| (11) | EP 3 443 932 B1 |
| (12) | EUROPEAN PATENT SPECIFICATION |
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| (54) | BAR MANUFACTURING AND DENTURE REFERENCE AND REGISTRATION SYSTEM STEGHERSTELLUNGS- UND ZAHNPROTHESENREFERENZ- UND -REGISTRIERUNGSSYSTEM SYSTÈME DE RÉFÉRENCE ET D'ENREGISTREMENT DE PROTHÈSE DENTAIRE ET DE FABRICATION DE BARRES |
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| Note: Within nine months from the publication of the mention of the grant of the European patent, any person may give notice to the European Patent Office of opposition to the European patent granted. Notice of opposition shall be filed in a written reasoned statement. It shall not be deemed to have been filed until the opposition fee has been paid. (Art. 99(1) European Patent Convention). |
BACKGROUND OF THE INVENTION
[0002] In the field of dentures, a metal bar on implants is used to stabilize the denture in the mouth and to strengthen the denture structure to avoid its breakage.
[0003] In the traditional denture manufacturing process an impression is made of a patient's implants and edentulous or partially edentulous ridges. The impression is used to construct a plaster model of the patient's edentulous ridges and implants. A metal bar is manufactured to fit exactly on the plaster model, and to align with the patient's implants according to the implant analogs in the plaster model. The metal bar is installed on the plaster model and the denture structure is then built around the bar in wax. Artificial teeth are placed in the wax resulting in a complete wax up of the denture with the bar incorporated on top of a plaster model. Traditionally, the next step is to investment cast the wax into acrylic resin.
[0004] For example, with reference to Figs. 1A and 1B, a prior art system 100 is illustrated. A plaster model 102 is made of a patient's dentition. A bar 104 is installed on the plaster model 102 via implant analog interfaces 106. Wax mockup 108 is molded by hand and is mechanically wrapped around the bar 104. Artificial teeth 110 are installed. To finalize the denture, the system 100 is processed using investment casting, thereby causing wax mockup 108 to be replaced with acrylic denture material.
[0005] More recently, dentures have been made using CAD/CAM technology, such as by milling or 3D printing. With CAD/CAM technology, the denture is made directly without using wax and plaster models, thus no plaster model having implant analogues is available to align and position the bar. Consequently, a cavity must be cut in the denture and the bar fitted into the cavity. However, the bar is often complex in shape and difficult to precisely and securely fit in the denture. For example, small discrepancies will occur if the full shape of the bar is used for reference and registration.
[0006] Furthermore, even if such a plaster model were made to assist with aligning and positioning the bar in the cavity, the fitting of the denture onto the bar is difficult and often imprecise because it is difficult to preserve the proper registration of the bar with respect to the denture while they are mated and the bar disconnected from the plaster model, particularly if the model impedes access to the cavity in the denture. Moreover, the production of such a model introduces unwanted delay and expense.
[0007] Thus, there exists a need for an improved manufacturing, reference and registration system to overcome small discrepancies in the position of the supporting bar in a denture made using CAD/CAM technology. There exists a need to eliminate the production of a plaster model to assist with the positioning of the bar in the denture cavity. There is further a need for a method of producing dentures using a bar reference system as described US2015/0064653.
SUMMARY OF THE INVENTION.
[0008] To that end, the invention provides the method in accordance with claim 1. In accordance with various aspects of the present invention, an improved bar manufacturing and denture reference and registration system is disclosed. In accordance with an exemplary embodiment, an improved support bar comprising a plurality of oversized implant interfaces and if applicable oversized tooth abutments, is inserted into a denture material blank. The denture material blank has an oversized cut-out for the support bar. The support bar is secured to the denture material blank.
[0009] In one exemplary embodiment, remaining openings between the bar and the blank may be filled with denture resin or other filler materials. The denture material blank with the integrated bar may be placed into a milling device for processing or creation of artificial dental devices. The denture material blank is used as reference for the bar and registration to the milling device. The oversized implant interfaces, and if applicable the oversized tooth abutments and screw holes are milled to the exact size. Oversized implant interfaces and tooth abutments are to be understood within the scope of invention to mean rough shaped without the final feature details.
[0010] According to the invention, the denture material blank is used as reference for the bar and registration to the milling device. The oversized implant interfaces, if applicable the oversized tooth abutments, the screw holes and the full denture are then milled to the exact size.
[0011] In accordance with another exemplary embodiment, the oversized implant interfaces, if applicable the oversized tooth abutments, the screw holes and the intaglio surface of the denture are then milled to the exact size.
BRIEF DESCRIPTION OF THE DRAWINGS
[0012] A more complete understanding of the present invention may be derived by referring to the detailed description and claims when considered in connection with the Figures, where like reference numbers refer to similar elements throughout the Figures, and:
Figures 1A and 1B are views of a prior art system having a plaster model and a support bar;
Figure 2A is a view of an exemplary embodiment of a support bar positioned in a Denture material blank
Figures 2B is a panoramic view A-A of an exemplary embodiment of a support bar with oversized implant interfaces, according to Figure 2A;
Figures 2C is a panoramic view A-A of an exemplary embodiment of a support bar with oversized implant interfaces and oversized tooth abutments, according to Figure 2A;
Figures 3A is a view of a comparison between a final milled implant interface and an oversized implant interface.
Figure 3B is a section view A-A of a comparison between a final milled implant interface and an oversized implant interface, according to Figure 3A;
Figure 4A is a panoramic view of an exemplary embodiment of a bar with oversized implant interfaces positioned into a cutout in a denture material blank, along with a detailed view thereof a portion of the bar, blank and cutout;
Figure 4B is a panoramic view of an exemplary embodiment of a bar with oversized implant interfaces according to Figure 4A integrated in a denture material blank with the cutout filled with Denture material resin, along with a detailed view thereof a portion of the bar, blank and filled cutout filled with resin;
Figure 4C panoramic view of an exemplary embodiment of a bar with oversized implant interfaces according to Figure 4A integrated in a denture material blank with the cutout filled with Denture material resin, further having tooth root structures cut into the top of the material blank;
Figure 4D is panoramic view of an exemplary embodiment of a bar with oversized implant interfaces according to Figure 4A integrated in a denture material blank with first cutout filled with Denture material resin, the material blank having a second cutout at the top of the material blank;
Figures 5A-5B are views of an exemplary embodiment, according to Figure 4A-4B including tooth abutments, along with detailed views thereof;
Figures 6A is a panoramic view of an exemplary embodiment of a Denture material blank with an integrated bar with a finished intaglio surface, finished implant interfaces milled to the exact dimensions and finished screw holes, along with a detailed view thereof.
Figure 6B is a panoramic view of an exemplary embodiment of a Denture material blank with an integrated bar with a finished intaglio surface, finished implant interfaces milled to the exact dimensions, finished screw holes and finished tooth abutments, along with a detailed view thereof.
Figure 7 is a view of an exemplary embodiment finished denture in a denture material blank with an integrated bar.
DESCRIPTION OF THE EXEMPLARY EMBODIMENTS
[0013] The following description is of various exemplary embodiments only, and is not intended to limit the scope, applicability or configuration of the present disclosure in any way. Rather, the following description is intended to provide a convenient illustration for implementing various embodiments including the best mode. As will become apparent, various changes may be made in the function and arrangement of the elements described in these embodiments without departing from the scope of the appended claims.
[0014] For the sake of brevity, conventional techniques for manufacturing and construction may not be described in detail herein. Furthermore, the connecting lines shown in various figures contained herein are intended to represent exemplary functional relationships and/or physical couplings between various elements. It should be noted that many alternative or additional functional relationships or physical connections may be present in a practical method of construction.
[0015] In accordance with various aspects of the present invention, an improved bar manufacturing and denture reference and registration system are provided. In accordance with an exemplary embodiment, a support bar comprising a plurality of implant interfaces may be inserted into an improved denture material blank having an oversize cutout, wherein the cutout is configured to interface with support bar, and as a result, securing the denture material blank with the support bar.
[0016] Securing the denture material blank, may in some example embodiments have multiple meanings or configurations. For example, "securing" can mean retaining the denture components, such as a denture system, a denture bar, or a denture material blank. Alternatively, "securing" may mean stabilizing the denture components, such as a denture system, a denture bar, or a denture material blank. Furthermore, "securing" may mean aligning the denture components, such as a denture system, a denture bar, or a denture material blank. Still furthermore, "securing" may mean reinforcing the denture or denture bar or denture material blank. In some embodiments "securing" may mean any combination of these meanings and configurations.
[0017] With reference to Figs. 4A-4D, an improved denture system 400 is illustrated. Additionally, with reference to Figs. 2A-2B, 3A-3B, 5A-5B, improved denture system 400 may comprise a support bar 202 and denture material blank 406. Support bar 202 may have a plurality of oversized implant interfaces 204. The denture material blank 406 may have at least one oversized cutout 402.
[0018] Support bar 202 may be placed in oversize cutout 402. Support bar 202 may be held in substantially fixed position, or is maintained, or otherwise coupled or retained in communication with the denture material blank 406 or to otherwise secure the denture material blank 406 or providing for easy positioning of the denture bar 202 relative to the denture material blank 406.
[0019] With reference to Fig. 2A-2C, a support bar 202 for use in an improved denture system 400 is illustrated. Support bar 202 may be made of joined or integrally manufactured segments to approximately follow the contour of a patient's edentulous ridges. Alternatively, support bar 202 may be segmented, or straight, or curved, or any other shape adapted to provide support to an improved denture system 400.
[0020] Support bar 202 may further comprise an oversized implant interface 204. In one exemplary embodiment, a support bar 202 may comprise four oversized implant interfaces 204. In another example embodiment, a support bar 202 may comprise six oversized implant interfaces 204, or five oversized implant interfaces 204, or three oversized implant interfaces 204, or two oversized implant interfaces 204, or one oversized implant interface 204. In one embodiment, support bar 202 comprises oversized implant interfaces 204 located at the joint of each segment of support bar 202. Alternatively, support bar 202 may comprise oversized implant interfaces 204 spaced evenly along support bar 202. Still further, alternatively, support bar 202 may comprise oversized implant interfaces 204 located at places corresponding to suitable sites along a patient's edentulous ridges for the installation of implants. Support bar 202 may comprise any number or configuration of implant interfaces 204 adapted to support an improved denture system 400.
[0021] With reference to Figs. 6A-6B oversized implant interface 204 may be machined into an accurate final implant interface 604. With momentary reference to Figs. 6A-6B, generally, final implant interface 604 comprises holes for insertion of fasteners 602 whereby support bar 202 may be secured to a patient's implants. Alternatively, final implant interface 604 may comprise captive bolds, threaded holes, captive nuts, or any other fastening mechanism. In another embodiment of the invention, the intaglio surface of the denture structure may also be milled to a final specification in the same step as the milling of the final implant interface, so that when the bar is secured to the patient's implants, the intaglio surface of the denture structure is already completed. Other sequencing of steps described herein may be available in other embodiments of the invention not illustrated.
[0022] Furthermore in Fig. 6B are the optional oversized tooth abutments 207 machines to an accurate sized and shaped tooth abutment 603.
[0023] Support bar 202 may also comprise a plurality of oversized tooth abutments 207. In one exemplary embodiment, each oversized tooth abutment 207 will extend into a corresponding cutout 402. For example, with momentary reference to Figs. 5A-5B a corresponding cutout 402 in the denture material blank 406. The oversized tooth abutments 207 and the oversized implant interfaces 206 will typically be manufactured in one piece with the support bar 202, for example by machining, 3D printing or other technologies known in the dental arts to produce such devices. Other approaches to manufacturing the abutments and implant interfaces with the support bar, in segments or other piecemeal construction techniques, are well-within the scope of the invention.
[0025] Various materials may be used to manufacture support bar 202. In one exemplary embodiment, support bar 202 may comprise metal, such as titanium, aluminum or stainless steel, though it may alternatively comprise numerous other materials configured to provide support, such as, for example, carbon fiber, a Kevlar-brand material, Dynema-brand material, Aramid-brand material, alloy, glass, binder, epoxy, polyester, acrylic, or any material or combination of materials having a desired strength, stiffness, or flexibility sufficient to reinforce said denture. In one example embodiment, oversized implant interfaces 206 are made of different material than support bar 202. For example, a support bar 202 may be titanium and oversized implant interface 206 may be zirconia. In another embodiment, the oversized implant interfaces 206 may be manufactured separately from the support bar 202 and are utilized in conjunction with the support bar 202 according to the principles described herein.
[0026] In some embodiments, a support bar 202 may comprise multiple materials, or any material configuration suitable to enhance or reinforce the resiliency and/or support of the denture when subjected to wear in a wearer's mouth or to satisfy other desired chemical, physical, or biological properties. Furthermore, a support bar 202 may comprise materials with differing grain structures or grain direction or with similar grain structures or grain direction or any grain structure or direction suitable for achieving desired properties in the denture; for example, resiliency under torsional loads.
[0027] Now, having described various components of an improved denture system 400, the assembly of an improved denture system 400 may be appreciated with reference to Figures 6A-6B.
[0028] The oversize cutout 402 may be made in denture material blank 406 by milling, or molding, or 3D printing, or any other method for making an improved denture. For example, the oversize cutout 402 may be machined by a CAD/CAM machining device, although any process suited for accurate forming of the material may be utilized. For example, said oversize cutout 402 may be formed by machining, etching, waterjet, laser cutting, 3D printing, or chemical mask processes.
[0029] Turning to Figure 4A-4D, the process for manufacturing an improved denture system 400 continues with the securing the bar 202 into oversize cutout 402. In one embodiment, a second material (Fig. 4B, 403) may be filled into any remaining voids in oversize cutout by use of high pressure injection or other techniques known in the arts to inject fluids or materials into such remaining voids.
[0030] In an exemplary embodiment of the invention, the denture system illustrated in Fig 6a may be manufactured through a number of different processes beginning with the intermediate denture product in 4b. For instance, Fig. 4c shows a version of the intermediate denture product in 4b, with tooth pockets 407 having been cut from the material blank 406, or with such blank material 406 being removed from the denture product to form tooth pockets 407. Similarly, the embodiment in Fig. 4d illustrates the intermediate denture product from 4b, but with a second cut-out applied at the top (or side opposite that of the first cut-out) of the material blank. In this embodiment, a tooth portion 411 may be applied to the second cut-out by way of adhesive, friction fit, locking mechanism, or other means of mating known in the dental arts. By way of specific example and not limitation, a dental practitioner may glue the tooth portion comprising PMMA directly into the second cut-out. Tooth portion is shown as being an integral piece adhered to the second cut-out, but tooth portion may also comprise subsections of the tooth portion.
[0031] The various components of an improved denture system 400 may be made of various different materials in different shapes. For example, various materials may be used to the denture material blank 406. In one exemplary embodiment, a hardened polymethyl methacrylate (PMMA) material is used. However, the denture material blank 406 may comprise any material having sufficiently low porosity so as to be hygienic for extended placement in a wearer's mouth. For example, the denture material blank may be made of a plastic, ceramic, metal, or acrylic, including for instance, a polymer, monomer, composite, or alloy.
[0032] In various embodiments of the invention, the dental blank material may comprise a single tooth material, with layered tooth materials, and/or the blank comprising the denture base material.
[0033] Furthermore, the shape of the denture material blank 406 can be oval, or multisided, for example trapezoidal, heptagonal, hexagonal, septagonal, or octagonal or any other number of sides, or may be irregularly shaped, or may be T shaped, L shaped or horseshoe shaped or may comprise any other shape.
[0034] The present disclosure has been described with reference to various embodiments. However, one of ordinary skill in the art appreciates that various modifications and changes can be made without departing from the scope of the present disclosure.
[0035] As used herein, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Also, as used herein, the terms "proximate," "proximately," or any other variation thereof, are intended to cover a physical connection, an electrical connection, a magnetic connection, an optical connection, a communicative connection, a functional connection, and/or any other connection. When language similar to "at least one of A, B, or C" is used, the phrase is intended to mean any of the following: (1) at least one of A; (2) at least one of B; (3) at least one of C; (4) at least one of A and at least one of B; (5) at least one of B and at least one of C; (6) at least one of A and at least one of C; or (7) at least one of A, at least one of B, and at least one of C.
providing a denture material blank (406);
providing a support bar (202);
forming a cut-out (402) for the support bar (202) in the denture material blank (406), wherein the cut-out (402) is an oversized cut-out in that it is oversized relative to the support bar (202);
positioning at least one oversized implant interface (204) to the support bar (202), wherein each oversized implant interface (204) is a roughly shaped implant interface which has to be milled to form a final implant interface (604) having an exact size;
securing the support bar (202) to the denture material blank (406);
subsequently using the denture material blank (406) for registering, i.e. positioning, the denture material blank (406) relative to a milling device, thereby also defining the position of the support bar (202) relative to the milling device; and
subsequently milling the at least one oversized implant interface (204) to an exact size for forming the final implant interface (604).
positioning to the support bar (202) at least one oversized tooth abutment (207) to a side opposite of the at least one oversized implant interface (204), wherein each oversized tooth abutment (207) is a roughly shaped tooth abutment which has to be milled to form a final tooth abutment (603) having an exact size;
milling the at least one oversized tooth abutment (207) to form a final tooth abutment (603) having an exact size, wherein this milling is performed after the step of using the denture material blank (406) for registering, i.e. positioning, the denture material blank (406) relative to a milling device, thereby also defining the position of the support bar (202) relative to the milling device.
Bereitstellen eines Prothesenmaterialrohlings (406);
Bereitstellen einer Stützstange (202);
Bilden eines Ausschnitts (402) für die Stützstange (202) in dem Prothesenmaterialrohling (406), wobei der Ausschnitt (402) ein übergroßer Ausschnitt ist, dadurch, dass er relativ zur Stützstange (202) übergroß ist;
Positionieren wenigstens einer übergroßen Implantatschnittstelle (204) an der Stützstange (202), wobei jede übergroße Implantatschnittstelle (204) eine grob geformte Implantatschnittstelle ist, die gefräst werden muss, um eine endgültige Implantatschnittstelle (604) mit einer genauen Größe zu bilden;
Befestigen der Stützstange (202) am Prothesenmaterialrohling (406);
anschließend Verwenden des Prothesenmaterialrohlings (406) zum Registrieren, d. h. Positionieren des Prothesenmaterialrohlings (406) relativ zu einer Fräsvorrichtung, wodurch auch die Position der Stützstange (202) relativ zur Fräsvorrichtung definiert wird; und anschließendes Fräsen der wenigstens einen übergroßen Implantatschnittstelle (204) auf eine genaue Größe zum Bilden der endgültigen Implantatschnittstelle (604).
Positionieren an der Stützstange (202) wenigstens eines übergroßen Zahnpfeilers (207) auf einer Seite gegenüber der wenigstens einen übergroßen Implantatschnittstelle (204), wobei jeder übergroße Zahnpfeiler (207) ein grob geformter Zahnpfeiler ist, der gefräst werden muss, um einen endgültigen Zahnpfeiler (603) mit einer genauen Größe zu bilden;
Fräsen des wenigstens einen übergroßen Zahnpfeilers (207), um einen endgültigen Zahnpfeiler (603) mit einer genauen Größe zu bilden, wobei dieses Fräsen nach dem Schritt des Verwendens des Prothesenmaterialrohlings (406) zum Registrieren, d. h. Positionieren des Prothesenmaterialrohlings (406) relativ zu einer Fräsvorrichtung durchgeführt wird, wodurch auch die Position der Stützstange (202) relativ zur Fräsvorrichtung definiert wird.
fournir une ébauche de matériau de prothèse dentaire (406) ;
fournir une barre de support (202) ;
former une découpe (402) pour la barre de support (202) dans l'ébauche de matériau de prothèse dentaire (406), dans laquelle la découpe (402) est une découpe surdimensionnée en ce sens qu'elle est surdimensionnée par rapport à la barre de support (202) ;
positionner au moins une interface d'implant surdimensionnée (204) sur la barre de support (202), chaque interface d'implant surdimensionnée (204) étant une interface d'implant de forme grossière qui doit être fraisée pour former une interface d'implant finale (604) ayant une taille exacte ;
fixer la barre de support (202) sur l'ébauche de matériau de prothèse dentaire (406) ;
utiliser ensuite l'ébauche de matériau de prothèse dentaire (406) pour caler, c'est-à-dire positionner, l'ébauche de matériau de prothèse dentaire (406) par rapport à un dispositif de fraisage, en définissant ainsi également la position de la barre de support (202) par rapport au dispositif de fraisage ; et
fraiser ensuite la au moins une interface d'implant surdimensionnée (204) à une taille exacte pour former l'interface d'implant finale (604).
positionner sur la barre de support (202) au moins une butée de dent surdimensionnée (207) sur un côté opposé à la au moins une interface d'implant surdimensionnée (204), dans laquelle chaque butée de dent surdimensionnée (207) est une butée de dent de forme grossière qui doit être fraisé pour former une butée de dent finale (603) ayant une taille exacte ;
fraiser la au moins une butée de dent surdimensionnée (207) pour former une butée de dent finale (603) ayant une taille exacte, dans laquelle ce fraisage est effectué après l'étape d'utilisation de l'ébauche de matériau de prothèse dentaire (406) pour caler, c'est-à-dire positionner, l'ébauche de matériau de prothèse dentaire (406) par rapport à un dispositif de fraisage, en définissant ainsi également la position de la barre de support (202) par rapport au dispositif de fraisage.
REFERENCES CITED IN THE DESCRIPTION
This list of references cited by the applicant is for the reader's convenience only. It does not form part of the European patent document. Even though great care has been taken in compiling the references, errors or omissions cannot be excluded and the EPO disclaims all liability in this regard.
Patent documents cited in the description