ES1218143U - STRAWBERRY FOR THE TREATMENT OF PERIMPLANTITIS - Google Patents
STRAWBERRY FOR THE TREATMENT OF PERIMPLANTITIS Download PDFInfo
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- ES1218143U ES1218143U ES201831235U ES201831235U ES1218143U ES 1218143 U ES1218143 U ES 1218143U ES 201831235 U ES201831235 U ES 201831235U ES 201831235 U ES201831235 U ES 201831235U ES 1218143 U ES1218143 U ES 1218143U
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- strawberry
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- periimplantitis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0089—Implanting tools or instruments
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- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & 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)
- Dental Prosthetics (AREA)
Abstract
1. Fresa para el tratamiento de la periimplantitis, que es un cuerpo alargado respecto a un eje (X), y que tiene un extremo conformado (es decir adecuado en tamaño y forma) para acoplarse a una herramienta rotatoria para hacer girar la fresa alrededor del eje (X), caracterizado porque el otro extremo de la fresa tiene forma circunferencial y está dispuesto de forma coaxial con el eje (X), y el extremo circunferencial está conformado como elemento de corte en sentido axial respecto al eje (X), y porque la fresa además tiene una cavidad accesible por el centro del extremo circunferencial y que tiene un tamaño adecuado para recibir un implante dental.1. Drill for the treatment of peri-implantitis, which is an elongated body with respect to an axis (X), and which has an end shaped (i.e. suitable in size and shape) to engage a rotary tool to rotate the drill around of the axis (X), characterized in that the other end of the cutter has a circumferential shape and is arranged coaxially with the axis (X), and the circumferential end is shaped as a cutting element in the axial direction with respect to the axis (X), and in that the drill also has a cavity accessible through the center of the circumferential end and which is of a suitable size to receive a dental implant.
Description
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FRESA PARA EL TRATAMIENTO DE LA PERIMPLANTITISSTRAWBERRY FOR THE TREATMENT OF PERIMPLANTITIS
D E S C R I P C I O ND E S C R I P C I O N
Objeto de la invencionObject of the invention
La presente invencion se refiere en general a instrumental para implantologiaThe present invention relates generally to instruments for implantology
oral.oral.
Mas concretamente, la invencion se refiere a una fresa para del tratamiento de la enfermedad periimplantaria, mediante la modification y/o descontaminacion de defectos circunferenciales en la superficie de los implantes dentales osteointegrados, fabricados en titanio u otras aleaciones metalicas.More specifically, the invention relates to a milling cutter for the treatment of peri-implant disease, by modifying and / or decontaminating circumferential defects on the surface of osseointegrated dental implants, made of titanium or other metal alloys.
Un objeto de la invencion es el de proporcionar una fresa que mejora el resultado del tratamiento de la enfermedad periimplantaria y la supervivencia del implante dental, mediante una adecuada elimination mecanica de la capa mas externa de la superficie del implante, manteniendo su conformation macroscopica y con ello buena parte de sus propiedades mecanicas.An object of the invention is to provide a milling cutter that improves the result of the treatment of peri-implant disease and the survival of the dental implant, by means of an adequate mechanical elimination of the outermost layer of the implant surface, maintaining its macroscopic conformation and with This is a good part of its mechanical properties.
Estado de la tecnicaState of the art
La experiencia acumulada en las ultimas decadas, apoyada por numerosos estudios cientificos, han hecho de los implantes dentales osteointegrados una option terapeutica predecible para la sustitucion de dientes perdidos, llegando a considerarse esta tecnica como de primera election muchas situaciones clmicas. Esto ha llevado al crecimiento exponencial de implantes dentales colocados en el mundo, con el consiguiente aumento del numero de complicaciones derivadas de esta alternativa terapeutica que se observan en los consultorios odontologicos.The experience accumulated in the last decades, supported by numerous scientific studies, have made osteointegrated dental implants a predictable therapeutic option for the replacement of lost teeth, and this technique is considered as first choice in many clinical situations. This has led to the exponential growth of dental implants placed in the world, with the consequent increase in the number of complications derived from this therapeutic alternative observed in dental offices.
La complication biologica mas frecuente es la periimplantitis causada por placa bacteriana (inflamacion cronica de los tejidos de soporte del implante, que implica perdida de hueso en la vecindad del implante, comprometiendo su soporte, y conduciendo a la perdida o explantacion de la fijacion en ausencia de tratamiento.The most frequent biological complication is peri-implantitis caused by bacterial plaque (chronic inflammation of the implant support tissues, which involves loss of bone in the vicinity of the implant, compromising its support, and leading to loss or explantation of the fixation in the absence of treatment.
En la actualidad no existe un protocolo de tratamiento de la periimplantitis considerado unanimemente superior al resto en funcion de sus resultados clmicos. LaAt present there is no protocol for the treatment of periimplantitis considered unanimously superior to the rest, depending on its chemical results. The
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mayoria de estos protocolos se basan en la traslacion de los conocimientos y tecnicas aplicados al tratamiento de la periodontitis (enfermedad de caracteristicas similares que afecta a los dientes naturales) a las particularidades derivadas de la presencia de implantes en lugar de dientes.Most of these protocols are based on the transfer of knowledge and techniques applied to the treatment of periodontitis (disease of similar characteristics that affects natural teeth) to the particularities derived from the presence of implants instead of teeth.
Estos protocolos para el tratamiento de la periimplantitis se basan en cuatro ideas principales:These protocols for the treatment of periimplantitis are based on four main ideas:
1. Exposition quirurgica de las lesiones oseas periimplantarias1. Surgical exposure of peri-implant bone lesions
2. Elimination del tejido blando enfermo2. Elimination of diseased soft tissue
3. Descontaminacion de la superficie del implante3. Decontamination of the implant surface
4. Colocation (o no) de un injerto oseo o biomaterial que lo sustituya, y cierre de la herida quirurgica.4. Colocation (or not) of a bone or biomaterial graft that replaces it, and closure of the surgical wound.
Estudios recientes han identificado la eliminacion completa del tejido enfermo y la descontaminacion de la superficie del implante como elementos criticos para el exito de tratamiento. Sin embargo, la eliminacion del tejido enfermo sobre la superficie del implante se ve afectada por la forma de la lesion en el hueso que rodea la implante, haciendose mas laboriosa cuanto mas estrecho y profundo es el defecto debido a lo limitado del acceso. Hay que tener presente, ademas, que la fraction mas coronal del hueso que forma el piso del defecto tambien se encuentra contaminado por bacterias en el caso de la periimplantitis.Recent studies have identified the complete removal of diseased tissue and decontamination of the implant surface as critical elements for successful treatment. However, the removal of diseased tissue on the implant surface is affected by the shape of the lesion in the bone surrounding the implant, becoming more laborious the narrower and deeper the defect is due to the limited access. It should also be noted that the most coronal fraction of the bone that forms the floor of the defect is also contaminated by bacteria in the case of peri-implantitis.
El acceso a la superficie contaminada del implante esta limitado por la forma del defecto oseo que la rodea. Esta perdida de hueso puede ser parcial (quedando solo una parte de la superficie del implante sin hueso que la cubre) o circunferencial (faltando hueso alrededor de todo el implante), ambas con amplitud y profundidad variables.Access to the contaminated surface of the implant is limited by the shape of the surrounding bone defect. This loss of bone can be partial (leaving only a part of the implant surface without bone covering it) or circumferential (missing bone around the entire implant), both with varying breadth and depth.
La descontaminacion de la superficie del implante tambien se ve condicionada por la morfologia del defecto, que dificulta el acceso a toda la superficie del implante. La descontaminacion se realiza generalmente combinando elementos fisicos (limpieza mecanica o remodelado de la superficie del implante), y quimicos (antisepticos, antibioticos, o acidos), para dejar una superficie con caracteristicas favorables a la union de elementos biologicos (celulas oseas y epiteliales).Decontamination of the implant surface is also conditioned by the morphology of the defect, which makes access to the entire implant surface difficult. Decontamination is usually done by combining physical elements (mechanical cleaning or remodeling of the implant surface), and chemical elements (antiseptic, antibiotic, or acidic), to leave a surface with favorable characteristics to the union of biological elements (bone and epithelial cells) .
El exito de un implante dental descansa sobre su union al hueso (osteointegracion), y esta depende directamente de las caracteristicas de la superficieThe success of a dental implant rests on its union to the bone (osseointegration), and this depends directly on the characteristics of the surface
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del propio implante. Las superficies de los implantes incluyen elementos disenados tanto para favorecer osteointegracion lo mas rapida posible, como para lograr una estabilidad a largo plazo. Uno de los elementos mas relevantes en la superficie del implante, son las espiras que le confieren su forma de tornillo caracteristica.of the implant itself. Implant surfaces include elements designed both to promote osseointegration as quickly as possible, and to achieve long-term stability. One of the most relevant elements on the surface of the implant, are the turns that give it its characteristic screw shape.
Sin embargo, en el caso de la periimplantitis, la presencia de espiras supone una dificultad anadida a la hora de descontaminar el implante pues con frecuencia es dificil acceder a los valles de las mismas de forma efectiva. Esto es asi hasta el punto de que algunos protocolos de tratamiento de la enfermedad periimplantaria proponen la eliminacion de la espiras con una fresa (implantoplastia) para subsanar ese inconveniente.However, in the case of peri-implantitis, the presence of turns is a difficulty added when decontaminating the implant, since it is often difficult to access the valleys of them effectively. This is so to the point that some protocols for the treatment of peri-implant disease propose the elimination of the turns with a strawberry (implantoplasty) to remedy this problem.
Seria por lo tanto deseable en este sector de la tecnica, disponer de un medio efectivo de descontaminacion de la superficie de los implantes afectados por periimplantitis, que permita conservar las caracteristicas de su superficie lo maximo posible y que permita un buen acceso a las zonas mas angostas de los defectos infraoseos.It would therefore be desirable in this sector of the technique, to have an effective means of decontaminating the surface of the implants affected by periimplantitis, which allows to preserve the characteristics of its surface as much as possible and that allows good access to the most narrow of infraoseos defects.
Descripcion de la invencion.Description of the invention.
La invencion soluciona la problematica anteriormente expuesta, proporcionado una fresa para la eliminacion de defectos circunferenciales en el tratamiento de la periimplantitis, que tiene una parte conformada para conectarse con un herramienta rotatoria, y otra parte conformada como un cilindro hueco (de dimensiones variables segun el modelo de implante a tratar), y con un extremo libre con forma circunferencial y configurado como medio de corte para remover hueso contaminado alrededor del implante cuando se hace girar la fresa alrededor del mismo.The invention solves the problems set forth above, provided a mill for the elimination of circumferential defects in the treatment of peri-implantitis, which has a part shaped to connect with a rotary tool, and another part shaped as a hollow cylinder (of varying dimensions according to the implant model to be treated), and with a free end with a circumferential shape and configured as a cutting means to remove contaminated bone around the implant when the milling cutter is rotated around it.
Mas en detalle, la fresa de la invencion es un cuerpo alargado respecto a un eje, que tiene un extremo conformado de forma estandar para acoplarse a una herramienta rotatoria convencional ya sea electrica (contra-angulo quirurgico) o manual, para hacer girar la fresa alrededor de su eje con una fuerza controlada y suficiente.More in detail, the milling cutter of the invention is an elongated body with respect to an axis, which has a standard shaped end to engage a conventional rotary tool, either electric (surgical counter-angle) or manual, to rotate the milling cutter. around its axis with a controlled and sufficient force.
La fresa se caracteriza porque el otro extremo de la fresa, concretamente un extremo libre de la misma, tiene forma anular o circunferencial, y esta dispuesto deThe strawberry is characterized in that the other end of the strawberry, specifically a free end thereof, has an annular or circumferential shape, and is arranged to
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forma coaxial con el eje de la fresa, y esta conformado como elemento de corte para remover hueso en sentido axial respecto al eje, es decir para cortar en direccion del eje cuando la fresa se hace girar y avanzar sobre el eje hacia el material que se desea eliminar.coaxial shape with the axis of the milling cutter, and is shaped as a cutting element to remove bone axially with respect to the axis, that is, to cut in the direction of the shaft when the milling cutter rotates and advances on the shaft towards the material that is want to delete
Ademas, la fresa tiene una cavidad accesible por el centro del extremo circunferencial y tiene un tamano adecuado para recibir un implante dental, de modo que en uso, la fresa se hace girar alrededor de un implante al mismo tiempo que la fresa avanza removiendo hueso afectado y el implante se va introduciendo en el interior de la cavidad. Preferentemente, la cavidad es cilmdrica.In addition, the strawberry has a cavity accessible by the center of the circumferential end and has a suitable size to receive a dental implant, so that in use, the strawberry is rotated around an implant at the same time as the strawberry advances removing affected bone and the implant is introduced inside the cavity. Preferably, the cavity is cylindrical.
Preferentemente, la fresa dispone de al menos una ventana pasante que comunica el interior de la cavidad con el exterior de la fresa, para favorecer la expulsion de limaduras y restos solidos asi como favorecer la refrigeracion de la fresa durante su uso.Preferably, the cutter has at least one through window that communicates the inside of the cavity with the outside of the cutter, to favor the expulsion of filings and solid remains as well as to favor the cooling of the cutter during use.
La adaptacion de la fresa de la invencion a la superficie de los implantes, es muy superior a la de los sistemas existentes, con lo que se mejora el resultado del tratamiento de la enfermedad periimplantaria y la supervivencia del implante dental.The adaptation of the strawberry of the invention to the surface of the implants is much superior to that of existing systems, thereby improving the result of the treatment of peri-implant disease and the survival of the dental implant.
Ademas, la fresa de la invencion permite simplificar la tecnica quirurgica y reducir el tiempo de intervention a la vez que proporciona mejores resultados que los dispositivos previos conocidos.In addition, the mill of the invention makes it possible to simplify the surgical technique and reduce the intervention time while providing better results than previous known devices.
Breve description de las figurasBrief description of the figures
La figura 1.- muestra en los dibujos A y B, dos vistas en perspectiva de una primera realization preferente de la invencion, en el que la fresa no tiene roscado interno, pero si una superficie diamantada, para usarse en una implantoplastia convencional.Figure 1 shows in drawings A and B, two perspective views of a first preferred embodiment of the invention, in which the mill has no internal thread, but a diamond surface, for use in a conventional implantoplasty.
La figura 2.- muestra en los dibujos A y B, dos vistas en perspectiva de una segunda realizacion preferente de la invencion en el que la fresa tiene roscado interno.Figure 2 shows in drawings A and B, two perspective views of a second preferred embodiment of the invention in which the mill has internal threading.
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Descripcion de una realizacion preferente de la invencionDescription of a preferred embodiment of the invention
La figura 1 muestra un realizacion preferente de una fresa (1) para la elimination de defectos circunferenciales en el tratamiento de la periimplantitis segun la invencion, que consiste en un cuerpo alargado respecto a un eje (X), que tiene dos partes principales, una primera parte en forma de vastago cilmdrico (2) y una segunda parte en forma de cilmdrico hueco (3) coaxial con el vastago (2).Figure 1 shows a preferred embodiment of a milling cutter (1) for the elimination of circumferential defects in the treatment of peri-implantitis according to the invention, which consists of an elongated body with respect to an axis (X), which has two main parts, a first part in the form of cylindrical rod (2) and a second part in the form of hollow cylindrical (3) coaxial with the rod (2).
El vastago (2) tiene un primer extremo (4) conformado de forma estandar para acoplarse a una herramienta rotatoria (no representada) y hacer girar la fresa (1) alrededor del eje (X) de forma convencional. Concretamente, la conformation de ese extremo consiste en el diametro del vastago y una acanaladura para su conexion a un instrumento rotatorio quirurgico de uso implantologico.The rod (2) has a first end (4) shaped in a standard way to engage a rotary tool (not shown) and rotate the milling cutter (1) around the axis (X) in a conventional manner. Specifically, the conformation of that end consists of the diameter of the stem and a groove for its connection to a surgical rotary instrument for implant use.
El segundo extremo (5) de la fresa (1) (el extremo libre opuesto al primer extremo) tiene forma circunferencial y es coaxial con el eje (X), es decir el eje (X) pasa por el centro de la forma circunferencial.The second end (5) of the milling cutter (1) (the free end opposite the first end) has a circumferential shape and is coaxial with the axis (X), ie the axis (X) passes through the center of the circumferential shape.
El segundo extremo (5) esta conformado como dientes de sierra (6) adecuados para la remocion de hueso contaminado. Los dientes (6) estan dispuestos en position axial para cortar en direction del eje (X) con el giro de la fresa.The second end (5) is shaped as saw teeth (6) suitable for the removal of contaminated bone. The teeth (6) are arranged in axial position to cut in the direction of the axis (X) with the rotation of the cutter.
La parte cilmdrica hueca (3) forma una cavidad (7) interna que tiene un tamano adecuado para recibir una parte del implante dental durante el uso de la fresa, y permitir la remocion del hueso contaminado en la portion mas apical del defecto oseo.The hollow cylindrical part (3) forms an internal cavity (7) that has a suitable size to receive a part of the dental implant during the use of the burr, and allow the removal of the contaminated bone in the most apical portion of the bone defect.
La parte cilmdrica hueca (3) tiene al menos una ventana (8) pasante que comunica el interior de la cavidad (7) con el exterior de la fresa, para permitir la evacuation de material y facilitar la refrigeration de la fresa.The hollow cylindrical part (3) has at least one through window (8) that communicates the inside of the cavity (7) with the outside of the cutter, to allow the evacuation of material and facilitate the cooling of the cutter.
En esta realizacion preferente, la fresa (1) dispone de cuatro ventanas (8) dispuestas en la direccion de la generatriz de la parte cilmdrica (3), y diametralmente opuestas por parejas.In this preferred embodiment, the milling cutter (1) has four windows (8) arranged in the direction of the generatrix of the cylindrical part (3), and diametrically opposed in pairs.
Preferentemente, una parte de la superficie interna de la cavidad esta diamantada.Preferably, a part of the internal surface of the cavity is diamond.
En la variante de realizacion de la figura 2, la fresa (1) dispone de un roscado (9) en la superficie interna de la parte cilmdrica hueca (3), de modo que el roscado tiene dimensiones correspondientes con las de la rosca existente sobre la superficie del implante a tratar, de modo que la rotacion del vastago permite el deslizamiento de la 5 rosca interna de la parte cilmdrica (3) sobre la superficie del implante.In the variant embodiment of Figure 2, the milling cutter (1) has a thread (9) on the internal surface of the hollow cylindrical part (3), so that the thread has dimensions corresponding to those of the existing thread on the surface of the implant to be treated, so that the rotation of the rod allows the internal thread of the cylindrical part (3) to slide on the surface of the implant.
La fresa (1) esta fabricada con un material metalico de mayor dureza que el titanio, por ejemplo con carburo de tungsteno.The milling cutter (1) is made of a metallic material of greater hardness than titanium, for example with tungsten carbide.
10 En la realizacion practica de la invencion, se dispondra de un conjunto de fresas10 In the practical embodiment of the invention, a set of strawberries will be available
de diferentes diametros para usarse con diferentes tamanos de implantes a tratar.of different diameters to be used with different sizes of implants to be treated.
La invencion se basa en el hecho de que los implantes dentarios esten fabricados mayoritariamente en un material metalico, de propiedades fisicas 15 conocidas, mediante procesos industriales estandarizados que hacen que su configuration macro y microscopica sea conocida hasta el mas mmimo detalle, e identica a la de otro implante del mismo tipo.The invention is based on the fact that dental implants are manufactured mostly in a metallic material, of known physical properties, by means of standardized industrial processes that make their macro and microscopic configuration known to the smallest detail, and identifies the of another implant of the same type.
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Claims (10)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ES201831235U ES1218143Y (en) | 2018-08-02 | 2018-08-02 | STRAWBERRY FOR THE TREATMENT OF PERIMPLANTITIS |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ES201831235U ES1218143Y (en) | 2018-08-02 | 2018-08-02 | STRAWBERRY FOR THE TREATMENT OF PERIMPLANTITIS |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| ES1218143U true ES1218143U (en) | 2018-09-27 |
| ES1218143Y ES1218143Y (en) | 2018-12-18 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES201831235U Active ES1218143Y (en) | 2018-08-02 | 2018-08-02 | STRAWBERRY FOR THE TREATMENT OF PERIMPLANTITIS |
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| Country | Link |
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| ES (1) | ES1218143Y (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102024114117A1 (en) * | 2024-05-21 | 2025-11-27 | Joachim Vogt | Dental attachment for working on a dental implant |
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2018
- 2018-08-02 ES ES201831235U patent/ES1218143Y/en active Active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102024114117A1 (en) * | 2024-05-21 | 2025-11-27 | Joachim Vogt | Dental attachment for working on a dental implant |
| DE102024114117B4 (en) * | 2024-05-21 | 2026-01-15 | Joachim Vogt | Dental attachment for working on a dental implant |
Also Published As
| Publication number | Publication date |
|---|---|
| ES1218143Y (en) | 2018-12-18 |
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