U.S. patent number 3,905,109 [Application Number 05/453,711] was granted by the patent office on 1975-09-16 for dental implant member.
This patent grant is currently assigned to Crysta-Dent, Inc.. Invention is credited to Bernard D. Cohen, Abraham Zeewy.
United States Patent |
3,905,109 |
Cohen , et al. |
September 16, 1975 |
Dental implant member
Abstract
A dental implant member for supporting and stabilizing crowns,
bridges, or the like, having a threaded portion to be received in
the alveolar bone, a cylindrical section to be embraced by
periodontal tissue, and a conical frustum section to be received in
a suitable opening in the crown, terminal pontic of a bridge, or
the like.
Inventors: |
Cohen; Bernard D. (Cleveland,
OH), Zeewy; Abraham (Cleveland, OH) |
Assignee: |
Crysta-Dent, Inc. (Cleveland,
OH)
|
Family
ID: |
23801737 |
Appl.
No.: |
05/453,711 |
Filed: |
March 22, 1974 |
Current U.S.
Class: |
433/174 |
Current CPC
Class: |
A61C
8/0075 (20130101); A61C 8/0022 (20130101); A61C
8/0089 (20130101) |
Current International
Class: |
A61C
8/00 (20060101); A61C 013/00 () |
Field of
Search: |
;32/1A |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Peshock; Robert
Claims
Having thus disclosed our invention, We claim:
1. A dental implant member formed of a generally cylindrical body
consisting of
a. a threaded portion adapted to lie in bone having upper and lower
ends, said threaded portion defined by a plurality of thread
convolutions terminating radially of said body in thread crest and
separated axially along said body by thread flanks, and
b. a shank portion having an upper end, and a lower end coterminus
with the upper end of said threaded portion, said shank portion
consisting of:
i. a cylindrical section adapted to lie in tissue defining the
lower end of said shank portion and extending upwardly a distance
of at least about .5 mm. from the terminus of the upper thread
flank of the uppermost thread convolution defining said threaded
portion, the periphery of said cylindrical section and said thread
crest lying in a plane parallel to the axis of said generally
cylindrical body thereby providing a smooth transition from
threaded portion to cylindrical section, essentially constant in
radius of curvature, at the location on the installed implant
member, which is surrounded by the juncture between bone and
tissue, and
ii. a conical frustum section having its base coterminus with the
upper end of said cylindrical section.
2. The dental implant of claim 1 formed of a ceramic composition
comprising at least about 95 wt. % aluminum oxide.
3. The dental implant member defined in claim 1 further comprising
means formed in said conical frustum section for drivingly
connecting said dental implant member with an insert tool.
4. The dental implant defined in claim 3 wherein said last
mentioned means comprises a pair of opposed, generally flat,
parallel faces.
Description
This invention relates to the field of dental prosthetics, and more
particularly, to an improvement in dental implant members.
BACKGROUND OF THE INVENTION
Implantology involves the embedment of one or more artificial
support and stabilizing implant members in the alveolar bone
portion of the jaw to act as an artificial root for a prosthetic
tooth, e.g., a crown, or a series of connected prosthetic teeth,
e.g., a bridge.
This technique is to be distinguished from the conventional crown
procedure wherein the ground-down stub of a viable tooth is used as
the support structure.
The implantology technique is to be distinguished, also, from the
conventional technique for preparing a bridge wherein the
prosthetic device is clamped to adjacent sound tooth structure for
support and stabilization.
In general, an implant member will be employed to support a crown
where the stub of a natural tooth is not available, and it will be
used to support a bridge where it is not possible or is undesirable
to anchor the prosthetic device to the natural tooth next adjacent
to the gap to be bridged, and where such a natural tooth is
absent.
The use of implant members enables the dentist to develop
prosthetic devices which are self-contained, and self-supporting,
and which do not require the presence of adjacent natural teeth.
Further, prosthetic devices supported by implant members are
generally lighter in weight than varieties which are supported by
adjacent natural teeth, more comfortable to wear, and are
aesthetically more pleasing since they are free of visible metal
clamps and the like.
A variety of dental implant members have been proposed and
experimented with. These include devices in the forms of blades,
pins, screws and the like. For one reason or another, none of these
devices has as yet met with substantial commercial success. For
example, blade-shaped implant members require extensive surgery to
install, and this is accompanied, necessarily, by substantial
trauma. Pins, although easier to install, frequently provide
inadequate long term support and stabilization because of their
relatively small cross-section and poor anchoring ability.
In some respects, the screw-type implant members have the
capability of providing a reasonable compromise between the blade
and pin-type implant members. They provide better anchoring than do
pin implant members, and can be installed with far less extensive
surgery and attendant trauma associated with blade-type
inserts.
However, the screw-type insert members developed to date have not
lived up to their potential. One of the problems associated with
prior art screw-type implant members is that they tend to promote
irritation, inflammation and infection of the periodontal tissue.
This is believed to be due at least in part to the manner in which
the implant members are designed in the area in which they contact
the periodontal tissue. A contributing factor may be tissue
rejection of the material forming the implant member.
Another problem associated with prior art screw-type implant
members is that consideration has not been given to designing their
shank portions to accommodate crowns and bridges in a manner which
allows for proper fit. Failure to do so can result in non-axial
stresses being applied to the implant members, for example, through
chewing. The resultant stresses can effect a loosening of the
implant member and eventual failure of the crown or bridge it
supports.
SUMMARY OF THE INVENTION
It is a principal object of the present invention to overcome the
foregoing problems by providing an improved dental implant member
of the screw-type which will not irritate periodontal tissue, and
which, in general, will provide a stronger and sturdier support
structure for dental prosthetics than screw-type implant members of
the prior art. This can be accomplished with nominal clinical
instrumentation used to perform a simplified surgical technique
with minimal trauma resulting.
In accordance with the present invention, there is provided a
dental implant member formed of a generally cylindrical body,
comprising a threaded portion having upper and lower ends. The
threaded portion is defined by a plurality of thread convolutions
terminating radially of the body in thread crests, and separated
axially along the body by thread flanks.
The implant member is further provided with a shank portion having
an upper end, and a lower end coterminus with the upper end of the
threaded portion.
The shank portion comprises a cylindrical section defining the
lower end of the shank portion and extending upwardly a distance
within the range of from about 0.5 to about 1.5 mm. or greater, but
preferably about 1 mm. from the terminus of the upper thread flank
of the uppermost thread convolution defining the threaded portion
of the implant member. The periphery of the cylindrical section and
the thread crests are designed to lie in a plane parallel to the
axis of the generally cylindrical body of which the implant member
is formed.
Finally, the shank portion further comprises a conical frustum
section having its base coterminus with the upper end of the
cylindrical section of the shank portion of the implant member. As
described more fully hereinafter, the conical frustum section is
provided with means for drivingly connecting the implant member
with an inserting tool.
In accordance with a further aspect of the present invention, the
dental implant member is formed of a ceramic composition comprising
at least about 95 wt. % aluminum oxide. This material is preferred
due to its inertness and its compatibility with living tissue.
An important feature of the invention is the provision of the shank
portion of the implant member with a cylindrical section. When the
implant member is screwed into the alveolar bone, the cylindrical
section of the shank portion comes to rest in the plane of the
periodontal tissue, which is then able to conform itself smoothly
and uniformly to the constant radius of curvature of the said
cylindrical section.
Another important feature of the invention is the provision that
the thread crests and the periphery of the cylindrical section lie
in a plane parallel to the axis of the generally cylindrical body
from which the implant member is formed. This provides a smooth
transitional section of implant member, essentially constant in
radius of curvature, at the juncture of alveolar bone and
periodontal tissue. This eliminates sharp points and corners which
may act as sources of irritation and inflammation to the
periodontal tissue.
Another important feature of the invention is the provision of a
conical frustum section on the shank portion, which coacts with a
generally cylindrical opening in a crown or terminal pontic of a
bridge, to permit the prosthetic device to be canted or angled to
provide the best fit and minimize non-axial stresses in the implant
member which would ultimately weaken its anchorage in the alveolar
bone.
BRIEF DESCRIPTION OF THE DRAWINGS
Referring now to the drawings wherein like reference numerals
indicate like parts of the various views:
FIG. 1 is a pictorial schematic view of a dental implant member of
the present invention;
FIG. 2 is a schematic cross-sectional view of a fragment of a jaw
into which has been set a six-pontic bridge in which the terminal
pontics are supported by implant members of the present
invention;
FIG. 3 is a schematic cross-sectional view of a crown installed
with an implant member of the present invention;
FIG. 4 is a pictorial schematic fragmentary view of a jaw into
which a hole is about to be drilled;
FIG. 5 is a pictorial schematic fragmentary view of a jaw having a
drilled hole which is about to be tapped; and
FIG. 6 is a pictorial schematic fragmentary view of a jaw into
which an implant member has been screwed, using an insert tool.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring now to the drawings, FIG. 1 illustrates dental implant
member A formed of a generally cylindrical body, and comprising
threaded portion B and shank portion C.
Threaded portion B has upper and lower ends 10, 12 respectively,
and is defined by a plurality of threaded convolutions terminating
radially of the cylindrical body in thread crests 14, and
separately axially along the body by thread flanks 16.
Shank portion C has an upper end 18 and a lower end coterminus with
upper end 10 of threaded portion B.
Shank portion C further comprises cylindrical section 20 defining
the lower end of the shank portion and extending upwardly a
distance within the range of from about 0.5 to about 1.5 mm. or
greater, but preferably about 1 mm., from terminus 22 of upper
thread flank 16 of the uppermost thread convolution defining
threaded portion B. Shank portion C further comprises conical
frustum section 24 having its base coterminus with the upper end of
cylindrical section 20.
Upper end 18 of shank portion C is provided with means for
drivingly connecting the implant member with an insert tool (see
FIG. 6), which, in the embodiment illustrated in FIG. 1, takes the
form of opposed, generally flat, parallel faces 26.
Referring to FIG. 2, there is illustrated a portion of a jaw,
designated generally as 30, comprising periodontal tissue 32 and
alveolar bone 34.
Mounted in the jaw is bridge 28 comprising interconnected pontics
36, 38, 40, 42, 44, 46.
Terminal pontics 36, 46 are provided, respectively, with generally
cylindrical bores 48, 50 into which conical frustum sections 24 of
implant member A are set in suitable cement 52.
It will be noted that cylindrical section 20 of the shank portion
of implant member A is generally coplanar with periodontal tissue
32. This provides the tissue with a smooth, uniform surface of
constant radius of curvature to lie against, minimizing the chances
of irritation developing. Essentially, the entire length of the
threaded portion B of the implant member is embedded in alveolar
bone 34.
It should be particularly noted that in order to provide a proper
fit for bridge 28, conical frustum section 24 is generally centered
within cylindrical bore 48 of terminal pontic 38, while conical
frustum section 24, upon which terminal pontic 46 is mounted, is
disposed eccentrically within cylindrical bore 50. If not for the
ability to accommodate the alignment of the terminal pontics on
their respective implant members, undue stresses would be set up in
the implant members which would ultimately weaken their anchorage
in alveolar bone 34.
FIG. 3 illustrates the mounting of crown 54, a single tooth
prosthetic device, on implant member A. It will be seen from this
illustrated embodiment that the implant member of the present
invention can be used to support and stabilize a single tooth
prosthetic device as well as a bridge as described above.
The implant members may be formed of any of a variety of different
materials so long as they are sufficiently strong to meet the
support and stabilizing demands placed upon the insert and are
inert to the environment in which the inserts are to be placed.
Among the useful materials are synthetic organic resins, with and
without structural fillers and reinforcement; metals and alloys;
and ceramic compositions. Vitallium, a commercially available
cobalt-based alloy, is a suitable metallic material for use in
practicing the invention. Useful ceramic materials will contain at
least 95 wt. % aluminum oxide and preferably at least about 96 wt.
% aluminum oxide. A useful commercially available ceramic material
is sold under the trademark Degussit (believed to contain about
99.5 wt. % aluminum oxide) manufactured by Degussa, a German
company.
The method of installing a dental implant member of the invention
is pictorially illustrated in FIGS. 4-6.
Referring to FIG. 4, after periodontal tissue 32 is reflexed, drill
bit 56, driven by suitable means not illustrated, is lowered into
alveolar bone 34 to a depth corresponding approximately to the
length of the threaded portion of the implant member to be
installed. A suitable stop means, such as sleeve 57 illustrated in
FIG. 4, may be attached to drill bit 56 to mark the desired depth.
The diameter of drill bit 56 should be slightly less than the
diameter of the cylindrical body from which the implant member is
formed. For example, if the diameter of the cylindrical body is
0.134 inch, the diameter of the drill is conveniently 0.125
inch.
After the hole has been drilled and the drill bit removed, the hole
is then tapped with tap 58 to which insert tool 60 is drivingly
connected, as illustrated in FIG. 5. The diameter of the tap should
be slightly larger than the diameter of the cylindrical body
forming the implant member. Thus, where the cylindrical body is
0.132 inch in diameter, a suitable tap would have a diameter of
0.138 inch.
After the hole has been tapped and the tap removed, dental implant
member A, as illustrated in FIG. 6, is then inserted in the hole
and screwed into place with insert tool 60 which, for the sake of
convenience, is the same tool used to drive tap 58. Tool 60 is
provided with flats 62 which are suitably dimensioned to snugly fit
against surfaces 26 formed in the conical frustum section of dental
implant member A (The same flats 62 fit snugly against surfaces 26a
formed in the shank portion of tap 58, as illustrated in FIG. 5).
The reflexed periodontal tissue is then returned to its normal
position and stitched as may be necessary to close the
incisions.
After the one or more implant members have been installed and the
incisions permitted to heal, the prosthetic device, be it a crown
or bridge, is then installed using a suitable cement as illustrated
in FIGS. 2 and 3.
Modifications of the implant member illustrated in the preferred
embodiment will readily suggest themselves to those skilled in the
art. For example, surfaces 26 may be replaced with a variety of
other means for accepting suitably designed insert tools, e.g., a
slotted head, or a transaxial bore through frustum conical section
24.
It will also be understood that in the practice of the present
invention, it is contemplated that dental implant members of
varying lengths and diameters will be required to satisfy a full
range of implant conditions. For purposes of illustration only, and
without intending to limit the scope of the invention, a typical
implant member will have the following dimensions:
LENGTH Shank Portion .315 in. Cylindrical Section .040 in. Threaded
Portion .394 in. DIAMETER (OVERALL) .134 in. THREADED PORTION
Thread pitch 20 Major diameter .134 in. Minor diameter .102 in.
Width of flat at crest .008 in. Leading flank angle 45.degree.
Trailing flank angle 14.degree. 30'
While the invention has been described with reference to certain
specific embodiments, neither the embodiments illustrated nor the
terminology employed in describing them is intended to be limiting;
rather it is intended that the scope of the invention be limited
only by the terminology of the appended claims.
* * * * *