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WO1996041586A1 - Dispositif permettant de traiter une cavite osseuse - Google Patents

Dispositif permettant de traiter une cavite osseuse Download PDF

Info

Publication number
WO1996041586A1
WO1996041586A1 PCT/DE1996/001023 DE9601023W WO9641586A1 WO 1996041586 A1 WO1996041586 A1 WO 1996041586A1 DE 9601023 W DE9601023 W DE 9601023W WO 9641586 A1 WO9641586 A1 WO 9641586A1
Authority
WO
WIPO (PCT)
Prior art keywords
covering
tooth
membrane
soft tissue
bone
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/DE1996/001023
Other languages
German (de)
English (en)
Inventor
Axel Kirsch
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to AU58919/96A priority Critical patent/AU5891996A/en
Priority to BR9608950A priority patent/BR9608950A/pt
Priority to JP9502492A priority patent/JPH10510453A/ja
Priority to EP96915994A priority patent/EP0830102A1/fr
Publication of WO1996041586A1 publication Critical patent/WO1996041586A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0003—Not used, see subgroups
    • A61C8/0004—Consolidating natural teeth
    • A61C8/0006—Periodontal tissue or bone regeneration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/28—Bones
    • A61F2/2846—Support means for bone substitute or for bone graft implants, e.g. membranes or plates for covering bone defects
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/148—Materials at least partially resorbable by the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30062—(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30077—Properties of materials and coating materials shrinkable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30317—The prosthesis having different structural features at different locations within the same prosthesis
    • A61F2002/30322—The prosthesis having different structural features at different locations within the same prosthesis differing in surface structures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30448—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30563—Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/30677—Means for introducing or releasing pharmaceutical products, e.g. antibiotics, into the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30907—Nets or sleeves applied to surface of prostheses or in cement
    • A61F2002/30909—Nets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2002/30929—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth having at least two superposed coatings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/3094—Designing or manufacturing processes
    • A61F2002/30971—Laminates, i.e. layered products
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0004—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof bioabsorbable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0066—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof shrinkable
    • A—HUMAN NECESSITIES
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    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
    • A—HUMAN NECESSITIES
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    • A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2240/001—Designing or manufacturing processes
    • A—HUMAN NECESSITIES
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    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0026—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in surface structures
    • A—HUMAN NECESSITIES
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    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
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    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Definitions

  • the invention relates to a device for treating a bone recess formed in the connecting region of the two legs of a tooth bifurcation, with a flat covering device which has a cell-clipping covering membrane for temporarily covering the bone recess with respect to the surrounding soft tissue, which after passing between the legs of the bifurcation in the direction of the distal end of the tooth can be bent up and, after being placed on the two tooth surfaces which are essentially parallel to the connecting line of the longitudinal central axes of the two legs, can be fastened to the tooth in the border area between dental cement and tooth enamel, the covering device on both of them the border area between tooth cement and tooth enamel corresponding spacing transverse edges has a fixing aid, characterized in that the fixing aid has a fastening device for positive and / or non-positive fixing of the covering device on tooth a uf utilizat.
  • Devices of the generic type such as those used there, generally for treating bone recesses in teeth without expressly addressing the problem of treating bifurcations, in implantology 1995; 1; Pages 21-37, are particularly difficult when they are used to treat bone recesses in the root region of bifurcal teeth, insofar as a reliable application of the covering membrane to the "inner legs" of the bifurcation cannot be easily guaranteed, whereby, especially after the gums are folded up again to the bifurcation, the covering membrane often slips, which leads to a partial opening of the bone recess. As a result, soft tissue can get into the bone recess, so that it will no longer grow through bones properly.
  • such a covering membrane which has an essentially rectangular cross-section, has been used in bifurcation treatments in such a way that the upper transverse edges of the covering membrane are held there by means of a thread or the like wrapped around the tooth, without reliably penetrating it of soft tissue in the bone recess in the connection area of the legs of the bifurcation.
  • the invention has for its object to provide a device of the generic type, which flawlessly filling the bone recess exclusively in the connection area of the legs of a tooth bifurcation guaranteed.
  • the fixing aid has a fastening device for positive and / or non-positive fixing of the covering device on the tooth.
  • the fastening device has a binding screw for passing a binding thread which is firmly connected to the covering device in at least one position.
  • the invention also proposes that the covering device has at least one of its transverse edges a form-locking projection for engaging in a depression which is present or can be provided in the border area between dental cement and tooth enamel.
  • the form-locking projection has the shape of a shoulder which projects essentially in an L-shape from the plane of the covering device in the direction of the tooth.
  • a further embodiment of the invention provides that the form-fitting projection has the shape of a hooking nose projecting from the plane of the covering device in the direction of the tooth.
  • the form-locking projection has the form of a thickening of the material of the cover membrane.
  • the invention provides that the thickening is formed like a strip. It is provided according to the invention that the fastening device is formed in one piece with the cover membrane.
  • the fastening device has an adhesive strip or the like on at least one of the transverse edges of the covering device.
  • the invention also proposes that at least the covering membrane of the covering device consists of bioresorbable material.
  • the covering device consists entirely of bioresorbable material.
  • the covering device is designed to be bi-elastic.
  • the covering device is designed to be shrinkable at least in the region of the transverse edges.
  • a further embodiment of the invention provides that the covering device is designed to be chemically shrinkable at least in the region of the transverse edges.
  • the covering device is designed to be thermally shrinkable at least in the region of the transverse edges.
  • the invention provides that the covering device is pre-shaped with a bulbous shape.
  • the cover device is preformed like a trousers cut.
  • Another embodiment of the invention provides that the covering device has a reinforcement in the area of the bone recess.
  • the invention also provides that the reinforcement consists of a reinforcement grid, such as titanium grid or the like.
  • the side of the covering membrane facing the soft tissue and / or the bone tissue has / have a retention support device for improving the retention of the soft tissue or the (respective) collagen structure (s) on the covering membrane .
  • the invention also provides for the retention support device (s) to have at least one mechanical retention aid.
  • the invention further provides that the mechanically acting retention aid (s) is / are at least partially designed for positive engagement by soft tissue and / or collagen structure (s).
  • the mechanical retention aid (s) is / are at least partially formed by protrusions and / or depressions in the covering membrane of the covering device.
  • the invention also provides that the mechanical retention aid (s) is / are at least partially formed by uneven surfaces of the covering membrane of the covering device. It is further proposed according to the invention that the mechanical retention aids are at least partially formed by a tissue and / or knitted structure of the surface of the covering membrane of the covering device facing the soft tissue or the bone tissue.
  • the invention provides that the retention support devices are / are formed at least in part by appropriate selection of the chemical composition and / or the morphological structure of the material of the cover membrane in the area of the cover membrane facing the soft tissue or the bone tissue.
  • the invention is characterized by at least two layers of different structure and / or composition, the layer facing the soft tissue and / or the layer facing the bone tissue having the retention support device (s).
  • the invention is also characterized by open micropores provided in the soft tissue and / or the layer facing the bone tissue.
  • the invention is also characterized by chemically and / or physically acting molecular docking aids for the soft tissue or the collagen structure (s) provided in the area facing the soft tissue and / or the area facing the bone tissue.
  • the invention is based on the surprising finding that bone recesses in the root region of bifurcal teeth can also be perfectly grown out by using a covering device or membrane that reliably connects the tooth to the tooth. brings and can also be fixed in this position.
  • chemical, i.e. H. Molecularly acting, docking aids are provided, which are optionally formed by a corresponding special "special layer" of the cover membrane, which, for. B. facing the connective tissue.
  • a corresponding special "special layer" of the cover membrane which, for. B. facing the connective tissue.
  • the base layer can be formed in such a way that a particularly good cell-occlusive and / or mechanically supporting effect results.
  • z. B. also structuring, which allows the ingrowth of collagen structures from the connective tissue to the surface facing the soft tissue or bone tissue.
  • FIG. 1 shows a first exemplary embodiment of a device according to the invention in a state attached to a bifurcal tooth, in a side view perpendicular to the connecting line of the longitudinal central axes of the two legs of the bifurcation;
  • Fig. 2 shows the embodiment of Fig. 2 in 1 side view rotated by 90 °;
  • FIG. 3 shows a detail of a further embodiment of the device according to the invention in FIG. 2 corresponding orientation, albeit sectioned;
  • Fig. 4 shows a detail of the embodiment of
  • Figures 1 and 2 in plan view, in the state not applied to the tooth
  • FIG. 5 shows a detail of the exemplary embodiment according to FIG. 4 in section perpendicular to the plane of the flat covering device in its transverse edge area;
  • Fig. 7 shows the embodiment of Fig. 6 in the
  • FIG. 8 in a representation corresponding to FIG. 7 shows a modified exemplary embodiment of a device according to the invention
  • FIG. 9 shows a further exemplary embodiment of a covering membrane of a device according to the invention in section perpendicular to the membrane plane;
  • FIG. 10 in a representation corresponding to FIG. 9 shows a further exemplary embodiment of a cover membrane of a device according to the invention.
  • FIG. 11 in a representation corresponding to FIG. 10 shows a further exemplary embodiment of a cover membrane of a device according to the invention.
  • a covering membrane 18 made of bioresorbable material, such as polylactide or the like.
  • the existing covering device is arranged in such a way for covering a bone recess 20 that the covering membrane 18 in a border area 22 between the tooth cement 24 and the tooth enamel 26 by means of a binding thread 28 which is inserted into a binding screw 30 at the top in FIG. 1 drawn transverse edge or the transverse edges drawn above - the upper transverse edge lying behind the plane of the drawing is not shown in the drawing - is brought into tight contact, the border region 22, as can be seen in FIG.
  • the covering membrane 18 consists of bulbous preformed, moreover bielastic material, so that, with a corresponding cut, they are brought into contact with the "inner leg surfaces" of the two legs 12, 14 as well as with the outer surface thereof by means of the binding thread 28, which is introduced into the binding screw 30 after the "covering", can be fixed reliably and non-slip on the tooth 16.
  • FIG. 2 shows the individual elements of the device according to the embodiment of FIG. 1 in an arrangement rotated by 90 °, a knot 32 also being recognizable here, by means of which the ends of the binding thread are tightened together by the surgeon while tightening the covering membrane 18 in the region the setting screw 30 to the outer surface of the tooth 16 has been brought to the plant.
  • FIG. 4 shows an enlarged view of the setting screw 30 and the setting thread 28 of an embodiment corresponding to FIGS. 1 and 2.
  • FIG. 5 shows an enlarged view of a section through the binding screw 30 of the exemplary embodiment from FIG. 4.
  • the device is used in the exemplary embodiment from FIGS. 1 to 5 as follows: First, the surgeon folds the gum down from the plane of the drawing in FIG. 1 or the plane parallel to it on the rear side of the tooth 16 until the bone recess 20, e.g. can be caused by an inflammation of the root, is exposed on both sides. Then the covering membrane, which is essentially preformed in a rectangular or trouser-cut manner, is pulled through the cavity, then folded up into the border area 22 between tooth cement 24 and tooth enamel 26, and then by pulling the binding thread 28 into the binding screw 30 of the two transverse edges with the thereby provided fixing device. The binding thread 28 is then pulled taut and knotted by means of the knot 32. The covering membrane then closes off the bone recess 20 in a non-slip manner with respect to the soft tissue. The surgeon then closes the gums again.
  • the bone recess 20 grows bony after the bone skin has been correspondingly loaded, preferably pierced, so that bleeding from the bone material of the tooth is possible.
  • the covering membrane 18 has a strip-like thickening 34 on its upper transverse edge, which engages positively in the naturally existing constriction between tooth cement 24 and tooth enamel 26 in the border area 22 and in this way slides down Cover membrane 18 prevented.
  • An embodiment of such a thickening is shown in FIGS. 6 and 7 in an enlarged view.
  • Another exemplary embodiment is shown in FIG. 8, the thickening 34 being provided here only like a nose and not extending over the entire extent of the transverse edge, as in the exemplary embodiment according to FIGS. 6 and 7.
  • the surface of the covering membrane 18 facing the connective or soft tissue lying above in the drawing has projections 36 and depressions 38, which are each designed such that they can be positively encompassed by collagen structures of the connective tissue growing in from above, whereby the retention of the connective tissue on the covering membrane 18 is improved.
  • the covering membrane 18 is constructed from a base layer 40 which faces the bone and a cover layer 42, the latter having open micropores 44 which are also suitable for the ingrowth of collagen structures.
  • Base layer 40 is a back layer 46, which also has open micropores 44, which are suitable for the ingrowth of collagen structures, specifically out of the bone defect site.
  • the covering device can also be fixed by means of fastening nails, preferably consisting of bioresorbable material, either in the area of the bone recess 20 or adjacent thereto, or, optionally, additionally, in the border area 22 on the bone material of the tooth 16, as is the case, for example is described in DE-PS 43 00 039.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Transplantation (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Epidemiology (AREA)
  • Surgery (AREA)
  • Developmental Biology & Embryology (AREA)
  • Dentistry (AREA)
  • Prostheses (AREA)
  • Dental Prosthetics (AREA)
  • Materials For Medical Uses (AREA)

Abstract

L'invention concerne un dispositif permettant de traiter une cavité osseuse (20) formée dans la zone de jonction (10) des deux branches d'une fourche dentaire, qui comprend un dispositif plan de recouvrement comportant une membrane de recouvrement (18) à action cellulo-occlusive et servant à recouvrir temporairement la cavité osseuse (20) vis-à-vis du tissu mou environnant, ledit dispositif pouvant être plié vers le haut en direction de l'extrémité distale de la dent, après son introduction entre les branches (12, 14) de la fourche. Après avoir été appliqué sur les deux surfaces dentaires sensiblement parallèles à la ligne de jonction des axes médians longitudinaux des deux branches, ledit dispositif peut être fixé à la dent (16), dans la zone d'interface (22) entre le cément (24) et l'émail (26) de la dent. Sur ses deux bords transversaux distaux correspondant à la zone d'interface (22) entre le cément (24) et l'émail (26) de la dent, le dispositif de recouvrement (18) comporte un élément auxiliaire de montage. Ce dispositif se caractérise en ce que l'auxiliaire de montage comporte un dispositif de fixation (28, 30, 34) qui permet de monter, par liaison de forme et/ou de force, le dispositif de recouvrement (18) sur la dent (16).
PCT/DE1996/001023 1995-06-08 1996-06-04 Dispositif permettant de traiter une cavite osseuse Ceased WO1996041586A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
AU58919/96A AU5891996A (en) 1995-06-08 1996-06-04 Device for treating a bone recess
BR9608950A BR9608950A (pt) 1995-06-08 1996-06-04 Dispositivo para o tratamento de uma cavidade intra-óssea
JP9502492A JPH10510453A (ja) 1995-06-08 1996-06-04 骨の凹所を処置するための装置
EP96915994A EP0830102A1 (fr) 1995-06-08 1996-06-04 Dispositif permettant de traiter une cavite osseuse

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19520866.8 1995-06-08
DE1995120866 DE19520866C2 (de) 1995-06-08 1995-06-08 Vorrichtung zum Behandeln einer Knochenausnehmung

Publications (1)

Publication Number Publication Date
WO1996041586A1 true WO1996041586A1 (fr) 1996-12-27

Family

ID=7763878

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE1996/001023 Ceased WO1996041586A1 (fr) 1995-06-08 1996-06-04 Dispositif permettant de traiter une cavite osseuse

Country Status (7)

Country Link
EP (1) EP0830102A1 (fr)
JP (1) JPH10510453A (fr)
AU (1) AU5891996A (fr)
BR (1) BR9608950A (fr)
CA (1) CA2220183A1 (fr)
DE (1) DE19520866C2 (fr)
WO (1) WO1996041586A1 (fr)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19608250C2 (de) * 1996-03-04 1999-08-05 Kirsch Axel Abdeckmembran und Verfahren zu deren Herstellung
DE19741273C1 (de) * 1997-09-19 1999-03-11 Johann Flaum Hilfsmittel zur Anregung des Zahnwachstums und zur Kieferregenerierung
GB9908638D0 (en) * 1999-04-15 1999-06-09 Univ London Use of osseo-promotive membranes in orthopaedics
JP6893838B2 (ja) * 2017-07-12 2021-06-23 日本ピストンリング株式会社 インプラントの表面構造およびインプラントの表面構造の製造方法

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WO1990007308A1 (fr) * 1988-12-23 1990-07-12 Procordia Oratech Ab Barriere chirurgicale
WO1990011730A1 (fr) * 1989-04-05 1990-10-18 W.L. Gore & Associates, Inc. Procedes et objets permettant de traiter les maladies periodontales et les problemes osseux
US5059123A (en) * 1990-05-14 1991-10-22 Jernberg Gary R Periodontal barrier and method for aiding periodontal tissue regeneration
DE9115341U1 (de) * 1991-12-11 1992-02-20 Merten, Hans Albert, Dr.med. Dr.med.dent., 3400 Göttingen Stützgitter zur Aufnahme von partikulären Knochenersatzmaterialien
WO1992010218A1 (fr) * 1990-12-06 1992-06-25 W.L. Gore & Associates, Inc. Article bioabsorbable implantable
WO1992011043A1 (fr) * 1990-12-24 1992-07-09 Q-Life Systems, Inc. Surfaces activement steriles
US5152791A (en) * 1989-12-07 1992-10-06 Olympus Optical Co., Ltd. Prosthetic artificial bone having ceramic layers of different porosity
DE4211343A1 (de) * 1992-04-04 1993-10-07 S & G Implants Gmbh Endoprothese
WO1994003121A1 (fr) * 1992-08-05 1994-02-17 Guidor Ab Element chirurgical et procede de regeneration selective des tissus
DE4302708A1 (de) * 1993-02-01 1994-08-04 Kirsch Axel Abdeckmembran
US5360341A (en) * 1993-07-30 1994-11-01 Abramowitz Paul N Method and appliance for promoting the healing of oral tissues
DE9416010U1 (de) * 1994-10-05 1994-12-15 Richter, Uwe, Dr., 69121 Heidelberg Membran
WO1995009583A1 (fr) * 1993-10-01 1995-04-13 Lucocer Aktiebolag Implant
FR2713090A1 (fr) * 1993-12-03 1995-06-09 Scortecci Gerard Dispositif utilisé pour la régénération tissulaire guidée.

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US5171148A (en) * 1989-06-30 1992-12-15 Ethicon, Inc. Dental inserts for treatment of periodontal disease
DE4300039C1 (de) * 1993-01-04 1994-06-09 Imz Fertigung Vertrieb Befestigungsnagel und Setzwerkzeug hierfür
DE4313192C1 (de) * 1993-04-22 1994-09-15 Kirsch Axel Manschette zur Heilbeschleunigung von Knochendefekten

Patent Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1990007308A1 (fr) * 1988-12-23 1990-07-12 Procordia Oratech Ab Barriere chirurgicale
WO1990011730A1 (fr) * 1989-04-05 1990-10-18 W.L. Gore & Associates, Inc. Procedes et objets permettant de traiter les maladies periodontales et les problemes osseux
US5152791A (en) * 1989-12-07 1992-10-06 Olympus Optical Co., Ltd. Prosthetic artificial bone having ceramic layers of different porosity
US5059123A (en) * 1990-05-14 1991-10-22 Jernberg Gary R Periodontal barrier and method for aiding periodontal tissue regeneration
WO1992010218A1 (fr) * 1990-12-06 1992-06-25 W.L. Gore & Associates, Inc. Article bioabsorbable implantable
WO1992011043A1 (fr) * 1990-12-24 1992-07-09 Q-Life Systems, Inc. Surfaces activement steriles
DE9115341U1 (de) * 1991-12-11 1992-02-20 Merten, Hans Albert, Dr.med. Dr.med.dent., 3400 Göttingen Stützgitter zur Aufnahme von partikulären Knochenersatzmaterialien
DE4211343A1 (de) * 1992-04-04 1993-10-07 S & G Implants Gmbh Endoprothese
WO1994003121A1 (fr) * 1992-08-05 1994-02-17 Guidor Ab Element chirurgical et procede de regeneration selective des tissus
DE4302708A1 (de) * 1993-02-01 1994-08-04 Kirsch Axel Abdeckmembran
US5360341A (en) * 1993-07-30 1994-11-01 Abramowitz Paul N Method and appliance for promoting the healing of oral tissues
WO1995009583A1 (fr) * 1993-10-01 1995-04-13 Lucocer Aktiebolag Implant
FR2713090A1 (fr) * 1993-12-03 1995-06-09 Scortecci Gerard Dispositif utilisé pour la régénération tissulaire guidée.
DE9416010U1 (de) * 1994-10-05 1994-12-15 Richter, Uwe, Dr., 69121 Heidelberg Membran

Also Published As

Publication number Publication date
EP0830102A1 (fr) 1998-03-25
BR9608950A (pt) 1999-03-02
DE19520866A1 (de) 1996-12-12
AU5891996A (en) 1997-01-09
DE19520866C2 (de) 1998-04-16
JPH10510453A (ja) 1998-10-13
CA2220183A1 (fr) 1996-12-27

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