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WO2015030289A1 - Method for manufacturing dental prosthesis by using healing abutment and impression cap capable of being fastened thereto - Google Patents

Method for manufacturing dental prosthesis by using healing abutment and impression cap capable of being fastened thereto Download PDF

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Publication number
WO2015030289A1
WO2015030289A1 PCT/KR2013/008098 KR2013008098W WO2015030289A1 WO 2015030289 A1 WO2015030289 A1 WO 2015030289A1 KR 2013008098 W KR2013008098 W KR 2013008098W WO 2015030289 A1 WO2015030289 A1 WO 2015030289A1
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WO
WIPO (PCT)
Prior art keywords
healing abutment
impression
impression cap
fixture
dental prosthesis
Prior art date
Application number
PCT/KR2013/008098
Other languages
French (fr)
Korean (ko)
Inventor
김정한
황준호
박현위
Original Assignee
라파바이오 주식회사
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Application filed by 라파바이오 주식회사 filed Critical 라파바이오 주식회사
Publication of WO2015030289A1 publication Critical patent/WO2015030289A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/34Making or working of models, e.g. preliminary castings, trial dentures; Dowel pins [4]
    • 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
    • A61C8/008Healing caps or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C9/00Impression cups, i.e. impression trays; Impression methods

Definitions

  • the present invention relates to a method for manufacturing a dental prosthesis, and more particularly, to a method for manufacturing a dental prosthesis using a healing abutment and an impression cap that can be fastened thereto.
  • teeth serve to help digestion by crushing or grinding food. If these teeth are lost, you will not be able to chew your food properly and you will not be able to digest it. Therefore, teeth have been recognized as an important part of the body since ancient times, and play an important role in living a healthy life.
  • the artificial tooth transplantation method proposed to supplement and solve the shortcomings of such a universal prosthetic treatment method.
  • the tooth defect can restore almost all the same functions and appearances as natural teeth without damaging the surrounding teeth or tissues.
  • Implants which have recently been in the spotlight, serve as artificial substitutes for natural teeth by allowing artificial teeth to be prepared for bone bonding.
  • Implants generally consist of three parts: a fixture for the artificial root, an abutment for the abutment, and an artificial tooth.
  • a fixture is a fixture that is implanted in the alveolar bone of a missing tooth, such as the root of a natural tooth, to support an artificial tooth.
  • Abutments also known as abutments, are designed to connect artificial teeth with fixtures that are planted in the gums and planted in the alveolar bone.
  • the transplantation process is largely divided into surgical procedures, namely, surgical methods and prosthetic restorations.
  • basic tests such as blood tests are performed to check the suitability, and the area to be transplanted is selected and the bone tissue quality and In order to evaluate the amount, oral examination and radiographic examination will be preceded.
  • the surgical procedure is called the first operation. First, under the anesthesia, an artificial root corresponding to the root is implanted into the alveolar bone, the gum is cut, the alveolar tissue is exposed, and then the artificial root is inserted. Suture the gum once.
  • the conventional implant is mainly made of a cylindrical or apex round tooth root shape and the cutting edge shape or size is processed to a certain size irrespective of the diameter or length of the implant so that the bone can be dug into the bone when placed in the alveolar bone Insufficient ability is accompanied by the hassle to expand the alveolar bone first enough using a cutting mechanism. As a result, it may be difficult to obtain a strong initial fixation with the alveolar bone.
  • the impression can be made immediately and the processed teeth can be manufactured, but in the case of a detachable type, the second operation is performed.
  • the gums are cut again and a healing abutment is placed on the upper surface of the fixture already implanted in the alveolar bone.
  • the impression is taken and the abutment is connected to the processed tooth.
  • it is troublesome to remove the healing abutment, check the joint by radiography, and then conclude the healing abutment in order to conclude the impression coping.
  • Another object of the present invention is to provide a method for producing a dental prosthesis by one detachment of a healing abutment.
  • the present invention is a fastening part having a polygonal fitting projection corresponding to the polygonal groove shape of the fixture implanted in the alveolar bone, and the lower body is formed integrally formed above the fastening part and formed in a shape that is wider in diameter toward the upper part;
  • the upper body is formed integrally above the lower body and is formed in a tapered shape, the diameter of which is narrowed toward the upper portion, an incision surface formed in a symmetrical form on both sides of the upper body, and the upper body except the incision surface.
  • a healing abutment including a concave groove formed on an outer circumferential surface of the upper body, and a fastening hole formed to penetrate the fastening portion in the upper body;
  • an impression cap detachable by fitting to the healing abutment including a cross-shaped groove formed in the cross shape on the top of the body,
  • It provides a dental prosthesis manufacturing method comprising a; dental prosthesis manufacturing step of manufacturing a dental prosthesis suitable for the oral model.
  • the impression cap may be inserted into the healing abutment, the impression cap may be used as a guide handle, and then the impression cap may be separated after the healing abutment is fastened.
  • the oral model manufacturing step is to insert a healing abutment model of the same standard as the healing abutment selected in the impression cap embedded in the impression material and the lab analog corresponding to the fixture to manufacture an oral model, to the manufactured oral model It is preferable to make the lab analog corresponding to the fixture to be embedded.
  • the lap analog and the healing abutment model are fitted to the impression cap in a state where the screw is fastened with screws, and then separated from the impression cap, and then the screw is removed to remove the healing abutment model and the lap analog. Can be separated.
  • the dental prosthesis manufacturing step may be such that the portion corresponding to the fastening portion and the lower body of the healing abutment of the dental restoration has the same shape as the healing abutment.
  • the present invention by using a healing abutment and a removable impression cap fitted to it provides a method for obtaining the impression and manufacturing a dental prosthesis, thereby bringing the effect of minimizing the detachment of the healing abutment and the fixture.
  • the impression cap is used to obtain the impression without detaching the healing abutment, the impression can be obtained more accurately when the impression is obtained by separating the healing abutment and tightening the impression coping. It has the effect of producing a dental prosthesis.
  • FIG. 1 is a perspective view showing a healing abutment used in the present invention
  • FIG. 2 is a front view showing a healing abutment used in the present invention
  • FIG. 3 is a plan view showing a healing abutment used in the present invention.
  • FIG. 4 is a perspective view of an impression cap used in the present invention
  • FIG. 5 is a bottom perspective view of the impression cap used in the present invention.
  • FIG. 6 is a front view of the impression cap used in the present invention.
  • FIG. 7 is a view showing a state in which the healing abutment and the impression cap is coupled according to the present invention.
  • FIG. 8 is a view showing a coupling portion of the healing abutment and the impression cap according to the present invention.
  • FIG. 9 is a flow chart illustrating a method of manufacturing a dental prosthesis using a healing abutment and an impression cap that can be fastened thereto according to an embodiment of the present invention.
  • FIG. 1 is a perspective view showing a healing abutment used in the present invention
  • Figure 2 is a front view showing a healing abutment used in the present invention
  • Figure 3 is a plan view showing a healing abutment used in the present invention. .
  • the healing abutment 100 is to be fastened to a fixture (not shown) placed in the alveolar bone using a separate screw (not shown).
  • the healing abutment 100 includes a fastening part 110 having a polygonal fitting protrusion 112 corresponding to the polygonal groove shape of the fixture placed in the alveolar bone, and upwards of the fastening part 110.
  • the lower body 120 is formed integrally and formed in a shape that widens toward the upper portion, and the upper body formed in a tapered shape that is formed integrally upwards of the lower body 120 and the diameter narrows toward the top ( 130, the incision surface 132 is formed on both sides of the upper body 130 in a symmetrical shape, and the concave groove 134 is formed on the outer peripheral surface of the upper body 130 except for the incision surface 132 and
  • the upper body 130 includes a fastening hole 140 formed to penetrate the fastening part 110.
  • a polygonal groove is formed on the upper portion of the fixture, so that the coupling can be combined with the prosthesis coupled to the fixture with a certain direction.
  • a hexagonal groove is formed, but is not limited to the hexagonal shape, and may have a pentagonal, octagonal, or D-shape.
  • the fastening part 110 of the healing abutment 100 is a part fitted to the upper end of the fixture, and has a fitting protrusion 112 having a shape corresponding to the polygonal groove so as to be coupled with the fixture in a predetermined direction.
  • the fitting protrusion 112 has a shape having a hexagonal shape.
  • the fitting protrusion is inserted into the polygonal groove, and the healing abutment 100 does not rotate in a state in which it is coupled with the direction.
  • the lower body 120 is a portion that determines the recovery form of the gingiva and soft tissue, it is preferable to have a shape that is wider toward the top.
  • the upper body 130 is provided with an incision surface 132 and a recessed groove 134.
  • Incision surface 132 is formed in a symmetrical form on both sides of the upper body (130). That is, the cutting surface 132 of the donor is formed in parallel with each other.
  • the incision surface 132 is preferably formed in parallel with the two surfaces of the fitting protrusion (112).
  • the incision surface 132 serves to prevent the impression cap from turning when combined with the impression cap.
  • an impression may be obtained without tightening an impression cap, and at this time, the impression material and the healing abutment are also prevented from rotating.
  • the shape of the polygonal groove formed in the fixture by the incision surface 132 can be confirmed.
  • the cutting surface 132 When the incision surface 132 scans the oral environment of the patient using an oral scanner, the cutting surface 132 has an effect of identifying the orientation of the fixture without separating the healing abutment 100.
  • the orientation of the fixture can not be identified from the healing abutment.
  • the incision surface 132 also brings about the effect that the attachment and detachment of the impression cap to be described later.
  • the incision surface 132 has a curved portion 132a at the bottom.
  • the curved portion 132a has an effect of reducing stimulation when the skin tissue in the oral cavity contacts the healing abutment 100.
  • the height h1 of the upper body 130 is preferably in the range of 2.8 ⁇ 4.0mm.
  • the upper body 130 is a portion that is coupled to the impression cap, if the height is less than the above range it is difficult to secure a firm coupling force with the impression cap, if the height exceeds the range is in contact with the antagonism may cause inconvenience to the patient There is.
  • the upper body 130 has a form in which the cross section becomes narrower toward the top, for smooth coupling with the impression cap to be coupled.
  • Taper angle of the upper body 130 is preferably in the range of 3 ⁇ 9 degrees.
  • the coupling with the impression cap may not be smooth. If the taper angle exceeds 9 degrees, the impression cap may not be firmly coupled.
  • the upper body 130 is provided with a concave groove 134, the concave groove 134 is formed only in the region excluding the incision surface (132). If the recessed groove is provided to the incision surface 132, the separation of the impression cap may not be smooth when the impression is taken.
  • the concave groove 134 also serves to generate a click sound when engaged with the impression cap. This will allow us to identify whether an acoustically correct association has been made.
  • the concave groove 134 is preferably formed at a height of 0.25 ⁇ 2.0 mm from the top of the upper body.
  • the height h2 of the lower body 120 is preferably in the range of 1 ⁇ 9mm.
  • the lower body 120 may use a different height depending on the type and size of the target tooth.
  • the height of the lower body 120 is 3mm, 5mm, 7mm provided with three types of healing abutment, it can be selected to use the appropriate height according to the oral environment of the patient.
  • Figure 4 is a perspective view of the impression cap used in the present invention
  • Figure 5 is a bottom perspective view of the impression cap used in the present invention
  • Figure 6 is a front view of the impression cap used in the present invention.
  • the impression cap 200 is a body 210 having a cylindrical or polygonal pillar shape
  • the healing abutment 100 is formed and coupled to the inside of the body 210
  • Coupling groove 220 corresponding to the shape of the upper body 130
  • the polygonal plate 230 protruding in the shape of a polygonal plate on the outer peripheral surface of the body 210, and formed in the cross shape on the upper end of the body 210 It includes a dove digit 240.
  • the coupling groove 220 has a coupling surface 224 corresponding to the incision surface 132 formed in the healing abutment, the outer peripheral surface of the body 210 corresponding to the coupling surface 224 is the And a flat surface 212 parallel to the mating surface 224.
  • the body is formed in a cylindrical shape, but is not limited to this shape, and may be formed in the shape of a polygonal pillar (for example, a square pillar, a hexagonal pillar, etc.).
  • a polygonal pillar for example, a square pillar, a hexagonal pillar, etc.
  • the incision surface of the healing abutment is formed to coincide with the polygonal surface of the lower fastening portion of the healing abutment, to indicate the orientation of the fixture placed in the alveolar bone. Therefore, when the engaging surface 224 is fitted in a direction parallel to the incision surface, the flat surface 212 provided on the outer peripheral surface of the body 210 also coincides with the polygonal surface of the healing abutment fastening portion, consequently flat Face 212 will indicate the directionality of the fixture.
  • the coupling groove 220 has a coupling piece 222 protruding in a semicircular shape on the inner peripheral surface except the coupling surface 224.
  • Coupling piece 222 is a portion to be fitted into the concave groove (134 of FIG. 4) of the healing abutment to be described later, it is preferable to have a semi-circular cross section for smooth detachment.
  • the dovetail 240 formed on the top of the body 210 has a fragment portion 244 having a length corresponding to the polygonal plate 230, and a long fragment portion 242 having a longer length than the fragment portion 224. ).
  • the long piece portion 242 and the piece portion 244 are formed to be orthogonal to each other, the length portion of the piece portion or the long piece portion may be formed parallel to the coupling surface 224.
  • the longitudinal direction of the fragment portion 244 is formed in parallel with the flat surface 212, but conversely, the longitudinal direction of the long piece 242 may be formed in parallel with the flat surface 212.
  • the longitudinal direction of the long piece portion 242 or the piece portion 244 is formed parallel to the flat surface 212, the direction of the flat surface 212 in the direction of the long piece portion 242 or the piece portion 244 is adjusted. There is a discernible effect.
  • the dove stools 240, together with the polygonal plate 230, have the effect of increasing the coupling force between the impression material and the impression cap when taking the impression.
  • the ten-digit groove 240 facilitates the connection when taking the bridge impression.
  • the occlusal table formed wide by the tens of digits 240 provides stability when a byte is applied to serve as an accurate byte table.
  • the impression cap according to the present invention is to have a small size of less than 1cm in height, if the impression cap 200 of the present invention is fastened to the healing abutment fastened in the patient's mouth, flattened by adjacent teeth or gums, etc. It may be difficult to identify the surface 212, in which case the direction of the flat surface 212 (in turn, the direction of the polygonal groove of the fixture) may be identified through the direction of the dove 140.
  • long piece portion 242 and the piece portion 244 are not formed in different lengths and are formed in the same length, two functions cannot be achieved because the long pieces 242 and the piece portions 244 are formed in the same length.
  • the impression cap 200 according to the present invention may be used as a verification jig for identifying the relative positions of adjacent teeth.
  • the verifiable jig can be manufactured by connecting the dove stools 240 with a resin or the like.
  • the impression cap 200 may use a synthetic resin material that can be cut by a cutter.
  • a synthetic resin material that can be cut by a cutter.
  • the cut between the dove-shape 240 and the polygonal plate 230 may be cut or cut between the polygonal plate 230.
  • POM resin polyacetal resin
  • Polyacetal is a milky white thermoplastic resin produced by polymerizing formaldehyde (CH 2 O) and trioxane (CH 2 O) 3, and is broadly divided into two types: homopolymer and high polymer.
  • Polyacetal has the closest metal properties among engineering plastics because it has high crystallinity, excellent mechanical properties such as bending strength, and excellent dimensional stability, fatigue resistance, and abrasion resistance. to be.
  • the impression cap according to the present invention may be provided with a screw guide hole 250 penetrating through the ten-digit groove to the coupling groove.
  • impression cap 200 This is to enable the impression cap 200 to be used as a handle guide when fastening the healing abutment to the fixture.
  • the healing abutment Since the healing abutment is small in size, it is not easy to fasten the healing abutment to the fixture.
  • the healing abutment was positioned on the fixture using a tool such as Pinsen, and then the healing abutment was fixed to the fixture using a fastening screw.
  • the healing abutment fastening After inserting the fastening screw into the healing abutment, insert it into the impression cap 200, hold the impression cap 200 by hand and position it in the fixture, and then insert the screw through the screw guide hole to heal a
  • the fastening screw of the butt By allowing the fastening screw of the butt to be fastened to the fixture, the healing abutment fastening can be made simpler.
  • Figure 8 is a view showing a coupling portion of the healing abutment and the impression cap according to the present invention.
  • the fitting protrusion is inserted into the polygonal groove, and the healing abutment 100 does not rotate in a state in which it is coupled with the direction.
  • the healing abutment 100 When the healing abutment 100 is coupled to the fixture and the impression cap 200 is pushed onto the healing abutment 200, the upper portion of the healing abutment 100 is inserted into the coupling groove 220. As the body 130 is inserted, the coupling piece 222 of the impression cap 200 is inserted into the concave groove 134 of the upper body 130 of the healing abutment 100, so that the impression cap 200 is healed. It is firmly coupled to the butt 200.
  • the healing abutment 200 is formed of a medical metal material such as a titanium alloy, the impression cap 200 is formed of a synthetic resin material having elasticity of the material itself, the impression cap 200 is elastically deformed and healing a The structure is fitted with the butt 100.
  • the impression cap 200 is separated while being embedded in the impression material.
  • the impression cap 200 remains in the impression taking body, and using the remaining impression cap 200, information such as the orientation and height of the fixture can be obtained.
  • FIG. 9 is a flowchart illustrating a method of manufacturing a dental prosthesis using a healing abutment and an impression cap capable of fastening thereto according to an embodiment of the present invention.
  • a method for manufacturing a dental prosthesis according to the present invention is a healing abutment fastening step (S100) for fastening a healing abutment selected from a healing abutment group having a predetermined height and diameter to the fixture, and the fixture Impression acquisition step (S200) to fit the impression cap to the healing abutment fastened to the impression cap using the impression material, but the impression cap is buried in the obtained impression, and the selected healing abutment It includes the oral model manufacturing step (S300) for producing an oral model of the fixture level using the obtained impression and the dimension information, and a dental prosthesis manufacturing step (S400) for manufacturing a dental prosthesis suitable for the oral model.
  • the impression is obtained by combining the scan pins with the fixture, and then taking the impression, removing the scan pins, and then tightening the healing abutment.
  • the impression is obtained by combining the scan pins with the fixture, and then taking the impression, removing the scan pins, and then tightening the healing abutment.
  • the present invention minimizes the detachment of the healing abutment and provides a method for producing a dental prosthesis.
  • the healing abutments described above are prepared in various standards, and the healing abutments selected from the healing abutments are selected for the patient's oral environment.
  • the healing abutment is provided with a group of various diameters and various heights in advance, selected as appropriate, and describes the specifications of the selected healing abutment.
  • the diameter and height of the healing abutment will be different, and the information about the specification of the healing abutment will be transmitted along with the impressions obtained. You will build a model.
  • the healing abutment fastening step (S100) after inserting the impression cap into the healing abutment, using the impression cap as a guide handle, and then tightening the healing abutment and then removing the impression cap. Can be used.
  • Healing abutment used in the present invention is formed to be fastened with a directional to the fixture, the size of the healing abutment is small, it is not easy to tighten the screw after the healing abutment by hand to fasten the screw into the fixture .
  • the impression cap can be used as a guide handle.
  • the impression cap after inserting the impression cap into the healing abutment, use the impression cap as a handle to insert the healing abutment into the fixture, and then tighten the screw to fix the healing abutment to the fixture, and then remove the impression cap. Can be used.
  • the impression cap may be cut off to be completely fastened to the healing abutment. .
  • the cutting may cut a part of the tensave.
  • the oral model manufacturing step (S300) is prepared by inserting a healing abutment model of the same standard as the healing abutment selected in the impression cap buried in the impression material, and a lab analog corresponding to the fixture to manufacture the oral model, The oral model in which the lab analog corresponding to the fixture is embedded in the oral model is manufactured. In other words, it is possible to obtain a fixture level oral model.
  • the lap analog and the healing abutment model are fitted to the impression cap in a state where the screw is fastened with screws, and then separated from the impression cap, and then the screw is removed to remove the healing abutment model and the lap analog.
  • the oral model can be prepared in a separate manner.
  • the dental prosthesis manufacturing step (S400) is preferably such that the portion corresponding to the fastening portion and the lower body of the healing abutment of the dental restoration has the same shape as the healing abutment.
  • the lower body shape which is the lower shape of the dental prosthesis, corresponds to the healing abutment shape.
  • the number of detachable detachments of healing abutments can be reduced, thereby helping to heal the patient and bringing the effect of improving the convenience of the doctor's treatment.

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

Abstract

Provided is a method for manufacturing a dental prosthesis, comprising: a healing abutment fastening step of fastening, to a fixture, a healing abutment selected from a healing abutment group having a predetermined height and diameter; an impression taking step of coupling, by insertion, an impression cap to the healing abutment fastened to the fixture, and taking an impression by using an impression material such that the impression cap is buried in the taken impression; a mouth model manufacturing step of manufacturing a fixture-level mouth model by using the dimension information of the selected healing abutment and the taken impression; and a dental prosthesis manufacturing step of manufacturing a dental prosthesis suitable for the mouth model.

Description

힐링 어버트먼트와 그에 체결이 가능한 임프레션 캡을 이용한 치아보철물 제조방법Method of manufacturing dental prosthesis using healing abutment and impression cap that can be fastened to it
본 발명은 치아보철물 제조방법에 관한 것으로, 보다 상세하게는 힐링 어버트먼트와 그에 체결이 가능한 임프레션 캡을 이용한 치아보철물 제조방법에 관한 것이다.The present invention relates to a method for manufacturing a dental prosthesis, and more particularly, to a method for manufacturing a dental prosthesis using a healing abutment and an impression cap that can be fastened thereto.
일반적으로, 치아는 음식물을 잘게 부수거나 갈아서 소화가 잘 되도록 도와주는 역할을 한다. 만일 이러한 치아가 소실되면 음식을 제대로 씹을 수 없고 소화가 잘 안되므로 음식을 마음껏 먹을 수 없을 뿐만 아니라 영양분의 원활한 섭취도 곤란하게 된다. 따라서 치아는 예로부터 신체의 중요한 부분으로 인식되어 왔고, 건강한 삶을 영위하는데 중요한 역할을 하고 있다.In general, teeth serve to help digestion by crushing or grinding food. If these teeth are lost, you will not be able to chew your food properly and you will not be able to digest it. Therefore, teeth have been recognized as an important part of the body since ancient times, and play an important role in living a healthy life.
인간의 치아는 아동기에 1회에 걸쳐 영구치로 교환된 이후에는 치아를 상실하게 될 경우 더 이상 새로운 치아가 생겨나지 않으므로 치과에서 보철치료를 통해 상실된 치아나 그 주위조직을 수복하여 저작기능 등을 회복할 수 있다.Since human teeth are replaced with permanent teeth once in childhood, if a tooth is lost, new teeth can no longer be formed. Therefore, the dentist can restore the chewing function by repairing the lost tooth or its surrounding tissue through prosthetic treatment. Can be.
그런데 이런 일반적 치과치료방법은 인접해 있는 치아나 주위 잇몸 및 뼈조직에 어느 정도의 손상을 가져오므로 이를 감수하지 않을 수 없고, 틀니를 사용하게 될 경우에는 자연치아에 비해 저작 능력의 감소를 가져올 뿐만 아니라 불편감이나 이물감 등을 초래하는 단점을 가지고 있었다.However, these general dental treatments cause some damage to adjacent teeth, surrounding gums, and bone tissues, which can not be avoided, and when dentures are used, the chewing ability is reduced compared to natural teeth. In addition, it had the disadvantage of causing discomfort or foreign object.
이러한 보편적인 보철치료방법의 단점을 보완, 해결하기 위해 제안된 것이 인공치아 이식방법이다. 이 방법에의하면 치아 결손시 주위의 치아나 조직에 손상을 주지 않고 거의 자연치아와 동일한 모든 기능과 외모를 회복 할 수 있게 된다.The artificial tooth transplantation method proposed to supplement and solve the shortcomings of such a universal prosthetic treatment method. By this method, the tooth defect can restore almost all the same functions and appearances as natural teeth without damaging the surrounding teeth or tissues.
이와 같이 최근 들어 각광을 받고 있는 임플란트는 치조골에 골유착 매식으로 인공치아가 마련되게 해줌으로써 자연치아의 인공 대체물로서의 역할을 하게 해준다. 임플란트는 일반적으로 인공치근에 해당하는 픽스처(fixture), 지대주에 해당하는 어버트먼트(abutment), 인공치아의 세 부분으로 구성된다. 픽스처는 자연치아의 치근과 같이 결손된 치아부위의 치조골 속에 심어져 인공치아를 지지하도록 되어 있는 고정체이다. 어버트먼트는 지대치라고도 하며 잇몸에 심어져서 치조골에 심겨져 있는 픽스처와 인공치아를 연결하도록 되어 있다.As such, implants, which have recently been in the spotlight, serve as artificial substitutes for natural teeth by allowing artificial teeth to be prepared for bone bonding. Implants generally consist of three parts: a fixture for the artificial root, an abutment for the abutment, and an artificial tooth. A fixture is a fixture that is implanted in the alveolar bone of a missing tooth, such as the root of a natural tooth, to support an artificial tooth. Abutments, also known as abutments, are designed to connect artificial teeth with fixtures that are planted in the gums and planted in the alveolar bone.
인공치아는 어버트먼트에 의해 구강내에 고정되어 자연치아와 동일한 형태와 기능을 재현하도록 되어 있다.Artificial teeth are fixed in the oral cavity by abutments to reproduce the same shape and function as natural teeth.
이러한 임플란트를 이용하여 상실된 치아를 회복하고자 할 때의 이식과정은 하기와 같다.The implantation process when recovering lost teeth using such an implant is as follows.
이식과정은 크게 외과적 술식 즉, 수술방식과 보철적 수복으로 구분되며, 수술에 앞서 적합성 여부를 검사하기 위해 혈액 검사 등의 기본적인 검사를 시행하고, 이식할 부위를 선정하여 그 부위의 골조직 질과 양을 평가하기 위해 구강검사 및 방사선 사진검사 등을 선행하게 된다. 이러한 일련의 검사가 완료되면 외과적 술식에 들어가는데 이를 1차 수술이라 하며, 먼저 마취 하에 치근에 해당하는 인공치근을 치조골내에 이식하기 위해 잇몸을 절개하고 치조골 조직을 노출시킨 다음 인공치근을 삽입한 후 잇몸을 일단 봉합한다.The transplantation process is largely divided into surgical procedures, namely, surgical methods and prosthetic restorations. Before the operation, basic tests such as blood tests are performed to check the suitability, and the area to be transplanted is selected and the bone tissue quality and In order to evaluate the amount, oral examination and radiographic examination will be preceded. When this series of tests is completed, the surgical procedure is called the first operation. First, under the anesthesia, an artificial root corresponding to the root is implanted into the alveolar bone, the gum is cut, the alveolar tissue is exposed, and then the artificial root is inserted. Suture the gum once.
그런데 종래의 임플란트는 주로 원통형 혹은 첨두가 둥근형태의 치근형으로 제작되어 있고 절삭날의 형태나 크기가 임플란트의 직경이나 길이와 관계없이 일정한 크기로 가공되어 있어 치조골에 식립시 골을 파고 들어갈 수 있는 능력이 부족하여 절삭기구를 이용하여 충분히 먼저 치조골을 확대시켜 주어야 하는 번거러움이 따른다. 그 결과 치조골과의 강력한 초기 고정력을 얻기 힘든 경우가 있다.By the way, the conventional implant is mainly made of a cylindrical or apex round tooth root shape and the cutting edge shape or size is processed to a certain size irrespective of the diameter or length of the implant so that the bone can be dug into the bone when placed in the alveolar bone Insufficient ability is accompanied by the hassle to expand the alveolar bone first enough using a cutting mechanism. As a result, it may be difficult to obtain a strong initial fixation with the alveolar bone.
그리고 나서, 골질에 따라 3 내지 6개월이 경과한 뒤 치은 관통부가 붙어있는 일체형 임플란트의 경우는 바로 인상을 채득해서 가공치를 제작할 수 있지만 분리형의 경우는 2차 수술을 시행하게 되는데, 이때에는 봉합했던 잇몸을 재차 절개하고 이미 치조골내에 이식된 픽스처의 상면에 치유 어버트먼트를 얹어놓고 치은이 완전히 치유되면 인상 채득하여 어버트먼트를 체결하고 가공치를 연결하게 된다. 그렇지만 인상채득 시에는 인상용 코핑을 체결하기 위해서 치유 어버트먼트를 빼고 방사선 촬영으로 접합을 확인하고 인상채득 후에 다시 치유 어버트먼트를 체결해주어야 하는 번거로움이 있다.Then, after three to six months, depending on the bone quality, in the case of an integral implant with gingival penetrating parts, the impression can be made immediately and the processed teeth can be manufactured, but in the case of a detachable type, the second operation is performed. The gums are cut again and a healing abutment is placed on the upper surface of the fixture already implanted in the alveolar bone. When the gingiva is completely healed, the impression is taken and the abutment is connected to the processed tooth. However, when the impression is taken, it is troublesome to remove the healing abutment, check the joint by radiography, and then conclude the healing abutment in order to conclude the impression coping.
관련선행기술로는 대한민국 등록특허 제10-0841218호 (등록일자 2008년 6월 19일) '임플란트 장치'가 있다.Related prior art is the Republic of Korea Patent No. 10-0841218 (registration date June 19, 2008) 'an implant device'.
본 발명의 목적은 힐링 어버트먼트와 그에 결합될 수 있는 임프레션 캡을 이용하여 치아보철물을 제조하는 방법을 제공하기 위한 것이다.It is an object of the present invention to provide a method of making a dental prosthesis using a healing abutment and an impression cap that can be coupled thereto.
본 발명의 다른 목적은 힐링 어버트먼트의 1회 탈부착으로 치아보철물을 제조할 수 있는 방법을 제공하기 위한 것이다.Another object of the present invention is to provide a method for producing a dental prosthesis by one detachment of a healing abutment.
본 발명은 치조골에 식립된 픽스처의 다각형 홈 형상에 대응하는 다각형 형상의 끼움돌기를 구비하는 체결부와, 상기 체결부 위쪽으로 일체로 형성되며 상부로 갈수록 직경이 넓어지는 형태로 형성되는 하부몸체와, 상기 하부몸체의 위쪽으로 일체로 형성되며 상부로 갈수록 직경이 좁아지는 테이퍼 형태로 형성되는 상부몸체와, 상기 상부몸체의 양측에 대칭형태로 형성되는 절개면과, 상기 절개면을 제외한 상기 상부몸체의 외주면에 형성되는 오목홈과, 상기 상부몸체에서 상기 체결부를 관통하도록 형성되는 체결공을 포함하는 힐링 어버트먼트와,The present invention is a fastening part having a polygonal fitting projection corresponding to the polygonal groove shape of the fixture implanted in the alveolar bone, and the lower body is formed integrally formed above the fastening part and formed in a shape that is wider in diameter toward the upper part; The upper body is formed integrally above the lower body and is formed in a tapered shape, the diameter of which is narrowed toward the upper portion, an incision surface formed in a symmetrical form on both sides of the upper body, and the upper body except the incision surface. A healing abutment including a concave groove formed on an outer circumferential surface of the upper body, and a fastening hole formed to penetrate the fastening portion in the upper body;
원통형 또는 다각기둥 형상을 가지는 몸체와, 상기 몸체의 내부에 형성되며 결합되는 힐링 어버트먼트의 상부몸체 형상에 대응하는 결합홈과, 상기 몸체의 외주면에 다각형 판상으로 돌출형성되는 다각플레이트와, 상기 몸체의 상단에 십자 형상으로 형성되는 십자리브를 포함하여 상기 힐링 어버트먼트에 끼움결합으로 탈부착 가능한 임프레션 캡을 이용한 치과용 보철물 제조방법에 있어서,A body having a cylindrical or polygonal pillar shape, a coupling groove corresponding to an upper body shape of a healing abutment formed inside the body and coupled to the body, a polygonal plate protruding in a polygonal plate shape on the outer circumferential surface of the body, and In the dental prosthesis manufacturing method using an impression cap detachable by fitting to the healing abutment, including a cross-shaped groove formed in the cross shape on the top of the body,
미리 결정된 높이와 직경을 가지는 힐링어버트먼트 그룹에서 선택된 힐링어버트먼트를 픽스처에 체결하는 힐링어버트먼트 체결 단계;A healing abutment fastening step of fastening a healing abutment selected from the healing abutment group having a predetermined height and diameter to the fixture;
상기 픽스처에 체결된 힐링어버트먼트에 임프레션캡을 끼움결합시키고 인상재를 사용하여 인상을 채득하되 채득된 인상에 상기 임프레션캡이 매립된 상태가 되도록 하는 인상채득단계;An impression acquisition step of fitting an impression cap to the healing abutment fastened to the fixture and using the impression material to obtain an impression, but having the impression cap embedded in the obtained impression;
선택된 힐링어버트먼트의 치수정보와, 상기 채득된 인상을 이용하여 픽스처 레벨의 구강모델을 제조하는 구강모델 제조단계; 및An oral model manufacturing step of manufacturing an oral model of a fixture level by using dimension information of the selected healing abutment and the obtained impression; And
상기 구강모델에 적합한 치아보철물을 제조하는 치아보철물 제조단계;를 포함하는 치아보철물 제조방법을 제공한다.It provides a dental prosthesis manufacturing method comprising a; dental prosthesis manufacturing step of manufacturing a dental prosthesis suitable for the oral model.
상기 힐링어버트먼트 체결 단계는 상기 힐링어버트먼트에 상기 임프레션캡을 끼우고, 상기 임프레션캡을 가이드 핸들로 사용한 후, 힐링어버트먼트를 체결한 후 상기 임프레션캡을 분리할 수 있다.In the healing abutment fastening step, the impression cap may be inserted into the healing abutment, the impression cap may be used as a guide handle, and then the impression cap may be separated after the healing abutment is fastened.
상기 구강모델 제조단계는 상기 인상재에 매립된 임프레션캡에 선택된 힐링어버트먼트와 동일한 규격의 힐링어버트먼트 모델과, 픽스처에 대응하는 랩아날로그를 끼운후 구강모델을 제조하여, 제조된 구강모델에 픽스처에 대응하는 랩아날로그가 매립된 상태가 되도록 하는 것이 바람직하다.The oral model manufacturing step is to insert a healing abutment model of the same standard as the healing abutment selected in the impression cap embedded in the impression material and the lab analog corresponding to the fixture to manufacture an oral model, to the manufactured oral model It is preferable to make the lab analog corresponding to the fixture to be embedded.
이 때, 상기 랩아날로그와 상기 힐링어버트먼트 모델은 스크류로 체결된 상태에서 상기 임프레션캡에 끼워지고, 상기 임프레션캡에서 분리된 후, 상기 스크류를 제거하여 상기 힐링어버트먼트 모델과 랩아날로그를 분리할 수 있다.At this time, the lap analog and the healing abutment model are fitted to the impression cap in a state where the screw is fastened with screws, and then separated from the impression cap, and then the screw is removed to remove the healing abutment model and the lap analog. Can be separated.
상기 치아보철물 제조단계는 상기 치아보처물의 상기 힐링어버트먼트의 체결부와 하부몸체에 대응하는 부분이 상기 힐링어버트먼트와 동일한 형상을 가지도록 하는 것이 바람직하다.The dental prosthesis manufacturing step may be such that the portion corresponding to the fastening portion and the lower body of the healing abutment of the dental restoration has the same shape as the healing abutment.
상기 인상채득단계는 상기 임프레션캡이 인접치아에 간섭하여 상기 힐링어버트먼트에 완전한 체결이 어려운 경우, 상기 임프레션캡의 일부를 절단하여, 상기 힐링어버트먼트에 완전히 체결되도록 하는 것이 바람직하다.When the impression cap is difficult to be completely fastened to the healing abutment because the impression cap interferes with the adjacent teeth, it is preferable to cut a part of the impression cap to be completely fastened to the healing abutment.
본 발명은 힐링어버트먼트와 그에 끼움으로 탈부착가능한 임프레션캡을 이용하여 인상을 채득하고 치아보철물을 제조하는 방법을 제공함으로써, 힐링 어버트먼트와 픽스처와의 탈부착을 최소화할 수 있는 효과를 가져온다.The present invention by using a healing abutment and a removable impression cap fitted to it provides a method for obtaining the impression and manufacturing a dental prosthesis, thereby bringing the effect of minimizing the detachment of the healing abutment and the fixture.
힐링 어버트먼트의 반복적인 탈부착은 치유가 진행중인 연조직과 뼈조직에 자극을 주기 때문에, 힐링 어버트먼트의 탈부착 회수를 감소시킴으로써 환자의 통증을 감소시키는 효과를 가져온다.Repeated desorption of healing abutments stimulates soft and bone tissue in progress, thereby reducing the pain of the patient by reducing the number of detachments of healing abutments.
또한, 힐링 어버트먼트를 탈부착하지 않고 임프레션 캡을 사용하여 인상을 채득하기 때문에 종래에 힐링 어버트먼트를 분리하고 임프레션 코핑을 체결하여 임프레션을 채득할 때 보다 정확한 인상을 채득할 수 있어서 정확한 형상의 치아보철물을 제조할 수 있는 효과를 가져온다.In addition, since the impression cap is used to obtain the impression without detaching the healing abutment, the impression can be obtained more accurately when the impression is obtained by separating the healing abutment and tightening the impression coping. It has the effect of producing a dental prosthesis.
도 1은 본 발명에 사용되는 힐링 어버트먼트를 나타낸 사시도,1 is a perspective view showing a healing abutment used in the present invention,
도 2는 본 발명에 사용되는 힐링 어버트먼트를 나타낸 정면도,2 is a front view showing a healing abutment used in the present invention,
도 3은 본 발명에 사용되는 힐링 어버트먼트를 나타낸 평면도,3 is a plan view showing a healing abutment used in the present invention,
도 4는 본 발명에 사용되는 임프레션 캡의 사시도,4 is a perspective view of an impression cap used in the present invention,
도 5는 본 발명에 사용되는 임프레션 캡의 저면사시도,5 is a bottom perspective view of the impression cap used in the present invention,
도 6은 본 발명에 사용되는 임프레션 캡의 정면도,6 is a front view of the impression cap used in the present invention,
도 7은 본 발명에 따른 힐링 어버트먼트와 임프레션 캡이 결합된 상태를 나타낸 도면,7 is a view showing a state in which the healing abutment and the impression cap is coupled according to the present invention;
도 8은 본 발명에 따른 힐링 어버트먼트와 임프레션 캡의 결합부를 나타낸 도면,8 is a view showing a coupling portion of the healing abutment and the impression cap according to the present invention;
도 9는 본 발명의 실시예에 따른 힐링 어버트먼트와 그에 체결이 가능한 임프레션 캡을 이용한 치아보철물 제조방법을 나타낸 순서도임.9 is a flow chart illustrating a method of manufacturing a dental prosthesis using a healing abutment and an impression cap that can be fastened thereto according to an embodiment of the present invention.
이하 본 발명의 실시예에 따른 힐링 어버트먼트와 그에 체결이 가능한 임프레션 캡을 이용한 치아보철물 제조방법에 관하여 도면을 참조하여 상세하게 설명한다.Hereinafter, a method of manufacturing a dental prosthesis using a healing abutment according to an embodiment of the present invention and an impression cap capable of fastening thereto will be described in detail with reference to the accompanying drawings.
먼저, 본 발명에 사용되는 힐링어버트먼트에 관하여 살펴본다.First, look at the healing abutment used in the present invention.
도 1은 본 발명에 사용되는 힐링 어버트먼트를 나타낸 사시도이고, 도 2는 본 발명에 사용되는 힐링 어버트먼트를 나타낸 정면도이고, 도 3은 본 발명에 사용되는 힐링 어버트먼트를 나타낸 평면도이다.1 is a perspective view showing a healing abutment used in the present invention, Figure 2 is a front view showing a healing abutment used in the present invention, Figure 3 is a plan view showing a healing abutment used in the present invention. .
도시된 바와 같이, 본 발명에 따른 힐링 어버트먼트(100)는 별도의 스크류(미도시)를 이용하여 치조골에 식립된 픽스처(미도시)에 체결되는 것이다.As shown, the healing abutment 100 according to the present invention is to be fastened to a fixture (not shown) placed in the alveolar bone using a separate screw (not shown).
본 발명에 따른 힐링 어버트먼트(100)는 치조골에 식립된 픽스처의 다각형 홈 형상에 대응하는 다각형 형상의 끼움돌기(112)를 구비하는 체결부(110)와, 상기 체결부(110) 위쪽으로 일체로 형성되며 상부로 갈수록 직경이 넓어지는 형태로 형성되는 하부몸체(120)와, 상기 하부몸체(120)의 위쪽으로 일체로 형성되며 상부로 갈수록 직경이 좁아지는 테이퍼 형태로 형성되는 상부몸체(130)와, 상기 상부몸체(130)의 양측에 대칭형태로 형성되는 절개면(132)과, 상기 절개면(132)을 제외한 상기 상부몸체(130)의 외주면에 형성되는 오목홈(134)과, 상기 상부몸체(130)에서 상기 체결부(110)를 관통하도록 형성되는 체결공(140)을 포함한다.The healing abutment 100 according to the present invention includes a fastening part 110 having a polygonal fitting protrusion 112 corresponding to the polygonal groove shape of the fixture placed in the alveolar bone, and upwards of the fastening part 110. The lower body 120 is formed integrally and formed in a shape that widens toward the upper portion, and the upper body formed in a tapered shape that is formed integrally upwards of the lower body 120 and the diameter narrows toward the top ( 130, the incision surface 132 is formed on both sides of the upper body 130 in a symmetrical shape, and the concave groove 134 is formed on the outer peripheral surface of the upper body 130 except for the incision surface 132 and In addition, the upper body 130 includes a fastening hole 140 formed to penetrate the fastening part 110.
픽스처의 상부에는 다각형 홈이 형성되어 있는 데, 이는 픽스처에 결합되는 보철물과 일정한 방향성을 가지고 결합할 수 있도록 하기 위한 것이다.A polygonal groove is formed on the upper portion of the fixture, so that the coupling can be combined with the prosthesis coupled to the fixture with a certain direction.
일반적으로는 육각형 형상의 홈이 형성되어 있으나, 육각형 형상에 한정되는 것은 아니고, 오각형, 팔각형 또는 D자 형상을 가질 수도 있다.Generally, a hexagonal groove is formed, but is not limited to the hexagonal shape, and may have a pentagonal, octagonal, or D-shape.
힐링 어버트먼트(100)의 체결부(110)는 픽스처의 상단에 끼워지는 부분으로, 픽스처와 일정한 방향을 가지고 결합할 수 있도록, 다각형 홈에 대응하는 형상을 가지는 끼움돌기(112)를 구비한다. 도시한 실시예의 경우 대표적으로 끼움돌기(112)가 육각형의 형상을 가지는 형태를 나타낸 것이다.The fastening part 110 of the healing abutment 100 is a part fitted to the upper end of the fixture, and has a fitting protrusion 112 having a shape corresponding to the polygonal groove so as to be coupled with the fixture in a predetermined direction. . In the illustrated embodiment, the fitting protrusion 112 has a shape having a hexagonal shape.
힐링 어버트먼트(100)의 체결부(110)가 픽스처 상단에 끼워지게 되면, 상기 끼움돌기가 다각형 홈에 끼워져, 힐링 어버트먼트(100)가 방향을 가지고 결합한 상태에서 회전하지 못하게 된다.When the fastening portion 110 of the healing abutment 100 is fitted to the upper end of the fixture, the fitting protrusion is inserted into the polygonal groove, and the healing abutment 100 does not rotate in a state in which it is coupled with the direction.
하부몸체(120)는 치은과 연조직의 회복 형태를 결정하는 부분으로 상부로 갈수록 직경이 넓어지는 형태를 가지는 것이 바람직하다.The lower body 120 is a portion that determines the recovery form of the gingiva and soft tissue, it is preferable to have a shape that is wider toward the top.
상부몸체(130)에는 절개면(132)과 오목홈(134)이 구비된다.The upper body 130 is provided with an incision surface 132 and a recessed groove 134.
절개면(132)은 상부몸체(130)의 양측에 대칭형태로 형성된다. 즉 주개의 절개면(132)은 서로 평행한 면으로 형성된다. Incision surface 132 is formed in a symmetrical form on both sides of the upper body (130). That is, the cutting surface 132 of the donor is formed in parallel with each other.
또한, 절개면(132)은 끼움돌기(112)의 두면과 평행하게 형성되는 것이 바람직하다.In addition, the incision surface 132 is preferably formed in parallel with the two surfaces of the fitting protrusion (112).
절개면(132)은 임프레션 캡과의 결합시 임프레션 캡이 돌아가는 것을 방지하는 역할을 수행한다. 또한, 경우에 따라서는 임프레션 캡을 체결하지 않고 인상을 채득할 경우도 생기게 되는데, 이때 인상재와 힐링 어버트먼트가 돌아가는 것을 방지하는 역할도 수행하게 된다.The incision surface 132 serves to prevent the impression cap from turning when combined with the impression cap. In addition, in some cases, an impression may be obtained without tightening an impression cap, and at this time, the impression material and the healing abutment are also prevented from rotating.
이는 힐링 어버트먼트(100)가 픽스처에 결합된 상태에서, 상기 절개면(132)을 통해 픽스처 오목홈의 방향성을 식별할 수 있도록 하기 위한 것이다.This is to allow the healing abutment 100 to be able to identify the directionality of the fixture recess through the cutting surface 132 in a state where the healing abutment 100 is coupled to the fixture.
다시말해, 절개면(132)에 의해서 픽스처에 형성된 다각형 홈 형상이 어떠한 형태로 식립되어 있는지 확인할 수 있는 것이다.In other words, the shape of the polygonal groove formed in the fixture by the incision surface 132 can be confirmed.
이러한 절개면(132)은 환자의 구강 환경을 구강 스캐너를 이용하여 스캔하는 경우, 힐링 어버트먼트(100)를 분리하지 않고 픽스처의 방향성을 식별할 수 있도록 해주는 효과를 가져온다.When the incision surface 132 scans the oral environment of the patient using an oral scanner, the cutting surface 132 has an effect of identifying the orientation of the fixture without separating the healing abutment 100.
절개면(132)이 없이 상부몸체(130)가 원형의 단면을 가지게 되면, 힐링 어버트먼트로부터 픽스처의 방향성을 식별할 수 없게 된다.If the upper body 130 has a circular cross section without the incision surface 132, the orientation of the fixture can not be identified from the healing abutment.
또한 절개면(132)은 후술하는 임프레션캡의 탈부착이 원활하도록 하는 효과도 가져온다.In addition, the incision surface 132 also brings about the effect that the attachment and detachment of the impression cap to be described later.
절개면(132)은 하단에 곡면부(132a)를 구비한다. 곡면부(132a)는 구강속 피부조직이 힐링 어버트먼트(100)에 접촉할 때 자극을 저감하는 효과를 가져온다.The incision surface 132 has a curved portion 132a at the bottom. The curved portion 132a has an effect of reducing stimulation when the skin tissue in the oral cavity contacts the healing abutment 100.
곡면부(132a)를 구비하지 않게 되면, 절개면(132)의 하단에 날카로운 모서리가 형성되어 접촉하는 피부조직을 자극할 수 있기 때문이다.This is because if the curved portion 132a is not provided, a sharp edge is formed at the lower end of the incision surface 132 to stimulate skin tissue in contact.
상부몸체(130)의 높이(h1)는 2.8~4.0mm 범위인 것이 바람직하다. 상부몸체(130)는 임프레션캡과 결합되는 부분으로, 높이가 상기 범위 미만인 경우 임프레션캡과 견고한 결합력을 확보하기 어려우며, 높이가 상기 범위를 초과하는 경우 대합치와 접촉하게 되어 환자에게 불편을 줄 우려가 있다.The height h1 of the upper body 130 is preferably in the range of 2.8 ~ 4.0mm. The upper body 130 is a portion that is coupled to the impression cap, if the height is less than the above range it is difficult to secure a firm coupling force with the impression cap, if the height exceeds the range is in contact with the antagonism may cause inconvenience to the patient There is.
상부몸체(130)는 상부로 갈수록 단면이 좁아지는 형태를 가지는 데, 이는 결합되는 임프레션캡과의 원활한 결합을 위한 것이다.The upper body 130 has a form in which the cross section becomes narrower toward the top, for smooth coupling with the impression cap to be coupled.
상부몸체(130)의 테이퍼각은 3~9도 범위인 것인 바람직하다.Taper angle of the upper body 130 is preferably in the range of 3 ~ 9 degrees.
테이퍼각이 3도 미만인 경우 임프레션캡과의 결합이 원활하지 않을 수 있으며, 테이퍼각이 9도를 초과하는 경우 임프레션캡이 견고하게 결합되지 못하는 문제점이 발생한다.When the taper angle is less than 3 degrees, the coupling with the impression cap may not be smooth. If the taper angle exceeds 9 degrees, the impression cap may not be firmly coupled.
또한, 상부몸체(130)에는 오목홈(134)이 구비되는데, 오목홈(134)은 절개면(132)을 제외한 영역에만 형성된다. 절개면(132)에 까지 오목홈이 구비되는 경우 인상채득시 임프레션캡의 분리가 원활하지 않을 수 있다.In addition, the upper body 130 is provided with a concave groove 134, the concave groove 134 is formed only in the region excluding the incision surface (132). If the recessed groove is provided to the incision surface 132, the separation of the impression cap may not be smooth when the impression is taken.
또한, 오목홈(134)은 임프레션 캡과의 결합시 딸깍하는 클릭음을 발생시키는 역할도 수행하게 된다. 이를 통해 청각적으로 정확한 결합이 이루어졌는지를 식별할 수도 있게 된다.In addition, the concave groove 134 also serves to generate a click sound when engaged with the impression cap. This will allow us to identify whether an acoustically correct association has been made.
상기 오목홈(134)은 상기 상부몸체의 상단으로부터 0.25~2.0 mm 낮은 높이에 형성되는 것이 바람직하다.The concave groove 134 is preferably formed at a height of 0.25 ~ 2.0 mm from the top of the upper body.
이는 적절한 결합력을 확보하기 위한 것으로 상기 범위를 벗어나게 되면, 결합 또는 분리가 원활하지 않을 수 있다.This is to ensure a proper binding force is outside the above range, the coupling or separation may not be smooth.
한편, 상기 하부몸체(120)의 높이(h2)는 1~9mm 범위인 것이 바람직하다.On the other hand, the height h2 of the lower body 120 is preferably in the range of 1 ~ 9mm.
하부몸체(120)는 대상치아의 종류와 크기에 따라 높이가 다른 것을 사용할 수 있다.The lower body 120 may use a different height depending on the type and size of the target tooth.
예를 들어, 하부몸체(120)의 높이가 3mm, 5mm, 7mm 인 것으로 3종류의 힐링 어버트먼트를 구비하여, 환자의 구강환경에 따라 적절한 높이의 것을 선택하여 사용할 수 있다.For example, the height of the lower body 120 is 3mm, 5mm, 7mm provided with three types of healing abutment, it can be selected to use the appropriate height according to the oral environment of the patient.
다음으로, 본 발명에 사용되는 상기 힐링어버트먼트에 끼움결합 방식으로 탈부착 가능한 임프레션캡에 관하여 살펴본다.Next, look at with respect to the detachable impression cap fitted in the healing abutment used in the present invention.
도 4는 본 발명에 사용되는 임프레션 캡의 사시도이고, 도 5는 본 발명에 사용되는 임프레션 캡의 저면사시도이며, 도 6은 본 발명에 사용되는 임프레션 캡의 정면도이다.Figure 4 is a perspective view of the impression cap used in the present invention, Figure 5 is a bottom perspective view of the impression cap used in the present invention, Figure 6 is a front view of the impression cap used in the present invention.
도시한 바와 같이, 본 발명의 실시예에 따른 임프레션 캡(200)은 원통형 또는 다각기둥 형상을 가지는 몸체(210)와, 상기 몸체(210)의 내부에 형성되며 결합되는 힐링 어버트먼트(100)의 상부몸체(130) 형상에 대응하는 결합홈(220)과, 상기 몸체(210)의 외주면에 다각형 판상으로 돌출형성되는 다각플레이트(230)와, 상기 몸체(210)의 상단에 십자 형상으로 형성되는 십자리브(240)를 포함한다.As shown, the impression cap 200 according to an embodiment of the present invention is a body 210 having a cylindrical or polygonal pillar shape, the healing abutment 100 is formed and coupled to the inside of the body 210 Coupling groove 220 corresponding to the shape of the upper body 130, the polygonal plate 230 protruding in the shape of a polygonal plate on the outer peripheral surface of the body 210, and formed in the cross shape on the upper end of the body 210 It includes a dove digit 240.
상기 결합홈(220)은 상기 힐링 어버트먼트에 형성된 절개면(132)의 에 대응하는 결합면(224)을 구비하며, 상기 결합면(224)에 대응하는 상기 몸체(210)의 외주면은 상기 결합면(224)과 평행한 평탄면(212)을 구비한다.The coupling groove 220 has a coupling surface 224 corresponding to the incision surface 132 formed in the healing abutment, the outer peripheral surface of the body 210 corresponding to the coupling surface 224 is the And a flat surface 212 parallel to the mating surface 224.
도시한 실시예는 몸체가 원통형상으로 형성되어 있으나, 이러한 형상에 한정되는 것은 아니고, 다각기둥(예를 들면 사각기둥, 육각기둥 등)의 형상으로 형성될 수도 있다.In the illustrated embodiment, the body is formed in a cylindrical shape, but is not limited to this shape, and may be formed in the shape of a polygonal pillar (for example, a square pillar, a hexagonal pillar, etc.).
힐링 어버트먼트의 절개면은 힐링 어버트먼트 하단 체결부의 다각형상의 면과 일치하게 형성된 것인데, 이는 치조골에 식립된 픽스처의 방향성을 표시하기 위한 것이다. 따라서, 결합면(224)이 절개면과 평행한 방향으로 끼워지면, 몸체(210)의 외주면에 구비된 평탄면(212)도 힐링 어버트먼트 체결부의 다각형상의 면과 일치하게 되므로, 결과적으로 평탄면(212)이 픽스처의 방향성을 표시하게 된다.The incision surface of the healing abutment is formed to coincide with the polygonal surface of the lower fastening portion of the healing abutment, to indicate the orientation of the fixture placed in the alveolar bone. Therefore, when the engaging surface 224 is fitted in a direction parallel to the incision surface, the flat surface 212 provided on the outer peripheral surface of the body 210 also coincides with the polygonal surface of the healing abutment fastening portion, consequently flat Face 212 will indicate the directionality of the fixture.
또한, 상기 결합홈(220)은 결합면(224)을 제외한 내주면에 반원형상으로 돌출된 결합편(222)을 구비한다.In addition, the coupling groove 220 has a coupling piece 222 protruding in a semicircular shape on the inner peripheral surface except the coupling surface 224.
결합편(222)은 후술하는 힐링 어버트먼트의 오목홈(도 4의 134)에 끼움결합되는 부분으로, 원활한 탈부착을 위하여 반원형상의 단면을 가지는 것이 바람직하다.Coupling piece 222 is a portion to be fitted into the concave groove (134 of FIG. 4) of the healing abutment to be described later, it is preferable to have a semi-circular cross section for smooth detachment.
한편 몸체(210)의 상단에 형성되는 십자리브(240)는 상기 다각플레이트(230)에 대응하는 길이를 가지는 단편부(244)와, 상기 단편부(224)보다 긴 길이를 가지는 장편부(242)를 포함한다.On the other hand, the dovetail 240 formed on the top of the body 210 has a fragment portion 244 having a length corresponding to the polygonal plate 230, and a long fragment portion 242 having a longer length than the fragment portion 224. ).
이 때, 상기 장편부(242)와 단편부(244)는 서로 직교하도록 형성되며, 상기 단편부 또는 상기 장편부의 길이방향은 상기 결합면(224)과 평행하게 형성될 수 있다.In this case, the long piece portion 242 and the piece portion 244 are formed to be orthogonal to each other, the length portion of the piece portion or the long piece portion may be formed parallel to the coupling surface 224.
도시한 실시예의 경우 단편부(244)의 길이방향이 평탄면(212)과 평행하게 형성된 것이나, 반대로 장편부(242)의 길이방향이 평탄면(212)과 평행하게 형성될 수도 있다. 이렇게, 장편부(242) 또는 단편부(244)의 길이방향이 평탄면(212)과 평행하게 형성되면, 장편부(242)나 단편부(244)의 방향으로 평탄면(212)의 방향을 식별할 수 있는 효과가 있다.In the illustrated embodiment, the longitudinal direction of the fragment portion 244 is formed in parallel with the flat surface 212, but conversely, the longitudinal direction of the long piece 242 may be formed in parallel with the flat surface 212. As such, when the longitudinal direction of the long piece portion 242 or the piece portion 244 is formed parallel to the flat surface 212, the direction of the flat surface 212 in the direction of the long piece portion 242 or the piece portion 244 is adjusted. There is a discernible effect.
십자리브(240)는 다각플레이트(230)와 함께, 인상 채득시 인상재와 임프레션 캡과의 결합력을 증가시키는 효과를 가져온다.The dove stools 240, together with the polygonal plate 230, have the effect of increasing the coupling force between the impression material and the impression cap when taking the impression.
또한 십자리브(240)는 브릿지 인상 채득시 연결을 용이하게 한다. 십자리브(240)로 인해 넓게 형성된 교합테이블은 바이트 인가시 안정감을 주어 정확한 바이트 테이블 역할을 수행하게 된다.In addition, the ten-digit groove 240 facilitates the connection when taking the bridge impression. The occlusal table formed wide by the tens of digits 240 provides stability when a byte is applied to serve as an accurate byte table.
본 발명에 따른 임프레션 캡은 높이가 1cm 이하의 작은 크기를 가지게 되는데, 환자의 구강내에서 체결된 힐링 어버트먼트에 본 발명의 임프레션 캡(200)이 체결되어 있다면, 인접치아나 잇몸등에 의하여 평탄면(212)을 식별하기 곤란할 수도 있는데, 이경우 십자리브(140)의 방향을 통해 평탄면(212)의 방향(결국은 픽스처의 다각홈의 방향)을 식별할 수도 있게 된다.The impression cap according to the present invention is to have a small size of less than 1cm in height, if the impression cap 200 of the present invention is fastened to the healing abutment fastened in the patient's mouth, flattened by adjacent teeth or gums, etc. It may be difficult to identify the surface 212, in which case the direction of the flat surface 212 (in turn, the direction of the polygonal groove of the fixture) may be identified through the direction of the dove 140.
장편부(242)와 단편부(244)가 서로 다른 길이로 형성되지 않고, 동일한 길이로 형성된다면, 2개의 방향성을 나타내게 되므로 이러한 기능을 달성할 수 없다.If the long piece portion 242 and the piece portion 244 are not formed in different lengths and are formed in the same length, two functions cannot be achieved because the long pieces 242 and the piece portions 244 are formed in the same length.
본 발명에 따른 임프레션 캡(200)은 인접치아들의 상대적 위치를 확인하는 베리피케이션 지그로 사용될 수도 있다. 이 경우 인접치아의 힐링어버트에 임프레션 캡을 각각 체결한 후, 십자리브(240)를 레진등으로 연결함으로써 베리피케이션 지그를 제작할 수 있다.The impression cap 200 according to the present invention may be used as a verification jig for identifying the relative positions of adjacent teeth. In this case, after fastening the impression caps to the healing abutments of adjacent teeth, respectively, the verifiable jig can be manufactured by connecting the dove stools 240 with a resin or the like.
본 발명에 따른 임프레션 캡(200)은 커터로 절단가능한 합성수지재질을 사용할 수 있다. 환자의 구강환경에 따라서 임프레션 캡(200)의 높이가 과도한 경우 임프레션 캡(200)을 커터로 절단하여 사용할 수 있도록 하기 위한 것이다. 예를 들면 십자리브(240)와 다각플레이트(230)의 사이를 절단하거나, 다각플레이트(230)의 사이를 절단할 수 있다.The impression cap 200 according to the present invention may use a synthetic resin material that can be cut by a cutter. When the height of the impression cap 200 is excessive depending on the oral environment of the patient is to be used by cutting the impression cap 200 with a cutter. For example, the cut between the dove-shape 240 and the polygonal plate 230 may be cut or cut between the polygonal plate 230.
임프레션 캡(200)을 제조할 수 있는 대표적인 재질로는 POM 수지(polyacetal resin)가 있다. 폴리아세탈은 포름알데히드(CH2O)와 트리옥산(CH2O)3을 중합(重合)하여 제조하는 유백색 열가소성 수지로, 크게 나누어 호모폴리머와 고폴리머 두 종류가 있다. 폴리아세탈은 결정성이 높고, 굽힘강도 등 기계적 특성이 우수할 뿐만 아니라 치수 안정성, 내피로 특성, 내마모성이 뛰어나기 때문에 엔지니어링 플라스틱 중에서 가장 금속에 가까운 성질을 갖고 있어 금속 기계 부품과 많이 대체되고 있는 재질이다.Representative material from which the impression cap 200 may be manufactured is POM resin (polyacetal resin). Polyacetal is a milky white thermoplastic resin produced by polymerizing formaldehyde (CH 2 O) and trioxane (CH 2 O) 3, and is broadly divided into two types: homopolymer and high polymer. Polyacetal has the closest metal properties among engineering plastics because it has high crystallinity, excellent mechanical properties such as bending strength, and excellent dimensional stability, fatigue resistance, and abrasion resistance. to be.
또한, 본 발명에 따른 임프레션 캡은 상기 십자리브를 관통하여 상기 결합홈으로 연결되는 스크류 가이드홀(250)을 구비할 수 있다.In addition, the impression cap according to the present invention may be provided with a screw guide hole 250 penetrating through the ten-digit groove to the coupling groove.
이는 힐링어버트먼트를 픽스처에 체결할 때, 임프레션 캡(200)을 핸들 가이드로 사용할 수 있도록 하기 위한 것이다.This is to enable the impression cap 200 to be used as a handle guide when fastening the healing abutment to the fixture.
힐링 어버트먼트의 크기가 작기 때문에, 픽스처에 힐링어버트먼트를 체결하는 작업이 용이하지 않다. 핀센 등의 도구를 이용하여 힐링 어버트먼트를 픽스처 상에 위치시킨후 체결스크류를 이용하여 힐링 어버트먼트를 픽스처에 고정하고 있었는데, 이는 작업성이 좋지 못한 문제점이 있었다.Since the healing abutment is small in size, it is not easy to fasten the healing abutment to the fixture. The healing abutment was positioned on the fixture using a tool such as Pinsen, and then the healing abutment was fixed to the fixture using a fastening screw.
힐링 어버트먼트에 체결스크류를 삽입한 상태로, 임프레션 캡(200)에 끼우고, 임프레션 캡(200)을 손으로 잡고 픽스처에 위치시킨 후, 상기 스크류 가이드홀을 통해 스크류를 삽입하여, 힐링 어버트먼트의 체결스크류를 픽스처에 체결할 수 있도록 함으로써, 힐링 어버트먼트 체결 작업을 보다 간편하게 할 수 있다.After inserting the fastening screw into the healing abutment, insert it into the impression cap 200, hold the impression cap 200 by hand and position it in the fixture, and then insert the screw through the screw guide hole to heal a By allowing the fastening screw of the butt to be fastened to the fixture, the healing abutment fastening can be made simpler.
도 7은 본 발명에 따른 힐링 어버트먼트와 임프레션 캡이 결합된 상태를 나타낸 도면이고, 도 8은 본 발명에 따른 힐링 어버트먼트와 임프레션 캡의 결합부를 나타낸 도면이다.7 is a view showing a state in which the healing abutment and the impression cap is coupled according to the present invention, Figure 8 is a view showing a coupling portion of the healing abutment and the impression cap according to the present invention.
힐링 어버트먼트(100)의 체결부(110)가 픽스처 상단에 끼워지게 되면, 상기 끼움돌기가 다각형 홈에 끼워져, 힐링 어버트먼트(100)가 방향을 가지고 결합한 상태에서 회전하지 못하게 된다.When the fastening portion 110 of the healing abutment 100 is fitted to the upper end of the fixture, the fitting protrusion is inserted into the polygonal groove, and the healing abutment 100 does not rotate in a state in which it is coupled with the direction.
힐링 어버트먼트(100)가 픽스처에 결합되어 있는 상태에서, 임프레션 캡(200)을 힐링 어버트먼트(200) 위에서 밀어 끼우게 되면, 결합홈(220)에 힐링 어버트먼트(100)의 상부몸체(130)가 삽입되면서, 임프레션 캡(200)의 결합편(222)이 힐링 어버트먼트(100) 상부몸체(130)의 오목홈(134)에 삽입되어, 임프레션 캡(200)이 힐링 어버트먼트(200)에 견고하게 결합된다.When the healing abutment 100 is coupled to the fixture and the impression cap 200 is pushed onto the healing abutment 200, the upper portion of the healing abutment 100 is inserted into the coupling groove 220. As the body 130 is inserted, the coupling piece 222 of the impression cap 200 is inserted into the concave groove 134 of the upper body 130 of the healing abutment 100, so that the impression cap 200 is healed. It is firmly coupled to the butt 200.
힐링 어버트먼트(200)는 티타늄 합금과 같은 의료용 금속재질로 형성되고, 임프레션 캡(200)은 재질 자체의 탄성을 가지는 합성수지 재질로 형성되어, 임프레션 캡(200)이 탄성적으로 변형하며 힐링 어버트먼트(100)와 끼움결합되는 구조이다.The healing abutment 200 is formed of a medical metal material such as a titanium alloy, the impression cap 200 is formed of a synthetic resin material having elasticity of the material itself, the impression cap 200 is elastically deformed and healing a The structure is fitted with the butt 100.
이렇게, 임프레션 캡(200)을 힐링 어버트먼트(100)에 끼움 결합한 상태에서, 인상재를 이용하여 인상을 취득하게 되면, 임프레션 캡(200)은 인상재에 매립된 채로 분리된다.Thus, when the impression cap is acquired using the impression material in the state in which the impression cap 200 is fitted to the healing abutment 100, the impression cap 200 is separated while being embedded in the impression material.
따라서, 임프레션 캡(200)은 인상채득체에 잔류하게 되고, 잔류한 임프레션 캡(200)을 이용하여 픽스처의 방향성과 높이 등의 정보를 취득할 수 있게 된다.Therefore, the impression cap 200 remains in the impression taking body, and using the remaining impression cap 200, information such as the orientation and height of the fixture can be obtained.
도 9는 본 발명의 실시예에 따른 힐링 어버트먼트와 그에 체결이 가능한 임프레션 캡을 이용한 치아보철물 제조방법을 나타낸 순서도이다.9 is a flowchart illustrating a method of manufacturing a dental prosthesis using a healing abutment and an impression cap capable of fastening thereto according to an embodiment of the present invention.
도시된 바와 같이, 본 발명에 따른 치아보철물 제조방법은 미리 결정된 높이와 직경을 가지는 힐링어버트먼트 그룹에서 선택된 힐링어버트먼트를 픽스처에 체결하는 힐링어버트먼트 체결 단계(S100)와, 상기 픽스처에 체결된 힐링어버트먼트에 임프레션캡을 끼움결합시키고 인상재를 사용하여 인상을 채득하되 채득된 인상에 상기 임프레션캡이 매립된 상태가 되도록 하는 인상채득단계(S200)와, 선택된 힐링어버트먼트의 치수정보와, 상기 채득된 인상을 이용하여 픽스처 레벨의 구강모델을 제조하는 구강모델 제조단계(S300)와, 상기 구강모델에 적합한 치아보철물을 제조하는 치아보철물 제조단계(S400)을 포함한다.As shown, a method for manufacturing a dental prosthesis according to the present invention is a healing abutment fastening step (S100) for fastening a healing abutment selected from a healing abutment group having a predetermined height and diameter to the fixture, and the fixture Impression acquisition step (S200) to fit the impression cap to the healing abutment fastened to the impression cap using the impression material, but the impression cap is buried in the obtained impression, and the selected healing abutment It includes the oral model manufacturing step (S300) for producing an oral model of the fixture level using the obtained impression and the dimension information, and a dental prosthesis manufacturing step (S400) for manufacturing a dental prosthesis suitable for the oral model.
종래에는 힐링어버트먼트를 풀어낸 후, 스캔핀을 픽스처에 결합시킨 후 인상을 채득하고, 다시 스캔핀을 제거하고 힐링어버트먼트를 체결하는 방법으로 인상을 채득하고, 채득된 인상으로부터 구강모델을 제조하고 있었다.Conventionally, after unwinding the healing abutment, the impression is obtained by combining the scan pins with the fixture, and then taking the impression, removing the scan pins, and then tightening the healing abutment. Was manufacturing.
그런데, 힐링어버트먼트의 빈번한 탈부착은 치유 과정에서 좋지 않은 영향을 미치며, 번거로운 탈부착 작업을 반복해야 하는 문제점을 가지고 있었다.However, the frequent detachment of the healing abutment has a bad effect in the healing process, and had a problem of repeating the cumbersome detachment work.
본 발명은 힐링어버트먼트의 탈부착을 최소화하며 치아보철물을 제조할 수 있는 방법을 제공한다.The present invention minimizes the detachment of the healing abutment and provides a method for producing a dental prosthesis.
앞에서 설명한 힐링어버트먼트를 다양한 규격으로 마련해 놓고, 마련된 힐링어버트먼트에서 환자의 구강환경에 적합한 힐링어버트먼트를 선택한다.The healing abutments described above are prepared in various standards, and the healing abutments selected from the healing abutments are selected for the patient's oral environment.
힐링어버트먼트는 다양한 직경과, 다양한 높이를 가지는 군을 미리 마련해 놓아, 적절한 것으로 선택하고 선택된 힐링어버트먼트의 규격을 기재해둔다.The healing abutment is provided with a group of various diameters and various heights in advance, selected as appropriate, and describes the specifications of the selected healing abutment.
모델에 따라 힐링어버트먼트의 직경과 높이가 상이하게 되며, 힐링어버트먼트의 규격에 관한 정보는 채득된 인상과 함께 전달되어 치아모델을 만들때 동일한 규격의 힐링어버트먼트 모델을 사용하여 치아모델을 제작하게 된다.Depending on the model, the diameter and height of the healing abutment will be different, and the information about the specification of the healing abutment will be transmitted along with the impressions obtained. You will build a model.
상기 힐링어버트먼트 체결 단계(S100)는, 상기 힐링어버트먼트에 상기 임프레션캡을 끼우고, 상기 임프레션캡을 가이드 핸들로 사용한 후, 힐링어버트먼트를 체결한 후 상기 임프레션캡을 분리하는 방법을 사용할 수 있다.In the healing abutment fastening step (S100), after inserting the impression cap into the healing abutment, using the impression cap as a guide handle, and then tightening the healing abutment and then removing the impression cap. Can be used.
본 발명에 사용되는 힐링어버트먼트는 픽스처에 방향성을 가지고 체결되도록 형성되어 있는데, 힐링어버트먼트의 사이즈가 작아서 손으로 힐링어버트먼트를 작고 픽스처에 끼운후 스크류를 체결하는 작업이 용이하지 않다.Healing abutment used in the present invention is formed to be fastened with a directional to the fixture, the size of the healing abutment is small, it is not easy to tighten the screw after the healing abutment by hand to fasten the screw into the fixture .
본 발명은 임프레션캡을 끼운 상태에서 힐링어버트먼트를 체결할 수 있는 구조를 가지고 있으므로, 임프레션캡을 가이드 핸들로 이용할 수 있다. 다시말해서 힐링어버트먼트에 임프레션 캡을 끼운 후, 임프레션 캡을 손잡이로 사용하여 힐링어버트먼트를 픽스처에 끼운 후, 스크류를 체결하여 힐링어버트먼트를 픽스처에 고정한 후, 임프레션캡을 분리하는 방법을 사용할 수 있다.Since the present invention has a structure capable of fastening the healing abutment in a state where the impression cap is fitted, the impression cap can be used as a guide handle. In other words, after inserting the impression cap into the healing abutment, use the impression cap as a handle to insert the healing abutment into the fixture, and then tighten the screw to fix the healing abutment to the fixture, and then remove the impression cap. Can be used.
상기 인상채득 단계(S200)는 상기 임프레션캡이 인접치아에 간섭하여 상기 힐링어버트먼트에 완전한 체결이 어려운 경우, 상기 임프레션캡의 일부를 절단하여, 상기 힐링어버트먼트에 완전히 체결되도록 할 수 있다. 이 때 절단은 십자리브의 일부를 절단할 수 있다.In the pulling acquisition step (S200), when it is difficult to completely fasten the healing cap to the healing abutment because the impression cap interferes with an adjacent tooth, the impression cap may be cut off to be completely fastened to the healing abutment. . At this time, the cutting may cut a part of the tensave.
상기 구강모델 제조단계(S300)는 상기 인상재에 매립된 임프레션캡에 선택된 힐링어버트먼트와 동일한 규격의 힐링어버트먼트 모델과, 픽스처에 대응하는 랩아날로그를 끼운후 구강모델을 제조하여, 제조된 구강모델에 픽스처에 대응하는 랩아날로그가 매립된 상태의 구강모델을 제조하게 된다. 즉, 픽스처 레벨의 구강모델을 얻을 수 있게 된다.The oral model manufacturing step (S300) is prepared by inserting a healing abutment model of the same standard as the healing abutment selected in the impression cap buried in the impression material, and a lab analog corresponding to the fixture to manufacture the oral model, The oral model in which the lab analog corresponding to the fixture is embedded in the oral model is manufactured. In other words, it is possible to obtain a fixture level oral model.
이 때, 상기 랩아날로그와 상기 힐링어버트먼트 모델은 스크류로 체결된 상태에서 상기 임프레션캡에 끼워지고, 상기 임프레션캡에서 분리된 후, 상기 스크류를 제거하여 상기 힐링어버트먼트 모델과 랩아날로그를 분리하는 방식으로 구강모델을 제조할 수 있다.At this time, the lap analog and the healing abutment model are fitted to the impression cap in a state where the screw is fastened with screws, and then separated from the impression cap, and then the screw is removed to remove the healing abutment model and the lap analog. The oral model can be prepared in a separate manner.
상기 치아보철물 제조단계(S400)는 상기 치아보처물의 상기 힐링어버트먼트의 체결부와 하부몸체에 대응하는 부분이 상기 힐링어버트먼트와 동일한 형상을 가지도록 하는 것이 바람직하다.The dental prosthesis manufacturing step (S400) is preferably such that the portion corresponding to the fastening portion and the lower body of the healing abutment of the dental restoration has the same shape as the healing abutment.
힐링어버트먼트의 형상에 따라 치유가 이루어지기 때문에 치아보철물의 하부 형상인 하부몸체 형상을 힐링어버트먼트 형상에 대응하도록 하는 것이다.Since healing is performed according to the shape of the healing abutment, the lower body shape, which is the lower shape of the dental prosthesis, corresponds to the healing abutment shape.
이상 살펴본 바와 같이, 본 발명에 따른 힐링 어버트먼트와 그에 체결이 가능한 임프레션 캡을 이용한 치아보철물 제조방법은 임프레션 캡은 힐링 어버트먼트를 분리하지 않고, 인상채득을 할 수 있다.As described above, the dental prosthesis manufacturing method using the healing abutment according to the present invention and the impression cap that can be fastened thereto, the impression cap can be obtained without pulling the healing abutment.
따라서, 힐링 어버트먼트의 탈부착 회수를 감소시킬 수 있고, 이로인해 환자의 치유를 돕고, 의사의 치료의 편의성을 향상시키는 효과를 가져온다.Therefore, the number of detachable detachments of healing abutments can be reduced, thereby helping to heal the patient and bringing the effect of improving the convenience of the doctor's treatment.

Claims (6)

  1. 치조골에 식립된 픽스처의 다각형 홈 형상에 대응하는 다각형 형상의 끼움돌기를 구비하는 체결부와, 상기 체결부 위쪽으로 일체로 형성되며 상부로 갈수록 직경이 넓어지는 형태로 형성되는 하부몸체와, 상기 하부몸체의 위쪽으로 일체로 형성되며 상부로 갈수록 직경이 좁아지는 테이퍼 형태로 형성되는 상부몸체와, 상기 상부몸체의 양측에 대칭형태로 형성되는 절개면과, 상기 절개면을 제외한 상기 상부몸체의 외주면에 형성되는 오목홈과, 상기 상부몸체에서 상기 체결부를 관통하도록 형성되는 체결공을 포함하는 힐링 어버트먼트와,A fastening part having a polygonal fitting protrusion corresponding to the polygonal groove shape of the fixture implanted in the alveolar bone, a lower body integrally formed above the fastening part and formed to have a diameter widening upwardly, and the lower part; The upper body is formed integrally upward of the body and formed in a tapered shape that narrows in diameter toward the upper portion, an incision surface formed symmetrically on both sides of the upper body, and an outer peripheral surface of the upper body except the incision surface. A healing abutment including a concave groove formed and a fastening hole formed to penetrate the fastening portion in the upper body;
    원통형 또는 다각기둥 형상을 가지는 몸체와, 상기 몸체의 내부에 형성되며 결합되는 힐링 어버트먼트의 상부몸체 형상에 대응하는 결합홈과, 상기 몸체의 외주면에 다각형 판상으로 돌출형성되는 다각플레이트와, 상기 몸체의 상단에 십자 형상으로 형성되는 십자리브를 포함하여 상기 힐링 어버트먼트에 끼움결합으로 탈부착 가능한 임프레션 캡을 이용한 치과용 보철물 제조방법에 있어서,A body having a cylindrical or polygonal pillar shape, a coupling groove corresponding to an upper body shape of a healing abutment formed inside the body and coupled to the body, a polygonal plate protruding in a polygonal plate shape on the outer circumferential surface of the body, and In the dental prosthesis manufacturing method using an impression cap detachable by fitting to the healing abutment, including a cross-shaped groove formed in the cross shape on the top of the body,
    미리 결정된 높이와 직경을 가지는 힐링어버트먼트 그룹에서 선택된 힐링어버트먼트를 픽스처에 체결하는 힐링어버트먼트 체결 단계;A healing abutment fastening step of fastening a healing abutment selected from the healing abutment group having a predetermined height and diameter to the fixture;
    상기 픽스처에 체결된 힐링어버트먼트에 임프레션캡을 끼움결합시키고 인상재를 사용하여 인상을 채득하되 채득된 인상에 상기 임프레션캡이 매립된 상태가 되도록 하는 인상채득단계;An impression acquisition step of fitting an impression cap to the healing abutment fastened to the fixture and using the impression material to obtain an impression, but having the impression cap embedded in the obtained impression;
    선택된 힐링어버트먼트의 치수정보와, 상기 채득된 인상을 이용하여 픽스처 레벨의 구강모델을 제조하는 구강모델 제조단계; 및An oral model manufacturing step of manufacturing an oral model of a fixture level by using dimension information of the selected healing abutment and the obtained impression; And
    상기 구강모델에 적합한 치아보철물을 제조하는 치아보철물 제조단계;를 포함하는 치아보철물 제조방법.Dental prosthesis manufacturing step of manufacturing a dental prosthesis suitable for the oral model.
  2. 제 1 항에 있어서,The method of claim 1,
    상기 힐링어버트먼트 체결 단계는The healing abutment fastening step
    상기 힐링어버트먼트에 상기 임프레션캡을 끼우고, 상기 임프레션캡을 가이드 핸들로 사용한 후, 힐링어버트먼트를 체결한 후 상기 임프레션캡을 분리하는 것을 특징으로 하는 치아보철물 제조방법.Inserting the impression cap to the healing abutment, using the impression cap as a guide handle, after tightening the healing abutment, characterized in that for removing the impression cap.
  3. 제 1 항에 있어서,The method of claim 1,
    상기 구강모델 제조단계는The oral model manufacturing step
    상기 인상재에 매립된 임프레션캡에 선택된 힐링어버트먼트와 동일한 규격의 힐링어버트먼트 모델과, 픽스처에 대응하는 랩아날로그를 끼운후 구강모델을 제조하여, 제조된 구강모델에 픽스처에 대응하는 랩아날로그가 매립된 상태인 것을 특징으로 하는 치아보철물 제조방법.A lab analogue corresponding to the fixture is manufactured by inserting a healing abutment model of the same standard as the healing abutment selected in the impression cap embedded in the impression material and a lab analog corresponding to the fixture, and then manufacturing the oral model. Dental prosthesis manufacturing method characterized in that the buried state.
  4. 제 3 항에 있어서,The method of claim 3, wherein
    상기 랩아날로그와 상기 힐링어버트먼트 모델은 스크류로 체결된 상태에서 상기 임프레션캡에 끼워지고, 상기 임프레션캡에서 분리된 후, 상기 스크류를 제거하여 상기 힐링어버트먼트 모델과 랩아날로그를 분리하는 것을 특징으로 하는 치아보철물 제조방법.The lap analog and the healing abutment model are fitted to the impression cap in a fastened state with a screw, and after being separated from the impression cap, separating the healing abutment model and the lap analog by removing the screw. Dental prosthesis manufacturing method characterized in that.
  5. 제 1 항에 있어서,The method of claim 1,
    상기 치아보철물 제조단계는The dental prosthesis manufacturing step
    상기 치아보처물의 상기 힐링어버트먼트의 체결부와 하부몸체에 대응하는 부분이 상기 힐링어버트먼트와 동일한 형상을 가지도록 하는 것을 특징으로 하는 치아보철물 제조방법.And a portion corresponding to the fastening portion and the lower body of the healing abutment of the dental restoration to have the same shape as the healing abutment.
  6. 제 1 항에 있어서,The method of claim 1,
    상기 인상채득단계는The raise acquisition stage
    상기 임프레션캡이 인접치아에 간섭하여 상기 힐링어버트먼트에 완전한 체결이 어려운 경우,If the impression cap interferes with an adjacent tooth and it is difficult to completely tighten the healing abutment,
    상기 임프레션캡의 일부를 절단하여, 상기 힐링어버트먼트에 완전히 체결되도록 하는 것을 특징으로 하는 치아보철물 제조방법.Cutting a portion of the impression cap, the dental prosthesis manufacturing method characterized in that it is completely fastened to the healing abutment.
PCT/KR2013/008098 2013-08-28 2013-09-06 Method for manufacturing dental prosthesis by using healing abutment and impression cap capable of being fastened thereto WO2015030289A1 (en)

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