replacement of teeth with tooth forms/synthetic teeth/artificial teeth.
  • A model of a patient's jaw ridge R is shown in FIGS. 1 and 1 a, including implanted into the jawbone ridge a pair of the guide, or indexing, pins 2 in the posterior-most portions of the model, and a series of implant screw type retention pins 5. Each of the retention pins in this embodiment, has a flattened dome-shaped, or spheroidal, head 9, and a narrower neck 10 and threaded shank 20, extending into the jawbone. Intermediate the shank and neck is a flange 22 having a distally facing platform 22A. The combination of the neck 10 and head 9 provides an undercut surface for retention and the platform 22A a firm support for the denture. In addition, closely surrounding the neck 10 there may be employed a removable elastic band 7, which can be utilized to vary the degree of any undercut effect by reducing or increasing the effective diameter of the shank to the needs of the patient.
  • The spheroidal or ovoidal headed implant caps can be used for a single tooth prosthesis (FIG. 11) or as part of a bridge denture, with other such implants. As shown specifically in FIG. 12, and described more fully in the context of the Prior Case, another preferred embodiment of the holding implant screw 94, 18 has, at one end, a relatively long self-tapping threaded shaft 20. In use, an opening is made through any soft dental tissue, e.g., gums, overlying the jawbone, and the implant screw 18 is screwed into the hard dental tissue. The implant screw 18 has various advantageous features, such as a flange having a flat surface 22A on a first side adjacent to which modular components are positioned and supported, and having a tapered smooth portion 22B on a second side facing the dental tissue from which the threaded shaft 20 extends. The threads preferably do not extend the full length of the shaft 20, such that a substantially smooth, unthreaded portion is preferably present immediately adjacent the tapered portion 22B. In addition, this embodiment of the implant screw 18 includes a driving portion 24 which, in this example, is a flat polygonal extension, having a rectangular longitudinal cross-section. The driving portion 24 is adapted to engage a tool, such as a socket wrench bit. This is more fully set out in the Prior Case, incorporated herein. It is understood that the driving portion need not be in the specific shape shown, and may be polygonal concavity or extension, to engage compatible tools known in the art.
  • The preferred embodiment of the slender holding implant screw 94, as shown in FIG. 13, includes at the protruding longitudinal end, prosthesis connecting member 26, for attaching modular prosthesis components thereto. As shown, the prosthesis connecting member 26 is externally threaded for receiving an internally threaded cap 109; for removably but rigidly connecting the implant screw to the splint.
  • As shown specifically in FIG. 13, and described more fully in the “Prior Case”, a preferred embodiment of the implant screw 8 has at one end a relatively long self-tapping threaded shaft 20 and an adjacent shorter smooth cylindrical shaft 21. A flange 22 is provided longitudinally adjacent the smooth portion of the shaft 21, distal of the threaded portion, and includes a smooth tapered portion immediately adjacent the shaft flowing outwardly to a flat surface substantially perpendicular to the axis of the shaft and facing away from the shaft. A driving portion having a substantially polygonal cross-section extends longitudinally from the flat flange surface portion 22. An externally threaded prosthesis connecting member 26 extends axially from the driving portion 24 in a direction away from the shaft 20. The non-adherent locking screw cap 109 of this invention is shown in a position in FIG. 13 adjacent the threaded connector 26, and in FIG. 14 screwed onto the threaded connector 26.
  • The locking cap 109 comprises an annular, open-ended skirt portion 129, having a generally cylindrical outer circumferential surface. A pair of circumferential apertures 110 are formed therethrough, so as to extend completely through the wall of the skirt 129.
  • At the distal end of the locking cap 109 is a substantially spheroidal head portion 119 having radial, transversely extending slots 120 formed at diametrically opposed edges of the circumference of the spheroidal head. A narrower neck portion 116 is located intermediate the top of the skirt portion 129 which is defined by a relatively flat surface 121, and the spheroidal head 119. A central opening, defined by an internally threaded wall surface 115 extends completely through the spheroid head 119 and the neck portion 116, to the interior of the skirt portion.
  • An alternative locking cap 209 is shown in FIGS. 18 A-C. At the distal end of the locking cap 209 is a substantially ovoidal head portion 219 having slots 120 preferably extending along the major circumference of the ovoidal head, as shown. The remaining aspects of this cap are as described above.
  • The locking caps 109, 209 of this invention are preferably molded from a polymer of the types commonly used for placement in the mouth, by dentists, such as the polyacetal resin Delrin, utilizing either co-polymer grades or homo-polymer grades. Other useful materials include dental grades of nylon or polysulfone. Other suitable dental resins having the desired mechanical strength may also be utilized.
  • The relatively soft locking cap 109 made of a polymeric material is preferably used at least during the preliminary period after the implant is first affixed, when it is desired to provide an immediate replacement or splint to both hold a plurality of such implants in place and to provide the patient with at least an immediate replacement for the missing teeth, even though it is not one that may be maintained on a permanent basis. After the implants and bone have healed and become firmly secured, the permanent prosthesis can then be fitted. As the fitting of a permanent prosthesis often requires several trials, when the prosthesis must be removed, refitted and replaced, the use of a hard metal cap during this period could result in some damage to the metal implants. By utilizing the relatively soft resin cap, the likelihood of an) damage occurring to the implant, from a cross threading or the like, is greatly reduced, if not wholly eliminated.
  • To further enhance the effectiveness of these caps, and to avoid their coming loose during this period, the caps can be initially filled with a curable dental resin in the cup formed by the skirt, preferably of the auto-cure or light cure type, and the cap is then applied to the threaded top portion of the implant and screwed down, while the excess resin from the skirt portion is squeezed out the top of the cap through the opening defined by the surface 115.
  • As noted, the apertures 110 can be covered by a removable silicone sleeve 130 during curing, having sufficient elasticity to be able to be readily removed after the resin is set, if desired. The dental resin is generally not adherent to the silicone so the resin does not interfere with the removal of the sleeve. Any excess uncured resin which exudes from the top of the cap during the process of its being screwed on to the implant can be readily wiped-off before it hardens.
  • When the resin in the skirt is hardened, it surrounds the polygonal drive member 24 and extends into the apertures. This prevents inadvertent rotation of the cap when subjected to various stresses in the mouth. However, when the cap and resin are subjected to torque by the application of e.g., the U-shaped driver, on the slots 120,220, the hardened resin in the apertures will press against the narrow portions 117 separating the apertures; these narrow portions in the skirt 117 are relatively weak, so that when torque is applied to the head of the resin cap the narrow portions with rupture. The cured dental resin, within the apertures of the skirt, pressing against these narrow portions between the apertures, will cause them to rupture upon the application of a reasonable torsional force, e.g. by utilizing a “U” shaped driver in the opposing slots 120,220. The intermediate wall portions 117 can be further weakened by machining out some material so they are not as thick in cross-section as the remaining portion of the skirt wall 129. The top portion of the cap can be removed when it is unscrewed. The lower skirt surrounding the driving portion 24 can be readily lifted out and removed, exposing the exposed threaded connection 26, for attaching a new cap when the prosthesis is replaced by the dentist. This process can be repeated several times as needed during the trials and fittings of a customized prosthesis, without likelihood that the implant will be damaged.
  • Prior to initially forming the splint, of whichever form, a mold of the mouth showing the locations of the upper ends of the implants and their shape, together with any indexing element 80 present on each implant, is made using the usual dental impression material. A denture prosthesis can be prepared from this mold, by known procedures, which will locate the implant tops extending through the dental prosthesis. The concavity formed by the posterior indexing implants should be expanded to a larger opening to leave room for the jacket insert to be attached to the denture. This initial foundation, formed from a relatively hard dental resin, is then treated to remove material from the concave portion formed around the jaw ridge, to permit the molding and/or insertion of a softer more resilient dental resin liner, if desired.
  • This is not a part of this invention and merely provides the context for its use. This context is described more fully in a prior published application by the applicant (U.S. Patent Publication 2004/0166476-A1).
  • The use of the caps of this invention does not interfere with conventional molding techniques for dentures and, thus, allows dentists and dental laboratories to continue with their usual practice when forming a permanent denture prosthesis.
  • The above disclosure sets forth preferred embodiments of the present invention. Only the following claims fully define the invention:

Claims (10)

1-4. (canceled)
5. A denture system that is resiliently, removably anchored to the mouth of a patient, the denture system comprising, in combination, at least one thin, rigid dental implant secured into the jaw of a patient, a rounded connecting cap for the implant, and a rigid dental prosthesis connected to the implant through the connecting cap; the rigid dental implant comprising at one end a thin shank having an external thread, intended to be secured into a patient's jaw, and at a second, opposite, end a platform having an outwardly facing surface, having a diameter greater than the major diameter of the shank, and a constant diameter, externally threaded, cylindrical connection member, rigidly secured to the platform and extending longitudinally axially outwardly from the platform; the rounded connecting cap comprising a head portion having a generally rounded shape from a top view and the shape of a flattened sphere when viewed from a side view, and a central, internally threaded opening extending axially into the bottom surface, whereby the rounded connecting cap can be threadedly connected to the dental implant by the constant diameter, externally threaded member; and the rigid dental prosthesis formed from a rigid dental resin, in the form of a denture, and intended to be supported over the gum ridge of the mouth of a patient, comprising a convex upper surface having the appearance of teeth, and a concave underside lined with a softer, resilient polyacrylic material formed so as to tightly, but resiliently, conform to the gum ridge and to the rounded connecting cap threadedly secured to each implant and which extend above the gum ridge of the patient, so that the resilient material can firmly, but removably, grip the rounded connecting cap when the prosthesis is placed over the gum ridge of the patient containing at least one implant and connecting cap.
6. The denture system of claim 5, wherein the rounded connecting cap further comprises an axially extending base portion extending from the bottom surface of the rounded connecting cap, and having an outer diameter smaller than the outer diameter of the rounded cap potion, and extending axially from the center of the rounded cap portion, the axially extending base portion further comprising a central internal opening extending longitudinally axially therefrom and being internally threaded, the rounded cap portion further comprising means to cause the rotation of the rounded cap portion such that the externally threaded connection member is threadedly connected to the connecting cap.
7. The denture system of claim 5, wherein the thin, rigid dental implant further comprises a generally frusto-conical section extending between the inner end of the threaded portion of the shank and the platform.
8. The denture system of claim 5, wherein the material of construction of the connecting cap is a material that is rigid but relatively softer than the material forming the dental implant.
9. The denture system of claim 8, wherein the material of construction of the connecting cap is selected from the group consisting of polyacrylics and silicones.
10. The denture system of claim 5, wherein the rounded connecting cap further comprises at bottom surface a base portion axially extending and having an outer diameter smaller than the outer diameter of the rounded cap portion and extending longitudinally therefrom; the diameter of the rounded cap portion extending perpendicularly to the axially extending portion from the rounded connecting cap; the axially extending base portion further comprising a central internal opening extending longitudinally axially thereof and wherein the internal circumference of the central internal opening is threaded, whereby the connecting cap can be threadedly connected to the dental implant by the outwardly extending external threaded connector.
11. The denture system of claim 5, comprising further a connection junction on the implant for a wrench to threadedly secure the implant in place in the patient's jaw.
12. The denture system of claim 5, wherein the threaded portion of the implant at the distal end from the platform is of a gradually decreasing diameter.
13. The denture system of claim 5, wherein the cap further comprises a covering cap that can be secured on the connecting cap and into the softer, resilient material on the underside of the dental prosthesis, so as to permit the easier removal of the denture from the rounded connecting cap.
US14/610,735 2005-05-27 2015-01-30 Components for permanent removable and adjustable dentures and bridges Abandoned US20150140510A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US14/610,735 US20150140510A1 (en) 2005-05-27 2015-01-30 Components for permanent removable and adjustable dentures and bridges
US14/826,795 US20150351881A1 (en) 2005-05-27 2015-08-14 Components for permanent removable and adjustable dentures and bridges

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US68564005P 2005-05-27 2005-05-27
US11/419,801 US7431589B2 (en) 2005-05-27 2006-05-23 Components for permanent removable and adjustable dentures and bridges
US12/243,020 US7985071B2 (en) 2005-05-27 2008-10-01 Components for permanent removable and adjustable dentures and bridges
US13/188,853 US8944815B2 (en) 2005-05-27 2011-07-22 Components for permanent removable and adjustable dentures and bridges
US14/610,735 US20150140510A1 (en) 2005-05-27 2015-01-30 Components for permanent removable and adjustable dentures and bridges

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US13/188,853 Continuation US8944815B2 (en) 2005-05-27 2011-07-22 Components for permanent removable and adjustable dentures and bridges

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US14/826,795 Continuation US20150351881A1 (en) 2005-05-27 2015-08-14 Components for permanent removable and adjustable dentures and bridges

Publications (1)

Publication Number Publication Date
US20150140510A1 true US20150140510A1 (en) 2015-05-21

Family

ID=37482148

Family Applications (5)

Application Number Title Priority Date Filing Date
US11/419,801 Active US7431589B2 (en) 2005-05-27 2006-05-23 Components for permanent removable and adjustable dentures and bridges
US12/243,020 Active US7985071B2 (en) 2005-05-27 2008-10-01 Components for permanent removable and adjustable dentures and bridges
US13/188,853 Active US8944815B2 (en) 2005-05-27 2011-07-22 Components for permanent removable and adjustable dentures and bridges
US14/610,735 Abandoned US20150140510A1 (en) 2005-05-27 2015-01-30 Components for permanent removable and adjustable dentures and bridges
US14/826,795 Abandoned US20150351881A1 (en) 2005-05-27 2015-08-14 Components for permanent removable and adjustable dentures and bridges

Family Applications Before (3)

Application Number Title Priority Date Filing Date
US11/419,801 Active US7431589B2 (en) 2005-05-27 2006-05-23 Components for permanent removable and adjustable dentures and bridges
US12/243,020 Active US7985071B2 (en) 2005-05-27 2008-10-01 Components for permanent removable and adjustable dentures and bridges
US13/188,853 Active US8944815B2 (en) 2005-05-27 2011-07-22 Components for permanent removable and adjustable dentures and bridges

Family Applications After (1)

Application Number Title Priority Date Filing Date
US14/826,795 Abandoned US20150351881A1 (en) 2005-05-27 2015-08-14 Components for permanent removable and adjustable dentures and bridges

Country Status (6)

Country Link
US (5) US7431589B2 (en)
EP (1) EP1893121B1 (en)
JP (1) JP5149792B2 (en)
KR (1) KR101334984B1 (en)
CA (1) CA2609100C (en)
WO (1) WO2006130389A2 (en)

Families Citing this family (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2609100C (en) * 2005-05-27 2014-02-11 Bernard Weissman Improvements in components for permanent removable and adjustable dentures and bridges
US7758346B1 (en) * 2006-10-27 2010-07-20 Letcher William F Implant prosthodontics and methods of preparing and seating the same
DE102007002178A1 (en) * 2007-01-03 2008-07-10 Aepsilon Rechteverwaltungs Gmbh Method of modeling and making an artificial denture
JP4680209B2 (en) * 2007-01-26 2011-05-11 康寛 斉宮 Orthodontic implant structure
WO2008095332A1 (en) * 2007-02-01 2008-08-14 Lucky 5-7 Corporation Limited Denture carrier fixed on the surface of jawbone
CA2699243A1 (en) * 2007-09-12 2009-03-19 Cendres+Metaux Sa Arrangement for forming a bar construction and a fixation screw therefor
DE102007045199B3 (en) * 2007-09-21 2008-12-04 Bernhard Förster Gmbh Orthodontic implant system for treating tooth defective position, has head fastened at screw implant and including recess for attaching on section of implant, where head includes aperture in lateral surface of recess for holding unit
US20090220914A1 (en) * 2008-02-28 2009-09-03 Dental- Li Uri Consulting 2007 Ltd. Dental implant and a method of implantation thereof
US20090263761A1 (en) * 2008-04-16 2009-10-22 John Shepard Denture abutment and retention system
KR101042372B1 (en) * 2009-04-09 2011-06-17 오스템임플란트 주식회사 One body implant
KR100931210B1 (en) * 2009-07-22 2009-12-10 윤우성 Orthodontic implant screw assembly
WO2011156472A1 (en) * 2010-06-08 2011-12-15 Bulard Ronald A Dental implant with antirotational cog
US10595970B2 (en) * 2012-01-10 2020-03-24 Esthetic Implant Solutions, Llc Bonding of soft gingival tissues with anatomical and other dental prostheses
US8926326B2 (en) 2012-08-03 2015-01-06 John S. Shepard Denture retention system
US9452034B1 (en) 2012-10-23 2016-09-27 Javier Urquiola Hybrid passively fitting prosthodontic frameworks
US20140134566A1 (en) * 2012-11-14 2014-05-15 Robert Lemke Dental Prosthesis With Reference Points For Imaging When Fabricating A Denture
EP3040047A4 (en) 2013-08-30 2017-04-12 GC Corporation Attachment for plate denture
TWI580407B (en) * 2014-05-28 2017-05-01 Method for manufacturing dental implants and dental implants
US20160022385A1 (en) * 2014-07-28 2016-01-28 Kun Zhao Dental implant system and method of use
RU167742U1 (en) * 2016-01-11 2017-01-10 Ирек Раисович Хафизов Gum excision
IL249634A0 (en) * 2016-12-19 2017-03-30 Berger Uzi Denture lock and tool therefor
KR101918655B1 (en) 2018-09-19 2018-11-15 김용서 Implant assembly apparatus
US11771537B2 (en) * 2018-09-27 2023-10-03 X-Nav Technologies, LLC MElHOD for dynamically guiding a dental oral and maxillofacial prosthesis
KR102080241B1 (en) * 2018-10-15 2020-02-24 주식회사 디오 apparatus of cylinder for dental implant
US11284971B2 (en) 2020-02-27 2022-03-29 New Way Denture & Retention Systems, LLC Denture retention apparatus and method
JP7427244B2 (en) * 2020-05-25 2024-02-05 医療法人社団アイ・ティー dental implant fixture
US20230414329A1 (en) * 2022-06-23 2023-12-28 Igor Roshkovan Dental implant attachment system in screw-retained configuration for implant-supported and implant-retained removable dentures and method of use

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3085334A (en) * 1960-03-16 1963-04-16 Julius L Bischof Denture attachment
US5417570A (en) * 1994-01-03 1995-05-23 Zest Anchors, Inc. Dental anchor assembly
US5520540A (en) * 1992-06-19 1996-05-28 Rhein 83 S.N.C. Di Nardi Ezio & C. Zago, 10 Quick coupling device for dental prosthesis
US5885077A (en) * 1994-04-26 1999-03-23 Austenal, Inc. Methods of anchoring dentures over crown copings and post abutments
WO2002028304A2 (en) * 2000-10-04 2002-04-11 Bernard Weissman Adjustable modular components for dentures and dental bridges
WO2004060189A2 (en) * 2002-12-27 2004-07-22 Bernard Weissman Improvements in components for permanent removable and adjustable dentures and bridges
US7431589B2 (en) * 2005-05-27 2008-10-07 Bernard Weissman Components for permanent removable and adjustable dentures and bridges

Family Cites Families (51)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US711324A (en) * 1902-02-15 1902-10-14 William Peter Lacy Artificial denture.
US1104810A (en) * 1912-03-08 1914-07-28 Harold Allman Lewis Extraction of arsenic or antimony from ores containing the same.
US1101810A (en) 1913-12-18 1914-06-30 Grover C Otrich Means for securing dental plates in position.
US2112007A (en) * 1937-01-16 1938-03-22 Pinkney B Adams Anchoring means for false teeth
US3514858A (en) * 1969-04-14 1970-06-02 Ralph H Silverman Denture securing apparatus
US3656236A (en) * 1970-10-16 1972-04-18 Peter F Kurer Denture retention method
US3748739A (en) * 1971-10-04 1973-07-31 J Thibert Oral implant stabilizer and denture support
US4204321A (en) * 1978-03-24 1980-05-27 Scott Edward S Dental post
US4290755A (en) * 1979-03-05 1981-09-22 Scott Edward S Dental post and method of installing
US4253834A (en) * 1980-03-31 1981-03-03 Staubli Peter E Rider clip with offset retention flaps and retention bar for denture
US4459111A (en) * 1981-06-18 1984-07-10 Maurice Valen Crown and bridge prefabricated system and implant
US4488874A (en) * 1982-04-29 1984-12-18 Jack Soifer Detachable mounting for a dental fixture and method for using same
CH651462A5 (en) * 1983-02-23 1985-09-30 Helmut Hader FEMALE PART OF A COUPLING FOR MOUTH FIXING OF A DENTAL PROSTHESIS.
US4516937A (en) * 1983-11-30 1985-05-14 Hans Bosker System for denture support using a transmandibular implant
US4634382A (en) * 1984-06-07 1987-01-06 Molten Corp. Attachment for dental prosthesis
GB2174007B (en) * 1985-03-29 1989-09-06 Molten Corp Denture base provided with rubber-like resilient lining layer and process for producing the same.
DE3531389A1 (en) * 1985-09-03 1987-03-05 Kirsch Axel ENOSSAL IMPLANT
SE454236C (en) * 1986-08-29 1989-08-14 Dan Lundgren APPLICATION OF A PREFABRICATED CONSTRUCTION ELEMENT FOR IMPLANT FIXED PROSTHESIS
SE455156B (en) * 1986-12-09 1988-06-27 Andersson Knut Matts G METHOD AND APPARATUS FOR DETERMINING A BRIDGE FOR ANCHORING ELEMENTS IN THE DENTAL
US4854872B1 (en) * 1987-09-24 1995-06-27 Steven G Detsch Prosthetic implant attachment system and method
US4917604A (en) * 1988-04-20 1990-04-17 Small Irwin A Compression staple, method and apparatus for insertion of same
BE1002350A3 (en) * 1988-08-02 1991-01-08 Dury Georges Emile Ladislas IMPLANT.
US5052930A (en) * 1989-11-22 1991-10-01 Lodde Jean Pierre Dental implant and method of implantation
US5073110A (en) * 1990-05-21 1991-12-17 Implant Plastics Corporation Articulating ball coping and associated devices
ATE135185T1 (en) * 1991-08-13 1996-03-15 Sieglinde Horlitz EPITHESIS AND DEVICE FOR REleasably ATTACHING THIS EPITHESIS TO A BONE
US5221204A (en) 1991-09-23 1993-06-22 Kruger Bernard M Dental implant product and method of making
CH686114A5 (en) 1991-09-27 1996-01-15 Helmut Hader Dental-prosthesis-supporting structure
US5302125A (en) * 1992-10-22 1994-04-12 Kownacki Charles D Dental prosthetic implant
ATE170729T1 (en) 1993-04-21 1998-09-15 Hans Bosker ASSEMBLY FOR WEARING A MANDIBULAR DENTURE ON A LOWER JAW
US5427906A (en) * 1993-05-27 1995-06-27 Hansen; Gorm P. System for bracing dental implants or natural tooth roots to secure artificial teeth
US5538428A (en) * 1994-04-05 1996-07-23 Attachments International Packing delivery system for dental implant and method
US5513988A (en) * 1994-04-26 1996-05-07 Nu-Dent, Inc. Method of lining a void in a denture or applying a liner around an implant cylinder or implant healing cap
US5678993A (en) * 1994-04-26 1997-10-21 Austenal, Inc. Methods of lining dentures and denture voids and forming denture extensions
US5575651A (en) * 1994-07-27 1996-11-19 Weissman; Bernard Prosthetic dental bridge foundation
US5487664A (en) 1994-08-18 1996-01-30 Weissman; Bernard Dental post provided with support frame
US6068479A (en) * 1995-02-21 2000-05-30 Kwan; Norman Ho-Kwong Dental implant system
SE9501632D0 (en) * 1995-05-03 1995-05-03 Astra Ab Ball impression coping
DE29514042U1 (en) * 1995-09-01 1997-01-09 Unger, Heinz-Dieter, Dr.med.dent., 49080 Osnabrück Anchor for implant body and alignment device for their alignment
JP3782499B2 (en) * 1996-01-25 2006-06-07 ワイスマン バーナード Dental post with support frame
US6382975B1 (en) * 1997-02-26 2002-05-07 Technique D'usinage Sinlab Inc. Manufacturing a dental implant drill guide and a dental implant superstructure
US5725376A (en) * 1996-02-27 1998-03-10 Poirier; Michel Methods for manufacturing a dental implant drill guide and a dental implant superstructure
US5662475A (en) * 1996-03-08 1997-09-02 Mena; Raul R. Universal prosthetic and implant abutment
US6217331B1 (en) 1997-10-03 2001-04-17 Implant Innovations, Inc. Single-stage implant system
US5871357A (en) * 1998-04-15 1999-02-16 Tseng; Hsien-Jung Fixing device for a removable denture
US5944529A (en) * 1998-10-22 1999-08-31 Board Of Supervisors Of Louisiana State University Two-component dental post system
US8043089B2 (en) * 1999-04-23 2011-10-25 3M Innovative Properties Company One piece dental implant and use thereof in prostodontic and orthodontic applications
US6716030B1 (en) * 1999-04-23 2004-04-06 Imtec Corporation Universal O-ball mini-implant, universal keeper cap and method of use
IT1320526B1 (en) * 2000-07-07 2003-12-10 Fiat Ricerche INTERCONNECTION JOINT OF STRUCTURAL ELEMENTS.
KR200233786Y1 (en) * 2001-03-07 2001-09-26 박효상 Screw for the correction of the teeth
US7033174B2 (en) * 2002-06-07 2006-04-25 Thierry Giorno Prosthetic mounting device
WO2004103203A2 (en) 2003-05-16 2004-12-02 Nobel Biocare Services Ag Dental implant system

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3085334A (en) * 1960-03-16 1963-04-16 Julius L Bischof Denture attachment
US5520540A (en) * 1992-06-19 1996-05-28 Rhein 83 S.N.C. Di Nardi Ezio & C. Zago, 10 Quick coupling device for dental prosthesis
US5417570A (en) * 1994-01-03 1995-05-23 Zest Anchors, Inc. Dental anchor assembly
US5885077A (en) * 1994-04-26 1999-03-23 Austenal, Inc. Methods of anchoring dentures over crown copings and post abutments
WO2002028304A2 (en) * 2000-10-04 2002-04-11 Bernard Weissman Adjustable modular components for dentures and dental bridges
WO2004060189A2 (en) * 2002-12-27 2004-07-22 Bernard Weissman Improvements in components for permanent removable and adjustable dentures and bridges
US7431589B2 (en) * 2005-05-27 2008-10-07 Bernard Weissman Components for permanent removable and adjustable dentures and bridges
US7985071B2 (en) * 2005-05-27 2011-07-26 Bernard Weissman Components for permanent removable and adjustable dentures and bridges
US8944815B2 (en) * 2005-05-27 2015-02-03 Bernard Weissman Components for permanent removable and adjustable dentures and bridges

Also Published As

Publication number Publication date
US20150351881A1 (en) 2015-12-10
KR20080025696A (en) 2008-03-21
WO2006130389A2 (en) 2006-12-07
CA2609100A1 (en) 2006-12-07
JP5149792B2 (en) 2013-02-20
EP1893121A4 (en) 2011-03-16
JP2008541858A (en) 2008-11-27
WO2006130389A3 (en) 2007-10-18
EP1893121A2 (en) 2008-03-05
US7431589B2 (en) 2008-10-07
US8944815B2 (en) 2015-02-03
US20110281235A1 (en) 2011-11-17
US20060269902A1 (en) 2006-11-30
EP1893121B1 (en) 2018-07-11
US7985071B2 (en) 2011-07-26
KR101334984B1 (en) 2013-11-29
US20090029319A1 (en) 2009-01-29
CA2609100C (en) 2014-02-11

Similar Documents

Publication Publication Date Title
US7985071B2 (en) Components for permanent removable and adjustable dentures and bridges
US7234940B2 (en) Components for permanent removable and adjustable dentures and bridges
CA2123666C (en) Anatomical restoration dental implant system with interlockable various shaped healing cap assembly and matching abutment member
US6685473B2 (en) Implants and modular components for assembly of dentures and bridges
US5439380A (en) Method of forming an abutment post
US8540512B2 (en) Dental implant system
US20090202963A1 (en) Expandable polymer dental implant and method of use
EP1021996A1 (en) Device for an endosteal dental implant
US5118295A (en) Dental post
US5803735A (en) Food ingress shield for dental prosthodontic apparatus
KR102198248B1 (en) Healing abutment with hoto-polymerizable resin photo-polymerization healing part
CN113710193A (en) Molding device for dental implants

Legal Events

Date Code Title Description
STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION