CA2663759C

CA2663759C - Anchor for securing a tooth replacement

Info

Publication number: CA2663759C
Application number: CA2663759A
Authority: CA
Inventors: Adrian Auderset; Daniel Blaser; Markus Bluemli; Mathias Strazza; Gary Cooper; Elmar Mock; Andre Klopfenstein
Original assignee: Cendres and Metaux SA
Current assignee: Cendres and Metaux SA
Priority date: 2006-10-02
Filing date: 2007-09-28
Publication date: 2015-07-21
Anticipated expiration: 2027-09-28
Also published as: CN101522130A; EP2068751A1; KR101484493B1; US20090246733A1; JP5127834B2; ES2695736T3; CN101522130B; KR20090063277A; US9173722B2; JP2010505472A; WO2008040134A1; EP2068751B1; CA2663759A1

Abstract

The anchor for securing a tooth replacement comprises an anchoring part (1) which can be secured on an implant or jaw and has a recess (2), and a pivot part (10) on which the tooth replacement can be secured and which contains a pin (11). The pivot part is able to pivot with respect to the anchoring part when the pin is received in the recess. The anchor comprises means (15, 19) for applying a hardenable substance in the recess (2) of the anchoring part (1), in order to fix the pivot part in a defined position of pivoting.

Description

ANCHOR FOR SECURING A TOOTH REPLACEMENT
The present invention relates to an anchor for securing a tooth replacement comprising an anchoring part which can be secured to an implant or jaw and a pivoting part including a pin.
Anchors for securing a tooth replacement on implants can often not be fitted in the mouth in the ideal direction, for example owing to the bone conditions. If, for example, a dental prosthesis is to be secured by means of the anchor, the longitudinal direction of the anchor may deviate from the direction of insertion of the dental prosthesis. This angular deviation is also referred to as divergence.
It is known from patent specification US 3,732,621 to provide the anchoring part with a pivoting part. As a result, it is possible, after fitting the anchoring part, to orient the pivoting part accurately and to compensate for any divergence. Mechanical securing means are provided in order to secure the pivoting part in a specific pivoting position. Such means have, inter alia, the disadvantage that the structure of the anchor is relatively complicated. There is also the risk that the pivoting part will come away from the adjusted pivoting position and that the tooth replacement will no longer be held securely.
On the basis of this prior art, an object of some embodiments of the present invention is so to develop the known anchor that it has a more simplified structure.
In some embodiments, the invention provides an anchor comprising means for applying a hardenable substance in the ak 02663759 2015-01-13 =

- 2 -recess of the anchoring part. As a result, in some embodiments, the pivoting part may be fixed securely in a specific pivoting position with a relatively simple structure.
Furthermore, an auxiliary instrument is provided in some embodiments for mounting the anchor.
In some embodiments, the invention provides an anchor for securing a tooth replacement, comprising: an anchoring part that is configured to be secured to an implant or jaw and comprises an anchoring head including a recess and a curved outer surface; a pivoting part that includes a pivoting head rigidly connected to a pin and having a curved underside surface, the pivoting part being configured to be secured to the tooth replacement and to be pivotable relative to the anchoring part when the pin is received in the recess; and means for applying a hardenable substance in the recess of the anchoring part in order to fix the pivoting part in a specific pivoting position, wherein the anchoring part has a first longitudinal axis and the anchoring head has a first maximum width seen transversally to said first longitudinal axis and the pivoting part has a second longitudinal axis and a second maximum width seen transversally to said second longitudinal axis, the first maximum width being greater than the second maximum width, and wherein the curved outer surface of the anchoring head and the curved underside surface of the pivoting head contact each other when the pin is received in the recess.
In some embodiments, the invention provides an auxiliary instrument for mounting an anchor as described herein, comprising an introduction head, which is attachable on the ak 02663759 2015-01-13 - 2a -pivoting head of. the pivoting part in a rotationally secure manner in order to pivot the pivoting part to a specific direction, wherein the introduction head comprises an introduction duct for introducing a hardenable substance into the recess of the anchoring part.
The invention will be explained hereinafter by means of a preferred embodiment with reference to Figures.
Figure 1 is a perspective view of the anchor according to an embodiment of the invention before assembly;
Figure 2 is a plan view of the anchoring part of the anchor according to Figure 1;
Figure 3 shows the anchoring part in a section according to the line in Figure 2;
Figure 4 is a perspective view of the pivoting part of the anchor according to Figure 1;
Figure 5 is a bottom view of the pivoting part according to Figure 4;
Figure 6 is a plan view of the pivoting part according to Figure 4;
Figure 7 shows the pivoting part in a section according to the line VII-VII in Figure 5;
Figure 8 shows the assembled anchor according to Figure 1, the anchoring part being sectioned in accordance with the line in Figure 2 and the pivoting part according to the line VII-VII in Figure 5;

- 3 -Figure 9 shows the anchor according to Figure 8 after the pivoting part has been rotated through 90 degrees;
Figure 10 is a perspective view of an arrangement with the anchor according to Figure 9 and an auxiliary instrument placed thereon;
Figure 11 shows the arrangement according to Figure 10 sectioned according to the line XI-XI in Figure 12, the sectional plane XI-XI in which the anchor is sectioned likewise being indicated in Figure 9;
Figure 12 is a plan view of the arrangement according to Figure 10;
Figure 13 shows the arrangement according to Figure 10 together with a filling syringe after the pivoting part has been pivoted;
Figure 14 is a partially sectioned detailed view of the arrangement according to Figure 13;
Figure 15 shows the anchor according to Figure 14 together with a female part placed thereon; and Figure 16 shows a section through Figure 15 in the same sectional plane as Figure 14.
The anchor shown in Figure 1 comprises an anchoring part 1 which can be fixed to an implant (not shown), and a pivoting

- 4 -part 10 to which a tooth replacement (not shown), for example a dental prosthesis, can be secured. The pivoting part 10 contains a pin 11 which can be accommodated in a recess 2 in the anchoring part 1.
The anchoring part 1 comprises a pin 3 having a thread, and an anchoring head having an edge which is in the form of a polyhedron 4 and which can be brought into engagement with a suitable tool in order to be able to screw the anchoring part 1 into an implant and tighten it.
As also shown in Figures 2 and 3, the anchoring head has a spherical outer face 5 in which the recess 2 has been formed. The recess 2 is delimited by a stop face 2a which tapers towards the base end of the anchoring part 1 and which is bordered by a spherical inner face 2d which merges into a cylindrical inner face 2e.
The stop face 2a is in a conical form but it may also be in a different form. The stop face 2a defines the maximum pivoting angle through which the pivoting part 10 can be pivoted relative to the longitudinal axis of the anchoring part 1. In the present example, this maximum pivoting angle is 20 degrees. Depending on the intended purpose, the stop face 2a may be in a different form, the maximum pivoting angle preferably lying in the range of from 10 degrees to 30 degrees.
In the example shown here, the base end 2f of the recess 2 is delimited by a conical face owing to the manner in which the anchoring part 1 was manufactured. The end 2f may, however, be in any desired form.

- 5 -The transition between the stop face 2a and the spherical inner face 2d forms a neck 2c which prevents the pivoting part 10 from falling out when the pin 11 of the pivoting part 10 engages in the recess 2. The neck 2c has a respective opening 2b at each of two opposite sites. The openings 2b enable the end of the pin 11 to be inserted into the inner space of the recess 2 delimited by the neck 2c.
The configuration of the pivoting part 10 can be seen more exactly in Figures 4 to 7. The pivoting part 10 comprises a pivoting head 12 in the middle of which the pin 11 is fitted. The underside of the pivoting head 12 is formed by a spherical face 13 which, after mounting, rests on the outer face 5 of the anchoring part 1 and thus acts as a ball socket. The face 13 is in a concave form. The upper side of the pivoting head 12 is matched to the desired type of connection to the tooth replacement. In the present case, the pivoting head 12 is in a form such that the tooth replacement can be releasably secured thereto by means of a female part. The pivoting head 12 has sites 14 which are flattened at the lateral edge. As a result, the pivoting part 10 can be connected in a rotationally secure manner to a suitable mounting instrument and fitted to the anchoring part 1.
The pivoting part 10 can also be mounted on the anchoring part 1 by means of a mounting instrument in the form of pliers having two pins which can be inserted into the bores 19 in the pivoting head 12. If this type of mounting is preferred, the flattened sites 14 on the pivoting head 12 may be omitted.

- 6 -The pin 11 has a through-bore 15 so that an internal duct is formed from an inlet aperture in the pivoting head 12 as far as the end of the pin 11. A securing means in the form of a hardenable substance can be introduced through this internal duct 15 and into the recess 2 from outside, and the pivoting part 10 can thus be fixed in the desired pivoting position on the anchoring part 1. The end of the pin 11 is provided with a slot 16 and two opposing projections in the form of wings 17. The outer sides of the wings 17 comprise spherical faces 18 and, after mounting, co-operate with the spherical inner face 2d of the anchoring part 1. The pivoting head 12 is providea with through-bores 19 which are used as internal ducts for ventilation and also to monitor whether sufficient securing means has been introduced to fix the pivoting part 10 in position.
The anchor is fitted in the mouth by screwing the anchoring part 1 into the implant and then inserting the pivoting part 10. For this purpose, the pivoting part 10 is so oriented in relation to the anchoring part 1 that the wings 17 come to rest in the openings 2b and can be passed over the neck 2c and into the inner space of the recess 2 (see Figure 8).
Before the pivoting part 10 is brought into the desired pivoting position, it is first rotated about the longitudinal axis of the pin 11 through a specific angle, for example 90 degrees (see Figure 9). This preliminary rotation may reduce the risk that, when the pivoting position is adjusted, the wings 17 will inadvertently come to rest in the openings 2b again and the pivoting part 10 might possibly be lifted from the anchoring part, so that the face 13 no longer rests on the spherical face 5.

- 7 -Owing to the provision of the slot 16, the end of the pin 11 may be in a resilient form, so that the wings 17 may be pressed together and readily inserted into the inner space of the recess 2 delimited by the neck 2c. The maximum diameter of the end of the pin 11 is selected to be slightly greater than the diameter of the sphere on which the inner face 2d lies. The wings 17 thus press against the wall of the recess 2 and therefore generate a pretensioning with the effect that the pivoting part 10 is not fitted in a complet.e1y loose manner on the anchoring part 1. This may provide that the pivoting position of the pivoting part 10 changes only when a specific force is exerted thereon in order to pivot it.
Once the pivoting part 10 is located in the desired pivoting position, a securing means is introduced through the internal duct 15 and into the recess 2. Suitable securing means are common hardenable substances, for example substances based on polymers, especially a polymerizate, common filling materials, especially those having a metallic or ceramic core structure, or those on a polymer basis, adhesives, etc. The introduction is stopped when the securing means comes out of the apertures of the bores 19.
When the securing means has hardened, the pivoting part 10 has been fixed securely in its pivoting position.
Owing to the provision of a pivoting part 10 having a pin 11 which engages in the recess 2 in the anchoring part 1, a compact joint can be formed which has, in particular, a low structure. In the present example, the joint has three degrees of freedom. The face 13 of the underside of the pivoting part 10 and the outer face 5 of the anchoring part 1 are located substantially on a sphere having a radius R
and the inner face 2d of the anchoring part 1 and the faces

-8-18 of the wings 17 are located substantially on a sphere having a radius r, the two spheres having the same centre and r being smaller than R.
As can be seen from Figures 8, 9 and 14, the underside 13 of the pivoting head 12 is constructed to protrude sufficiently for the pivoting head 12 to cover the recess 2 even when the pivoting part 10 has been pivoted to the maximum extent.
The anchoring part 1 and the pivoting part 10 are produced from a biocompatible material, for example metal, such as titanium, ceramic material, plastics material or another material which can be used in the dental field. The anchoring part 1 and the pivoting part 10 each form a part which is manufactured from one piece or is assembled from several pieces.
If necessary, the adhesion face of the anchoring part 1 and/or of the pivoting part 10, which face comes into contact with the securing means, is conditioned to bring about an intimate connection of the adhesion face to the securing means. Conditioning can be achieved, for example, by sand-blasting the adhesion face or by another type of surface treatment.
In order to facilitate the mounting of the pivoting part 10, an auxiliary instrument 30, which is shown in Figures 10 to 12, is optionally provided. The auxiliary instrument 30 comprises an introduction head 31 which can be placed on the pivoting part 10 and connected thereto, and a straight end 32 which is used for optical orientation. The end 32 is selected to be sufficiently long for the overall length of the auxiliary instrument to be longer than the length of the

- 9 -anchoring part 1. The end 32 is in a cylindrical and rigid form and can if necessary be so configured that it is suitable as an insert in a parallelometer.
The introduction head 31 is provided laterally with an inlet aperture 33a and, on the underside, with an outlet aperture 33b. The inlet and outlet apertures 33a, 33b are in fluid , communication with each other via an introduction duct 33.
The introduction head 31 comprises next to the inlet aperture 33a a ventilation aperture 34a which is in fluid communication with an aperture 34b on the underside of the introduction head 31 via a ventilation duct 34. The underside of the introduction head 31 is in a stepped form so that, when the auxiliary instrument 30 has been placed on the pivoting part 10, the inlet aperture 34b is connected to the internal duct 15 and the two internal ducts 19 of the pivoting part 10 are connected to the aperture 33b of the introduction head 31. The edge of the introduction head 30 is in a form such that it can be releasably connected to the pivoting part 10, for example by forming a snap connection.
In order to orient the pivoting part 10, the auxiliary instrument 30 is placed thereon and is pivoted until the end =32 points in the desired direction for compensating for any divergence. This direction corresponds to the direction of insertion when a removable dental prosthesis is to be fitted to the anchor. An application aid, for example a filling syringe 40 containing the securing means, is then placed on the inlet aperture 33a, and the securing means is introduced until it reaches the internal duct 15 via the introduction duct 33 and finally exits from the ventilation aperture 34a.

- 10 -The auxiliary instrument 30 is constructed in one piece and is manufactured, for example, from plastics material and/or metal.
Optionally, the auxiliary instrument 30 may be used purely to orient the pivoting part 10. In that case, the duct 33 with the apertures 33a and 33b and the duct 34 with the apertures 34a and 34b do not have to be provided. In order to mount the pivoting part 10, first the securing means is introduced through the internal duct 15 and into the recess 2. The head 31 of the auxiliary instrument 30 is then placed on the pivoting part 10 and the latter is brought into the desired pivoting position.
In the embodiment shown here, the anchoring part 1 and the pivoting part 10 form a male part to which the tooth replacement can be secured by means of a female part.
Figures 15 and 16 show an anchor with a female part 50 placed thereon. The latter comprises a female-part housing 51, and an insert 52. The female part 50 and the male part 1, 10 are in a form such that they are fixed to each other by means of a snap connection.
The female part 50, or female parts 50 when several anchors are present, is (are) secured firmly to the tooth replacement, for example a dental prosthesis, by common methods, such as polymerization. The dentist can also carry out this operation directly on the patient by fitting the female parts to the male parts fixed in the mouth, grinding out the cavity necessary for the female parts in the dental prosthesis and finally securing the latter by means of a polymerizate or other known processing methods. An especially simple securing method results when the dental

- 11 -prosthesis is provided with suitable apertures so that the polymerizate can be introduced directly between the fitted prosthesis and the female parts via the apertures.
The female part 50 and the upper side of the pivoting part do not necessarily have to be in the form shown in Figures 15 and 16 but may be adapted to the desired purpose.
It is also possible to construct the pivoting part 10 in such a manner that a prosthesis can be fitted tightly 10 thereto and/or an artificial tooth can be fitted thereto.
From the above description, numerous modifications are available to the person skilled in the art without departing from the scope of the invention defined by the claims.
For example, the anchoring part 1 shown here is screwed into a depression in the implant and thus forms an implant structure. The anchoring part can, however, be adapted in accordance with the intended purpose. Thus, for example, it is possible to configure the anchoring part 1 as an implant which can be fitted directly in the jawbone.
In order to be able to introduce the hardenable substance into the recess 2 from outside, it is also possible to provide the anchoring part 1 with an internal duct of the same type as the internal duct 15.
Instead of internal ducts, other means are also possible for applying the hardenable substance in the recess 2. For example, the means may comprise a substance which is located in the recess 2 of the anchoring part 1 and which can be activated in order to form the hardenable substance. A
suitable activatable substance is, for example, a solder or (F \TT\BL\2-PRIOAN\27481W0\27481ENG DOC Pr t 24 02 2009 BL)

- 12 -a plastics material which is integrated in the recess 2 and which can be activated by heating. On activation, the substance passes into the fluid phase. The pivoting part 10 can then be brought into the desired position and, when the substance has cooled, it has been fixed in position.
The activatable substance may also be in the form of two or more components which are first accommodated separately from each other in the recess 2 and then activated by subsequent mixing so that a hardenable substance is formed. The mixing can be effected, for example, by inserting the pivoting part 10 into the anchoring part 1 and subsequently rotating.

Claims

CLAIMS:

1. Anchor for securing a tooth replacement, comprising:
an anchoring part that is configured to be secured to an implant or jaw and comprises an anchoring head including a recess and a curved outer surface;
a pivoting part that includes a pivoting head rigidly connected to a pin and having a curved underside surface, the pivoting part being configured to be secured to the tooth replacement and to be pivotable relative to the anchoring part when the pin is received in the recess; and means for applying a hardenable substance in the recess of the anchoring part in order to fix the pivoting part in a specific pivoting position, wherein the anchoring part has a first longitudinal axis and the anchoring head has a first maximum width seen transversally to said first longitudinal axis and the pivoting part has a second longitudinal axis and a second maximum width seen transversally to said second longitudinal axis, the first maximum width being greater than the second maximum width, and wherein the curved outer surface of the anchoring head and the curved underside surface of the pivoting head contact each other when the pin is received in the recess.

2. Anchor according to claim 1, wherein the means comprise at least one internal duct through which the hardenable substance can be introduced into the recess of the anchoring part from outside and which is formed in the pivoting part or the anchoring part.

3. Anchor according to claim 1 or 2, wherein, in order to hold the pin, the recess comprises a neck.

4. Anchor according to any one of claims 1 to 3, wherein the pivoting part comprises pretensioning means which, when the pivoting part has been fitted to the anchoring part, cause the end of the pin to press against the wall of the recess.

5. Anchor according to any one of claims 1 to 4, wherein the end of the pin comprises one or more of a slotted configuration and two wings.

6. Anchor according to any one of claims 1 to 5, which comprises at least one ventilation duct which leads into the recess.

7. Anchor according to claim 6, wherein the at least one ventilation duct is formed in the pivoting part.

8. Anchor according to any one of claims 1 to 7, wherein the means comprise a substance which is located in the recess of the anchoring part and which can be activated in order to form the hardenable substance.

9. Anchor according to any one of claims 1 to 8, wherein, in order to form the pivot joint between the anchoring part and the pivoting part, the upper side of the anchoring part comprises a first spherical face and the recess is delimited by a second spherical face and the underside of the pivoting part comprises a first spherical counter-face and the pin comprises at least a second spherical counter-face, wherein, when the pivoting part has been fitted to the anchoring part, the first counter-face is in contact with the first face and the second counter-face is in contact with the second face.

10. Anchor according to any one of claims 1 to 9, having a female part which is used for the releasable securing of the tooth replacement to the pivoting part, wherein the female part and the pivoting part can be connected by means of a snap connection.

11. Anchor according to claim 10, wherein the female part comprises an insert of plastics material or metal.

12. Auxiliary instrument for mounting an anchor according to any one of claims 1 to 11, comprising an introduction head, which is attachable on the pivoting head of the pivoting part in a rotationally secure manner in order to pivot the pivoting part to a specific direction, wherein the introduction head comprises an introduction duct for introducing a hardenable substance into the recess of the anchoring part.

13. Auxiliary instrument according to claim 12, comprising a straight end for determining the pivoting position of the pivoting part.

14. Auxiliary instrument according to claim 13, wherein the length of the straight end is greater than 5 mm.