CN101366664A - Hollow short implant for dental implant - Google Patents
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- 239000007943 implant Substances 0.000 title claims abstract description 208
- 239000004053 dental implant Substances 0.000 title claims abstract description 6
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 69
- 238000010079 rubber tapping Methods 0.000 claims abstract description 17
- 230000002093 peripheral effect Effects 0.000 claims description 8
- 230000001054 cortical effect Effects 0.000 claims description 6
- 210000000214 mouth Anatomy 0.000 claims description 5
- 238000006243 chemical reaction Methods 0.000 claims description 4
- 238000010883 osseointegration Methods 0.000 abstract description 28
- 238000013461 design Methods 0.000 abstract description 21
- 230000014759 maintenance of location Effects 0.000 abstract description 8
- 208000006386 Bone Resorption Diseases 0.000 abstract description 7
- 230000024279 bone resorption Effects 0.000 abstract description 7
- 238000002513 implantation Methods 0.000 abstract description 7
- 230000036770 blood supply Effects 0.000 abstract description 4
- 230000007774 longterm Effects 0.000 abstract description 4
- 238000012546 transfer Methods 0.000 abstract description 2
- 238000010586 diagram Methods 0.000 description 12
- 238000000034 method Methods 0.000 description 11
- 239000011148 porous material Substances 0.000 description 9
- 230000007547 defect Effects 0.000 description 8
- 210000004195 gingiva Anatomy 0.000 description 6
- 230000000149 penetrating effect Effects 0.000 description 4
- 239000007787 solid Substances 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 3
- LLQPHQFNMLZJMP-UHFFFAOYSA-N Fentrazamide Chemical compound N1=NN(C=2C(=CC=CC=2)Cl)C(=O)N1C(=O)N(CC)C1CCCCC1 LLQPHQFNMLZJMP-UHFFFAOYSA-N 0.000 description 2
- 238000010521 absorption reaction Methods 0.000 description 2
- 210000001909 alveolar process Anatomy 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 210000004086 maxillary sinus Anatomy 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 208000005888 Periodontal Pocket Diseases 0.000 description 1
- 208000008312 Tooth Loss Diseases 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000037182 bone density Effects 0.000 description 1
- 230000008468 bone growth Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
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- 238000003384 imaging method Methods 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 230000006698 induction Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 210000001847 jaw Anatomy 0.000 description 1
- 210000004373 mandible Anatomy 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 210000000276 neural tube Anatomy 0.000 description 1
- 238000011160 research Methods 0.000 description 1
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- 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
- A61C8/0075—Implant heads specially designed for receiving an upper structure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0018—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
- A61C8/0022—Self-screwing
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0018—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
- A61C8/0037—Details of the shape
- A61C8/0039—Details of the shape in the form of hollow cylinder with an open bottom
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- 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
- A61C8/0078—Connecting the upper structure to the implant, e.g. bridging bars with platform switching, i.e. platform between implant and abutment
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- Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
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- Life Sciences & Earth Sciences (AREA)
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Abstract
本发明涉及一种口腔种植牙中空短种植体,包括一段式和两段式两种结构;一段式植体部和基台部连为一体;两段式包括种植体、桥架接圈和中心螺栓;植体部外周圆柱螺旋体分为三段,植体主体部锯齿形双螺纹能承受较大的载荷;植体部的中空结构设计保留有基底有血运的活的骨柱,增强骨与种植体的支持强度;自攻槽可使植体部内外的骨组织内外贯穿生长愈合;平台转移设计使植体周围牙龈上皮袖口封闭更为可靠,避免微动和微渗漏造成的骨吸收。本发明牙科短种植体达到种植体内外骨结合,增加了骨结合面积大和早远期的支持强度,植入快捷,强度大、早期固位好,远期成功率高,解决了常规口腔种植体技术面对上下颌骨磨牙区的一个难题。
The invention relates to a hollow short implant for dental implant, which includes two structures of one-stage and two-stage; the one-stage implant part and the abutment part are connected as one; the two-stage type includes the implant, a bridge ring and a central bolt ;The cylindrical helix around the implant is divided into three sections, and the main body of the implant has a zigzag double thread that can bear a large load; the hollow structure of the implant retains a living bone column with blood supply at the base, which strengthens the relationship between bone and implant. The support strength of the implant; the self-tapping groove can make the bone tissue grow and heal inside and outside the implant; the platform transfer design makes the gingival cuff around the implant more reliable and avoids bone resorption caused by micro-movement and micro-leakage. The dental short implant of the present invention achieves osseointegration inside and outside the implant, increases the osseointegration area and the early and long-term support strength, and has fast implantation, high strength, good early retention, and high long-term success rate, which solves the conventional oral implant technology. Confronted with a difficult problem in the molar area of the upper and lower jaws.
Description
技术领域 technical field
本发明属于口腔种植牙技术领域,涉及一种具有植入快捷、骨结合强度高、可早期固位的口腔种植牙中空短种植体。The invention belongs to the technical field of dental implants, and relates to a hollow short dental implant with fast implantation, high osseointegration strength and early retention.
背景技术 Background technique
口腔的种植牙植体作为义齿固位装置的人工牙根,已经被广泛应用于口腔单个牙缺损、部分牙缺损以及全口牙缺失的修复治疗。但是,在临床工作中很多病人都受到了牙槽骨骨量不足或腔、窦、神经管等因素的限制,要解决骨量不足的问题通常采用植骨手术的方法以增加骨的高度,但由于植骨手术本身也存在自身的风险,还有植骨过程时间较长费用较多的考虑很多病人也难以接受。采用植入长度较短的种植体可以避免因植骨手术带来的风险和费用。As the artificial tooth root of the denture retention device, dental implants in the oral cavity have been widely used in the restoration of single tooth defect, partial tooth defect and complete tooth loss in the oral cavity. However, in clinical work, many patients are limited by factors such as insufficient alveolar bone volume or cavity, sinus, neural tube, etc. To solve the problem of insufficient bone volume, bone graft surgery is usually used to increase the height of the bone, but Because the bone grafting operation itself also has its own risks, and the bone grafting process takes a long time and costs a lot, it is difficult for many patients to accept it. Using shorter implant lengths avoids the risks and costs associated with bone graft surgery.
国内外对短种植体的基础和临床研究已有十余年,国际上通常把小于7mm的种植体称为短种植体,短种植体应用于上颌骨缺损的修复以及上颌窦较低患者较常规种植体有着明显的优势。Tuncelli(1997)等应用有限元法,比较了ITI中空圆柱两段式种植体不同直径(3.5mm、4.5mm、6mm)应力分布。结果发现:相对较大直径的种植体更有利于下颌后部区域的应力分布。张少锋(1997)等用有限元法研究了种植体长度和直径对种植全口义齿应力的影响,得出结论:种植体周围骨界面应力的大小与种植体长度密切相关,呈负相关关系。很多学者提出种植体的最短长度不应小于7mm以下,直径可以增大,目的是增大与骨组织的结合面积。Frandsen PA,Chtistffersen H,Madsen T.等人在1998年就证实,在圆柱型种植体表面增加螺纹有助于增强种植体的初期稳定性和早期固位,骨结合强度更高。There have been more than ten years of basic and clinical research on short implants at home and abroad. Internationally, implants smaller than 7mm are usually called short implants. Implants have clear advantages. Tuncelli (1997) etc. applied the finite element method to compare the stress distribution of ITI hollow cylindrical two-stage implants with different diameters (3.5mm, 4.5mm, 6mm). It was found that relatively larger diameter implants are more favorable for stress distribution in the posterior region of the mandible. Zhang Shaofeng (1997) used finite element method to study the influence of implant length and diameter on the stress of implanted complete dentures, and concluded that the stress of the bone interface around the implant is closely related to the length of the implant, showing a negative correlation. Many scholars have proposed that the shortest length of the implant should not be less than 7mm, and the diameter can be increased to increase the bonding area with the bone tissue. Frandsen PA, Chtistffersen H, Madsen T. and others confirmed in 1998 that adding threads to the surface of cylindrical implants can help enhance the initial stability and early retention of implants, and the osseointegration strength is higher.
在本发明以前的现有技术中,常用的短种植体系统有Branemark system、Nobelspeedy、bicon、Innova、Sybronpro、Neodent等,以及WO2008016205A1、US20080113316A1等专利文献所披露的设计,其共同的特点都是短的实心设计,而与骨组织的结合只能依靠种植体外周的螺纹所具有的非常有限的表面积接触骨组织从而达到骨结合目的,这种设计都存在植入深度的局限性和对早期固位、增加骨结合面积等无法克服的缺陷。为了使短种植体更好的骨结合,有部分设计的短种植体在其底端或体部开有孔洞,希望骨组织能长入其内部,如US6918766B1、US20070292820A1等专利文献所披露的设计,但这种长入形式很被动,临床上多需骨生长因子诱导,其成功率很低。这种在种植体体部开孔洞的设计也多见于常规长度的种植体,如现已淘汰的瑞士Schroeder和Sutter于1974年研制的ITI种植体,该种植体,空管的管壁上有孔,分有中空开口圆柱状种植体、闭口圆柱状种植体和中空双蓝圆柱状种植体,以及JP2005342157A、US2004081941A1、US2003224328A1、US2006014120A1等专利文献所披露的设计。In the prior art prior to the present invention, commonly used short implant systems include Branemark system, Nobelspeedy, bicon, Innova, Sybronpro, Neodent, etc., as well as designs disclosed in patent documents such as WO2008016205A1 and US20080113316A1. The solid design of the implant, and the combination with the bone tissue can only rely on the very limited surface area of the implant peripheral thread to contact the bone tissue to achieve the purpose of osseointegration. This design has limitations in implantation depth and early retention. , Increase the area of osseointegration and other insurmountable defects. In order to achieve better osseointegration of short implants, some short implants have holes in their bottoms or bodies, hoping that bone tissue can grow into them, such as the designs disclosed in patent documents such as US6918766B1 and US20070292820A1. However, this form of ingrowth is very passive, and bone growth factor induction is often required clinically, and its success rate is very low. This design of opening holes in the implant body is also more common in implants of regular length, such as the now obsolete ITI implant developed by Schroeder and Sutter in Switzerland in 1974. In this implant, there are holes in the wall of the empty tube. There are hollow open cylindrical implants, closed cylindrical implants and hollow double blue cylindrical implants, as well as designs disclosed in patent documents such as JP2005342157A, US2004081941A1, US2003224328A1, and US2006014120A1.
在本发明以前的现有技术中,也有将长度短的圆柱螺纹实心种植体改为圆柱光滑中空设计,但因为骨钻制备的是种植窝穴,种植体植入后中空部分没有骨组织,而是靠骨组织长入其中,很难达到中空部分的骨组织充盈,更难达到满意的骨结合。如US2008057477A1等专利文献所披露的设计。此外,Nobel、Bicon、Innova等公司也都发布了自己的短种植体产品,其特点均为实心种植体,因为长度短的局限及缺陷,骨结合面积受到一定限制而造成骨结合面积少,种植体不易成活,或者强度低不能长期支持义齿功能。In the prior art before the present invention, there is also a cylindrical threaded solid implant with a short length to a cylindrical smooth hollow design, but because the bone drill prepares the implant socket, the hollow part of the implant has no bone tissue after implantation, and It relies on bone tissue to grow into it, and it is difficult to fill the hollow part with bone tissue, and it is even more difficult to achieve satisfactory osseointegration. Designs disclosed in patent documents such as US2008057477A1. In addition, Nobel, Bicon, Innova and other companies have also released their own short implant products, which are all solid implants. Due to the limitations and defects of the short length, the osseointegration area is limited to a certain extent, resulting in a small osseointegration area. The body is not easy to survive, or the strength is low and cannot support the function of the denture for a long time.
发明内容 Contents of the invention
针对上述现有技术状况,本发明的目的在于:提供一种主要应用于上下颌骨磨牙区(后牙)的中空短种植体,在其结构设计上要达到植体与牙槽骨结合强度大,具有抗拉出、抗下沉以及传递分散咬合力的功能,使其达到牙槽骨与种植体内外双层骨结合,应力分散、就位严密,强度高、植体上口严密、增加了早远期的支持强度、旋入植体方便快捷的的目的。In view of the above-mentioned state of the art, the purpose of the present invention is to provide a short hollow implant mainly used in the molar region (posterior teeth) of the upper and lower jaws, and its structural design should achieve high bonding strength between the implant and the alveolar bone. , has the functions of anti-pullout, anti-sinking and transmission of dispersed occlusal force, so that it can achieve double-layer osseointegration between the alveolar bone and the implant inside and outside, the stress is dispersed, the position is tight, the strength is high, the implant is tight, and the increase The purpose of early and long-term support strength, convenient and quick screwing into the implant.
现将本发明构思及技术解决方案叙述如下:Now design of the present invention and technical solution are described as follows:
一种符合临床医学要求的口腔种植体系统设计,尤其是用于人体特殊部位的短种植体,最大限度的增加与骨组织的结合面积达到很好的骨结合是种植体成功的关键,而植体外周良好的螺纹形状设计又增大了骨结合面积的可能,合理的螺距可使旋入种植体更方便快捷,当植体与基台形成平台转换形式,可使植体周围牙龈上皮袖口封闭更为严密可靠,避免牙周袋微渗漏造成骨吸收,直接影响种植义齿的修复成功及远期效果。此外,因上下颌解剖结构的特殊关系,口腔种植手术严禁因种植体长度的关系而损伤上颌窦和下颌管5,一旦损伤了行走在下颌管5内的神经和血管,势必给患者造成不可逆的伤害,而小于7mm的种植体可以在距离下颌管5上壁2mm以上的骨组织内植入,弥补了传统牙槽骨吸收的缺牙患者在磨牙区不能种植的缺陷。An oral implant system design that meets clinical medical requirements, especially for short implants in special parts of the human body. Maximizing the bonding area with bone tissue to achieve good osseointegration is the key to the success of the implant. The good thread shape design around the body increases the possibility of osseointegration area, and the reasonable pitch can make the screwing into the implant more convenient and fast. When the implant and the abutment form a platform conversion form, the gingival epithelial cuff around the implant can be closed It is more rigorous and reliable, avoiding bone resorption caused by micro-leakage of periodontal pockets, which directly affects the success and long-term effect of implant denture restoration. In addition, due to the special relationship between the upper and lower jaw anatomical structures, it is strictly forbidden to damage the maxillary sinus and
基于上述设计构思的考虑,本发明设计的口腔种植体包括一段式中空短种植体和两段式中空短种植体两种结构。Based on the consideration of the above design concepts, the oral implant designed in the present invention includes two structures: a one-stage hollow short implant and a two-stage hollow short implant.
一段式中空短种植体(参见图1、2、3、4、5),具有植体部10和基台部20,其特征在于:植体部10和基台部20为一体结构;基台部20的上方是倒锥形圆台25;下方是正曲线圆台24;倒锥形圆台25与正曲线圆台24之间有一坡口28;植体部10上方与正曲线圆台24结合处是肩台部11,中部是主体部12,下方是锥体部13;植体部10的下方开有1~3个自攻槽16,主体部12和锥体部13内部为中空部分18。One-piece hollow short implant (referring to Fig. 1, 2, 3, 4, 5), has implant
两段式中空短种植体(参见图9、10),具有植体部10和基台部20,其特征在于:植体部10和基台部20为中空短种植体的下段,桥架接圈31为中空短种植体上段,通过固定螺栓35和基台部20的内螺纹孔30将上、下段连成一体;桥架接圈31内有可与倒锥圆台25配合的倒锥圆台孔33和内孔34,固定螺丝35上端有六花凹槽38;基台部20的上方是倒锥形圆台25;下方是正曲线圆台24;倒锥形圆台25与正曲线圆台24之间有一坡口28;植体部10上方与正曲线圆台24结合处是肩台部11,中部是主体部12,下方是锥体部13;植体部10的下方开有1~3个自攻槽16,主体部12和锥体部13内部为中空部分18。The two-stage hollow short implant (see Figures 9 and 10) has an
根据上述一段式或两段式中空短种植体,其特征在于:中空短种植体植入骨组织6、7内的深度距离下颌管5上壁2mm以上,且植体部10的长度小于7mm。According to the above-mentioned one-stage or two-stage hollow short implant, it is characterized in that: the depth of the hollow short implant implanted into the
根据上述一段式或两段式中空短种植体,其特征在于:所述的植体部10,其肩台部11的外周具有细螺纹14,其主体部12和锥体部13的外周具有双螺纹15;所述的基台部20,其倒锥形圆台25上具有一个凹槽27和其对称面的一个切面43;正曲线形圆台24与植体肩台平台处22形成一个平台转换形式8。According to the above-mentioned one-stage or two-stage hollow short implant, it is characterized in that: the outer periphery of the
根据上述一段式或两段式中空短种植体,其特征在于:所述的植体部10为中空结构18,在手术制备种植体就位道46时,保留植体10中空部分18的骨组织6和皮质骨7,不仅可为有基底有血运的活的骨柱50增强骨与种植体的支持强度,又可使植体10中空壁表面51与骨柱50形成很好的骨结合,达到植体内外与骨组织同时形成双层骨结合的目的,弥补了短种植体因骨结合面积少不易成功且强度低的缺陷。According to the above-mentioned one-stage or two-stage hollow short implant, it is characterized in that: the
根据上述一段式或两段式中空短种植体,其特征在于:在植体部10开有1~3个贯通中空部分18内外的自攻槽16,不仅有切削骨组织自行攻螺纹的作用,而且内外贯通的自攻槽16形成的孔隙增大了界面的连接面积,降低了界面的平均应力水平,而且可以使植体部内外的骨组织通过自攻槽内外贯穿生长愈合,其结合关系即是突入孔隙中的骨突与孔隙的锁合关系,加强了骨结合。According to the above-mentioned one-stage or two-stage hollow short implant, it is characterized in that: there are 1 to 3 self-tapping
根据上述一段式或两段式中空短种植体,其特征在于:植体部10的外周直径为5~7mm,中空部分18直径为3mm~5mm,植体部10的长度为5mm~7mm。According to the above one-stage or two-stage hollow short implant, it is characterized in that: the outer diameter of the
根据上述一段式或两段式中空短种植体,其特征在于:所述的植体部10,其肩台部11、主体部12、及椎体部13三段的长度比大约为0.8~1.2:4~6:0.8~1.2。According to the above-mentioned one-stage or two-stage hollow short implant, it is characterized in that: the length ratio of the
根据上述一段式或两段式中空短种植体,其特征在于:所述肩台部11的外周细螺纹14参数为:螺距0.23~0.27mm、齿高0.06mm~0.10mm;所述主体部12的外周螺纹双螺纹15为锯齿形,其中大螺纹参数螺距为0.8mm~1.2mm、齿高0.4mm~0.6mm,工作边β=34°~38°,非工作边β=2°~6°,牙形角α为35°~45°,小螺纹齿高0.17mm~0.21mm。According to the above-mentioned one-stage or two-stage hollow short implant, it is characterized in that: the parameters of the outer peripheral
根据上述一段式或两段式中空短种植体,其特征在于:架接圈31内部是中空的内孔34和倒锥形圆台33;内孔34可穿入37;倒锥形圆台33与基台部倒锥形圆25吻合套接,且其下口36的底端坡口32与基台部坡口28吻合。According to the above-mentioned one-stage or two-stage hollow short implant, it is characterized in that: the inside of the
根据上述一段式或两段式中空短种植体,其特征在于:底端坡口32与基台部坡口28的坡口为45°。According to the above-mentioned one-stage or two-stage hollow short implant, it is characterized in that: the groove of the
本发明同现有技术相比的优点在于:The advantage of the present invention compared with prior art is:
1.中空结构:保留植体中空部分的骨组织为有基底有血运的活的骨柱,既增强骨与种植体的支持强度,又可使植体中空壁的表面与骨柱形成很好的骨结合,达到植体内外与骨组织同时形成双层骨结合的目的,弥补了短种植体因骨结合面积少不易成功且强度低的缺陷。1. Hollow structure: The bone tissue in the hollow part of the implant is preserved as a living bone column with a base and blood supply, which not only enhances the support strength between the bone and the implant, but also makes the surface of the hollow wall of the implant form a good relationship with the bone column The osseointegration achieves the purpose of forming double-layer osseointegration with the bone tissue inside and outside the implant at the same time, which makes up for the shortcomings of short implants that are difficult to succeed and low in strength due to the small osseointegration area.
2.自攻槽:三个贯通植体部内外的自攻槽,不仅有切削骨组织自行攻螺纹的作用,而且内外贯通的自攻槽形成的孔隙增大了界面的连接面积,降低了界面的平均应力水平,而且可以使植体部内外的骨组织通过自攻槽内外贯穿生长愈合,其结合关系即是突入孔隙中的骨突与孔隙的锁合关系,加强了骨结合。2. Self-tapping slots: Three self-tapping slots penetrating the inside and outside of the implant not only have the function of cutting bone tissue and self-tapping threads, but also the pores formed by the self-tapping slots penetrating inside and outside increase the connection area of the interface and reduce the interface The average stress level, and the bone tissue inside and outside the implant can grow and heal through the internal and external self-tapping grooves. The combination relationship is the locking relationship between the bony protrusions protruding into the pores and the pores, which strengthens the osseointegration.
3.植体肩台部位细螺纹,可增大在应力集中的皮质骨边缘植体与骨组织的接触面积,保留骨组织,减少不必要的丢失,加强皮质骨的早期固位。3. The fine thread on the shoulder of the implant can increase the contact area between the implant and the bone tissue at the edge of the cortical bone where the stress is concentrated, retain the bone tissue, reduce unnecessary loss, and strengthen the early retention of the cortical bone.
4.植体主体部分锯齿形双螺纹,能承受较大的载荷,更好的传递垂直力从而减小来自于修复体的剪切力。增加植体的骨结合面积,且旋入植体更方便快捷。双螺纹种植体的螺纹以更陡的角度环绕种植体,在植入过程中,根尖扭矩使得骨压力逐渐增大,从而增强种植体在骨内的稳定性。螺距大即螺纹越少,攻丝和种植体的植入就越简单。4. The main part of the implant has a zigzag double thread, which can bear a larger load and better transmit the vertical force so as to reduce the shear force from the restoration. The osseointegration area of the implant is increased, and the implant is screwed in more conveniently and quickly. The thread of the double-threaded implant surrounds the implant at a steeper angle. During the implantation process, the apical torque gradually increases the bone pressure, thereby enhancing the stability of the implant in the bone. The larger the pitch, ie the fewer the threads, the easier it is to tap and place the implant.
5.平台转移设计,使植体周围牙龈上皮袖口封闭更为可靠,避免微动和微渗漏造成的骨吸收。5. The platform transfer design makes the gingival epithelial cuff around the implant more reliable and avoids bone resorption caused by micro-movement and micro-leakage.
6.植体部的外周直径为6mm、中空部分直径为4mm,植体部份长度为5mm、6mm、7mm,弥补了传统牙槽骨吸收缺牙患者磨牙区不能种植的缺陷。6. The outer diameter of the implant part is 6mm, the diameter of the hollow part is 4mm, and the length of the implant part is 5mm, 6mm, 7mm, which makes up for the defect that the traditional alveolar bone absorption and edentulous patients cannot be implanted in the molar area.
7.两段式中空短种植体可以应用于牙槽骨吸收缺牙患者全口种植的磨牙区,因为它的上部结构桥架接圈和固定螺丝与长种植体的结构是一致的,所以不管种植义齿修复设计是杆卡式覆盖义齿还是钉固位式固定义齿,都能和长种植体一起使用,弥补了传统牙槽骨吸收缺牙患者磨牙区不能种植的缺陷。7. Two-stage hollow short implants can be applied to the molar area of patients with alveolar bone resorption and edentulous full-mouth implants, because its upper structure bridge ring and fixing screws are consistent with the structure of long implants, so regardless of the implant Whether the denture restoration design is a bar-type overdenture or a nail-retained fixed denture, both can be used together with long implants, which makes up for the defect that the traditional alveolar bone resorption and edentulous patients cannot be implanted in the molar area.
附图说明 Description of drawings
图1:一段式中空短种植体外形示意图Figure 1: Outline schematic diagram of one-piece hollow short implant
图2:一段式中空短种植体植入牙龈后剖面示意图Figure 2: Schematic diagram of the cross-section of a one-piece hollow short implant implanted in the gingiva
图3:一段式中空短种植体各部位平面示意图Figure 3: Plane schematic diagram of each part of a one-piece hollow short implant
图4:一段式中空短种植体各部位立体示意图Figure 4: Three-dimensional schematic diagram of each part of a one-piece hollow short implant
图5:一段式中空短种植体剖视图Figure 5: Sectional view of a one-piece hollow short implant
图6:中空短种植体实施例各螺纹螺距参数Figure 6: Parameters of each thread pitch of the hollow short implant embodiment
图7:图1的仰视图Figure 7: Bottom view of Figure 1
图8:图1的俯视图Figure 8: Top view of Figure 1
图9:两段式中空短种植体立体部件示意图Figure 9: Schematic diagram of the three-dimensional parts of the two-stage hollow short implant
图10:图9的剖面图Figure 10: Sectional view of Figure 9
图11:具体实施方法示意图1Figure 11: Schematic diagram of specific implementation method 1
图12:具体实施方法示意图2Figure 12: Schematic diagram of the specific implementation method 2
图13:具体实施方法示意图3Figure 13: Schematic diagram of the specific implementation method 3
图14:具体实施方法示意图4Figure 14: Schematic diagram of the specific implementation method 4
图15:具体实施方法示意图5Figure 15: Schematic diagram of the
图16:一段式中空短种植体实施就位后剖面示意图Figure 16: Schematic diagram of the cross-section of a one-piece hollow short implant in place
图17:戴上愈合帽后就位剖面示意图Figure 17: Schematic diagram of the in-situ cross-section after wearing the healing cap
具体实施方式 Detailed ways
以下是本发明具体实施例,但不限于具体实施例,现结合附图对本发明作进一步说明:Below are specific embodiments of the present invention, but are not limited to specific embodiments, now in conjunction with accompanying drawing the present invention will be further described:
参见图1、2、3、4、5:See Figures 1, 2, 3, 4, 5:
一段式中空短种植体为植体部10和基台部20连成一体的种植体,植体部10的外周为圆柱螺旋设计,不仅方便植体顺利有效的旋入骨组织,同时有骨挤压的作用以提高种植体的早期固位。特殊的螺纹设计更加大与骨组织的骨结合面积。植体部10外周圆柱螺旋分为三段,上段为植体肩台部11,肩台部11的螺纹为细螺纹14,螺参数为螺距0.25mm、齿高0.08mm。肩台部的细螺纹可加强皮质骨7的早期固位、增大在应力集中的皮质骨植体与骨组织的接触面积,在制备种植窝时减少不必要的骨组织的丢失。中段为植体10主体部12,螺纹为锯齿形双螺纹15,锯齿形螺纹综合了矩形螺纹效率高和梯形螺纹牙根强度高的优点,能承受较大的载荷,更好的传递垂直力,从而减小来自于修复体的剪切力。双螺纹15加大了植体10与骨组织6的结合力及结合面积,在植入过程中以更陡的角度环绕种植体外周,根尖扭矩使得骨压力逐渐增大,从而增强种植体在骨内的稳定性,且旋入植体部的手术操作更方便快捷。其特点:锯齿形双螺纹15其中大螺纹参数螺距为1.0mm、齿高0.5mm,工作边β=36°,非工作边β=4°,牙形角α为40°,小螺纹齿高0.19mm。螺距大即螺纹越少,攻丝和种植体的植入就越简单。下段为植体10锥体部13,植体锥体部13的螺纹参数同主体部12,外周切削锥度角度为26°。植体部10上开有3个内外贯通的自攻槽16,不仅有切削骨壁自行攻螺纹和骨挤压的作用,在手术旋入种植体时具有引导作用使其方便植入。而且内外贯通的自攻槽形成的孔隙增大了界面的连接面积,降低了界面的平均应力水平,而且可以使植体部内外的骨组织通过自攻槽内外贯穿生长愈合,其结合关系即是突入孔隙中的骨突与孔隙的锁合关系,加强了骨结合。植体10的主体部12和锥体部13为中空设计18,在制备种植体就位道46时,保留容纳在植体中空部分18的具有基底和血运的活的骨柱,既增强骨与种植体的支持强度,又与植体10中空18壁表面形成很好的骨结合,使其植体10内外与骨组织同时形成双层骨结合,弥补了短种植体因骨结合面积少强度低、不易成功的缺陷。植体底部17为中空的开口处。植体部外周圆柱螺旋设计的肩台部、主体部及椎体部三段的长度比大约为1:5:1。植体部的外周直径为6mm、中空部分直径为4mm,植体部长度分别设计为为5mm、6mm、7mm,弥补了传统牙槽骨吸收缺牙患者磨牙区不能种植的缺陷。基台部20是一个外周从上到下依次为倒锥形、正曲线形、正锥型的旋转体,该旋转体为一实心体,倒锥形圆台25锥度角度为5°形成合理的就位道以方便牙冠就位,在圆锥体表面26有以一个凹槽27和其对称面的一个切面43,凹槽和切面设计既固定工具扳手方便拧入又对牙冠起到防止旋转的作用。倒锥形圆台25的下方有一个坡口28,角度为45度,高0.5mm,是牙冠在基台的基底位置,与倒锥形圆台25共同伸入牙冠40中,牙冠基底与坡口下沿29严密对合。正曲线形圆台24是基台穿过牙龈的部分,根据牙龈不同厚度设计1mm、2mm、4mm等不同的长度,其下沿在植体肩台平台处22与植体相壤,由于植体10直径大于基台直径而形成平台转换形式8,即当植体直径大于基台直径时,使植体周围牙龈8上皮袖口封闭更为可靠,微渗漏造成的骨吸收。The one-piece hollow short implant is an implant in which the
参见图9、10:See Figures 9 and 10:
两段式中空短种植体的植体部10和基台部20为中空短种植体的下段,桥架接圈31为中空短种植体的上段,通过固定螺栓35和基台部20的内螺纹孔30将上、下段连成一体;其种植体的一切特征与一段式中空短种植体相同,所不同的是在基台的体部有直径为2mm、长3.5mm的内螺纹孔30。桥架接圈31的内部有倒锥形圆台孔33、底端坡口32与基台的倒锥形圆台25和坡口28形成紧密连接,固定螺丝35经桥架接圈上口内孔34贯通穿出下口36,螺栓部分37拧入基台体部内螺纹,固定螺丝上段六花凹槽38方便工具扳手拧入。The
参见图11、12、13、14、15、16、17:See Figures 11, 12, 13, 14, 15, 16, 17:
中空短种植体的手术操作在手术导板48的引导下简便可行,术前通过影像学诊断了解牙槽嵴距上颌窦、下颌管的距离、牙槽嵴宽度、骨密度以及设计种植体植入的方向等情况制作手术导板,手术导板的另一个作用是保证在制备种植体就位道时保留植体内中空部分骨柱的完整以及骨柱与骨柱基底的完整,以保证种植体内外骨结合的目的。手术用配套的手术器械通过导板定位孔49进行,步骤如下:The surgical operation of the hollow short implant is simple and feasible under the guidance of the
1.用牙龈环切钻41环切牙龈9,不切开不翻瓣下进行无创手术。1. Use the
2.用配套的肩台钻42制备种植体在牙槽骨的肩台。2. Use the matching
3.用配套的筒钻47制备种植体就位道46。3. Prepare the
4.种植体连接器44慢速旋入中空短种植体就位46。4. The implant connector 44 is slowly screwed into the short hollow implant in
5.戴愈合帽45,使种植体周围牙龈成形。5. Wear the
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