USRE38630E1 - Methods and means for dental bone profiling - Google Patents
Methods and means for dental bone profiling Download PDFInfo
- Publication number
- USRE38630E1 USRE38630E1 US09/776,145 US77614501A USRE38630E US RE38630 E1 USRE38630 E1 US RE38630E1 US 77614501 A US77614501 A US 77614501A US RE38630 E USRE38630 E US RE38630E
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- US
- United States
- Prior art keywords
- bone
- mill
- opening
- implant
- bone mill
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0089—Implanting tools or instruments
Definitions
- This invention relates generally to the field of dental implants and their use, more particularly to the preparation of crestal bone surrounding an implant at the site of installation for receiving a dental restoration on the implant.
- U.S. Pat. No. 5,338,196 (which is owned by the Assignee of the present application) teaches, among other things, a second-stage healing abutment for forming and preserving in the mucosa above a dental implant a transmucosal opening large enough to receive an artificial tooth which faithfully replicates a natural tooth being restored.
- This opening expands in size from the implant to the outer surface of the overlying gingiva, where the opening has width approximating that of the lost natural tooth being replaced, where it emerged from the gums.
- an expanding hole is formed in the crestal bone surrounding the gingival surface of the implant, the shape of which hole preferably matches and mates with the expanding hole in the overlying gingiva.
- the restoring dentist a continuous tapered hole from the gingival surface through the gingiva and the underlying crestal bone to the surface of the implant, through which to instal an artificial tooth on the implant.
- the present invention further provides improved means for forming a desired hole in the crestal bone accurately and precisely shaped and positioned with relation to the implant, and without damaging the bone or the implant surface.
- the present invention teaches a new bone mill using teeth with a negative rake to provide a passive cutting action which minimizes damage to the bone and to the surface of the implant, together with a method of using it which emphasizes low speed turning.
- the present invention provide means to limit the progress of the bone mill toward the implant surface, which further safeguards the surface of the implant.
- the present invention improves and enhances the utility of the second-stage healing abutment which is taught in the '196 patent, which is now provided with improved access to the implant and can be seated with assured precision on the implant. Since the process of making an artificial tooth begins with the healing abutment, these benefits flow through to the artificial tooth that will ultimately be installed on the implant.
- FIG. 1 is a transverse section of jawbone with a dental implant and cover screw installed, in the first stage of osseointegration;
- FIG. 2 is a similar section with the cover screw removed showing crestal bone removed to give access to the cover screw, as done heretofore;
- FIG. 3 is a section similar to FIG. 2 showing a healing abutment according to the '196 patent being fitted to the implant as prepared in FIG. 2;
- FIG. 4 is a section similar to FIG. 2 showing a guide pin according to the present invention being fitted to the implant;
- FIG. 5 is a section similar to FIG. 4 showing the guide pin in place and a bone mill according to the invention being fitted to it;
- FIG. 6 is a section similar to FIG. 5 showing the bone mill being turned to for a tapered opening in the crestal bone above the implant;
- FIG. 7 is a section similar to FIG. 2 showing the tapered opening formed by the present invention in the crestal bone;
- FIG. 8 is a section similar to FIG. 3 showing the healing abutment seated on the implant through the tapered opening of the present invention
- FIG. 9 is a partial schematic view of the bone mill showing locations of its teeth
- FIG. 10 is an enlarged isometric schematic view of the bone mill.
- FIG. 11 is a longitudinal section through the bone mill with the guide pin in place.
- FIGS. 1 and 2 illustrate the background situation described above.
- the implant 10 is installed in jawbone 12 , composed of cortical bone 14 surrounding cancellous bone 16 .
- the supragingival (top) surface 20 of the implant is located to penetrate the crestal cortical bone 22 .
- a cover screw 24 placed on the implant to seal its interior receiving bore (not shown) prior to starting the first stage healing process (osseointegration) lies within ther opening through the crestal bone.
- the dentist will usually find that the crestal bone 22 has grown over the cover screw, as is shown in FIG. 1, and must be removed, as by chipping it away, before the cover screw can be removed from the implant.
- FIG. 2 A roughly round, somewhat tubular opening 26 is produced, giving access to the top surface 20 and to the non-rotational fitting 18 which may be an integral part of the implant.
- the healing abutment 30 has a tapered section 32 that is shaped for the purpose of forming in the overlying mucosa 34 a transmucosal opening as is described in the '196 patent.
- the opening 26 must be altered to provide passage for the abutment to the supragingival surface 20 of the implant. This might be done by further chipping away crestal bone, resulting in most cases in a larger rough opening in the crestal bone 22 .
- the present invention provides a better way, starting with the fitting of a guide-pin 36 to the implant, as is shown in FIG. 4 .
- a bone mill 38 according to the invention is fitted over the guide-pin 36 , which centers the bone mill on the implant 10 and guides it to the crestal bone opening 26 and the surface 20 of the implant., as is shown in FIGS. 5 and 6.
- the bone mill may be fitted with a driving stem 40 of a known design for connecting it to a dental driving tool (not shown).
- An arrow 42 indicates the driving direction,
- the bone mill (to be described in greater detail with reference to FIGS. 9 and 10) is fitted with cutting teeth 48 on a tapered side 44 and on its end 46 confronting the surface 22 . With this bone mill an accurately centered and shaped tapered hole 50 is formed in the crestal bone 22 , as is shown in FIG. 7 .
- the angle of taper of the bone mill surface 44 is chosen substantially to match to angle of taper of the tapered surface 32 of the healing abutment 30 , so that the healing abutment fits snugly into the tapered hole 50 and seats on the implant top surface 20 .
- the taper of the hole 50 in the crestal bone 22 and the taper of the hole through the gum tissue 34 may be on the same angle, so that the present invention used with the invention of the '196 patent will produce in essence a single continuous tapered hole from the outer gingival surface through the mucosa and the crestal bone to the top surface 20 of the implant.
- FIG. 9 is a partial side view of the bone mill 38 showing the negative rake of the cutting teeth 48 relative to the turning direction indicated by the arrow 42 .
- the shorter approaching face 43 has a negative rake of 20 degrees measured from the turning axis A—A.
- the longer receding face 45 has an angle of 80 degrees measured from the same axis. The angle between the two faces of a tooth is thus 100 degrees.
- the teeth 48 when turned at a slow speed of about 1,000 to 1,500 rpm will gently abrade the crestal bone 22 and will not dig into or damage the surface 20 of the implant.
- FIG. 10 is a greatly magnified isometric schematic view of the bone mill 42 showing the locations of the cutting teeth on the tapered side surface 44 and on the end surface 46 .
- the angles of the teeth are the same on both surfaces.
- FIG. 11 is a longitudinal side view of an implant 10 , guide pin 36 and bone mill 42 as they would be assembled to do the work of the invention.
- the bone mill is generally tubular in shape, and the driving stem partially fills its interior bore 56 .
- the remainder of the bore, which opens through the end 46 receives the guide pin 36 .
- a round recess 58 in the end 46 serves to receive the non-rotational fitting 18 of the implant, without engaging it, so that the bone mill is freely rotatable on the implant.
- the top surface 62 of the guide pin, inside the bore 56 confronts a stop 60 across the bore when the milling teeth 48 meet the implant surface 20 , for limiting the advance of the bone mill with relation to the implant surface.
- the stop 60 can be provided by the driving stem 40 , as shown, or if desired by a separate shoulder 64 within the bore 56 .
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- Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dentistry (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Dental Prosthetics (AREA)
Abstract
Description
Claims (68)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/776,145 USRE38630E1 (en) | 1995-07-05 | 2001-02-02 | Methods and means for dental bone profiling |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US49818895A | 1995-07-05 | 1995-07-05 | |
US08/821,917 US5868572A (en) | 1995-07-05 | 1997-03-18 | Method and means for dental bone profiling |
US09/776,145 USRE38630E1 (en) | 1995-07-05 | 2001-02-02 | Methods and means for dental bone profiling |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US08/821,917 Reissue US5868572A (en) | 1995-07-05 | 1997-03-18 | Method and means for dental bone profiling |
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Publication Number | Publication Date |
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USRE38630E1 true USRE38630E1 (en) | 2004-10-19 |
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US09/776,145 Expired - Lifetime USRE38630E1 (en) | 1995-07-05 | 2001-02-02 | Methods and means for dental bone profiling |
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Cited By (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070065777A1 (en) * | 2005-08-12 | 2007-03-22 | Robert Becker | Method and apparatus for performing dental implantation |
US20070164137A1 (en) * | 2006-01-17 | 2007-07-19 | Houshang Rasekhi | Apparatus for milling material |
US20100004653A1 (en) * | 2006-01-17 | 2010-01-07 | Houshang Rasekhi | Self-clearing rasp system for automatic milling apparatus |
US20110027756A1 (en) * | 2008-05-21 | 2011-02-03 | Jean Benatouil | One-piece inclined dental implant |
US20130122456A1 (en) * | 2011-11-15 | 2013-05-16 | Akira Takebayashi | Drilling device |
US8628327B1 (en) | 2012-10-02 | 2014-01-14 | Mark H. Blaisdell | Casting jig for chair-side manufacture of customizable sculptable anatomical healing caps |
US20150250557A1 (en) * | 2014-03-07 | 2015-09-10 | Earl Wayne Simmons, Jr. | Methods and Apparatus for Preparing a Dental Implant Site |
US9572640B2 (en) | 2012-10-02 | 2017-02-21 | Mark H. Blaisdell | Casting jig for chair-side manufacture of customizable sculptable anatomical healing caps |
FR3043904A1 (en) * | 2015-11-25 | 2017-05-26 | Global D | STRAINER FOR CORTICAL BONE OF MACHOIRE |
US9895209B2 (en) | 2012-01-10 | 2018-02-20 | Mark H. Blaisdell | Casting jig including elongate handle for chair-side manufacture of customizable sculptable anatomical healing caps, and method for forming bis-acrylic crown |
US10016260B2 (en) | 2012-01-10 | 2018-07-10 | Mark H. Blaisdell | Anatomical healing abutments, kits, and methods |
US10507081B2 (en) | 2012-01-10 | 2019-12-17 | Esthetic Implant Solutions, Llc | Methods for taking an impression or scanning without requiring removal of a temporary healing abutment |
US10568720B2 (en) | 2012-01-10 | 2020-02-25 | Estetic Implant Solutions, LLC | Dental implants with markers for determining three-dimensional positioning |
US10595970B2 (en) | 2012-01-10 | 2020-03-24 | Esthetic Implant Solutions, Llc | Bonding of soft gingival tissues with anatomical and other dental prostheses |
US10603141B2 (en) * | 2017-05-30 | 2020-03-31 | Ilia MUSHEEV | Dental implant with a sacrificial coronal portion |
US10709525B2 (en) | 2012-01-10 | 2020-07-14 | Esthetic Implant Solutions, Llc | Methods for taking an oral scan without requiring removal of a temporary healing abutment |
US11253345B2 (en) | 2012-01-10 | 2022-02-22 | Esthetic Implant Solutions, Llc | Methods for integrating scans including 3D cone beam scan for positioning of implant and fabrication of dental prosthesis |
US11471172B1 (en) | 2018-12-06 | 2022-10-18 | Gary Bram | Osteotomy drill bit to produce an optimally shaped jawbone opening for a dental implant and abutment |
US11559379B2 (en) | 2018-04-12 | 2023-01-24 | Esthetic Implant Solutions, Llc | Dental implants with markers for determining three-dimensional positioning |
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Cited By (29)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070065777A1 (en) * | 2005-08-12 | 2007-03-22 | Robert Becker | Method and apparatus for performing dental implantation |
US20070164137A1 (en) * | 2006-01-17 | 2007-07-19 | Houshang Rasekhi | Apparatus for milling material |
US7588202B2 (en) | 2006-01-17 | 2009-09-15 | Houshang Rasekhi | Apparatus for milling material |
US20100004653A1 (en) * | 2006-01-17 | 2010-01-07 | Houshang Rasekhi | Self-clearing rasp system for automatic milling apparatus |
US8196850B2 (en) | 2006-01-17 | 2012-06-12 | Houshang Rasekhi | Self-clearing rasp system for automatic milling apparatus |
US20110027756A1 (en) * | 2008-05-21 | 2011-02-03 | Jean Benatouil | One-piece inclined dental implant |
US20130122456A1 (en) * | 2011-11-15 | 2013-05-16 | Akira Takebayashi | Drilling device |
US10687922B2 (en) | 2012-01-10 | 2020-06-23 | Esthetic Implant Solutions, Llc. | Casting jig for chair-side manufacture of customizable sculptable anatomical healing caps |
US10709525B2 (en) | 2012-01-10 | 2020-07-14 | Esthetic Implant Solutions, Llc | Methods for taking an oral scan without requiring removal of a temporary healing abutment |
US11571283B2 (en) | 2012-01-10 | 2023-02-07 | Esthetic Implant Solutions, Llc | Bonding of soft gingival tissues with dental prostheses |
US11478339B2 (en) | 2012-01-10 | 2022-10-25 | Esthetic Implant Solutions, Llc | Methods for chair-side or other manufacture of customizable sculptable anatomical healing caps |
US11253345B2 (en) | 2012-01-10 | 2022-02-22 | Esthetic Implant Solutions, Llc | Methods for integrating scans including 3D cone beam scan for positioning of implant and fabrication of dental prosthesis |
US9895209B2 (en) | 2012-01-10 | 2018-02-20 | Mark H. Blaisdell | Casting jig including elongate handle for chair-side manufacture of customizable sculptable anatomical healing caps, and method for forming bis-acrylic crown |
US10695152B2 (en) | 2012-01-10 | 2020-06-30 | Esthetic Implant Solutions, Llc | Method for forming bis-acrylic or other crown |
US10016260B2 (en) | 2012-01-10 | 2018-07-10 | Mark H. Blaisdell | Anatomical healing abutments, kits, and methods |
US10470856B2 (en) | 2012-01-10 | 2019-11-12 | Esthetic Implant Solutions, Llc | Casting jig system including elongate handle for manufacture of anatomical healing caps, and method for forming bis-acrylic crown |
US10507081B2 (en) | 2012-01-10 | 2019-12-17 | Esthetic Implant Solutions, Llc | Methods for taking an impression or scanning without requiring removal of a temporary healing abutment |
US10568720B2 (en) | 2012-01-10 | 2020-02-25 | Estetic Implant Solutions, LLC | Dental implants with markers for determining three-dimensional positioning |
US10595969B2 (en) | 2012-01-10 | 2020-03-24 | Esthetic Implant Solutions, Llc | Methods for placing anatomical healing abutments |
US10595970B2 (en) | 2012-01-10 | 2020-03-24 | Esthetic Implant Solutions, Llc | Bonding of soft gingival tissues with anatomical and other dental prostheses |
US8628327B1 (en) | 2012-10-02 | 2014-01-14 | Mark H. Blaisdell | Casting jig for chair-side manufacture of customizable sculptable anatomical healing caps |
US9572640B2 (en) | 2012-10-02 | 2017-02-21 | Mark H. Blaisdell | Casting jig for chair-side manufacture of customizable sculptable anatomical healing caps |
US10016256B2 (en) * | 2014-03-07 | 2018-07-10 | Earl Wayne Simmons, Jr. | Methods and apparatus for preparing a dental implant site |
US20150250557A1 (en) * | 2014-03-07 | 2015-09-10 | Earl Wayne Simmons, Jr. | Methods and Apparatus for Preparing a Dental Implant Site |
WO2017089732A1 (en) * | 2015-11-25 | 2017-06-01 | Global D | Drill for cortical bone of the jawbone. |
FR3043904A1 (en) * | 2015-11-25 | 2017-05-26 | Global D | STRAINER FOR CORTICAL BONE OF MACHOIRE |
US10603141B2 (en) * | 2017-05-30 | 2020-03-31 | Ilia MUSHEEV | Dental implant with a sacrificial coronal portion |
US11559379B2 (en) | 2018-04-12 | 2023-01-24 | Esthetic Implant Solutions, Llc | Dental implants with markers for determining three-dimensional positioning |
US11471172B1 (en) | 2018-12-06 | 2022-10-18 | Gary Bram | Osteotomy drill bit to produce an optimally shaped jawbone opening for a dental implant and abutment |
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