Optimized dental implant system

Abstract

An optimized dental implant system comprising: - at least one dental implant; - at least one customized post; - at least one healing cap made of PMMA or PEEK having a locking taper and a flared lower portion, configured to be fully inserted into and interlocked with the post; and - at least one capsule or temporary crown made of PEEK or PMMA, which can be fixed to the post using the cap. The post comprises: - a first subgingival portion having vestibular, mesial, distal, and palatal surfaces, adapted to allow for the maturation of connective tissue attachment and juxitation; and - a second subgingival portion having a height adapted to the patient's occlusal height.

Description

Technical Field

[0001] The present invention relates to an optimized dental implant system.

[0002] In particular, the present invention relates to an optimized dental implant system of the type used in dentistry.

[0003] As is well known, dental implantology refers to a series of surgical techniques aimed at functionally restoring patients with complete or partial edentulism by using dental implants, that is, devices surgically implanted into the mandible or maxilla, to enable the connection of fixed or removable prostheses and restore chewing function. These implants are of different shapes, inserted at different positions using different techniques, and may then be connected to the prosthesis at different times.

[0004] Currently, for the purpose of replacing defective or missing teeth, implant-supported treatment solutions are highly predictable. Initially, it was thought that it would take 3 to 12 months for the socket to heal after tooth extraction to ensure osseointegration of the implant. Many scientific studies in this technical field aim to optimize the timing of implant placement.

[0005] In the case of a single implant in the aesthetic area, the placement of the implant at the healing site leads to dimensional changes and atrophy of the alveolar crest bone, and it is recommended to place the implant as soon as possible after tooth extraction. In experiments conducted on dogs and humans, changes in the structure and dimensions of the alveolar crest bone after tooth extraction have been observed in the buccal bone part and the bucco-lingual / palatal direction and the apical-coronal direction of the bundle bone.

[0006] To ensure accurate aesthetic results of implant treatment, it is essential to preserve the morphology, structure, and health of the soft tissue.

[0007] To achieve excellent aesthetics without defects in the extraction site, it is important to have adequate three-dimensional bone volume at the alveolar crest and, if necessary, to perform bone augmentation procedures.

[0008] Alveolar preservation techniques, as well as the immediate placement of implants in the post-extraction socket without waiting for bone and soft tissue healing, do not hinder the physiological regeneration of bone after extraction.

[0009] The mucosa and mucosal seal surrounding the implant, facing the implant abutment, consists of a crown portion (1.5–2 mm in experimental animal studies) composed of junctional epithelium and gingival sulcus epithelium, and a apex portion (1–1.5 mm in experimental animal studies) that appears to be in direct contact with the implant surface. The process of peri-implant mucosal formation in implants placed in sockets after tooth extraction has been described in a study conducted by Vignoletti in dogs. At 1 week, the junctional epithelium is continuous with the oral epithelium, and the connective tissue is observed to be rich in inflammatory cells. At 4–8 weeks, signs of inflammation disappear, the epithelial barrier matures and makes close contact with titanium, and the fibroblast-rich connective tissue appears dense.

[0010] In comparison with Berglundh's similar study in dogs regarding implants placed in the recovered alveolar ridge, Vignoletti's study showed that the epithelial barrier of implants after tooth extraction remained wider during healing.

[0011] Abrahamsson et al. evaluated the effects of repeated removal and reattachment of abutments on peri-implant tissues in a study conducted in dogs. The results showed that frequent reattachment of abutments to the implant surface causes a shift of connective tissue towards the apex in an attempt to establish an appropriate biological width for the peri-implant seal, and marginal bone loss (marginal resorption). Abutments made of titanium allow for the formation of mucosal attachment of epithelial and connective tissue. Therefore, the limitations and current goals in the field of implant prosthetics, particularly in the aesthetic area of ​​the anterior teeth, are long-term stability, tissue consideration, reduction of postoperative discomfort, and immediate temporary prosthetics.

[0012] The patient needs, and by extension the goals of current research, are to obtain implants and technologies that enable a reduction in the number of surgeries, hospital visits, treatment time, and costs, as well as bone preservation at the implant site and optimization of soft tissue aesthetics.

[0013] Furthermore, the systems described in documents WO2018 / 234247A1 and US2012 / 295223A1 are known. However, these known systems do not solve the technical problem of providing customization and optimization of dental implants based on the specific teeth and dental arches considered to maximize osseointegration and dimensional optimization.

[0014] In prior searches and research, the applicant described an implant system in Italian Patent No. 102019000025480.

[0015] However, the dental implant systems already described are not fully customized based on statistical and mathematical analysis, nor are they optimized based on the specific teeth and dental arches considered, nor do they allow for application to multiple or angled implants.

[0016] The scope of the present invention is to provide an optimized implant system, i.e., a system that maximizes osseointegration and is dimensionally optimized and standardized. Furthermore, an object of the present invention is to provide an optimized dental implant system capable of providing an implant-post-treatment cap connection, which enables the insertion of a customized final titanium post that is inserted during surgery and not removed from the implant interface, preventing abutment detachment and overcoming the limitations of conventional known systems.

[0017] The dental implant system according to the present invention makes it possible to perform surgical and prosthetic procedures simultaneously in what is known as "time zero." However, currently, the tendency is to first perform a surgical procedure aimed at integrating the implant, followed by prosthetic intervention using a treatment post or temporary post to form bone and mucosal tissue.

[0018] According to the present invention, a dental implant system as defined in claim 1 is disclosed.

[0019] To better understand the present invention, preferred embodiments are described below as purely non-limiting examples with reference to the accompanying drawings. [Brief explanation of the drawing]

[0020] [Figure 1] Some components of the dental implant system according to the present invention are shown. [Figure 2] The diagram shows a cap for a dental implant system, particularly an incisor cap, according to the present invention. [Figure 3] The diagram shows a cap for a dental implant system, particularly a cap for polishing, according to the present invention. [Figure 4] A diagram of a cap for a dental implant system, particularly a cap for premolars, according to the present invention is shown. [Figure 5] This diagram shows an abutment for a dental implant system according to the present invention, particularly an incisor abutment. [Figure 6] The figures show copings and temporary prostheses for angled implants according to the present invention. [Modes for carrying out the invention]

[0021] Referring to these figures, the components of the optimized dental implant system according to the present invention are shown.

[0022] More specifically, the optimized dental implant system that is the objective of this invention is: - A customized titanium post suitable for placement on a dental implant, wherein its shape conforms to the natural contour of the crown-root interface of a particular tooth at the CEJ (cementomere junction) level, and - A healing cap made of PMMA or PEEK having a locking taper and a flared lower end, which fits completely onto a support, and the flare is suitable for forming a joint. -Includes at least one capsule or temporary crown, which is fixable to a post via a cap, and is made of PEEK or PMMA, The support posts are, -The first subgingival portion of the post extends approximately 2mm to 4mm in height from the internal linkage on the implant head, comprising a vestibular surface, a mesial surface, a distal surface and a palatal surface, and is adapted to allow for the maturation of connective tissue attachment and bonding. The flare of the post surface in the first subgingival portion is further divided into two parts: the first part contacts the implant during use and protects the blood clot during use, which is converted into bone at the implant contact site and into connective tissue at the contact site of the first part of the flared post; the second part is fitted with a cap and is adapted to allow for the maturation of bonding. - A second subgingival margin with a height of 5 mm to 7 mm adapted to the occlusal height of the patient, having different flares or different inclinations with respect to the vertical, with a customized cap attached in the first healing stage, assisting in the formation of the form of joint adhesion and periodontal sulcus (gingival sulcus epithelium) adhesion together with the provisional crown, and the cap and the provisional crown being replaced by the final structure as the hard and soft tissues mature, consisting of the second subgingival margin.

[0023] The strut shape includes a vestibular switch, a mesial switch, a palatal switch, and a distal switch, each being variable at the vestibular surface (V), the palatal surface (P), the mesial surface (M), and the distal surface (D), and variable for each tooth.

[0024] According to one aspect of the present invention, the system is - At least one dental implant, - At least one customized abutment 101a, 101b, 101c ··· 101n made of titanium and suitable for being placed on the dental implant, wherein the shape of the abutment is configured to follow the natural contour of a specific tooth at the crown - root interface at the CEJ (cement - cement junction) level, at least one abutment, - At least one healing cap 102a, 102b, 102c, ··· 102n (made of PMMA or PEEK) that can be fixed to the implant, having a conometric connection part, with the lower part being flared, configured to be fully inserted and adapted onto the strut, and the flare being suitable for the formation of the shape of joint adhesion, the healing cap, - At least one capsule 103a that can be fixed to the final strut or temporarily fixed to the cap, the cap can be further fixed to the strut, and the capsule is preferably made of PEEK or PMMA, consisting of the capsule 103a.

[0025] According to one aspect of the present invention, the strut is -The first subgingival portion of the post extends approximately 2mm to 4mm in height from the internal linkage on the implant head, comprising a vestibular surface, a mesial surface, a distal surface and a palatal surface, and is adapted to allow for the maturation of connective tissue attachment and bonding. The flare of the post surface in the first subgingival portion is further divided into two parts: the first part contacts the implant during use and protects the blood clot during use, which is converted into bone at the implant contact site and into connective tissue at the contact site of the first part of the flared post; the second part is fitted with a cap and is adapted to allow for the maturation of bonding. - A second subgingival area with a height of 5mm to 7mm that matches the patient's occlusal height, having different flares or inclinations relative to the vertical, fitted with a customized cap in the first healing stage, the cap assisting in bonding and morphogenesis of the periodontal sulcus (gingival sulcus epithelium) together with the temporary crown, and the cap and temporary prosthesis being replaced by the final structure as the hard and soft tissues mature.

[0026] Therefore, the flare on the surface of the post below the gingival margin is suitable for protecting the blood clot during use, which then transforms into bone where it contacts the implant and into connective tissue where it contacts the first flared portion of the post. The post also includes a second portion to which a cap is attached during use, and this second portion is suitable for healing in part of its extension over a height of approximately 2-4 mm from the junction.

[0027] Mucosal seals are 1) Located approximately 1 mm above the implant, near the alveolar crest bone, this is a critically important area where connective tissue is attached. 2) The bonding is determined by the cap, and the lower part has a post shape that contacts the implant head and a continuous flare, while the upper part is flared to accommodate a temporary crown, which is bonded to the cap and consists of a critical area that forms the periodontal groove (or gingival sulcus in a non-critical area).

[0028] Figure 1 shows an example of the morphology of the components of a dental implant system. However, each component is optimized and customized as described below.

[0029] The abutments 101a, 101b, 101c, ... 101n and healing caps 102a, 102b, 102c, ... 102n have optimized shapes and sizes to protect the underlying blood clot and allow for its differentiation into different tissues, connective tissue, junctional epithelium, and periodontal sulcus epithelium. The inclined or flared surfaces of the abutments 101a and caps 102a, 102b, 102c, ... 102n are uniform and continuous at their junction, allowing the different tissues to mature in a safe and protected manner.

[0030] Each abutment 101a is created from statistical and mathematical analysis and has an optimized shape that follows the natural contour of the tooth at the crown-root interface at the CEJ, i.e., cement-cement junction level.

[0031] The abutment according to the present invention enables immediate stabilization of the blood clot, regardless of whether regeneration technology is used, thereby allowing the blood clot to differentiate and mature without being altered at the interface with the abutment.

[0032] At time 0, i.e., in the first surgery, the final structure can be tested using the system according to the present invention, and the implant insertion can be completed by attaching customized caps 102a, 102b, 102c, ... 102n using a conometric connector. The conometric connector ensures modeling of the peri-implant mucosa profile, maintains soft tissue volume, and ensures further protection against blood clots. The conometric connector ensures stability and minimizes bacterial infiltration. The posts and caps are not identical in the right, left, upper, and lower quadrants, but are differentiated and customized in shape, surface inclination, and height according to the implantation site, i.e., the position of the tooth to be replaced within the dental arch.

[0033] Advantageously, customization allows the system to be adapted in a specific, optimized way.

[0034] In particular, the abutment is not drawn based on impressions but is created in a universally optimized way based on statistical morphological evaluation, which is advantageous as it allows for the implant, final abutment, and temporary cap to be fitted in a single surgery, resulting in a clear positive impact.

[0035] As shown in the figure, the support column 101a has a variable diameter and outer surface, and the outer surface has different inclinations and heights depending on whether the distal surface, mesial surface, palatal surface, or vestibular surface is considered.

[0036] Furthermore, the abutment 101a is adapted and optimized in height above the gingival margin based on the patient's chewing height, and is between 5mm and 7mm.

[0037] The support column 101a according to the present invention can have a greater or lesser height depending on the occlusal gap, which is equal to 7 mm and 5 mm or 6 mm, respectively.

[0038] This feature of the post 101a advantageously solves prosthetic problems associated with variations in the vertical dimensions of occlusion. Furthermore, if there is a change in the inclination between the implant and the post, there is a risk that the connection between the post and the implant will change. In these cases, the post according to the present invention may include a dynamic screw or an angled screw that allows for compensation of an angular difference of 15 to 20 degrees.

[0039] In cases involving multiple implants, and when the angle exceeds 15-20 degrees, the system according to the present invention can use customized abutments in the molar region, premolar region, or aesthetic region, or it can use commercially available angled abutments and apply customized copings thereon.

[0040] The system also allows for the correction of incorrect implant placement by using customized caps 102a, 102b, 102c, ...102n.

[0041] Furthermore, advantageously, the temporary crown fixed on the cap not only compensates for different inclinations and fits, but also separates the cementation image from the alveolar crest bone. This is because the cap and temporary crown act on the fusion attachment in the critical area, while the supercritical area where connective tissue attachment is formed is protected by the lower part of the customized post. Thus, the shape of the cap allows for optimal protection of the blood clot. In addition, the system according to the present invention makes it possible to solve surgical problems. The mucosal seal is divided into three areas, and the system according to the present invention is optimized and acts in all three areas. In the supercritical area at the top that contacts the alveolar crest bone, the abutment is advantageous in protecting the mucosal seal (connective tissue attachment) because it can be immediately fitted, is customized to have a shape specific to the tooth being replaced, and is not removed. In the semicritical area, the cap continues the shape of the post, further protecting the blood clot, aiding differentiation, and guiding the mucosal seal to obtain an optimized shape in the 2-3 mm range related to fusion attachment. In the third region, the gingival sulcus epithelium, the temporary prosthesis can be completed by curving the morphology of tissue maturation at the marginal bone level by joining a cap, thereby allowing it to match the morphology of the replaced natural tooth and respecting the patient's anatomical and biological characteristics. The temporary crown is also customized and attached to the cap immediately or after 3 months, supporting and assisting the mucosa by giving it an appropriate shape.

[0042] The currently known system involves either placing a temporary prosthesis after taking a direct analog impression following surgery, or placing a temporary prosthesis indirectly after 6 months, modifying the temporary prosthesis to fit its shape, and compressing the gingival tissue.

[0043] Furthermore, the upper part of the post appears to have a flare that precisely corresponds to the flared portion at the bottom of the healing cap. As shown in Figures 2-4, each coping 102a, 102b, 102c, ... 102n is specific and customized, but has similar structural and morphological features. Each cap has a flare at one end of its proximal end, and for example, to obtain the advantages already described, it has a middle section with a diameter D1 and a final section with a diameter D2, where D2 is smaller than D1. The final section has an inclined surface of about 7 degrees, which is usually not parallel to each other, so that conometric attachment is possible and a hole is drilled at the top. The PMMA cap is connected to the titanium post in a conometric manner and is divided into two parts. The first is the part that continues the different post designs on the four surfaces (mesial, distal, vestibular, and palatal) up to the gingival margin, and the second extends beyond the gingival margin or 1 mm below the gingival margin, has a counter switch inside, and accommodates the temporary prosthesis. This temporary prosthesis is modified and fitted to the gingival sulcus, and its maturation and shaping are guided in a customized manner.

[0044] Advantageously, this system helps promote the healing and protection of blood clots and assists in modeling epithelial tissue. Furthermore, it allows for the construction of temporary crowns and the acquisition of digital impressions for the final prosthesis, determining the morphology of the soft tissue and consequently defining the aesthetic form of the final capsule, whether screw-retained or conometrically superimposed.

[0045] The shape of the post and healing cap is differentiated according to the upper or lower, right or left, and aesthetic or non-aesthetic areas, and has an optimized profile and curvature. Each profile is derived from statistical and morphological studies, thereby allowing for a specially designed system based on the tooth being replaced (not on the individual patient, but on the perialveolar crest bone, which is the part of the tooth called the cementum joint).

[0046] Advantageously, both temporary and final crowns, with or without aesthetic materials, are customized to harmonize with the morphology of the patient's other teeth.

[0047] As described above, this system can be created in a unique, alternative form based on the tooth intended to be replaced by the dental implant system, as described below.

[0048] In particular, the shape of the abutment includes different “switches” for each tooth, varying for each tooth in the vestibular, palatal, mesial, and distal surfaces. The VMPD switches have different heights, and in particular, considering teeth in anterior positions, they are 2.5 mm for the vestibular surface, 3.5 mm for the mesial surface, 3 mm for the palatal surface, and 2.5 mm to 3 mm (preferably equal to 3 mm) for the distal surface. The switches differ mirror-image by referring to the right or left side of the upper or lower dental arch. Alternatively, the abutment according to the present invention includes a vestibular switch (V) with a height equal to 1.5 mm, a mesial switch (M) with a height of 2.5 mm, a palatal switch (P) with a height of 2 mm, and a distal switch (D) with a height of 2 mm, considering teeth in posterior positions relative to the entire dental arch.

[0049] Advantageously, the specific shape of the system can protect the blood clot and promote its conversion into differentiated tissue, supporting the mucosal seal, which in nature always tends to contract and retract.

[0050] The dental implant system optimized in the second embodiment relates to multiple implants positioned posteriorly to the entire dental arch. When inclined implants with an inclination angle greater than 15 degrees are used, standard commercially available angled connecting posts with inclination angles in the range of 15 to 30 degrees and a height of 1 mm or 2 mm are used to correct parallelism. Customized temporary caps are fixed to these posts. These posts also have a corresponding shape and are identical in external form to the customized abutment 2-3 mm below the gingival margin and supragingually (5-7 mm in height), and are internally perfectly fitted to the commercially available posts and screw-fixed.

[0051] Therefore, in addition to the system already described, a plurality of implants according to one aspect of the present invention may also be used with customized screw-retained abutments and customized caps having the properties already described to correct angles or nonparallelisms. The plurality of implants includes connecting threads, and as a result, the abutments are prepared for screw connection.

[0052] According to another embodiment, the multiple system includes a customized angled post having a dynamic curve with a maximum curvature of 15 to 22 degrees, on which the structure is positioned partially screw-retained, partially cemented, or conometrically. In implants immediately after tooth extraction, the stability of the implant-abutment assembly can be enhanced by using a cap to solidify it with the adjacent tooth, thereby increasing integration with the bone and providing a seal that takes into consideration the specific morphology of the site and tooth.

[0053] According to one aspect of the present invention, when the screw insertion axis is located in the vestibule, the axis is angled, and the system's support column is inclined at the top, containing an inclined hole having an angle of 15 to 22 degrees inside, which houses a dynamic fixing screw when in use. In this case, immediate connection is achieved, and the customized support column is also optimized for implants in inclined structures because it is non-regular.

[0054] According to one aspect of the present invention, the system includes a plurality of tags, which are present on the surface of the coping and are configured to enable the detection of the scan body and the scan post of the coping itself, i.e., the impression of the coping, based on three points or tags. Alternatively, and advantageously, according to the present invention, it is not necessary to take an impression of the entire head of the implant. In fact, it is sufficient to take an impression of the shape of the abutment read by the intraoral scanner, and the cap is coupled to a digital model of the abutment so as to fit perfectly to the base abutment, thereby avoiding the scan post and scan body.

[0055] The mucosa is shaped with a cap and temporary prosthesis, thereby optimizing the connection with the implant.

[0056] The abutment according to the present invention has the following three regions in its subgingival region: -Connective tissue attachment located above the alveolar crest bone, maintained in an unimpeded and undisturbed state, - Joint adhesion that occurs at the end of the coping, - This consists of epithelial attachment, which is completed by inserting a temporary tooth onto the cap.

[0057] The mucosal seal is established immediately, and the abutment and cap assist in the maturation of the upper part of the alveolar crest bone. The peripheral or visible portion of the gum is completed using a temporary crown.

[0058] The abutments placed on the anterior teeth are of high aesthetic importance, and for these abutments, if the initial bonding torque of the implant is less than 30 N·cm, a splinting procedure is performed between the cap and the adjacent tooth. Approximately three months later, once osseointegration has occurred, the aforementioned splinting is replaced with a customized temporary prosthesis on the cap, designed to harmonize with the adjacent teeth, three months after the placement of the primary abutment (implant).

[0059] The post of an identical tooth, positioned on either the right or left side of the dental arch, is different from one another, and this system advantageously allows for the optimization of their shapes.

[0060] The applicant conducted experimental tests to support the effectiveness of the system according to the present invention in terms of blood clot protection and implant stability. Clinical parameters determined before and after intervention were detected using digital impressions and cross-sectional X-rays with reference points established. Verification of the parameters detected after intervention and comparison with their pre-intervention values ​​showed that the optimized dental implant system protects the blood clot, promotes its differentiation, and as a result stabilizes the implant and reduces the time required for implant and surgery.

[0061] Advantageously, the system according to the present invention makes it possible to perform a single, fully digitally guided implant prosthetic surgery at a single point in time. Therefore, its objective is to aim to perform the implant prosthetic process in an optimized manner with a single solution.

[0062] The system according to the present invention eliminates significant surgical, prosthetic, and design problems. The system overcomes these challenges through customized struts and caps created using specific digital mathematical algorithms.

[0063] Advantageously, the supragingival aspect of the abutment and its specific shape allow for the resolution of prosthetic issues through the taper presented by the abutment itself, which protrudes 5–7 mm above the gum line. This taper enables a conometric bond between the final capsule and the individualized abutment, avoiding or minimizing the use of cement and the associated risk of peri-implantitis.

[0064] The post according to the present invention is advantageous for stabilizing, guiding, and protecting the thickness and height of soft tissue. Attached keratinized tissue is a crucial biological factor for the stability of the bone around the implant, thereby reducing the reduction in alveolar process height and, by attaching to the portion of the abutment that is not removed, reducing bacterial intrusion and protecting the alveolar crest bone (critical area). The shape of the abutment and its conometric shape eliminate (or reduce, in the case of cement fixation) the risk of peri-implantitis due to cement residue. The customized design of the post also guides, protects, functions, and stabilizes soft tissue at 1 mm in the critical area TC, 2 mm in the semi-critical area JE, and 1.2 mm in the gingival sulcus area SE.

[0065] Furthermore, the design and form of the prosthesis are customized.

[0066] Advantageously, the cap and the temporary prosthesis customized according to the present invention reinforce and strengthen the action of the post in the three aforementioned areas.

[0067] This system also advantageously eliminates the need for direct or indirect conventional open and closed impressions for immediate or delayed temporary prostheses, and eliminates the need for scan posts and scan bodies.

[0068] Advantageously, the taper and height of the abutment above the gum eliminate some of the major problems associated with cemented prostheses.

[0069] Advantageously, the height of the support pole is greater than that of currently available commercially, which are limited to 3.5 mm and in either case are insufficient for support.

[0070] Finally, the customized conometric cap is fabricated together with the post and inserted simultaneously with the implant. This allows the customized conometric cap to contribute to the protection and maturation of soft tissue shaped according to the design and customized shape of the temporary prosthesis, avoiding direct and indirect impression taking at the surgical stage and eliminating the need to shape them with a screw-on temporary prosthesis after waiting for the soft tissue to heal and mature in an indirect manner and then compressing the tissue until the desired shape is achieved.

[0071] Therefore, the dental implant system optimized according to the present invention enables optimized osseointegration, optimized dimensions, and standardization.

[0072] Finally, it is evident that modifications and changes can be made to the optimized dental implant systems described and illustrated herein without departing from the scope of the invention as defined in the appended claims.

Claims

1. An optimized dental implant system, - At least one dental implant, - At least one customized titanium post suitable for placement on the dental implant, wherein the shape of the post is configured to follow the natural contour of a particular tooth at the crown-root interface at the CEJ level, - At least one healing cap made of PMMA or PEEK, having a locking taper, a flared lower end, configured to be fully inserted and fitted onto the support, the flare being suitable for forming a joint, and the at least one healing cap, - comprising at least one capsule or temporary crown made of PEEK or PMMA, which can be fixed to the support via the cap, The aforementioned support column is - The first subgingival portion of the support, which extends approximately 2 mm to 4 mm in height from the internal connection on the implant head, comprises a vestibular surface, a mesial surface, a distal surface, and a palatal surface, and is adapted to allow for the maturation of connective tissue attachment and bonding. The flare of the surface of the support in the first subgingival portion is further divided into two parts. The first part contacts the implant during use and is adapted to protect the blood clot during use. This blood clot is converted into bone at the implant contact site and into connective tissue at the contact site with the first part of the flared support. The second part is fitted with the cap and is adapted to allow for the maturation of bonding. - A second subgingival area having a height of 5 mm to 7 mm that conforms to the patient's occlusal height, having different flares or inclinations relative to the vertical, fitted with a customized cap during the first healing stage, assisting in the bonding attachment and morphogenesis of the periodontal groove (gingival sulcus epithelium) together with the temporary crown, and characterized in that the cap and the temporary crown are replaced by the final structure as the hard and soft tissues mature. The dental implant system wherein the shape of the support column includes a vestibular switch, a mesial switch, a palatal switch, and a distal switch, and each switch is variable on the vestibular surface (V), the palatal surface (P), the mesial surface (M), and the distal surface (D), and is also variable for each tooth.

2. The dental implant system according to claim 1, characterized in that, considering the teeth located in anterior positions, the vestibular switch (V) has a height of 2.5 mm, the mesial switch (M) has a height of 3.5 mm, the palatal switch (P) has a height of 3 mm, and the distal switch (D) has a height of 3 mm; on the other hand, considering the teeth located posterior to the entire dental arch, the vestibular switch (V) has a height of 1.5 mm, the mesial switch (M) has a height of 2.5 mm, the palatal switch (P) has a height of 2 mm, and the distal switch (D) has a height of 2 mm.

3. The system according to claim 1, comprising: a customized post which can be implemented with multiple posterior teeth and is screw-fixed to connect to the implant; and a customized cap which has a flare corresponding to the customized post located in the first 2-3 mm below the gum line.

4. The system according to claim 1, characterized in that the surface of the cap includes a plurality of tags detectable by a scan post, the precise shape of the cap itself is detected, and the cap itself and the support column that can be connected to the cap are manufactured.

5. The system according to claim 1, characterized in that the support column is inclined upward and has an inclined hole with an angle of 15 to 22 degrees inside, and a dynamic fixing screw is housed in this inclined hole when in use.

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