TW201511739A - Implant driver, implant - Google Patents
Implant driver, implant Download PDFInfo
- Publication number
- TW201511739A TW201511739A TW103115835A TW103115835A TW201511739A TW 201511739 A TW201511739 A TW 201511739A TW 103115835 A TW103115835 A TW 103115835A TW 103115835 A TW103115835 A TW 103115835A TW 201511739 A TW201511739 A TW 201511739A
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- TW
- Taiwan
- Prior art keywords
- implant
- hole
- shaft portion
- rotation
- shaft
- Prior art date
Links
- 239000007943 implant Substances 0.000 title claims abstract description 271
- 210000000988 bone and bone Anatomy 0.000 claims description 36
- 230000037431 insertion Effects 0.000 claims 1
- 238000003780 insertion Methods 0.000 claims 1
- 230000003449 preventive effect Effects 0.000 claims 1
- 230000005540 biological transmission Effects 0.000 abstract description 17
- 230000002093 peripheral effect Effects 0.000 description 19
- 229910001069 Ti alloy Inorganic materials 0.000 description 9
- MCMNRKCIXSYSNV-UHFFFAOYSA-N ZrO2 Inorganic materials O=[Zr]=O MCMNRKCIXSYSNV-UHFFFAOYSA-N 0.000 description 9
- 229910010293 ceramic material Inorganic materials 0.000 description 8
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 7
- 230000002265 prevention Effects 0.000 description 7
- 229910052719 titanium Inorganic materials 0.000 description 7
- 239000010936 titanium Substances 0.000 description 7
- 238000001356 surgical procedure Methods 0.000 description 6
- 238000000034 method Methods 0.000 description 5
- RVTZCBVAJQQJTK-UHFFFAOYSA-N oxygen(2-);zirconium(4+) Chemical compound [O-2].[O-2].[Zr+4] RVTZCBVAJQQJTK-UHFFFAOYSA-N 0.000 description 5
- 229910000420 cerium oxide Inorganic materials 0.000 description 4
- 239000004053 dental implant Substances 0.000 description 4
- 229920001971 elastomer Polymers 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- BMMGVYCKOGBVEV-UHFFFAOYSA-N oxo(oxoceriooxy)cerium Chemical compound [Ce]=O.O=[Ce]=O BMMGVYCKOGBVEV-UHFFFAOYSA-N 0.000 description 4
- 230000005489 elastic deformation Effects 0.000 description 3
- 239000007769 metal material Substances 0.000 description 3
- 239000010935 stainless steel Substances 0.000 description 3
- 229910001220 stainless steel Inorganic materials 0.000 description 3
- 239000004696 Poly ether ether ketone Substances 0.000 description 2
- 239000000853 adhesive Substances 0.000 description 2
- 230000001070 adhesive effect Effects 0.000 description 2
- TWNQGVIAIRXVLR-UHFFFAOYSA-N oxo(oxoalumanyloxy)alumane Chemical compound O=[Al]O[Al]=O TWNQGVIAIRXVLR-UHFFFAOYSA-N 0.000 description 2
- 229920002530 polyetherether ketone Polymers 0.000 description 2
- 229920003002 synthetic resin Polymers 0.000 description 2
- 239000000057 synthetic resin Substances 0.000 description 2
- 208000010392 Bone Fractures Diseases 0.000 description 1
- 206010017076 Fracture Diseases 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- PNEYBMLMFCGWSK-UHFFFAOYSA-N aluminium oxide Inorganic materials [O-2].[O-2].[O-2].[Al+3].[Al+3] PNEYBMLMFCGWSK-UHFFFAOYSA-N 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 208000002925 dental caries Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 239000000806 elastomer Substances 0.000 description 1
- CPLXHLVBOLITMK-UHFFFAOYSA-N magnesium oxide Inorganic materials [Mg]=O CPLXHLVBOLITMK-UHFFFAOYSA-N 0.000 description 1
- 239000000395 magnesium oxide Substances 0.000 description 1
- AXZKOIWUVFPNLO-UHFFFAOYSA-N magnesium;oxygen(2-) Chemical compound [O-2].[Mg+2] AXZKOIWUVFPNLO-UHFFFAOYSA-N 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 229920005989 resin Polymers 0.000 description 1
- 239000011347 resin Substances 0.000 description 1
- 238000010079 rubber tapping Methods 0.000 description 1
- 238000009751 slip forming Methods 0.000 description 1
- 210000002303 tibia Anatomy 0.000 description 1
Classifications
-
- 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
-
- 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
- A61C8/0018—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
- A61C8/0022—Self-screwing
-
- 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
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0066—Connecting devices for joining an upper structure with an implant member, e.g. spacers with positioning means
-
- 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
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0068—Connecting devices for joining an upper structure with an implant member, e.g. spacers with an additional screw
-
- 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
- A61C8/0048—Connecting the upper structure to the implant, e.g. bridging bars
- A61C8/005—Connecting devices for joining an upper structure with an implant member, e.g. spacers
- A61C8/0069—Connecting devices for joining an upper structure with an implant member, e.g. spacers tapered or conical connection
Landscapes
- Health & Medical Sciences (AREA)
- 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
Description
本發明是有關於一種植入物用植入器及植入物。例如當恆齒之齒根缺損等時埋入顎骨之牙科用植入物及植入物用植入器。 The present invention relates to an implant implant and implant. For example, when the root of the permanent tooth is missing or the like, the dental implant and the implant implant are embedded in the tibia.
本申請案是根據2013年5月17日在日本提出申請的日本特願2013-105377號主張優先權,並在此援用其內容。 The present application claims priority from Japanese Patent Application No. 2013-105377, filed on Jan.
埋入體內之植入物(特別是牙科用植入物)受到注目。牙科用植入物是在因為蛀牙或缺損而失去恆齒之齒根時,用以將植入體插入並固定於設置於齒槽骨之孔。 Implants embedded in the body (especially dental implants) are attracting attention. The dental implant is used to insert and fix the implant into the hole provided in the alveolar bone when the root of the permanent tooth is lost due to tooth decay or defect.
該牙科用植入物一般是由固定於齒槽骨之植入體、與螺固於植入體並且可安裝人工牙冠之支台齒所構成。 The dental implant is generally composed of an implant fixed to the alveolar bone, and abutment teeth screwed to the implant and capable of mounting an artificial crown.
對齒槽骨埋入植入體時,使用稱為植入物植入器等之器具(植入物用植入器)。 When the alveolar bone is embedded in the implant, an instrument called an implant implanter or the like (an implant implanter) is used.
植入物用植入器於其前端具有形成為多角形等之非圓形之旋轉傳達軸部。藉有使該旋轉傳達軸部嵌合於形成於植入體之中心孔之旋轉傳達孔部,藉此可將植入物用植入 器之旋轉傳達至植入體。 The implant implanter has a non-circular rotation transmitting shaft portion formed in a polygonal shape or the like at the front end thereof. The rotation transmitting shaft portion is fitted to the rotation transmitting hole portion formed in the center hole of the implant, whereby the implant can be implanted The rotation of the device is communicated to the implant.
【專利文獻1】日本特開2003-047621號公報 [Patent Document 1] Japanese Patent Laid-Open Publication No. 2003-047621
【專利文獻2】日本特開2004-202049號公報 [Patent Document 2] Japanese Patent Laid-Open Publication No. 2004-202049
以往之植入物用植入器中,不過是旋轉傳達軸部嵌合於植入體之旋轉傳達孔部。因此,使植入體對齒槽骨等旋轉並埋入時,植入體之姿勢容易變得不安定。植入物用植入器與植入體之中心軸(旋轉軸)之間不一致時,植入體會搖晃而埋入骨內。因此,會有對人體過度負擔的問題。 In the conventional implant implant device, the rotation transmitting shaft portion is fitted to the rotation transmitting hole portion of the implant. Therefore, when the implant is rotated and embedded in the alveolar bone or the like, the posture of the implant tends to be unstable. When the implant implant is inconsistent with the central axis (rotation axis) of the implant, the implant will be shaken and buried in the bone. Therefore, there is a problem of excessive burden on the human body.
本發明之目的在於提供一種將植入體埋入骨內時,可使植入體之姿勢安定之植入物用植入器及植入物。 It is an object of the present invention to provide an implant implant and an implant that can stabilize the posture of the implant when the implant is embedded in the bone.
本發明之植入物用植入器之第一實施態樣是一種植入物用植入器,是將植入體埋入骨內時,插入形成於前述植入體之中心孔,以傳達來自驅動源之旋轉力,包含有:準直軸部,是外徑朝前端縮小之錐形;及旋轉傳達軸部,形成為非圓形,前述準直軸部是嵌合於前述中心孔中內徑朝深度方向縮小之錐形的嵌合孔部,前述旋轉傳達軸部嵌合於前述中心孔中用以防止連結於前述植入體之支台 齒之旋轉的旋轉防止孔部。 A first embodiment of the implant implant of the present invention is an implant implant, which is inserted into a central hole of the implant when the implant is embedded in the bone to convey The driving force of the driving source includes: a collimating shaft portion which is a taper whose outer diameter is reduced toward the front end; and a rotation transmitting shaft portion which is formed in a non-circular shape, and the collimating shaft portion is fitted into the center hole a tapered fitting hole portion whose diameter is reduced in the depth direction, wherein the rotation transmission shaft portion is fitted into the center hole to prevent connection to the abutment of the implant body The rotation of the rotation of the teeth prevents the hole portion.
本發明之植入物用植入器之第二實施態樣是於第一實施態樣中具有外徑可變更之可變徑部,前述可變徑部是卡合於前述中心孔中用以防止前述支台齒脫落之防止脫落孔部。 A second embodiment of the implant implant of the present invention has a variable diameter portion having an outer diameter changeable in the first embodiment, wherein the variable diameter portion is engaged in the center hole for Preventing the abutment teeth from falling off and preventing the falling hole portion.
本發明之植入物用植入器之第三實施態樣是於第一或第二實施態樣中,前述準直軸部與前述旋轉傳達軸部形成於軸方向上不同之位置。 According to a third aspect of the present invention, in the first or second aspect, the collimating shaft portion and the rotation transmitting shaft portion are formed at positions different in the axial direction.
本發明之植入物用植入器之第四實施態樣是於第一或第二實施態樣中,前述準直軸部與前述旋轉傳達軸部形成於軸方向上相同的位置。 According to a fourth aspect of the present invention, in the first or second aspect of the present invention, the collimating shaft portion and the rotation transmitting shaft portion are formed at the same position in the axial direction.
本發明之植入物之第一實施態樣包含有:植入體,內徑朝深度方向縮小之錐形之嵌合孔部及形成為非圓形之旋轉防止孔部形成於中心孔之部份一部份;及支台體,形成有嵌合於前述嵌合孔部之錐形之嵌合軸部及嵌合於前述旋轉防止孔部之旋轉防止軸部,前述植入體埋入骨內時,用以傳達來自驅動源之旋轉力之植入物用植入器插入前述中心孔,對前述嵌合孔部嵌合與前述嵌合軸部相同形狀之準直軸部,並且對前述旋轉防止孔部嵌合與前述旋轉防止軸部相同形狀之旋轉傳達軸部。 A first embodiment of the implant of the present invention includes: an implant body having a tapered inner diameter tapered portion in the depth direction and a non-circular rotation preventing hole portion formed in the central hole portion And a support body having a tapered fitting shaft portion fitted to the fitting hole portion and a rotation preventing shaft portion fitted to the rotation preventing hole portion, the implant being embedded in the bone The implant for transmitting the rotational force from the driving source is inserted into the center hole by the implanter, and the fitting hole portion is fitted with the collimating shaft portion having the same shape as the fitting shaft portion, and the rotation is performed. The hole portion is prevented from being fitted to the rotation of the same shape as the rotation preventing shaft portion to transmit the shaft portion.
本發明之植入物之第二實施態樣是於第一實施態樣中,前述支台體包含有:支台齒,具有前述嵌合軸部、前述旋轉防止軸部及沿著軸方向形成之貫通孔;定位銷,具有:插通於前述貫通孔之軸本體部、及共轉限制軸部, 前述共轉限制軸部是卡合於比前述軸本體部大徑之防止脫落軸部及前述中心孔之共轉限制孔部而限制自己繞著軸旋轉;鎖固襯套,卡止於前述貫通孔及前述軸本體部;及定位器,是卡合於前述防止脫落軸部與前述防止脫落孔部,以限制前述定位銷對前述植入體之移動。 According to a second aspect of the present invention, in the first aspect, the abutment body includes: abutment teeth, the fitting shaft portion, the rotation preventing shaft portion, and the formation along the axial direction a through hole; the positioning pin has: a shaft body portion inserted through the through hole, and a common rotation limiting shaft portion The common rotation restricting shaft portion is engaged with the anti-rotation shaft portion having a larger diameter than the shaft main body portion and the common rotation restricting hole portion of the center hole, and restricts rotation around the shaft; the locking bushing is locked to the through hole The hole and the shaft body portion; and the positioner are engaged with the anti-drop shaft portion and the anti-drop hole portion to restrict movement of the positioning pin to the implant.
本發明之植入物之第三實施態樣是於第一或第二實施態樣中,由前述嵌合孔部及前述嵌合軸部構成之耐壓部、與由前述旋轉防止孔部及前述旋轉防止軸部構成之旋轉防止部形成於軸方向上不同之位置。 According to a third aspect of the present invention, in the first or second aspect, the pressure-resistant portion formed by the fitting hole portion and the fitting shaft portion and the rotation preventing hole portion and The rotation preventing portion configured by the rotation preventing shaft portion is formed at a position different in the axial direction.
本發明之植入物之第四實施態樣是於第一或第二實施態樣中,由前述嵌合孔部及前述嵌合軸部構成之耐壓部、與由前述旋轉防止孔部及前述旋轉防止軸部構成之旋轉防止部在軸方向上形成於相同位置。 According to a fourth aspect of the present invention, in the first or second aspect, the pressure-resistant portion including the fitting hole portion and the fitting shaft portion and the rotation preventing hole portion and The rotation preventing portion configured by the rotation preventing shaft portion is formed at the same position in the axial direction.
本發明是使植入體旋轉並埋入骨內時,可使植入體之姿勢安定。因此,可避免對人體過度的負擔。 In the present invention, when the implant is rotated and embedded in the bone, the posture of the implant can be stabilized. Therefore, an excessive burden on the human body can be avoided.
2‧‧‧齒槽骨(骨) 2‧‧‧ alveolar bone (bone)
5‧‧‧植入物 5‧‧‧ implants
6‧‧‧人工牙冠 6‧‧‧Artificial crown
8‧‧‧支台體 8‧‧‧Support
10‧‧‧植入體 10‧‧‧ implant
12‧‧‧公螺絲 12‧‧‧ male screws
13‧‧‧中心孔 13‧‧‧ center hole
14‧‧‧錐形孔部(嵌合孔部) 14‧‧‧Conical hole part (fitting hole part)
15‧‧‧逆錐形孔部 15‧‧‧ reverse tapered hole
15A‧‧‧突出部位(防止脫落孔部) 15A‧‧‧ protruding parts (to prevent falling holes)
16‧‧‧卡合孔部 16‧‧‧Clock hole
16A‧‧‧平行二面(共轉限制孔部) 16A‧‧‧ parallel two sides (co-rotation limit hole)
17‧‧‧突起(旋轉防止孔部) 17‧‧‧Protrusion (rotation prevention hole)
20‧‧‧支台齒 20‧‧‧ abutment teeth
21‧‧‧本體部 21‧‧‧ Body Department
22‧‧‧錐形軸部(嵌合軸部) 22‧‧‧Conical shaft part (fitting shaft part)
23‧‧‧溝部(旋轉防止軸部) 23‧‧‧Ditch (rotation prevention shaft)
24‧‧‧貫通孔 24‧‧‧through holes
25‧‧‧內螺絲 25‧‧‧ internal screws
30‧‧‧定位銷 30‧‧‧Locating pin
30A‧‧‧本體部(軸本體部) 30A‧‧‧ body part (shaft body part)
31‧‧‧卡合部 31‧‧‧Clock Department
31A‧‧‧錐形部位(防止脫落軸部) 31A‧‧‧ Tapered part (to prevent falling off the shaft)
31B‧‧‧平行二面(共轉限制軸部) 31B‧‧‧ parallel two sides (co-rotation limit shaft)
32‧‧‧外螺絲 32‧‧‧External screws
40‧‧‧定位器 40‧‧‧Locator
41‧‧‧櫛齒 41‧‧‧ teeth
50‧‧‧鎖固螺帽(鎖固襯套) 50‧‧‧Lock nut (locking bushing)
51‧‧‧外螺絲 51‧‧‧External screws
52‧‧‧內螺絲 52‧‧‧ Internal screws
53‧‧‧扳手溝 53‧‧‧wrench ditch
60‧‧‧耐壓部 60‧‧‧Withstand voltage department
70‧‧‧旋轉防止部 70‧‧‧Rotation Prevention Department
80‧‧‧植入物安裝植入器(植入物用植入器) 80‧‧‧ Implant-mounted implanter (implant implanter)
81‧‧‧馬達連結部 81‧‧‧Motor Connection
82‧‧‧植入物連結部 82‧‧‧ implant connection
83‧‧‧準直軸部 83‧‧‧Alignment shaft
84‧‧‧旋轉傳達軸部 84‧‧‧Rotating transmission shaft
84A‧‧‧溝部 84A‧‧‧Ditch Department
85‧‧‧定位器(可變徑部) 85‧‧‧ Positioner (variable diameter)
86‧‧‧細軸部 86‧‧‧Spindle
87‧‧‧定位體 87‧‧‧ Positioning body
105‧‧‧植入物 105‧‧‧ implants
108‧‧‧支台體 108‧‧‧Support
110‧‧‧植入體 110‧‧‧ implant
113‧‧‧中心孔 113‧‧‧ center hole
114‧‧‧錐形孔部(嵌合孔部) 114‧‧‧Conical hole part (fitting hole part)
117‧‧‧旋轉防止孔部 117‧‧‧Rotary hole prevention
117A‧‧‧溝部 117A‧‧‧Ditch Department
120‧‧‧支台齒 120‧‧‧ abutment teeth
121‧‧‧本體部 121‧‧‧ Body Department
122‧‧‧錐形軸部(嵌合軸部) 122‧‧‧Conical shaft part (fitting shaft part)
123‧‧‧旋轉防止軸部 123‧‧‧Rotation prevention shaft
123A‧‧‧突起 123A‧‧‧ Protrusion
124‧‧‧貫通孔 124‧‧‧through holes
124A‧‧‧本體部貫通孔 124A‧‧‧ body through hole
124B‧‧‧錐形軸部側貫通孔 124B‧‧‧Conical shaft side through hole
125‧‧‧落差面 125‧‧‧fall surface
130‧‧‧定位銷 130‧‧‧Locating pin
150‧‧‧鎖固螺帽(鎖固襯套) 150‧‧‧Lock nut (locking bushing)
150A‧‧‧端面 150A‧‧‧ end face
150B‧‧‧端面 150B‧‧‧ end face
150S‧‧‧外周面 150S‧‧‧ outer perimeter
160‧‧‧耐壓部 160‧‧‧Withstand voltage department
170‧‧‧旋轉防止部 170‧‧‧Rotation Prevention Department
180‧‧‧植入物安裝植入器(植入物用植入器) 180‧‧‧ Implant-mounted implanter (implant implanter)
182‧‧‧植入物連結部 182‧‧‧ implant connection
183‧‧‧準直軸部 183‧‧‧Alignment shaft
184‧‧‧旋轉傳達軸部 184‧‧‧Rotating transmission shaft
184A‧‧‧突起 184A‧‧‧ Protrusion
F‧‧‧咬合壓 F‧‧‧Bite pressure
S‧‧‧抵接部 S‧‧‧Apartment
圖1是顯示本發明之第一實施形態之植入物之牙科領域中之使用例的圖。 Fig. 1 is a view showing an example of use in the dental field of the implant according to the first embodiment of the present invention.
圖2是本發明之第一實施形態之植入物的分解立體圖。 Fig. 2 is an exploded perspective view of the implant of the first embodiment of the present invention.
圖3是本發明之第一實施形態之植入物的縱截面圖。 Fig. 3 is a longitudinal sectional view showing the implant of the first embodiment of the present invention.
圖4是顯示植入體之圖,(a)為上面圖、(b)為縱截面圖(IVb-IVb截面)。 4 is a view showing an implant, (a) is a top view, and (b) is a longitudinal cross-sectional view (section IVb-IVb).
圖5是顯示支台齒之圖,(a)為側面圖、(b)為底面圖、 (c)為縱截面圖(Vc-Vc截面)。 Figure 5 is a view showing the abutment teeth, (a) is a side view, (b) is a bottom view, (c) is a longitudinal sectional view (Vc-Vc cross section).
圖6是顯示定位銷之圖,(a)為側面圖、(b)為底面圖。 Fig. 6 is a view showing a positioning pin, (a) being a side view and (b) being a bottom view.
圖7是顯示定位器之圖,(a)為底面圖、(b)為縱截面圖(VIIb-VIIb截面)。 Fig. 7 is a view showing a positioner, (a) being a bottom view and (b) being a longitudinal sectional view (VIIb-VIIb cross section).
圖8是顯示鎖固螺帽之圖,(a)為底面圖、(b)為縱截面圖(VIIIb-VIIIb截面)。 Fig. 8 is a view showing a lock nut, (a) is a bottom view, and (b) is a longitudinal sectional view (section VIIIb-VIIIb).
圖9是顯示本發明之第一實施形態之植入物安裝植入器之圖,(a)為側面圖、(b)為底面圖、(c)為部份截面圖(IXc-IXc截面)。 Figure 9 is a view showing an implant-mounted implanter according to a first embodiment of the present invention, wherein (a) is a side view, (b) is a bottom view, and (c) is a partial cross-sectional view (IXc-IXc cross section) .
圖10是顯示本發明之第一實施形態之植入物安裝植入器之使用狀態圖。 Fig. 10 is a view showing a state of use of the implant-mounted implanter of the first embodiment of the present invention.
圖11是本發明之第二實施形態之植入物的縱截面圖。 Figure 11 is a longitudinal sectional view of an implant according to a second embodiment of the present invention.
圖12是顯示植入體之圖,(a)為上面圖、(b)為側面一部截面圖(XIIb-XIIb截面)。 Fig. 12 is a view showing the implant, (a) is a top view, and (b) is a side sectional view (XIIb-XIIb cross section).
圖13是顯示支台齒之圖,(a)為側面圖、(b)為縱截面圖(XIIIb-XIIIb截面)、(c)為底面圖。 Fig. 13 is a view showing abutment teeth, (a) is a side view, (b) is a longitudinal sectional view (XIIIb-XIIIb cross section), and (c) is a bottom view.
圖14是顯示定位銷之圖,(a)為側面圖、(b)為底面圖。 Fig. 14 is a view showing a positioning pin, (a) being a side view and (b) being a bottom view.
圖15是顯示鎖固螺帽之圖,(a)為上面圖、(b)為縱截面圖(XVb-XVb截面)。 Fig. 15 is a view showing a lock nut, wherein (a) is a top view and (b) is a longitudinal cross-sectional view (XVb-XVb cross section).
圖16是顯示本發明之第二實施形態之植入物安裝植入器之圖,(a)為側面圖、(b)為底面圖、(c)為部份截面圖(XVIc-XVIc截面)。 Figure 16 is a view showing an implant-mounted implanter according to a second embodiment of the present invention, wherein (a) is a side view, (b) is a bottom view, and (c) is a partial cross-sectional view (XVIc-XVIc cross section) .
圖17是顯示本發明之第二實施形態之植入物安裝植入器之使用狀態圖。 Fig. 17 is a view showing a state of use of the implant-mounting implant of the second embodiment of the present invention.
參照圖式說明本發明之實施形態。下述說明中顯示之各種尺寸等為其中一例。 Embodiments of the present invention will be described with reference to the drawings. The various dimensions and the like shown in the following description are examples.
〔第一實施形態〕 [First Embodiment]
圖1是顯示本發明之第一實施形態之是植入物5之牙科領域中之使用例的圖。 Fig. 1 is a view showing an example of use in the dental field of the implant 5 according to the first embodiment of the present invention.
植入物5具有:固定於齒槽骨2之植入體10、及可對植入體10裝卸之支台體8。支台體8裝設有人工牙冠6。 The implant 5 has an implant 10 fixed to the alveolar bone 2, and an abutment body 8 detachably attachable to the implant 10. The abutment body 8 is provided with an artificial crown 6 .
令植入物5之中心軸(長向方向)為Z軸(Z方向、深度方向、軸方向、縱)。Z軸中,令植入體10側為+Z側(+Z方向)、令支台齒20側為-Z側(-Z方向)。令由+Z方向看時為底面圖、令由-Z方向看時為上面圖。將+Z方向之端部稱為基端(地一端),將-Z方向之端部稱為前端(第二端)。 The central axis (longitudinal direction) of the implant 5 is the Z axis (Z direction, depth direction, axial direction, longitudinal direction). In the Z axis, the implant 10 side is the +Z side (+Z direction), and the abutment tooth 20 side is the -Z side (-Z direction). Let the bottom view be viewed from the +Z direction and the top view when viewed from the -Z direction. The end in the +Z direction is referred to as the base end (ground end), and the end in the -Z direction is referred to as the front end (second end).
植入體10之外周面形成公螺絲12。藉由將該公螺絲12螺合於形成於齒槽骨(骨)2之孔,植入體10可固定於齒槽骨2。 A male screw 12 is formed on the outer peripheral surface of the implant 10. The implant 10 can be fixed to the alveolar bone 2 by screwing the male screw 12 to a hole formed in the alveolar bone (bone) 2.
支台體8之外周面是使用接著劑等裝設人工牙冠6。 The outer peripheral surface of the abutment body 8 is provided with an artificial crown 6 by using an adhesive or the like.
植入體10與支台體8之抵接部S是被牙齦4或齒槽骨2覆蓋。植入體10與支台體8之各自的抵接面精準地予以加工。植入體10與支台體8之抵接面之間相互密接而防止異物侵入。 The abutment portion S of the implant 10 and the abutment body 8 is covered by the gum 4 or the alveolar bone 2. The abutting faces of the implant 10 and the abutment body 8 are precisely processed. The abutting surfaces of the implant 10 and the abutment body 8 are in close contact with each other to prevent foreign matter from entering.
圖2是本發明之第一實施形態之植入物5的分解立體圖。 Fig. 2 is an exploded perspective view of the implant 5 according to the first embodiment of the present invention.
圖3是本發明之第一實施形態之植入物5的縱截面圖。 Fig. 3 is a longitudinal sectional view of the implant 5 according to the first embodiment of the present invention.
植入物5具有植入體10與支台體8。 The implant 5 has an implant 10 and abutment body 8.
支台體8是將支台齒20、定位銷30、定位器40及鎖固螺帽50組裝而成者。 The abutment body 8 is formed by assembling the abutment teeth 20, the positioning pin 30, the positioner 40, and the lock nut 50.
支台體8具有:軸形構件之支台齒20、軸狀之定位銷30、環狀之定位器40及鎖固螺帽50。 The abutment body 8 has abutment teeth 20 of a shaft member, a shaft-shaped positioning pin 30, an annular positioner 40, and a lock nut 50.
支台齒20裝設人工牙冠6。 The abutment tooth 20 is provided with an artificial crown 6.
定位銷30插通於支台齒20之貫通孔24而卡合於植入體10。 The positioning pin 30 is inserted into the through hole 24 of the abutment tooth 20 to be engaged with the implant 10 .
定位器40嵌合於定位銷30。 The positioner 40 is fitted to the positioning pin 30.
鎖固螺帽50螺合(卡止)於支台齒20與定位銷30。 The locking nut 50 is screwed (locked) to the abutment tooth 20 and the positioning pin 30.
圖4是顯示植入體10之圖,(a)為上面圖,(b)為縱截面圖(IVb-IVb截面)。 4 is a view showing the implant 10, (a) is a top view, and (b) is a longitudinal cross-sectional view (section IVb-IVb).
植入體10是由二氧化鋯等陶瓷材料所形成之軸形構件。植入體10形成為圓柱狀,且於其外周面形成公螺絲12。 The implant 10 is a shaft-shaped member formed of a ceramic material such as zirconium dioxide. The implant 10 is formed in a cylindrical shape, and a male screw 12 is formed on the outer peripheral surface thereof.
中心孔13開口於植入體10之-Z側之端面的中心。中心孔13是錐形孔部14、逆錐形孔部15及卡合孔部16朝向+Z側而連續形成。 The center hole 13 is opened at the center of the end face on the -Z side of the implant 10. The center hole 13 is formed by continuously forming the tapered hole portion 14, the reverse tapered hole portion 15, and the engaging hole portion 16 toward the +Z side.
錐形孔部(嵌合孔部)14由-Z側之端面朝向+Z側而內徑漸漸縮小(縮徑)。逆錐形孔部15朝向+Z側而內徑漸漸擴大(擴徑)。卡合孔部16形成由平行且對向之二個內側面構成之平行二面(共轉限制孔部)16A。 The tapered hole portion (fitting hole portion) 14 is gradually reduced in diameter (reduced diameter) from the end surface on the -Z side toward the +Z side. The reverse tapered hole portion 15 is gradually enlarged (expanded) toward the +Z side. The engaging hole portion 16 is formed by parallel two surfaces (co-rotation restricting hole portions) 16A which are formed by two inner surfaces which are parallel and opposed.
錐形孔部14之錐形角為例如8°。錐形孔部14之平均直徑為例如2mm。錐形孔部14之長度(深度)形成為植 入體10之全長(例如10mm)之1/3以上的長度(例如4~5mm)。 The taper angle of the tapered hole portion 14 is, for example, 8°. The average diameter of the tapered hole portion 14 is, for example, 2 mm. The length (depth) of the tapered hole portion 14 is formed as a plant The length of the full length (for example, 10 mm) of the body 10 is 1/3 or more (for example, 4 to 5 mm).
錐形孔部14之內周側面形成沿著Z方向之複數突起17。複數突起17(旋轉防止孔部)在中心孔13之周方向上呈等間隔(等角度)配置。突起17之數目為5條。突起17之數目可適當變更。 The inner peripheral side surface of the tapered hole portion 14 forms a plurality of protrusions 17 along the Z direction. The plurality of projections 17 (rotation preventing hole portions) are arranged at equal intervals (equal angles) in the circumferential direction of the center hole 13. The number of the protrusions 17 is five. The number of the protrusions 17 can be changed as appropriate.
突起17之直交於Z軸之截面的形狀為頂部側(外周側)膨出成半圓弧形之形狀。 The shape of the cross section of the protrusion 17 orthogonal to the Z-axis is a shape in which the top side (outer peripheral side) bulges into a semi-circular arc shape.
逆錐形孔部15之最小內徑比錐形孔部14之最小內徑還小。因此,錐形孔部14與逆錐形孔部15之連接部份形成朝中心孔13之內周側突出之突出部位(防止脫落孔部)15A。逆錐形孔部15之錐形角為例如10°。逆錐形孔部15之長度(深度)為例如2.5mm。 The minimum inner diameter of the reverse tapered hole portion 15 is smaller than the minimum inner diameter of the tapered hole portion 14. Therefore, the connecting portion of the tapered hole portion 14 and the reverse tapered hole portion 15 forms a protruding portion (preventing the falling hole portion) 15A that protrudes toward the inner peripheral side of the center hole 13. The taper angle of the reverse tapered hole portion 15 is, for example, 10°. The length (depth) of the reverse tapered hole portion 15 is, for example, 2.5 mm.
卡合孔部16是由對向之二個圓弧形內周側面、及平行且對向之二個內側面構成。二個內側面為平行二面16A。卡合孔部16之長度(深度)為例如1.2mm。二個平行二面16A之寬度(二面寬度)為約1.1mm。 The engaging hole portion 16 is composed of two arcuate inner circumferential side faces that face each other and two inner side faces which are parallel and opposed. The two inner sides are parallel to each other 16A. The length (depth) of the engaging hole portion 16 is, for example, 1.2 mm. The width (two-sided width) of the two parallel two faces 16A is about 1.1 mm.
圖5是顯示支台齒20之圖,(a)為側面圖,(b)為底面圖,(c)為縱截面圖(Vc-Vc截面)。 Fig. 5 is a view showing abutment teeth 20, (a) is a side view, (b) is a bottom view, and (c) is a longitudinal sectional view (Vc-Vc cross section).
支台齒20由本體部21、及錐形軸部22所構成。 The abutment tooth 20 is composed of a body portion 21 and a tapered shaft portion 22.
在本體部21裝設有人工牙冠6。錐形軸部(嵌合軸部)22由本體部21之基端側(+Z側)延伸設置,而內插於植入體10之中心孔13。 An artificial crown 6 is attached to the body portion 21. The tapered shaft portion (fitting shaft portion) 22 is extended from the proximal end side (+Z side) of the body portion 21, and is inserted into the center hole 13 of the implant 10.
支台齒20是由具有美觀性優異之白色陶瓷材料一體地 形成。陶瓷材料採用二氧化鋯。 The abutment tooth 20 is integrally formed of a white ceramic material having excellent appearance. form. The ceramic material uses zirconium dioxide.
錐形軸部22之錐形角為例如8°。與植入體10之中心孔13之錐形孔部14的角度相同。 The taper angle of the tapered shaft portion 22 is, for example, 8°. The angle is the same as the angle of the tapered hole portion 14 of the center hole 13 of the implant 10.
錐形軸部22之平均內徑為例如2mm。錐形軸部22之長度形成與錐形孔部14相同或較長。錐形軸部22之長度為例如6mm。 The average inner diameter of the tapered shaft portion 22 is, for example, 2 mm. The length of the tapered shaft portion 22 is formed the same as or longer than the tapered hole portion 14. The length of the tapered shaft portion 22 is, for example, 6 mm.
錐形軸部22之外周側面沿著Z方向形成複數溝部23。複數溝部23(旋轉防止軸部)在錐形軸部22之周方向上呈等間隔(等角度)配置。溝部23之數目為5條。溝部23之數目可適當變更。溝部23之數目與錐形孔部14之突起17的數目相同。 The outer circumferential side surface of the tapered shaft portion 22 forms a plurality of groove portions 23 along the Z direction. The plurality of groove portions 23 (rotation preventing shaft portions) are arranged at equal intervals (equal angles) in the circumferential direction of the tapered shaft portion 22. The number of the grooves 23 is five. The number of the groove portions 23 can be changed as appropriate. The number of the grooves 23 is the same as the number of the projections 17 of the tapered hole portion 14.
溝部23之直交於Z軸之截面的形狀為底部側(內周側)內凹成半圓弧形之形狀。也就是說,溝部23為與形成於錐形孔部14之內周側面之突起17相反的形狀。 The shape of the cross section of the groove portion 23 orthogonal to the Z-axis is a shape of a semicircular arc shape recessed in the bottom side (inner peripheral side). That is, the groove portion 23 has a shape opposite to the protrusion 17 formed on the inner peripheral side surface of the tapered hole portion 14.
當支台齒20插入植入體10之中心孔13時,支台齒20之錐形軸部22嵌合於植入體10之中心孔13之錐形孔部14。此時,形成於錐形軸部22之5條溝部23插入形成於錐形孔部14之5條突起17。 When the abutment tooth 20 is inserted into the central hole 13 of the implant 10, the tapered shaft portion 22 of the abutment tooth 20 is fitted to the tapered hole portion 14 of the central hole 13 of the implant 10. At this time, the five groove portions 23 formed in the tapered shaft portion 22 are inserted into the five projections 17 formed in the tapered hole portion 14.
支台齒20之中心形成貫通於Z方向之貫通孔24。貫通孔24中,對應於本體部21之部位的內徑形成約2.5mm。貫通孔24之一部份設有M2.5之內螺絲25。內螺絲25之螺絲尺寸等可因應於貫通孔24之內徑等而適當變更。 The center of the abutment tooth 20 forms a through hole 24 that penetrates the Z direction. In the through hole 24, the inner diameter of the portion corresponding to the body portion 21 is formed to be about 2.5 mm. One of the through holes 24 is provided with a screw 25 inside the M2.5. The screw size or the like of the inner screw 25 can be appropriately changed depending on the inner diameter of the through hole 24 and the like.
貫通孔24中,對應於錐形軸部22之部位的內徑形成例如1mm。定位銷30幾乎無間隙地插通於貫通孔24。 In the through hole 24, the inner diameter of the portion corresponding to the tapered shaft portion 22 is formed, for example, by 1 mm. The positioning pin 30 is inserted into the through hole 24 with almost no gap.
圖6是顯示定位銷30之圖,(a)為側面圖,(b)為底面圖。 Fig. 6 is a view showing the positioning pin 30, (a) is a side view, and (b) is a bottom view.
定位銷30為細長之軸形構件。定位銷30是由鈦或鈦合金形成。定位銷30之直徑為例如1mm。 The positioning pin 30 is an elongated shaft member. The positioning pin 30 is formed of titanium or a titanium alloy. The diameter of the positioning pin 30 is, for example, 1 mm.
定位銷30由細長之本體部(軸本體部)30A、及形成於本體部30A之基端側(+Z側)之卡合部31構成。本體部30A之直徑為例如1mm。卡合部31嵌入於形成於植入體10之中心孔13之最深部的卡合孔部16。 The positioning pin 30 is composed of an elongated main body portion (shaft main body portion) 30A and an engaging portion 31 formed on the proximal end side (+Z side) of the main body portion 30A. The diameter of the body portion 30A is, for example, 1 mm. The engaging portion 31 is fitted into the engaging hole portion 16 formed at the deepest portion of the center hole 13 of the implant 10.
卡合部31由錐形部位31A與平行二面31B所構成。錐形部位(防止脫落軸部)31A是朝向+Z側而外徑漸漸地擴大(擴徑)。平行二面(共轉限制軸部)31B是形成於錐形部位31A之外側面且平行背向的二個外側面。錐形部位31A之角度為約30°。平行二面31B之寬度(二面寬度)為例如1.1mm。 The engaging portion 31 is composed of a tapered portion 31A and a parallel two faces 31B. The tapered portion (preventing the falling shaft portion) 31A is gradually enlarged (expanded) toward the +Z side. The parallel two sides (co-rotation restricting shaft portion) 31B are two outer side surfaces which are formed on the outer side surface of the tapered portion 31A and which are parallel to each other. The angle of the tapered portion 31A is about 30°. The width (two-sided width) of the parallel two faces 31B is, for example, 1.1 mm.
定位銷30之前端側(-Z側)設置M1之外螺絲32。外螺絲32之螺絲尺寸等可因應於定位銷30之直徑等而適當變更。 The screw 32 is provided outside the M1 on the front end side (-Z side) of the positioning pin 30. The screw size or the like of the outer screw 32 can be appropriately changed depending on the diameter of the positioning pin 30 and the like.
定位銷30之長度是當組裝植入物5時,外螺絲32與支台齒20之貫通孔24之端部(-Z側)之內螺絲25為大略相同位置之長度。 The length of the positioning pin 30 is the length at which the screw 25 of the end portion (-Z side) of the through hole 24 of the abutment tooth 20 and the abutment tooth 20 are substantially the same position when the implant 5 is assembled.
圖7是顯示定位器40之圖,(a)是底面圖,(b)是縱截面圖(VIIb-VIIb截面)。 Fig. 7 is a view showing the positioner 40, (a) is a bottom view, and (b) is a longitudinal sectional view (sections VIIb-VIIb).
定位器40為環形構件。定位器40由鈦或鈦合金所形成。定位器40之外徑為例如1.5mm。定位器40之外徑相較於植 入體10之中心孔13之逆錐形孔部15的最小內徑略小。亦可使定位器40之外徑作成比逆錐形孔部15之最小內徑略大徑,轉入逆錐形孔部15。 The positioner 40 is an annular member. The positioner 40 is formed of titanium or a titanium alloy. The outer diameter of the positioner 40 is, for example, 1.5 mm. The outer diameter of the positioner 40 is compared to the planting The minimum inner diameter of the reverse tapered hole portion 15 of the center hole 13 of the inlet body 10 is slightly smaller. The outer diameter of the retainer 40 may be made slightly larger than the minimum inner diameter of the reverse tapered hole portion 15, and may be transferred to the reverse tapered hole portion 15.
定位器40之內徑為例如1mm。定位器40之內徑外嵌於定位銷30。定位器40是配置於鉤掛於定位銷30之卡合部31的位置。 The inner diameter of the positioner 40 is, for example, 1 mm. The inner diameter of the positioner 40 is externally fitted to the positioning pin 30. The positioner 40 is disposed at a position hooked to the engaging portion 31 of the positioning pin 30.
定位器40是配置成當組裝植入物5時,會收容於植入體10之中心孔13之逆錐形孔部15。 The positioner 40 is a reverse tapered hole portion 15 that is configured to be received in the center hole 13 of the implant 10 when the implant 5 is assembled.
定位器40於基端側(+Z側)形成3支櫛齒41。櫛齒41之支數可適當變更。該櫛齒41是當定位器40套上定位銷30之卡合部31時,會朝外周側彈性變形而擴展。定位器40之櫛齒41與所謂的筒夾夾頭產生同樣的作用。 The positioner 40 forms three teeth 41 on the proximal end side (+Z side). The number of the molars 41 can be changed as appropriate. When the retainer 40 is fitted with the engaging portion 31 of the positioning pin 30, the latch 41 is elastically deformed toward the outer peripheral side to expand. The molars 41 of the positioner 40 have the same effect as the so-called collet chucks.
當定位器40之櫛齒41向外周側擴展時,會比錐形孔部14之最小內徑大。定位器40鉤掛於植入體10之中心孔13之逆錐形孔部15之上端中朝內周側突出之突出部位15A(介於其中)。藉此,限制定位器40及定位銷30往-Z側的移動。 When the molars 41 of the retainer 40 are expanded toward the outer peripheral side, they are larger than the minimum inner diameter of the tapered bore portion 14. The positioner 40 is hooked on (in between) the protruding portion 15A projecting toward the inner peripheral side in the upper end of the reverse tapered hole portion 15 of the center hole 13 of the implant 10. Thereby, the movement of the positioner 40 and the positioning pin 30 to the -Z side is restricted.
圖8是顯示鎖固螺帽50之圖,(a)為底面圖、(b)為縱截面圖(VIIIb-VIIIb截面)。 Fig. 8 is a view showing the lock nut 50, wherein (a) is a bottom view and (b) is a longitudinal sectional view (section VIIIb-VIIIb).
鎖固螺帽(鎖固襯套)50為環形構件。鎖固螺帽50是於外周面具有M2.5之外螺絲51,於內周面具有M1之內螺絲52。鎖固螺帽50由鈦或鈦合金所形成。外螺絲51、內螺絲52之螺絲尺寸等可對應於內螺絲25、外螺絲32而適當變更。 The locking nut (locking bushing) 50 is an annular member. The lock nut 50 has a screw 51 other than M2.5 on the outer peripheral surface, and has an inner screw M52 on the inner peripheral surface. The locking nut 50 is formed of titanium or a titanium alloy. The screw size of the outer screw 51 and the inner screw 52 can be appropriately changed in accordance with the inner screw 25 and the outer screw 32.
鎖固螺帽50之-Z側之端面設有具有平行且背向之二面的一對扳手溝53。可將未圖示之工具(扳手等)卡合於該 扳手溝53之平行二面,使鎖固螺帽50旋轉。 The end face on the -Z side of the lock nut 50 is provided with a pair of wrench grooves 53 having two sides facing in parallel and facing away from each other. A tool (wrench, etc.) not shown can be engaged in the The parallel sides of the wrench groove 53 rotate the lock nut 50.
外螺絲51螺合於形成於支台齒20之貫通孔24之一部份的內螺絲25。內螺絲52螺合於形成於定位銷30之前端側(-Z側)之外螺絲32。在組裝有植入物5的狀態下,當使鎖固螺帽50右旋轉時,定位銷30相對於支台齒20朝-Z側移動。 The outer screw 51 is screwed to the inner screw 25 formed in a portion of the through hole 24 of the abutment tooth 20. The inner screw 52 is screwed to the screw 32 formed on the front end side (-Z side) of the positioning pin 30. In the state in which the implant 5 is assembled, when the lock nut 50 is rotated rightward, the positioning pin 30 is moved toward the -Z side with respect to the abutment tooth 20.
(植入物治療之二次法(需要二次手術之治療方法)) (Second method of implant treatment (treatment method requiring secondary surgery))
植入物5之組裝等依照以下順序進行。 The assembly of the implant 5 and the like is performed in the following order.
(第一次手術) (first surgery)
一開始,將植入體10埋入患者之齒槽骨2。 Initially, the implant 10 is embedded in the alveolar bone 2 of the patient.
將植入體10埋入齒槽骨2時,使用植入物安裝植入器80。 When the implant 10 is embedded in the alveolar bone 2, the implant 80 is mounted using the implant.
圖9是顯示本發明之第一實施形態之植入物安裝植入器80之圖,(a)是側面圖、(b)是底面圖、(c)是部份截面圖(IXc-IXc截面)。 Fig. 9 is a view showing the implant-mounting implanter 80 according to the first embodiment of the present invention, wherein (a) is a side view, (b) is a bottom view, and (c) is a partial cross-sectional view (IXc-IXc cross section). ).
圖10是顯示本發明之第一實施形態之植入物安裝植入器80之使用狀態圖。 Fig. 10 is a view showing a state of use of the implant-mounting implanter 80 according to the first embodiment of the present invention.
植入物安裝植入器80中,將+Z方向之端部稱為前端(第一端)、將-Z方向之端部稱為基端(第二端)。 In the implant-mounted implanter 80, the end in the +Z direction is referred to as the front end (first end), and the end in the -Z direction is referred to as the base end (second end).
植入物安裝植入器(植入物用植入器)80是細長的軸形構件,且由不銹鋼等所形成。植入物安裝植入器80在連結於不圖示之外科手術馬達(surgical motor)之狀態下使用。 The implant-mounting implanter (implant implanter) 80 is an elongated shaft-shaped member and is formed of stainless steel or the like. The implant mounting implanter 80 is used in a state of being coupled to a surgical motor not shown.
植入物安裝植入器80在基端側(-Z側)形成連結於外科 手術馬達(驅動源)之馬達連結部81。植入物安裝植入器80在前端側(+Z側)形成插入且嵌合於植入體10之中心孔13之植入物連結部82。 The implant-mounting implant 80 is joined to the surgical side at the proximal end side (-Z side) A motor coupling portion 81 of a surgical motor (drive source). The implant attachment implanter 80 forms an implant attachment portion 82 that is inserted and fitted into the central hole 13 of the implant 10 on the distal end side (+Z side).
植入物連結部82由外徑朝前端縮小之錐形之準直軸部83、形成非圓形之旋轉傳達軸部84及可變更外徑之定位器85等所構成。準直軸部83與旋轉傳達軸部84是一體的形成。也就是說,準直軸部83與旋轉傳達軸部84在Z方向(軸方向)上形成於同一位置。 The implant connecting portion 82 is composed of a collimating shaft portion 83 having a tapered outer diameter toward the front end, a non-circular rotation transmitting shaft portion 84, a positioner 85 capable of changing the outer diameter, and the like. The collimation shaft portion 83 is formed integrally with the rotation transmission shaft portion 84. In other words, the collimation shaft portion 83 and the rotation transmission shaft portion 84 are formed at the same position in the Z direction (axial direction).
準直軸部83為嵌合於植入體10之中心孔13之錐形孔部14的部位。準直軸部83形成與支台體8之支台齒20之錐形軸部22相同的形狀。 The collimation shaft portion 83 is a portion that is fitted to the tapered hole portion 14 of the center hole 13 of the implant 10. The collimating shaft portion 83 has the same shape as the tapered shaft portion 22 of the abutment tooth 20 of the abutment body 8.
旋轉傳達軸部84是嵌合於植入體10之中心孔13之突起17的部位。旋轉傳達軸部84具有溝部84A。旋轉傳達軸部84(溝部84A)形成與支台齒20之溝部23相同的形狀。 The rotation transmission shaft portion 84 is a portion that is fitted to the projection 17 of the center hole 13 of the implant 10. The rotation transmission shaft portion 84 has a groove portion 84A. The rotation transmission shaft portion 84 (the groove portion 84A) has the same shape as the groove portion 23 of the abutment tooth 20.
定位器(可變徑部)85是卡合於植入體10之中心孔13之逆錐形孔部15(突出部位15A)的部位。定位器85(定位體87)是形成與支台體8之定位器40大致相同形狀。 The positioner (variable diameter portion) 85 is a portion that is engaged with the reverse tapered hole portion 15 (projecting portion 15A) of the center hole 13 of the implant 10. The positioner 85 (positioning body 87) is formed in substantially the same shape as the positioner 40 of the abutment body 8.
植入物安裝植入器80之植入物連結部82在支台體8中,形成為與插入至植入體10之中心孔13之部位相同的形狀。 The implant attachment portion 82 of the implant-mounted implanter 80 is formed in the abutment body 8 in the same shape as the portion inserted into the central hole 13 of the implant 10.
因此,將植入物安裝植入器80之植入物連結部82插入至植入體10之中心孔13時,可發揮與後述之耐壓部60及旋轉防止部70同樣的機能。 Therefore, when the implant connecting portion 82 of the implant attachment implanter 80 is inserted into the center hole 13 of the implant 10, the same function as the pressure resistant portion 60 and the rotation preventing portion 70 to be described later can be exhibited.
具體而言,在將植入物安裝植入器80插入植入體10之中 心孔13之狀態下,由於準直軸部83與錐形孔部14嵌合(密接),因此植入物安裝植入器80與植入體10之中心軸(旋轉軸)之間一致,而限制(抑止)植入體10之姿勢。又,由於旋轉傳達軸部84之溝部84A與突起17咬合,因此可限制(抑止)植入體10相對植入物安裝植入器80之旋轉。 Specifically, the implant mounting implant 80 is inserted into the implant 10. In the state of the core hole 13, since the collimating shaft portion 83 is fitted (closely) with the tapered hole portion 14, the implant-mounted implanter 80 is aligned with the central axis (rotational axis) of the implant 10, The posture of the implant 10 is restricted (suppressed). Further, since the groove portion 84A of the rotation transmitting shaft portion 84 is engaged with the projection 17, the rotation of the implant 10 with respect to the implant-mounted implanter 80 can be restricted (prevented).
定位器85由形成於植入物連結部82之細軸部86、及相對細軸部86具有稍微的間隙嵌合之定位體87構成。定位體87是以例如PEEK(polyetheretherketone)等之合成樹脂所形成之C字形之環形構件。 The positioner 85 is composed of a thin shaft portion 86 formed in the implant connecting portion 82 and a positioning body 87 having a slight gap fitting with respect to the thin shaft portion 86. The positioning body 87 is a C-shaped annular member formed of a synthetic resin such as PEEK (polyetheretherketone).
定位體87之外徑是比植入體10之中心孔13之逆錐形孔部15的最小內徑稍大。因此,可將定位器85轉入植入體10之中心孔13之逆錐形孔部15。由於定位體87為C字形之環形構件並且與細軸部86之間設有些微的間隙,因此當定位體87抵接於突出部位15A時,定位體87之外徑會彈性變形而變小。而且,當定位器85插入至逆錐形孔部15時,定位體87之彈性變形會回復而定位器85卡合於突出部位15A。因此,可防止植入體10自植入物安裝植入器80之脫落。 The outer diameter of the positioning body 87 is slightly larger than the minimum inner diameter of the reverse tapered hole portion 15 of the center hole 13 of the implant 10. Therefore, the positioner 85 can be rotated into the reverse tapered hole portion 15 of the center hole 13 of the implant 10. Since the positioning body 87 has a C-shaped annular member and is provided with a slight gap between the positioning portion 87 and the thin shaft portion 86, when the positioning body 87 abuts against the protruding portion 15A, the outer diameter of the positioning body 87 is elastically deformed and becomes small. Moreover, when the positioner 85 is inserted into the reverse tapered hole portion 15, the elastic deformation of the positioning body 87 is restored and the positioner 85 is engaged with the protruding portion 15A. Therefore, the removal of the implant 10 from the implant mounting implant 80 can be prevented.
將植入體10埋入齒槽骨2時,旋轉傳達軸部84之溝部84A與突起17咬合,因此外科手術馬達之旋轉力透過植入物安裝植入器80而確實地傳達到植入體10。又,由於準直軸部83與錐形孔部14嵌合,因此植入體10不搖晃而以姿勢安定之狀態埋入齒槽骨2。因此,可藉由使用植入物安裝植入器80,避免對人體過度的負擔。 When the implant 10 is embedded in the alveolar bone 2, the groove portion 84A of the rotation transmitting shaft portion 84 is engaged with the projection 17, so that the rotational force of the surgical motor is surely transmitted to the implant through the implant-mounted implanter 80. 10. Further, since the collimating shaft portion 83 is fitted into the tapered hole portion 14, the implant 10 is buried in the alveolar bone 2 in a state where the posture is stabilized without being shaken. Therefore, the implant 80 can be mounted using the implant to avoid an excessive burden on the human body.
植入體10之公螺絲12具備螺紋切削之機能,因此 植入體10會對齒槽骨2直接一面切削螺紋一面埋入。因此,可縮短手術時間,得到確實的初期固定。 The male screw 12 of the implant 10 has the function of thread cutting, so The implant 10 is embedded in the alveolar bone 2 while cutting the thread directly. Therefore, the operation time can be shortened and a firm initial fixation can be obtained.
將植入體10埋入齒槽骨2後,將植入物安裝植入器80朝-Z方向拉出而自植入體10分離。此時,定位體87抵接於突出部位15A,彈性變形使外徑變小。由於定位體87僅以些微的拉伸力而彈性變形,因此不會對人體造成過度的負擔,植入體10不會由齒槽骨2脫落。 After the implant 10 is embedded in the alveolar bone 2, the implant-mounted implanter 80 is pulled out in the -Z direction to be separated from the implant 10. At this time, the positioning body 87 abuts against the protruding portion 15A, and the elastic deformation causes the outer diameter to be small. Since the positioning body 87 is elastically deformed only by a slight tensile force, it does not cause an excessive load on the human body, and the implant 10 does not fall off from the alveolar bone 2.
將植入物安裝植入器80自植入體10分離後,縫合牙齦4。齒槽骨2與植入體10也會因個人差異而在3~6個月左右骨密接。 After the implant mounting implant 80 is detached from the implant 10, the gums 4 are sutured. The alveolar bone 2 and the implant 10 are also closely connected to each other for 3 to 6 months due to personal differences.
(第二次手術之準備) (Preparation for the second operation)
與植入體10分開另外組裝支台體8。藉由支台齒20、定位銷30、定位器40及鎖固螺帽50組裝支台體8。支台體8可以組裝之形態販賣。 The abutment body 8 is additionally assembled separately from the implant 10. The abutment body 8 is assembled by the abutment teeth 20, the positioning pin 30, the retainer 40, and the lock nut 50. The abutment body 8 can be sold in the form of an assembly.
在組裝支台體8時,首先將定位器40外嵌於定位銷30。其次,相對於支台齒20而安裝鎖固螺帽50。將鎖固螺帽50之外螺絲51螺合於形成於支台齒20之貫通孔24之一部份的內螺絲25。 When assembling the abutment body 8, the positioner 40 is first externally fitted to the positioning pin 30. Next, the locking nut 50 is mounted relative to the abutment teeth 20. The screw 51 other than the lock nut 50 is screwed to the inner screw 25 formed in a part of the through hole 24 of the abutment tooth 20.
接著,將定位銷30由支台齒20之貫通孔24之+Z側插入。定位銷30之前端側(-Z側)抵接於安裝於支台齒20之鎖固螺帽50後,使定位銷30右旋轉。藉由定位銷30之右旋轉,將定位銷30之外螺絲32螺合於鎖固螺帽50之內螺絲52。將外嵌於定位銷30之定位器40之前端側(-Z側)抵 接於支台齒20之-Z側之端部之前,使定位銷30右旋轉。 Next, the positioning pin 30 is inserted from the +Z side of the through hole 24 of the abutment tooth 20. The front end side (-Z side) of the positioning pin 30 abuts against the lock nut 50 attached to the abutment tooth 20, and the positioning pin 30 is rotated rightward. By the right rotation of the positioning pin 30, the screw 32 outside the positioning pin 30 is screwed into the screw 52 inside the locking nut 50. The front end side (-Z side) of the positioner 40 externally fitted to the positioning pin 30 is abutted Before the end of the abutment tooth 20 on the -Z side, the positioning pin 30 is rotated to the right.
藉此,支台體8之組裝完成。 Thereby, the assembly of the abutment body 8 is completed.
(第二次手術) (second surgery)
在埋入於患者之齒槽骨2之植入體10的中心孔13插入支台體8。支台齒20之錐形軸部22呈楔狀嵌入植入體10之中心孔13之錐形孔部14。 The abutment body 8 is inserted into the central hole 13 of the implant 10 embedded in the alveolar bone 2 of the patient. The tapered shaft portion 22 of the abutment tooth 20 is wedge-shaped into the tapered bore portion 14 of the central bore 13 of the implant 10.
定位銷30之基端側(+Z側)之卡合部31插入植入體10之中心孔13之最底部(+Z側)的卡合孔部16。定位銷30之卡合部31之平行二面31B與植入體10之卡合孔部16之平行二面16A密接(嵌合)。 The engaging portion 31 of the proximal end side (+Z side) of the positioning pin 30 is inserted into the engaging hole portion 16 at the bottommost (+Z side) of the center hole 13 of the implant 10. The parallel two surfaces 31B of the engaging portion 31 of the positioning pin 30 are in close contact with (the fitting) the parallel two surfaces 16A of the engaging hole portion 16 of the implant 10.
其次,將未圖示之工具(扳手等)嵌於鎖固螺帽50之扳手溝53使之右旋轉。鎖固螺帽50朝+Z方向一面旋轉一面移動。與此同時,定位銷30朝-Z方向移動。 Next, a tool (wrench, etc.) (not shown) is fitted into the wrench groove 53 of the lock nut 50 to rotate right. The lock nut 50 moves while rotating in the +Z direction. At the same time, the positioning pin 30 moves in the -Z direction.
此時,鎖固螺帽50之外螺絲51與內螺絲52之螺距(M2.5:0.35P,M1:0.2P)有差,因此相較於鎖固螺帽50往+Z方向的移動量,定位銷30往-Z方向的移動量變大。 At this time, the pitch of the screw 51 and the inner screw 52 outside the lock nut 50 is different (M2.5: 0.35P, M1: 0.2P), so the amount of movement in the +Z direction is smaller than that of the lock nut 50. The amount of movement of the positioning pin 30 in the -Z direction becomes large.
由於定位銷30之卡合部31插入植入體10之卡合孔部16,卡合部31之平行二面31B與卡合孔部16之平行二面16A密接(嵌合),因此定位銷30自己的旋轉受到限制(抑止)。定位銷30不會與鎖固螺帽50共轉,而是朝-Z方向移動。 Since the engaging portion 31 of the positioning pin 30 is inserted into the engaging hole portion 16 of the implant body 10, the parallel two faces 31B of the engaging portion 31 are in close contact (fitting) with the parallel two faces 16A of the engaging hole portion 16, and thus the positioning pin 30 own rotation is restricted (suppressed). The positioning pin 30 does not rotate with the locking nut 50 but moves in the -Z direction.
當使定位銷30朝-Z方向移動時,外嵌於定位銷30之定位器40的前端側(-Z側)會抵接於支台齒20之+Z側之端部,定位器40往+Z方向的移動受到限制(抑止)。 When the positioning pin 30 is moved in the -Z direction, the front end side (-Z side) of the positioner 40 externally fitted to the positioning pin 30 abuts against the end of the +Z side of the abutment tooth 20, and the positioner 40 The movement in the +Z direction is restricted (suppressed).
進而使定位銷30朝+Z方向移動時,在定位器40之內周側 插入於定位銷30之卡合部31之錐形部位31A(定位器40套上錐形部位31A)。藉此,定位器40之+Z側之3支櫛齒41會向外周側彈性變形而擴展。 Further, when the positioning pin 30 is moved in the +Z direction, on the inner circumference side of the positioner 40 The tapered portion 31A of the engaging portion 31 of the positioning pin 30 is inserted (the positioner 40 is fitted with the tapered portion 31A). Thereby, the three teeth 41 on the +Z side of the positioner 40 are elastically deformed to expand toward the outer peripheral side.
因此,定位器40會鉤掛於植入體10之中心孔13之逆錐形孔部15之上端中朝內周側突出之突出部位15A,並且定位器40及定位銷30往-Z側的移動受到限制。 Therefore, the positioner 40 is hooked on the protruding portion 15A protruding toward the inner peripheral side in the upper end of the reverse tapered hole portion 15 of the center hole 13 of the implant body 10, and the positioner 40 and the positioning pin 30 are on the -Z side. Movement is limited.
在定位器40及定位銷30往-Z側之移動受到限制之狀態下,使鎖固螺帽50更向右旋轉。支台齒20移動到+Z方向。支台齒20朝植入體10進一步移動,而支台齒20之錐形軸部22進一步呈楔狀插入植入體10之中心孔13之錐形孔部14。 In a state where the movement of the positioner 40 and the positioning pin 30 toward the -Z side is restricted, the lock nut 50 is further rotated to the right. The abutment teeth 20 move to the +Z direction. The abutment teeth 20 are further moved toward the implant 10, and the tapered shaft portion 22 of the abutment teeth 20 is further wedge-shaped into the tapered bore portion 14 of the central bore 13 of the implant 10.
如此,植入物5不會鬆脫,可強韌地組裝。 然後,於植入物5之支台齒20之-Z側之外周面使用接著劑等而裝設人工牙冠6。 In this way, the implant 5 does not come loose and can be assembled with strength. Then, the artificial crown 6 is attached to the outer peripheral surface of the abutment tooth 20 of the implant 5 using an adhesive or the like.
植入物5中,藉將錐形軸部22與錐形孔部14嵌合(插入),可構成承受作用於支台齒20之外力(咬合壓F)之耐壓部60而發揮功能(參照圖1)。 In the implant 5, by fitting (inserting) the tapered shaft portion 22 and the tapered hole portion 14, it is possible to function by receiving the pressure-resistant portion 60 that acts on the external force (biting pressure F) of the abutment tooth 20 ( Refer to Figure 1).
特別是,耐壓部60是錐形軸部22與錐形孔部14之Z方向的長度相較於以往相當長,因此承受咬合壓F的面積變大,具有高耐壓性能。 In particular, the pressure-resistant portion 60 has a length in the Z direction of the tapered shaft portion 22 and the tapered hole portion 14 which is considerably longer than in the related art. Therefore, the area for receiving the nip pressure F is increased, and the pressure resistance is high.
因此,例如將植入物5使用於前齒時等,即使是相對於支台齒20由與Z軸方向交錯之方向承受咬合壓F,亦可確實地承受該咬合壓F。因此,支台齒20或植入體10會產生龜裂或破損。 Therefore, for example, when the implant 5 is used for the front teeth, the nip pressure F can be surely received even if the nip pressure F is received in the direction in which the abutment teeth 20 are staggered in the direction intersecting the Z-axis direction. Therefore, the abutment teeth 20 or the implant 10 may be cracked or broken.
當將支台齒20插入到植入體10之中心孔13時,錐形軸部22之5條溝部23會插入中心孔13之錐形孔部14之5條突起17。錐形孔部14之突起17與錐形軸部22之外周側面之溝部23會咬合,因此支台齒20相對於植入體10的旋轉會受到限制(抑止)。錐形孔部14之突起17與錐形軸部22之溝部23構成旋轉防止機構70而發揮功能。 When the abutment teeth 20 are inserted into the central hole 13 of the implant 10, the five groove portions 23 of the tapered shaft portion 22 are inserted into the five projections 17 of the tapered hole portion 14 of the center hole 13. The projection 17 of the tapered hole portion 14 is engaged with the groove portion 23 on the outer circumferential side surface of the tapered shaft portion 22, so that the rotation of the abutment tooth 20 with respect to the implant 10 is restricted (suppressed). The projection 17 of the tapered hole portion 14 and the groove portion 23 of the tapered shaft portion 22 constitute a rotation preventing mechanism 70 and function.
植入物5中,承受咬合壓F之耐壓部60(錐形軸部22與錐形孔部14)與旋轉防止機構70(突起17與溝部23)是一體的形成。也就是說,耐壓部60與旋轉防止部70在Z方向(軸方向)形成於同一位置。 In the implant 5, the pressure-resistant portion 60 (the tapered shaft portion 22 and the tapered hole portion 14) that receives the nip pressure F and the rotation preventing mechanism 70 (the projection 17 and the groove portion 23) are integrally formed. In other words, the pressure-resistant portion 60 and the rotation preventing portion 70 are formed at the same position in the Z direction (axial direction).
因此,耐壓部60可形成較以往還長(深)。可令耐壓部60(錐形軸部22與錐形孔部14)之長度為植入體10之全長之1/3以上的長度。 Therefore, the pressure-resistant portion 60 can be formed longer (deep) than in the past. The length of the pressure-resistant portion 60 (the tapered shaft portion 22 and the tapered hole portion 14) can be made longer than 1/3 of the entire length of the implant 10.
因此,植入物5於支台齒20或植入體10不會產生龜裂或缺口,可確實地承受強大的咬合壓F。 Therefore, the implant 5 does not generate cracks or nicks in the abutment teeth 20 or the implant 10, and can reliably withstand a strong nip pressure F.
〔第二實施形態〕 [Second embodiment]
圖11是顯示本發明之第二實施形態之植入物105的縱截面圖。 Fig. 11 is a longitudinal sectional view showing an implant 105 according to a second embodiment of the present invention.
植入物105中,對與第一實施形態之植入物5相同的構件則賦與相同編號並省略其說明。 In the implant 105, the same members as those of the implant 5 of the first embodiment are denoted by the same reference numerals and the description thereof will be omitted.
植入物105具有:固定於齒槽骨2之植入體110、及可對植入體110裝卸之支台體108。支台體108裝設有人工牙冠6。 The implant 105 has an implant 110 that is fixed to the alveolar bone 2, and an abutment body 108 that can be attached to and detached from the implant 110. The abutment body 108 is provided with an artificial crown 6 .
令植入物105之中心軸(長向方向)為Z軸(Z方 向、深度方向、軸方向、縱)。Z軸中,令植入體110側為+Z側(+Z方向),令支台齒120側為-Z側(-Z方向)。令由+Z方向看時為底面圖、令由-Z方向看時為上面圖。將+Z方向之端部稱為基端(第一端)、將-Z方向之端部稱為前端(第二端)。 Let the central axis (longitudinal direction) of the implant 105 be the Z axis (Z side) Direction, depth direction, axis direction, vertical). In the Z axis, the implant body 110 side is the +Z side (+Z direction), and the abutment tooth 120 side is the -Z side (-Z direction). Let the bottom view be viewed from the +Z direction and the top view when viewed from the -Z direction. The end portion in the +Z direction is referred to as a base end (first end), and the end portion in the -Z direction is referred to as a front end (second end).
支台體108係將支台齒120、定位銷130、定位器40及鎖固螺帽150組裝而成者。 The abutment body 108 is assembled by assembling the abutment teeth 120, the positioning pin 130, the positioner 40, and the locking nut 150.
支台體108具有:軸形構件之支台齒120、定位銷130、定位器40及鎖固螺帽150。 The abutment body 108 has abutment teeth 120 of a shaft member, a positioning pin 130, a positioner 40, and a locking nut 150.
支台齒120裝設人工牙冠6。 The abutment tooth 120 is provided with an artificial crown 6.
定位銷130插通於支台齒120之貫通孔124而卡合於植入體110。 The positioning pin 130 is inserted into the through hole 124 of the abutment tooth 120 to be engaged with the implant 110.
定位器40嵌合於定位銷130。 The positioner 40 is fitted to the positioning pin 130.
鎖固螺帽150卡合於支台齒120並且螺合於定位銷130。 The locking nut 150 is engaged with the abutment teeth 120 and screwed to the positioning pin 130.
第一實施形態之植入物5中,承受咬合壓F之耐壓部60(錐形軸部22與錐形孔部14)與旋轉防止部70(突起17與溝部23)是一體的(Z方向中相同位置)形成。 In the implant 5 of the first embodiment, the pressure-resistant portion 60 (the tapered shaft portion 22 and the tapered hole portion 14) that receives the nip pressure F is integrated with the rotation preventing portion 70 (the projection 17 and the groove portion 23) (Z Formed in the same position in the direction).
另一方面、植入物105中,承受咬合壓F之耐壓部160(錐形軸部122與錐形孔部114)與旋轉防止部170(旋轉防止孔部117與旋轉防止軸部123)是另外(Z方向中不同之位置)形成。 On the other hand, in the implant 105, the pressure-resistant portion 160 (the tapered shaft portion 122 and the tapered hole portion 114) that receives the nip pressure F and the rotation preventing portion 170 (the rotation preventing hole portion 117 and the rotation preventing shaft portion 123) It is formed separately (different positions in the Z direction).
圖12是顯示植入體110之圖,(a)為上面圖、(b)為側面部份截面圖(XIIb-XIIb截面)。 Fig. 12 is a view showing the implant 110, wherein (a) is the upper view and (b) is a side partial sectional view (XIIb-XIIb cross section).
植入體110是以二氧化鋯等之陶瓷材料所形成之軸形構 件,且於外周面形成公螺絲12。 The implant 110 is a shaft formed by a ceramic material such as zirconium dioxide. And a male screw 12 is formed on the outer peripheral surface.
中心孔113開口於植入體110之-Z側端面之中心。錐形孔部114、旋轉防止孔部117、逆錐形孔部15及卡合孔部16(平行二面16A)朝向+Z側連續地形成於中心孔113。 The center hole 113 is opened at the center of the -Z side end surface of the implant 110. The tapered hole portion 114, the rotation preventing hole portion 117, the reverse tapered hole portion 15, and the engaging hole portion 16 (parallel two faces 16A) are continuously formed in the center hole 113 toward the +Z side.
錐形孔部114由-Z側之端面朝向+Z側內徑漸漸地縮小(縮徑)。旋轉防止孔部117形成非圓形。 The tapered hole portion 114 is gradually reduced (reduced diameter) from the end surface on the -Z side toward the +Z side inner diameter. The rotation preventing hole portion 117 is formed in a non-circular shape.
錐形孔部(嵌合孔部)114之錐形角為例如8°。錐形孔部114之平均直徑為例如2mm。錐形孔部114之長度(深度)為例如3.5mm。 The taper angle of the tapered hole portion (fitting hole portion) 114 is, for example, 8°. The average diameter of the tapered hole portion 114 is, for example, 2 mm. The length (depth) of the tapered hole portion 114 is, for example, 3.5 mm.
旋轉防止孔部117具有沿著Z方向之複數之溝部117A。複數之溝部117A在中心孔113之周方向上呈等間隔(等角度)配置。溝部117A之數目為5條。溝部117A之數目可適當變更。溝部117A之與Z軸直交之截面的形狀為底部側(內周側)為凹陷成半圓弧形之形狀。 The rotation preventing hole portion 117 has a plurality of groove portions 117A along the Z direction. The plurality of groove portions 117A are arranged at equal intervals (equal angles) in the circumferential direction of the center hole 113. The number of the groove portions 117A is five. The number of the groove portions 117A can be changed as appropriate. The shape of the cross section orthogonal to the Z-axis of the groove portion 117A is such that the bottom side (inner peripheral side) has a shape of a semi-circular arc.
圖13為顯示支台齒120之圖,(a)為側面圖、(b)為縱截面圖(XIIIb-XIIIb截面)、(c)為底面圖。 Fig. 13 is a view showing the abutment tooth 120, wherein (a) is a side view, (b) is a longitudinal sectional view (XIIIb-XIIIb cross section), and (c) is a bottom view.
支台齒120由本體部121、錐形軸部122及旋轉防止軸部123構成。 The abutment tooth 120 is composed of a body portion 121, a tapered shaft portion 122, and a rotation preventing shaft portion 123.
在本體部121裝設有人工牙冠6。錐形軸部(嵌合軸部)122由本體部121之基端側(+Z側)延伸設置,而內插於植入體10之中心孔113。 An artificial crown 6 is attached to the body portion 121. The tapered shaft portion (fitting shaft portion) 122 is extended from the proximal end side (+Z side) of the body portion 121, and is inserted into the center hole 113 of the implant 10.
支台齒120是由具有美觀性優異之白色陶瓷材料一體地形成。陶瓷材料採用二氧化鋯。 The abutment tooth 120 is integrally formed of a white ceramic material having excellent aesthetic properties. The ceramic material uses zirconium dioxide.
錐形軸部122之錐形角為例如8°。與植入體110 之中心孔113之錐形孔部114的角度相同。 The taper angle of the tapered shaft portion 122 is, for example, 8°. And implant 110 The angle of the tapered hole portion 114 of the center hole 113 is the same.
錐形軸部122之平均內徑為例如2mm。錐形軸部122之長度形成與錐形孔部114相同或較長。錐形軸部122之長度為例如5mm。 The average inner diameter of the tapered shaft portion 122 is, for example, 2 mm. The length of the tapered shaft portion 122 is formed to be the same as or longer than the tapered hole portion 114. The length of the tapered shaft portion 122 is, for example, 5 mm.
旋轉防止軸部123具有沿著Z方向之複數突起123A。複數突起123A在旋轉防止軸部123之周方向上呈等間隔(等角度)配置。突起123A之數目為5支。突起123A之數目可適當變更。突起123A之數目與旋轉防止孔部117之溝部117A的數目相同。 The rotation preventing shaft portion 123 has a plurality of protrusions 123A along the Z direction. The plurality of protrusions 123A are arranged at equal intervals (equal angles) in the circumferential direction of the rotation preventing shaft portion 123. The number of the protrusions 123A is five. The number of the protrusions 123A can be changed as appropriate. The number of the protrusions 123A is the same as the number of the groove portions 117A of the rotation preventing hole portion 117.
突起123A之直交於Z軸之截面的形狀為頂部側(外周側)膨出成半圓弧形之形狀。也就是說,突起123A為與旋轉防止孔部117之溝部117A相反的形狀。 The shape of the cross section perpendicular to the Z-axis of the projection 123A is a shape in which the top side (outer peripheral side) bulges into a semicircular arc shape. That is, the projection 123A has a shape opposite to the groove portion 117A of the rotation preventing hole portion 117.
當支台齒120插入植入體110之中心孔113時,支台齒120之錐形軸部122嵌合於植入體110之中心孔113之錐形孔部114。約略同時,旋轉防止軸部123之5條突起123A插入旋轉防止孔部117之5條溝部117A。 When the abutment tooth 120 is inserted into the central hole 113 of the implant 110, the tapered shaft portion 122 of the abutment tooth 120 is fitted to the tapered hole portion 114 of the central hole 113 of the implant 110. At about the same time, the five projections 123A of the rotation preventing shaft portion 123 are inserted into the five groove portions 117A of the rotation preventing hole portion 117.
支台齒120之中心形成貫通於Z方向之貫通孔124。貫通孔124中,對應於本體部121之部位(本體部側貫通孔124A)的內徑形成例如2.5mm。本體部側貫通孔124A插入鎖固螺帽150。 The center of the abutment tooth 120 forms a through hole 124 that penetrates the Z direction. In the through hole 124, the inner diameter of the portion corresponding to the main body portion 121 (the main body portion side through hole 124A) is formed, for example, by 2.5 mm. The body portion side through hole 124A is inserted into the lock nut 150.
貫通孔124中,對應於錐形軸部122之部位(錐形軸部側貫通孔124B)的內徑形成例如1mm。定位銷130之本體部30A幾乎無間隙地插通於錐形軸部側貫通孔124B。 In the through hole 124, the inner diameter of the portion corresponding to the tapered shaft portion 122 (the tapered shaft portion side through hole 124B) is formed, for example, by 1 mm. The body portion 30A of the positioning pin 130 is inserted into the tapered shaft portion side through hole 124B with almost no gap.
本體部側貫通孔124A與錐形軸部側貫通孔124B之邊界 形成垂直於Z方向之落差面125。 The boundary between the main body side through hole 124A and the tapered shaft side through hole 124B A drop surface 125 perpendicular to the Z direction is formed.
圖14是顯示定位銷130之圖,(a)為側面圖,(b)為底面圖。 Fig. 14 is a view showing the positioning pin 130, (a) being a side view, and (b) being a bottom view.
定位銷130與定位銷30為大略相同之形狀。定位銷130之基端側(+Z側)另外設置有與定位銷30之卡合部31不同之錐形部位31A與平行二面31B。 The positioning pin 130 and the positioning pin 30 have substantially the same shape. The base end side (+Z side) of the positioning pin 130 is additionally provided with a tapered portion 31A and a parallel two surface 31B which are different from the engaging portion 31 of the positioning pin 30.
圖15是顯示鎖固螺帽150之圖,(a)為上面圖、(b)為縱截面圖(XVb-XVb截面)。 Fig. 15 is a view showing the lock nut 150, wherein (a) is the upper view and (b) is a longitudinal sectional view (XVb-XVb cross section).
鎖固螺帽150是由鈦或鈦合金所形成之環形(圓筒形)構件。 The lock nut 150 is an annular (cylindrical) member formed of titanium or a titanium alloy.
鎖固螺帽150之內周面設是為M1尺寸之右螺絲之內螺絲52。內螺絲52之螺絲尺寸等可對應於外螺絲32而適當變更。 The inner circumferential surface of the locking nut 150 is provided as an inner screw 52 of the M1 size right screw. The screw size or the like of the inner screw 52 can be appropriately changed in accordance with the outer screw 32.
鎖固螺帽150之+Z側之端面150A抵接於支台齒120之貫通孔124之落差面125,並且形成可繞著中心軸(中心孔)旋轉。 The end face 150A of the +Z side of the lock nut 150 abuts against the drop face 125 of the through hole 124 of the abutment tooth 120, and is formed to be rotatable about the central axis (center hole).
鎖固螺帽150之-Z側之端面150B設置可供一字形螺絲起子(不圖示)插入之直線溝153。一字形螺絲起子卡合於該直線溝153,可使鎖固螺帽150旋轉。 The end face 150B on the -Z side of the lock nut 150 is provided with a straight groove 153 into which a flat-shaped screwdriver (not shown) is inserted. The inline screw driver is engaged with the straight groove 153 to rotate the lock nut 150.
鎖固螺帽150插入支台齒120之貫通孔124(本體部側貫通孔124A)。鎖固螺帽150之外周面150S與本體部側貫通孔124A之間設置些微的間隙。鎖固螺帽150之內螺絲52螺合與在本體部側貫通孔124A露出之定位銷130之外螺絲32。 The lock nut 150 is inserted into the through hole 124 (the body portion side through hole 124A) of the abutment tooth 120. A slight gap is provided between the outer circumferential surface 150S of the lock nut 150 and the main body side through hole 124A. The screw 52 inside the lock nut 150 is screwed to the screw 32 other than the positioning pin 130 exposed on the main body side through hole 124A.
因此,在組裝植入物105之狀態下,使鎖固螺帽150右旋轉時,鎖固螺帽150之端面150A與支台齒120之貫通孔124之落差面125抵接且滑動。與此同時,可使螺合於內螺絲52之定位銷130對支台齒120朝-Z側移動。 Therefore, when the lock nut 150 is rotated rightward in the state in which the implant 105 is assembled, the end surface 150A of the lock nut 150 abuts against the drop surface 125 of the through hole 124 of the abutment tooth 120 and slides. At the same time, the positioning pin 130 screwed to the inner screw 52 can be moved toward the -Z side of the abutment tooth 120.
(植入物治療之二次法(需要二次手術之治療方法)) (Second method of implant treatment (treatment method requiring secondary surgery))
植入物105之組裝等與第一實施形態之植入物5之組裝等大略相同。 The assembly of the implant 105 and the like are substantially the same as the assembly of the implant 5 of the first embodiment.
(第一次手術) (first surgery)
一開始,將植入體110埋入患者之齒槽骨2。 Initially, the implant 110 is embedded in the alveolar bone 2 of the patient.
將植入體110埋入齒槽骨2時,使用植入物安裝植入器180。 When the implant 110 is embedded in the alveolar bone 2, the implant 180 is mounted using the implant.
圖16是顯示本發明之第二實施形態之植入物安裝植入器180之圖,(a)是側面圖、(b)是底面圖、(c)是部份截面圖(XVIc-XVIc截面)。 Figure 16 is a view showing an implant-mounted implanter 180 according to a second embodiment of the present invention, wherein (a) is a side view, (b) is a bottom view, and (c) is a partial cross-sectional view (XVIc-XVIc cross section). ).
圖17是顯示本發明之第二實施形態之植入物安裝植入器180之使用狀態圖。 Fig. 17 is a view showing a state of use of the implant-mounting implanter 180 according to the second embodiment of the present invention.
植入物安裝植入器180中,將+Z方向之端部稱為前端(第一端)、將-Z方向之端部稱為基端(第二端)。 In the implant-mounted implanter 180, the end in the +Z direction is referred to as the front end (first end), and the end in the -Z direction is referred to as the base end (second end).
植入物安裝植入器(植入物用植入器)180是細長的軸形構件,且由不銹鋼等所形成。植入物安裝植入器180在連結於外科手術馬達(不圖示)之狀態下使用。 The implant-mounted implanter (implant implanter) 180 is an elongated shaft-shaped member and is formed of stainless steel or the like. The implant mounting implanter 180 is used in a state of being coupled to a surgical motor (not shown).
植入物安裝植入器180在前端側(+Z側)形成插入且嵌合於植入體110之中心孔113之植入物連結部182。 The implant attachment implanter 180 forms an implant attachment portion 182 that is inserted and fitted to the central hole 113 of the implant 110 on the distal end side (+Z side).
植入物連結部182由外徑朝前端縮小之錐形之準直軸部183、形成非圓形之旋轉傳達軸部184及可變更外徑之定位器85等所構成。準直軸部183與旋轉傳達軸部184是分開形成。也就是說,準直軸部183與旋轉傳達軸部184在Z方向(軸方向)中形成於不同位置。 The implant connecting portion 182 is composed of a collimating shaft portion 183 having a tapered outer diameter toward the front end, a non-circular rotation transmitting shaft portion 184, a positioner 85 capable of changing the outer diameter, and the like. The collimation shaft portion 183 is formed separately from the rotation transmission shaft portion 184. That is, the collimation shaft portion 183 and the rotation transmission shaft portion 184 are formed at different positions in the Z direction (axial direction).
準直軸部183為嵌合於植入體110之中心孔113之錐形孔部114的部位。準直軸部183形成與支台體108之支台齒120之錐形軸部122相同的形狀。 The collimating shaft portion 183 is a portion that is fitted to the tapered hole portion 114 of the center hole 113 of the implant 110. The collimating shaft portion 183 is formed in the same shape as the tapered shaft portion 122 of the abutment tooth 120 of the abutment body 108.
旋轉傳達軸部184是嵌合於旋轉防止孔部117(溝部117A)之部位。旋轉傳達軸部184具有突起184A。旋轉傳達軸部184(突起184A)形成與支台齒120之旋轉防止軸部123之突起123A相同的形狀。 The rotation transmission shaft portion 184 is a portion that is fitted to the rotation preventing hole portion 117 (the groove portion 117A). The rotation transmitting shaft portion 184 has a protrusion 184A. The rotation transmission shaft portion 184 (protrusion 184A) has the same shape as the projection 123A of the rotation preventing shaft portion 123 of the abutment tooth 120.
定位器85是卡合於植入體110之中心孔113之逆錐形孔部15(突出部位15A)的部位。定位器85(定位體87)形成為與支台體108之定位器40大略相同之形狀。 The positioner 85 is a portion that engages with the reverse tapered hole portion 15 (projecting portion 15A) of the center hole 113 of the implant body 110. The positioner 85 (positioning body 87) is formed in a shape substantially the same as the positioner 40 of the abutment body 108.
植入物安裝植入器180之植入物連結部182形成為,與支台體108中插入至植入體110之中心孔113之部位相同的形狀。因此,將植入物安裝植入器180之植入物連結部182插入至植入體110之中心孔113時,可發揮與後述之耐壓部160及旋轉防止部170同樣的功能。 The implant attachment portion 182 of the implant mounting implant 180 is formed in the same shape as the portion of the abutment body 108 that is inserted into the central hole 113 of the implant 110. Therefore, when the implant connecting portion 182 of the implant attachment implanter 180 is inserted into the center hole 113 of the implant 110, the same function as the pressure resistant portion 160 and the rotation preventing portion 170 to be described later can be exhibited.
具體而言,在將植入物安裝植入器180插入植入體110之中心孔113之狀態中,由於準直軸部183與錐形孔部114嵌合(密接),因此植入物安裝植入器180與植入體110之中心軸(旋轉軸)之間一致,限制(抑止)植入體110之姿勢。 又,由於旋轉傳達軸部184之5條突起184A與旋轉防止孔部117之5條溝部117A咬合,因此可限制(抑止)植入體110對植入物安裝植入器180之旋轉。 Specifically, in a state where the implant mounting implanter 180 is inserted into the center hole 113 of the implant body 110, since the collimating shaft portion 183 is fitted (closed) with the tapered hole portion 114, the implant is mounted. The implanter 180 conforms to the central axis (rotational axis) of the implant 110, restricting (suppressing) the posture of the implant 110. Further, since the five projections 184A of the rotation transmitting shaft portion 184 are engaged with the five groove portions 117A of the rotation preventing hole portion 117, the rotation of the implant 110 to the implant mounting implant 180 can be restricted (prevented).
將植入體10埋入齒槽骨2時,旋轉傳達軸部184(突起184A)與旋轉防止孔部117(溝部117A)咬合,因此外科手術馬達之旋轉力經由植入物安裝植入器180而確實地傳達到植入體110。又,由於準直軸部183與錐形孔部114嵌合,因此植入體110不搖晃而以姿勢安定之狀態埋入齒槽骨2。因此,可藉由使用植入物安裝植入器180,避免對人體過度的負擔。 When the implant 10 is embedded in the alveolar bone 2, the rotation transmitting shaft portion 184 (protrusion 184A) is engaged with the rotation preventing hole portion 117 (the groove portion 117A), so that the rotational force of the surgical motor mounts the implanter 180 via the implant. It is indeed communicated to the implant 110. Further, since the collimating shaft portion 183 is fitted into the tapered hole portion 114, the implant body 110 is buried in the alveolar bone 2 in a state where the posture is stabilized without being shaken. Therefore, the implanter 180 can be mounted using the implant to avoid an excessive burden on the human body.
將植入體110埋入齒槽骨2後,將植入物安裝植入器180朝-Z方向拉出而自植入體110分離。此時,定位體87抵接於突出部位15A,而彈性變形使外徑變小。由於定位體87僅以些微的拉伸力而彈性變形,因此不會對人體造成過度的負擔,植入體110不會由齒槽骨2脫落。 After the implant 110 is embedded in the alveolar bone 2, the implant-mounted implanter 180 is pulled out in the -Z direction to be separated from the implant 110. At this time, the positioning body 87 abuts against the protruding portion 15A, and the elastic deformation causes the outer diameter to become small. Since the positioning body 87 is elastically deformed only by a slight tensile force, it does not cause an excessive load on the human body, and the implant body 110 does not fall off from the alveolar bone 2.
將植入物安裝植入器180自植入體110分離後,縫合牙齦4。齒槽骨2與植入體110會隨個人差而在3~6個月左右骨密接。 After the implant-mounted implanter 180 is detached from the implant 110, the gums 4 are sutured. The alveolar bone 2 and the implant 110 are closely connected to each other in about 3 to 6 months depending on the individual.
(第二次手術之準備) (Preparation for the second operation)
與植入體110分開組裝支台體108。藉由支台齒120、定位銷30、定位器40及鎖固螺帽50組裝支台體108。支台體108可以組裝之形態販賣。 The abutment body 108 is assembled separately from the implant 110. The abutment body 108 is assembled by the abutment teeth 120, the positioning pin 30, the retainer 40, and the locking nut 50. The abutment body 108 can be sold in the form of an assembly.
支台體108之組裝與支台體8之組裝大略相同。 The assembly of the abutment body 108 is substantially identical to the assembly of the abutment body 8.
(第二次手術) (second surgery)
支台體108對埋入患者之齒槽骨2之植入體110之裝設步驟等(植入物105之組裝)也與植入物5之組裝大略相同。 The mounting step of the abutment body 108 to the implant 110 embedded in the alveolar bone 2 of the patient (assembly of the implant 105) is also substantially the same as the assembly of the implant 5.
植入物105中,藉由嵌合(插入)錐形軸部122與錐形孔部114,構成用以承受作用於支台齒120之外力(咬合壓F)的耐壓部160而發揮功能。 In the implant 105, by fitting (inserting) the tapered shaft portion 122 and the tapered hole portion 114, a pressure-resistant portion 160 for receiving a force (biting pressure F) acting on the abutment tooth 120 is configured to function. .
將支台齒120插入植入體110之中心孔113時,旋轉防止軸部123之5條突起123A插入旋轉防止孔部117之溝部117A。由於5條溝部117A與5條突起123A咬合,因此可限制(抑止)支台齒120對植入體110之旋轉。旋轉防止孔部117(溝部117A)與旋轉防止軸部123(突起123A)構成旋轉防止部170而發揮功能。 When the abutment tooth 120 is inserted into the center hole 113 of the implant body 110, the five protrusions 123A of the rotation preventing shaft portion 123 are inserted into the groove portion 117A of the rotation preventing hole portion 117. Since the five groove portions 117A are engaged with the five protrusions 123A, the rotation of the abutment teeth 120 to the implant body 110 can be restricted (suppressed). The rotation preventing hole portion 117 (the groove portion 117A) and the rotation preventing shaft portion 123 (the projection 123A) function as the rotation preventing portion 170.
植入物105中,承受咬合壓F之耐壓部160(錐形軸部122及錐形孔部114)與旋轉防止部170(旋轉防止孔部117及旋轉防止軸部123)是分開形成。也就是說,耐壓部160與旋轉防止部170在Z方向(軸方向)上形成於不同的位置。 In the implant 105, the pressure-resistant portion 160 (the tapered shaft portion 122 and the tapered hole portion 114) that receives the nip pressure F is formed separately from the rotation preventing portion 170 (the rotation preventing hole portion 117 and the rotation preventing shaft portion 123). That is, the pressure-resistant portion 160 and the rotation preventing portion 170 are formed at different positions in the Z direction (axial direction).
因此,植入物105於支台齒120或植入體110不會產生龜裂或缺口,可確實地承受強大的咬合壓F。 Therefore, the implant 105 does not generate cracks or nicks in the abutment teeth 120 or the implant 110, and can reliably withstand a strong nip pressure F.
本發明之技術範圍並不受限於上述之實施形態。在不脫離本發明之主旨之範圍內,可包含在上述之實施形態增加各種變更者。在實施形態所舉之具體材料或層構成等不過是一例,可適當變更。 The technical scope of the present invention is not limited to the above embodiments. It is possible to include various modifications in the above-described embodiments without departing from the spirit and scope of the invention. The specific material or layer configuration and the like given in the embodiment are merely examples, and can be appropriately changed.
雖然是就將植入物安裝植入器80,180裝設於外科手術馬達之型態加以說明,但不限於此。亦可為不使用 各種馬達等之動力源,以人力使植入物安裝植入器80,180旋轉的形態。將旋轉力賦與植入物安裝植入器80,180之驅動源除了馬達或人力之外,亦可為空氣渦輪等。 Although the implant mounting device 80, 180 is mounted on the surgical motor, it is not limited thereto. Can also be used A power source of various motors or the like is configured to manually mount the implants with the implants 80, 180 rotated. The driving force for imparting the rotational force to the implant-mounted implanter 80, 180 may be an air turbine or the like in addition to the motor or the human.
旋轉防止部70,170之截面形狀不限定於上述之實施形態。只要旋轉防止部70,170之截面形狀為非圓形形狀即可。 The cross-sectional shape of the rotation preventing portions 70 and 170 is not limited to the above embodiment. The cross-sectional shape of the rotation preventing portions 70, 170 may be a non-circular shape.
亦可取代突起17、溝部117A與溝部23、突起123A,作成多角形狀或楕圓形狀之孔部、軸部等。此種情況下,旋轉傳達軸部84,184之形狀也需要作成多角形狀或楕圓形狀之軸部。 Instead of the protrusions 17, the groove portion 117A, the groove portion 23, and the projections 123A, a hole portion, a shaft portion, or the like having a polygonal shape or a circular shape may be formed. In this case, the shape of the rotation transmitting shaft portions 84, 184 also needs to be a polygonal portion or a circular shaft portion.
雖然已就以不銹鋼等形成植入物安裝植入器80,180之情況加以說明,但不限於此。亦可藉由鈦或鈦合金等之各種金屬材料、三氧化二鋁或二氧化鋯等之陶瓷材料形成。 Although the case where the implants 80, 180 are mounted with the implants formed of stainless steel or the like has been described, it is not limited thereto. It may be formed of various metal materials such as titanium or titanium alloy, ceramic materials such as alumina or zirconia.
植入物安裝植入器180中,是就準直軸部183配置於基端側(-Z側)、旋轉傳達軸部184配置於前端側(+Z側)之形態加以說明,但不限於此。亦可為準直軸部183配置於前端側(+Z側)、旋轉傳達軸部184配置於基端側(-Z側)之形態。在此情況下,植入體110中,旋轉防止孔部117配置於前端側(+Z側)、錐形孔部114配置於基端側(-Z側)。 In the implant-mounted implanter 180, the collimation shaft portion 183 is disposed on the proximal end side (-Z side), and the rotation transmission shaft portion 184 is disposed on the distal end side (+Z side). However, the present invention is not limited thereto. this. The collimation shaft portion 183 may be disposed on the distal end side (+Z side), and the rotation transmission shaft portion 184 may be disposed on the proximal end side (−Z side). In this case, in the implant 110, the rotation preventing hole portion 117 is disposed on the distal end side (+Z side), and the tapered hole portion 114 is disposed on the proximal end side (-Z side).
雖然是就植入物安裝植入器80,180之準直軸部83,183為與支台齒20,120之錐形軸部22,122相同之形狀的形態加以說明,但不限定於此。只要準直軸部83,183為與錐形軸部22,122之一部份相同的形狀即可。準直軸部83, 183亦可不對植入體10,110之錐形孔部14,114之全體嵌合。例如,準直軸部83,183亦可為Z方向之長度比錐形軸部22,122短的形態。 Although the collimating shaft portions 83, 183 of the implant mounting implants 80, 180 are the same shape as the tapered shaft portions 22, 122 of the abutment teeth 20, 120, the present invention is not limited thereto. It suffices that the collimating shaft portions 83, 183 have the same shape as one of the tapered shaft portions 22, 122. Collimation shaft portion 83, The 183 may not be fitted to the entire tapered hole portions 14, 114 of the implants 10, 110. For example, the collimating shaft portions 83, 183 may have a shape in which the length in the Z direction is shorter than the tapered shaft portions 22, 122.
形成植入體10,110、支台齒20,120之生物相容性陶瓷材料不限於二氧化鋯(氧化鋯)。亦可採用三氧化二鋁(氧化鋁)或氧化釔、氧化鉿、氧化矽、氧化鎂、氧化鈰等。 The biocompatible ceramic material forming the implants 10, 110 and the abutment teeth 20, 120 is not limited to zirconium dioxide (zirconia). Aluminum oxide (aluminum oxide) or cerium oxide, cerium oxide, cerium oxide, magnesium oxide, cerium oxide or the like can also be used.
植入體10,110、支台齒20,120亦可由鈦或鈦合金等之金屬材料形成。 The implants 10, 110 and the abutment teeth 20, 120 may also be formed of a metal material such as titanium or a titanium alloy.
形成定位器40之材料不限於生物親和性優異之鈦。亦可採用鈦合金。鈦合金可採用例如鈦與鋁之合金。亦可以樹脂(橡膠)等之彈性體材料形成定位器40。定位器之櫛齒41之支數不限於3支的情況。亦可為2支的形態或4支以上。 The material forming the locator 40 is not limited to titanium excellent in bioaffinity. Titanium alloys can also be used. The titanium alloy may be, for example, an alloy of titanium and aluminum. The positioner 40 may be formed of an elastomer material such as a resin (rubber). The number of the teeth 41 of the positioner is not limited to three. It can also be in the form of 2 pieces or 4 pieces or more.
定位體87不限於合成樹脂,亦可以橡膠等之彈性材料形成。以橡膠形成定位體87時,亦可形成為沒有縫隙之完全的環形。 The positioning body 87 is not limited to a synthetic resin, and may be formed of an elastic material such as rubber. When the positioning body 87 is formed of rubber, it can be formed into a complete ring shape without a slit.
定位體87亦可以金屬材料形成。此時,藉由將定位體87作成C字形而削薄徑方向之厚度,徑方向可彈性變形。 The positioning body 87 can also be formed of a metal material. At this time, the thickness of the radial direction is reduced by forming the positioning body 87 into a C-shape, and the radial direction is elastically deformable.
形成定位銷30,130或鎖固螺帽50,150之材料可適當變更。 The material forming the positioning pins 30, 130 or the locking nuts 50, 150 can be appropriately changed.
共轉限制孔部及共轉限制軸部不限於平行二面16A,31B。共轉限制孔部及共轉限制軸部只要為非圓形形狀即可。 The common rotation restricting hole portion and the common rotation restricting shaft portion are not limited to the parallel two faces 16A, 31B. The common rotation restricting hole portion and the common rotation restricting shaft portion may be non-circular shapes.
亦可取代平行二面16A,31B,作成多角形孔部與多角形軸部等。 Instead of the parallel two faces 16A, 31B, a polygonal hole portion, a polygonal shaft portion, and the like may be formed.
鎖固襯套不限定於分別在外周面與內周面形成螺絲51,52之鎖固螺帽50。鎖固襯套只要卡止於支台齒20,120之貫通孔24與定位銷30之本體部30A之各個即可。 The locking bushing is not limited to the locking nut 50 that forms the screws 51, 52 on the outer circumferential surface and the inner circumferential surface, respectively. The locking bushing may be locked to each of the through hole 24 of the abutment teeth 20, 120 and the body portion 30A of the positioning pin 30.
植入物5中,鎖固螺帽50之外螺絲51螺合(卡止)於支台齒20之貫通孔124之內螺絲25,但不限於此。亦可形成落差面125取代內螺絲25,並且使用鎖固螺帽150取代鎖固螺帽50。 In the implant 5, the screw 51 outside the lock nut 50 is screwed (locked) to the screw 25 in the through hole 124 of the abutment tooth 20, but is not limited thereto. A drop surface 125 may be formed instead of the inner screw 25, and the lock nut 50 may be replaced with a lock nut 150.
植入物105中,鎖固螺帽150之端面150A抵接(卡止)於支台齒120之落差面125,但不限於此。亦可形成內螺絲25取代落差面125,並且使用鎖固螺帽50取代鎖固螺帽150。 In the implant 105, the end surface 150A of the locking nut 150 abuts (locks) the falling surface 125 of the abutment tooth 120, but is not limited thereto. An inner screw 25 may be formed instead of the drop surface 125, and the lock nut 150 may be replaced with a lock nut 50.
植入物5中,亦可使用定位銷130取代定位銷30。植入物105中,亦可使用定位銷30取代定位銷130。 In the implant 5, the positioning pin 130 can also be used instead of the positioning pin 30. In the implant 105, the positioning pin 30 can also be used instead of the positioning pin 130.
植入體10,110不限於在基端具備螺紋切削之功能者(自攻螺絲型)。植入體10,110亦可為不具有螺絲切之功能者(一般型)。 The implants 10, 110 are not limited to those having a thread cutting function at the base end (self-tapping screw type). The implant 10, 110 can also have no screw cut The function (general type).
植入物5,105不限於使用於牙科治療之情況。亦可將使用植入物5,105之骨折治療方法或植入物5,105使用於人工關節。 The implants 5, 105 are not limited to use in the case of dental treatment. Fracture treatment methods or implants 5, 105 using implants 5, 105 can also be used in artificial joints.
10‧‧‧植入體 10‧‧‧ implant
14‧‧‧錐形孔部(嵌合孔部) 14‧‧‧Conical hole part (fitting hole part)
17‧‧‧突起(旋轉防止孔部) 17‧‧‧Protrusion (rotation prevention hole)
80‧‧‧植入物安裝植入器(植入物用植入器) 80‧‧‧ Implant-mounted implanter (implant implanter)
81‧‧‧馬達連結部 81‧‧‧Motor Connection
82‧‧‧植入物連結部 82‧‧‧ implant connection
83‧‧‧準直軸部 83‧‧‧Alignment shaft
84‧‧‧旋轉傳達軸部 84‧‧‧Rotating transmission shaft
84A‧‧‧溝部 84A‧‧‧Ditch Department
85‧‧‧定位器(可變徑部) 85‧‧‧ Positioner (variable diameter)
Claims (8)
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2013105377A JP5849277B2 (en) | 2013-05-17 | 2013-05-17 | Implant driver |
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| Publication Number | Publication Date |
|---|---|
| TW201511739A true TW201511739A (en) | 2015-04-01 |
Family
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| TW103115835A TW201511739A (en) | 2013-05-17 | 2014-05-02 | Implant driver, implant |
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| JP (1) | JP5849277B2 (en) |
| TW (1) | TW201511739A (en) |
| WO (1) | WO2014185264A1 (en) |
Cited By (1)
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|---|---|---|---|---|
| CN108064150A (en) * | 2015-06-08 | 2018-05-22 | 拜奥美特3i有限责任公司 | Dental implants connector without screw |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
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| KR102096885B1 (en) * | 2017-12-04 | 2020-04-03 | 주식회사 메가젠임플란트 | A fixture of dental implants |
| EP3501447A1 (en) * | 2017-12-21 | 2019-06-26 | Dentsply IH AB | Implant driver |
| JP6996747B2 (en) * | 2018-08-31 | 2022-01-17 | ハードロック工業株式会社 | Screw fastening structure with loosening prevention function |
| KR200493997Y1 (en) * | 2019-05-17 | 2021-07-13 | 주식회사 메가젠임플란트 | Surgical connector for dental fixture |
| EP3944836A1 (en) * | 2020-07-27 | 2022-02-02 | Ruetschi Technology SA | Transfer part or insertion tool for dental implant with quick release mechanism |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| SE507360C2 (en) * | 1996-09-24 | 1998-05-18 | Nobel Biocare Ab | Device for systems with assortment of dental screws and assortment of dental screws |
| US5782918A (en) * | 1996-12-12 | 1998-07-21 | Folsom Metal Products | Implant abutment system |
| KR101173758B1 (en) * | 2010-06-23 | 2012-08-13 | 김형우 | Implant unit using hook pin combination structure |
| JP5688575B2 (en) * | 2010-11-26 | 2015-03-25 | 株式会社ナントー | Implant, abutment body |
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2013
- 2013-05-17 JP JP2013105377A patent/JP5849277B2/en not_active Expired - Fee Related
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2014
- 2014-04-28 WO PCT/JP2014/061881 patent/WO2014185264A1/en not_active Ceased
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108064150A (en) * | 2015-06-08 | 2018-05-22 | 拜奥美特3i有限责任公司 | Dental implants connector without screw |
| CN108064150B (en) * | 2015-06-08 | 2021-04-27 | 拜奥美特3i有限责任公司 | Screwless dental implant connectors |
| US11213372B2 (en) | 2015-06-08 | 2022-01-04 | Biomet 3I, Llc | Screwless dental implant connection |
| US12251291B2 (en) | 2015-06-08 | 2025-03-18 | Biomet 3I, Llc | Screwless dental implant connection |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2014185264A1 (en) | 2014-11-20 |
| JP5849277B2 (en) | 2016-01-27 |
| JP2014226154A (en) | 2014-12-08 |
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