WO2008053058A1 - Dental implant, wrench and system for removing the implant from the container thereof, transferring said implant and inserting same directly in the patient's mouth using the wrench - Google Patents

Dental implant, wrench and system for removing the implant from the container thereof, transferring said implant and inserting same directly in the patient's mouth using the wrench Download PDF

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Publication number
WO2008053058A1
WO2008053058A1 PCT/ES2007/000615 ES2007000615W WO2008053058A1 WO 2008053058 A1 WO2008053058 A1 WO 2008053058A1 ES 2007000615 W ES2007000615 W ES 2007000615W WO 2008053058 A1 WO2008053058 A1 WO 2008053058A1
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WO
WIPO (PCT)
Prior art keywords
implant
key
hexagonal
tip
stump
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Application number
PCT/ES2007/000615
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Spanish (es)
French (fr)
Inventor
Antonio Coso Echevarria
Original Assignee
Antonio Coso Echevarria
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Publication date
Application filed by Antonio Coso Echevarria filed Critical Antonio Coso Echevarria
Publication of WO2008053058A1 publication Critical patent/WO2008053058A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089Implanting tools or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0018Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
    • A61C8/0022Self-screwing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0087Means for sterile storage or manipulation of dental implants

Definitions

  • a subject of the present invention is a dental implant and an actuator key corresponding to the implant, and a system that carries out the removal of the implant from the container, the transport of the implant from the container to the patient's mouth, and the placement of the implant. implant directly into the patient's mouth using said key.
  • the invention relates to the dental implants currently employed, which comprise an implant and a stump, the implant of which is threadedly engaged in the drill previously made in the bone of the lower jaw or upper jaw of the patient.
  • the implant body generally has a cylindrical configuration and at the anterior end of penetration ends as a spherical cap. Externally it has a threaded thread and at least one helical regatta. Axially it is provided with a blind and threaded hole for the coupling of the corresponding tightening screw.
  • the stump for the prosthesis has an axial through recess, for the passage of the screw of tightening, whereby the implant and stump bodies are axially coupled.
  • Both the implant and the stump have structures at the ends of mutual coupling that allow the correct coupling between both elements.
  • the patent ES 200600245 of the applicant describes an implant-stump assembly that improves the existing implants independently or the existing implant-stump assemblies, which have the disadvantage that to pass from the container in which they are conditioned to the mouth for Being placed in the bone drill, previously performed, require external manipulation that can affect the health of the patient's mouth after the implant is placed.
  • the present invention eliminates said drawbacks, since it provides an improved implant according to three preferred embodiments, correspondingly provides a key according to three preferred embodiments, in biunivocal relationship of an implant and a key.
  • the invention comprises a system that, by means of each pair of the three pairs of implants-keys, carries out the removal of the implant with respect to of the container in which it is conditioned, its transport and its placement directly in the patient's mouth with the use of the corresponding key.
  • the dental implant in the coronal part has an internal-external connection based on an inner taper end cone to the inside of the implant and a coaxial neck to the hexagonal outer contour cone, for the engagement of the stump, which protrudes inside the cone in prolongation of the threaded axial bore of the implant, and (because in the extreme apical part of the bottom of the hole it presents a machining of hexagonal cross section in which the torsional forces are applied for threading in the bone directly on the self-tapping tip, avoiding during said threading the deterioration of said coaxial neck to the hexagonal outer contour cone.
  • the dental implant in the coronal part has a hexagonal outer contour neck in prolongation of the threaded axial bore and protruding from the coronal annular flange, and because in the coronal part it presents a hexagonal machining that affects the upper part of the axial bore , in which the torsion forces are applied for the threading of the self-tapping tip in the hole previously made in the bone.
  • the dental implant comprises a conventional implant provided with an external hexagonal connection based on an extension collar of the externally threaded axial bore, in which the stump-conveyor is coupled by the lower base and fixed by means of the screw conventional fixation, whose stump at the upper end has several cylindrical star-shaped milling, especially six-pointed, in which the torsional forces are applied for the threading of the self-tapping tip in the drill made in the bone.
  • the actuator key at the actuator end of the conventional handle has the polygonal and / or mixed, preferably hexagonal actuator tip, and is provided with an elastic intermediate annular skirt protruding towards the tip, whose skirt ends externally in conical form which allows its coupling to the coronal inner cone of the implant and ends internally in a cylindrical shape and of a diameter smaller than the distance between the edges of the hexagonal neck externally that is located inside the cone, which allows said skirt to fit elastically in the internal hexagonal neck and with the coronal external cone, so that the key acts as an implant carrier or implant holder.
  • it has a plastic bush threaded and fixed in the middle area that forms an intermediate thickening that constitutes the aforementioned lace skirt.
  • the invention comprises an implant removal system with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, for which the assembly consisting of said implant and its key allows elastic coupling to clamp mode of the intermediate skirt of the key in the outer hexagonal neck coaxial to the cone and the surrounding inner cone, provided in the coronal part of the implant, and the hexagonal tip of the key fits into the hexagon practiced in the apical part of the threaded hole axial of the implant, whereby said key holds the implant located in the corresponding container as a clamp, allowing the implant to be removed, transported to the patient, and the implant placed directly in the patient's mouth free of external manipulation, whose placement is done by the mutual coupling of the hexagonal tip of the key and the apical hexagon of the implant, which allows and transmit the torque forces applied by the key directly to the self-tapping tip.
  • the invention similarly, comprises an implant removal system with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, according to which the assembly consisting of said implant and key allows the coupling of the hexagonal tip slightly conical of the key in the hexagonal machining of the coronal part of the implant, prior introduction into the threaded hole of the guide cylindrical, whereby the torsional forces created by the key in the placement of the implant in the bone hole are applied to the coronal part of the bone, whose taper makes a clamping by way of the implant by the key, which It allows the removal of the same with respect to the container, its transport, and its placement directly in the mouth of the patient exempt from external manipulation.
  • the invention in another way, comprises an implant removal system with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, in which the assembly consisting of said implant and key allows the coupling of the tip six-pointed star-shaped actuator with cylindrical sides with slight taper on the upper end of the stump, previously fixed to the implant by means of the clinical clamping screw, provided with the various six-pointed star-shaped cylindrical milling, with the sides milled complementary cylindrical, whereby the torsional forces created in the placement of the implant-stump assembly in the bone hole are applied to the upper end of the stump away from the implant, in which the slight taper of the tip in star of the key is coupled it allows to hold the implant-stump assembly as a puncture, away from the self-tapping tip of the implant, and eg the clamping is applied as a puncture of the implant-stump assembly to remove it from the container, its transport to the patient's mouth, and its placement directly in the hole of the bone of the mouth previously performed
  • Figure 2 is a longitudinal sectional view of the implant and the key of Figure 1 in coupled position.
  • Figure 2A is a view similar to Figure 2 considered cut on both sides by the respective planes III- -III.
  • Figure 3 is a side elevation view corresponding to Figure 2.
  • Figure 4A is an elevational view of the separate implant illustrated in Figure 3.
  • Figure 4B is a longitudinal sectional view of the implant illustrated in Figure 4A.
  • Figure 5A is a side elevation view of the key illustrated in Figure 1.
  • Figure 5B is a longitudinal sectional view illustrated in Figure 1, showing in a broken line the elastic bushing threaded in the middle part of the key handle.
  • Figure 6 is an exploded elevational view of the implant and the key of the second preferred embodiment of the invention and constituting the second preferred removal, transport and placement system, called system B.
  • Figure 7 is a longitudinal sectional view relative to Figure 6 in coupled position.
  • Figure 8 is a side elevation view similar to Figure 7.
  • Figure 9A is an elevational view of the separate implant of Figure 1.
  • Figure 9B is a longitudinal sectional view on the plane F-F of Figure 9A.
  • Figure 10A is a side elevation view of a separate key of Figure 1.
  • Figure 11 is an exploded longitudinal sectional view of the implant partially attached to the conveyor stump by means of the clamping screw on one side and the key on the other hand, of the third preferred embodiment of the invention and constituting the third withdrawal system , preferred transport and placement, called system C.
  • Figure 12 is a side elevation view similar to Figure 11.
  • Figure 13 is a longitudinal sectional view of the implant and the stump joined by the clamping screw and the key coupled to the upper end of the stump, showing the assembly in a coupled position.
  • Figure 16 is an end view of the key considered by the actuator tip.
  • the dental implant, key and implant removal system with respect to the container, transport and placement of the implant directly in the patient's mouth using the key comprises three preferred embodiments, which in the description that follows are called A systems. , B and C, which differ from each other by an application of the torsional forces by the key to the implant in question, in the lesser or greater proximity of said application of the self-tapping tip of the implant in the bone of the lower jaw or upper jaw of the patient, which improves implant threading.
  • the subject of the present invention is three pairs of implants and corresponding keys that define three implants with small variants between they, three keys also with small variants between them in correspondence with the respective implant, and each pair of the three implants and keys constitutes a respective system of removal of the implant with respect to the container, its transport to the patient's mouth and the placement of the implant directly in the mouth, without the need for external manipulation.
  • the dental implant to which the implants of the invention correspond correspond to the externally threaded cylindrical type for threaded coupling in the hole previously made in the bone of the lower jaw or upper jaw of the patient's mouth -not illustrated- and which is provided of a threaded axial bore for the tightening screw that fixes the stump for the prosthesis through an axial recess provided in the stump and that presents in the coronal part coupling means with the base of the stump, generally comprising the three implants - 1-, -2- and -3- of the invention, a threaded axial bore -4-, -5- and -6-, respectively, which is slightly shorter than the three implants -1-, -2 - and -3-, whose axial bore ends at its inner end very close to the apical part near the self-tapping tip -7-, -8- and -9-, which improves the threading action of the implant -1-, - 2- and -3- in the previously practiced drill in the bone -not illustrated- of the patient's mouth.
  • the dental implant -1- of the first system A illustrated in Figures 1, 2, 2A, 3, 4A and 4B, is described, which in the coronal part -10- presents an internal-external connection to the base of a cone -11- inner end of conicity towards the inside of the implant -1- and a neck -12- coaxial to the cone -11- that has the hexagonal outer contour, whose internal-external connection is provided for the coupling of the stump - 13- (not illustrated), whose neck -12- protrudes inside the cone without reaching the base thereof, and in prolongation of the threaded axial bore -4- of the implant -1-.
  • Said implant -1- in the apical part -14- end of the bottom of the hole -4- has a machining -15- of hexagonal cross-section in which the torsional forces are applied for the threaded in the bone directly on the self-tapping tip -16-, which prevents during said threading, the deterioration of said coaxial neck -12- to the hexagonal outer contour cone.
  • the dental implant -2- of the second system B is described, illustrated in Figures 6, 7, 8, 9A and 9B, which in the coronal part -10- has a neck -17- of hexagonal outer contour in extension of the threaded axial bore -5- and protruding from the coronal annular flange -18-.
  • Said implant -2- in the coronal part -10- has a hexagonal machining -19- that affects the upper part of the axial bore -5-, in which they are applied the torsion forces for threading the self-tapping tip -16- in the hole previously made in the bone -not illustrated-.
  • the dental implant -3- of the third system C illustrated in Figures 11, 12, 13 and 14, is described, which comprises a conventional implant -3- provided with an external hexagonal connection based on a neck -20 - externally hexagonal, which is in extension of the threaded axial bore -6-, in which the stump--transporter -21- is coupled by its lower base and fixed by means of the conventional fixing screw -22-, whose stump -21 - at the upper end it has several cylindrical externally shaped star -33- six-pointed, in which the torsion forces are applied to the tapping of the self-tapping tip -16- in the hole in the mouth bone of the patient, which prevents deterioration of the hexagonal neck -20-.
  • the respective keys of each implant -1-, -2- and -3- described are described.
  • the key -23- of the first system A which at the actuator end of the conventional handle has the actuator tip -24- polygonal and / or mixed, but preferably is hexagonal, as illustrated, and is provided with an annular skirt -25- elastic intermediate protruding towards the tip -24-, whose skirt -25- ends externally in conical form -26- which allows its coupling to the inner cone -11- coronal of the implant -1- and ends internally in a cylindrical shape -27-, whose diameter is less than the distance between the edges of the hexagonal neck -12- externally that is located inside the cone -11-, which allows said skirt - 25- elastically fit the internal hexagonal neck -12- and with the external cone -11- coronal, so that the key -23- acts as an implant transporter -1- considered as implant holders.
  • the key can be one-piece, but as schematically illustrated in Figure 5B, it comprises a plastic bush -28- which is threaded and fixed in the middle area of the key handle -23- which forms an intermediate thickening that constitutes the mentioned skirt -25- of lace.
  • the key -32- of the third system C is described, which at the actuator end of the Conventional handle has the actuator tip -33- in the form of a six-pointed star with complementary cylindrical sides of the sides -34- of the implant -3-, whose actuator tip -33- has a slight taper, which allows the actuator tip - 33- in star with slight taper of the key -32- fit in the upper end -34- machining of the stump-
  • the three systems A, B and C are described below, which constitute respectively the best, intermediate and worst systems to perform the indicated functions.
  • the first system A is described, for the removal of the implant from the container, transport and placement of the implant directly in the patient's mouth using the key, in relation to Figures 1 to 5B, in which the set consisting of said implant -1- and its key -23- which allows an elastic coupling as a clamp of the skirt -26- intermediate of the key -23- in the hexagonal neck -12- external coaxial to the cone -11- interior surrounding, which are provided in the coronal part -10- of the implant -1-.
  • the hexagonal tip -24- of the key -23- fits into the hexagon -15- practiced in the apical part -14- of the bore -4- axial tapping of the implant -1-, whereby said key -23- clamp the implant -1- located in the corresponding container, allowing the removal of the implant, its transport to the patient, and the placement of the implant directly in the patient's mouth, all without the external manipulation contest, whose placement is carried out by the mutual coupling of the hexagonal tip -24- of the key -23- and the apical hexagon -15- of the implant, which allows transmitting the torsional forces applied by the key - 23- directly to the self-tapping tip -16-.
  • This system A is the best of the three.
  • the second system B is described for the removal of the implant with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, in relation to Figures 6 to 1OB, in which the assembly is illustrated composed of said implant -2- and key -29- which allows the coupling of the slightly conical hexagonal tip -30- of the key -29- in the hexagonal machining -19- of the coronal part -10- of the implant -2- , previous introduction in the threaded hole -5- of the cylindrical guide -31-, with which the torsional forces created by the key -29- in the implant placement -2- in the hole -5- of the bone are applied in the coronal part -10- of the same, whose conicity makes a clamp-like fastening of the implant -2- by the key -29-, which allows its removal from the container, its transport, and its placement directly in the patient's mouth, all without external manipulation.

Abstract

The invention relates to an implant, an actuating wrench and a system for removing the implant from the container thereof, transferring said implant and inserting same in the patient's mouth. It has hitherto been necessary for the aforementioned steps to be performed separately by means of external manipulation. The invention relates to three types of implants and three types of respective wrenches which can be used to form three different systems for performing the above-mentioned steps, from removing the implant from the container thereof to inserting same directly in the mouth, without the need for external manipulation.

Description

DESCRIPCIÓN DESCRIPTION
Implante dental, llave y sistema de retirada del implante respecto del envase, transporte y colocación del implante directamente en la boca del paciente utilizando la llave.Dental implant, key and implant removal system with respect to the container, transport and placement of the implant directly in the patient's mouth using the key.
OBJETO DE LA INVENCIÓNOBJECT OF THE INVENTION
La presente invención tiene por objeto un implante dental y una llave actuadora en correspondencia con' el implante, y un sistema que efectúa la retirada del implante respecto del envase, el transporte del implante desde el envase hasta la boca del paciente, y la colocación del implante directamente en la boca del paciente utilizando dicha llave.A subject of the present invention is a dental implant and an actuator key corresponding to the implant, and a system that carries out the removal of the implant from the container, the transport of the implant from the container to the patient's mouth, and the placement of the implant. implant directly into the patient's mouth using said key.
ANTECEDENTES DE LA INVENCIÓNBACKGROUND OF THE INVENTION
La invención se refiere a los implantes dentales empleados actualmente, que comprenden un implante y un muñón, cuyo implante se acopla por roscado en el taladro practicado previamente en el hueso de la mandíbula inferior o del maxilar superior del paciente. El cuerpo del implante presenta en general una configuración cilindrica y en el extremo anterior de penetración termina a modo de casquete esférico. Exteriormente presenta un fileteado de rosca y al menos una regata helicoidal. Axialmente está provisto de un taladro ciego y roscado para el acoplamiento del tornillo de apriete correspondiente.The invention relates to the dental implants currently employed, which comprise an implant and a stump, the implant of which is threadedly engaged in the drill previously made in the bone of the lower jaw or upper jaw of the patient. The implant body generally has a cylindrical configuration and at the anterior end of penetration ends as a spherical cap. Externally it has a threaded thread and at least one helical regatta. Axially it is provided with a blind and threaded hole for the coupling of the corresponding tightening screw.
Por su parte, el muñón para la prótesis presenta un vaciado axial pasante, para el paso del tornillo de apriete, con lo cual los cuerpos del implante y del muñón se acoplan axialmente.For its part, the stump for the prosthesis has an axial through recess, for the passage of the screw of tightening, whereby the implant and stump bodies are axially coupled.
Tanto el implante como el muñón presentan en los extremos de acoplamiento mutuo unas estructuras que permiten el correcto acoplamiento entre ambos elementos .Both the implant and the stump have structures at the ends of mutual coupling that allow the correct coupling between both elements.
Hasta el momento, existen muchos tipos de implantes y de muñones, acoplados mediante el tornillo de apriete correspondiente, pero presentan estructuras y componentes diversos que complican la colocación y el acoplamiento del conjunto de implante y muñón, en la boca del usuario.So far, there are many types of implants and stumps, coupled by means of the corresponding tightening screw, but they have different structures and components that complicate the placement and coupling of the implant and stump assembly, in the user's mouth.
La patente ES 200600245 del solicitante describe un conjunto implante-muñón que mejora los implantes existentes independientemente o los conjuntos de implantes-muñón existentes en el mercado, los cuales presentan el inconveniente de que para pasar del envase en el que están acondicionados hasta la boca para ser colocados en el taladro del hueso, practicado previamente, requieren una manipulación externa que puede afectar la sanidad de la boca del paciente después de colocado el implante.The patent ES 200600245 of the applicant describes an implant-stump assembly that improves the existing implants independently or the existing implant-stump assemblies, which have the disadvantage that to pass from the container in which they are conditioned to the mouth for Being placed in the bone drill, previously performed, require external manipulation that can affect the health of the patient's mouth after the implant is placed.
La presente invención elimina los citados inconvenientes, ya que proporciona un implante mejorado según tres formas de realización preferidas, en correspondencia con ello proporciona una llave según tres formas de realización preferidas, en relación biunivoca de un implante y una llave. Asimismo, la invención comprende un sistema que mediante cada par de los tres pares de implantes- -llaves, efectúa la retirada del implante respecto del envase en que está acondicionado, su transporte y su colocación directamente en la boca del paciente con la utilización de la llave correspondiente.The present invention eliminates said drawbacks, since it provides an improved implant according to three preferred embodiments, correspondingly provides a key according to three preferred embodiments, in biunivocal relationship of an implant and a key. Likewise, the invention comprises a system that, by means of each pair of the three pairs of implants-keys, carries out the removal of the implant with respect to of the container in which it is conditioned, its transport and its placement directly in the patient's mouth with the use of the corresponding key.
SUMARIO DE LA INVENCIÓN Según la presente invención, los citados inconvenientes relativos a la retirada del envase, transporte y colocación en la boca del paciente de los implantes dentales del tipo cilindrico roscado exteriormente para su acoplamiento por roscado en el taladro practicado previamente en el hueso de la mandíbula inferior o maxilar superior de la boca del paciente y provisto de un taladro axial roscado para el tornillo de apriete que fija el muñón para la prótesis a través de un vaciado axial del muñón, se caracteriza esencialmente porque el taladro axial roscado presenta una longitud ligeramente menor a la del implante terminando el extremo interior de dicho taladro muy próximo a la parte apical cercana a la punta autoroscante, que mejora la acción de roscado del implante en el taladro practicado en el hueso de la boca del paciente.SUMMARY OF THE INVENTION According to the present invention, the aforementioned drawbacks related to the removal of the container, transport and placement in the mouth of the patient of the externally threaded cylindrical dental implants for threaded engagement in the hole previously made in the bone of The lower jaw or upper jaw of the patient's mouth and provided with a threaded axial bore for the clamping screw that fixes the stump for the prosthesis through an axial emptying of the stump, is essentially characterized in that the threaded axial bore has a length slightly smaller than that of the implant by finishing the inner end of said hole very close to the apical part near the self-tapping tip, which improves the threading action of the implant in the hole practiced in the bone of the patient's mouth.
Según la invención, el implante dental en la parte coronal presenta una conexión interna-externa a base de un cono interior extremo de conicidad hacia el interior del implante y un cuello coaxial al cono de contorno exterior hexagonal, para el acoplamiento del muñón, que sobresale dentro del cono en prolongación del taladro axial roscado del implante, y( porque en la parte apical extrema del fondo del taladro presenta un mecanizado de sección transversal hexagonal en el que se aplican las fuerzas de torsión para el roscado en el hueso directamente sobre la punta autoroscante, evitando durante dicho roscado el deterioro del citado cuello coaxial al cono de contorno exterior hexagonal. Según la invención, el implante dental en la parte coronal presenta un cuello de contorno exterior hexagonal en prolongación del taladro axial roscado y que sobresale del reborde anular coronal, y porque en la parte coronal presenta un mecanizado hexagonal que afecta la parte superior del taladro axial, en el que se aplican las fuerzas de torsión para el roscado de la punta autoroscante en la taladro practicado previamente en el hueso.According to the invention, the dental implant in the coronal part has an internal-external connection based on an inner taper end cone to the inside of the implant and a coaxial neck to the hexagonal outer contour cone, for the engagement of the stump, which protrudes inside the cone in prolongation of the threaded axial bore of the implant, and ( because in the extreme apical part of the bottom of the hole it presents a machining of hexagonal cross section in which the torsional forces are applied for threading in the bone directly on the self-tapping tip, avoiding during said threading the deterioration of said coaxial neck to the hexagonal outer contour cone. According to the invention, the dental implant in the coronal part has a hexagonal outer contour neck in prolongation of the threaded axial bore and protruding from the coronal annular flange, and because in the coronal part it presents a hexagonal machining that affects the upper part of the axial bore , in which the torsion forces are applied for the threading of the self-tapping tip in the hole previously made in the bone.
Según la invención, el implante dental comprende un implante convencional provisto de conexión hexagonal externa a base de un cuello en prolongación del taladro axial roscado hexagonal exteriormente, en el que se acopla el muñón-transportador por la base inferior y se fija mediante el tornillo de fijación convencional, cuyo muñón en el extremo superior presenta varios fresados cilindricos en forma de estrella, especialmente de seis puntas, en la que se aplican las fuerzas de torsión para el roscado de la punta autoroscante en el taladro practicado en el hueso.According to the invention, the dental implant comprises a conventional implant provided with an external hexagonal connection based on an extension collar of the externally threaded axial bore, in which the stump-conveyor is coupled by the lower base and fixed by means of the screw conventional fixation, whose stump at the upper end has several cylindrical star-shaped milling, especially six-pointed, in which the torsional forces are applied for the threading of the self-tapping tip in the drill made in the bone.
Asimismo, según la presente invención, la llave actuadora en el extremo actuador del mango convencional tiene la punta actuadora poligonal y/o mixta, preferentemente hexagonal, y esta provista de un a modo de faldón anular intermedio elástico que sobresale hacia la punta, cuyo faldón termina exteriormente en forma cónica lo cual permite su acoplamiento al cono interior coronal del implante y termina interiormente en forma cilindrica y de diámetro inferior a la distancia entre las aristas del cuello hexagonal exteriormente que se encuentra situado dentro del cono, lo cual permite que dicho faldón encaje elásticamente en el cuello hexagonal interno y con el cono externo coronales, de manera que la llave actúa de transportador del implante o porta-implantes. De preferencia, presenta un casquillo de plástico ensartado y fijado en la zona media que forma un regruesamiento intermedio que constituye el citado faldón de encaje.Also, according to the present invention, the actuator key at the actuator end of the conventional handle has the polygonal and / or mixed, preferably hexagonal actuator tip, and is provided with an elastic intermediate annular skirt protruding towards the tip, whose skirt ends externally in conical form which allows its coupling to the coronal inner cone of the implant and ends internally in a cylindrical shape and of a diameter smaller than the distance between the edges of the hexagonal neck externally that is located inside the cone, which allows said skirt to fit elastically in the internal hexagonal neck and with the coronal external cone, so that the key acts as an implant carrier or implant holder. Preferably, it has a plastic bush threaded and fixed in the middle area that forms an intermediate thickening that constitutes the aforementioned lace skirt.
Análogamente, según la presente invención, la llave actuadora, en el extremo actuador del mango convencional tiene la punta actuadora poligonal y/o mixta, preferentemente hexagonal, con ligera conicidad, y esta provisto de una guia que esta constituida por un corto vastago cilindrico que sobresale de la punta hexagonal cónica, lo cual permite el acoplamiento de la punta hexagonal ligeramente cónica de la llave en el mecanizado hexagonal coronal del taladro axial del implante.Similarly, according to the present invention, the actuator key, at the actuator end of the conventional handle has the polygonal and / or mixed actuator tip, preferably hexagonal, with slight taper, and is provided with a guide that is constituted by a short cylindrical rod which It protrudes from the conical hexagonal tip, which allows the slightly conical hexagonal tip of the key to be engaged in the coronal hexagonal machining of the axial bore of the implant.
Del mismo modo, según la presente invención, la llave actuadora en el extremo actuador del mango convencional tiene la punta actuadora en forma de estrella de seis puntas de lados cilindricos con ligera conicidad, lo cual permite que la punta actuadora de estrella con ligera conicidad de la llave encaje en el extremo superior del muñón- -transportador opuesto al implante. La invención, por otro lado, comprende un sistema de retirada del implante respecto del envase, transporte y colocación del implante directamente en la boca del paciente utilizando la llave, para lo cual el conjunto compuesto por dichos implante y su llave permite el acoplamiento elástico a modo de pinza del faldón intermedio de la llave en el cuello hexagonal exterior coaxial al cono y el cono interior circundante, previstos en la parte coronal del implante, y la punta hexagonal de la llave encaja en el hexágono practicado en la parte apical del taladro roscado axial del implante, con lo cual dicha llave sujeta a modo de pinza el implante situado en el envase correspondiente, permitiendo la retirada del implante, su transporte hasta el paciente, y la colocación del implante directamente en la boca del paciente exento de manipulación externa, cuya colocación se realiza por el acoplamiento mutuo de la punta hexagonal de la llave y el hexágono apical del implante, lo cual permite transmitir las fuerzas de torsión aplicadas por la llave directamente a la punta autoroscante.Similarly, according to the present invention, the actuator key at the actuator end of the conventional handle has the six-pointed star-shaped actuator tip with slight tapering, which allows the star actuator tip with slight tapering of The key fits into the upper end of the stump - transporter opposite the implant. The invention, on the other hand, comprises an implant removal system with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, for which the assembly consisting of said implant and its key allows elastic coupling to clamp mode of the intermediate skirt of the key in the outer hexagonal neck coaxial to the cone and the surrounding inner cone, provided in the coronal part of the implant, and the hexagonal tip of the key fits into the hexagon practiced in the apical part of the threaded hole axial of the implant, whereby said key holds the implant located in the corresponding container as a clamp, allowing the implant to be removed, transported to the patient, and the implant placed directly in the patient's mouth free of external manipulation, whose placement is done by the mutual coupling of the hexagonal tip of the key and the apical hexagon of the implant, which allows and transmit the torque forces applied by the key directly to the self-tapping tip.
La invención, análogamente, comprende un sistema de retirada del implante respecto del envase, transporte y colocación del implante directamente en la boca del paciente utilizando la llave, según el cual el conjunto compuesto por dichos implante y llave permite el acoplamiento de la punta hexagonal ligeramente cónica de la llave en el mecanizado hexagonal de la parte coronal del implante, previa introducción en el taladro roscado de la guia cilindrica, con lo cual las fuerzas de torsión creadas por la llave en la colocación del implante en el taladro del hueso son aplicadas en la parte coronal del mismo, cuya conicidad efectúa una sujeción a modo de pinchado del implante por parte de la llave, que permite la retirada del mismo respecto del envase, su transporte, y su colocación directamente en la boca del paciente exento de manipulación externa. La invención, de otro modo, comprende un sistema de retirada del implante respecto del envase, transporte y colocación del implante directamente en la boca del paciente utilizando la llave, en el que el conjunto compuesto por dichos implante y llave permite el acoplamiento de la punta actuadora en forma de estrella de seis puntas de lados cilindricos con ligera conicidad en el extremo superior del muñón, previamente fijado al implante mediante el tornillo de sujeción clínica, provisto de los varios fresados cilindricos en forma de estrella de seis puntas, con los lados fresados cilindricos complementarios, con lo cual las fuerzas de torsión creadas en la colocación del conjunto implante-muñón en el taladro del hueso son aplicadas en el extremo superior del muñón alejado del implante, en cuyo acoplamiento la ligera conicidad de la punta en estrella de la llave permite sujetar a modo de pinchado el conjunto implante-muñón, alejado de la punta autoroscante del implante, y permite la sujeción a modo de pinchado del conjunto implante- -muñón para efectuar la retirada del mismo respecto del envase, su transporte a la boca del paciente, y su colocación directamente en el taladro del hueso de la boca practicado previamente, después de lo cual se retira el muñón del implante desatornillando el tornillo de sujeción para su tapado posterior, todo ello exento de manipulación externa.The invention, similarly, comprises an implant removal system with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, according to which the assembly consisting of said implant and key allows the coupling of the hexagonal tip slightly conical of the key in the hexagonal machining of the coronal part of the implant, prior introduction into the threaded hole of the guide cylindrical, whereby the torsional forces created by the key in the placement of the implant in the bone hole are applied to the coronal part of the bone, whose taper makes a clamping by way of the implant by the key, which It allows the removal of the same with respect to the container, its transport, and its placement directly in the mouth of the patient exempt from external manipulation. The invention, in another way, comprises an implant removal system with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, in which the assembly consisting of said implant and key allows the coupling of the tip six-pointed star-shaped actuator with cylindrical sides with slight taper on the upper end of the stump, previously fixed to the implant by means of the clinical clamping screw, provided with the various six-pointed star-shaped cylindrical milling, with the sides milled complementary cylindrical, whereby the torsional forces created in the placement of the implant-stump assembly in the bone hole are applied to the upper end of the stump away from the implant, in which the slight taper of the tip in star of the key is coupled it allows to hold the implant-stump assembly as a puncture, away from the self-tapping tip of the implant, and eg the clamping is applied as a puncture of the implant-stump assembly to remove it from the container, its transport to the patient's mouth, and its placement directly in the hole of the bone of the mouth previously performed, after which the stump of the implant is removed by unscrewing the clamping screw for its posterior capping, all exempt from external manipulation
Estas y otras características se desprenderán mejor de la descripción detallada que sigue, para facilitar la cual se acompañan tres láminas de dibujos en las que se ha representado un caso práctico de realización que se cita solamente a titulo de ejemplo no limitativo del alcance de la presente invención.These and other characteristics will be better derived from the detailed description that follows, to facilitate which are accompanied by three sheets of drawings in which a practical case of realization has been represented that is cited only as a non-limiting example of the scope of the present invention.
En los dibujos:In the drawings:
La figura 1 es una vista en sección longitudinal explotada del implante y la llave de, la primera forma de realización preferida de la invención y que constituye el primer sistema de retirada, transporte y colocación preferido, denominado sistema A.Figure 1 is an exploded longitudinal sectional view of the implant and the key of the first preferred embodiment of the invention and constituting the first preferred removal, transport and placement system, called system A.
La figura 2 es una vista en sección longitudinal del implante y la llave de la figura 1 en posición acoplada .Figure 2 is a longitudinal sectional view of the implant and the key of Figure 1 in coupled position.
La figura 2A es una vista similar a la figura 2 considerada cortada a ambos lados por los planos III- -III respectivos. La figura 3 es una vista en alzado lateral correspondiente a la figura 2.Figure 2A is a view similar to Figure 2 considered cut on both sides by the respective planes III- -III. Figure 3 is a side elevation view corresponding to Figure 2.
La figura 4A es una vista en alzado del implante separado ilustrado en la figura 3.Figure 4A is an elevational view of the separate implant illustrated in Figure 3.
La figura 4B es una vista en sección longitudinal del implante ilustrado en la figura 4A. La figura 5A es una vista en alzado lateral de la llave ilustrada en la figura 1.Figure 4B is a longitudinal sectional view of the implant illustrated in Figure 4A. Figure 5A is a side elevation view of the key illustrated in Figure 1.
La figura 5B es una vista en sección longitudinal ilustrada en la figura 1, mostrando en linea de trazos el casquillo elástico ensartado en la parte media del mango de la llave.Figure 5B is a longitudinal sectional view illustrated in Figure 1, showing in a broken line the elastic bushing threaded in the middle part of the key handle.
La figura 6 es una vista en alzado explotada del implante y la llave de la segunda forma de realización preferida de la invención y que constituye el segundo sistema de retirada, transporte y colocación preferido, denominado sistema B.Figure 6 is an exploded elevational view of the implant and the key of the second preferred embodiment of the invention and constituting the second preferred removal, transport and placement system, called system B.
La figura 7 es una vista en sección longitudinal relativa a la figura 6 en posición acoplada.Figure 7 is a longitudinal sectional view relative to Figure 6 in coupled position.
La figura 8 es una vista en alzado lateral similar a la figura 7.Figure 8 is a side elevation view similar to Figure 7.
La figura 9A es una vista en alzado del implante separado de la figura 1.Figure 9A is an elevational view of the separate implant of Figure 1.
La figura 9B es una vista en sección longitudinal por el plano F-F de la figura 9A. La figura 10A es una vista en alzado lateral de llave separada de la figura 1.Figure 9B is a longitudinal sectional view on the plane F-F of Figure 9A. Figure 10A is a side elevation view of a separate key of Figure 1.
La figura 10B es una vista extrema de la llave por la punta actuadora de la figura 10A.Figure 10B is an end view of the key by the actuator tip of Figure 10A.
La figura 11 es una vista en sección longitudinal explotada del implante unido parcialmente al muñón transportador mediante el tornillo de sujeción por un lado y la llave por otro lado, de la tercera forma de realización preferida de la invención y que constituye el tercer sistema de retirada, transporte y colocación preferido, denominado sistema C. La figura 12 es una vista en alzado lateral similar a la figura 11.Figure 11 is an exploded longitudinal sectional view of the implant partially attached to the conveyor stump by means of the clamping screw on one side and the key on the other hand, of the third preferred embodiment of the invention and constituting the third withdrawal system , preferred transport and placement, called system C. Figure 12 is a side elevation view similar to Figure 11.
La figura 13 es una vista en sección longitudinal del implante y el muñón unidos por el tornillo de sujeción y la llave acoplada al extremo superior del muñón, mostrando el conjunto en posición acoplada.Figure 13 is a longitudinal sectional view of the implant and the stump joined by the clamping screw and the key coupled to the upper end of the stump, showing the assembly in a coupled position.
La figura 14 es una vista en alzado similar a la figura 13. La figura 15 es una vista en alzado de la llave de la figura 12.Figure 14 is an elevation view similar to Figure 13. Figure 15 is an elevation view of the key of Figure 12.
La figura 16 es una vista extrema de la llave considerada por la punta actuadora.Figure 16 is an end view of the key considered by the actuator tip.
DESCRIPCIÓN DETALLADA DE UNA FORMA REALIZADA PREFERIDADETAILED DESCRIPTION OF A PREFERRED FORM
De conformidad con los dibujos el implante dental, llave y sistema de retirada del implante respecto del envase, transporte y colocación del implante directamente en la boca del paciente utilizando la llave, comprende tres realizaciones preferidas, que en la descripción que sigue se denominan sistemas A, B y C, que se diferencian entre si por una aplicación de las fuerzas de torsión por parte de la llave al implante en cuestión, en la menor o mayor proximidad de dicha aplicación de la punta autoroscante del implante en el hueso de la mandíbula inferior o maxilar superior del paciente, lo cual mejora el roscado del implante.In accordance with the drawings, the dental implant, key and implant removal system with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, comprises three preferred embodiments, which in the description that follows are called A systems. , B and C, which differ from each other by an application of the torsional forces by the key to the implant in question, in the lesser or greater proximity of said application of the self-tapping tip of the implant in the bone of the lower jaw or upper jaw of the patient, which improves implant threading.
La presente invención tiene por objeto tres pares de implantes y llaves correspondientes que definen tres implantes con pequeñas variantes entre ellos, tres llaves también con pequeñas variantes entre ellas en correspondencia con el implante respectivo, y cada par de los tres implantes y llaves constituye un sistema respectivo de retirada del implante respecto del envase, su transporte hasta la boca del paciente y la colocación del implante directamente en la boca, sin necesidad de manipulación externa.The subject of the present invention is three pairs of implants and corresponding keys that define three implants with small variants between they, three keys also with small variants between them in correspondence with the respective implant, and each pair of the three implants and keys constitutes a respective system of removal of the implant with respect to the container, its transport to the patient's mouth and the placement of the implant directly in the mouth, without the need for external manipulation.
Los tres pares de implantes y llaves, y los tres sistemas actuadores mediante los tres citados pares, que se identifican como sistemas A, B y C, constituyen una unidad de invención.The three pairs of implants and keys, and the three actuator systems by means of the three cited pairs, which are identified as systems A, B and C, constitute a unit of invention.
El implante dental al que corresponden los implantes de la invención corresponden al tipo cilindrico roscado exteriormente para su acoplamiento por roscado en el taladro practicado previamente en el hueso de la mandíbula inferior o maxilar superior de la boca del paciente -no ilustrado- y que está provisto de un taladro axial roscado para el tornillo de apriete que fija el muñón para la prótesis a través de un vaciado axial previsto en el muñón y que presenta en la parte coronal medios de acoplamiento con la base del muñón, comprendiendo en general los tres implantes -1-, -2- y -3- de la invención, un taladro axial roscado -4-, -5- y -6-, respectivamente, que presenta una longitud ligeramente menor a la de los tres implantes -1-, -2- y -3-, cuyo taladro axial termina por su extremo interior muy próximo a la parte apical cercana a la punta autoroscante -7-, -8- y -9-, que mejora la acción de roscado del implante -1-, -2- y -3- en el taladro practicado previamente en el hueso -no ilustrado- de la boca del paciente.The dental implant to which the implants of the invention correspond correspond to the externally threaded cylindrical type for threaded coupling in the hole previously made in the bone of the lower jaw or upper jaw of the patient's mouth -not illustrated- and which is provided of a threaded axial bore for the tightening screw that fixes the stump for the prosthesis through an axial recess provided in the stump and that presents in the coronal part coupling means with the base of the stump, generally comprising the three implants - 1-, -2- and -3- of the invention, a threaded axial bore -4-, -5- and -6-, respectively, which is slightly shorter than the three implants -1-, -2 - and -3-, whose axial bore ends at its inner end very close to the apical part near the self-tapping tip -7-, -8- and -9-, which improves the threading action of the implant -1-, - 2- and -3- in the previously practiced drill in the bone -not illustrated- of the patient's mouth.
En primer lugar, se describe el implante dental -1- del primer sistema A, ilustrado en las figuras 1, 2, 2A, 3, 4A y 4B, el cual en la parte coronal -10- presenta una conexión interna-externa a base de un cono -11- interior extremo de conicidad hacia el interior del implante -1- y un cuello -12- coaxial al cono -11- que presenta el contorno exterior hexagonal, cuya conexión interna-externa está prevista para el acoplamiento del muñón -13- (no ilustrado) , cuyo cuello -12- sobresale dentro del cono sin llegar a la base del mismo, y en prolongación del taladro axial roscado -4- del implante -1-. Dicho implante -1- en la parte apical -14- extrema del fondo del taladro -4- presenta un mecanizado -15- de sección transversal hexagonal en el que se aplican las fuerzas de torsión para el roscado en el hueso directamente sobre la punta autoroscante -16-, lo cual evita durante dicho roscado, el deterioro del citado cuello coaxial -12- al cono de contorno exterior hexagonal.First, the dental implant -1- of the first system A, illustrated in Figures 1, 2, 2A, 3, 4A and 4B, is described, which in the coronal part -10- presents an internal-external connection to the base of a cone -11- inner end of conicity towards the inside of the implant -1- and a neck -12- coaxial to the cone -11- that has the hexagonal outer contour, whose internal-external connection is provided for the coupling of the stump - 13- (not illustrated), whose neck -12- protrudes inside the cone without reaching the base thereof, and in prolongation of the threaded axial bore -4- of the implant -1-. Said implant -1- in the apical part -14- end of the bottom of the hole -4- has a machining -15- of hexagonal cross-section in which the torsional forces are applied for the threaded in the bone directly on the self-tapping tip -16-, which prevents during said threading, the deterioration of said coaxial neck -12- to the hexagonal outer contour cone.
En segundo lugar, se describe el implante dental -2- del segundo sistema B, ilustrado en las figuras 6, 7, 8, 9A y 9B, el cual en la parte coronal -10- presenta un cuello -17- de contorno exterior hexagonal en prolongación del taladro axial roscado -5- y que sobresale del reborde anular coronal -18-. Dicho implante -2- en la parte coronal -10- presenta un mecanizado hexagonal -19- que afecta a la parte superior del taladro axial -5-, en el que se aplican las fuerzas de torsión para el roscado de la punta autoroscante -16- en el taladro practicado previamente en el hueso -no ilustrado-.Second, the dental implant -2- of the second system B is described, illustrated in Figures 6, 7, 8, 9A and 9B, which in the coronal part -10- has a neck -17- of hexagonal outer contour in extension of the threaded axial bore -5- and protruding from the coronal annular flange -18-. Said implant -2- in the coronal part -10- has a hexagonal machining -19- that affects the upper part of the axial bore -5-, in which they are applied the torsion forces for threading the self-tapping tip -16- in the hole previously made in the bone -not illustrated-.
En tercer lugar, se describe el implante dental -3- del tercer sistema C, ilustrado en las figuras 11, 12, 13 y 14, el cual comprende un implante convencional -3- provisto de conexión hexagonal externa a base de un cuello -20- hexagonal exteriormente, que está en prolongación del taladro axial roscado -6-, en el que se acopla el muñón- -transportador -21- por su base inferior y se fija mediante el tornillo de fijación -22- convencional, cuyo muñón -21- en el extremo superior presenta varios fresados cilindricos exteriormente en forma de estrella -33- de seis puntas, en la que se aplican las fuerzas de torsión para el roscado de la punta autoroscante -16- en el taladro practicado en el hueso de la boca del paciente, con lo cual se evita el deterioro del cuello -20- hexagonal. A continuación, se describen las llaves respectivas de cada implante -1-, -2- y -3- descritos .Thirdly, the dental implant -3- of the third system C, illustrated in Figures 11, 12, 13 and 14, is described, which comprises a conventional implant -3- provided with an external hexagonal connection based on a neck -20 - externally hexagonal, which is in extension of the threaded axial bore -6-, in which the stump--transporter -21- is coupled by its lower base and fixed by means of the conventional fixing screw -22-, whose stump -21 - at the upper end it has several cylindrical externally shaped star -33- six-pointed, in which the torsion forces are applied to the tapping of the self-tapping tip -16- in the hole in the mouth bone of the patient, which prevents deterioration of the hexagonal neck -20-. Next, the respective keys of each implant -1-, -2- and -3- described are described.
En primer lugar, se describe la llave -23- del primer sistema A, la cual en el extremo actuador del mango convencional presenta la punta actuadora -24- poligonal y/o mixta, pero preferentemente es hexagonal, tal como se ilustra, y está provista de un a modo de faldón anular -25- intermedio elástico que sobresale hacia la punta -24-, cuyo faldón -25- termina exteriormente en forma cónica -26- lo cual permite su acoplamiento al cono interior -11- coronal del implante -1- y termina interiormente en forma cilindrica -27-, cuyo diámetro es inferior a la distancia entre las aristas del cuello hexagonal -12- exteriormente que se encuentra situado dentro del cono -11-, lo cual permite que dicho faldón -25- encaje elásticamente en el cuello hexagonal -12- interno y con el cono externo -11- coronales, de manera que la llave -23- actúa de transportador del implante -1- considerado como porta-implantes. Como se ilustra, la llave puede ser de una pieza, pero tal como se ilustra esquemáticamente en la figura 5B, comprende un casquillo -28- de plástico que está ensartado y fijado en la zona media del mango de la llave -23- que forma un regruesamiento intermedio que constituye el citado faldón -25- de encaje.First, the key -23- of the first system A is described, which at the actuator end of the conventional handle has the actuator tip -24- polygonal and / or mixed, but preferably is hexagonal, as illustrated, and is provided with an annular skirt -25- elastic intermediate protruding towards the tip -24-, whose skirt -25- ends externally in conical form -26- which allows its coupling to the inner cone -11- coronal of the implant -1- and ends internally in a cylindrical shape -27-, whose diameter is less than the distance between the edges of the hexagonal neck -12- externally that is located inside the cone -11-, which allows said skirt - 25- elastically fit the internal hexagonal neck -12- and with the external cone -11- coronal, so that the key -23- acts as an implant transporter -1- considered as implant holders. As illustrated, the key can be one-piece, but as schematically illustrated in Figure 5B, it comprises a plastic bush -28- which is threaded and fixed in the middle area of the key handle -23- which forms an intermediate thickening that constitutes the mentioned skirt -25- of lace.
En segundo lugar, se describe la llave -29- del segundo sistema B, la cual en el extremo actuador del mango convencional tiene la punta actuadora -30- poligonal y/o mixta, pero preferentemente hexagonal tal como se ilustra, con ligera conicidad hacia el extremo, y está provisto de una guia -31- que está constituida por un corto vastago cilindrico que sobresale de la punta -30- hexagonal cónica, que facilita la colocación de la punta -30- en el taladro -5- axial del implante -2-. Dicha disposición permite el acoplamiento de la punta hexagonal -30- ligeramente cónica de la llave -29- en el mecanizado hexagonal -19- coronal del taladro -5- axial del implante. En tercer lugar, se describe la llave -32- del tercer sistema C, la cual en el extremo actuador del mango convencional tiene la punta actuadora -33- en forma de estrella de seis puntas de lados cilindricos complementarios de los lados -34- del implante -3-, cuya punta actuadora -33- presenta una ligera conicidad, que permite que la punta actuadora -33- en estrella con ligera conicidad de la llave -32- encaje en el extremo superior -34- mecanizado del muñón-Secondly, the key -29- of the second system B is described, which at the actuating end of the conventional handle has the actuator tip -30- polygonal and / or mixed, but preferably hexagonal as illustrated, with slight taper towards the end, and is provided with a guide -31- which is constituted by a short cylindrical rod protruding from the tapered hexagonal tip -30-, which facilitates the placement of the tip -30- in the axial bore -5- of the implant -2-. Said arrangement allows the coupling of the slightly tapered hexagonal tip -30- of the key -29- in the hexagonal machining -19- of the axial bore -5- of the implant. Thirdly, the key -32- of the third system C is described, which at the actuator end of the Conventional handle has the actuator tip -33- in the form of a six-pointed star with complementary cylindrical sides of the sides -34- of the implant -3-, whose actuator tip -33- has a slight taper, which allows the actuator tip - 33- in star with slight taper of the key -32- fit in the upper end -34- machining of the stump-
-transportador -21- que está opuesto al implante -3-.-Transporter -21- which is opposite the implant -3-.
Seguidamente se describen los tres sistemas A, B y C, que constituyen respectivamente el mejor, el intermedio y el peor de los sistemas para efectuar las funciones indicadas.The three systems A, B and C are described below, which constitute respectively the best, intermediate and worst systems to perform the indicated functions.
En primer lugar, se describe el primer sistema A, para la retirada del implante respecto del envase, transporte y colocación del implante directamente en la boca del paciente utilizando la llave, en relación a las figuras 1 a 5B, en las cuales se ilustra el conjunto compuesto por dichos implante -1- y su llave -23- que permite un acoplamiento elástico a modo de pinza del faldón -26- intermedio de la llave -23- en el cuello hexagonal -12- exterior coaxial al cono -11- interior circundante, que están previstos en la parte coronal -10- del implante -1-. Asimismo, la punta hexagonal -24- de la llave -23- encaja en el hexágono -15- practicado en la parte apical -14- del taladro -4- roscado axial del implante -1-, con lo cual dicha llave -23- sujeta a modo de pinza el implante -1- situado en el -envase correspondiente, permitiendo la retirada del implante, su transporte hasta el paciente, y la colocación del implante directamente en la boca del paciente, todo ello sin el concurso de manipulación externa, cuya colocación se realiza por el acoplamiento mutuo de la punta hexagonal -24- de la llave -23- y el hexágono -15- apical del implante, lo cual permite transmitir las fuerzas de torsión aplicadas por la llave -23- directamente a la punta autoroscante -16-. Este sistema A es el mejor de los tres.First, the first system A is described, for the removal of the implant from the container, transport and placement of the implant directly in the patient's mouth using the key, in relation to Figures 1 to 5B, in which the set consisting of said implant -1- and its key -23- which allows an elastic coupling as a clamp of the skirt -26- intermediate of the key -23- in the hexagonal neck -12- external coaxial to the cone -11- interior surrounding, which are provided in the coronal part -10- of the implant -1-. Likewise, the hexagonal tip -24- of the key -23- fits into the hexagon -15- practiced in the apical part -14- of the bore -4- axial tapping of the implant -1-, whereby said key -23- clamp the implant -1- located in the corresponding container, allowing the removal of the implant, its transport to the patient, and the placement of the implant directly in the patient's mouth, all without the external manipulation contest, whose placement is carried out by the mutual coupling of the hexagonal tip -24- of the key -23- and the apical hexagon -15- of the implant, which allows transmitting the torsional forces applied by the key - 23- directly to the self-tapping tip -16-. This system A is the best of the three.
En segundo lugar, se describe el segundo sistema B para la retirada del implante respecto del envase, transporte y colocación del implante directamente en la boca del paciente utilizando la llave, en relación a las figuras 6 a 1OB, en las cuales se ilustra el conjunto compuesto por dichos implante -2- y llave -29- que permite el acoplamiento de la punta hexagonal -30- ligeramente cónica de la llave -29- en el mecanizado hexagonal -19- de la parte coronal -10- del implante -2-, previa introducción en el taladro roscado -5- de la guia -31- cilindrica, con lo cual las fuerzas de torsión creadas por la llave -29- en la colocación del implante -2- en el taladro -5- del hueso se aplican en la parte coronal -10- del mismo, cuya conicidad efectúa una sujeción a modo de pinchado del implante -2- por parte de la llave -29-, que permite la retirada del mismo respecto del envase, su transporte, y su colocación directamente en la boca del paciente, todo ello sin manipulación externa.Secondly, the second system B is described for the removal of the implant with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, in relation to Figures 6 to 1OB, in which the assembly is illustrated composed of said implant -2- and key -29- which allows the coupling of the slightly conical hexagonal tip -30- of the key -29- in the hexagonal machining -19- of the coronal part -10- of the implant -2- , previous introduction in the threaded hole -5- of the cylindrical guide -31-, with which the torsional forces created by the key -29- in the implant placement -2- in the hole -5- of the bone are applied in the coronal part -10- of the same, whose conicity makes a clamp-like fastening of the implant -2- by the key -29-, which allows its removal from the container, its transport, and its placement directly in the patient's mouth, all without external manipulation.
En tercer lugar, se describe el tercer sistema C, de retirada del implante respecto del envase, transporte y colocación del implante directamente en la boca del paciente utilizando la llave, se ilustra en las figuras 11 a 16, que comprende el conjunto compuesto por dichos implante -3- y llave -32-, que permite el acoplamiento de la punta actuadora -33- en estrella de seis puntas y de lados cilindricos con ligera conicidad, en el extremo superior -34- del muñón -21-, previamente fijado al implante mediante el tornillo de sujeción -22- cilindrica, cuyo extremo -34- del muñón está provisto de los varios fresados cilindricos en estrella de seis puntas, con los lados fresados cilindricos complementarios, con los de la llave, de manera que las fuerzas de torsión creadas en la colocación del conjunto implante-muñón -3, 21- en el taladro del hueso son aplicadas en el extremo superior del muñón -21- alejado de la punta autoroscante -16- del implante, en cuyo acoplamiento la ligera conicidad de la punta en estrella -33- de la llave -32- permite sujetar a modo de pinchado el conjunto implante-muñón, alejado de la punta autoroscante -16- del implante, y permite la sujeción a modo de pinchado del conjunto implante-muñón para efectuar la retirada del mismo respecto del envase, su transporte a la boca del paciente, y su colocación directamente en el taladro del hueso de la boca practicado previamente, después de lo cual se retira el muñón -21- del implante -3- desatornillando el tornillo de sujeción -22- para su tapado posterior, todo ello se realiza sin manipulación externa. Este sistema C es el peor de los tres sistemas, porque las fuerzas de torsión se aplican más distantes de la punta autoroscante del implante en cuestión, pero también es muy válido. Thirdly, the third system C is described, of removal of the implant from the container, transport and placement of the implant directly in the patient's mouth using the key, illustrated in figures 11 to 16, which comprises the assembly consisting of said implant -3- and key -32-, which allows the coupling of the actuator tip -33- in a six-pointed star and of cylindrical sides with slight taper, in the upper end -34- of the stump -21-, previously fixed to the implant by means of the screw -22- cylindrical, whose end -34- of the stump is provided with the various six-pointed star cylindrical milling, with the cylindrical milled sides complementary, with those of the key, so that the torsional forces created in the placement of the implant-stump assembly -3, 21- in the bone bore are applied at the upper end of the stump -21- away from the self-tapping tip -16- of the implant, in whose coupling the slight taper of the star tip -33- of the key -32- allows the implant-stump assembly to be clamped away from the self-tapping tip -16- of the implant, and allows fastening by way of puncture of the implant-stump assembly to effect its removal from the container, its transport to the patient's mouth, and its placement directly in the hole of the bone of the mouth previously performed, after which the stump is removed -21 - of the implant -3- by unscrewing the clamping screw -22- for its subsequent cover, all this is done without external manipulation. This system C is the worst of the three systems, because the torsional forces are applied more distant from the self-tapping tip of the implant in question, but it is also very valid.

Claims

REIVINDICACIONES
1.- Implante dental, del tipo cilindrico roscado exteriormente para su acoplamiento por roscado en el taladro practicado previamente en el hueso de la mandíbula inferior o maxilar superior de la boca del paciente y que está provisto de un taladro axial roscado para el tornillo de apriete que fija el muñón para la prótesis a través de un vaciado axial previsto en el muñón y que presenta en la parte coronal medios de acoplamiento con la base del muñón, CARACTERIZADO porque el taladro axial roscado presenta una longitud ligeramente menor a la del implante terminando el extremo interior de dicho taladro muy próximo a la parte apical cercana a la punta autoroscante, que mejora la acción de roscado del implante en el taladro practicado en el hueso de la boca del paciente.1.- Dental implant, of the externally threaded cylindrical type for threaded coupling in the hole previously made in the bone of the lower jaw or upper jaw of the patient's mouth and which is provided with a threaded axial bore for the clamping screw which fixes the stump for the prosthesis through an axial recess provided in the stump and that presents in the coronal part coupling means with the base of the stump, CHARACTERIZED because the threaded axial bore has a slightly shorter length than the implant ending the inner end of said hole very close to the apical part near the self-tapping tip, which improves the threading action of the implant in the hole practiced in the bone of the patient's mouth.
2.- Implante dental, según la reivindicación 1, CARACTERIZADO porque en la parte coronal presenta una conexión interna-externa a base de un cono interior extremo de conicidad hacia el interior del implante y un cuello coaxial al cono de contorno exterior hexagonal, para el acoplamiento del muñón, que sobresale dentro del cono en prolongación del taladro axial roscado del implante, y porque en la parte apical extrema del fondo del taladro presenta un mecanizado de sección transversal hexagonal en el que se aplican las fuerzas de torsión para el roscado en el hueso directamente sobre la punta autoroscante, evitando durante dicho roscado el deterioro del citado cuello coaxial al cono de contorno exterior hexagonal .2. Dental implant, according to claim 1, CHARACTERIZED because in the coronal part it has an internal-external connection based on an inner cone taper towards the inside of the implant and a coaxial neck to the hexagonal outer contour cone, for the coupling of the stump, which protrudes inside the cone in prolongation of the threaded axial bore of the implant, and because in the extreme apical part of the bottom of the borehole it presents a machining of hexagonal cross-section in which the torsional forces are applied for threading in the bone directly on the self-tapping tip, preventing during said threading the deterioration of the said coaxial neck to the hexagonal outer contour cone.
3.- Implante dental, según la reivindicación 1, CARACTERIZADO porque en la parte coronal presenta un cuello de contorno exterior hexagonal en prolongación del taladro axial roscado y que sobresale del reborde anular coronal, y porque en la parte coronal presenta un mecanizado hexagonal que afecta la parte superior del taladro axial, en el que se aplican las fuerzas de torsión para el roscado de la punta autoroscante en la taladro practicado previamente en el hueso.3. Dental implant according to claim 1, CHARACTERIZED because in the coronal part it has a hexagonal outer contour neck in prolongation of the threaded axial bore and protruding from the coronal annular flange, and because in the coronal part it has a hexagonal machining that affects the upper part of the axial bore, in which the torsional forces are applied for threading the self-tapping tip into the hole previously made in the bone.
4.- Implante dental, según la reivindicación 1, CARACTERIZADO porque comprende un implante convencional provisto de conexión hexagonal externa a base de un cuello en prolongación del taladro axial roscado hexagonal exteriormente, en el que se acopla el muñón-transportador por la base inferior y se fija mediante el tornillo de fijación convencional, cuyo muñón en el extremo superior presenta varios fresados cilindricos en forma de estrella, especialmente de seis puntas, en la que se aplican las fuerzas de torsión para el roscado de la punta autoroscante en el taladro practicado en el hueso.4. Dental implant according to claim 1, CHARACTERIZED in that it comprises a conventional implant provided with an external hexagonal connection based on an extension neck of the externally threaded axial hexagonal bore, in which the stump-conveyor is coupled by the lower base and it is fixed by means of the conventional fixing screw, whose stump at the upper end has several cylindrical star-shaped millings, especially six-pointed ones, in which the torsion forces are applied for the threading of the self-tapping tip in the drill made in bone.
5.- Llave actuadora, según el implante de las reivindicaciones 1 y 2, CARACTERIZADA porque la llave en el extremo actuador del mango convencional tiene la punta actuadora poligonal y/o mixta, preferentemente hexagonal, y esta provista de un a modo de faldón anular intermedio elástico que sobresale hacia la punta, cuyo faldón termina exteriormente en forma cónica lo cual permite su acoplamiento al cono interior coronal del implante y termina interiormente en forma cilindrica y de diámetro inferior a la distancia entre las aristas del cuello hexagonal exteriormente que se encuentra situado dentro del cono, lo cual permite que dicho faldón encaje elásticamente en el cuello hexagonal interno y con el cono externo coronales, de manera que la llave actúa de transportador del implante o porta-implantes . 6.- Llave actuadora, según la reivindicación 5, CARACTERIZADA porque presenta un casquillo de plástico ensartado y fijado en la zona media que forma un regruesamiento intermedio que constituye el citado faldón de encaje. 1.- Llave actuadora, según el implante de las reivindicaciones 1 y 3, CARATERIZADA porque la llave en el extremo actuador del mango convencional tiene la punta actuadora poligonal y/o mixta, preferentemente hexagonal, con ligera conicidad, y esta provisto de una guia que esta constituida por un corto vastago cilindrico que sobresale de la punta hexagonal cónica, lo cual permite el acoplamiento de la punta hexagonal ligeramente cónica de la llave en el mecanizado hexagonal coronal del taladro axial del implante.5. Actuator key, according to the implant of claims 1 and 2, CHARACTERIZED because the key at the actuator end of the conventional handle has the polygonal and / or mixed, preferably hexagonal actuator tip, and is provided with an annular skirt elastic intermediate protruding towards the tip, whose skirt ends externally in conical form which allows its coupling to the coronal inner cone of the implant and ends internally in a cylindrical shape and of a diameter smaller than the distance between the edges of the externally hexagonal neck that is located inside the cone, which allows said skirt to fit elastically into the internal hexagonal neck and with the coronal outer cone, so that the key acts as an implant carrier or implant holder. 6. Actuator key, according to claim 5, CHARACTERIZED because it has a plastic bushing threaded and fixed in the middle area that forms an intermediate thickening that constitutes said lace skirt. 1. Actuator key, according to the implant of claims 1 and 3, CHARACTERIZED because the key at the actuator end of the conventional handle has the polygonal and / or mixed actuator tip, preferably hexagonal, with slight taper, and is provided with a guide which is constituted by a short cylindrical rod protruding from the conical hexagonal tip, which allows the coupling of the slightly conical hexagonal tip of the key in the coronal hexagonal machining of the axial bore of the implant.
8.- Llave actuadora, según el implante de las reivindicaciones 1 y 4, CARACTERIZADA porque la llave en el extremo actuador del mango convencional tiene la punta actuadora en forma de estrella de seis puntas de lados cilindricos con ligera conicidad, lo cual permite que la punta actuadora de estrella con ligera conicidad de la llave encaje en el extremo superior del muñón-transportador opuesto al implante.8.- Actuator key, according to the implant of claims 1 and 4, CHARACTERIZED because the key at the actuator end of the conventional handle has the star-shaped actuator tip of six cylindrical sides with slight taper, which allows the star actuator tip with slight taper of the key fits into the upper end of the stump-conveyor opposite the implant.
9.- Sistema de retirada del implante respecto del envase, transporte y colocación del implante directamente en la boca del paciente utilizando la llave, según el implante de las reivindicaciones 1 y9.- System of implant removal with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, according to the implant of claims 1 and
2, y la llave de la reivindicaciones 5 y 6,2, and the key of claims 5 and 6,
CARACTERIZADO porgue el conjunto compuesto por dichos implante y su llave permite el acoplamiento elástico a modo de pinza del faldón intermedio de la llave en el cuello hexagonal exterior coaxial al cono y el cono interior circundante, previstos en la parte coronal del implante, y la punta hexagonal de la llave encaja en el hexágono practicado en la parte apical del taladro roscado axial del implante, con lo cual dicha llave sujeta a modo de pinza el implante situado en el envase correspondiente, permitiendo la retirada del implante, su transporte hasta el paciente, y la colocación del implante directamente en la boca del paciente exento de manipulación externa, cuya colocación se realiza por el acoplamiento mutuo de la punta hexagonal de la llave y el hexágono apical del implante, lo cual permite transmitir las fuerzas de torsión aplicadas por la llave directamente a la punta autoroscante.CHARACTERIZED because the assembly consisting of said implant and its key allows the elastic coupling by way of the intermediate skirt of the key in the outer hexagonal neck coaxial to the cone and the surrounding inner cone, provided in the coronal part of the implant, and the tip The hexagonal key fits the hexagon made in the apical part of the axial threaded hole of the implant, whereby said key holds the implant located in the corresponding container as a clamp, allowing the implant to be removed, transported to the patient, and the placement of the implant directly in the mouth of the patient free of external manipulation, whose placement is done by the mutual coupling of the hexagonal tip of the key and the apical hexagon of the implant, which allows transmitting the torsional forces applied by the key directly to the self-tapping tip.
10 .- Sistema de retirada del implante respecto del envase, transporte y colocación del implante directamente en la boca del paciente utilizando la llave, según el implante de las reivindicaciones 1 y 3 y la llave de la reivindicación 7, CARACTERIZADO porque el conjunto compuesto por dichos implante y llave permite el acoplamiento de la punta hexagonal ligeramente cónica de la llave en el mecanizado hexagonal de la parte coronal del implante, previa introducción en el taladro roscado de la guia cilindrica, con lo cual las fuerzas de torsión creadas por la llave en la colocación del implante en el taladro del hueso son aplicadas en la parte coronal del mismo, cuya conicidad efectúa una sujeción a modo de pinchado del implante por parte de la llave, que permite la retirada del mismo respecto del envase, su transporte, y su colocación directamente en la boca del paciente exento de manipulación externa.10 .- Implant removal system with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, according to the implant of claims 1 and 3 and the key of claim 7, CHARACTERIZED because the assembly consisting of said implant and key allows the coupling of the slightly conical hexagonal tip of the key in the hexagonal machining of the coronal part of the implant, prior introduction into the threaded bore of the cylindrical guide, whereby the torsional forces created by the key in the placement of the Implants in the bone drill are applied to the coronal part of the bone, whose taper makes a clamp-like clamping of the implant by the key, which allows its removal from the container, its transport, and its placement directly in the patient's mouth free of external manipulation.
11.- Sistema de retirada del implante respecto del envase, transporte y colocación del implante directamente en la boca del paciente utilizando la llave, según el implante de las reivindicaciones 1 y 4 y la llave de la reivindicación 8, CARACTERIZADO porque el conjunto compuesto por dichos implante y llave permite el acoplamiento de la punta actuadora en forma de estrella de seis puntas de lados cilindricos con ligera conicidad en el extremo superior del muñón, previamente fijado al implante mediante el tornillo de sujeción clínica, provisto de los varios fresados cilindricos en forma de estrella de seis puntas, con los lados fresados cilindricos complementarios, con lo cual las fuerzas de torsión creadas en la colocación del conjunto implante-muñón en el taladro del hueso son aplicadas en el extremo superior del muñón alejado del implante, en cuyo acoplamiento la ligera conicidad de la punta en estrella de la llave permite sujetar a modo de pinchado el conjunto implante-muñón, alejado de la punta autoroscante del implante, y permite la sujeción a modo de pinchado del conjunto implante- -muñón para efectuar la retirada del mismo respecto del envase, su transporte a la boca del paciente, y su colocación directamente en el taladro del hueso de la boca practicado previamente, después de lo cual se retira el muñón del implante desatornillando el tornillo de sujeción para su tapado posterior, todo ello exento de manipulación externa. 11.- System of removal of the implant with respect to the container, transport and placement of the implant directly in the patient's mouth using the key, according to the implant of claims 1 and 4 and the key of claim 8, CHARACTERIZED because the assembly consisting of said implant and key allows the coupling of the six-pointed star-shaped actuator tip with slight taper at the top end of the stump, previously fixed to the implant by the clinical clamping screw, provided with the various cylindrical shaped millings six-pointed star, with complementary cylindrical milled sides, whereby the torsional forces created in the placement of the implant-stump assembly in the bone hole are applied at the upper end of the stump away from the implant, in which the coupling slight taper of the tip in Star of the key allows the implant-stump assembly to be held as a puncture, away from the self-tapping tip of the implant, and allows the implant--stump assembly to be punctured to remove it from the container, its transport to the patient's mouth, and its placement directly in the hole of the bone of the mouth previously performed, after which the stump of the implant is removed by unscrewing the clamping screw for its posterior capping, all exempt from external manipulation.
PCT/ES2007/000615 2006-10-30 2007-10-29 Dental implant, wrench and system for removing the implant from the container thereof, transferring said implant and inserting same directly in the patient's mouth using the wrench WO2008053058A1 (en)

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ES200602752A ES2313830B1 (en) 2006-10-30 2006-10-30 DENTAL IMPLANT, KEY AND REMOVAL SYSTEM OF THE IMPLANT REGARDING THE IMPLANT CONTAINER, TRANSPORTATION AND PLACEMENT OF THE IMPLANT IN THE PATIENT'S MOUTH USING THE WRENCH.

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