Horizontally positioned endosteel dental implant system and method

Abstract

To provide an endosteal horizontally placed non-crestal dental implant system including at least one dental implant having a proximal end, a distal end, an internal architecture, and a helical thread extending along an outside region between the proximal end and the distal end.SOLUTION: One or more implants are configured to be implanted horizontally or near horizontally by way of a non-crestal approach, into a mandible or maxilla and to engage with bone tissue. The system also includes at least one dental implant abutment having a proximal end for attaching to the dental implant and a distal end configured for the attachment of a dental prosthesis. A method of diagnosis and treatment of edentulism using the endosteal horizontally placed non-crestal dental implant system is also recited.SELECTED DRAWING: Figure 1

Description

Technical Field

[0001] The present invention is mainly related to the field of dental implants. More specifically, the present invention is related to an endosteal dental implant system and method positioned horizontally.

Background Art

[0002] A dentition defect is a state in which one or more teeth are lost. The problem of tooth loss is experienced by millions of adults. Tooth loss involves one or more teeth and is caused by factors ranging from injury to periodontal disease. Since dentition defect is irreversible and often progressive, it is one of the factors closely indicating a decline in the overall state of the patient's oral health.

[0003] There are two types of dentition defects. Partial dentition defect means a partial loss of dentition function. In other words, it is the loss of one or more teeth and does not mean the loss of all teeth. This definition also refers to the loss of functional teeth. Complete edentulism refers to the total loss of a functional dentition. Complete edentulism is more commonly seen in middle-aged and elderly patients and can be caused by several factors, among which the most common are problems due to periodontal disease, severe tooth grinding, and continuous bone loss. Complete edentulism is typically the result of progressive and long-term lack of dental care, but can also be caused by trauma.

[0004] The problems of dentition defect and tooth loss are much more comprehensive than functional decline. Secondary problems have many psychosocial impacts on patients, such as the fear of aging, social inhibition, and the decline of self-image.

[0005] The most common solution to tooth loss is to wear a removable device to replace the missing teeth with what is generally called a partial denture (partial denture) or a denture (complete denture). The number of denture wearers in the United States is estimated to be about thirty to forty million. Another 49 million are wearers of partial dentures or bridges. Many of these patients' dentures will eventually become loose or ill-fitting dentures.

[0006] In patients who have lost teeth, the bone in the oral cavity (i.e., the maxilla and mandible) decreases in volume, width, and height over time. This is because dentures are positioned above or above the gingival line, preventing direct stimulation of the mandibular bone. This lack of stimulation leads to bone resorption and other problems over time. The fixation of conventional dentures and bridges relies on the jawbone, and as bone loss progresses, loosening and problems with eating and speaking often occur. Eventually, bone loss progresses to the point where even strong adhesives can no longer fix the dentures, potentially requiring new devices. Proper denture care, repair, and readjustment are essential for maintaining oral health, but bone loss itself will continue to progress. Even if new prosthetic devices are made for patients suffering from bone atrophy, there is no guarantee that the new prosthetic devices will adequately solve the problems of loosening and mobility. This is because the main cause of denture loosening is the loss of bone volume and / or width and / or height, which remains uncorrected. In patients who have lost teeth, the bone in the oral cavity (i.e., the maxilla and mandible) decreases in volume, width, and height over time. This is because dentures are positioned above or above the gingival line, preventing direct stimulation of the mandibular bone. This lack of stimulation leads to bone resorption and other problems over time. The fixation of conventional dentures and bridges relies on the jawbone, and as bone loss progresses, loosening and problems with eating and speaking often occur. Eventually, bone loss progresses to the point where even strong adhesives can no longer fix the dentures, potentially requiring new devices. Proper denture care, repair, and readjustment are essential for maintaining oral health, but bone loss itself will continue to progress. Even if new prosthetic devices are made for patients suffering from bone atrophy, there is no guarantee that the new prosthetic devices will adequately solve the problems of loosening and mobility. This is because the main cause of denture loosening is the loss of bone volume and / or width and / or height, which remains uncorrected.

[0007] A recent survey by the Dental Products Report revealed that approximately 95% of patients were dissatisfied with their current dentures. The two most important factors in denture satisfaction were comfort and aesthetics. Additionally, about one-third of respondents were considering replacing their current dentures within the year.

[0008] The use of dental implants has become widely accepted and is increasingly becoming a cost-effective alternative to bridges and dentures. Essentially, a dental implant is an artificial tooth root that is embedded vertically into the alveolar bone of the upper and lower jaws. These implants have a screw-like structure that allows the surrounding bone to grow. A crown or denture is attached as the superstructure of the dental implant. Dental implants provide a robust substructure for fixed (permanent) or removable artificial teeth and can be custom-made to match the patient's natural teeth.

[0009] Dental implants have become the most frequently recommended option for replacing missing teeth in patients with both partial and complete tooth loss. Dental implants essentially function like artificial tooth roots. Conventional dental implants are inserted as crestal implant placements (i.e., embedded vertically or semi-vertically, from top to bottom, through the crest of the patient's alveolar bone). The patient's jawbone fuses with each implant, providing a secure platform for the dental prosthesis (prosthesis). The abutment serves as the connection point between the prosthesis and the implant. Longitudinal studies supporting the widespread adoption of this procedure demonstrate high long-term implant survival and success rates when performed correctly and in appropriate patients.

[0010] However, even the success of dental implants does not rule out the possibility of complications. Two types of complications can occur in implant dentistry: biological and technical (such as functional). Biological complications are impairments of implant function characterized by biological processes that affect the supporting tissues around the implant, i.e., early and late implant failure, and adverse reactions in the hard and soft tissues around the implant. Technical complications refer to mechanical damage to the implant, its components, and / or prosthesis.

[0011] The maxilla and mandible present very different surgical and restorative challenges due to bone quality, alveolar crest morphology and resorption patterns, jawbone morphology, and biomechanical considerations. The choice between fixed and removable implants is based on many factors, including patient preference, cost, ease of maintenance, and clinical considerations such as jawbone morphology, bone quality, bone volume, and arch morphology. The predictability of the long-term success of dental implants depends not only on the design, fabrication, and material selection, but also on the condition of the patient's bone tissue.

[0012] However, patients with bone loss may not be suitable candidates for conventional dental implants that are positioned through / from the alveolar crest. This approach is called the crestal approach. Traditionally, a sufficient and appropriate area of ​​osseointegration surface texture of the implant is required for successful osseointegration of a dental implant and to withstand the occlusal and masticatory forces necessary for the retention or support of the prosthesis. If the implant lacks this necessary osseointegration surface, the implant will fail due to a lack of strength and support from the bone (insufficient osseointegration surface). In other words, sufficient bone height and width must be present. Due to bone loss, there may not be enough bone in the maxilla and / or mandible, often in the mandible and maxilla, to position the dental implant crestally, in which case the patient will not be able to retain a partial or full denture.

[0013] Temporary anchorage devices (TADs) are small, screw-shaped dental implants made of titanium alloy, and as the name suggests, they are temporary. TADs typically remain in place for a limited period during the course of treatment and are then removed. Their function is to act as a stable anchor, a fixed point for moving other surrounding structures (i.e., teeth). TADs also serve as a fixed point for pushing and pulling forces that would normally be applied from outside the mouth via orthodontic headgear. Wearing headgear is not always comfortable and presents compliance issues. TADs have eliminated the need for headgear in many cases, which has been a welcome improvement for many patients.

[0014] Like dental implants, which have a track record of use for decades, TADs are small, screw-like devices that are positioned in the jawbone. However, unlike implants, they usually do not need to integrate with the jawbone or dentition itself. They are typically fixed in place by mechanical force alone. While these implants are effective for temporary purposes, they do not constitute a permanent system for attaching dental prostheses, retaining elements, and / or abutments, and are primarily used in surgical orthodontics rather than restorative dentistry.

[0015] Currently, there is a need for dental implant systems and methods that overcome the limitations of prior art. In particular, there is a need for dental technology that can solve the problem of loose dentures for patients with defects in the vertical height and / or width of their bones. [Overview of the project]

[0016] The present invention satisfies the need for a dental implant system that overcomes the limitations of the prior art. Essentially, the present invention comprises at least one dental implant having a proximal end, a distal end, and a helical thread extending along the lateral region between the proximal and distal ends, each implant being positioned horizontally or sub-horizontally by a non-crestal approach and embedded in the mandible or maxilla, and positioned to engage with bone tissue, and at least one dental implant abutment having a proximal end for attachment to the dental implant and a distal end configured for attachment to a dental prosthesis. For the purposes of this application, a non-crestal approach is defined as an approach into the jawbone from a non-vertical or non-sub-vertical direction.

[0017] Overall, the present invention relates to a circular or cylindrical metal alloy dental implant positioned in the jaw(s) by creating a horizontal access hole. The diameter, radius, width, height, length, and internal and external retention architecture of the implant vary depending on the patient's existing jaw morphology. This invention is a device that supports patients for whom conventionally positioned implants are unsuitable by redesigning conventional dental implants and positioning them horizontally. Furthermore, by changing the placement dynamics of the implant, the physical properties of the implant / prosthetic mechanism are also significantly altered without exception. The horizontally positioned dental implant is designed to effectively utilize bone that would otherwise be unusable.

[0018] The objective of this invention is to enable patients who are unsuitable for conventional implants (due to lack of bone volume, width, height, or any combination of the three) to receive dental implants through unconventional placement techniques. Such systems and methods can increase the number of people seeking dental implants. Currently, this will lead to a significant improvement in quality of life for people suffering from bone loss and loose dentures.

[0019] This horizontally positioned implant system is designed to be inserted into the oral cavity from the lateral side of the jaw. The insertion angle varies depending on the bone structure, composition, and bone density, taking into account the prosthetic outcome for each individual patient. This system and insertion method are different from any other implant currently in use.

[0020] The shape of this horizontally positioned dental implant is cylindrical, and it can be large, small, one, two, or more implants. This horizontally positioned implant system can be inserted into the maxilla or mandible. The implant architecture differs from conventional implants. In embodiments of the present invention, the threads differ in shape, length, etc. More importantly, the internal architecture differs significantly from conventional dental implants. In one embodiment of the present invention, the implant has two orifices that can accept one or two abutments (attachments). This versatile design is not found in other implants currently in use. These holes or orifices are located at both ends of the implant. This dramatically increases the range of retention design options that can be offered to the patient to stabilize the prosthesis. The use of the second orifice is optional. In one embodiment, there is a cover over the second orifice and a mechanism to release this cover. When this cover is removed, the dentist can access the internal surface of the implant and insert any attachment insert or abutment insert. The insert is screw-fastened, mechanically secured, and removable and fixed. The insert may be movable or fixed.

[0021] A horizontally positioned dental implant system also includes a “retaining arm” that extends into the oral cavity from the center of the implant when retractable. The retaining arm or retention arm can be configured to extend from the center of the cylindrical implant into both the cheek and tongue areas of the mouth. The retaining arm may be made of a fixed structure or a flexible material that can move according to patient needs, or even a combination of partially rigid and partially flexible materials. In one embodiment of the present invention, this retaining arm can be made mechanically actuated via a specific tool that brings about extension of the retaining arm or retention arm. In an alternative embodiment, a repressible actuation may be used. In an alternative embodiment, the implant may have various internal structures and designs that allow rotation and / or lateral movement of the retaining arm, which is an effort to reduce stress load on the retaining arm and / or implant fixture. The movement may be fully directional in any direction on the 360-degree axis.

[0022] Implant insertion is performed horizontally along the lateral surface of the jaw, either from the outside to the inside or from the front to the back. This method is in contrast to the crestal approach, which is performed from the alveolar crest. The tools required for this procedure differ from those for the crestal approach. The surgical guide, or "stent," which the dentist uses to ensure the implant is placed in the correct direction and orientation, also differs.

[0023] A series of steps or functions may be implanted as a method of diagnosis and placement. One such method may involve preoperative evaluation using imaging techniques, including but not limited to radiography, panoramic radiography, cephalography, and cone-beam CT (CBCT). Such evaluations provide essential information to the dentist and / or oral surgeon. The decision to proceed with a horizontally positioned dental implant system can be made after diagnostic evaluation (clinical and radiographic). For patients for whom this procedure has been decided, one or more implants of appropriate size (diameter and length) are selected. Next, a surgical "stent" or guide is fabricated. One or more incisions are made. Then, using this surgical guide, the dental implant is placed with horizontal access. In one embodiment, a cylindrical implant, uniform from top to bottom, is then inserted horizontally into the jawbone. Next, the implant is osseointegrated (fused) with the patient's jawbone. After osseointegration, one or more abutments are selected and attached to the fused dental implant. The internal architecture of each implant can accommodate a screw-in O-ball abutment or other suitable abutment. Dentures or partial dentures have one or more female attachments that complement the O-ball abutment. The patient then uses a removable prosthesis to stabilize the implant.

[0024] In horizontally positioned dental endosteel implant systems, it should be understood that the O-ball abutment is just one of the virtually limitless types of attachment or abutment options available to the clinician. The selection and type of abutment is ultimately made by the clinician, prioritizing the patient's clinical needs and goals. It should also be understood that the abutment or retaining element or its mechanism may be rigid, flexible, or both rigid and flexible within the same individual.

[0025] Furthermore, it should be understood that a large number of dentures or partial dentures and prostheses can be properly attached to this implant system positioned horizontally. Such a system provides a wide range of versatility for patients with insufficient height of the alveolar crest bone in conventional crestal approach dental implants and techniques.

Brief Description of the Drawings

[0026] The present invention will be described by way of examples with reference to the following attached drawings, but is not limited thereto. Similar reference numerals refer to similar elements, and the content is as follows: [Figure 1] FIG. 1 is a perspective view of an implant body and a separate O-ball attachment or abutment according to an embodiment of the present invention; [Figure 2] FIG. 2 is a top cutaway view of a mandible with a horizontally positioned dental implant system implanted according to an embodiment of the present invention; [Figure 3A] FIG. 3A is a top cutaway view of a mandible with a horizontally positioned dental implant system implanted according to an alternative embodiment of the present invention; [Figure 3B] FIG. 3B is a side cutaway view of a mandible with a horizontally positioned dental implant system implanted according to an embodiment of the present invention; [Figure 4] FIG. 4 is a side view of a mandible with a horizontally positioned dental implant system implanted according to an embodiment of the present invention; [Figure 5] FIG. 5 is a side view of a mandible with a horizontally positioned dental implant system implanted according to an alternative embodiment of the present invention; [Figure 6] FIG. 6 is a perspective view of a mandible having a horizontally positioned dental implant system and a denture assembly according to an embodiment of the present invention; [Figure 7] FIG. 7 is a perspective view of a mandible having a horizontally arranged dental implant system and a denture assembly according to an embodiment of the present invention; [Figure 8]Figure 8 is a cross-sectional view of the mandible having a horizontally positioned dental implant system according to one embodiment of the present invention; [Figure 9] Figure 9 is a cross-sectional view of a jawbone having a horizontally positioned dental implant system according to an alternative embodiment of the present invention; [Figure 10] Figure 10 is a cross-sectional view of a jawbone having a horizontally positioned dental implant system according to an alternative embodiment of the present invention; [Figure 11] Figure 11 is a front view of the maxilla equipped with a horizontally positioned dental implant system and an O-ball abutment according to one embodiment of the present invention; [Figure 12] Figure 12 is a frontal perspective view of the maxilla equipped with a horizontally positioned dental implant system and an O-ball abutment according to one embodiment of the present invention; [Figure 13] Figure 13 is a lateral cross-sectional view of the implant body and abutment according to one embodiment of the present invention; [Figure 14] Figure 14 is a top view cross-section of the mandible in which a horizontally positioned dental implant system has been implanted according to one embodiment of the present invention; [Figure 15] Figure 15 is a top view cross-section of the mandible in which a horizontally positioned dental implant system has been implanted according to one embodiment of the present invention; [Figure 16] Figure 16 is a top cross-sectional view of the mandible in which a horizontally positioned dental implant system has been implanted according to one embodiment of the present invention; [Figure 17] Figure 17 is a top view cross-section of the mandible in which a horizontally positioned dental implant system has been implanted according to one embodiment of the present invention; [Figure 18] Figure 18 is a cross-sectional view of a jawbone in which a horizontally positioned dental implant system according to one embodiment of the present invention has been implanted; [Figure 19] Figure 19 is a perspective cross-sectional view of an implant body and a separate ball and socket attachment or abutment according to one embodiment of the present invention; [Figure 20A] Figure 20A is a front view of a horizontally positioned abutment of an implant system according to one embodiment of the present invention; [Figure 20B] Figure 20B is a side cross-sectional view of an abutment of a horizontally positioned implant system according to one embodiment of the present invention; [Figure 20C] Figure 20C is a side cross-sectional view of an abutment assembly of a horizontally positioned implant system according to one embodiment of the present invention; [Figure 21A] Figure 21A is a front view of a horizontally positioned abutment of an implant system according to one embodiment of the present invention; [Figure 21B] Figure 21B is a side cross-sectional view of a horizontally positioned implant system abutment according to one embodiment of the present invention; [Figure 21C] Figure 21C is a side cross-sectional view of the abutment of a horizontally positioned implant system according to one embodiment of the present invention; [Figure 22A] Figure 22A is a front view of a horizontally positioned abutment of an implant system according to one embodiment of the present invention; [Figure 22B] Figure 22B is a side cross-sectional view of an abutment of a horizontally positioned implant system according to one embodiment of the present invention; [Figure 22C] Figure 22C is a side cross-sectional view of the abutment of a horizontally positioned implant system according to one embodiment of the present invention; [Figure 23A] Figure 23A is a side cross-sectional view of an abutment of a horizontally positioned implant system according to one embodiment of the present invention; [Figure 23B] Figure 23B is a side cross-sectional view of an abutment of a horizontally positioned implant system according to one embodiment of the present invention; [Figure 24A] Figure 24A is a side cross-sectional view of the abutment of a horizontally positioned implant system according to one embodiment of the present invention; [Figure 24B]Figure 24B is a side cross-sectional view of a horizontally positioned implant system abutment according to one embodiment of the present invention.

[0027] Unless otherwise stated, the illustrations in the drawings are not drawn to a fixed scale. [Modes for carrying out the invention]

[0028] The terms used herein are for the purpose of describing specific embodiments and do not limit the scope of the invention. Note that, in this specification and the appended claims, unless the context clearly indicates otherwise, the singular forms “a,” “an,” and “the” also include the plural. For example, “an element” refers to one or more elements and also includes their equivalents known to those skilled in the art. All conjunctions used should be understood in the most comprehensive sense possible. Thus, the word “or” has the definition of “or” in the logical sense and does not define “exclusive or” in the logical sense unless the context clearly indicates otherwise. Unless the context clearly indicates otherwise, expressions that can be interpreted as meaning an approximation should be understood as such.

[0029] Unless otherwise defined, all technical and scientific terms used herein have the same meaning as those commonly understood by those skilled in the art to which the present invention pertains. Preferred methods, techniques, apparatus, and materials are described herein, but similar or equivalent methods, techniques, apparatus, or materials may be used in the practice or testing of the present invention. It should also be understood that structures described herein may represent functional equivalents of such structures.

[0030] When phrases such as "one embodiment," "one variant," "an embodiment," "a variant," "various embodiments," or "numerous variants" are used, it indicates that the embodiments(s) of the present invention described in this manner will include certain functions, structures, or features. However, not all embodiments or variants will necessarily include certain functions, structures, or features. Furthermore, repeated use of phrases such as "in one embodiment," "in an exemplary embodiment," "variation," or "another variant" does not necessarily refer to the same embodiment. Descriptions of embodiments involving multiple components that communicate with each other do not imply that all such components are necessary. Rather, a variety of optional components are described to illustrate the wide variety of embodiments possible in the present invention.

[0031] As is well known to those skilled in the art, the optimal design for the manufacture and commercialization of such horizontally positioned dental implant systems and methods usually requires a great deal of careful consideration and compromise. Commercial implementation in accordance with the spirit and teachings of the present invention may be appropriately omitted, adapted, mixed, harmonized, or improved and / or optimized by those skilled in the art, as required for a particular application, by teachings relating to embodiments of the present invention of any aspect(s), features(s), functions(s), results(s), configuration(s), approaches(s), or steps(s) of the present invention.

[0032] A system for providing and implementing a horizontally positioned dental implant system and method is described, along with the means and methods. An example of a horizontally positioned dental implant system and method is described in detail with reference to its embodiments, as shown in the accompanying drawings.

[0033] Figure 1 is a perspective view of an implant body and a separate O-ball attachment or abutment according to one embodiment of the present invention. A horizontally positioned dental implant 100 consists of an implant body 102 and an attachment or abutment 104. Each implant body has a proximal end and a distal end 106. Each implant body also includes one or more helical threads 108 extending along the outer region between the proximal and distal ends 106. The proximal and distal ends of each implant body can be shaped in various ways that are advantageous for the insertion and osseointegration of the implant body 102. In one embodiment of the present invention, the proximal and distal ends 106 of the implant body 102 can be cut. Each implant body has an internal architecture 110 that can receive a dental implant abutment, retaining element, or dental implant prosthesis. Those skilled in the art will readily understand that the internal architecture 110 is intended to have a number of shapes and arrangements. In a preferred embodiment of the present invention, the implant body and the attachment or abutment are separate from each other but connectable to each other. Those skilled in the art will understand that the implant body and attachment or abutment can be attached to each other by various means, including but not limited to locking screw mechanisms. This screw mechanism can be part of the abutment or completely separate from the abutment.

[0034] It will be readily apparent to those skilled in the art that the shape and design of the attachment or abutment 104 depicted in the figure are not exhaustive. This illustration merely illustrates an embodiment illustrating how it is attached to and supported by a denture in the present invention. There are many other design shapes, connections, and load-bearing functions that fit within the scope of the present invention. In this figure, the attachment or abutment takes the form of a ball configuration used in the connection of a ball and a socket. In preferred embodiments of the present invention, these components are made from a non-corrodible and lightweight metal or alloy, such as titanium or a titanium alloy. However, other materials, including but not limited to metals and alloys, would also be suitable. In other embodiments, zirconium alloys would also be included.

[0035] Those skilled in the art will understand that the architecture of this implant differs from that of conventional dental implants. In embodiments of the present invention, one or more helical threads 108 differ from those of conventional dental implants. In one embodiment of the present invention, the proximal and distal ends 106 of this horizontally positioned endosteel dental implant system are trimmed to facilitate the insertion of one or more implants used. Furthermore, the shape, width, and length of this horizontally positioned dental implant system also differ from those of conventional dental implants. More importantly, in one or more embodiments, the internal architecture differs significantly from that of conventional dental implants that are subjected to chewing and diffuse forces that can cause dissipation.

[0036] Figure 2 is a top-view cross-section of the mandible in which a horizontally positioned dental implant system 100, according to one embodiment of the present invention, has been implanted. This figure shows horizontally positioned dental implants 100 of various sizes and depths. Those skilled in the art will understand that this horizontally positioned dental implant system and method envisions numerous different sizes and configurations depending on the patient's needs. Furthermore, those skilled in the art will understand that this horizontally positioned dental implant can be positioned at various angles and depths depending on the patient's needs. In embodiments of the present invention, one or more implant bodies are embedded horizontally or sub-horizontally in the mandible or maxilla by a non-crestal approach and positioned to engage and integrate with bone tissue. For the purposes of this application, a non-crestal approach is defined as an implant placement approach that does not approach from the alveolar crest and does not insert perpendicularly or sub-perpendicularly into the jawbone, because the starting point of placement is non-crestal. In other words, the non-crestal approach is an approach in which a dental implant is inserted horizontally or semi-horizontally, either buccal to lingual or palatal, or lingual or palatal to buccal, at an angle that maximizes engagement with the mandible or maxilla. Those skilled in the art will understand this omnidirectional nature of the non-crestal approach.

[0037] Figure 3A is a supranar cross-section of the mandible with a horizontally positioned dental implant system 100 implanted according to an alternative embodiment of the present invention. In this figure, the horizontally positioned implant system 100 is depicted entering the mandible at an anterior-posterior angle. The horizontally positioned dental implant system proceeds posteriorly into the mandible, but its progression trajectory is at an angle of 0 or theta. In the alternative embodiment, the horizontally positioned dental implant can enter the jawbone or mandible simultaneously upward or downward and posteriorly. This approach allows dentists to utilize implants that maximize bone engagement and may enable the use of implants with greater length and / or diameter. This increases the rate of surface contact with bone, resulting in stronger and more stable osseointegration of the dental implant. Longer implants can provide greater strength when used to fix a prosthesis supported by the implant. In this figure, the proximal end of the horizontally positioned implant is angled. This proximal end angle allows for the insertion of an abutment to angle the denture or prosthesis.

[0038] Figure 3B is a side view of the mandible in which a horizontally positioned dental implant system 100 has been implanted according to an alternative embodiment of the present invention. In this figure, the horizontally positioned implant system 100 is depicted entering the mandible at an anterior-posterior angle. The horizontally positioned dental implant system also progresses in an upward trajectory as it moves toward the posterior aspect of the mandible. In other words, this horizontally positioned dental implant is advancing upward within the jawbone or mandible. This approach allows for the use of greater implant length and / or width. Greater implant length and / or width results in greater strength when used to secure dentures; however, this is virtually impossible when patients with reduced bone volume use conventionally positioned dental implants. It should be understood that the insertion angle and length of this horizontally positioned dental implant can be varied according to the patient's needs.

[0039] Figure 4 is a side view of the mandible in which a horizontally positioned dental implant system 100 has been implanted according to an alternative embodiment of the present invention. This figure shows horizontally positioned dental implants of various sizes and depths. Those skilled in the art will understand that this horizontally positioned dental implant system and method envisions a number of different sizes and configurations to meet patient needs.

[0040] Figure 5 is a side view of the mandible in which a horizontally positioned dental implant system 100 has been implanted according to an alternative embodiment of the present invention. In this figure, horizontally positioned dental implants of the same size and width are depicted. Those skilled in the art will understand that this horizontally positioned dental implant system and method envisions a number of different sizes and configurations to meet patient needs.

[0041] Figure 6 is a perspective view of the mandible having a horizontally positioned dental implant system and denture assembly 600 according to one embodiment of the present invention. In this figure, the abutment functions as a retaining element. Such abutment is known as an O-ball abutment, commonly used in implant-supported dentures. In embodiments of the present invention, the denture relates to both partial and complete dentures. In this figure, the corresponding circle in the denture assembly may be any suitable attachment that engages with a female attachment or an O-ball abutment. Those skilled in the art will understand that such a denture assembly can be fitted using many other abutments and attachments.

[0042] Figure 7 is a perspective view of the mandible having a horizontally positioned dental implant system and denture assembly 700 according to one embodiment of the present invention. In this figure, the abutment functions as a retaining element. Those skilled in the art will readily understand that various arrangements of dental implants and abutments are conceivable, including but not limited to linear patterns. Figure 7 also shows that the horizontally positioned implant has no visible attachments or abutments. This is intended to show that this implant also functions as a receptacle for retaining elements inserted into the horizontal implant to hold a prosthesis. In other words, at least one dental implant has an orifice in its internal architecture that functions as either a male retaining element or a female component to an abutment. This retaining element may originate from a denture attachment device or be inserted into the denture as a separate retaining element and attached to or within the implant. Those skilled in the art will understand that the number, shape, and arrangement of implants and abutments vary depending on the patient's physiology and needs. In embodiments of the present invention, dentures relate to both partial dentures and complete dentures. In this figure, the corresponding circles within the denture assembly may be female attachments, or retaining elements, abutments, or any suitable attachments that engage with the implant itself. Those skilled in the art will understand that such denture assemblies can be fitted using many other retaining elements, abutments, and / or attachments.

[0043] Figure 8 is a cross-sectional view of the mandible having a horizontally positioned dental implant system 100 according to one embodiment of the present invention. In this figure, the implant 102 is inserted at an angle, starting buccally and moving toward the lingual side. The starting point of the implant 102 is higher than the apex of the implant 102. In other words, insertion starts higher, is embedded in the bone, and moves downward into the bone. This approach allows the dentist to engage with a larger bone volume and to utilize implants with greater length and / or diameter. This increases the surface contact rate with the bone, enabling stronger and more stable osseointegration of the dental implant. In this figure, the attachment or abutment 104 is positioned at an angle of 800 and is not parallel or perpendicular to the implant 102. Those skilled in the art will understand that the attachment or abutment 104 can be angled according to the patient's needs.

[0044] Figure 9 is a cross-sectional view of the mandible having a horizontally positioned dental implant system 100 according to an alternative embodiment of the present invention. In this figure, the implant 102 is inserted at an angle from the buccal side toward the lingual side. The height of the implant 102 is the starting point. In other words, the implant 102 is inserted toward the lingual side of the bone from the buccal side and remains perpendicular to the bone. In one embodiment of the present invention, an attachment or abutment 104 may be positioned at an angle parallel to the implant 102. Those skilled in the art will understand that the attachment or abutment 104 can be angled according to the patient's needs.

[0045] Figure 10 is a transverse cross-sectional view of the mandible having a horizontally positioned dental implant system 100 according to an alternative embodiment of the present invention. In this figure, the implant 102 is inserted at an angle, starting buccally (buccally) and moving toward the lingual side. The starting point of the implant 102 is lower than the apex of the implant 102. In other words, insertion starts lower, is embedded in the bone, and progresses upward into the bone. This approach allows the dentist to engage with a larger bone volume and to utilize implants with greater length and / or diameter. This increases the rate of surface contact with the bone, resulting in a stronger and more stable osseointegration of the dental implant. In this figure, the attachment or abutment 104 is positioned at an angle 800 and is not parallel or perpendicular to the implant 102. This angle 800 may vary depending on the patient's anatomical and / or physiological needs. Those skilled in the art will understand that the attachment or abutment 104 can be angled according to the patient's needs.

[0046] Figure 11 is a front view of the maxilla with a horizontally positioned dental implant system according to one embodiment of the present invention. The figure shows the maxilla or maxilla with four O-ball abutments attached to the implants. It also shows a denture 1100 having a “female” attachment on the inside of the denture. In other words, such denture attachments are not visible from the outside. The denture is secured when the denture is connected and the O-ball abutments and corresponding females are connected. Those skilled in the art will understand that such abutments can be connected to the denture in a variety of ways that can provide the patient with a retained and functional denture.

[0047] Figure 12 is a front view of a mandible with a horizontally positioned dental implant system, according to one embodiment of the present invention. The figure shows a mandible or mandible with six O-ball abutments attached to the implants. The figure further shows a lower denture 1200 having a “female” attachment on the inside of the denture. In other words, such denture attachments are not visible from the outside. The denture is secured when the denture is connected and the O-ball abutments and corresponding females are connected. Those skilled in the art will understand that such abutments can be configured to connect to the denture in a number of ways to provide the patient with a functional denture.

[0048] Figure 13 is a lateral cross-sectional view of an implant body and abutment according to one embodiment of the present invention. In embodiments of the present invention, one or more implant bodies are configured to be embedded horizontally or sub-horizontally in the mandible or maxilla by a non-crestal approach and to engage and integrate with bone tissue. For the purposes of this application, a non-crestal approach is defined as an approach into the jawbone from a non-vertical or non-sub-vertical direction. In other words, a non-crestal approach is an approach to insert a dental implant horizontally or sub-horizontally, either buccal to lingual or palatal, or lingual or palatal to buccal, at an angle that maximizes engagement with the mandible or maxilla. This figure shows an implant with dual internal access slots at both ends. The figure shows two identical attachments or abutments 104. Those skilled in the art will understand that the terms attachment or element can be used instead of abutment. This unique attribute makes it possible to utilize multiple abutments or other retaining or prosthetic elements in a single implant fixture 102. In this diagram, the two attachments or abutments are ball-shaped, and a ball / socket connection is used. However, other attachments or abutments or retaining elements are also available. In embodiments of the present invention, the use of one or both access slots is optional. Clinicians can use either or both slots. This feature provides unprecedented versatility in terms of prosthetic design options. The implant may have one or more orifices from which the prosthetic portion can engage with the implant. The placement of a bioreceptacle (two-hole) implant does not necessarily mean that both orifices must be used. Unused orifices can be "capped" or covered with a cover screw, cover plate, cover fixture, etc.

[0049] Figure 14 is a supranar cross-sectional view of the mandible with a horizontally positioned dental implant system implanted according to an alternative embodiment of the present invention, where abutments used at both ends of the implant are shown. This figure shows horizontally positioned dental implants 100 of various sizes and depths. Those skilled in the art will understand that this horizontally positioned dental implant system and method envisions a number of different sizes and configurations to meet patient needs. The attachments or abutments 104 can be attached by various means known in the art.

[0050] Figure 15 is a supranutorial section of the mandible with a horizontally positioned dental implant system implanted according to an alternative embodiment of the present invention. The two horizontally positioned implants 102 shown in this figure each have a dual internal access slot at one end of the implant. A cylindrical retaining bar engages with the internal access slot of each implant. In such embodiments, the cylindrical bar may include a spring action, which causes it to contract when pressure is applied. Such contraction facilitates the insertion and removal process of the retaining bar. When the compressive force is released from the cylindrical bar, it returns to its original position and engages with the access slot of the implant 102.

[0051] Figure 16 is a supranutorial view of the mandible with a horizontally positioned dental implant system implanted according to an alternative embodiment of the present invention. This figure also shows a spring mechanism similar to that in Figure 15, but this figure uses a curved cylindrical retaining bar. This contraction facilitates the insertion and removal process of the retaining bar.

[0052] Figure 17 is a supranar section view of the mandible with a horizontally positioned dental implant system implanted according to an alternative embodiment of the present invention. The two horizontally positioned implants 102 shown in this figure each have a dual internal access slot at one end of the dental implant. Two separate retaining bars are shown in this figure, and each retaining bar may be used individually (one at a time) or simultaneously. Each retaining coil or bar is shown on both the buccal and lingual sides of the mandible.

[0053] Figure 18 is a transverse cross-sectional view of a jawbone with a horizontally positioned dental implant system implanted according to an alternative embodiment of the present invention. In this figure, the implant 102 passes through the bone. There are dual internal access slots for attachments or abutments 104 which may be positioned on either side of the bone. Those skilled in the art will understand that the attachments or abutments 104 may be angled according to the patient's needs.

[0054] Figure 19 is a perspective cross-sectional view of an implant body and a separate ball and socket attachment or abutment according to one embodiment of the present invention. In such embodiments, the horizontal implant fixture has an internal architecture that accommodates a large portion of the implant's length. The internal architecture of an endosteel horizontal implant varies considerably in length, structure, shape, and design depending on the embodiment. In this embodiment, the O-ball retaining abutment bar 1902 may be screwed through the horizontal implant. Other retaining elements 1902 known and recognized in the art can be used. The O-ball attachment or abutment 1904 screwed through the implant 102 may be screwed onto the end of the abutment bar or retaining element 1902. The use of a second slot or orifice is optional. If only one slot or orifice is used, the other remaining slot or orifice may be covered by a cover cap known in the art. In one embodiment of the present invention, the female portion 1904 of the O-ball is connected to the implant fixture 102 by a retainer screw mechanism using a retainer screw 1906. In another embodiment, the female portion 1904 of the O-ball may be manufactured integrally with the implant fixture 102 to eliminate the need for a means of attaching the retainer screw. In another embodiment of the present invention, the O-ball attachment or any retaining element or abutment may be made capable of mounting dentures, retaining elements, or other abutments by allowing 360-degree rotation or arbitrary or virtually unlimited rotation at any level for a particular retention purpose. Denture devices of such embodiments may have hardware portions of cylindrical, elliptical, hexagonal, octagonal or other shapes, which may allow the O-ball retaining abutment bar 1902 to originate from and / or pass through the hardware portion of the denture that ultimately connects to the O-ball female connector 1104.

[0055] In one embodiment of the present invention, the retaining element and the implant may already be integrated; the retaining element is within the scope of the implant but can also be used as a receptacle for a dental implant placement tool. Thus, the retaining element (or abutment or retaining abutment) can serve multiple purposes; not only the retaining element, but also the implant placement tool can be used as a medium when the implant is placed. To give an example without limitation, a clinician can engage the implant with the placement tool and place the implant into the jawbone to a desired depth (the retaining element is still completely within the scope of the implant). After osseointegration (3-4 months, or sometimes longer), the retaining element or abutment can be "activated" to protrude from within the implant and become "ready for use" in prosthesis prosthesis.

[0056] In another embodiment of the present invention, the patient's denture has a receptacle of a retaining element extending from a horizontal implant. This is a retaining attachment device that replaces a complementary access hole. This retaining attachment device also aligns with the horizontal implant. This retaining attachment device may be located within the denture wall or flange. The patient then operates this retaining attachment device mechanically, but may be via mechanical or rotational force. In other embodiments, the retaining attachment device may be actuated via a push-in-pull-out mechanism, lateral force, or any force in any direction required to engage or actuate this retaining mechanism.

[0057] Figure 20A is a front view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and the abutment is attached to the horizontally positioned implant. Shown is the bone surface region where the end of the embedded dental implant is exposed, to which the implant abutment can be attached. In this figure, the internal space of the horizontally positioned implant is assumed to have a hexagonal shape. Such a hexagonal shape enables high-precision attachment of the abutment and other retaining elements.

[0058] Figure 20B is a side cross-sectional view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and the abutment is attachable to the horizontally positioned implant. The outermost surface of the implant end is where the implant abutment, retaining element, or any attached attachment piece can be attached. The dashed (bent) lines in this figure indicate the internal space of the horizontally positioned dental implant. Those skilled in the art will understand that many different architectural designs of horizontal implants themselves, as well as their internal architectures, are possible. It should be understood that this horizontally positioned endosteel non-crestal implant system is not limited to any physical shape or diameter. There are too many designs to mention to suit the anatomical and / or physiological needs of the patient.

[0059] Figure 20C is a side cross-sectional view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and the abutment is attachable to the horizontally positioned implant. Shown is the area of ​​the dental implant embedded in the bone. The outermost surface of the implant end is where the implant's abutment, retaining element, or any attached attachment piece can be attached. The dashed (bent) lines in this figure indicate the internal space of the horizontally positioned dental implant. Those skilled in the art will understand that many different architectural designs of the horizontal implant itself, as well as its internal architecture, are possible. In this figure, the retaining element or abutment 2000 is engaged with the horizontally positioned dental implant. Those skilled in the art will understand that the retaining element or abutment, like a prosthesis or denture, can be separated from the horizontal implant. They will also understand that the retaining element or abutment can be detached from the prosthesis or implant. Finally, the retaining element or abutment may first be positioned within the horizontal implant and then engage with a retaining mechanism fixed to the prosthesis or denture.

[0060] In various embodiments of the present invention, the retaining element may have a rotatable "spring-suspended" capability on the inner wall of the implant body itself. Those skilled in the art will readily understand that this horizontally positioned endosteel non-crestal implant system can be configured to accept retaining elements and abutments of various designs and functions. To the extent that it is illustrative and not limiting, the retaining element 2000 may be entirely positioned within the scope of the implant body. The retaining element or abutment may be fully embedded within the horizontal implant. The retaining element may be designed such that its outermost surface area accepts the insertion tool used to insert the horizontal implant into the jawbone.

[0061] Dental implants typically require a healing period of 3-4 months before load-bearing use, during which osseointegration within the jawbone occurs. However, based on the number of implants to be placed, bone density, desired retention capacity, implant length and surface area, and the insertion torque value in Newton-centimeters, clinicians may choose "immediate-loading" implants. In this "immediate-loading" scenario, as the name suggests, the implant accepts load and force immediately after insertion without an osseointegration period.

[0062] When this horizontal implant is engaged and ready for load-bearing use, whether after osseointegration 3-4 months later or immediately after implantation, the retaining element is activated and extends from the horizontal implant into the oral cavity. This activation mechanism can be achieved in many ways, including, but not limited to, counterclockwise rotation, compression and rotation, intervention of a specialized tool, or by any force in any direction, or by any possible mechanical means.

[0063] Figure 21A is a front view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and the abutment is attachable to the horizontally positioned implant. Shown is the area of ​​the dental implant embedded in the bone. The outermost surface of the implant end is where the implant abutment, retaining element, or any attached attachment piece can be attached. Figure 21B is a side cross-sectional view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and the abutment is attachable to the horizontally positioned implant. The outermost surface of the implant end is where the implant's abutment, retaining element, or any attached attachment piece can be attached. The dashed (bent) lines in this figure indicate the internal space of the horizontally positioned dental implant. Those skilled in the art will understand that many different architectural designs of the horizontal implant itself, as well as its internal architecture, are possible. In one embodiment of the present invention, the horizontal implant has an orifice exposed to the oral cavity, ready to receive an abutment or retaining element. The patient's denture can have a complementary access hole that correlates with and aligns with the orifice of the horizontal implant. The patient can employ a retaining element separated from both the horizontal implant and the prosthesis and insert it from the side of the denture to the corresponding horizontal implant. The patient can then rotate the retaining element until it "locks" into the horizontal implant, or by any other mechanism imaginable. This horizontally positioned implant may have an orifice or female or male attachment or receptacle exposed in the oral cavity, which allows for the acceptance of a retaining element. In such embodiments, the patient's denture would have a retaining attachment device instead of a complementary access hole. The size, shape, arrangement, and composition of the retaining device, at least with a retaining element, will vary.

[0064] Figure 21C is a side cross-sectional view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and the abutment is attachable to the horizontally positioned implant. The outermost surface of the implant end is where the implant's abutment, retaining element, or any attached attachment piece can be attached. The dashed (bent) lines in this figure indicate the internal space of the horizontally positioned dental implant. Those skilled in the art will understand that many different architectures of the horizontal implant itself and the design of its internal space are possible. In this figure, the retaining element or abutment 2100 is engaged with the horizontally positioned dental implant. Those skilled in the art will understand that the retaining element or abutment, like a prosthesis or denture, can be separated from the horizontal implant. They will also understand that the retaining element or abutment can be detached from the prosthesis or implant. Furthermore, this retaining element or abutment may first be positioned within the horizontal implant and engage with a retaining mechanism fixed to a prosthesis or denture. Those skilled in the art will further understand that this retaining element or abutment can also extend from the implant; the retaining element is initially in a recessed position within the implant body and can be actuated to protrude into the oral cavity from the implant body as needed. Finally, the retaining element or abutment can be separated from both the implant and the denture retention mechanism and can be manually inserted through the denture orifice or access point and engaged with the implant. At this point, the patient can twist, push, press, or actuate the retention mechanism manually or using specialized tools.

[0065] Figure 22A is a front view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and the abutment is attached to the horizontally positioned implant. Shown is the region of the dental implant embedded in the bone surface, where the end protrudes and the implant abutment can be attached.

[0066] Figure 22B is a side cross-sectional view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is assumed to be embedded in the jawbone and osseointegrated. The dashed lines (bone lines) in this figure indicate the internal space of the horizontally positioned dental implant. Those skilled in the art will understand that many different architectures of the horizontal implant itself and the design of its internal space are possible.

[0067] Figure 22C is a side cross-sectional view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and the abutment is attachable to the horizontally positioned implant. The dashed lines (bent lines) in this figure indicate the internal space of the horizontally positioned dental implant. Those skilled in the art will understand that many different architectures of the horizontal implant itself and the design of its internal space are possible. In this figure, the retaining element or abutment 2200 is engaged with the horizontally positioned dental implant. Those skilled in the art will understand that the retaining element or abutment can be separated from the horizontal implant, as can a prosthesis or denture. Furthermore, those skilled in the art will understand that the retaining element or abutment can also be derived from a prosthesis or implant. Furthermore, this retaining element or abutment may first be placed within the horizontal implant and engage with a retaining mechanism fixed to a prosthesis or denture. Those skilled in the art will further understand that this retaining element or abutment can also be derived from the implant. The retaining element is initially in a recessed position within the implant body and can be actuated to protrude into the oral cavity from the implant body as needed. Finally, the retaining element or abutment can be separated from both the implant and the denture retention mechanism and can be manually inserted through the denture orifice or access point and engaged with the implant. At that point, the patient can twist, push, press, or actuate the retention mechanism manually or using special tools.

[0068] Figure 23A is a side cross-sectional view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and an abutment is attached to the horizontally positioned implant. In this figure, the angle of the jawbone tapers more sharply than in other figures. Shown is the area of ​​the dental implant embedded in the bone surface, where the end protrudes and the implant abutment can be attached. The dashed line (bone line) in this figure indicates the internal space of the horizontally positioned dental implant. Those skilled in the art will understand that many different architectures of the horizontal implant itself and the design of its internal space are possible.

[0069] Figure 23B is a side cross-sectional view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and the abutment is attachable to the horizontally positioned implant. The dashed lines (bend lines) in this figure indicate the internal space of the horizontally positioned dental implant. Those skilled in the art will understand that many different architectural designs of the horizontal implant itself, as well as its internal architecture, are possible. In this figure, the retaining element or abutment 2300 is engaged with the horizontally positioned dental implant. Those skilled in the art will understand that the retaining element or abutment can be separated from the horizontal implant, as can a prosthesis or denture. They will also understand that the retaining element or abutment can be removed from the prosthesis or implant. Furthermore, this retaining element or abutment can first be placed within the horizontal implant and engage with a retaining mechanism fixed to a prosthesis or denture. Those skilled in the art will further understand that this retaining element or abutment can also extend from the implant; the retaining element is initially in a recessed position within the implant body and can be actuated to protrude into the oral cavity from the implant body as needed. Finally, the retaining element or abutment can be separated from both the implant and the denture retention mechanism and can be manually inserted through the denture orifice or access point and engaged with the implant. At that point, the patient can twist, push, press, or actuate the retention mechanism manually or using special tools.

[0070] Figure 24A is a side cross-sectional view of the lateral edge of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and an abutment is attached to the horizontally positioned implant. The dashed lines (bone lines) in this figure indicate the internal space of the horizontally positioned dental implant. Those skilled in the art will understand that many different architectural designs of the horizontal implant itself, as well as its internal architecture, are possible. Those skilled in the art will understand that the internal space in both Figure 24A and Figure 24B is not perpendicular to the implant surface as in the previous figures. This is one of many embodiments of a horizontally positioned implant system, offering a wide range of highly versatile options, representing an extremely novel and unique solution compared to conventional dental implants.

[0071] Figure 24B is a side cross-sectional view of the implant end of a horizontally positioned implant system according to one embodiment of the present invention. In this figure, the horizontally positioned dental implant is embedded in the jawbone and osseointegrated, and the abutment is attachable to the horizontally positioned implant. The dashed lines (bend lines) in this figure indicate the internal space of the horizontally positioned dental implant. Those skilled in the art will understand that many different architectural designs of the horizontal implant itself, as well as its internal architecture, are possible. In this figure, the retaining element or abutment 2400 is engaged with the horizontally positioned dental implant. Those skilled in the art will understand that the retaining element or abutment can be separated from the horizontal implant, as can a prosthesis or denture. They will also understand that the retaining element or abutment can be removed from the prosthesis or implant. Furthermore, this retaining element or abutment can first be positioned within the horizontal implant and engage with a retaining mechanism fixed to a prosthesis or denture. Those skilled in the art will further understand that this retaining element or abutment can also extend from the implant; the retaining element is initially in a recessed position within the implant body and can be actuated to protrude into the oral cavity from the implant body as needed. Finally, the retaining element or abutment can be separated from both the implant and the denture retention mechanism and can be manually inserted through the denture orifice or access point and engaged with the implant. At that point, the patient can twist, push, press, or actuate the retention mechanism manually or using special tools.

[0072] A comprehensive treatment plan is essential for the general method of implanting and using horizontally positioned dental implant systems. The implantation and use process must address three main steps. The first step involves a thorough evaluation of the patient's medical and dental history. The second step involves an appropriate diagnosis. The third step involves an appropriate treatment process.

[0073] A thorough evaluation of the patient's medical history allows clinicians or practitioners to gather the necessary information to assess the patient's oral health. Certain patients may not be suitable for horizontally positioned dental implants due to progressive bone loss or other health considerations that make them unsuitable for this type of implantation.

[0074] Appropriate preoperative diagnosis of the patient's jaw is necessary, which may include, but is not limited to, radiographs and cone-beam CT (FMX, panoramic, cephalometric radiographs, CBCT), dental models, and thorough clinical examinations. Such diagnostic procedures are crucial for having sufficient information to properly diagnose the patient's general dental health and for evaluating bone quality, bone volume, and appropriate and sufficient (planned) space for this horizontally positioned implant system and any prostheses used in conjunction with it. The decision to prescribe the use of this horizontally positioned dental implant system is included in this step. Subsequently, a treatment plan is created and presented to the patient, and a thorough discussion is held to obtain the patient's informed consent regarding the treatment procedure. From there, the clinician can select one or more appropriately sized implants for the patient. The clinician then selects one or more appropriately sized dental implant abutments to connect the one or more implants. These abutments cannot be placed during the visit for surgery, and the clinician will likely have to wait several months (3-6 months) for appropriate and successful osseointegration (bone integration) before treating the abutments. Once the patient is ready, the clinician can then design and fabricate a prosthesis supported by one or more implants to be coupled with one or more appropriately sized dental implant abutments. It is important to note that this horizontally positioned implant system is extremely versatile and can be used as a standalone system or in combination with conventional dental implants or mini-implants, thus exponentially increasing surgical and restorative options to a level previously unattainable in conventional dentistry. Those skilled in the art will readily understand that the size, shape, and configuration of this dental implant, dental implant abutment, and dental implant prosthesis can vary according to the patient's needs.

[0075] The next step in the method of implanting and using a horizontally positioned dental implant system involves surgically placing an appropriately sized implant by a non-crestal approach. Those skilled in the art will understand that the surgical steps generally consist of using deep local anesthesia (or general anesthesia in some situations), positioning a surgical template or stent in the oral cavity or duct, and making an appropriately sized incision along the gingiva of the maxilla or mandible for the non-crestal approach.

[0076] If the surgical site is accessible, a pilot drill is used to create an osteotomy site in the jawbone as preparation for this horizontally positioned dental implant. Those skilled in the art will recognize that the width of the bone cutting bur used to reach the desired width and depth of the horizontally positioned dental implant increases progressively, and the various sizes of bone cutting burs used increase incrementally. Guide pins and / or parallel pins are used to confirm the placement position, angle, and depth and are positioned at the osteotomy or drilling site. During the surgical procedure, the clinician can use a cone-beam CT system (CBCT) to further check the accuracy of the surgical progress in real time.

[0077] Once the desired cutting width, depth, and angle are achieved, the implant is then positioned at the osteotomy site. The implant can be positioned manually via an implant placement tool or using a dental handpiece or a combination thereof. Those skilled in the art will understand that the force required to insert a dental implant is called the implantation torque. This is the force required to tighten the implant to engage the implant's threads with the bone. Those skilled in the art will also understand that a torque wrench and an implant placement (surgical) motor (a handpiece unit used for implant placement) can measure the amount of torque (usually in Newton-centimeter units) used to set the implant in place. In embodiments of the present invention, the required torque may be in any range from approximately 35 Newton-centimeters to 75 Newton-centimeters or more.

[0078] Once the implant is set to the desired torque, the cover screw can be positioned on the lateral end(s) of the implant to seal the implant orifice. The clinician may also use an implant abutment or healing collar after closing the surgical site, whether or not it protrudes beyond the soft tissue level. If the patient currently has removable prostheses(s), these can be removed or "released" by the clinician to avoid applying unwanted force to the newly implanted implant.

[0079] Once implant placement is complete, sutures are placed and the surgical incision is closed. The clinician then monitors the patient to ensure hemostasis. Postoperative cone-beam CT and / or panoramic radiography, or other imaging techniques known and understood in the art, are used to ensure proper placement.

[0080] Once the procedure is complete, the patient is released along with postoperative home care instructions. The horizontally positioned dental implant can now osseointegrate with the jawbone. The osseointegration process can vary depending on the patient's age, medical history, bone type or density, and physiological factors. The clinician should periodically monitor the progress of osseointegration. Once osseointegration is complete, the abutment of the dental implant can be joined to the implant. Then, dentures or other prostheses can be joined to the abutment of the dental implant, which is already joined to the implant.

[0081] All features disclosed herein, including any attached summaries and drawings, may be replaced by equivalent or similar features unless otherwise expressly stated. Therefore, unless otherwise noted, each disclosed feature is disclosed only as an example of a general series of equivalent or similar features.

[0082] Having fully described at least one embodiment of a horizontally positioned dental implant system and method, other equivalent or alternative methods for implementing the horizontally positioned dental implant system and method according to the present invention will be apparent to those skilled in the art. Various embodiments of the horizontally positioned dental implant system and method have been described above as illustrative, and the particular embodiments disclosed are not intended to limit the invention to the particular forms disclosed. For example, embodiments of the horizontally positioned dental implant system and method may be configured to provide different abutments or extensions, or different anatomical and physiological modifications depending on the patient. Different shapes and configurations of the implant may be used in other embodiments. Specific implementations of the horizontally positioned dental implant system and method may vary depending on the specific context or application. The horizontally positioned dental implant system and method described above as illustrative rather than limiting has primarily targeted patients who require better-fitting dentures or partial dentures. However, similar techniques may instead be applied to patients seeking permanent, "non-removable" restoration or prosthesis options. Furthermore, different combinations and configurations of existing implant techniques may be configured in these horizontally positioned dental implant systems. The present invention therefore encompasses all variations, equivalents, and alternative forms relating to the spirit and scope of the appended claims. It should be further understood that not all embodiments disclosed herein necessarily satisfy or achieve any of the purposes, advantages, or improvements described herein.

[0083] Specific features of the horizontally positioned dental implant system and method are shown in some drawings and not in others, but those skilled in the art will understand that this is for convenience only. Each feature can be combined with any or all of the other features according to the present invention. The words “including,” “comprising,” “having,” and “with” as used herein should be interpreted broadly and comprehensively and not limited to any physical interconnection. The components and processes herein are numbered and / or lettered solely for the purpose of aiding readability and understanding. None of these numbers and letters are intended, nor should they be interpreted, to indicate an additional order of the components and / or processes of the claims. It should also be understood that there can be two approaches to the retention design of removable prostheses. Dentures can be fixed “permanently,” meaning that the dentures remain in the mouth and are not routinely removed by the patient. Maintenance of dentures and implants is performed by the patient at regular visits to the dentist, usually every 3 to 6 months. Typically, this visit involves a specialist removing the dentures, cleaning the prostheses and implant areas, replacing parts due to normal wear and tear, and reconnecting the denture mechanism. A second approach involves a retention design that allows the patient to remove the dentures routinely or as needed without a dentist. As one might imagine, the design of the retention mechanism can differ between the two retention options.

[0084] Any proposed amendments during the filing of this patent application shall not constitute a waiver of any claim elements presented in the description or claims. It is not reasonably expected of a person skilled in the art to draft claims that literally encompass all equivalents.

Claims

1. It is a non-Crestal dental implant system; a. At least one dental implant having a proximal end, a distal end, and an internal or external architecture, wherein the dental implant is configured to be embedded in the mandible or maxilla at any angle through a region other than the alveolar crest, the mandible or maxilla having a lingual or palatal and buccal side, and the dental implant is configured to be embedded at an angle that maximizes engagement with the bone tissue of the mandible or maxilla, either from the buccal side toward the lingual or palatal side, or from the lingual or palatal side toward the buccal side, or in a front-to-back direction or a back-to-front direction; and b. A dental implant abutment comprising at least one dental implant abutment having a proximal end for attachment to the dental implant and a distal end configured for attachment of a dental prosthesis, The proximal and distal ends of the at least one dental implant are configured to form an angle, and the at least one dental implant abutment may be positioned at an angle that is neither parallel nor perpendicular to the at least one dental implant. The aforementioned implant system.

2. The non-crestal dental implant system according to claim 1, wherein the internal architecture or external architecture envisions a number of shapes and arrangements.

3. The non-crestal dental implant system according to claim 1, wherein the at least one dental implant abutment is attached to the dental implant by a screw mechanism.

4. The non-crestal dental implant system according to claim 1, wherein the at least one dental implant abutment employs a ball and socket attachment mechanism for attaching a dental prosthesis.

5. The non-crestal dental implant system according to claim 1, wherein the internal architecture of the dental implant includes two orifices for receiving the at least one dental implant abutment, and further, the orifices not utilized by the at least one dental implant abutment may be covered by a cap.

6. The non-crestal dental implant system according to claim 1, wherein the dental prosthesis has a complementary access hole that is interconnected with and aligns with the orifice or attachment mechanism of the horizontal implant, thereby facilitating the placement and / or removal of the at least one dental implant abutment.

7. The non-crestal dental implant system according to claim 1, wherein the at least one dental implant abutment is positioned at an angle that is neither parallel nor perpendicular to the dental implant.

8. The non-crestal dental implant system according to claim 1, wherein the at least one dental implant abutment is made of one material, a plurality of materials, a metal, or an alloy that is non-corrosive.

9. The non-crestal dental implant system according to claim 1, wherein any retaining element or abutment can be made to rotate 360 ​​degrees or any rotation or virtually unlimited rotation at any level for a specific retaining purpose, thereby enabling the attachment of dentures, retaining elements, or other abutments.

10. The non-crestal dental implant system according to claim 1, wherein the at least one dental implant enters the mandible at an angle from front to back.

11. The non-crestal dental implant system according to claim 1, wherein the internal architecture of the at least one dental implant extends inward from the proximal end of the at least one dental implant toward the distal end of the at least one dental implant.

12. The non-crestal dental implant system according to claim 1, wherein the at least one dental implant can be implanted from both sides and positioned through the mandible or maxilla, the at least one dental implant abutment can be attached to the proximal end of the at least one dental implant, and another dental implant abutment can be attached to the distal end of the at least one dental implant, thereby inserting the dental implant horizontally or sub-horizontally into the mandible or maxilla at an angle that maximizes engagement with the mandible or maxilla, either from buccal to lingual or from lingual to buccal.

13. The non-crestal dental implant system according to claim 1, wherein the retaining bar can connect at least one dental implant to another dental implant, and further, the retaining bar may be a separate element or a component originating from the dental prosthesis.

14. The non-crestal dental implant system according to claim 1, wherein a retaining spring can connect the at least one dental implant to another dental implant, and further, the retaining spring may be a separate element, a component of a dental prosthesis, or originate from a dental prosthesis.

15. The non-crestal dental implant system according to claim 1, wherein the at least one dental implant abutment is separate from the at least one dental implant and the dental prosthesis, and can be inserted through the dental prosthesis and continue to the corresponding at least one dental implant.

16. The non-crestal dental implant system according to claim 1, wherein the at least one dental implant abutment may be positioned entirely within the range of the at least one dental implant, and further, the at least one dental implant abutment may be designed such that the surface area of ​​the at least one dental implant abutment is used to receive an insertion tool used to insert the non-crestal implant into the jawbone.

17. The non-crestal dental implant system according to claim 1, wherein the at least one dental implant abutment and the at least one dental implant are connected as a single element such that the at least one dental implant abutment can also be used as a receptacle for a dental implant insertion tool.

18. The non-crestal dental implant system according to claim 1, wherein the dental prosthesis has a receptacle for the at least one dental implant abutment extending from the at least one dental implant.

19. The non-crestal dental implant system according to claim 1, wherein the patient can mechanically actuate the at least one dental implant abutment attached to the dental prosthesis via mechanical force or rotational force, and further, the at least one dental implant abutment can be actuated via a push-in-pull-out mechanism, lateral force, or force in any direction necessary to engage or actuate the at least one dental implant abutment.

20. A non-crestal dental implant system according to claim 1, which can be used in combination with conventional dental implants or small-diameter implants.

21. It is a non-Crestal dental implant system; a. At least one dental implant having a proximal end, a distal end, and an internal and / or external architecture, wherein the dental implant is configured to be embedded in the mandible or maxilla via a region other than the alveolar crest, the mandible or maxilla having a lingual or palatal and buccal side, and the dental implant is configured to be embedded at an angle that maximizes engagement with the bone tissue of the mandible or maxilla, either from the buccal side toward the lingual or palatal side, or from the lingual or palatal side toward the buccal side, or in either a front-to-back or back-to-front direction; b. A dental implant abutment comprising at least one dental implant abutment having a proximal end for attachment to the dental implant and a distal end for attachment to a dental prosthesis, c. A dental implant prosthesis comprising at least one dental implant prosthesis configured to connect to at least one dental implant abutment, wherein the proximal and distal ends of the at least one dental implant can be positioned at an angle such that the at least one dental implant abutment is neither parallel nor perpendicular to the at least one dental implant. The aforementioned dental implant system.

22. The non-crestal dental implant system according to claim 21, wherein the at least one dental implant includes an orifice for functioning as a male retaining element or a female component for an abutment, the retaining element originating from a denture attachment device or being inserted into a denture as a separate retaining element and being attached within or to the dental implant.

23. The non-crestal dental implant system according to claim 21, wherein the at least one dental implant abutment is attached to the dental implant by a screw mechanism.

24. The non-crestal dental implant system according to claim 21, wherein the at least one dental implant abutment employs a ball and socket attachment mechanism for attaching the dental prosthesis.

25. The non-crestal dental implant system according to claim 21, wherein the internal architecture of the at least one dental implant extends from the proximal end of the at least one dental implant to the distal end of the at least one dental implant.

26. The non-crestal dental implant system according to claim 21, wherein the at least one dental implant is embedded in the mandible or maxilla from both sides, and the at least one dental implant may have one or more orifices to which the at least one dental implant abutment can be attached to the proximal end of the at least one dental implant and another dental implant abutment can be attached to the distal end of the at least one dental implant, so that the dental implant is inserted horizontally or sub-horizontally into the mandible or maxilla at an angle that maximizes engagement with the mandible or maxilla, either from the buccal side toward the lingual side or from the lingual side toward the buccal side.

27. The non-crestal dental implant system according to claim 21, wherein the retaining bar can connect at least one dental implant to another dental implant.

28. The non-crestal dental implant system according to claim 21, wherein a retaining spring can connect at least one dental implant to another dental implant.

29. The non-crestal dental implant system according to claim 1, further comprising a retractable retaining arm, the retractable retaining arm being extendable and retractable into the oral cavity from the center of the dental implant when in operation.

30. The dental prosthesis is A partial or complete denture including a sliding mechanism integrated into the denture body or part of the denture body, The engagement features related to the slide mechanism and Equipped with, The sliding mechanism is capable of moving the engaging feature between a retracted position and a protruding position, and in the protruding position, the engaging feature is configured to engage with the at least one dental implant abutment or retaining element, thereby fixing the partial or complete denture to the at least one dental implant; and in the retracted position, the engaging feature is configured to disengage from the at least one dental implant abutment, thereby allowing removal from the at least one dental implant. The non-crestal dental implant system according to claim 1.

31. Including a partial denture or a complete denture, The aforementioned partial denture or complete denture includes a locking mechanism, The engaging element related to the locking mechanism and Furthermore, The locking mechanism is designed to transition the engaging element from an unengaged state to an engaged state, in the engaged state the engaging element interacts with the at least one dental implant abutment to fix the partial or complete denture in place, and in the unengaged state the engaging element allows the partial or complete denture to be removed from the at least one dental implant. The non-crestal dental implant system according to claim 1.

32. The partial or complete denture further comprises a clasp mechanism integrated within the partial or complete denture structure for engaging with at least one dental implant abutment, The clasp mechanism includes an actuator that can be operated to move the clasp mechanism between an engaged position and an unengaged position, and an engaging clasp that, under the control of the actuator, selectively fixes to and releases from the at least one dental implant abutment, wherein in the engaged position, the engaging clasp fixes a partial or complete denture structure to the at least one dental implant abutment, and in the unengaged position, the engaging clasp can remove the partial or complete denture structure from the at least one dental implant abutment. The non-crestal dental implant system according to claim 1.

33. A mechanism including one or more lobster clasps attached to a denture assembly, each mechanism further comprising a partial or complete denture that can move between an open position and a closed position, Each of the aforementioned lobster clasp-like mechanisms is configured to engage with the at least one dental implant abutment when in the closed position to secure the denture assembly in place, and each of the aforementioned lobster clasp-like mechanisms is configured to release from the at least one dental implant abutment when in the open position and can be removed from the denture assembly. The non-crestal dental implant system according to claim 1.

34. Further comprising a partial denture or a complete denture structure, The at least one dental implant abutment is integrated with the partial or complete denture structure, attached to the partial or complete denture structure, or forms part of the partial or complete denture structure. The at least one dental implant abutment is configured to engage with the corresponding at least one dental implant implanted in the patient's jaw, thereby fixing the partial or complete denture structure in place, and the engagement between the at least one dental implant abutment and the at least one dental implant provides stability and support to the denture structure. The non-crestal dental implant system according to claim 1.

35. The at least one dental implant is configured to be embedded horizontally or semi-horizontally in the mandible or maxilla so as to engage with bone tissue by a non-crestal approach, The at least one dental implant and the at least one dental implant abutment are integrally configured. The non-crestal dental implant system according to claim 1.

36. The non-crestal dental implant system according to claim 35, wherein the at least one dental implant abutment and the at least one dental implant are connected as a single element such that the at least one dental implant abutment can also be used as a receptacle for a dental implant insertion tool.

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