CN102319125A - Anti-loosing and corrosion-proof dental-implant central screw - Google Patents
Anti-loosing and corrosion-proof dental-implant central screw Download PDFInfo
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Abstract
一种防松防腐蚀的牙种植体中央螺钉,螺纹小径为1.5~2.5mm,牙型高度为螺纹小径的1/10,其表面采用溶胶-凝胶法涂覆有含磷TiO2膜;中央螺钉的螺纹牙型为三角形,引导牙侧的牙侧角为30°,跟随牙侧的牙侧角为20°;牙顶为弧形,牙底与引导牙侧及跟随牙侧的交界处也为弧形,这些弧形的曲率半径均为螺纹小径的1/50;中央螺钉靠近螺帽的5道螺纹的螺距为0.4~0.5mm,牙底沿螺帽方向内倾,与螺纹轴线呈10°的夹角;其它螺纹的螺距为0.8~1.0mm,牙底与螺纹轴线平行。该中央螺钉不易松动、也不易腐蚀,性能可靠,使用寿命长,能提高牙种植体的远期成功率。
An anti-loosening and anti-corrosion central screw for dental implants, the small diameter of the thread is 1.5-2.5 mm, the height of the tooth form is 1/10 of the small diameter of the thread, and the surface is coated with a phosphorus-containing TiO 2 film by the sol-gel method; The thread profile of the screw is triangular, the flank angle of the leading flank is 30°, and the flank angle of the following flank is 20°; It is arc-shaped, and the radius of curvature of these arcs is 1/50 of the small diameter of the thread; the pitch of the five threads of the central screw close to the nut is 0.4-0.5mm, and the bottom of the tooth is inclined inward along the direction of the nut, and is 10° to the thread axis. The included angle; the pitch of other threads is 0.8 ~ 1.0mm, and the bottom of the tooth is parallel to the axis of the thread. The central screw is not easy to loosen and corrode, has reliable performance and long service life, and can improve the long-term success rate of the dental implant.
Description
技术领域 technical field
本发明涉及一种牙科修复用牙种植体的部件,尤其涉及牙种植体的中央螺钉。The invention relates to a component of a dental implant for dental restoration, in particular to a central screw of the dental implant.
技术背景 technical background
随着骨整合理论的发展完善和数十年的临床实践,牙种植已成为牙缺失的重点修复技术之一,与传统的活动义齿、固定义齿修复方式相比,牙种植具有美观、舒适度高、咀嚼功能更强等优势。尽管近期研究表明牙种植体的五年成功率可达94.8%(上颌)、97.5%(下颌),总成功率为96.1%。但是随着服役时间的进一步延长,牙种植体的远期成功率却有进一步降低的趋势,国外16年随访成功率报道为82.94%,国内11~15年的随访成功率报道为62.5%。在众多牙种植体失败病例中,中央螺钉的松动等失效现象较为常见,因此,探索牙种植体中央螺钉的防松对策,已成为进一步提高牙种植体远期成功率的关键技术问题。With the development and perfection of osseointegration theory and decades of clinical practice, dental implant has become one of the key restoration techniques for tooth loss. Compared with traditional removable dentures and fixed denture restoration methods, dental implant has the advantages of aesthetics and high comfort. , Stronger chewing function and other advantages. Although recent studies have shown that the five-year success rate of dental implants can reach 94.8% (upper jaw), 97.5% (lower jaw), and the overall success rate is 96.1%. However, with the further extension of service time, the long-term success rate of dental implants has a tendency to further decrease. The success rate of 16-year follow-up in foreign countries is 82.94%, and the success rate of 11-15 years in China is 62.5%. In many dental implant failure cases, failure phenomena such as loosening of the central screw are relatively common. Therefore, exploring anti-loosening countermeasures for the central screw of the dental implant has become a key technical issue to further improve the long-term success rate of the dental implant.
中央螺钉是连接牙种植体两大部件——植体与基台的重要构件。中央螺钉的螺纹部分穿过基台与植体的内螺纹相配合,其螺帽则与基台的内壁配合实现植体与基台的连接。牙种植体中央螺钉细小,平均直径约2mm,加之以下因素的存在,使其极易发生松动:The central screw is an important component that connects the two major parts of a dental implant—the implant and the abutment. The threaded part of the central screw passes through the abutment to cooperate with the internal thread of the implant, and its nut cooperates with the inner wall of the abutment to realize the connection between the implant and the abutment. The central screw of the dental implant is small, with an average diameter of about 2 mm. In addition, the following factors make it very easy to loosen:
牙种植体中央螺钉与种植体内部其他构件之间存在两个接触界面:1、下部的中央螺钉-植入体界面,2、上部的中央螺钉-基台界面。在咀嚼等功能状态下,这两个联接界面会发生微米级的相对位移,其运动幅值恰恰处于摩擦学中“微动”的运动幅值范围内,这种微动所带来的损伤会引起螺丝接触面材料的损失、尺寸的变化而导致螺丝的松动;且在服役过程中,中央螺钉所受应力并不均一,应力主要集中在螺纹牙顶处以及靠近螺帽的根部的几道螺纹上和中央螺钉与基台连接处,主要受力螺纹应力在200MPa左右,个别位置应力集中严重,最大为304MPa,这些应力集中部位更易损伤,从而导致中央螺钉的松动、甚至折断。There are two contact interfaces between the central screw of the dental implant and other components inside the implant: 1. The lower central screw-implant interface, and 2. The upper central screw-abutment interface. In functional states such as chewing, the relative displacement of the two joint interfaces will occur in microns, and its motion amplitude is just within the range of motion amplitude of "fretting" in tribology. The damage caused by such fretting will be The loss of the screw contact surface material and the change of size lead to the loosening of the screw; and during the service process, the stress on the central screw is not uniform, and the stress is mainly concentrated at the crest of the thread and several threads near the root of the nut At the connection between the upper and central screws and the abutment, the main thread stress is about 200MPa, and the stress concentration in some places is serious, the maximum is 304MPa. These stress concentration parts are more likely to be damaged, which will lead to the loosening or even breaking of the central screw.
另外,上述各界面间存在特小缝隙(宽度一般在0.05~0.08mm范围内)。而中央螺钉服役于非常特殊的口腔腐蚀环境,口腔中大量的水分和酶类、变化的温度和PH值、牙合力作用及功能异常、不良习惯等可引起种植体固定螺丝孔封闭材料的疲劳老化,导致边缘封闭性欠佳,微渗漏现象无法避免,腐蚀性介质很容易渗透到中央螺钉界面的特小缝隙中;手术过程中,中央螺钉表面也不可避免的会受到唾液、血液、术中液体等的污染。以上因素导致中央螺钉极易发生腐蚀,从而使其性能变差、失效;同时,腐蚀也会加速中央螺钉的松动。In addition, there are extremely small gaps (the width is generally in the range of 0.05-0.08 mm) between the above-mentioned interfaces. The central screw serves in a very special oral corrosion environment. A large amount of water and enzymes in the oral cavity, changing temperature and pH value, occlusal force and abnormal function, bad habits, etc. can cause fatigue and aging of the sealing material of the implant fixing screw hole. , leading to poor edge sealing, micro-leakage cannot be avoided, and corrosive media can easily penetrate into the extremely small gaps in the interface of the central screw; during the operation, the surface of the central screw will inevitably be affected by saliva, blood, intraoperative Contamination of liquids, etc. The above factors cause the central screw to be easily corroded, resulting in poor performance and failure; at the same time, corrosion will also accelerate the loosening of the central screw.
发明内容 Contents of the invention
本发明的目的是设计一种防松防腐蚀的牙种植体中央螺钉,该中央螺钉不易松动、也不易腐蚀,性能可靠,使用寿命长,能提高牙种植体的远期成功率。The object of the present invention is to design an anti-loosening and anti-corrosion dental implant central screw, which is not easy to loosen and corrode, has reliable performance and long service life, and can improve the long-term success rate of the dental implant.
为了实现上述目的,本发明的所采取的技术方案是,一种防松防腐蚀的牙种植体中央螺钉,螺纹小径为1.5~2.5mm,牙型高度为螺纹小径的1/10,其结构特点是:In order to achieve the above object, the technical solution adopted by the present invention is a central screw for anti-loosening and anti-corrosion dental implant, the small thread diameter is 1.5-2.5 mm, and the height of the tooth form is 1/10 of the small thread diameter. Its structural characteristics yes:
所述的中央螺钉的表面采用溶胶-凝胶法涂覆有含磷TiO2膜;中央螺钉的螺纹牙型为三角形,引导牙侧的牙侧角为30°,跟随牙侧的牙侧角为20°;牙顶为弧形,牙底与引导牙侧及跟随牙侧的交界处也为弧形,这些弧形的曲率半径均为螺纹小径的1/50;The surface of the central screw is coated with a phosphorus-containing TiO2 film by a sol-gel method; the thread profile of the central screw is triangular, the flank angle of the leading flank is 30°, and the flank angle of the following flank is 20°; the top of the tooth is arc-shaped, and the junction of the bottom of the tooth and the leading flank and the following flank is also arc-shaped. The radius of curvature of these arcs is 1/50 of the thread minor diameter;
与现有技术相比,本发明的有益效果在于:Compared with prior art, the beneficial effect of the present invention is:
一、对中央螺钉表面进行了防腐蚀处理,即采用溶胶-凝胶法在中央螺钉表面制备均匀含磷TiO2膜,含磷TiO2膜作为中央螺钉表面的保护膜,可显著提高了其抗腐蚀性,使其在服役过程中对界面缝隙中腐蚀性介质的抵抗作用强,能延长其使用寿命。1. Anti-corrosion treatment was carried out on the surface of the central screw, that is, a uniform phosphorus-containing TiO 2 film was prepared on the surface of the central screw by the sol-gel method, and the phosphorus-containing TiO 2 film was used as a protective film on the surface of the central screw, which can significantly improve its corrosion resistance. Corrosivity, so that it has strong resistance to corrosive media in the interface gap during service, and can prolong its service life.
二、本发明中央螺钉旋进时面向前进方向的引导牙侧与相对的跟随牙侧呈非对称性,引导牙侧的牙侧角(引导牙侧与螺钉螺纹轴线的垂线间的夹角)为30°,跟随牙侧的牙侧角(跟随牙侧与螺钉螺纹轴线的垂线间的夹角)为20°,使得螺纹引导牙侧的牙侧角大于跟随牙侧的牙侧角,从而减小螺纹前进的阻力而增加螺纹后退的阻力,可以有效的增加螺钉的承载能力,防止螺钉松动。2. When the central screw of the present invention is screwed in, the leading flank facing the forward direction and the relative following flank are asymmetrical, and the flank angle of the leading flank (the angle between the leading flank and the perpendicular to the screw thread axis) is 30°, and the flank angle of the following flank (the angle between the following flank and the perpendicular to the screw thread axis) is 20°, so that the flank angle of the leading flank of the thread is greater than the flank angle of the following flank, so that Reducing the resistance of the thread to advance and increasing the resistance of the thread to retreat can effectively increase the bearing capacity of the screw and prevent the screw from loosening.
牙顶为弧形,牙底与引导牙侧及跟随牙侧的交界处也为弧形,弧形曲率半径为螺纹小径的1/50,使得所有螺纹过渡界面均为弧形平滑过渡,避免了任何形式的尖锐转角的存在,因此可以有效减小微动损伤;另外,弧形过渡面使中央螺钉表面获得更大的表面积,接触区应力分布更均匀而不至于产生应力集中。The top of the tooth is arc-shaped, and the junction of the bottom of the tooth and the leading flank and the following flank is also arc-shaped. The radius of curvature of the arc is 1/50 of the small diameter of the thread, so that all thread transition interfaces are arc-shaped and smooth transitions, avoiding The presence of any form of sharp corners can effectively reduce fretting damage; in addition, the arc-shaped transition surface enables the central screw surface to obtain a larger surface area, and the stress distribution in the contact area is more uniform without stress concentration.
总之,本发明的中央螺钉能够很好防止松动,性能可靠,使用寿命长,能提高牙种植体的远期成功率。In a word, the central screw of the present invention can well prevent loosening, has reliable performance and long service life, and can improve the long-term success rate of the dental implant.
上述的中央螺钉靠近螺帽的5道螺纹的螺距为0.4~0.5mm,牙底沿螺帽方向内倾,与螺纹轴线呈10°的夹角;其它螺纹的螺距为0.8~1.0mm,牙底与螺纹轴线平行。The pitch of the above-mentioned five threads of the central screw close to the nut is 0.4-0.5mm, and the bottom of the tooth is inclined inward along the direction of the nut, forming an angle of 10° with the axis of the thread; the pitch of the other threads is 0.8-1.0mm, and the bottom of the tooth and Thread axes are parallel.
中央螺钉靠近螺帽(也即与基台结合处)的5道螺纹,为服役过程中的主要应力承受区,将该区域的螺纹螺距减半为0.4~0.5mm,以更好的分散应力;且这5道螺纹的牙底沿螺帽方向内倾,与螺纹轴线呈10°的夹角,进一步增大后退阻力,增强承受载荷的能力,更好的防止螺钉松动。The five threads of the central screw close to the nut (that is, the junction with the abutment) are the main stress-bearing area during service. The thread pitch of this area is halved to 0.4-0.5mm to better disperse the stress; In addition, the bottoms of the five threads are inclined inwardly along the direction of the nut, forming an included angle of 10° with the thread axis, which further increases the retreat resistance, enhances the ability to bear loads, and better prevents the screws from loosening.
上述中央螺钉的螺帽的下表面向下倾斜,与螺纹轴线呈30°的夹角。The lower surface of the nut of the central screw is inclined downwards, forming an included angle of 30° with the thread axis.
这样,使螺帽与螺纹的根部交界部位避免形成直角拐角,减少了该拐角处的应力集中,同时也增大了该交界部位的受力面积,能够承受更大的拧紧扭矩,使其连接更加牢固。In this way, the junction of the nut and the root of the thread avoids forming a right-angle corner, which reduces the stress concentration at the corner, and at the same time increases the force-bearing area of the junction, which can withstand a larger tightening torque and make the connection more secure. firm.
下面结合附图和具体实施方式对本发明作进一步详细的说明。The present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.
附图说明 Description of drawings
图1为本发明实施例的结构示意图。Fig. 1 is a schematic structural diagram of an embodiment of the present invention.
图2为图1中局部A的放大图。FIG. 2 is an enlarged view of part A in FIG. 1 .
图3为图1中局部B的放大图。FIG. 3 is an enlarged view of part B in FIG. 1 .
具体实施方式 Detailed ways
实施例Example
图1-3示出,本发明的一种具体实施方式是:一种防松防腐蚀的牙种植体中央螺钉,螺纹小径D(与牙底相切的圆柱的直径)为1.5~2.5mm,牙型高度H为螺纹小径D的1/10,其中:Figures 1-3 show that a specific embodiment of the present invention is: a kind of anti-loosening and anti-corrosion dental implant central screw, the thread minor diameter D (the diameter of the cylinder tangent to the bottom of the tooth) is 1.5-2.5mm, The tooth profile height H is 1/10 of the thread diameter D, where:
中央螺钉的表面采用溶胶-凝胶法涂覆有含磷TiO2膜;中央螺钉的螺纹牙型为三角形,引导牙侧3的牙侧角α1为30°,跟随牙侧4的牙侧角α2为20°;牙顶1为弧形,牙底2与引导牙侧3及跟随牙侧4的交界处也为弧形,这些弧形的曲率半径均为螺纹小径D的1/50;The surface of the central screw is coated with a phosphorus-containing TiO2 film by the sol-gel method; the thread profile of the central screw is triangular, the flank angle α 1 of leading
图1及图2示出,本例的中央螺钉靠近螺帽的5道螺纹的螺距为0.4~0.5mm,牙底沿螺帽方向内倾,与螺纹轴线呈10°的夹角γ;图1及图3示出,本例的其它螺纹的螺距为0.8~1.0mm,牙底与螺纹轴线平行。Figures 1 and 2 show that the pitch of the five threads of the central screw close to the nut is 0.4 to 0.5mm, and the bottom of the tooth is inclined inward along the direction of the nut, forming an included angle γ of 10° with the thread axis; Figures 1 and 2 Figure 3 shows that the pitch of other threads in this example is 0.8-1.0 mm, and the root of the tooth is parallel to the axis of the thread.
图1还示出,本例的中央螺钉的螺帽的下表面向下倾斜,与螺纹轴线呈30°的夹角θ。Figure 1 also shows that the lower surface of the nut of the central screw in this example is inclined downwards, forming an included angle θ of 30° with the thread axis.
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CN110410411A (en) * | 2019-07-16 | 2019-11-05 | 中国石油天然气股份有限公司 | Thread anti-drop device for oil well pump plunger assembly |
CN112353514A (en) * | 2020-11-12 | 2021-02-12 | 佛山市安齿生物科技有限公司 | Alveolar bone defect repair bone nail |
CN112353514B (en) * | 2020-11-12 | 2024-12-10 | 广东中科安齿生物科技有限公司 | Bone nails for repairing alveolar bone defects |
CN117020570A (en) * | 2023-04-28 | 2023-11-10 | 定西高强度紧固件股份有限公司 | Technological method for improving low-temperature impact and fatigue resistance performance of wind turbine blade stud |
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