Fixed detachable dental attachment device, assembly and methods of using the same
A fixed, detachable dental attachment device has a cap for securing a dental appliance, a ring, and an abutment to attachment to a tooth root or implant. Also described herein are methods of securing a dental appliance in a subject's mouth by means of the dental attachment device. Further described herein is a dental attachment device for immediate load on a provisional denture and then incorporated into the final restoration.
1. A fixed detachable dental attachment device, comprising:
a cap for securing a dental appliance having
a first attachment portion adapted to be rigidly secured to the dental appliance,
a body portion having an outer surface which engages the dental appliance,
an open end and an inner cavity facing away from the dental appliance and having an inner end facing the open end and an annular wall extending from the inner end to the open end, and
a retention head extending from the inner end of the inner cavity and having an enlarged end portion, the annular wall having a concave portion extending up to the open end, the concave portion being defined by a concave lip and an inner annular surface of the annular wall;
an abutment comprising an upper portion and a second attachment portion, the second attachment portion defining a central axis, wherein the upper portion has a convex outer surface comprising an open end and a socket;
a retainer ring engaging an annular ring extending from a sidewall of a cylindrical cavity of the socket to retain the retainer ring in the socket, wherein the retainer ring has a tapered, lower inner wall, and a tapered upper inner wall, wherein the enlarged end portion of the retention head extends into the socket and through the retainer ring to secure the cap onto the abutment with the convex outer surface of the abutment engaging the concave portion of the annular wall of the cap and the enlarged end portion engaging the tapered, lower inner wall of the retainer ring, such that the enlarged end portion of the retention head is in swivel engagement in the retainer ring in the socket and the concave lip and the inner annular surface of the concave portion of the cap is in direct swivel engagement with the convex outer surface of the abutment; and
the upper portion of the abutment having a second axis that is pre-angled at a predetermined angle in the range from 5° to 45° relative to the central axis of the second attachment portion.
2. The device of claim 1 , wherein the retention head is integral with the body portion of the cap.
3. The device of claim 1 , wherein the enlarged end portion of the retention head is ball-shaped.
4. The device of claim 1 , wherein the enlarged end portion of the retention head is in a shape selected from the group consisting of: spherical, polyhedron, and spheroid.
5. The device of claim 1 , wherein the abutment further comprises a cuff portion between the upper portion and the second attachment portion and the cuff portion is aligned with the central axis of the second attachment portion.
6. The device of claim 1 , wherein the upper portion of the abutment is pre-angled at 20° relative to the central axis of the second attachment portion.
7. The device of claim 1 , wherein the upper portion of the abutment is pre-angled at an angle relative to the central axis of the second attachment portion selected from the group consisting of 10 degrees, 15°, 20°, and 25°.
8. The device of claim 1 , wherein the retention head is adapted for swivel engagement in the retainer ring in the socket over a predetermined range of divergence relative to the second central axis of the upper portion of the abutment.
9. The device of claim 8 , wherein the abutment has an upper end facing away from the socket which is axially spaced from the inner end of the cavity to provide a first gap between the upper end of the abutment and the opposing inner end of the inner cavity in the cap, and the enlarged end portion of the retention head has an end face spaced from the socket to provide a second gap between the retention head and socket, wherein the first and second gaps permit swivel engagement of the retention head in the retainer ring in the socket over the predetermined range of divergence.
10. The device of claim 8 , wherein the range of divergence between the cap and retention member relative to the second central axis of the upper portion of the abutment is at an angle from 0° to 20°.
11. The device of claim 8 , wherein the cap is adapted to diverge relative to the central axis of the second attachment portion of the pre-angled abutment at a total angle selected from the group consisting of: 20°, 21°, 22°, 23°, 24°, 25°, 26°, 27°, 28°, 29°, 30°, 31°, 32°, 33°, 34°, 35°, 36°, 37°, 38°, 39°, and 40°.