METHOD AND KIT FOR DENTAL IMPLANT DRILLING GUIDES

• US 20120251974A1
• Filed: 03/14/2012
• Published: 10/04/2012
• Est. Priority Date: 03/28/2011
• Status: Active Grant

• Current Assignee: Katz, Howard Ian
• Original Assignee: Katz, Howard Ian
• Inventors: Katz, Howard Ian
• Granted Patent: US 8,858,228 B2
• Time in Patent Office: Days
• US Class Current: 433/75
• CPC Class Codes: A61C 1/084 of implanting tools
• CPC Class Codes: A61C 8/0001 Impression means for implants, e.g. impression coping
• CPC Class Codes: A61C 8/0089 Implanting tools or instruments

Abstract

Method and kit for producing implant drilling guides positioned at the proper orientation to avoid inadvertent damage to critical regions of the patient'"'"'s jaw when drilling to place dental implant screws. The method works by placing a small post device with x-ray visible depth markers in the root socket of the patient'"'"'s tooth immediately after tooth extraction. The post device may additionally be configured to guide the drill at a position and angle that is different from that of the original tooth socket. This post device is used to construct a removable guide that anchors to the patient'"'"'s adjacent teeth, and preserves the location and orientation of the extracted tooth root. Once the root socket is filled in with new bone, the guide, in conjunction with the X-ray post depth information, can be used to direct drilling along the same route as the old tooth root, thus avoiding critical structures.

Claims

1. A method of drilling a dental implant socket for a dental implant screw in the mouth of a patient after extracting a tooth from the jaw bone of said patient, thereby forming an extraction socket in said jaw bone with at least one tooth root socket in said jaw bone corresponding to the position of at least one root of said tooth, said method comprising:

while said extraction socket remains open and unhealed, placing a post device into said at least one tooth root socket;

wherein said post device is configured to determine the depth and angle of said tooth root socket relative to said jaw bone;

said post device additionally configured to also serve as a template for guiding a drill bit for drilling said dental implant socket at an optimal angle and depth for a dental implant screw;

wherein said optimal angle and depth for said dental implant screw need not be the same angle and depth of said tooth root socket;

using a position fixation device to preserve the position and orientation of said post device relative to said jaw bone;

removing said post device from said patient'"'"'s mouth; and

using said position fixation device to subsequently guide said drill bit to the optimal angle and depth for a dental implant screw.

2. The method of claim 1, wherein after said post device is removed from said patient'"'"'s mouth, filling said tooth root socket with material intended to promote the formation of new bone in said tooth root socket, and allowing said extraction socket to heal.

3. The method of claim 1, wherein said post device comprises a bottom probe portion and a top drilling orientation portion;

said bottom probe portion comprising an elongated probe with a probe axis, said probe having at least one radius small enough to penetrate substantially to the bottom of said tooth root socket;

said top drilling orientation portion comprising a larger radius or diameter portion with a drilling axis, said top drilling orientation portion configured to protrude outside of said tooth root socket;

wherein said drilling axis may be offset from said probe axis, and wherein said drilling axis need not be at the same angle as said probe axis.

4. The method of claim 3, wherein the extent to which the drilling axis is offset from said probe axis and wherein the extent to which said drilling axis is not at the same angle as said probe axis is determined by the optimal displacement, angle and depth for a dental implant screw relative to the position of said tooth root socket.

5. The method of claim 3, wherein said post device is selected from a plurality of standard post devices configured for at least some of the various positions that different human teeth occupy in human jaws, wherein for said individual post device in said plurality of post devices, the extent to which the drilling axis is offset from with said probe axis and the extent to which said drilling axis is not at the same angle as said probe axis, is pre-determined based on either considerations of typical human jaw and tooth anatomy, considerations of atypical human jaw and tooth anatomy, or considerations of said patient'"'"'s individual jaw and tooth anatomy.

6. The method of claim 3, wherein the angle at which said drilling axis is not at the same angle as said probe axis is visibly marked on said drilling orientation portion so that indicia of the differences between the drilling axis angle and the probe axis angle are visible to a human dentist.

7. The method of claim 3, wherein said top drilling orientation portion further comprises one or more features that prevent said post device from rotating when said position fixation device is used to preserve the position and orientation of said post device relative to said jaw bone.

8. The method of claim 3, wherein said position fixation device comprises a deformable plastic material configured to adhere to the patient'"'"'s teeth proximate said extraction socket in the jaw bone of said patient, and at least one sleeve configured to hold both said top drilling orientation portion of said post device, and said deformable plastic material.

9. The method of claim 3, wherein said bottom probe portion comprises a plurality of distance indicia so that the depth of said bottom probe in said tooth root socket may be determined.

10. The method of claim 1, wherein said post device is made from a radio-opaque material, or a non-radio opaque material doped with a radio opaque material, such that said post device is visible in a standard dental X-ray.

11. A kit for guiding a drill bit for drilling a dental implant socket for a dental implant in the mouth of a patient, using a tooth extraction socket with at least one tooth root socket in the jaw bone of said patient as a positioning reference, said kit comprising:

at least one post device configured to determine the depth and angle of said tooth root socket relative to said jaw bone;

said post device additionally configured to also serve as a template for guiding a drill bit for drilling a dental implant socket at an optimal angle and depth for a dental implant screw;

wherein said optimal angle and depth for said dental implant screw need not be the same angle and depth of said tooth root socket as determined by the depth and angle of said tooth root socket; and

at least some materials for a position fixation device to preserve the position and orientation of said post device relative to said jaw bone.

12. The kit of claim 11, further comprising instructions for use which direct the user of said kit to at least:

1) extract a tooth intended for implant replacement from the jaw bone of said patient, thereby forming an extraction socket in said jaw bone with at least one tooth root socket in said jaw bone corresponding to the position of at least one root of said tooth;

2) while said extraction socket remains open and unhealed, placing a post device into said at least one tooth root socket, and use said position fixation device to preserve the position and orientation of said post device;

3) wherein after said post device is removed from said patient'"'"'s mouth, saving said position fixation device for later use, and filling said tooth root socket with material intended to promote the formation of new bone in said tooth root socket, and allowing said extraction socket to heal;

4) after said extraction socket has healed, applying said position fixation device to the patient'"'"'s jaw, and using said position fixation device to guide a drill bit for drilling a dental implant socket for a dental implant.

13. The kit of claim 11, wherein said post device comprises a bottom probe portion and a top drilling orientation portion;

Said bottom probe portion comprising an elongated probe with a probe axis, said probe having at least one radius small enough to penetrate substantially to the bottom of a tooth root socket;

Said top drilling orientation portion comprising a larger radius or diameter portion with a drilling axis, said top drilling orientation portion configured to protrude outside of said tooth root socket;

Wherein said drilling axis may be offset from said probe axis, and wherein said drilling axis need not be at the same angle as said probe axis.

14. The kit of claim 13, wherein the extent to which the drilling axis is offset from said probe axis and wherein the extent to which said drilling axis is not at the same angle as said probe axis is determined by the optimal displacement, angle and depth for a dental implant screw relative to the position of said tooth root socket.

15. The kit of claim 13, further providing a plurality of standard post devices configured for the various positions that different human teeth occupy in human jaws, wherein for said individual post device in said plurality of post devices, the extent to which the drilling axis is offset from said probe axis and the extent to which said drilling axis is not at the same angle as said probe axis is pre-determined based on either considerations of typical human jaw and tooth anatomy, considerations of atypical human jaw and tooth anatomy, or considerations of said patient'"'"'s individual jaw and tooth anatomy.

16. The kit of claim 13, wherein the angle at which said drilling axis is not at the same angle as said probe axis is visibly marked on said drilling orientation portion so indicia of the differences between the drilling axis angle and the probe axis angle are visible to a human dentist.

17. The kit of claim 13, wherein said top drilling orientation portion further comprises one or more features that prevent said post device from rotating when said position fixation device is used to preserve the position and orientation of said post device relative to said jaw bone.

18. The kit of claim 13, wherein said bottom probe portion comprises a plurality of distance indicia so that the depth of said bottom probe in said tooth root socket may be determined.

19. The kit of claim 13, wherein said position fixation device is formed from a deformable plastic material configured to adhere to teeth proximate said extraction socket in the jaw bone of said patient, and at least one sleeve configured to hold both said top drilling orientation portion of said post device, and said deformable plastic material.

20. The kit of claim 11, wherein said post device is made from a radio-opaque material or a non-radio opaque material doped with a radio opaque material such that said post device is visible in a standard dental X-ray.