CROSS REFERENCE TO RELATED APPLICATIONS The present application claims priority and benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/156,198, filed Sep. 27, 1999.
BACKGROUND OF THE INVENTION 1. Field of the Invention
The present invention relates generally to dental implants and, more particularly, to an improved implant with an improved internal interlock for supporting other dental implant components with corresponding interlock structures.
2. Description of the Related Art
Implant dentistry involves the restoration of one or more teeth in a patient's mouth using artificial components. Such artificial components typically include a dental implant and a prosthetic tooth and/or a final abutment that is secured to the dental implant. Generally, the process for restoring a tooth is carried out in three stages.
Stage I involves implanting the dental implant into the bone of a patient's jaw. The oral surgeon first accesses the patient's jawbone through the patient's gum tissue and removes any remains of the tooth to be replaced. Next, the specific site in the patient's jaw where the implant will be anchored is widened by drilling and/or reaming to accommodate the width of the dental implant to be implanted. Then, the dental implant is inserted into the hole in the jawbone, typically by screwing, although other techniques are known for introducing the implant in the jawbone.
The implant itself is typically, fabricated from pure titanium or a titanium alloy. Such materials are known to produce osseointegration of the fixture with the patient's jawbone. The dental implant fixture also typically includes a hollow threaded bore through at least a portion of its body and extending out through its proximal end which is exposed through the crestal bone for receiving and supporting the final tooth prosthesis and/or various intermediate components or attachments.
After the implant is initially installed in the jawbone, a temporary healing cap is secured over the exposed proximal end in order to seal the internal bore. The patient's gums are then sutured over the implant to allow the implant site to heal and to allow desired osseointegration to occur. Complete osseointegration typically takes anywhere from four to ten months.
During stage II, the surgeon reassesses the implant fixture by making an incision through the patient's gum tissues. The healing cap is then removed, exposing the proximal end of the implant. Typically, an impression coping in attached to the implant and a mold or impression is then taken of the patient's mouth to accurately record the position and orientation of the implant within the mouth. This is used to create a plaster model or analogue of the mouth and/or the implant site and provides the information needed to fabricate the prosthetic replacement tooth and any required intermediate prosthetic components. Stage II is typically completed by attaching to the implant a temporary healing abutment or other transmucosal component to control the healing and growth of the patient's gum tissue around the implant site.
Stage III involves fabricating and placement of a cosmetic tooth prosthesis to the implant fixture. The plaster analogue provides laboratory technicians with a model of the patient's mouth, including the orientation of the implant fixture relative to the surrounding teeth. Based on this model, the technician constructs a final restoration. The final step in the restorative process is replacing the temporary healing abutment with the final restoration.
As mentioned above, the implant typically includes a hollow threaded bore for receiving and supporting the final tooth prosthesis and/or various intermediate components or attachments. The implant also typically includes anti-rotational means, which are typically located on the proximal end of the implant. These anti-rotational means are designed to mate with corresponding anti-rotational means formed on the various mating components (e.g., a healing abutments and/or an impression coping). These anti-rotational means primarily serve to prevent relative rotation between the mating component and the implant.
Such anti-rotational/indexing means frequently take the form of a hexagonal boss or recess (“hex”) formed on the proximal portion of the implant. For externally threaded implants, the hex may also be used to engage a driving tool for driving the implant into an internally threaded bore or osteotomy prepared in the patient's jawbone (mandible or maxilla). When the implant is fully installed in a patient's jawbone, the hex or other indexing means is typically exposed through the crestal bone so that accurate indexing may be provided between the implant and the final prosthesis and/or various intermediate mating prosthetic components.
SUMMARY OF THE INVENTION One aspect of the present invention includes the realization that prior art anti-rotational means typically include sharp corners. When the implant and mating component are subjected to a rotational force, these sharp corners are subject to high concentrations of stress. The high stress concentrations can cause the sharp corners to chip or wear away. This can cause the anti-rotational means to take on a circular shape, which reduces the ability of the anti-rotational means to resist rotation. The chipping or wearing away can also result in fitting errors between the implant and the mating components. In some cases, the high stress concentrations can also cause the implant to crack at or near the corners of the anti-rotational means thereby shortening the life of the implant.
Another aspect of the present invention includes the realization that prior art anti-rotational means typically offer little resistance to lateral forces. That is, prior art anti-rotational means typically do not prevent the mating component from “tipping” off the implant. Furthermore, prior art anti-rotational means typically provide little or no tactile feedback to the oral surgeon to indicate that the mating component is properly seated in the implant.
Yet another aspect of the present invention is the recognition that traditional anti-rotation means, such as a hexagonal recess, are difficult to machine. Specifically, a special reciprocating tool, such as a broach, typically must be used to form a hexagonal recess.
Accordingly, it is a principle object and advantage of the present invention to overcome some or all of the above-mentioned limitations in the prior art. Thus, one aspect of the present invention provides for a dental implant for supporting a dental prosthesis comprises a body portion and a top surface. The implant further comprises an internal cavity with an opening located at the top surface. The internal cavity comprises an interlock chamber having a depth measured from the top surface equal to a first distance. The interlock chamber comprising a cylindrical portion and plurality of semi-circular channels arranged around a periphery of the cylindrical portion. A threaded chamber that includes threads is located below the post-receiving chamber. The cylindrical portion has a first radius and the channels have a second radius, a ratio of the first radius to the second radius being between approximately 4:1. and 2:1.
Another aspect of the present invention provides for a prosthodontic assembly for installing a prosthetic tooth. The prosthodontic assembly comprises a first prosthodontic component and a second prosthodontic component. The first prosthodontic component comprising a body portion and a top surface. The first prosthodontic component further comprising an internal cavity with an opening located at the top surface. The internal cavity comprising an interlock chamber having a depth measured from the top surface equal to a first distance. The interlock chamber comprising a cylindrical portion with a plurality of semi-circular channels arranged around a perimeter of the cylindrical portion. A threaded chamber that includes threads is located below the interlock chamber. The cylindrical portion has a first radius and the channels have a second radius. A ratio of the first radius to the second radius is between approximately 4:1. and 2:1. The second prothodontic component comprising an interlock area comprising a plurality of semi-circular protrusions configured to mate with channels of the first prosthodontic component.
Yet another aspect of the present invention provides for a dental implant for supporting a dental prosthesis. The dental implant comprising a body portion and a top surface. The implant further comprising an internal cavity with an opening located at the top surface. The internal cavity comprising an interlock chamber having a depth measured from the top surface equal to a first distance. A threaded chamber that includes threads and is located below the post-receiving chamber. The interlock channel being formed as a single continues curve having substantially no internal corners.
Still yet another aspect of the present invention provides for a prosthodontic assembly for installing a prosthetic tooth. The prosthodontic assembly comprises a first prosthodontic component and a second prosthodontic component. The first prosthodontic component comprising a body portion and a top surface. The first prosthodontic component further comprising an internal cavity with an opening located at the top surface. The internal cavity comprising an interlock chamber having a depth measured from the top surface equal to a first distance. The interlock chamber being formed as a single continues curve having substantially no internal corners. A threaded chamber that includes threads is located below the post-receiving chamber. The second prothodontic component comprising an interlock area having a shape that corresponds to the shape of the interlock chamber.
For purposes of summarizing the invention and the advantages achieved over the prior art certain objects and advantages of the invention have been described herein above. Of course, it is to be understood that not necessarily all such objects or advantages may be achieved in accordance with any particular embodiment of the invention. Thus, for example, those skilled in the art will recognize that the invention may be embodied or carried out in a manner that achieves or optimizes one advantage or group of advantages as taught herein without necessarily achieving other objects or advantages as may be taught or suggested herein.
All of these embodiments are intended to be within the scope of the invention herein disclosed. These and other embodiments of the present invention will become readily apparent to those skilled in the art from the following detailed description of the preferred embodiments having reference to the attached figures, the invention not being limited to any particular preferred embodiment(s) disclosed.
BRIEF DESCRIPTION OF THE DRAWINGS These and other features of this invention will now be described with reference to the drawings of a preferred embodiment which is intended to illustrate and not to limit the invention. The drawings contain the following figures
FIG. 1A is a side view of a dental implant having certain feature and advantages according to the present invention;
FIG. 1B is a top plan view of the dental implant ofFIG. 1A;
FIG. 1C is a cross-sectional view of the dental implant ofFIG. 1A;
FIG. 1D-F are side views of the dental implant ofFIG. 1A inserted into a patient's jawbone at different depths;
FIG. 2A is a side view of an abutment having certain features and advantages according to the present invention;
FIG. 2B is a detail view of the abutment ofFIG. 2A;
FIG. 2C is a top plan view of the abutment ofFIG. 2A;
FIG. 2D is a bottom plan view of the abutment ofFIG. 2A;
FIG. 3A is a cross-sectional view of a coupling screw having certain features and advantages according to the present invention;
FIG. 3B is a top plan view of the coupling screw ofFIG. 3A;
FIGS.4A-C are schematic illustrations of preferred shapes of the interlock regions of the dental implant ofFIG. 1A and the mating abutment ofFIG. 2A;
FIG. 5A is a side view of a final abutment having certain features and advantages according to the present invention;
FIG. 5B is a front view of the final abutment ofFIG. 4A;
FIG. 5C is a bottom plan view of the final abutment ofFIG. 4A.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTFIGS. 1A-1C illustrate a preferred embodiment of adental implant10 having certain features and advantages in accordance with the present invention. As will be explained below, theimplant10 is configured to receive and support one or more dental attachments or components such as, for example, healing caps, impression copings, temporary abutments, and permanent abutments. Theimplant10 is preferably made of a dental grade titanium alloy, although other suitable materials can be used.
As best seen inFIG. 1A, the outer surface of theimplant10 preferably includes abody portion12, aneck14, and acollar16. Thebody portion12 of theimplant10 is preferably tapered and includesthreads18 that match preformed threads made along the inner surface of the patient's jawbone (not shown). However, it should be appreciated that thebody portion12 can be configured so as to be self-tapping. It should also be appreciated that although the illustratedbody portion12 is tapered or conical, thebody portion12 could also be substantially cylindrical. Finally, thebody portion12 could be unthreaded if the surgeon prefers to use an unthreaded implant.
Thebody portion12 of theimplant10 is also preferably acid-etched. Acid-etching produces a rougher surface, which increases the surface area of thebody portion12. The increased surface area promotes osseointegration. Alternatively, thebody portion12 of the implant can be coated with a substance that increases the surface area of thebody portion12. Calcium phosphate ceramics, such as tricalcium phosphate (TCP) and hydroxyapatite (HA), are particularly suitable materials.
As best seen inFIG. 1C, theneck14 lies between thebody portion12 and thecollar16. Theneck14 preferably has a diameter that is less than the diameter of thecollar16. Thecollar16 of the implant is substantially cylindrical and has atop surface24 that is substantially flat. Thecollar16 is defined in part by avertical side wall26 that is preferably greater than 1 millimeter in length. In the preferred embodiment, the length of the collar is approximately 2 millimeters.
Theneck14 and thecollar16 form a “variable placement zone”. The length and configuration the variable placement zone allows for “variable positioning” of thedental implant12. That is, the surgeon can vary the height of theimplant10 with respect to the crest of the jawbone. For example, as shown inFIG. 1F, theimplant10 can be placed supra-crestally (i.e., thetop surface24 of theimplant10 is positioned above thecrest27 of the jawbone29) without exposing thethreads18 of thebody region12. In this arrangement thecollar16 extends through the gums and acts as the temporary healing abutment thereby saving the surgeon and the patient time and money by eliminating stage II surgery. Alternatively, the surgeon can place thetop surface24 of theimplant10 level with the alveolar crest (i.e., the tooth socket in the jawbone) for esthetics (seeFIG. 1E). In yet another alternative arrangement, the surgeon can submerge thecollar16 into the jawbone such that thetop surface24 lies flush with the crest of the jawbone (seeFIG. 1D). In this arrangement, the surgeon can utilize the standard three stage process described above.
It should, however, be noted that several advantages of the present invention can be achieved with animplant10 that (i) does not include a variable placement zone or (ii) includes variable placement zone that is smaller or larger than the preferred embodiment. For example, several advantages of the present invention can be achieved with an implant without theneck14 and/or thecollar16. Similarly, theneck14 and/orcollar16 can have dimensions that are smaller or larger than the illustrated embodiment. However, the illustrated embodiment, with theneck region14 andcollar16, is preferred because it best allows for the flexibility described above.
As best seen inFIG. 1C, theimplant10 includes aninternal socket28. Thesocket28 includes a threadedchamber30 and aninterlock chamber34. The threadedchamber30 is threaded and preferably has a diameter that is less than theinterlock chamber34.
With reference toFIGS. 1B and 1C, theinterlock chamber34 includes a substantiallycylindrical portion35. Theinterlock chamber34 also includes a plurality ofchannels36, which prevent the rotation of a dental component. Preferably, theinterlock chamber34 includes threesemicircular channels36, which are arranged along the periphery of thecylindrical portion35. More preferably, eachchannel36 is located approximately 120 degrees apart from each other. Thechannels36 preferably extend from thetop surface24 to the bottom37 of thecylindrical portion35. That is, thechannels36 have the same depth as thecylindrical portion35.
Thecylindrical portion35 has a first radius R1 and thesemi-circular channels36 have a second radius R2. The ratio α1of the first radius R1 to the second radius R2 preferably is between 2:1 and 4:1. In the preferred embodiment the ratio α1is about 3:1. This arrangement is preferred to minimize the stress concentrations in thedental implant10, as will be explained below. To reduce stress concentrations further, theinterfaces39 between thechannels36 and thecylindrical portion35 are preferably rounded.
Theinterlock chamber34 is preferably dimensioned to be as large as possible without significantly compromising the structural integrity of thevertical side wall26. This arrangement is preferred because it increases the surface area of theinterlock chamber34. The larger surface area results in a more stable connection between theimplant10 and the mating dental component. Accordingly, theinterlock chamber34 has a third radius R3, which is approximately equal to the first radius R1 plus the second radius R2. The third radius R3 is sized such that the thickness T1 (i.e., the radius R4 of the implant minus R3) of thevertical wall26 is greater than a minimum value, which provides sufficient structural integrity for theimplant10. For an implant made of dental grade titanium alloy, the preferably minimum value is approximately 0.4-0.8 millimeters. Another preferred aspect of the shape of theinterlock chamber34 is the ratio between the radius R4 of theimplant10 and the radius R2 of thechannels36. More specifically, the ratio between the radius R4 of the implant and the radius R2 of thechannels36 is preferably between 4:1 to 5:1. In the preferred embodiment, the ratio is about 4.5:1.
Theinternal socket28 also preferably includes apost-receiving chamber32, which lies between theinterlock chamber34 and the threadedchamber30. Thepost-receiving chamber32 is preferably substantially cylindrical. The diameter of thepost-receiving chamber32 is preferably less than the diameter of theinterlock chamber34. The post-receiving chamber also preferably includes a chamferedregion37, which is adjacent the threadedchamber30.
One aspect of the present invention is that theimplant10 provides significant resistance to lateral (i.e., “tipping”) forces. Accordingly, theinterlock chamber34 preferably has a depth D1 as measured from thetop surface24 that is greater than about 1 millimeter (seeFIG. 1C). In the preferred embodiment, the interlock chamber has a depth of approximately 1.5 millimeters. Moreover, thepost-receiving chamber32 preferably has a depth D2 of greater than about 3 millimeters. In the preferred embodiment, the post-receiving chamber has a depth of approximately 4.0 millimeters.
FIGS. 2A-2D illustrates a dental component configured to mate with theimplant10 described above. The illustrated dental component is anabutment38. As will be explained below, theabutment38 can be formed into a variety of dental components, such as, for example, a healing cap, impression coping, a temporary healing abutment, and a final abutment. Preferably, theabutment38 is made of dental grade titanium; however, other suitable materials such as plastic can be used.
As best seen inFIG. 2A, the outer surface of theabutment38 includes anupper region40, acurved region42, aninterlock region44, and apost46. In the illustrated embodiment, theupper region40 is substantially smooth, cylindrical and has atop surface48 that is substantially flat. Thecurved region42 connects theupper region40 to abottom surface50, which is substantially flat.
The illustrated shape of theabutment32 can be used as an healing abutment, which is typically used during the second healing period to shape the patient's gums. However, as mentioned above, theabutment38 can be modified or otherwise formed into many different types of dental components. Therefore, it should be appreciated that the upper andcurved regions40,42 of the abutment can be formed into any desirable shape.
As best seen inFIG. 2A, aninner bore52 extends through the center of theabutment38. Theinner bore52 is preferably divided into a first andsecond region54,56. Thefirst region54 has a diameter that is slightly larger than the diameter of thesecond region56. Accordingly, aseat59 is formed between the first andsecond regions54,56. Theseat59 supports a bolt60 (seeFIG. 3A), which will be described below. Thesecond region56 preferably includes internal capture threads62 that are preferably double threaded.
With continued reference toFIG. 2A, thebottom surface50 is substantially flat and has a diameter approximately equal to the diameter of thetop surface24 of theimplant10. Extending from thebottom surface50 is theinterlock region44, which is configured to fit within theinterlock chamber34 of theimplant10. Accordingly, as best seen inFIGS. 2B and 2D, theinterlock area38 includes a substantially cylindrical portion63. Theinterlock area38 also includesprotrusions64, which are configured to fit within thechannels36 of the implant. Accordingly, in the preferred embodiment, theprotrusions64 are arranged around the perimeter of the interlock area at approximately 120 degrees.
Below theinterlock area44 is thepost46. Thepost46 is preferably substantially cylindrical and is configured to fit within thepost-receiving chamber32 of the implant.
Tuning now toFIGS. 3A and 3B, thecoupling screw60 mechanically couples theabutment38 to theimplant10. Thecoupling screw60 is also preferably made of a dental grade titanium alloy; although other suitable materials can be used. Thecoupling screw60 is sized and dimensioned to extend through theinner bore52 of theblank abutment38 and into thesocket28 of theimplant10. Thecoupling screw60 has an externally threadedlower region68 that passes through the internal capture threads62 of theabutment38 and engages the threadedchamber30 of theimplant10. Thethreads68 ofcoupling screw60 engage the capture threads62 so that thecoupling screw60 does not become disassociated as theabutment38 is transferred and fitted to the patient's mouth.
The coupling screw also preferably includes ahexagonal recess70 located on atop surface72 of thescrew60. Thehexagonal recess70 allows for the insertion of a hexagonally shaped tool such as a conventional Allen® wrench to remove thecoupling screw60 from theimplant body10.
As mentioned above, during stage I surgery, thedental implant10 is typically inserted into a pre-made hole formed in the patient's jawbone. A driving tool (not shown) is typically used to screw the implant into the pre-made hole. Accordingly, a distal end of the driving tool is preferably configured to mate with theinterlock chamber34 of theimplant10. That is, the distal end of the driver is preferably configured substantially the same as theinterlock region44 of theabutment38 described above. When the driving tool is mated to theimplant10, the distal end of driver can be used to transmit torque to the implant through theinterlock chamber34 so as to drive theimplant10 into the pre-made hole. If theimplant10 is self-tapping, a particularly large amount of torque is required to drive theimplant10 into the bone. For conventional implants with hexagonal recesses, this large amount of torque can cause the implant to crack at the apexes of the hexagonal recesses. This reduces the strength of the implant and can cause fluids and bacteria to enter the implant.
An advantage of the illustratedimplant10 andmating abutment38 is that when subjected to rotational forces the stress concentrations in theimplant10 and theabutment38 are minimized. Stress concentrations refer to areas of large stress caused by geometric discontinuities (i.e., stress risers) and/or the application of large loads over a small area or at a point (e.g., at a corner or apex). Areas of large stress concentrations are often the starting point of material damage, which can ultimately lead to material failure by fracture (i.e., cracking). Thus, by minimizing stress concentrations, the durability of theimplant10 and theabutment38 can be increase. The reduction in stress concentration derives from the particular preferred shape of theinterlock chamber34 of theimplant10 and themating interlock region44 of theabutment38.
FIGS.4A-C are schematic representations of theshape78 of theinterlock chamber34 and theinterlock region44.FIG. 4A compares theshape78 to atriangle79. As seen inFIG. 4A, theshape78 of the interlock region is in the form of an elliptically modifiedtriangle79. That is, the apexes and sides of the triangle are substantially rounded. As shown inFIGS. 4B and 4C, theshape78 provides a smooth transition from the apex82 to thesides80. Accordingly, some of the anti-rotational stress is distributed away from theapexes82 towards the relativelyflatter side walls80. These features help to reduce stress concentrations. Therefore, theinterlock regions34,44 of theimplant10 and the blank abutment38 (particularly thechannels36 and theprotrusions64 are less likely to chip and wear away as compared to prior art anti-rotational means. Moreover, theimplant10 is less likely to crack as compared to implants with hexagonal recesses, which tend to crank at the apexes of the hexagonal recess when subjected to large rotational loads (e.g., when a self-tapping implant is being threaded into the patient's jawbone).
Another advantage of the illustrated arrangement is that theabutment38 and theimplant10 offer improved resistance to lateral or “tipping” forces. This improved resistance to lateral forces is due primarily to the depth of theinterlock chamber34 and thepost-receiving chamber32. The improved resistance to lateral forces also prevents thecoupling screw60 from loosening, thereby virtually eliminating movement between theimplant10 and theabutment38.
Yet another advantage of the illustrated arrangement is that the interlock chamber of theimplant10 can be machined using a conventional end mill. That is, because of circular shape of thecylindrical portion35, it can be machined with a conventional end mill. Moreover, the semi-circular channels can also be machined with a conventional end mill. This reduces the complexity of manufacturing especially as compared to the machining of a conventional hexagonal recess, which typically requires a reciprocating tool, such as, for example, a broach.
The illustrated arrangement of theimplant10 andabutment38 also provides improved tactile confirmation that theblank abutment38 is properly seated on theimplant10. That is because of the depth of thepost-receiving chamber32, the oral surgeon can feel theabutment38 engaging theimplant10. This tactile confirmation is especially important for posterior prosthetics where visibility and working space are often compromised.
FIGS. 5A-5C illustrate afinal abutment86 having certain features and advantages according to the present invention. Thefinal abutment86 is preferably made from a dental grade titanium allow, although other suitable materials can be use. Thefinal abutment86 can also be machined from theabutment38 ofFIGS. 2A-2D.
Thelower region87 of thefinal abutment86 is substantially identical to the lower region of theblank abutment38 described above. Accordingly, thelower region87 comprises alower surface50, aninterlock region44 withprotrusions64, and apost46. As with theblank abutment38, theinterlock region44 withprotrusions64, and thepost46 that are sized and dimensioned to fit within theinterlock chamber34 andpost-receiving chamber32 of theimplant10.
Down the center of thefinal abutment54 is anbore48. Theinner bore48 is preferably divided into two regions: afirst chamber50 and asecond region52. Preferably, the diameter of thefirst chamber50 is slightly larger than thesecond chamber52. A screw passes through thescrew receiving chamber50 and engages the threads of the threadedregion52 and the first chamber22 of theimplant10. Accordingly, thefinal abutment54 can be permanently attached to the implant. Alternatively, thefinal abutment54 could be cemented to theimplant10 using methods well known in the art.
Theupper surface88 of thefinal abutment86 is formed to receive a prosthetic tooth. Accordingly, the prosthetic tooth (not shown) has an inner surface configured such that the prosthetic tooth can fit over thefinal abutment86. The prosthetic tooth is typically cemented to thefinal abutment86.
Although this invention has been disclosed in the context of certain preferred embodiments and examples, it will be understood by those skilled in the art that the present invention extends beyond the specifically disclosed embodiments to other alternative embodiments and/or uses of the invention and obvious modifications and equivalents thereof. In addition, while a number of variations of the invention have been shown and described in detail, other modifications, which are within the scope of this invention, will be readily apparent to those of skill in the art based upon this disclosure. It is also contemplated that various combination or subcombinations of the specific features and aspects of the embodiments may be made and still fall within the scope of the invention. Accordingly, it should be understood that various features and aspects of the disclosed embodiments can be combine with or substituted for one another in order to form varying modes of the disclosed invention. Thus, it is intended that the scope of the present invention herein disclosed should not be limited by the particular disclosed embodiments described above, but should be determined only by a fair reading of the claims that follow.