TW201417779A - Tooth root implant with different surface treatment areas - Google Patents
Tooth root implant with different surface treatment areas Download PDFInfo
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本發明係有關一種具不同表面處理區域之牙根植體,尤指一種有助於螺入的容易性、減少骨細胞壞死及提升骨細胞抓附能力進而達到骨整合的牙根植體。 The invention relates to a dental root implant with different surface treatment regions, in particular to a dental root implant which is convenient for facilitating screwing, reducing bone cell necrosis and enhancing bone cell grasping ability to achieve osseointegration.
近幾年來,在電視頻道所播出的廣告中,不管是有關牙齒清潔方面或是週邊的商品,不斷的在增加,一方面可以提醒國人對於牙齒清潔要注重外,另一方面也表示人們的牙齒因為疏於清潔保養,導致蛀牙或是牙周病的人逐年在增加,一般的牙周病或是蛀牙都可經由初步治療即可,但過度嚴重時,則必須拔除牙齒後,再安裝假牙以恢復咀嚼的功能,目前安裝假牙的方式不外固定式假牙及活動式假牙,大部份的人會選擇以固定式假牙,而固定式假牙則以人工植牙為優先,現有的人工植牙技術已相當純熟,且牙根植體的材質也有很多的選擇,人工植牙方式首先式將與齒槽骨內的骨細胞相容性較高的金屬人工牙根置入齒槽骨內固定並縫合,待齒槽骨內的骨細胞與人工牙根經過骨整合後,再進行後續安裝義齒之動作即可完成人工植牙。 In recent years, in the advertisements broadcast on TV channels, whether it is related to the cleaning of teeth or the surrounding goods, it is constantly increasing. On the one hand, it can remind people to pay attention to the cleaning of teeth, on the other hand, it also means that people Because the teeth are neglected for cleaning and maintenance, the number of people who have tooth decay or periodontal disease is increasing year by year. Generally, periodontal disease or tooth decay can be treated by initial treatment. However, if it is too serious, the teeth must be removed before installing the denture. In order to restore the function of chewing, the current method of installing dentures is not only fixed dentures and movable dentures, most people will choose fixed dentures, while fixed dentures will give priority to artificial implants, existing artificial implants. The technique is quite sophisticated, and there are many choices for the material of the root implant. The artificial implant method firstly fixes and sutures the metal artificial root with high compatibility of bone cells in the alveolar bone into the alveolar bone. After the bone cells in the alveolar bone and the artificial root are osseointegrated, the artificial denture can be completed by performing the subsequent installation of the denture.
目前市售主流人工牙根為了達到初期穩定性,其設計幾乎採用螺旋牙狀設計居多,主要透過先於齒槽骨預鑽一植牙孔後,採鎖入方式植入來達到此目的,並利用牙根表面粗糙化之表面處理技術,來使骨細胞得以與人工牙根骨整合達到最終穩固效果,但,在將人工牙根植入齒槽骨的過程中,經常會遇到的是人工牙根與齒槽骨內的骨細胞在 進行骨整合的效果不佳而導致失敗,深究其原因多數乃在於因人工牙根的表面有經過粗糙化處理製程,而該粗糙化製程卻導致牙根上之牙鋒受損,當受損的牙鋒遇到齒槽骨內的緻密層時,會因為鎖入困難,而強行施力鎖入,增加摩擦力,產生高熱導致周遭骨細胞壞死,而無法達到骨整合的目的;另一原因則在於目前人工牙根植入主流方式為沉式植入,也就是在植入時會將人工牙根整個沒入到低於牙齦底下齒槽骨下,人工牙根的頂端面將略低於牙齦底部齒槽骨面1mm~2mm,此乃因臨床上當人工牙根植入後,一般會造成些許骨萎縮狀況,所考量的植入方式,但因為一般人工牙根的頂端面及頸圈部皆有經過拋光處理,雖為求生物寬度避免口腔內細菌沿著人工牙根往下進而感染骨細胞造成骨整合失敗,然確因此而無法透過沉式植入法,有效讓齒槽骨內的骨細胞抓附,導致植入後牙根隨著牙齦降低而外露,進而影響人工牙根穩定度,嚴重者甚而須重新再進行一次人工補骨作業。 In order to achieve initial stability, the mainstream artificial artificial roots are mostly designed with spiral teeth. The main purpose is to pre-drill an implant hole before the alveolar bone, and then insert it into the lock to achieve this purpose. The surface treatment technique of roughening the surface of the root to integrate the bone cells with the artificial root and root to achieve the final stability. However, in the process of implanting the artificial root into the alveolar bone, the artificial root and the cogging are often encountered. Bone cells in the bone The effect of osseointegration is not good and leads to failure. Most of the reasons for this are due to the roughening process on the surface of the artificial root, which causes the tooth on the root to be damaged, when the damaged tooth is damaged. When encountering the dense layer in the alveolar bone, it will be forced to lock in due to the difficulty of locking, increasing the friction, causing high heat to cause necrosis of the surrounding bone cells, and failing to achieve the purpose of osseointegration; another reason is the current artificial root The main method of implanting is sinking, that is, when implanting, the artificial root will be immersed below the alveolar bone below the gum. The top surface of the artificial root will be slightly lower than the alveolar bone surface of the gum. 2mm, this is because clinically, when the artificial root is implanted, it usually causes a little bone atrophy. The implant method is considered, but because the top surface and the collar of the artificial root are polished, although it is a biological The width prevents the bacteria in the oral cavity from going down the artificial root and infecting the bone cells, causing osseointegration failure. However, it is therefore impossible to pass the submerged implantation method to effectively make the bone cells in the alveolar bone. Grab the attachment, which causes the root of the tooth to be exposed as the gum is lowered, which affects the stability of the artificial root. In severe cases, it is necessary to perform an artificial bone re-operation.
本發明之目的係提供一種有效將表面粗糙化牙根植體螺入植牙孔,使骨細胞與牙根植體達到骨整合,避免因為硬鎖產生磨擦高熱,進而造成骨細胞壞死。為達上述目的,本發明之具不同表面處理區域之牙根植體包括有粗螺牙區、密螺牙區、頸圈部、頂端部及結合孔所構成,其中,粗螺牙區係由螺距較寬之螺牙所組成,該粗螺牙區之最下端處呈一斜度錐狀設計,其表面首先經由噴砂製程,作第一階段的表面處理,經過噴砂製程後的表面會分佈眾多大小約10~30um的孔洞,再經由酸蝕製程作第二階段的表面 處理,經過酸蝕製程後的表面,除了原本分佈大小約10~30um的孔洞之外還會多出大小約1~3um um的孔洞,經過二次的製程處理後,粗螺牙區的表面則分佈著呈現類珊瑚礁狀大小不同複合的孔洞,即完成粗螺牙區的表面處理;密螺牙區係由螺距較窄較細密之螺牙所組成,該密螺牙區之表面則施以酸蝕製程,經過酸蝕製程後的表面會分佈眾多大小約1~3um的孔洞,即完成密螺牙區的表面處理;頸圈部位於密螺牙區的上緣處,其表面須經過酸蝕製程,經過酸蝕製程後的表面會分佈眾多大小約1~3um的孔洞;頂端部位於牙根植體的最上緣處,其表面須經過酸蝕製程,經過酸蝕製程後的表面會分佈眾多大小約1~3um的孔洞;結合孔位於頂端部之內緣,該結合孔為一設有定位面及內螺紋之盲孔。 The object of the present invention is to provide an effective surface roughening of the root implant into the implant hole, so that the bone cells and the root implant can achieve osseointegration, avoiding the frictional high heat caused by the hard lock, thereby causing bone cell necrosis. In order to achieve the above object, the dental root implant having different surface treatment regions of the present invention comprises a rough thread region, a snail region, a collar portion, a tip portion and a joint hole, wherein the coarse thread region is composed of a pitch. The thick screw has a tapered tapered design, and the surface is firstly subjected to a sandblasting process for the first stage of surface treatment. After the sandblasting process, the surface is distributed in a large number of sizes. A hole of about 10~30um, and then the surface of the second stage through the acid etching process After treatment, the surface after the acid etching process will have a hole of about 1~3um um in addition to the original pore size of about 10~30um. After the secondary process, the surface of the rough thread area is The pores of different types of coral reefs are distributed, that is, the surface treatment of the coarse screw area is completed; the dense thread area is composed of narrower and finer screw teeth, and the surface of the dense thread area is acidified. In the etching process, after the acid etching process, a large number of holes with a size of about 1~3um are distributed, that is, the surface treatment of the dense screw area is completed; the collar is located at the upper edge of the dense screw area, and the surface thereof must be subjected to acid etching. In the process, after the acid etching process, a large number of holes with a size of about 1~3um are distributed; the top part is located at the uppermost edge of the root implant, and the surface thereof must be subjected to an acid etching process, and the surface after the etching process is distributed in many sizes. The hole is about 1~3um; the joint hole is located at the inner edge of the top end portion, and the joint hole is a blind hole provided with a positioning surface and an internal thread.
茲配合圖式將本發明實施例詳細說明如下,其所附圖式均為簡化之示意圖,僅以示意方式說明本發明之基本方法。因此在該等圖示中僅標示與本發明有關之步驟,且所顯示之步驟並非以實施時之數目、形狀、尺寸比例等加以繪製,先予敘明。 The embodiments of the present invention are described in detail below with reference to the drawings. Therefore, only the steps related to the present invention are indicated in the drawings, and the steps shown are not drawn in the number, shape, size ratio, etc. at the time of implementation, and are described first.
請參閱第一及第二圖所示為本發明具體實施例之立體構造圖及平面剖視圖。本發明係為一種具不同表面處理區域之牙根植體1,該牙根植體1外觀為具有一預定長度的金屬柱狀體,該金屬以鈦或鈦合金為較佳,其結構主要包括有粗螺牙區10、密螺牙區20、頸圈部30、頂端部40及結合孔50所構成,其中,粗螺牙區10係由螺距較寬之螺牙所組成,分佈在牙根植體之下緣2/3的區域,該粗螺 牙區10之最下端處呈一斜度錐狀設計,其表面首先經由噴砂製程,作第一階段的表面處理,經過噴砂製程後的表面會分佈眾多大小約10~30um的孔洞,再經由酸蝕製程作第二階段的表面處理,經過酸蝕製程後的表面,除了原本分佈大小約10~30um的孔洞之外還會多出大小約1~3um的孔洞,經過二次的製程處理後,粗螺牙區10的表面則分佈著呈現類珊瑚礁狀大小不同的複合性孔洞,即完成粗螺牙區10的表面處理;密螺牙區20係由螺距較窄之螺牙所組成,分佈在牙根植體之上緣1/3的區域,該密螺牙區20之表面則施以酸蝕製程,經過酸蝕製程後的表面會分佈眾多大小約1~3um的孔洞,即完成密螺牙區20的表面處理;頸圈部30位於密螺牙區20的上緣處,其表面須經過酸蝕製程,經過酸蝕製程後的表面會分佈眾多大小約1~3um的孔洞;頂端部40位於牙根植體1的最上緣處,其表面須經過酸蝕製程,經過酸蝕製程後的表面會分佈眾多大小約1~3um的細緻孔洞;結合孔50位於頂端部40之內緣,該結合孔50為一設有定位面及內螺紋之盲孔。 Please refer to the first and second figures for a perspective view and a plan cross-sectional view of a specific embodiment of the present invention. The present invention is a dental root implant 1 having different surface treatment regions, and the dental root implant 1 has a metal columnar body having a predetermined length, and the metal is preferably titanium or titanium alloy, and the structure mainly includes coarse The threaded region 10, the snail region 20, the collar portion 30, the tip portion 40 and the coupling hole 50 are formed, wherein the thick thread region 10 is composed of a screw having a wide pitch and is distributed in the root implant. The area of the lower edge 2/3, the thick snail The lowermost end of the tooth zone 10 has a tapered tapered design, and the surface is firstly subjected to a sandblasting process for the first stage of surface treatment. After the sandblasting process, a plurality of holes having a size of about 10 to 30 um are distributed, and then the acid is passed through the acid. The surface treatment of the second stage of the etching process, after the surface of the acid etching process, in addition to the original pore size of about 10~30um, there will be more holes of about 1~3um in size, after the second process treatment, The surface of the coarse thread area 10 is distributed with composite pores of different sizes, such as the surface treatment of the coarse thread area 10; the 20 series of the dense thread area is composed of screw teeth with narrow pitch, distributed in the In the area of 1/3 of the upper edge of the root implant, the surface of the dense threaded area 20 is subjected to an acid etching process. After the etching process, a large number of holes having a size of about 1 to 3 um are distributed, that is, the dense thread is completed. The surface treatment of the region 20; the collar portion 30 is located at the upper edge of the snail region 20, and the surface thereof is subjected to an acid etching process, and a plurality of holes having a size of about 1 to 3 um are distributed on the surface after the etching process; the top portion 40 Located at the uppermost edge of the root implant 1 In the over-etching process, a plurality of fine holes having a size of about 1 to 3 um are distributed on the surface after the etching process; the bonding hole 50 is located at the inner edge of the top end portion 40, and the bonding hole 50 is blinded with a positioning surface and an internal thread. hole.
請參閱第三圖所示,一般人體口腔齒槽概略分為三部份,最上層接觸即為口腔軟組織,該軟組織也就是牙齦,位於牙齦下一層即為人體的齒槽骨第一層緻密骨,此層的骨細胞較小且緻密,也因為密度較高,相對的質地也比較硬,最下層即為海綿骨,此層的骨細胞呈複合式珊瑚礁型態多層孔洞結構,也因為骨細胞大而鬆散,相對骨質硬度也較為疏鬆,當要進行植牙時,可先於口腔齒槽上鑽一植牙孔,再利用牙根植體1的粗螺牙區10及密螺牙區20的螺牙螺入該植牙孔中,在螺入的過程中,粗螺牙區10的斜 度錐狀設計以及表面分佈著大小不一的孔洞,有利於牙根植入時具有錐狀旋轉切削力,可減少硬鎖產生磨擦高熱進而造成骨細胞壞死,並可保留及抓附較多原有齒槽最下層海綿骨所分佈大小不一的骨細胞於切削槽溝中,增加植入後初期穩定度及骨整合能力。 Please refer to the third figure. Generally, the human oral cavity is roughly divided into three parts. The uppermost layer is the oral soft tissue. The soft tissue is the gum. The lower layer of the gum is the first layer of the human alveolar bone. The bone cells in this layer are small and dense, and because of the higher density, the relative texture is also harder. The lowermost layer is the sponge bone. The bone cells in this layer are composite coral reef type multi-layer pore structure, also because of bone cells. Large and loose, relative bone hardness is also loose. When implanting teeth, a dental implant can be drilled on the oral alveolar, and then the coarse thread area 10 and the dense thread area 20 of the root implant 1 are used. The thread is screwed into the implant hole, and the oblique direction of the thick thread area 10 during the screwing process The tapered design and the surface are distributed with different sizes of holes, which is beneficial to the cone-shaped rotating cutting force when the root is implanted, which can reduce the friction and high heat caused by the hard lock and cause bone cell necrosis, and can retain and grasp more original The bone cells of different sizes distributed in the lowermost layer of the alveolar bone are in the cutting groove, which increases the initial stability and osseointegration ability after implantation.
密螺牙區20的表面,有別於一般的螺牙的表面同時經過酸蝕及噴砂的製程會損害到牙鋒,因為僅有經過酸蝕製程,故不易損害密螺牙區20的牙鋒,而且能保持牙鋒的完整性,在螺入的過程中可有效的對緻密骨中體積較小、密度較高以及質地較硬的骨細胞進行切削及鎖入的功能,密螺牙區20表面,因酸蝕製程後所造成的微小孔洞,可供緻密骨中的骨細胞抓附並進行骨整合。 The surface of the snail region 20 is different from the surface of the general thread at the same time. The process of acid etching and sand blasting will damage the tooth front. Because it is only subjected to the acid etching process, it is not easy to damage the tooth front of the snail area 20. And can maintain the integrity of the tooth front, in the process of screwing, can effectively cut and lock the bone cells with smaller volume, higher density and harder texture in the dense bone, the snail area 20 The surface, due to the tiny holes caused by the acid etching process, allows the bone cells in the dense bone to grasp and perform osseointegration.
頸圈部30及頂端部40的表面亦採用酸蝕製程,相較於一般牙根植體的頸圈及頂端採用的拋光作法明顯不同,因為目前人工植牙的方式多採用沉式植入法將整支牙根植體螺入到牙齦以下緻密骨內,不讓頸圈部30及頂端部40接觸到牙齦,而是讓頸圈部30及頂端部40停留在緻密骨的最上緣往下約1~2mm處,那麼頸圈部30及頂端部40表面,因酸蝕製程後所造成的微小孔洞,即可讓緻密骨的骨細胞抓附並進行骨整合。 The surface of the collar portion 30 and the tip end portion 40 is also subjected to an acid etching process, which is significantly different from the polishing method used for the collar and the tip of the general root implant, because the current method of implanting the teeth is mostly by the method of sinking. The entire root implant is screwed into the dense bone below the gum, so that the collar portion 30 and the distal end portion 40 are not in contact with the gums, but the collar portion 30 and the distal end portion 40 are stopped at the uppermost edge of the dense bone. ~2mm, then the surface of the collar portion 30 and the tip end portion 40, due to the tiny holes caused by the acid etching process, can allow the bone cells of the dense bone to grasp and perform osseointegration.
綜上所述,乃僅記載本發明為呈現解決問題所採用的技術手段之實施方式或實施例而已,並非用來限定本發明專利實施之範圍。即凡與本發明專利申請範圍文義相符,或依本發明專利範圍所做的均等變化與修飾,皆為本發明專利範圍所涵蓋。 In the above, it is merely described that the present invention is an embodiment or an embodiment of the technical means for solving the problem, and is not intended to limit the scope of implementation of the present invention. That is, the equivalent changes and modifications made in accordance with the scope of the patent application of the present invention or the scope of the invention are covered by the scope of the invention.
1‧‧‧牙根植體 1‧‧‧ root implants
10‧‧‧粗螺牙區 10‧‧‧rough thread area
20‧‧‧密螺牙區 20‧‧‧Miro
30‧‧‧頸圈部 30‧‧‧Neck section
40‧‧‧頂端部 40‧‧‧Top part
50‧‧‧結合孔 50‧‧‧Combination hole
第一圖 本發明具體實施例之立體圖 First Figure A perspective view of a specific embodiment of the present invention
第二圖 本發明具體實施例之平面剖視圖 Second Figure Plan view of a specific embodiment of the present invention
第三圖 本發明具體實施例之使用示意圖 Third Figure Schematic diagram of the use of a specific embodiment of the present invention
1‧‧‧牙根植體 1‧‧‧ root implants
10‧‧‧粗螺牙區 10‧‧‧rough thread area
20‧‧‧密螺牙區 20‧‧‧Miro
30‧‧‧頸圈部 30‧‧‧Neck section
40‧‧‧頂端部 40‧‧‧Top part
50‧‧‧結合孔 50‧‧‧Combination hole
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