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EP 2 522 300 B9 |
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CORRECTED EUROPEAN PATENT SPECIFICATION |
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Note: Bibliography reflects the latest situation |
(15) |
Correction information: |
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Corrected version no 2 (W2 B1) |
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Corrections, see Claims EN |
(48) |
Corrigendum issued on: |
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26.05.2021 Bulletin 2021/21 |
(45) |
Mention of the grant of the patent: |
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28.10.2020 Bulletin 2020/44 |
(22) |
Date of filing: 10.05.2011 |
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(51) |
International Patent Classification (IPC):
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(54) |
Abutment for a dental implant
Stütze für ein Dentalimplantat
Butée pour implant dentaire
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Designated Contracting States: |
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AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL
NO PL PT RO RS SE SI SK SM TR |
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Date of publication of application: |
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14.11.2012 Bulletin 2012/46 |
(73) |
Proprietor: Nordin, Peter |
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1822 Chernex (CH) |
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(72) |
Inventors: |
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- Nordin, Harald
1822 Chernex (CH)
- Nordin, Peter
1822 Chernex (CH)
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(74) |
Representative: AMMANN PATENTANWÄLTE AG |
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Schwarztorstrasse 31 3001 Bern 3001 Bern (CH) |
(56) |
References cited: :
EP-A1- 1 319 375 US-A- 5 328 372 US-A1- 2009 123 891
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DE-U1-202010 008 938 US-A1- 2006 208 393 US-A1- 2010 151 420
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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).
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[0001] The invention relates to an abutment for connecting a dental prosthesis to a dental
implant, the abutment comprising a body portion for supporting the dental prosthesis
and a contact surface apical to said body portion for contacting the dental implant.
[0002] Prosthodontic restorations replacing a natural tooth in a patient's dentition are
commonly fixed on a dental implant that is surgically implanted into the patient's
jawbone. Typically, since the early work of Per-Ingvar Branemark of Sweden in 1952,
such an implant consists of a titanium screw which resembles a tooth root and comprises
a roughened or smooth surface. The majority of dental implants are made out of pure
titanium, which is commercially available in four grades depending upon the amount
of contained carbon and iron.
[0003] An abutment is usually anchored at the coronal end of the dental implant. A dental
prosthesis, such as a crown, a fixed bridge retainer or a removable denture, can be
attached on the abutment serving as an interface between the dental prosthesis and
the dental implant. The abutment is typically held in place with a screw. Abutments
can be custom-made in a dental laboratory or purchased as a prefabricated part from
a dental implant supplier.
[0004] Current abutments are typically made of titanium, stainless steel, gold or ceramic.
All these materials have the disadvantage of being too stiff and brittle as compared
to the natural dentine they are supposed to replace and mimic. In consequence, the
masticatory stresses exerted on the artificial tooth structure cannot be adequately
absorbed. This leads to a number of undesirable side effects including an unnatural
feeling of pressure while chewing, increased bruxism, and an increased risk of breakage
of the artificial tooth structure. Another disadvantage lies in the different refractive
index of these materials as compared to the enamel and dentine of a natural tooth,
resulting in an unnatural and unaesthetic appearance of the replacement structure.
Moreover, these materials are difficult to rework, in particular to cut or grind or
trim. In consequence, they are usually fabricated in specific standardized shapes
which complicates an individual adaption to the shape of crown or bridge restorations.
[0005] DE 20 2010 008 938 U1 discloses a post having an implant post body made of resin and provided with a connection
part at an outer circumference. The implant post body includes a set of fibers. Fiber
bars e.g. glass fiber bars, quartz optical fiber bars, carbon fiber bars and glass
optical fiber bars, are arranged in the implant post body and run via the implant
post body and are fastened to the post body, where each fiber bar has a connecting
end and a free end.
[0006] US 20060208393 discloses a formable fiber-reinforced composite which comprises an inner core and
an outer sheath. The inner core comprises longitudinally extending fibers. The outer
sheath comprises braided or woven fibers. The fibers have been treated to release
the memory. The fibers are impregnated with a resin matrix material .
[0007] EP 1 319 375 discloses an implant pin formed by embedding in an epoxy resin matrix a bundle of
fibers of carbon or Kevlar, quartz, glass or other suitable material. Said bundle
is formed by fibers that are straight and parallel to the axis of the pin. The pin
can be inserted into the cavity of a dental implant.
[0008] US 20090123891 discloses a system having a resin abutment member engageable with an implant fixture.
Replacement tooth prosthesis is engaged with the abutment member. The member is chemically
compatible with the composite resin material e.g. bis-GMA material, of the replacement
tooth prosthesis.
[0009] US 5 328 372 discloses a physiological dental securing peg of composite material which is adapted
to be inserted into a root canal. It is an object of the present invention to avoid
at least one of the above mentioned disadvantages and to provide an improved abutment
which allows an adjustment of the tooth restoration structure to properties of a natural
tooth. This object is achieved with an abutment comprising the features of patent
claim 1. Advantageous embodiments of the invention are defined by the dependent claims.
[0010] Accordingly, the invention suggests that the abutment is composed of a resin that
is reinforced with fibers substantially extending over the total length of the body
portion towards the contact surface with the dental implant. The proposed material
composition of the abutment allows to mimic the properties of natural dentine in a
number of ways, in particular with respect to the modulus of elasticity and/or the
refractive index. Such a material can also provide an excellent biocompatibilty of
the abutment. Moreover, the shape and size of the abutment can be easily reworked,
even after its application on a dental implant, since the proposed material can be
trimmed or cut similar to natural dentine.
[0011] Despite its smooth workability, a high flexural strength of the body portion can
be achieved, in particular in the range of 1500 MPa or higher, due to the continous
longitudinal arrangement of the fibers. Thus, the abutment can be highly resistant
against fracture, bending or rupture and can provide a long durability.
[0012] Generally, a number of different materials of the fiber and/or resin constituents
of the abutment are conceivable. For instance, the material of the resin may be selected
from methyl metacrylate (MMA), urethane dimethacrylate (UDMA), bisgma, epoxy, peek
optima, polyester, polyvinyl ester or a mixture thereof. The material of the fibers
is glass. Advantageously, the individual properties of these materials and of their
relative composition can be exploited to adapt the abutment with respect to the specific
requirements of the respective dental structure to be replaced.
[0013] In order to reduce the risk of breakage of the abutment, said body portion preferably
exhibits a modulus of elasticity of at least 10 GPa and at most 50 GPa. In this way,
the elastic properties of natural dentine can be imitated.
[0014] The longitudinal extension of the fibers within the resin is exploited in such a
way, that an anisotropic modulus of elasticity is achieved within the body portion.
Thus, the body portion preferably exhibits a modulus of elasticity that varies in
dependence of the direction of a force applied on the body portion with respect to
the orientation of a longitudinal axis extending in the apical direction of the body
portion. In this way, the inherent properties of the natural two-layer system between
the enamel and the dentine can be further assimilated.
[0015] More precisely, an anisotropic behavior of the modulus of elasticity of natural enamel
and dentine has been reported in various scientific studies. Such an anisotropic behavior
of at least one layer of a multilayered biological system is believed to contribute
to a protection against breakage or rupture of the system. Advantageously, the abutment
according to the invention can be used to mimic the anistropic elastic modulus of
one layer of such a natural system.
[0016] The modulus of elasticity is lower for a force applied perpendicular to the longitudinal
axis of the abutment as compared to a force applied in parallel with respect to its
longitudinal axis. In this way, a homogenous and therefore predictable behavior can
be achieved over the whole length of the body portion of the abutment.
[0017] The fiber content is chosen in such a way, that a variation of the elastic modulus
of at least 10 GPa, more preferred at least 30 GPa is achieved. Furthermore, the fiber
content is preferably chosen in such a way, that a variation of the elastic modulus
of at most 100 GPa, more preferred at most 40 GPa is achieved. More specifically,
the modulus of elasticity preferably varies in between a value of at most 20 GPa for
a force applied perpendicular to said longitudinal axis and a value of at least 30
GPa for a force applied in parallel with respect to said longitudinal axis.
[0018] Various possibilities of the arrangement of the fibers within the resin are conceivable.
According to a first preferred configuration, at least part of said fibers are substantially
uniformly directed in parallel with respect to a longitudinal axis of said body portion.
According to a second preferred configuration, at least part of said fibers are arranged
in the manner of a braided netting in a biaxial or multiaxial orientation. Such an
arrangement of the fibers can further contribute to improve the flexural strength
of the abutment. In particular, an arrangement of the fibers can be applied as described
in patent application No.
EP 1 078 608 A1.
[0019] The composition of the abutment comprises a resin that is derived from at least one
methacrylate monomer, in particular methyl methacrylate (MMA) and/or urethane dimethacrylate
(UDMA). Besides a high biocompatibility, an excellent bonding interaction between
the abutment and the prosthetic structure can be expected from this material selection
due to a chemical composition that resembles currently used composite resin cements
that are used for fixing prosthetic devices in dentistry.
[0020] To provide an abutment that optically resembles to the properties of natural dentine,
in particular to render the abutment aesthetically more pleasing, the fibers are preferably
constituted by glass fibers. For instance, E glass, S glass and/or AR Glass fibers
are conceivable for that purpose. To further assimilate the abutment to the optical
properties of natural dentine, mineral particles are preferably embedded in said resin,
wherein the content by volume of said mineral particles is matched in such a way that
the index of refraction of said body portion is in between 1.3 and 1.8, more preferred
in between 1.4 and 1.6. Most preferred, an index of refraction in between 1.50 and
1.55 is achieved by an appropriate composition of said resin, fibers and mineral particles
in order to closely imitate the appearance of natural dentine.
[0021] In use, a basic prerequisite of the abutment is its radiopacity to allow a dentist
to monitor the artificial tooth structure by X-ray analysis. In order to provide this
property of the abutment, X-ray absorbing particles are preferably embedded in said
resin, said X-ray absorbing particles being selected from a chemical compound comprising
an element of an atomic number of at least 37, more preferred at least 57. Advantageously,
the X-ray absorbing particles may be provided in the form of mineral particles for
matching the refractive index of said body portion, as described above. Preferably,
particles selected from an ytterbium compound are employed for this purpose, in particular
ytterbium flouride and/or ytterbium oxide.
[0022] In order to achieve the above described properties with respect to an adaption of
the abutment to natural dentine and by still ensuring a high flexural strength of
the abutment, a fraction of at least 40% in volume of the total content of said body
portion is constituted by said fibers. More preferred, the fiber content represents
ideally at least 70% of the total volume, more preferred about 80% of the total volume.
This material exceeds currently used abutment materials with respect to its fatigue
properties under repeated stress, in particular by at least a factor of five. A further
improvement of the flexural strength and the elastic properties of the abutment can
be achieved by pretensing the fibers during the manufacturing process, in particular
by a tension force of at least 100 N, more preferred at least 300 N. Such a tensioning
of the fibers can be advantageously implemented during a fabrication process that
is carried out by means of pultrusion.
[0023] In order to improve the bonding interaction between the fibers and the resin, the
circumferential surface of the fibers is preferably covered with a coupling agent,
in particular silane, for enhancing the adhesion of said fibers to the resin. On the
one hand, such a treatment of the fibers contributes to increase the interlaminate
shear strength (ISS) of the abutment. In this way, an ISS-value of at least 80 MPa,
in particular about 90 MPa or higher, can be achieved, resulting in a further improvement
of the fatigue properties under repeated stress. On the other hand, a delamination
of the abutment can be effectively avoided, in particular during a reworking of the
prefabricated abutment shape, for instance by grinding or cutting the suface of the
body portion by means of diamond burs or discs. This advantageously allows to adapt
the shape of the abutment to specific local requirements, even after it is fixed on
a dental implant that is anchored in a jawbone.
[0024] Preferably, the shape of the body portion is substantially symmetrical with respect
to a longitudinal axis of the abutment. In particular a cylindrical, cylindro-conical,
conical, spherical or hyperbolic shape or a combination thereof is conceivable. More
preferred, the body portion has a substantially hyperbolic form. Such a hyperboloid
may be geometricaly described in a x-y-z coordinate system by the general equation
x
2/a
2 + y
2/b
2 - z
2/c
2 = 1, wherein a, b, c are predefined constant values. More preferred, a circular hyperboloid
is applied, wherein a substantially equals b in the above equation. Such a hyperbolic
body portion has the advantage of strengthening the overall tooth structure, in particular
providing a reduced risk of breakage, combined with a better distribution a lateral
forces that are transmitted from the prosthetic structure. Another advantage is provided
in conjunction with the reworkability of the abutment by means of commonly used cuting
tools, such as diamond burs and/or disks, since the hyperbolic form allows an easier
adaption to a specific shape and reduces the tendency of fracture of the abutment
during the cutting or grinding procedure.
[0025] In order to further improve the bonding interaction between the abutment and the
prosthetic structure, mechanical retention structures are preferably applied at the
surface of the body portion. According to a first preferred configuration, the mechanical
retentions can be provided in a micrometer sized range by trimming the surface of
the body portion with appropriate cutting burs or tools.
[0026] According to a second preferred configuration, the mechanical retentions can be provided
by means of at least one retention groove that is provided at the circumferential
surface of the body portion. Preferably, at least two longitudinal grooves are provided
extending in the apical direction of the body portion, wherein the course of each
groove extends over a different portion of the circumference of the body portion.
In this way, an improved retention can be achieved, wherein the danger of a structural
weakening of the abutment is minimised. More preferred, the groove extends over the
whole length of the body portion in order to increase mechanical retention along its
total length. Moreover, the groove preferably exhibits an inclined course with respect
to the longitudinal axis of the body portion for allowing an improved retention, in
particular a substantially helical form that is at least partially winding or wrapped
around the body portion. The preferred width and/or depth of the grooves is at least
0.01 mm and at most 1 mm, wherein a range in between 0.1 mm and 0.5 mm is more preferred.
Preferably, at most ten, more preferred at most five, retention grooves are provided
in order to minimize a structural weaking of the body portion. Other preferred characteristics
of such a retention groove are described in patent application No.
EP 2 281 525 A2.
[0027] According to a third preferred configuration, an improved retention of the dental
prosthesis on the abutment is achieved by combining both types of retention structures.
[0028] Preferably, the contact surface is constituted by a substantially flat bottom surface
at the apical end of the body portion. This allows an easy application and positioning
of the abutment on the dental implant before its actual fixation. Various fixation
methods of the abutment on the implant are conceivable, in particular cementing, screwing
or clipping or a combination thereof. Fixation by screwing can be achieved by means
of an inward thread or an outward thread in or on the abutment. A particularly advantageous
fixation of the abutment on the implant can be achieved in that a receiving bore is
provided at the contact surface for receiving a connector portion of the dental implant.
Alternatively, a connector portion can be provided at the contact surface configured
for insertion into a receiving bore an the dental implant. In particular the cross
section of the receiving bore may exhibit a circular, squared, triangular, hexagonal
or octogonal shape. In this way, a cost efficient and yet easy applicable and reliable
fixation can be realized.
[0029] According to a preferred implementation of the abutment, the optical properties of
the fiber-reinforced resin structure are exploited for an advantageous light conduction
through the body portion, which can be applied to achieve a proper polymerization
of a setting product, such as resin cement. Advantageously, the ordered arrangement
of the fibers extending over the total length of the body portion can be exploited
to allow a superior light conduction both through the resin and through the optical
fibers. The optical fibers are glass fibers, in particular to provide an optical resemblance
to natural dentine. Preferably, the apical surface of the body portion is used as
a light entering surface. In particular, a planar cutting or grinding of the fibers
may be applied for achieving an effective coupling of light into the fibers. Preferably,
a light conduction to the contact surface is exploited for cementing the abutment
to the dental implant.
[0030] Various fabrication methods can be applied for producing the described abutment,
in particular extrusion, injection molding, wetting or pultrusion. Preferably, a pultrusion
process is applied in which the fibers are pulled through a resin bath containing
above described mineral particles. Before the pultrusion, the fibers are preferably
treated with a coupling agent, in particular silane, for enhancing the adhesion of
said fibers to the resin. During the pultrusion process, the fibers are preferably
tensed by applying a force of at least 50 N, more preferred at least 100 N, to increase
the flexural strength and the elastic properties of the abutment according to the
above description. After the pultrusion process, the shaping of the abutment can be
achieved by molding and/or turning and/or grinding. Preferably, a turning lathe is
used for this purpose.
[0031] The invention will be described in more detail in the following description of preferred
exemplary embodiments with reference to the accompanying drawings. In the drawings:
- Figg. 1 - 4
- are schematic views of various embodiments of an artificial tooth structure in a longitudinal
section; and
- Figg. 5 - 11
- are schematic perspective views of various embodiments of the body portion of an abutment
for a dental implant.
[0032] Fig. 1 depicts an artificial tooth structure 1 comprising a dental implant 2, an
abutment 3 and a dental prosthesis 4. The dental implant 2 is anchored into a jaw
bone 5 and consists, for instance, of titanium, stainless steel, ceramics or another
osseointegratable material.
[0033] The abutment 3 is arranged on the dental implant 2 in such a way that the abutment
3 has a contact surface 6 at its apical end with the coronal side of the implant 2.
The abutment 3 is rigidly connected to the implant 2 by means of a connector portion
7 protruding from the center of the contact surface 6. The connector portion 7 is
cylindrically shaped and has an outer thread that is engaged with an inner thread
of a receiving bore in the implant 2.
[0034] The abutment 3 further comprises a body portion 8 which constitutes a prolongation
of the implant 2 in a coronal direction along the longitudinal axis L. At the surface
of the body portion 8 the dental prosthesis 4 is attached.
[0035] The abutment 3 is composed of a resin that is reinforced with fibers extending over
the total length of the body portion 8 to the contact surface 6. According to a first
embodiment, the fibers are uniformly directed in parallel with respect to the longitudinal
axis L of the body portion 8. According to a second embodiment, the fibers are arranged
in the manner of a braided netting in a biaxial or multiaxial orientation. The resin
consists of a polymer derived from a methacrylate monomer, preferably methyl methacrylate
(MMA) or urethane dimethacrylate (UDMA).
[0036] Mineral particles, preferably ytterbium flouride and or ytterbium oxide, are homogenuosly
distributed within the resin. The fibers are constituted by glass fibers, wherein
the fiber content represents ideally 80% of the volume of the body portion 8. The
fibers are treated with silane as a coupling agent to the resin matrix.
[0037] The abutment 3 exhibits several advantageous mechanical properties, in particular
an elastic modulus similar to natural dentine that is anisotropic with respect to
the longitudinal axis L and varying in between 13 to 45 GPa. Yet the abutment 3 has
a high flexural strength of ca. 1600 MPa for fracture resistance and durability. Moreover,
the interlaminate shear strength (ISS) of the bond between the fibers and the resin
matrix is larger than 90 Mpa, leading to an improved value of its fatigue under stress
as compared to competing materials such as titanium, stainless steel or ceramics.
The shape of abutment 3 can be easily reworked by means of common cutting tools such
as diamond burs and/or discs.
[0038] Furthermore, the abutment 3 has several advantageous optical properties. First, the
incorporation of the mineral particles is chosen so that the material composition
of glass fibers, resin and mineral particles yields an index of refraction of 1.52.
This value corresponds closely to the refractive index of natural dentine (1.540).
Secondly, the particular arrangement of the fibers in the resin allows good light
conduction through the body portion 8. This can be exploited for a proper polymerization
of a setting product, such as resin cement, in particular for fixing the abutment
at its contact surface 6.
[0039] The mineral particles with a high atomic number embedded in the resin lead to a radiopacity
of the body portion 8 that is larger than 200% to the value of Aluminium, more preferred
above a value of 400 % of Aluminium. The chemical composition of the resin material
similar to composite resin cement permits a chemically profound bonding-interaction
between the abutment 3 and the dental prosthesis 4 and/or the implant 2.
[0040] The artificial tooth structures shown in Figg. 2 - 4 comprise the dental implant
2, the dental prosthesis 4 and an abutment with essentially identical properties with
respect to the material and shape of its body portion 8 as the abutment of Fig. 1.
The connection means at the contact surface 6 of the abutment is modified..
[0041] Fig. 2 depicts an abutment 11 of an artificial tooth structure 10 that is rigidly
connected to the implant 2 by means of a receiving bore 12 at the center of the contact
surface 6. The receiving bore 12 is cylindrically shaped and has an inner thread that
is engaged with a connector portion protruding from the coronal end of implant 2.
[0042] Fig. 3 depicts an abutment 16 of an artificial tooth structure 15 that is connected
to the implant 2 by means of a receiving bore 17 at the center of the contact surface
6. The receiving bore 17 is octogonally shaped and receives an adequately shaped connector
portion of the implant 2 in a form-fitted manner. A rigid connection in between the
abutment 16 and implant 2 at the contact surface 6 is established by means of resin
cement.
[0043] Fig. 4 depicts an abutment 21 of an artificial tooth structure 20 that is connected
to the implant 2 by means of a connector portion 22 protruding from the center of
the contact surface 6. The connector portion 22 is octogonally shaped and is inserted
in a adequately shaped receiving bore in the implant 2 in a form-fitted manner. A
rigid connection in between the abutment 21 and implant 2 at the contact surface 6
is established by means of resin cement.
[0044] In Figg. 5 - 9 various abutments with a different shape of the body portion are depicted,
which is symmetrical along the longitudinal axis of the abutment.
[0045] Fig. 5 shows an abutment 25 with a cylindrical shaped body portion 26.
[0046] Fig. 6 shows an abutment 27 with a hyperboloidal body portion 28.
[0047] Fig. 7 shows an abutment 29 with a conical body portion 30.
[0048] Fig. 8 shows an abutment 31 with a substantially spherical body portion 32. The body
portion 32 comprises a cylindrical apical end 33 to be contacted with the implant
2.
[0049] Fig. 9 shows an abutment 34 with a cono-cylindrically shaped body portion 35. The
body portion 35 comprises a conical coronal part 36 and a cylindrical apical part
37.
[0050] In Figg. 10 and 11 an alternative embodiment of the abutments 25, 27 is depicted.
Three retention grooves 40, 41, 42 are provided at the lateral surface of the body
portion 26, 28. Each of the retention grooves 30, 31, 32 extends over a different
circumferential portion of this surface in order to avoid a weakening of the structure
and a risk of breakage. The course of retention grooves 30, 31, 32 substantially extends
in the apical direction and over part of the circumference of the body portion 26,
28 such that they are partially wrapped around the surface. In this way, the retention
properties can be greatly improved when the filling member 10 is fixed in the cavity
by means of resin cement. Preferably, the grooves 30, 31, 32 extend over the total
length of the body portion 26, 28 to increase mechanical retention along the total
device length. The retention grooves 30, 31, 32 can be analogously applied on the
body portion 30, 32, 35 of the abutments 29, 31, 34.
[0051] The above described preferred embodiments are intended to illustrate the principles
of the invention, but not to limit the scope of the invention. Various other embodiments
and modifications to those preferred embodiments may be made by those skilled in the
art without departing from the scope of the appended claims.
1. An abutment for connecting a dental prosthesis (4) to a dental implant (2), the abutment
comprising a body portion (8, 26, 28, 30, 32, 35) for supporting the dental prosthesis
(4) and a contact surface (6) apical to said body portion (8, 26, 28, 30, 32, 35)
for contacting the dental implant (2), the abutment being composed of a resin that is reinforced with glass fibers substantially extending
over the total length of said body portion (8, 26, 28, 30, 32, 35) towards said contact
surface (6), characterized in that a fraction of at least 40%, more preferred at least 70%, in volume of the total content
of said body portion is constituted by said fibers, in that said body portion (8, 26, 28, 30, 32, 35) exhibits a modulus of elasticity varying
in dependence of the direction of a force applied with respect to the orientation
of a longitudinal axis (L) extending in the apical direction of said body portion
(8, 26, 28, 30, 32, 35), such that said modulus of elasticity is at least 10 GPa, more preferred at least 30 GPa, lower
for a force applied perpendicular to said longitudinal axis (L) as compared to a force
applied in parallel with respect to said longitudinal axis (L), and in that said resin is derived from at least one methacrylate monomer, preferably methyl methacrylate
(MMA) and/or urethane dimethacrylate (UDMA).
2. The abutment according to claim 1, characterized in that said body portion (8, 26, 28, 30, 32, 35) exhibits a modulus of elasticity of at
least 10 GPa and at most 50 GPa.
3. The abutment according to one of the claims 1 to 2, characterized in that at least part of said fibers are substantially uniformly directed in parallel with
respect to a longitudinal axis (L) of said body portion (8, 26, 28, 30, 32, 35) .
4. The abutment according to one of the claims 1 to 3, characterized in that at least part of said fibers are arranged in the manner of a braided netting in a
biaxial or multiaxial orientation.
5. The abutment according to one of the claims 1 to 4, characterized in that mineral particles are embedded in said resin, wherein the content by volume of said
mineral particles is matched in such a way that the index of refraction of said body
portion is in between 1.3 and 1.8, more preferred in between 1.4 and 1.6.
6. The abutment according to one of the claims 1 to 5, characterized in that X-ray absorbing particles are embedded in said resin, said X-ray absorbing particles
being selected from a chemical compound comprising an element of an atomic number
of at least 37, more preferred at least 57.
7. The abutment according to claim 5 and 6, characterized in that said mineral particles for matching the refractive index of said body portion are
constituted by said X-ray absorbing particles.
8. The abutment according to one of the claims 1 to 7, characterized in that the circumferential surface of said fibers is covered with a coupling agent, in particular
silane, for enhancing the adhesion of said fibers to said resin.
9. The abutment according to one of the claims 1 to 8, characterized in that said body portion (28) has a substantially hyperbolic form.
10. The abutment according to one of the claims 1 to 9, characterized in that said contact surface (6) is constituted by a substantially flat bottom surface at
the apical end of said body portion (8, 26, 28, 30, 32, 35).
11. The abutment according to one of the claims 1 to 10, characterized in that a receiving bore (12, 17) is provided at said contact surface (8, 26, 28, 30, 32,
35) for receiving a connector portion of the dental implant (2).
12. The abutment according to one of the claims 1 to 11, characterized in that at least one retention groove (40, 41, 42) is provided at the circumferential surface
of said body portion (8, 26, 28, 30, 32, 35).
1. Abutment zum Verbinden einer Zahnprothese (4) mit einem Zahnimplantat (2), wobei das
Abutment einen Körperteil (8, 26, 28, 30, 32, 35) zum Tragen der Zahnprothese (4)
und eine apikal zum Körperteil (8, 26, 28, 30, 32, 35) angeordnete Kontaktfläche (6)
für den Kontakt mit dem Zahnimplantat (2) aufweist, wobei das Abutment aus einem Harz
besteht, das mit Glasfasern verstärkt ist, die sich im Wesentlichen über die ganze
Länge des Körperteils (8, 26, 28, 30, 32, 35) zur Kontaktfläche (6) hin erstrecken,
dadurch gekennzeichnet, dass ein Anteil von mindestens 40 %, bevorzugt mindestens 70 % des Volumens des gesamten
Inhalts des genannten Körpers aus den genannten Fasern besteht, dass der genannte
Körperteil (8, 26, 28, 30, 32, 35) einen Elastizitätsmodul aufweist, der in Abhängigkeit
von der Richtung einer ausgeübten Kraft in Bezug auf die Ausrichtung einer in der
apikalen Richtung des Körperteils (8, 26, 28, 30, 32, 35) verlaufenden Längsachse
(L) variiert, so dass der genannte Elastizitätsmodul für eine senkrecht zur genannten
Längsachse (L) wirkende Kraft mindestens 10 GPa, bevorzugt mindestens 30 GPa geringer
ist als für eine parallel zur genannten Längsachse wirkende Kraft, und dass das genannte
Harz von mindestens einem Methacrylatmonomer, vorzugsweise Methylmethacrylat (MMA)
und/oder Urethandimethacrylat (UDMA) abgeleitet ist.
2. Abutment nach Anspruch 1, dadurch gekennzeichnet, dass der Körperteil (8, 26, 28, 30, 32, 35) einen Elastizitätsmodul von mindestens 10
GPa und höchstens 50 GPa aufweist.
3. Abutment nach einem der Ansprüche 1 bis 2, dadurch gekennzeichnet, dass mindestens ein Teil der genannten Fasern im Wesentlichen einheitlich parallel zu
einer Längsachse (L) des genannten Körperteils (8, 26, 28, 30, 32, 35) ausgerichtet
ist.
4. Abutment nach einem der Ansprüche 1 bis 3, dadurch gekennzeichnet, dass mindestens ein Teil der genannten Fasern in der Art eines Geflechts in einer biaxialen
oder multiaxialen Ausrichtung angeordnet sind.
5. Abutment nach einem der Ansprüche 1 bis 4, dadurch gekennzeichnet, dass Mineralpartikel im genannten Harz eingebettet sind, wobei der Volumenanteil der genannten
Mineralpartikel derart angepasst ist, dass der Brechungsindex des Körpers zwischen
1,3 und 1,8 liegt, bevorzugt zwischen 1,4 und 1,6.
6. Abutment nach einem der Ansprüche 1 bis 5, dadurch gekennzeichnet, dass röntgenabsorbierende Partikel im genannten Harz eingebettet sind, wobei die röntgenabsorbierenden
Partikel aus einer chemischen Verbindung ausgewählt sind, die ein Element mit einer
Ordnungszahl von mindestens 37, mehr bevorzugt mindestens 57 enthält.
7. Abutment nach Anspruch 5 und 6, dadurch gekennzeichnet, dass die genannten Mineralpartikel zur Anpassung des Brechungsindex des genannten Körpers
aus den genannten röntgenabsorbierenden Partikeln bestehen.
8. Abutment nach einem der Ansprüche 1 bis 7, dadurch gekennzeichnet, dass die Umfangsfläche der genannten Fasern mit einem Haftvermittler bedeckt ist, insbesondere
Silan, um die Haftung der genannten Fasern am genannten Harz zu erhöhen.
9. Abutment nach einem der Ansprüche 1 bis 8, dadurch gekennzeichnet, dass der genannte Körperteil (28) eine im Wesentlichen hyperbolische Form aufweist.
10. Abutment nach einem der Ansprüche 1 bis 9, dadurch gekennzeichnet, dass die genannte Kontaktfläche (6) aus einer im Wesentlichen flachen Unterseite am apikalen
Ende des genannten Körpers (8, 26, 28, 30, 32, 35) besteht.
11. Abutment nach einem der Ansprüche 1 bis 10, dadurch gekennzeichnet, dass an der genannten Kontaktfläche (8, 26, 28, 30, 32, 35) eine Aufnahmebohrung (12,
17) zur Aufnahme eines Verbindungsteils des Zahnimplantats (2) vorhanden ist.
12. Abutment nach einem der Ansprüche 1 bis 11, dadurch gekennzeichnet, dass an der Umfangsfläche des genannten Köpers (8, 26, 28, 30, 32, 35) mindestens eine
Rückhaltenut (40, 41, 42) vorhanden ist.
1. Pilier implantaire permettant de relier une prothèse dentaire (4) à un implant dentaire
(2), le pilier implantaire comprenant une partie corps (8, 26, 28, 30, 32, 35) destinée
à porter la prothèse dentaire (4) et une surface de contact (6) apicale par rapport
à ladite partie corps (8, 26, 28, 30, 32, 35), qui est destinée à entrer en contact
avec l'implant dentaire (2), le pilier implantaire étant composé d'une résine qui
est renforcée de fibres de verre s'étendant substantiellement sur la longueur entière
de ladite partie corps (8, 26, 28, 30, 32, 35) vers ladite surface de contact (6),
caractérisé en ce qu'une fraction d'au moins 40 %, plus préférablement d'au moins 70 % en volume du contenu
total de ladite partie corps est constituée desdites fibres, en ce que ladite partie corps (8, 26, 28, 30, 32, 35) présente un module d'élasticité qui varie
en fonction de la direction d'une force appliquée par rapport à l'orientation d'un
axe longitudinal (L) s'étendant dans la direction apicale de ladite partie corps (8,
26, 28, 30, 32, 35), de manière que ledit module d'élasticité est inférieur d'au moins
10 GPa, plus préférablement d'au moins 30 GPa, pour une force appliquée perpendiculairement
audit axe longitudinal (L) que pour une force appliquée parallèlement audit axe longitudinal
(L), et que ladite résine est dérivée d'au moins un monomère méthacrylate, préférablement
méthacrylate de méthyle (MMA) et/ou diméthacrylate d'uréthane (UDMA).
2. Pilier implantaire selon la revendication 1, caractérisé en ce que ladite partie corps (8, 26, 28, 30, 32, 35) présente un module d'élasticité d'au
moins 10 GPa et ne dépassant pas 50 GPa.
3. Pilier implantaire selon l'une des revendications 1 à 2, caractérisé en ce qu'au moins une partie desdites fibres sont substantiellement uniformément orientées
parallèlement à un axe longitudinal (L) de ladite partie corps (8, 26, 28, 30, 32,
35).
4. Pilier implantaire selon l'une des revendications 1 à 3, caractérisé en ce qu'au moins une partie desdites fibres sont arrangées à la manière d'un filet tressé
en une orientation biaxiale ou multiaxiale.
5. Pilier implantaire selon l'une des revendications 1 à 4, caractérisé en ce que des particules minérales sont encastrées dans ladite résine, le contenu en volume
desdites particules minérales étant adapté de telle manière que l'indice de réfraction
de ladite partie corps est compris entre 1,3 et 1,8, plus préférablement entre 1,4
et 1,6.
6. Pilier implantaire selon l'une des revendications 1 à 5, caractérisé en ce que des particules absorbantes de rayons X sont encastrées dans ladite résine, lesdites
particules absorbantes de rayons X étant choisies parmi un composé chimique comprenant
un élément d'un nombre atomique d'au moins 37, plus préférablement d'au moins 57.
7. Pilier implantaire selon la revendication 5 et 6, caractérisé en ce que lesdites particules minérales permettant d'adapter l'indice de réfraction de ladite
partie corps sont constitués desdites particules absorbantes de rayons X.
8. Pilier implantaire selon l'une des revendications 1 à 7, caractérisé en ce que la surface circonférentielle desdites fibres est couverte d'un agent de couplage,
en particulier du silane, afin d'améliorer l'adhésion desdites fibres à ladite résine.
9. Pilier implantaire selon l'une des revendications 1 à 8, caractérisé en ce que ladite partie corps (28) a une forme substantiellement hyperbolique.
10. Pilier implantaire selon l'une des revendications 1 à 9, caractérisé en ce que ladite surface de contact (6) est constituée d'une surface inférieure substantiellement
plate à l'extrémité apicale de ladite partie corps (8, 26, 28, 30, 32, 35).
11. Pilier implantaire selon l'une des revendications 1 à 10, caractérisé en ce qu'un alésage récepteur (12, 17) est pourvu à ladite surface de contact (8, 26, 28, 30,
32, 35) afin de recevoir une partie de connexion de l'implant dentaire (2).
12. Pilier implantaire selon l'une des revendications 1 à 11, caractérisé en ce qu'au moins une rainure de retenue (40, 41, 42) est pourvue à la surface circonférentielle
de ladite partie corps (8, 26, 28, 30, 32, 35).
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